Inpatient Medical Rehabilitation Research Articles

Интервальная гипокси-гипероксическая терапия в комплексной реабилитации пациентов с остеоартритом

The purpose — to evaluate the clinical efficiency of the individually dosed interval hypoxic-hyperoxic therapy in the medical rehabilitation of patients with osteoarthritis (OA). Material and methods. 68 patients with OA (81% females, aged 44 to 69 years) were included in the randomized controlled study. 35 study group patients received 10 hypoxic-hyperoxic therapy procedures, 33 control group patients – only standard rehabilitation. The study group patients were breathing hypoxic (FiO2 13–15%) and hyperoxic (FiO2 up to 40%) gas mixture through a mask in the interval mode using ReOxy device. The duration of 1–4 procedures was 30 min, 5–10 procedures — 40 min. The patients of both groups underwent a 2-week standard rehabilitation program: 10 group sessions of physical exercises, 10 procedures of magnetic therapy for joints, 10 sodium chloride baths. Results. After 2 weeks, joint pain on a 100 mm visual analog scale in the study group decreased by 54% (p < 0.01), Lequesne index — by 35.7% (p < 0.05), WOMAC index — by 49.6% (p < 0.05), Spielberger — Khanin reactive anxiety test — by 30.1% (p < 0.05), depression symptoms by Beck depression inventory — by 60.8% (p < 0.01). In the study group there were statistically significant differences from the control group in all parameters (р < 0.05). Conclusion. The 2-week rehabilitation program, including interval hypoxic-hyperoxic therapy, reduces pain, depression and reactive anxiety symptoms, improves functional status in patients with OA.

THE EFFECT OF PELOID THERAPY ON THE DYNAMICS OF BIOCHEMICAL BLOOD PARAMETERS WITH EXPERIMENTAL OSTEOARTHRITIS

Formulation of the problem. It is known that until recently, complex conservative therapy remained the leading method in the treatment and medical rehabilitation of patients with osteoarthritis. Physical factors, both preformed and natural, occupy an important place in the therapy of patients with osteoarthritis. Analysis of recent research and publications. The most popular among the means used in the treatment of patients with osteoarthritis of the knee joints are therapeutic muds. According to modern ideas, their therapeutic action is based on a combination of mechanical, thermal, chemical, biological and other components of the peloid. Formulation of the purpose of the article. To study the effect of peloid therapy on biochemical blood parameters of white rats with experimental osteoarthritis. Presenting main material. The content of glycoproteins in the blood of rats was probably increased on the 7th day in animals with osteoarthritis compared to the values in intact ones. A slight increase in the level of glycoproteins was maintained throughout the experiment until the 30th day. During the treatment with sulphide-mud mud, on the 7th day, an increase in the content of glycoproteins was noted to the level of the indicators of the control group. By the 15th day, the concentration of glycoproteins probably decreased compared to its value in the control group, however, by the end of the observations, the amount of glycoproteins in the blood serum of the experimental animals exceeded this indicator than in the rats of the control group. These data indicate that the use of sulphide mud reduces the activity of the inflammatory process, but not sufficiently. The concentration of chondroitin sulfates in the blood serum of experimental animals on the 7th and 15th day of osteoarthritis was increased in comparison with the results obtained in intact animals. However, by the 30th day, there was a decrease in the indicated indicator compared to the one that occurred earlier. Conclusions and prospects for further research. Thus, it was established that the use of peloidotherapy led to a decrease in the content of chondroitin sulfates in the blood serum of experimental animals in comparison with the corresponding term of the control group, which indicates the beneficial effect of peloidotherapy on the exchange of glycosaminoglycans. In the conditions of peloid therapy, the dynamics of biochemical indicators of the state of connective tissue were revealed, which indicated the beneficial effect of peloid applications on the knee joints of experimental rats, which was manifested in the reduction of the inflammatory and destructive process in the cartilage tissue of the affected joints. The prospect of further research is the application of this technique of pyeloid therapy in clinical orthopedic practice.

