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首页> 外国专利> METHOD OF REHABILITATION OF PATIENTS AFTER RESECTION OF THE AFFECTED AREA OF THE MANDIBLE WITH PRIMARY OSTEOSARCOMA OF THE LOWER JAW

METHOD OF REHABILITATION OF PATIENTS AFTER RESECTION OF THE AFFECTED AREA OF THE MANDIBLE WITH PRIMARY OSTEOSARCOMA OF THE LOWER JAW

机译：下颌骨原发性骨肉瘤切除下颌骨患病部位后的患者康复方法

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FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to dentistry, oncology, and can be used in rehabilitation of patients after resection of the affected area of the lower jaw with primary osteosarcoma of the lower jaw. For this, a number of successive steps are carried out. Stage of modeling in the form of constructing the actual 3D stereolithic model of the patient's lower jaw after resection with subsequent alloplasty, and also a 3D stereolithic model of the expected form of the mandible. Stage of corrective surgical intervention includes: gum formation, creation of an individual impression tray, removal of impression from implants, creation of plastic beam construction of a prosthesis with support on implants, manufacturing of a beam prosthesis. During the fitting of the beam prosthesis a bite pattern with occlusal ridges is made. Then, the prosthesis is installed, including screw fixation of the beam prosthesis and individual abutments to the implant and final application of the removable prosthesis. After a repeated standard procedure, its fit is assessed by occlusion, fit and aesthetic characteristics. Throughout the period of prosthetics, mesodieencephalic modulation (MDM) sessions in the amount of 14 are performed in a certain sequence: 9 sessions – from the second day after the implantation of half-burned cylinders, one session per day. During these days, no other manipulations are performed. Then, MDM is administered 1 session per day after each invasive intervention in the oral cavity – only 4-5 sessions. In this case, 1 session of MDM is carried out during the creation of an individual impression tray a day after the impression is removed from the implants. 2 MDM sessions are conducted during the creation of a plastic beam structure: 1 session - during the creation of the framework of the beam prosthesis made of plastic and 1 session - after fitting the beam prosthesis. 1 MDM session is performed during the manufacture of the prosthesis after checking the design of a removable prosthesis in the oral cavity. 1 session of MDM is carried out during the installation of the prosthesis in the mouth of the patient after the establishment of the prosthesis. With MDM pulsed currents with a frequency of 10,000 Hz, modulated in the low-frequency range from 20 to 100 Hz, are used. MDM is carried out through electrodes, which are fixed on the head of the patient by the fronto-occipital technique. Current is selected individually, then the session is carried out on the selected current strength, the duration of the session is 30 minutes.;EFFECT: method ensures minimization of risk of metastasis and relapse of the tumor due to the stabilization of the psychoemotional state of patients, creation of clinically significant local and systemic anti-stress effect; rapid decrease in the severity of the pain syndrome; acceleration recovery function.;1 cl, 2 dwg, 3 tbl
机译：技术领域本发明涉及医学，即牙科，肿瘤学，并且可以在切除下颌患处并伴有下颌骨原发性肉瘤后用于患者的康复。为此，执行多个连续步骤。建模阶段的形式为：在切除后再进行同种异体移植后，构造患者下颌的实际3D立体模型，以及下颌骨预期形式的3D立体模型。矫正外科手术的阶段包括：形成牙龈，创建单个压模托盘，从植入物上去除压模，在支撑植入物的情况下创建假体的塑料梁结构，制造梁假体。在安装束假体的过程中，制作了带有咬合脊的咬合图案。然后，安装假体，包括将束状假体和各个种植体分别固定在螺钉上，以及最终安装可移动假体。在重复标准程序后，通过咬合，贴合度和美学特征来评估其贴合度。在整个假肢修复期间，按以下顺序进行14次间中脑调节（MDM）：9次–从植入半烧制圆筒的第二天开始，每天1次。在这几天中，没有执行其他任何操作。然后，在每次侵入性口腔干预后，每天1次使用MDM-仅4-5次。在这种情况下，在从植入物中去除印模后的第二天，在创建单个印模托盘的过程中执行1次MDM。在创建塑料梁结构期间进行了2个MDM会话：1个会话-在创建由塑料制成的梁假体的框架期间，以及1个会话-在安装了梁假体之后。在检查口腔中可移动假体的设计之后，在假体制造期间执行1次MDM会话。建立假体后，在将假体安装到患者口腔中的过程中进行1次MDM。对于频率为10,000 Hz的MDM脉冲电流，使用在20至100 Hz的低频范围内调制的脉冲电流。 MDM通过电极进行，该电极通过额枕技术固定在患者的头部。单独选择电流，然后以选定的电流强度进行治疗，持续时间为30分钟。效果：该方法可确保将患者的心理情绪状态稳定化，从而将转移和复发肿瘤的风险降至最低患者，产生具有临床意义的局部和全身抗应激作用;疼痛综合症的严重程度迅速降低;加速恢复功能。; 1 cl，2 dwg，3 tbl

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