Nazarevych M. Improvement of treatment of patients with fractures of the bones of the zygomatic complex at the stage of postoperative rehabilitation.

The dissertation is devoted to the improvement of methods of treatment of patients with fractures of the chin complex at the stage of their postoperative rehabilitation. All patients, after appropriate surgical treatment, were divided into two clinical groups. For the rehabilitation of patients in the comparison group used conservative treatment according to the standard scheme, according to the protocol. The same treatment regimen was used in patients of the main group, but it was supplemented by a course (10 sessions) of transcranial electrical stimulation (70 Hz; 0,11 ms; session duration - 35 min). Transcranial electrotherapy activates opioid anti-stress brain structures (р < 0,05). And parabulbar injection of fibrinolytic medication based on recombinant prourokinase to accelerate hematoma resorption and prevent adhesions. The positive dynamics in the main group was confirmed by a survey of patients according to the scale of assessment of the impact of a traumatic event IES-R. In all patients on both the 7th and 14th day there was a mild level of mental stress reactions. Parabulbar injection of "Hemase" improves the hemodynamics of the infraorbital artery and vein, has an anti-edematous effect on the soft tissues of the infraorbital area and orbit.These data indicate that the processes of neuroregeneration occur faster in patients of the main group than in the comparison group. The obtained results of scientific research allowed to substantiate new approaches to the treatment of post-traumatic stress disorders (psychoemotional, autonomic) and traumatic neuropathy of peripheral branches of the maxillary nerve (suborbital and zygomatic nerves) in patients with fractures of the zygomatic complex.