Experience in medical rehabilitation of patients who have undergone COVID-19 in the health resorts of the North Caucasian health resort complex of the Russian Ministry of Defense

Experience in medical rehabilitation of patients who have undergone COVID-19 in the health resorts of the North Caucasian health resort complex of the Russian Ministry of Defense

On the assessment of medical rehabilitation effectiveness in patients with chronic obstructive pulmonary disease in the resort setting

To perform a comparative analysis of methods for assessing the medical rehabilitation outcomes in COPD patients in the resort setting. The study involved 71 patients with stage I-II COPD, with bronchitis (66.2%) and mixed (COPD + asthma, 33.8%) phenotypes in the clinical remission phase. The mean age of the patients was 57.0±9.8 years, and the mean duration of disease was 7.8±5.1 years. Within 14 days, all patients received an identical set of rehabilitation measures with natural and preformed physical therapeutic resort factors. Before and after the medical rehabilitation course, clinical, laboratory, functional tests and questionnaires were performed on each patient. The effectiveness of course-based complex rehabilitation was assessed using one of three methods: CAT (COPD [chronic obstructive pulmonary disease] Assessment Test), the International Classification of Functioning, Disability and Health (ICF), the COPD control and control stability criteria system. Comparison of the three methods of assessment of COPD patients' rehabilitation outcomes in resort settings showed that the CAT score is the easiest to use, the least time-consuming, highly valid, and informative. According to the CAT score, the resort medical rehabilitation effectiveness was 96.4%, with «improvement» and «significant improvement» recorded in 82.1% of cases. The use of ICF provides reliable information about the rehabilitation complex effect on the main pathogenetic links of the disease, which allows proper adjusting of rehabilitation procedures to improve effectiveness in the resort setting. Specified grades of ICF domains make it possible to translate qualitative and quantitative attributes inherent to a particular subject into points. The points trend during the medical rehabilitation indicates its effectiveness in terms of recovery of specific functions impaired by the disease. At the same time, the ICF does not allow to rank the medical rehabilitation outcomes in the resort setting in terms of the currently accepted concepts of «significant improvement,» «improvement,» «slight improvement,» «no change,» «deterioration,» which limits its application in resorts. We believe that assessment of rehabilitation outcomes based on COPD control and control stability is not applicable to resort setting due to possible discrepancy between the impression formed in a short time (14 days) about these characteristics of the pathological process and the actual status, as well as due to lack of knowledge about the effect of achieved/not achieved disease control on the choice of rehabilitation technology. A simple and highly informative CAT score can be recommended to assess the effectiveness of resort medical rehabilitation in patients with chronic obstructive pulmonary disease.

INFLUENCE OF INTERVAL NORMOBARIC HYPOXYTHERAPY ON THE PROCESSES OF ISCHEMIC PRECONDITIONING IN THE MYOCARDIUM OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

The aim: Determination of cardioprotective effect of interval normobaric hypoxia in medical rehabilitation of patients with COPD. Materials and methods: 123 patients with COPD who received basic drug therapy were examined and were divided into 2 groups. Patients of the main group (93 persons) additionally received 2 courses of 20 sessions of interval normobaric hypoxia. All patients underwent echocardiographic examination at the beginning and after 1 year of follow-up. Results: Prior to treatment, all patients had changes in the myocardium of both ventricles, due mainly to hypoxic and inflammatory effects and to a lesser extent to increased pulmonary artery pressure. Interval normobaric hypoxytherapy caused adaptive-adaptive reactions of the cardiovascular system, which manifested a positive effect on the state of both left and right ventricles: increase in stroke volume and expulsion fraction, decrease in E-DV and E-SV of the left and right ventricular E-DS, elimination of myocardium. However, the result is more effective in patients with GOLD 1 and GOLD 2 compared to GOLD 3. Conclusions: The use of interval normobaric hypoxytherapy in the rehabilitation of COPD, initiated by ischemic preconditioning, is pathogenetically justified because it triggers endogenous mechanisms of cardioprotection and metabolic adaptation.

Medical rehabilitation of patients after a new coronavirus infection caused by the SARS-CoV-2 virus

Medical rehabilitation of patients after a new coronavirus infection caused by the SARS-CoV-2 virus

Virtual reality technology in medical rehabilitation of patients with ischemic stroke

Rehabilitation of patients after an ischemic stroke is a complex and time consuming process that requires coordinated interaction between specialists of different specialisations. Functional outcomes in patients can vary from asymptomatic lesions to complete incapacity and depend on the location of the stroke, premorbid background, the time of initiation of therapy, its duration, and other factors. Goals of medical rehabilitation include not only motor rehabilitation, but also the restoration of cognitive, affective, visual, speech and many other disorders. The development of rehabilitation methods that have a minimum number of contraindications or no contraindications remains relevant. One of the promising methods that complement traditional rehabilitation is virtual reality technology. The article describes modern technologies of virtual reality and methods of their application in medical rehabilitation.

