Avtor/Urednik		Vesnaver, Aleš
Naslov		Sodobno zdravljenje poškodb obraznega skeleta
Prevedeni naslov		Advances in facial fracture treatment
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 77, št. 3
Leto izdaje		2008
Obseg		str. 229-38
Jezik		slo
Abstrakt		Background The last twenty years have witnessed substantial advances in facial fracture treatment. Treatment of these fractures was as a rule conservative until the 1960s. With the development of new techniques, materials and principles, surgery gradually took over as the preferred mode of treatment. Facial fracture mechanisms, surgical approaches to the facial skeleton, stabilisation by means of osteosynthesis i.e. internal fixation, as well as novelties in facial fracture treatment at the Department of Maxillofacial and Oral Surgery in Ljubljana, are described. Conclusions Treatment of facial fractures is now predominantly surgical, as it has proven to be more precise, quicker and more reliable than conservative treatment, thereby yielding better results. It is also better tolerated by patients.
Izvleček		Izhodišča V zadnjih dvajsetih letih smo priča velikemu napredku pri oskrbi zlomov obraznega skeleta. Zdravljenje teh zlomov je bilo še do 60. let prejšnjega stoletja skoraj izključno konzervativno. Z razvojem novih tehnik, materialov in načel pa je glavno vlogo postopno prevzemala kirurgija. Na kratko so opisani mehanizmi nastanka zlomov obraznega skeleta, kirurški pristopi k zlomom, učvrstitve zlomov z osteosintezo oz. notranjo fiksacijo ter novosti pri zdravljenju obraznih poškodb na KO za maksilofacialno in oralno kirurgijo. Zaključki Zdravljenje zlomov obraznega skeleta je sedaj praviloma kirurško, ker je natančnejše, hitrejše in zanesljivejše od konzervativnega zdravljenja. Zato daje boljše rezultate. Poleg tega pa ga bolniki laže prenašajo.
Deskriptorji		FACIAL BONES SKULL FRACTURES TOMOGRAPHY, X-RAY COMPUTED FRACTURE FIXATION BONE TRANSPLANTATION BONE SUBSTITUTES