CLINICAL AND ANATOMICAL APPROBATION OF THE EFFECTIVENESS OF THE TECHNIQUE OF SEARCHING FOR THE PROJECTION OF THE SUBCHONDRAL NEUROVASCULAR BUNDLE IN THE CLINIC OF MAXILLOFACIAL

Ruslan Mellin, Elena Karpova, O.V. Kytko, Liudmila Vdovina, Irina Chuvarkova, Yuriy Vasil'ev
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Abstract

The anatomy and morphology of the location of the location of the mental neurovascular bundle varies significantly among populations and is largely dependent on many factors, such as the developmental process as well as comorbidities and diseases. Due to the need of practical health care in express methods of finding the main projections of the neurovascular bundles and associated foramen, morpho-analytical modeling of the method of finding the projection of the mandibular foramen on the skin of the mandible was performed. At the request of ultrasound diagnosticians and maxillofacial surgeons, an attempt was made to calculate a unified point of projection of the subchondral neurovascular bundle as a reference point for research and evaluation of the effectiveness of the therapeutic process of mandibular fracture. We have obtained a coordinate system that can be projected both on the patient's facial skin and on the CT data. Clear positioning of the chin neurovascular bundle will allow to perform both diagnostic, for example, the study of blood flow velocity of vessels during ultrasound examination in acute trauma, in persons with increased body mass index, and treatment, for example, nerve blockade, manipulations with greater accuracy and safety for the patient.
从临床和解剖学角度证实在颌面外科临床中寻找软骨下神经血管束投影技术的有效性
精神神经血管束位置的解剖和形态在不同人群中差异很大,主要取决于许多因素,如发育过程以及合并症和疾病。由于实际医疗中需要明确寻找神经血管束主要投影和相关孔的方法,因此对寻找下颌孔在下颌骨皮肤上投影的方法进行了形态分析建模。应超声诊断人员和颌面外科医生的要求,我们尝试计算软骨下神经血管束的统一投影点,作为研究和评估下颌骨骨折治疗过程有效性的参考点。我们获得了一个既可以投影在患者面部皮肤上,又可以投影在 CT 数据上的坐标系。下巴神经血管束的清晰定位将使诊断(如在急性创伤和体重指数增加的人群中进行超声波检查时研究血管的血流速度)和治疗(如神经阻滞)的操作更加准确和安全。
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