Application of the International Classification of Functioning, Disabilities and Health in the Rehabilitation Process

With the development of high technologies in medicine, the diagnostic process is improving, the methods of treating patients are refining, the percentage of patients who survived after serious injuries, diseases and/or conditions is increasing. The issue of the patients` quality of life that received primary medical, specialized, including high-tech medical care is becoming a priority for health care. Rehabilitation is defined as one of the critical interventions “enabling people with disabilities to achieve and maintain maximum independence, full physical, mental, social and professional ability and full inclusion and participation in all aspects of life”. The problems and prospects of rehabilitation medicine for the future arise due to critical changes in demographics, life expectancy, a variation in approaches to assessing disability, an increase in the prevalence of long-term health disorders, especially in connection with the new coronavirus infection, technological progress, as well as changes in health care costs and changes in society’s requirements for well-being and quality of life, including health. The object of the study is the process of organizing medical rehabilitation of patients with cerebral stroke at the second phase of rehabilitation process in a 24-hour inpatient medical rehabilitation department for patients with impaired function, structures, limited activity and participation due to damage to the central nervous system based on the application of the International Classification of Functioning, Disabilities and Health (ICF) for the rehabilitation diagnosis description (the degree of disturbance of structure, function, limitation of activity and participation, the degree of influence of environmental factors) and the formation of the medical rehabilitation program on its basis.

Аpplication of rehabilitation technologies to improve cognitive functions in patients with ischemic stroke

BACKGROUND: Currently, the development and implementation of new effective comprehensive programs for medical rehabilitation of patients who have undergone acute cerebrovascular accident is an important and urgent medical problem. AIMS: To study the effect of combined methods of medical rehabilitation in patients with post-stroke spasticity on cognitive functions and psychoemotional status. MATERIAL AND METHODS: The study involved 60 patients who underwent ischemic stroke with movement disorders in the form of hemiparesis with increased muscle tone in the form of spasticity in the long-term period. Patients of the control group (30 people) underwent standard drug therapy and medical rehabilitation, patients of the main group (30 people), against the background of standard drug therapy and medical rehabilitation, used combined physiotherapy methods from the Alpha LED Oxy Light Spa apparatus. Subjective indicators of cognitive impairment (Montreal Cognitive Assessment Scale) and psychoemotional defects (Hospital Anxiety and Depression Scale) were assessed. RESULTS: Immediately after treatment on day 14, cognitive functions significantly improved and the degree of psychoemotional defect decreased, which was confirmed by the MOCA and HADS scales. CONCLUSION: The inclusion of combined physiotherapy methods in the standard complex of medical rehabilitation and treatment of patients after ischemic stroke with movement disorders in the form of hemiparesis contributes to a significant improvement in cognitive functions and a decrease in the degree of psychoemotional impairment.

Medical rehabilitation strategies in complex assistance of people with COVID-19. Literature review

Covid-19 infection is a challenge for the medical system. The development of programs and strategies for the rehabilitation of people in different stages of the disease is relevant and current. The study is a bibliographic synthesis that aimed to analyze the methods and strategies of medical rehabilitation of patients with the new “coronavirus infection”. Data were collected from the academic databases PubMed, PubMed Central, Google, collecting relevant articles from 2019-2021, using the keywords: [“Covid-19” or “Covid 19” or “2019- CoV” or “SARS- CoV” or“ new coronavirus” or “SARS-CoV-2”] and [“rehabilitation ”or“ physical medicine”]. Th e aim of the study was to estimate the consequences of COVID-19 and to identify methods of recovery treatment. Because Covid-19 severely affects the respiratory system, pulmonary rehabilitation interventions with respiratory techniques and postural drainage combined with other physiotherapeutic methods may be used for a patient with COVID-19. The wide range of clinical manifestations in COVID-19 reveals the importance of adapting the rehabilitation program to functional deficits and patient needs. Multifactorial programs combined with active and supportive methods (physical therapy, exercise, occupational therapy, reflex therapy) are effective and can be used in the complex care of patients with COVID-19 at all stages of treatment.

