Aktualne poglądy na temat leczenia złamań wyrostka kłykciowego żuchwy

Maciej Sikora, Tomasz Olszowski, Dariusz Chlubek

Abstrakt


ABSTRAKT

Celem niniejszego przeglądu piśmiennictwa było przedstawienie i omówienie obecnych poglądów na temat leczenia złamań wyrostka kłykciowego żuchwy. Autorzy omówili etiologię, epidemiologię, mechanizmy, jak również zasady i metody leczenia złamań wyrostka kłykciowego żuchwy. Ponadto przedstawiono zagadnienie wyboru dostępu chirurgicznego oraz technik i materiałów do otwartej osteosyntezy złamań wyrostka kłykciowego żuchwy. Do wyszukiwania odpowiednich artykułów opublikowanych w okresie 2000–2018 r. wykorzystano bazę PubMed. Analiza obejmowała zarówno prace oryginalne, jak i poglądowe (w tym metaanalizy) dotyczące dorosłych pacjentów.

Wciąż istnieją różnice w opiniach badaczy co do wyboru odpowiedniego leczenia chirurgicznego – zamkniętego czy otwartego. 

Wśród zwolenników leczenia otwartego nie ma jednomyślności co do wyboru właściwego dostępu chirurgicznego. Istotnym pytaniem jest, jakie materiały wybrać do osteosyntezy złamań wyrostka kłykciowego żuchwy.

Ostatnie badania wykazują zadowalające wyniki stabilności osteosyntezy złamań wyrostka kłykciowego żuchwy za pomocą płytek 3D. W przyszłości konieczna jest dalsza dyskusja nad wyborem rodzaju materiału do osteosyntezy złamań wyrostka kłykciowego żuchwy, a w szczególności na temat możliwości zastosowania materiałów wchłanialnych.


Słowa kluczowe


złamania wyrostka kłykciowego żuchwy; etiologia; mechanizm; metody leczenia

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Bibliografia


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DOI: https://doi.org/10.21164/pomjlifesci.482

Copyright (c) 2018 Maciej Sikora, Tomasz Olszowski, Dariusz Chlubek

URL licencji: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/