THE USE OF A PIEZOTOME IN THE RECONSTRUCTION OF DEFECTS IN THE BONES OF THE FACIAL SKULL.

Nikanorov Yuri Alekseevich

In the works devoted to the treatment and rehabilitation of patients with injuries, post-traumatic defects of the bones of the facial skull over the past decades, the improvement of known and the emergence of new methods has been noted. One of them is the use of individual implants. During surgery, it is necessary to accurately match the implant with the receiving bed or bone fragment; there is a need to form retention points, or change the contours of the bone for a better fit of the implant. The traditional tools used in surgery: chisels, drills, cutters - cause additional injury, can cause overheating of bone structures, or the possibility of uncontrolled damage in sensitive areas. A piezoelectric scalpel is devoid of these disadvantages. Most scientific papers describe its use in dentistry, and there are clinical observations in neurosurgical and ENT clinics. In the modern scientific literature devoted to the problems of reconstructive maxillofacial surgery, information is fragmentary or indirect. The methods of widespread use of the piezotome in bone maxillofacial surgery, including in performing reconstructive interventions, are proposed.

Keywords:piezosurgery, maxillofacial area, individual implants, reconstructive operations.