Materials for self-checking:

А. Questions for self-checking: 1. X-ray photo, a photo and discharge from histories from the hospital of the victims with the fractures of the facial bones. 2. Materials and the equipment for manufacturing splints by Tigershtedt.

B. Tasks for self-checking: 1. The wounded man with fractures of the body of the maxilla at the left side with the absence of all teeth on both jaws (traumatic extraction). What method is expedient for using at treatment of such patient at a stage of the qualified and specialized help? (The answer: by Port).

2. The patient, 27 years, maxillofacial surgeries hospitalized in clinic. After the inspection the diagnosis has been established: traumatic mental fracture of the mandible at the left without displacement on a site 33, 34. A orthognatic bite. For a constant immobilization by Tigershtedt give the name of splint? (The Answer: intermaxillary fixation with hooks).

3. In clinic 68 years with a trauma of the mandible are hospitalized the patient, as a result of household fight. After the inspection the diagnosis is established: traumatic bilateral fracture of the body of the mandible at the left on a site 36, 37 and mental on the right on a site 44, 45 with displacement of fragments. There are not enough teeth on fragments for intermaxillary fixation with hooks. What technique of a constant immobilization is expedient for using in this case? (The answer: by Veber).

C. Material for the test control. Test tasks with single right answer (α = ІІ): 1. What type of splints named on teeth? A. by Port. B. by Vankevich. C. by Veber. D. by Vankevich-Stepanov. E. arch bar by Vasil`ev. (correct answer: Е.).

2. Constant fastening fragments at crises of the top jaw is carried out: A. Smooth arch bar by Tigershtedt. B. Apparatus by D'arsisak. C. Apparatus by Rudko. D. The two-maxillary arch bar with hooks which is connected with a pressing bandage or complex by Zbarz.E. Arch bar by Limberg. (correct answer: D.).

3. At the fracture of the maxilla it is marked:A. Pain at palpation of points of the trigeminal nerve. B. Pain ahead antilobium of the ear, near the lobe (of the ear). C. Simptom "step" and morbidity at palpation points in a site of a basis of a root of a nose, on edges of an orbit, a zigomatic arch, a symptom of mobility оf fragments and " the floating palatal bones ". D. A pain at pressing a chin and angles of the jaw, a symptom of "step". E. Pain at attempt to close teeth, mobile teeth. (correct answer: В.).

D. E ducational tasks of 3-rd level (atypical tasks): 1. In clinic of maxillofacial surgery the patient, 37 years that has received an industrial trauma is hospitalized. The diagnosis: traumatic bilateral mental fracture of the mandible with displacement, the аngular fracture at the left side with displacement. Damage of soft tissues of a chin (stab kind of wound). The phenomena of respiratory insufficiency. A shock condition. Of what stages the urgent aid consists?

 (The answer: a stop of a bleeding, struggle with asphyxia, antishock actions).

2. The victim after a road accident (the driver of 35 years) is delivered in the department in the hospital. Consciousness did not lose. Objectively: the face is asymmetric due to a edema of soft tissues of cheek area on the right where there is a laceration 2х3 sm, a mouth half-open. The maxilla is mobile and displaced downwards, to the left and back. Choose the optimal design, construction for immobilization. (The answer: the intermaxillary (two-maxillary) fixation with hooks).

3. Patient G., 29 years, has arrived in a hospital with the diagnosis: " open fracture of the mandible between 41, 31 tooth without displacement оf fragments ". Objectively: the mouth opens in full, dental numbers intact, a bite normal. Between 41, 31 tooth the crack (fracture line) up to 2 mm the symptom of indirect loading is marked (is painful). What method of immobilization is shown for this patient? (The answer: a smooth arch bar).