Неогнестрельные переломы верхней челюсти. Клиника, диагностика, лечение
#446
*!A 29 years old man, was taken to the clinic 3 hours after injury (RTA). The examination determined that the line of violation of the integrity of the bone of the upper jaw takes place, starting at the edge pear-shaped holes on two sides, goes backwards above the bottom of the maxillary sinus, via the hill and the lower third of the pterygoid process of the sphenoid bone.
Which of the following therapies is MOST appropriate?
*method of Federspil;
*operation according to the method Faltin Adams;
*fixation of bone fragments apparatus Kaganovich;
*+reposition and fixation of bone fragments apparatus of Sbarge;
*wheretobuy osteosynthesis, therapy.
#447
*!A 48 years old woman, fell and received a stroke in the face. Consciousness is not lost. Then came the pain in the upper jaw, bloody discharge from the mouth. Objectively: pathological mobility of all incisors and canines, along with the alveolar process in the anterior region of the upper jaw, violation of the integrity of the mucosa, bleeding on a transitional fold.
Which of the following types of splinting is MOST appropriate?
*the script for ivy;
*tire Sbarge;
*+smooth tire clamp;
*standard tire Vasiliev;
*vocalista bus Tigerstedt;
#448
*!A 35 years old man delivered 2 hours after injury. Objectively – a patient is unconscious, tendon reflexes sluggish, live photo-reaction, edema of the soft tissues of the midface, abnormal mobility of the upper jaw bleeding from the nose. On the radiograph: a line of violation of the integrity of bone tissue passes through the root of the nose, on the inner wall of the orbit to infraorbiatl slit, on the external wall of the orbit through the frontal-zygomatic suture and the zygomatic arch and pterygoid processes of the sphenoid bone
What's the plan of remedial measures of the following is MOST appropriate?
*operation according to the method of Federspil;
*+operation according to the method Faltin Adams;
*fixation of bone fragments apparatus Kaganovich;
*reposition and fixation of bone fragments apparatus of Sbarra;
*wheretobuy osteosynthesis, therapy.
#449
*!A 42 years, delivered 2 hours after injury. Objective – the consciousness is clear, the tendon reflexes were sluggish, live photo-reaction, edema of the soft tissues of the midface, abnormal mobility of the upper jaw bleeding from the nose. On x-ray: violation of the integrity of bone tissue passes through the root of the nose, on the inner wall of the orbit to infraorbital slit, on the external wall of the orbit through the frontal-zygomatic suture and the zygomatic arch and pterygoid processes of the sphenoid bone
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What's the plan of remedial measures of the following is MOST appropriate?
*reposition on Limberg;
*operation according to the method of Federspil;
*fixation of bone fragments apparatus Kaganovich;
*+reposition and fixation of bone fragments by apparatus of Sbarge;
*wheretobuy osteosynthesis, therapy.
#450
*!A 30 years was injured in the region of the middle third of the face. Appealed with complaints of pain, swelling of soft tissues in the upper jaw, pain during mouth closing. The examination diagnosed a fracture of the upper jaw of Le Fort III.
What is the treatment of the following are MOST recommended?
*+apparatus Sbarge
*bus Limberg
*bus Goinga Port
*bus, Vankevich
*bus Stepanova
#451
*!A 46 years turned to the clinic with post-traumatic complaints of violations of occlusion. The examination revealed bilateral fracture of maxilla with mobility of fragments. Teeth saved.
What is the treatment of the following are MOST recommended?
*+the apparatus Shura with opposing extraoral rods
*standard tire Sbarge modification Mirgazizov
*bus Tigerstedt with maxillary traction
*locking plate apparatus Rudko
*moulded plastic mouthguard to Vares
#452
*!Woman 42 years, delivered to the emergency department of the hospital. The examination determined that the line of violation of the integrity of bone tissue passes through the root of the nose, on the inner wall of the orbit to infraorbital slit ,on the external wall of the orbit through the frontal-zygomatic suture and the zygomatic arch and pterygoid processes of the sphenoid bone. If the surgical treatment the surgeon has carried out the immobilization of the two spokes of Kirchner according to the scheme shown in the figure.
