Bobylev Nikolaj Gennadevich,Бобылев Николай Геннадьевич,Bobylev Anatolij Gennadevich,Бобылев Анатолий Геннадьевич,Tarasova Faina Innokentevna,Тарасова Фаина Иннокентьевна,Bobylev Denis Anatolevich,Боб
申请号：
RU2015111921/14
公开号：
RU0002599864C1
申请日:
2015.04.01
申请国别(地区):
RU
年份:
2016
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to maxillofacial surgery. Spiral computed tomography of maxillofacial area is performed. Stereolithographic model is made on obtained data. Its analysis and planning of maxillofacial configuration of the patient are made to make templates, replacing the defect on this model. Wherein, an individual collapsible design is made consisting of zygomatic-frontal, zygomatic-suborbital, zygomatic-alveolar, zygomatic-temporal parts, which have the form of mini boards with holes for self-tapping screws on the entire length at the end, leading towards the center of the structure, a fixing bed with holes for screw-lock is placed. Fixation unit is made individually it has four receiving beds for parts with threaded holes for screw-locks, as well as with holes for self-tapping screws. After making of said structure the collapsible structure is fitted to the model places are marked for osteotomy and for fixation of component parts, where there is no movement of bone tissue, and sufficiently stable place in maxillofacial area are marked too. Minimum incisions of skin, subcutaneous fat, fascias and periosteum are made. Wherein, incision in zygomatic area is made at a distance of 10 mm outside from outer edge of the orbit in parallel with goose foot of up to 10 mm length, where fixation unit is planned to be applied at the zygomatic area. As for zygomatic-frontal part, incision with length up to 8 mm in the frontal area along the zygomatic process of frontal bone along its outer edge in relation to the zygomatic seam. As for zygomatic-suborbital part, incision with length up to 8 mm is made medially in the suborbital area below the lower medial orbit edge. As for zygomatic-temporal part, incision with length up to 8 mm is made in temporal area along the zygomatic process of temporal bone along its upper edge. As for zygomatic-alveolar part, incision is made in the mucous membrane along the transient fold of upper jaw from
