The features of the course of healing of the mandible fractures in persons with various psychosomatic type of personality
DOI:
https://doi.org/10.11603/2311-9624.2017.2.7962Keywords:
traumatic fractures of the mandible, the course of healing, extroverts, introverts.Abstract
Recently, the literature date about the relationship between the occurrence of complications in traumatic fractures of the mandible injured with the labiality of their psyche were appeared. However, in accessible literature, we did not find publications that would highlight the results of research on the features of the course of healing bone wounds in persons with different psychosomatic type of personality.
The aim of the study – to learn the features of the course of healing bone wounds in fractures of the mandible in persons with different psychosomatic type of personality.
Materials and Methods. The study of the features of the course of healing of the mandible fractures was carried out in 54 injured of different psychosomatic type of personality by Eysenck, among whom there were 32 extraverts and 22 introverts. The intensity of the inflammatory response, severity of the pain syndrome and structure of complications were studied clinically.
Results and Discussion. It was established that the clinical signs of fractures in people-extroverts and introverts have their own characteristics. Severity of inflammatory response was lower in people extroverts, which manifested itself more rapidly of pain reducing, of swelling and soft tissue infiltration. Іn evaluated pain for Verbal Descriptor Scale we had found that introverts group of injured was more sensitive to pain. Reducing the intensity of pain in the fracture site in them was slower. The purulent inflammatory complications were more often among injured introverts. There were no significant differences in the structure of inflammatory complications in the comparable groups.
Conclusions. The results of clinical observations indicate that the course of healing bone wounds in persons with traumatic fractures of the mandible and different psychosomatic type of personality has its own characteristics. It was established that the severity of the inflammatory reaction of soft tissues in the fracture area in the injured extroverts was less than introverts, the latter were more sensitive to pain, they often had purulent complications.
References
Rybachuk, A.V. (2016). Obgruntuvannia kompleksnoho zastosuvannia i profilaktyky hniino-zapalnykh uskladnen travmatychnykh perelomiv nyzhnoi shchelepy mistsevym zastosuvanniam substantsii nanochastynok sribla i zolota [Substantiation of complex application and prophylaxis of purulent-inflammatory complications of traumatic fractures of the mandible by local application of substance of silver and gold nanoparticles]. Candidate’s thesis. O.O. Bohomolets National Medical University, Kiyv [in Ukrainian].
Avetikov, D.S., Lokes, K.P., & Stavytskyi S.O. (2014). Perelomy nyzhnoi shchelepy: analiz chastity vynyknennia, lokalizatsii ta uskladnen [Fractures of the mandible: analysis of the frequency of occurrence, localization and complications]. Visnyk problem biolohii i medystyny – Journal of the Problems of Biology and Medicine, 3 (3), 62-64 [in Ukrainian].
Nahirnyi, Ya.P. (2009). Yakisnyi ta kilkisnyi sklad mikroflory porozhnyny rota u khvorykh z travmatychnymy perelomamy nyzhnoi shchelepy [Ways of optimization of reparative osteogenesis in patients with traumatic fractures of the mandible]. Doctor’s Extended abstract. O.O. Bohomolets National Medical University, Kiyv [in Ukrainian].
Nahirnyi, Ya.P. (2014). Yakisnyi ta kilkisnyi sklad mikroflory porozhnyny rota u khvorykh z travatychnymy perelomamy nyzhnoi shchelepy [Qualitative and quantitative composition of the microflora of the oral cavity in patients with traumatic fractures of the mandible]. Visnyk problem biolohii i medytsyny – Journal of Biological and Medical Problems, 1 (3), 242-247 [in Ukrainian].
Malanchuk, V.O., Kopchak, A.V., & Horodiychuk, M. (2015). Travmatychni prelomy nyzhnoi shchelepy z 1995 po 2009 rr.: materialy kliniky praktyky [Traumatic fractures of the mandible from 1995 to 2009: materials of the clinic of the department)]. Visnyk stomatolohii – Journal of Dentistry, 1, 69-73 [in Ukrainian].
Tryfanenko, S.I., Kushnir, O.L., & Kuzniak, L.V. (2014). Sposib likuvannia perelomiv nyzhnoi shchelepy z hniino-zapalnymy uskladnenniamy iz zastosuvanniam nikelid-tytanovykh implantiv [A method of treatment of fractures of the mandible with suppurative and inflammatory complications with the use of nickel-titanium implants]. Klinichna stomatolohiia – Clinical Dentistry, (4), 52-54 [in Ukrainian].
Timofeev, O., Vesova, O.P., & Horobets, O.V. (2002). Likuvannia hniino-zapalnykh zakhvoriuvan miakykh tkanyn ta poshkodzhen nyzhnoi shchelepy [Treatment of purulent-inflammatory diseases of soft tissues and damages of the mandible]. Zb. nauk. prats spivrobitnykiv KMAPO im. P.L. Shupyka – Collection of Scientific Works of the Employees of P.L. Shupyk KMAPGE, 11 (3), 451-459 [in Ukrainian].
Horlenko, O.V., Polishchuk, S.S., & Kuzko, A.V. (2002). Otsinka psykholohichnoho stanu khvorykh z travmatychnymy poshkodzhenniamy oblychchia [Assessment of the psychological state of patients with traumatic face injuries]. Visnyk Vinnytskoho derzhavnoho medychnoho universytetu – Journal of Vinnytsia State Medical University, (1), 67-69 [in Ukrainian].
Yurchenko, V.M. (2006). Psykhichni stany liudyny: systemnyi opys: monohrafiia [Mental states of a man: system description: monograph] Rivne [in Ukrainian].
Polishchuk, S.S. (2003). Travmy shchelepno-lytsevoi dilianky ta yikh zviazok z psykhoemotsiinym stanom liudyny i typov oblychchia [Injuries of the maxillofacial area and their relationship to the psycho-emotional state of a man and face type]. Visnyk morfolohii – Journal of Morphology, 9 (1), 147-150 [in Ukrainian].
Voloshyna, L.I., Rybalov, O.V., & Sinkevych M.H. (2013). Mozhlyvosti vykorystannia piratsetamu u khvorykh na travmatychnyi osteomiielit nyzhnoi shchelepy z iavyshchamy stresornykh reaktsii [Possibilities of using piracetam in patients with traumatic osteomyelitis of the mandible with the phenomena of stress reactions]. Ukrainskyi stomatolohichnyi almanakh – Ukrainian Dental Almanach, (5), 50-53 [in Ukrainian].
Voloshyna, L.I., & Rybalov, O.Ye. (2005). Kliniko-imunolohichni ta psykhoemotsiini rozlady v patohenezi travmatychnoho osteomiielitu [Clinico-immunological and psychoemotional disorders in the pathogenesis of traumatic osteomyelitis]. Halytskyi likarskyi visnyk – Galician Medicinal Journal, 12 (3), 24-26. [in Ukrainian].
Gaston-Johanson, F., Albert, M., & Fagan, E. (1990). Similarities in pain descriptions of four different ethnic-culture groups. J. Pain Symptom Manage, 5 (2), 94-100.