Prevention of complications after the surgical treatment of the facial fractures

Abstract

In modern society, with a high rate of industrialization and, at the same time, a decrease in the standard of living, an increase in maxillofacial injury (MFI) has been noted, ranging from 6 to 16% of the total number of injuries. In addition, MFI is a public health problem due to its high prevalence and the need for resources to treat it, as well as the financial and social impact of MFI victims on the health care system. Osteosynthesis of the bones of the facial skeleton with titanium miniplates and screws is an effective way to treat fractures of the bones of the facial skull. According to the studied literature sources, researchers continue to search for the most inert materials for surgical otheosynthesis. Samples of various materials are examined for the adhesive ability of the main pathogens of purulent-inflammatory diseases, inertness, toxicity and other indicators. But studies are few and there is no conclusive evidence in favor of either material. However, the use of titanium miniplates and screws coated with silicon carbide is advisable for the prevention of postoperative complications. The use of titanium miniplates and screws coated with silicon carbide is the method of choice in the treatment of infected fractures of the bones of the facial skeleton.

Keywords

titanium plates / microbial adhesion / ion-plasma coating / silicon carbide / osteosynthesis complications / review

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Demyanova A.V., Amkhadova M.A., Ivanova E., Demyanov V.I., Amkhadov I.S.