Materials for self-checking:

А. Questions for self-checking: 1. Modern principles of treatment of fractures of jaws. 2. Methods of immobilization of fragments of mandible. 3. Methods of immobilization of fragments of maxilla.

B. Tasks for self-checking: 1. At a stage of the qualified medical aid by the doctor the stomatologist the wounded with tangents a gunshot wound of soft tissues of the face without damage of bones, the main vessels and nervous branches is examined. What kind of surgical treatment will be the most effective for purpose of preventive infections? (The answer: early surgical processing of a wound).

 2. To the military man with penetrating wound of cheek areas intervention is carried out in 18 hours after wound. Seams on the wound was imposed on the second day after intervention. What kind of primary surgical processing was in this case and by what on terms the kind of seams has been imposed? (The answer: early primary surgical processing, the primary (delay) deferred seam).

C. Matherials for test control. Test tasks with one right answer (α = II): 1. What carry to temporal immobilization of jaws? A. Crampon immobilization. B. Ligature fixation. C. Intermaxillary fixation. D. Splint by Veber. E. Standard banded splint by Vasiljev. (The answer: В).

2. What kind of a constant immobilization we use at a conservative method of treatment of fractures of the mandible? A. Ligaturnoe linkage of a teeth on Ayvi. B. Straight (upright, erect) extraoral type of osteosynthesis. C. Complex by Zbarsh. D. Intermaxillary fixation by Tigershtedt with hooks. E. Osteosynthesis by Fidershpil. (Correct answer: D).

D. Educational tasks of 3 th levels (atypical tasks): 1. At patient Р., 28 years the diagnosis is established: fracture of the angle the mandible on the right side with displacement of fragments not far from teeth. To make the plan of treatment. (answer: 1) Temporal immobilization (if necessary) -a bandage; 2) Medical immobilization - an osteosynthesis of the mandible; 3) Antimicrobial therapy; 4) Physical methods and medical exercise; 5) Optimization of osteogenesis.)

2. The patient delivered in specialized hospital with a ballistic trauma of the mandible of the right angle. On a small fragment teeth are absent, on big - intact, are motionless. What method of treatment should be applied? (The answer: the osteosynthesis of the mandible).

3. At patient М., 27 years, the diagnosis is established: bilateral mental fracture with displacement of fragments. What methods of treatment can be applied to the patient? (The answer: conservative – (two-maxillary) intermaxillary fixation by Tigershtedt with hooks or a bilateral osteosynthesis).

Theme 14. TEMPORARY IMMOBILIZATION OF THE DAMAGES OF THE FACIAL BONES: REQUIREMENTS, TYPES, ADVANTAGES AND DISADVANTAGES. PERMANENT (MEDICAL) I MMOBILIZATION OF JAWS WITH TOOTH TIRES AND KAPPAS. A CHIEVEMENTS OF DOMESTIC SCIENTISTS, MEMBERS OF THE DEPARTMENT.

1. ACTUALITY OF THEME: knowlegess of methods of temporal and final immobilization of fragments, stages of treatment of gunshot damages of facial bones halps to doctor to make rational organization and medical aid at war time and extrime conditions.

2. СONCRETE AIMS: 1.1. To analyze methods of immobilization of bone fragments of the facial bones. 1.2. To explain the method of temporary immobilization of bone fragments of the upper and lower jaws. 1.3. To advise methods of temporary immobilization of the zygomatic bone fragments, arcs, and the nasal bones. 1.4. To classify means and methods of permanent immobilization of bone fragments of the lower and upper jaws. 1.5. Permanent immobilization of bone fragments of the facial bones. 1.6. To show scheme of temporary and permanent immobilization of the zygomatic bone and fragments of the arc, the nasal bones, jaws. 1.7. To analyze the scope and procedure of medical assistance to the wounded with gunshot injuries of the facial bones in the stages of medical evacuation. 1.8. To make a plan of the treatment of wounded with gunshot injuries of the facial bones.

3. BASIC KNOWLEDGE, ABILITIES, SKILLS, WHICH are NECESSARY FOR STUDY THEMES (intradisciplinary integration).

The names of the preceding disciplines	The acquired skills
1. Medicine disasters.	Describe the organization of medical care maxillofacial wounded in the structure of civil defense.
2. The surgery and military surgery.	Know the methods of treatment with temporary immobilization of bone fragments of the facial bones. Define the scope and procedure of medical assistance to the wounded with gunshot injuries of the facial bones.