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Classification of craniocerebral

open

closed

concussion of the brain

(commotio)

injury of brain

(contusio)

prelum of brain (compressio)

easy degree of weight

unheavy degree of weight

heavy degree of weight

on a background injury of brain

without concomitant injury of brain

Combined damages of maxillufacial area

Depending on a leading damaging factor

majority of surgical pathology (damages, wounds)

majority of therapeutic pathology (poisoning, general displays)

Depending on the type of damaging factor

Features of the combined damages to the maxillufacial area

development of syndrome of the mutual burdening

weight of providing of medicare

unsatisfactory functional and cosmetic consequences of treatment

7.Materials of activating of students during exposition a lecture:

a) questions:

1. you will transfer the main clinical signs of tangent wound of person.

2. you will transfer the main clinical signs of through wound of person.

3.Specify the volume of the first medical aid at a dislocation asphyxia.

4. Specify the volume of the first medical aid at bleeding.

5. Purpose of debriding of wound.

6. What maximal term of leadthrough of early surgical roughing-out of wounds.

7. What types of ligature bandages are used for a transport immobilization of jaws.

8. Testimonies to the ligature fastening of teeth at the breaks of jaws.

9. What types of fixing behave to direct at the breaks of supramaxilla.

10. you will transfer testimonies for application of vehicle of Zbarzha.

b) educational tasks:

1. A patient is 39 years, grumbles about head pain, crunch in ears during motions by a head. Got a trauma in area of middle area of person. Lost consciousness, there was the repeated vomiting. At examination of middle area of person is determined, deformation of the back of nose, bilateral, symptom of “glasses” in 12 hours, symptom of «step» on the external edge of eye socket. From a nose there are the with-buttered excretions. A bite is opened, supramaxillas are not mobile. you will define the preliminary diagnosis of patient.

2. A patient 29 years grumbles about the slight swelling of cheek on the right and limitations of opening of mouth. A disease binds to the trauma. At examination an edema of soft fabrics of cheek and temporal area is marked on the right, opening of mouth on 2,0-2,5 see Insignificant pain of arthral sprout of lower jaw on the right, at loading on a chin is pain in a right ear. Complete closing of jaws not determined. you will define a preliminary diagnosis.

3. At the body of supramaxilla injured with a break on the left absence of all of teeth appeared on both jaws (traumatic extraction). What tire is it expedient to use for treatment of such patient on the stage of skilled and specialized help?

4. The injured soldier is delivered in omb with the break of supramaxilla, lacerated wound of soft palate. What type of asphyxia is most credible at such wound?

5. A patient got a domestic trauma 40 years. At examination there is mobility of bones of nose, slight swelling of soft fabrics of counter-clockwise zygomatic area, symptom of “step” on the lower edge of eye socket guy-sutures on the left, bleeding from a nose. Diagnose.

c) illustrative materials are added.

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