METHODICAL ASPECTS OF THE DEPLOYMENT OF A MEDICAL REHABILITATION CENTER BASED ON THE MILITARY SPA ORGANIZATION

One of the areas of use of military sanatoriums in peacetime and wartime is the organization of medical rehabilitation centers (CMR) at their base. The medical staff of medical and preventive institutions at the stages of rehabilitation should have a clear understanding of the place and importance of medical measures in the overall task of protecting troops, effectively interact with other specialists in the tasks of providing military personnel, carrying out rehabilitation of the affected and sick for the rapid return of the reconvalescenes, medical rehabilitation of patients after routine operations, ensuring the observation regime and effective postcovid rehabilitation of patients.

6<sup>th</sup> Congress of Traumatologists and Orthopedists of the Far Eastern Federal District

The short message provides information on the 6th Congress of Traumatologists and Orthopedists of the Far Eastern Federal District held on September 1617, 2021 in Chita together with the All-Russian Scientific and Practical Conference with international participation Traumatology, Orthopedics, and Rehabilitation Medicine of the Far East: Achievements, problems, prospects. The work of the 6th Congress was held in a dynamic and fruitful format, which made it possible to achieve the goals set: modern issues of prevention, diagnosis, treatment of injuries, diseases and conditions of the musculoskeletal system, medical rehabilitation of patients were considered, which made it possible to improve existing or master new knowledge, skills, and abilities and the competence of students to carry out high-quality professional activities in the specialty Traumato-logy and Orthopedics, which will ultimately form labor functions in accordance with the professional standard Traumatologist-orthopedist. At the end of the Congress, the delegates adopted a resolution reflecting the most problematic aspects of the service, the solution of which will significantly increase the availability and quality of the provision of traumatological and orthopedic care in the Far Eastern Federal District.

Rehabilitation-related treatment beliefs in adolescents: A qualitative study.

Medical rehabilitation plays an important role in the health care of chronically ill children and adolescents. During medical rehabilitation, supporting illness-related self-regulation is a central goal. Beliefs about illness and beliefs about treatment are core elements of patients' self-regulation, and there is evidence that these beliefs are relevant predictors of different health- and treatment-related outcomes such as adherence. However, little is known about adolescents' beliefs about rehabilitation. This study therefore explores adolescents' treatment beliefs in the context of inpatient medical rehabilitation. A qualitative study was conducted in a German rehabilitation clinic for children and adolescents. Using a purposive sampling method, 13 adolescents (12-16 years old) were recruited. Semi-structured, audiotaped interviews were conducted and analysed using content analysis. Results demonstrate that adolescents have differentiated rehabilitation-related treatment beliefs. Twelve themes, with various subthemes, emerged, which include access to and knowledge about rehabilitation, the rehabilitation-related individual position and normative aspects, expectations of oneself, as well as in respect of the social context (fellow patients, contact with family and friends), expectations of the structure, process and outcome of rehabilitation, concerns and barriers and emotional aspects. Our explorative study revealed a broad range of rehabilitation-related treatment beliefs in adolescents, indicating parallels, but also differences, to research results with adults. Treatment beliefs are assumed to be an influencing factor for various health- and treatment-related outcomes. Thus, implications of our findings for clinical practice and further research are discussed.

The Autonomy of Patients in Inpatient Medical Rehabilitation - Aspects of Endangerment and Preservation

The aim of the study is to identify aspects within inpatient medical rehabilitation that may endanger or preserve the autonomy of patients. A scoping review was carried out on the basis of the current state of scientific knowledge. The methodological approach was based on the specifications of the Joanna Briggs Institute. The research and generation of findings were logged according to the PRISMA-ScR checklist. The final study inclusion comprises 39 empirical and normative-theoretical contributions. Autonomy-threatening aspects were assigned to the following domains: Rehabilitation system, rehabilitation clinics, staff, patients and third parties. Aspects potentially preserving the autonomy of patients included the following domains: Rehabilitation clinics, staff, concepts and forms of expression as well as instruments. A large number of heterogeneous aspects can endanger, but can also preserve or promote the autonomy of patients during their stay in inpatient medical rehabilitation. These are located throughout in the entire rehabilitation process and concern the structural, organizational and personal level. The autonomy of patients should not only be treated as an outcome of rehabilitation, but also as a requirement for structures and actors during the rehabilitation stay.

