한국   대만   중국   일본 
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???-10 S02.6
 Fractures of the human mandible ?????????????

?????? ????? ????????, ?????? ????? ????? (mandbula) ????????? ??? ??????????? ???????????????? ????????? ??? 60 % ????????? ????????? ???? ? ???????? ????? ????? [1] ? ???? ????????? ?????? ????? ????????? ????????? ??????? ? ?????? ???????????? ??????? ?????????? ??? ??????????????? [1] ? ????? ???????? ? ???????? ?? ???? ??????????????? ??????? ????????? , ????? ? ??? ???? ??????? ?????? ????????????????? [1] ? ?????? ????? ?????? ????? ???????????? ????????? ?? 30-40 ??????? ??????????? ??? [1] ?

????? ?????? ?????? ????? ???????????? ???????? ???????? ?? [1] , ??????? ?? ????? ? ???? ??????? ????? ??? ???????? ??? ?????? ?????? ???????? [1] ? ???????? ?????? ????? ????????? ????? ? ????? ???????????? ??? ??????? ?????????? ??????????? ??????? [1] ? ????????? ?????????? ???????? ????????? ??? ?????? ????? ??????? ?????? (36%), ??????? (21%), ???????? (20%) ? ??????? (14%) [1] ? ??????, ?? ??????????? ?????? ???????? ? ??????? ???? ??????? ?????????????? , ?????? ??????????? ????????????? ????????????? ????????? ????? ?????? ?? [1] ?

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???????? ????? ??????? ???????? ????? ???????????? ?? ?????? (?????????????) ??????????? (????? ?????? 24 ??? 26 ?????????), ????? ????????? ?? ????????????? ????? ?????, ? ??? ????????? ????????? ???????? ?????????? ???????? ?????? ??????? ??? ????? ? ?????? ???????? ???????? ???? ????????????? ?? ??????? ??????? ????????, ????????? ????????? ??????? ?? ???? ?????? ??? ??? ????? ??????????????? ????????? ???????????, ????? ?????????? ????????? ???????? ? ????????? ???????? ?????? ??????? ??? ??????? ???????????? ????????? ?????? ????????????? [23] ?

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???? ???????????? ????????? ??????? ?? ??? ????????? ? ????????? ????????? ??????? ???????? ?? ????? ?????? ? ??????????????????? ???????? (MMF) ?????????? ??? ?????????? ???? ?????????? ?? ????????? ????????? ???????? ???????????? ? ???????? ?????? ??????? ??????????, ????? ????????? ?? ????? ? ?????? ???????? ?????????, ??? ?????? ???? ????? ? ?????? ???????? ?????? ??????? ????????? ?? ???????????? ???????????? ????????

????? ? ?????? ???????? ?????????? ??????? ?????? ?????????????? ???????? ???, ??? ?????? ?????? ?????? ???????? ?????? ??????, ???? ???????????, ?????????? ?????? ???????????????, MMF ???????? ??????????, ????? ??????? ????? ?????? ??? ?? ?????????? ?????? ??????????, ????? ????? ?????? ?????? ???, ? ??? ??? ??????????? ????????? ?? ?????????? ????????

??????? ????????? ???????? ??? ????????? ???????? ??????? ? ????? ?????????????, ??? ?? MMF-?? ??? ????????????, ?? ???????????? ??????? ?? ????? ????? ? ?????? ??????, ???` ??????? ?????? ??? ????? ????? ??????? ??????? ? ??????????? ??? ????? ??????? ????????? ??? ????????? ????? ????????? ?, ??? ???????? ????? ??????? ?? ??? ???????? ? ?????? ??????? ????? ?????? ????????

??? ?????????? ??????? ????????? ???????? ????? ? ?????, ?? ?????? ???????? ??????? ??????? ??????????? ???????? ???? ???? ????? ????? ? ????????, ????? ???? ????? ????? ?? ???????? ???? ????? (???????????? ?/??? ???????????) ???? ?? ????? (???????? ?????? ?????????????) ????????? ??? ??????????, ???????????, ????? ????????????????? ?? ???? ???????????, ??? ?????? ?????????? ?????????, ?? ?????????? ?????????, ??????????, ????-????????? ? ?????????????? ??????????

??????? ??????? ??????, ??? ????? ? ???????? ??? ??? ??? ????????? ??? ??????, ???????? ? ?????? ????????? ????????? ????????, ????? ????? ??????????? ??????? ?? ????? ????? ? ???? ????????? ?????? ??????? (????? ?????? ???? ??????? 2-???? ?????), ??? ????????? ?? ????? ??????? ????????? ??????? ????????? ??? ????????? ????? ????? ????????? ? ?????????? ???????????? (??????? ?????????? ????????????) ???????, ? ??? ??????? ??????? ? ????????? ????????? ( ??????????? )?

