[Specialized medical care for facial injuries].

Objective: To analyze the results of specialized medical care (SMC) to the injured in the maxillofacial region using the principles of multi-stage surgical treatment.

Material and methods: To achieve the purpose of the study, the results of surgical treatment of the wounded with combat wounds of the maxillofacial region in military medical hospitals and medical institutions performing qualified and specialized care were analyzed. Clinical examination, observation and treatment were carried out using a comprehensive multidisciplinary approach (examination by an anesthesiologist, intensive care specialist, neurosurgeon, maxillofacial surgeon, traumatologist, surgeon, ophthalmologist and otolaryngologist). Qualified medical care was provided for urgent indications (elimination of asphyxia and control of continuing bleeding. fixation of bone fragments). SSC requires the participation of high-class specialists and appropriate equipment to achieve maximum quality of treatment.

Results: According to the experience of combat operations in the Republic of Afghanistan and the counter-terrorism operation in the North Caucasus, isolated and combined (leading damage to the maxillofacial region) MFZ injuries in the overall structure of combat surgical trauma amounted to 4.3% and 4.5-5.0%, respectively, taking into account concomitant wounds - 8.5% and 8.3-10.7%.

Conclusion: Multi-stage surgical treatment tactics in the specialized medical care section led to a 3.4% decrease in mortality; the number of complications decreased by 2 times; the number of bed days in the ICU decreased by 1.8 times; the duration of functional and aesthetic rehabilitation of casualties decreased.