Satisfaction of Rehabilitation Patients on Social Media Websites and Online Rating Portals

Patients increasingly express themselves about their medical rehabilitation stay, evaluate health service providers with star ratings, and write reviews on the internet. So far, no results are available regarding online patient satisfaction for inpatient medical rehabilitation in Germany. For the first time, this study conducted a systematic analysis of rehabilitation patient satisfaction on social media websites and hospital rating portals. We collected reviews of medical rehabilitation on the portal Klinikbewertungen.de and the social network Facebook for 8 indication groups (orthopedics, psychosomatics/psychotherapy, oncology, cardiology, neurology, internal medicine, pulmonology/dermatology, gastroenterology) with a full data extraction over 3 survey years (October 2014-September 2017) and for rehabilitation clinics with main bed occupancy of retirement insurance (N=497). The star ratings, aggregated according to indication groups, were evaluated to determine patient satisfaction (Pearson's chi-square test, Fisher's exact test, Phi coefficient). A total of 97.2% of the rehabilitation clinics were represented, with 24,806 ratings on Klinikbewertungen.de. The most frequently evaluated indication groups were orthopedics (38.5%) and psychosomatics/psychotherapy (27.1%). Facebook ratings (N=4,127) were collected for rehabilitation clinics with one department (38.6%) in order to ensure an indication group assignment. Almost the same number of ratings were determined on official (48.7%) and unofficial Facebook pages (51.3%), with no significant correlation between website management and overall satisfaction (p>0.05). On the Facebook pages of the rehabilitation clinics, 49.1% of the ratings were written by women (38.5% by men; 12.4% not assignable). Sociodemographic information on Klinikbewertungen.de was based solely on the status of the insured (89.1% of those with statutory insurance). Overall, 95.4% of the reviews were written by patients and 4.0% by relatives, with 77.5% of patients recommending the clinic to other users (relatives: 37.2%). Most patient ratings were positive. However, there were differences in overall satisfaction between the indication groups. Patients in oncology (77.9%) were more satisfied than those in neurology (59.0%). Online ratings of inpatient medical rehabilitation were collected to a considerable extent. These were mostly positive. The results are comparable to standardized surveys. Despite restrictions in the use of social media data, the results indicated that the publicly available real-time online feedback from patients can provide useful information for the quality management of clinics as well as for patients in exercising their right to choose a rehabilitation clinic.

Rehabilitation of patients with COVID-19: the view of an infectious disease specialist and a pulmonologist

The COVID-19 pandemic has been going on for more than a year and a half, and the number of confirmed cases of infection in the world has already exceeded 150 million people. The multisystemic nature of the lesions in COVID-19, as well as the Post-COVID- 19 syndrome, has been proven, which requires a rethinking of the rehabilitation of such patients. This lecture discusses current approaches to medical rehabilitation in patients with COVID-19 from the view of an infectious disease specialist and a pulmonologist. Methods and exercises of respiratory rehabilitation, including early ones, are indicated in detail. The directions of pharmacological and dietary support of rehabilitation, as well as vaccination after COVID-19 in the aspect of rehabilitation are presented. The directions of studying the human respiratory microbiome in the context of rehabilitation after COVID-19 are proposed.

Efficiency of back muscles training and balance therapy in rehabilitation of patients with osteoporotic vertebral fractures.

Medical rehabilitation of patients with osteoporotic vertebral fractures (VF) remains an insufficiently developed topic and requires additional research. Aim of the study was to assess the efficiency of back muscles training and balance therapy in rehabilitation of patients with osteoporotic vertebral fractures. Prospective, interventional, open-label, controlled study in two parallel groups, performed in inpatient department settings at “National Medical Research Center of Rehabilitation and Balneology” during 2018. The study involved 120 patients (11 men and 109 women) aged 40-80 (mean age 65.4±9.1 years) who were admitted for medical rehabilitation for systemic OP and VF. The rehabilitation program in the main group included: 1) Mechanotherapy on the Back-Therapy-Center Dr. Wolf complex with biofeedback (Germany); 2) Balance therapy on a double unstable COBS platform, with biofeedback (Germany); 3) Hydrokinesiotherapy in a pool; 4) Gymnastic exercises (Gorinevskaya-Dreving method). Results. The use of the three-week program of physical rehabilitation using mechanotherapy, balance therapy and special complexes of physiotherapy exercises in the gym and in the pool in patients with osteoporotic VF significantly increases the strength of the muscle corset, helps to eliminate the existing muscle deficit in TE and TF and results in a more physiological distribution of the strength ratio between TE and TF. The rehabilitation program improves the function of static and dynamic balance, both with closed and open eyes, which can be observed in the return of the center of gravity to a physiological position and in improved reaction speed to changes in body position. Usage of mechanotherapeutic methods in rehabilitation of patients with osteoporotic VF is effective for basic motor function improvement and disability reduction.