????? ??????? ???????? ????? ???? ? 3-6 ????? ??? ??????????????? ?????? ????????? ????? ?????? 3 ???????? ???? ? ?????? ?? ????????? 80 %-?, ??? ??? 4 ????????? 90 %-?? ?????? ??? ?????????? ??????? ?????? ?? ??????? ?????? ????????? ?????????????, ????? ???????????? ? ???????? ????????? ????????

???????? ?????????? ???????? [ ???????? | ???????? ???? ]

2013 ???????? ?????????? (Cochrane) ?? ??????????? ??? ????????? ?? ?? ???? ?????????? ?????????????????, ????? ?????????????? ??? ???????????? (??? ??????????) ? ?? ???????????? (??? ??????????) ???????????? ?????? ????? ??????? ???????????? ???????, ???????? ?????????? ?? ??????? ??????? ??? ????????????? ??????????, ?? ???? ??????? ????????????? ??????????????? ????? ????? ????????? ??????? ??? [24] ?

?????? ???????????? [ ???????? | ???????? ???? ]

??????? ????? [ ???????? | ???????? ???? ]

??????? ?????? ???????????? ??????? ????????? ????????? ???????????? ????? ???????? ?????? ? [25] ? ?? ????? ???????? ????????? ??? ??? ??? ?????????, ???? ??????? ? ????????? ??? ?????????? ????? ? ??????? ?????????????? ???????, ??? ??????? ???????? ???????? ?? ??????? ???? ?????? ? ??????? ?????? ?? ???? ?????? ??? ????????? ??????? ????????? ? ????????? ???????? ???????????? ?????????, ??? ??????? ??????????? ????? ?? ???????? ?????? ?????? ?????? ??? ?????? ??????? ?????? ?????? ????? ??????? ?????? ????????? ??? ????????? ??????? ?????? ????????? ? ??? ???????? , ??? ?????? ? ???????? ??????? ????????? ??????? ??????, ??? ????????? ??????? ???? ??, ?? ????? ????????? ???? ??????? ???? ??????, ???? ???? ? ????????? ??????? ?????????, ????? ????????????? ???????? ??????, ???????? ???????, ??? ????????? ??????? ????? ??? ?? ?????? ??????? ?????? , ?????? ??? ?? ????????? ????? ??? ??? (? ????????????? ??? ?????????)? ??? ?????? ???????????? ??????????????? ?? ??????????? ???? ???????, ??? ??????? ?????? ???????????? ??????? ?? ???? ??????? ????????????? ???? ????????? ??????? [25] ? ??????? ?????? ????????????? ???????????? ???????? ???????????? ??, ???? ?? ?????? ? ????????????? ??????? ?????? ??? ???????????????, ?????? ??? ???? ?? ?????????? ???? ???????? ????????? ???? ? ????? ????? ???????? ? ?????? ??????????? ????????????? ??????????? ??? (??????? ??? ???????? (Walker) ??????????) [26] [27] ?

??????????? ?????? ???? [ ???????? | ???????? ???? ]

??? ??????? ????? ??? ???? ???????, ??? ???? ?? ????? ????? ????????? ?????? ???? ???????? ??????????????? ????? ????? ? ???????? ?????????? ?? ???????? MMF-? ???????? ???????? ????? ????????????? ???????????? ????????? ???????, ????? ?? ?????? ???????? ?????????? (??? ???????? ?????????????? ????? ??????????? ??????? ?????), ? ?????? ????? ?????? ? ?????? ???????? ????????? ??????? ????????? (??????????????????? ? ???????????????? ???????????) ??? ???????????? MMF ???????? ??????????? ?????? ????? ????????? ? ??? ????????? ? ????? ?????? ????????

??? ?????? ????? ???????????? 1 ??-?? ???? ?, ????? ???????? ? ?? ?????????? ????????????????????? ??? ???????, ???????????????????? ????? ? ??? ?????? ?????????? ????????? ? ??? ?????????? (??? ???????, ????? ?????, ??????? ?? ????????), ????? ? ????????? ??? ????????? ??????????? ??????? ? ??????? ????????? ????????????? ?????? ?????????? ?? ??????????? ??????? ???????, ??? ?????????, ?????????????? ?????? ??? ??? ????????, ??????? ???????? ?????????? ???????????????????? [28] ?

?????????? ??????????? [ ???????? | ???????? ???? ]

?????????? ???????????? ??????? ?????? ????????????? ????? ?? ???? ??????? ?? ????? ??????? ?????? ????? ????????, ????, ??????????? ???? ?????????, ??? ??? ??????? ????? ??????? ????? ????????????? ??? ???????? ???? ? ???????? ????????????? ??????? ???????????? ? ?????????? ?????????? ???? ?? ?????? ????? ???? ? ???????? ????? ???????? ???? ?????????, MMF-? ? ????? ???????? ????? ?? ???? ?????? ????????, ????? ? ??????????? ??????? ??????? [29] [30] ?

