Treatment, reconstruction and rehabilitation in explosive injuries of the maxillofacial region

Abstract

Explosive and ballistic injuries of the face are simultaneous damage to bones (mandibula, maxilla, articulatio temporomandibularis), soft tissues and nerves. Consequences – functional (chewing, speech, breathing), aesthetic, and deep social‑psychological trauma. In 62% of patients, foreign fragments remain (mostly metallic), which are easily detected by CT. Computed tomography (CT) is the most accurate method of examination, which allows assessment of both bone and soft tissue injuries. Purpose of the study. Analysis of modern approaches to: surgical reconstruction – bone fixation, soft tissues, use of CAD/CAM-technologies; functional rehabilitation: speech, chewing, swallowing, neurorehabilitation; psychological support and social integration of patients.