Ministry of health Ukraine

Higher state educational establishment of Ukraine

«Ukrainian medical stomatological academy»

It is ratified

on meeting of department

surgical stomatology

but maxillufacial surgery

with plastic and reconstructive

by surgery of chairman and neck

Manager of department, d. med. t., prof. ______________ Avetikov D. S.

Methodical development of lecture

Educational discipline	Surgical stomatology
Module №	5
Rich in content module №	5
Theme of lecture	Paralysis of musculature, atrophy of face. Symptoms and syndromes of plastic and reconstructive surgery. Bases of maxillufacial surgery.
Course	V
Faculty	Stomatological

Amount of educational hours 2.

Poltava - 2013

Scientifically-methodical ground of theme.

Facioplegias characterized by the partial or complete, protracted or temporal loss of function of facial nerve and mimic muscles.

A structure of facial nerve is very difficult. Distinguish 5 branches of nerve — frontal, cheek, regional bottom jaw, neck. A nerve has three basic types of structure : barrel (5 the clearly formed branches of nerve), loose (small branches of nerve to 10-15), and transitional, when large and small branches of nerve are.

Four basic groups of mimic muscles (temporal, eye, cheek, chin) provide a kind and basic functions of face.

Atrophy of face — a disease over, that is characterized by atrophy of tissues of certain one or a few areas of person that brings to functional, aesthetic violations and related to them на-слідками. Patients are ill mainly by age 15-40, women are ill here more often — to 80 % all cases of illness.

Term "maxillufacial surgery" or "cranial-facial " was finally formed in a middle 60th of XX of century, when the prominent French maxillufacial surgeon-plastic Paul (1919-2008) with participation of neuro-surgeons began to execute operations concerning deformations of facial and cerebral skull with application of coronal and intracraneal access (from 1967).

In 1970 the European association of maxillufacial surgeons was created. Her founders — X. Теse and other prominent surgeons. From 1992 Ukraine is presented in Advice of this association, and in 1996 analogical surgeons was created and presently effectively works in Ukraine.

On the whole this speciality is part of the so-called aesthetic medicine called to harmonize not only the general of health of man but also her kind.

2. Educational whole lectures.

- To define a concept "paralysis of mimic musculature".

- To know.

- To capture the technique of surgical treatment of of facial nerve.

- To give a concept " face".

- To know basic methodologies of of hemiatrophys of face.

- To know symptoms and syndromes in plastic and reconstructive surgery.

- To define maxillufacial traumatology.

- To define maxillufacial oncology.

- To define maxillufacial reconstructive surgery.

Aims of development of personality of future specialist, actual aspects.

Introduction of student to the clinic of maxillufacial and plastic surgery of chairman and neck after the course of traumatology of maxillufacial area requires knowledge of ethic behavior and features of the going near patients with deformations of tissues never, external nose and auricles, ability to use modern classifications, methodologies of inspection, differential diagnostics, ability to apply methodologies of, rhinoplasties and otoplasties for the grant of complete, safe medical help.

4. Interdisciplinary integration.

Names of previous disciplines	Got skills
1.Ethics and.	To set a psychological contact with patients that have defects or deformations of of maxillufacial area.
2. Organization of health protection.	To apply knowledge from principles of organization of surgical help in the conditions of separation of maxillufacial surgery and health centre system. To design necessary documentation.
3. Патоморфологія.	To describe character of pathological changes of anatomic structures at presence of defects or deformations of tissues of chairman and neck.
4. Physiopathilogy.	To determine etiology and pathogeny of раневого process.
5. Propedeftic of internal illnesses.	To write the chart of general inspection of patient. To conduct курацію of patient.
6. Histology, cytology and embryology.	To know the histological structure of skin and her derivatives.
7. Topographical anatomy and operative surgery.	To know limits and layer structure of areas of person.