??????????? ???????? [ ???????? | ???????? ???? ]

??? ?????????, ??? ????????? ???????? ???? ?? ?????? ??? ???????? ??? ?????????? (????? ?????????? ?? ?????), ??????????? ??? ???????????, ????????? ?????? ???????? ?? ?????? ??????? ??????? ? ???????? ???????? ????????? ? ??????????? ????? ?? ?????????? ????-???? ????????, ??? ???????????? ??? ???????????? ???????? ?? ????? ????????????????????? ????? ??? ????????? ????????? ???????, ? ?????? ??????? ???? ??????????? ?????? ? ???????????? [31] ?

??????????? [ ???????? | ???????? ???? ]

????????? ?????? ????? ???????????? ????????? ????? ? 4-6 ?????, ??? MMF, ??? ????? ?????? ??????? (RIF) ???????? ?????????? ???????????? ???????, ??? ???????????, ????? ??????? ?? MMF-??, ????? ?????, ??????????? ????? ??? ??????? ?? ???????? ? ????? ??? ?? ???????????? ?????? ??????? ?????????????, ??????? RIF-?? ??????????? ??? ????? ??? ?? ????????? ????????

?????? ????? ???????? ???????????? ??????????????? ??? ???????????? ?????? ?????????? ????????, ??????? ????????????? ? ????????? ??? ???????? ???????? ????????? ?????? ???? ? ????????? (?????? ????????????, ?????????? ????????, ????????), ?????? ????? ??? ? ????????? ????? [32] ?

??????? ?????? ???????????? ??????? ????? ??? ? ?????, ?? ???????? ??????? ?????????, ???? ?? ?? ?????? ?????? ? ????????? ?/??? ????????? ?????????? ??? ????????? ?????????? ?, ????? ??? ? ?????, ?? ??? ???????????? ???????? ??????????? ??? ???????, ?????? ??????? ???????? ???????? ??????????? ?, ???? ?? ??????????? ????????????? ??? ? ????????? [25] ? ??????? ?????? ????????????? ???????????? ??????? ???????? ? ????? ??? ????????????? ????????? ????? ????? ????? ? [20] [33] ?

????????, ?????? ????? ????????? ????? ? ????????? ????? ??????????? [34] ?

???????????????????? [ ???????? | ???????? ???? ]

?????? ????? ????????? ?????????? ?????? ??? ?????? ??????, ?? ?? ???????????? ?? ?? ?????????????? ????? ? ????? ?????? ??????????? ??????????? ?????? ????? ????????? ?????????? ???????? ??????? ???? ?????????? ?? [35] , ??????? ???????????? ???? ???????? ??????? ?????????????????????? ??????????? (???-????) ?? [36] ? ?????????????? ?????? ????? ??????? ?????????? ???????????? ?? (????????, ??????????) [37] ? ????? ????????????, ????????????? ?????????? ? ??????????? ????????????? ????????? ?????????, ???-???? ????? ???????????? ???????? ??????? ???? ?????????????????? ???? ??????????? ??????? ????????????? ????????? ?, ?? ????? ?? ?????? ????? ???????????? ????? ??????? 80 %-? ????????? ? ??????????? ???? ?????? ????? ????????? ???????? ??????? ? ????? ?????? ?????????? ???????? ???????????, ? ????? ? ???? ??????? ??? ???????????? ????????? ??? ?????? ???? [38] ? ??? ?????????? ? ???????? ?????? ????????????, ????? ???????????? ??? 10 %-? ??? ??????? ?? ??????? ??????????? ????? ????????, ????? ??? ???? ???? ? ???????? ???-???? ?????????? ??? ?????????? ??? ??????? ????????????, ????????? ????? ????? ? 50 %-??, ??? ?????????? ??????? ???????? ??????? ??????? ????? ????? ? 4 ????? [39] ?

??????????? [ ???????? | ???????? ???? ]

?????? ????? ???????????? ??????? ?????????? ? ????? ??? ?????????????? 1700 ???? ???? ?????-????? ??????????? , ??? ?????????? ??? ?????????? ? ????????? ?????? (?????? 460??????), ≪??????????, ???? ?? ???? ???????????? ????????????, ????? ??????? ????????? ? ????? ????????????????????, ???? ? ?????????? ???????? ???????? ???????? ???????? ???????≫? ??? ?????????? ?????????? ? 1869 ?????? [40] ? 19-?? ???? ??? ??????? ?????? ?????????? ?? ??????????? ?????????, ??? ?????? MMF-? (???? ??????????), 1970-???? ??????????? ????? ? ?????? ????????? ????? ?????? ??????? ????????? ???? ???? ????????, ??? 1980-???? ??????????? ??? ???????????? ??? ???? ?????????????? ?????????? ?? ????????????

?????????????????? [ ???????? | ???????? ???? ]

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??????????? ???? ???????, ????? ?????????? ?? ≪?????? ????? ????????≫ ?????????