qveda prognaTiis qirurgiuli mkurnalobis Soreuli Sedegebi

m.kivilaZe, g.menabde, T.nemsaZe d.janxoTeli m.gersamia

saqarTvelos saxelmwifo samedicino akademia

qirurgiuli da orTopediuli stomatologiis kaTedra

qveda prognaTia yba-saxis midamos anomaliebidan erT-erT yvelaze gavrcelebul paTologias warmoadgens. aRniSnuli daavadebis samkurnalod Tanamedrove medicinaSi orTodontul saSualebebTan erTad sul ufro da ufro meti yuradReba eTmoba mkurnalobis qirurgiul meTodebs.

sadReisod yvelaze popularulia OObwegeser-isa (1968) da Dal Pont-is (1961) mier mowodebuli qveda ybis totebis ormxrivi sagitaluri retromolaruli osteotomiis meTodi. meTodi sruldeba pirSigniTa midgomiT, rac dakavSirebulia mniSnvelovan teqnikur sirTuleebTan da recidivebis xSir SemTxvevebTan.

aRniSnuli problemebis gadaWris da teqnikurad gamartivebis mizniT Cvens mier mowodebuli iqna sagitaluri osteotomiis 2 originaluri meTodi. aseve pacientTa operaciisSemdgom periodSi gamoyenebul iqna reabilitaciur RonisZiebaTa mTeli kompleqsi, romelSic Sedioda osteogenezis mastimulirebeli saSualebebi; Ca-isa da F-is Semcveli preparatebi; B jgufis vitaminebi; pirSigniTa fiqsaciis vada, mavTulovani artaSniT gazrdili iqna 2 Tvemde; gamoyenebuli iqna operaciis Semdgom periodSi orTodontiuli RonisZiebebi, ramac mniSvnelovnad Seamcira recidivebis da garTulebebis raodenoba.

q.Tbilisis me-4 klinikuri saavadmyofos bazaze zemoxsenebuli meTodebiT mkurnaloba Cautarda 92 pacients 1986 wlidan dRemde. Soreuli Sedegebi yvela SemTxvevaSi damakmayofilebelia.

literatura

1. o.d. nemsaZe - "qirurgiuli stomatologia" Tbilisi 1996

2. Сукачев В.А. - "Атлас реконструктивных операций на челюстях" Москва 1984

3. Безруков В.М. Робустова Т.Г. - "Руководство по хирургической стоматологии и челюстно-лицевой хирургии"

4. Converse J.M. Smith B. Obear M.F. and Wood-Smith D. – "Plastic Reconstruction Surgery" 1967

Summary

M. Kiviladze, G. Menabde, T. Nemsadze, D. Jankhoteli, M. Gersamia

Furthev Results of Surgical Treatment of Lower Prognatism

We offer a new method of surgical treatment of lower prognathysm. Vertical osteotomy of the branches of lower jaw dawn to the lower third part is done, which is followed by horizontal osteotomy up to the first molar. The method is termed vertical-horizontal osteotomy of lower jaw. In the process of the upper prognation treatment, for the improvement of the osteotomical fragments by means of wire stitches or microplastic osteosynthesis is proposed.