What treatment method is MOST likely used surgeon?
*+by Makienko
*Federspil
*Adams
*according to Vignal-bye
*Paltinu
#453
*!A woman aged 45, is delivered to the emergency department of the hospital. The examination includes a fracture of the upper jaw to the upper type. In the course of surgical treatment, the surgeon one of the spokes of Kirchner conducted through the zygomatic arch posterior to the fracture line, passed through the entire thickness of the upper jaw and brought through the zygomatic arch of the opposite side. The second needle was introduced parallel to the first.
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What method of surgical treatment is MOST likely used surgeon?
*Federspil
*Adams
*according to Vignal-bye
*+by Makienko
*Paltinu
#454
*!A 39 years old man, contacted to the clinic after 6 hours after injury. When x-ray line of violation of the integrity of bone tissue takes place, starting at the edge pear-shaped holes on two sides, goes backwards above the bottom of the maxillary sinus, via the hill and the lower third of the pterygoid process of the sphenoid bone. If the surgical treatment the surgeon has carried out the immobilization of the two spokes of Kirchner according to the scheme shown in the figure.
What treatment method is MOST likely used surgeon?
*Federspil
*Limberg
*according to Vignal-bye
*by Dubov
*+by Makienko
#455
*!A 43 years old man, contacted the clinic after 8 hours after injury. After the examination, the diagnosis of fracture of the upper jaw to the lower type. In the course of surgical treatment, the surgeon held the spokes on two sides through the lower part of the zygomatic bone forward and down towards the front nose ledge.
What treatment method is MOST likely used surgeon?
*Federspil
*Limberg
*according to Vignal-bye
*+by Makienko
*by Dubov
#456
*!A 48 years old man, contacted the clinic after an injury. After an objective and instrumental examination revealed an old fracture of the upper jaw. Recommended to carry out the reposition and fixation of the upper jaw by the method of Federspil-Dingman.
Which of the following according to the method of treatment MOST likely should be in the first place?
*+apply a smooth tire-clamp
*to make plaster hood
*puncture needle soft tissue of the cheeks
*conduct manual reposition
*pass the wire through the soft tissue
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#457
*!The woman, 46, taken by ambulance to the emergency department after injury. The examination determined that the line of violation of the integrity of bone tissue takes place, starting at the edge pear-shaped holes on two sides, goes backwards above the bottom of the maxillary sinus, via the hill and the lower third of the pterygoid process of the sphenoid bone
Which of the following therapies is MOST appropriate?
*+fixation of bone fragments by the method of Adams
*splinting for Tigerstedt
*reposition bones on Limberg
*reduction in Dubova
*imposing a smooth tires
#458
*!A, 35 years old, contacted the clinic after 12 hours after injury, with complaints of inadequate food intake, malocclusion, inability of dense occlusion. During the inspection there is swelling of the upper lip and buccal areas, the "elongation" of the middle third of the face, abnormal mobility of the alveolar process together with a hard palate.
Which of the following therapies is MOST appropriate?
*splinting for Tigerstedt
*reposition bones on Limberg
*+fixation of bone fragments by the method of Adams
*reduction in Dubova
*the imposition of a smooth tire-staples
#459
*!FeA 66 years old man, contacted the clinic with complaints of aching pain in the upper jaw. From history 15 days ago was injured. To doctors not addressed. After conducting x-rays revealed the fracture line passing horizontally through the nasal bones, the inner and lower wall of the orbit, ends near zygomatic-jaw seam.
Which of the following therapies is MOST appropriate?
*+by Federspil
*splinting for Tigerstedt
*reposition bones on Limberg
*conservative treatment
*the wearing of hats for face lifting
#460
*!A 33 years, delivered 2 hours after injury. During the inspection a marked edema of the soft tissues of the midface, abnormal mobility of the upper jaw bleeding from the nose. On the radiograph: a line of violation of the integrity of bone tissue passes through the root of the nose, on the inner wall of the orbit to infraorbital slit, on the external wall of the orbit through the frontal-zygomatic suture and the zygomatic arch and pterygoid processes of the sphenoid bone
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What's the plan of remedial measures of the following is MOST appropriate?