Kumis treatment in medical rehabilitation of patients with pneumonia associated with the novel coronavirus infection COVID-19

The results of evaluating the effectiveness of the use of kumis treatment in 64 patients who have had pneumonia associated with the novel coronavirus infection COVID-19 are presented. It was found that the use of kumis treatment in addition to the basic complex in 32 patients of the main group has led to an increase in exercise tolerance by 13.6 % (p < 0,05), a decrease in the severity of shortness of breath by 36.3 % (p < 0.05), and contributed to the improvement of the parameters of the function of external respiration with an increase in the vital capacity of the lungs by 14,4 % (p < 0,05), the volume of forced expiration — by 24,5 % (p < 0,05). Against the background of kumis treatment, the patients of the main group showed a significant decrease in the severity of depression and anxiety — by 62.5 % (p < 0.05) and by 62.3 % (p < 0,05), respectively, an improvement in the parameters of «well-being» by 62,2 % (p < 0.05), «activity» — by 37,6 % (p < 0,05), «mood» — by 35,5 % (p < 0,05), compared to the initial values. The dynamics of parameters in the patients of the control group against the background of the basic complex turned out to be less significant in comparison with the main group.

ОБЕСПЕЧЕННОСТЬ РЕАБИЛИТАЦИОННЫМИ МЕРОПРИЯТИЯМИ ПАЦИЕНТОВ, ПЕРЕНЕСШИХ СЕРДЕЧНО-СОСУДИСТЫЕ КАТАСТРОФЫ, В АСТРАХАНСКОЙ ОБЛАСТИ

The relevance of the study is explained by the need to increase attention to the situation with acute cardiovascular diseases and the creation of an accessible system of medical rehabilitation for patients with cardiovascular diseases in the region. The aim of the study is to analyze the provision of rehabilitation measures for patients who have suffered cardiovascular accidents in the Astrakhan region. Materials and methods - based on the data of the annual reporting statistical forms No. 12 "Information on the number of diseases registered in patients living in the service area of the medical institution" and No. 14 "Information on the activities of the hospital", the calculation and analysis of indicators of general and primary morbidity was carried out ( on appeal), hospitalized morbidity, hospital mortality, the need for rehabilitation measures and their provision of adult patients aged 18 years and older with diseases of the circulatory system, including cardiovascular accidents in the Astrakhan region. Results and discussion - the article shows the general situation with the incidence of diseases of the circulatory system of the adult population, including acute coronary syndrome and acute cerebrovascular accident in dynamics from 2014 to 2020, discloses the organizational and structural aspects of the existing system of organizing rehabilitation care in the region. The results of assessing the satisfaction of the needs of the adult population of the region in neuro- and cardiac rehabilitation by medical organizations licensed for medical activities with an indication of the work (services) for medical rehabilitation and participating in the federal and territorial program of state guarantees of free provision of medical care to citizens in the region are presented. It was revealed that less than half of those in need receive medical rehabilitation assistance at the expense of the mandatory medical insurance fund. Proposals have been formulated to increase the availability of rehabilitation care for patients who have undergone cardiovascular accidents. Conclusion. The obtained research data can be used for further organizational, methodological and coordination work to provide modern medical and rehabilitation care to patients with acute cardiovascular accidents at the regional level.

Effective Restoration Of Mandibular Defects With Custom-Made Titanium Implants

Medical rehabilitation of patients with defects, deformities of the jaws is an urgent problem in reconstructive maxillofacial surgery. Such defects cause significant dysfunctions of the organs of the maxillofacial region, disfigurement of the soft tissues of the lower face zone. A complex problem of maxillofacial surgery is the development of methods for surgical restoration of the integrity of organs and their function. Currently, various surgical methods and materials are used to restore the defect in the jaw bone tissue [12].