Лечение переломов челюстей. Лечебная иммобилизация челюстей. Виды шин. Хиргические методы лечения переломов нижней и верхней челю стей



#468

*!A 39 years old man admitted to the hospital a day after the injury. After an objective examination exhibited a preliminary diagnosis of "Fracture of the lower jaw at the angle on the right". To confirm the diagnosis it is necessary to conduct additional methods of examination.

What method of instrumental diagnostics are MOST recommended.

*radiography of the mandible in polyaxial projection

*+radiography of the mandible in frontal and lateral projection right

*x-rays of the right Schüller

*radiography of the mandible in lateral projection left

*plain radiography of the mandible in a straight line projection

 

#469

*!A young man of 22 years asked for help a day after the injury. After the examination the diagnosis " Fracture of the mandible between the 34 and 35 teeth with displacement of fragments".

Which treatment is MOST recommended?

*osteosynthesis titanium mini plate

*+manual reposition and both jaw splinting

*fixation of a standard sling Entin

*fixation apparatus Rudko

*monocortical osteosynthesis wire seam

 

#470

*!A 46 years old man came to the emergency Department after the injury. On radiographs the fracture line passes through the projection of the germ of a third molar without displacement of fragments.

What tactics of treatment are MOST recommended?

*remove the germ and make the osteosynthesis

*leave the germ and make the osteosynthesis

*perform splinting using pelot

*remove the seed and hold splinting

*+to produce splinting without removing the germ

#471

*!A 68 years old man was taken to the hospital after 4 hours after the injury. After the examination revealed a fracture of the mandible with full dentition defect.

Which method of immobilization is MOST acceptable?

*double jaw splint of Vasiliev

* double jaw splint of Tigerstedt

* double jaw splint with pelot

*+sling bandage Urbanskoi

* double jaw splint with reportnum bend

#472

*!A 44 years old man was hospitalized with a fracture of the lower jaw at the angle on the left. According to the results of clinical examination shows the surgery. During immobilization of the mandible, a surgeon with the help of forest machines and drills introduced a metal wire in fragments, pre-exposing each of them.

Which of the following methods was used by the surgeon?

*+osteosynthesis with bone seam

*spokes of Kirchner

*external plate and frame on screws

*fixation with apparatus of Rudko

*osteosynthesis with staples

 

#473

*!A 37 years old man contacted the clinic two months after the injury with complaints of inadequate food intake, malocclusion, inability tight occlusion .history: previously, did not treated ,, after the injury was severe pain, swelling on examination indicated pathological mobility of fragments of the lower jaw, signs of inflammation are absent. Carried out radiography of the mandible in lateral projection.

What is the complication of the following is MOST likely depicted in the radiograph?

*osteodysplasia

*+false joint

*traumatic osteomyelitis

*delayed consolidation of bone fragments

*improper consolidation of fragments

#474

*!A43 years old man was admitted to the clinic after 2 months since injury with complaints of constant aching pain, swelling of the submandibular region on the right. When injuries occur to the doctors did not addressed. To verify the diagnosis doctor assigned to conduct radiography in the lateral projection.

What is the complication of the following is MOST likely represented on the radiograph?

 

*false joint

*separation of the coronoid process

*+sequestration in crack of the fracture

*improper consolidation of fragments

*fracture of the mandible on the right in the region of the condylar process

#475

*!A 69 years old man taken to the hospital after the injury. When conducting x-rays revealed a fracture of the mandible body on the left with displacement of fragments. During the examination also noted full adentia of lower jaw, positive symptom Vincent on the left.

Which treatment listed is shown the MOST?

*splinting of the jaws

*wearing the sling bandage

*introduction of spokes Kirchner

*+osteosynthesis with mini plates

*manual reposition

 


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