*reposition on Limberg
*operation according to the method of Federspil
*reduction in Dubova
*fixation of bone fragments apparatus Kaganovich
*+reposition and fixation of bone fragments apparatus of Sbarge
#461
*!A 36 years old man was injured in the region of the middle third of the face. Appealed with complaints of pain, swelling of soft tissues in the upper jaw, pain during mouth closing. After the examination revealed a fracture of the upper jaw by Le Fort III.
What is the treatment of the following are MOST recommended?
*bus Limberg
*bus Goinga Port
*bus, Vankevich
*+apparatus Sbarge
*bus Stepanova
#462
*!A 50 year old man, fell and received a stroke in the face. Consciousness is not lost, nausea and vomiting was not observed. Objectively: pathological mobility of all incisors and canines, along with the alveolar process in the anterior region of the upper jaw, violation of the integrity of the mucosa, bleeding on a transitional fold.
Which of the following therapies is MOST appropriate?
*script by ivy
*tire Sbarge
*+smooth tire bracket
*standard tire Vasiliev
*duclottni the bus Tigerstedt
#463
*!A, 35 years old man, delivered 3 hours after injury. On the radiograph: a line of violation of the integrity of bone tissue passes through the root of the nose, on the inner wall of the orbit to infraorbital slit, on the external wall of the orbit through the frontal-zygomatic suture and the zygomatic arch and pterygoid processes of the sphenoid bone
Which of the following therapies is MOST appropriate?
*operation according to the method of Federspil
*fixation of bone fragments apparatus Kaganovich
*reposition and fixation of bone fragments apparatus of Sbarra
*overlay duchaussoy bus Tigerstedt
*+operation according to the method Faltin Adams
#464
*!A 30 years old man brought to the emergency department of the specialized clinic after the injury in the workplace. When conducting x-rays revealed a fracture of the upper jaw at the average type.
Which of the following therapies is MOST appropriate?
*wheretobuy osteosynthesis apparatus Rudko
*reposition of bone fragments and fixation of a splint clip
*fixation of bone fragments apparatus Kaganovich
*+the operation by method of Federspil-Digman
*reduction by the method of Limberg
#465
*!40 year old man brought to the emergency department after an accident. The examination revealed a fracture of the upper jaw to the upper type. Recommended surgical treatment according to Makienko spokes of Kirchner.
Which of the following methods MOST appropriate spokes?
*through the lower part of the zygomatic bone to the anterior nasal projection
*+ through zygomatic arch two spokes through the entire thickness of the upper jaw
*thicker upper jaw the spokes in the vertical direction
*zygomatic bone forward and down to the alveolar processes
*through the zygomatic bone down to the tuberosity of the maxilla
#466
*!A 42 years old man, delivered to the emergency department after a domestic injury. The examination revealed a fracture of the upper jaw at the average type. Recommended surgical treatment according to Makienko spokes of Kirchner.
Which of the following methods MOST appropriate spokes?
*through the lower part of the zygomatic bone to the anterior nasal projection
*+from one zygomatic bone to the other in a horizontal direction
*zygomatic arch through two spokes through the entire thickness of the upper jaw
*from the zygomatic arch to the zygomatic bone of the opposite side
*thicker upper jaw the spokes in the vertical direction
#467
*!A 38 years old man brought to the emergency department after a work injury. The examination revealed a fracture of the upper jaw to the lower type. Recommended surgical treatment according to Makienko spokes of Kirchner.
Which of the following methods MOST appropriate spokes?
*+through the lower part of the zygomatic bone to the anterior nasal projection
*from one cheekbone to the other in a horizontal direction
*zygomatic arch through two spokes through the entire thickness of the upper jaw
*from the zygomatic arch to the zygomatic bone of the opposite side
*two spokes through the zygomatic bone in an oblique direction
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