OUR EXPERIENCE IN SURGICAL TREATMENT OF PATIENTS WITH INJURIES OF THE ORBITAL FLOOR WITH COMBINED INJURIES OF THE FACIAL SKELETON

Abstract

Under our supervision there were 117 patients with fractures of the inferior wall of the orbit on the basis of the department of plastic surgery and the department of neurosurgery of the multidisciplinary clinic of the Tashkent Medical Academy in the period from 2019 to 2022. Surgical treatment of zygomatic-orbital complex injuries and isolated injuries of the lower wall of the orbit was performed according to the technique developed by us, observing a number of features depending on the severity and localization of injuries, as well as the timing of the surgical intervention using modern information technologies. A method for eliminating post-traumatic defects in the walls of the orbit, including performing computer preoperative planning, manufacturing an implant, determines the indications and contraindications for surgery, low-traumatic access to the damaged area, in addition, it also helps to reduce postoperative complications by 2.4 times, resulting in a reduction in the period of functional adaptation of patients in 1.6 times.