Materials for self-checking:

А. Questions for self-checking: 1. Collections of conditional tasks on subjects of cranial and maxillofacial damages. 2. Photos of victims with combone trauma in maxillofacial surgery.

B. Tasks for self-checking: 1. In clinic of maxillofacial surgery is hospitalized the victim of 26 years with complaints to a pain in a site of the angle of the mandible at the left side, a headache, anausea. Last night he was beating down of unknown persons, lost consciousness, unitary vomitting took place. Objectively: the face is asymmetric due to a swelling on a site of the left angle of the mandible, a swelling painful and opening of a mouth up to 2sm, infringement of a bite. What preliminary diagnosis? (The answer: the left angular fracture and the closed craniocereberal trauma.)

2. In maxillofacial department is hospitalized the patient with the diagnosis: bilateral fracture of the mandible from one side the angle fracture and a mental from another side and with the closed craniocereberal trauma. What consultation of the expert is necessary first of all? (The answer: the neurosurgeon).

3. The patient of 39 years, complains of a headache, a crunch in ears during movements of a head. A trauma has received in a site of amid-face zone of the face. A consciousness lost, there was a numerous vomitting. Clinical picture is a deformation the nose, the bilateral symptoms of "glasses" over 12 hours, a symptom of "step" on external edge of the orbit. From the nose кровянистое with blood, (containing some blood) and oily (butter(y)) allocation. The bite is open, maxilla is not mobile. Define the preliminary diagnosis of the patient. (The answer: a fracture of maxilla by Le Fort III (the top type) and the open craniocereberal trauma).  

C. Material for the test control. Test tasks with one right answer (α = ІІ): 1. In the victim with damage of maxillofacial area from the anamnesis of disease it is known about infringement of consciousness, loss of memory, a headache, dizziness, a nausea and vomitting. It testifies about: A. Development of complications of a trauma of maxillofacial area. B. Combine trauma of maxillofacial area. C. Lowering of a resistance of the organism of the patient. D. Damage of the neck. E. Damage of the organs of the belly. (Correct answer: В.).

2. The connected trauma of the face and a brain count: A. Damage of the face and the brain which is caused by one-stage action injuring to the agent on an obverse skull or on an obverse and brain skull. B. Damage of the face and a damages of the brain, a skull with the secondary injured object.C. Damage which is caused by one-stage action of different injuring agents. D. Damage of the face and a brain that has become complicated by inflammatory process. E. Damage of a brain skull that is caused by frustration of other systems including the facial region. (Correct answer: А). 

3. What is not a symptom of the closed craniocereberal trauma?A. A nausea. B. A vomitting. C. A giddiness (dizziness). D. Loss of consciousness. E. A bronchospasm. (Correct answer: Е).

D. Educational tasks of 3 th levels (atypical tasks): 1. The surgeon - stomatologist is hospitalized the patientof 28 years after road accident in a heavy condition: the consciousness is confused, with vomiting and excitation. After examination with a general surgeon the preliminary diagnosis has been established: the closed craniocereberal trauma, a fracture of the right humeral bone, the left beam bone, a fracture of right VII rib, bilateral mental fracture of the mandible. What are the prime measures of the urgent aid? (The answer: antishock actions, preventions of asphyxia). 2. What type of asphyxia may be? (The answer: dislocation type). 3. Whether there is a necessity of urgent consultation of adjacent experts? (The answer: the anaesthesiologist).

 

Theme № 18 The combined lesions of tissues of maxillofacial area. Features of clinical current, diagnostics, complication, features of treatment at stages of medical evacuation. Radiation sickness: clinic, diagnostics, treatment

1. The topicality of the theme. Knowledge of a clinical picture, features of diagnostics of combine damages of maxillofacial area and their complications, methods of treatment which will allow the doctor - stomatologist to render medical aid by the maxillofacial wounded in a wartime and in conditions of extreme situations.

2. SPECIFIC GOALS: 1. To analyze concept "the combined (contrive, scheme) lesions". 2. To explain occurrence of the combined lesions of maxillofacial area. 3. To offer the new approach for accordance the help at the combined lesions. 4. To classify the combined lesions of maxillofacial area. 5. To treat the periods of radiation sickness. 6. To analyze consequences of the nuclear weapon factors on the organism of the victims. 7. To make the plan of diagnostics and algorithm of the help for the victims with the combined lesions of maxillofacial area and radiation sickness at stages of medical evacuation.