Abstract
This review article provides brief information on rehabilitation measures that improve the local and general condition of patients with jaw fractures. In the recent year the number of injuries with maxillofacial trauma has significantly increased in all countries of the world. Among maxillofacial injuries, fractures of the jaws occupy the main place (65- 80%), and most of the patients are young and able-bodied people. Despite the continuous improvement of the treatment methods of jaw fractures, the periods of immobilization and temporary disability are not reduced, and the incidence of inflammatory complications remains high, which significantly worsens the outcome of trauma. This largely depends on the lack of an effective system of rehabilitation of patients and a comprehensive approach to treatment with the use of both, pharmacological, psychotherapeutic, and physical rehabilitation measures. Complex treatment and rehabilitation of patients with jaw fractures will promote rapid stabilization and reduction of posttraumatic manifestations of the disease and, as a result, improve physical and mental health and increase the life potential and the level of their working capacity. The object of the review is to study and combine rehabilitation activities, that improve the health, working capacity and local status of patients with jaw fractures during immobilization and after removal of splints. Materials: The articles were identified using the computerized search engine PubMed, Elsevier, Cochrane Central, Google scholar, Google search, Research Gate, Ebsco Host, dissercat.com, medical-diss. com, cyberleninka.ru and other possible sites with keywords such as maxillofacial trauma, mandibular fracture, jaw fracture intermaxillar fixation and rehabilitation, recovery, physiotherapy, psychology, nutrition, feeding, diet, care, therapeutic gymnastics and in various combinations of these words in Russian and English. And they also took into account the relevant bibliographic lists. Randomized controlled trials, meta-analyzes, prospective clinical trials were selected based on their significance.
Highlights
Rehabilitation is the process and system of medical, psychological, pedagogical, socio-economic measures aimed at eliminating or possibly more fully compensating for lifecycle limitations caused by a disorder of health with persistent disorders of the body’s functions
The scientific substantiation of the rehabilitation system for patients with injuries of the maxillofacial area is a multidisciplinary problem and is an urgent task of modern medicine due to large economic losses associated with their high prevalence among persons of the most able-bodied age [7,22,32,33,50]
Pharmacological therapy is of great importance in the complex treatment of jaw fractures
Summary
Rehabilitation is the process and system of medical, psychological, pedagogical, socio-economic measures aimed at eliminating or possibly more fully compensating for lifecycle limitations caused by a disorder of health with persistent disorders of the body’s functions. Rehabilitation is a part of daily care and reduces the consequences of the disease [39]. The scientific substantiation of the rehabilitation system for patients with injuries of the maxillofacial area is a multidisciplinary problem and is an urgent task of modern medicine due to large economic losses associated with their high prevalence among persons of the most able-bodied age [7,22,32,33,50]. The consequences of diseases and injuries require long-term comprehensive rehabilitation measures from the side of the maxillofacial surgeon, orthodontist, speech therapist, orthopedist, physiotherapist, dentist therapist, otorhinolaryngologist, ophthalmologist, neurologist [6,17]. In the rehabilitation complex after jaw fractures, such activities as timely and effective fastening of fragments, antimicrobial and general tonic therapy, physical methods of treatment, nutrition, psychological support, exercise therapy and oral hygiene are in the forefront [39,58]
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