Improvement of the method of diagnostics and treatment of injuries and diseases of the maxillofacial region

This study aims to describe and apply a special endolift device in the treatment of various injuries to the zygomatic-orbital-facial complex as a means of forming an endoscopic space. A patented technique of creating an endoscopic area using an endolift device in the field of maxillofacial surgery, registered under the number 2082 dated 31.07.2018 in the Kyrgyz Republic, on the example of a clinical case, was presented. The endolift is a metal two-piece device that consists of a horizontal round mini plate up to 10 mm in diameter and a perpendicularly located hollow tube up to 4 mm in diameter in the centre of the plate with two holes at the top. The method of endoscopic space formation using endolift was used in 15 patients with various traumas to the maxillofacial region. An example of a clinical case is presented by patient J.B., 36 years old, who underwent endoscopic minimally invasive surgery to reconstruct a mandibular fracture. The course of the operation included a small incision in the submandibular region, soft tissue separation, skeletonization of the jaw, and the formation of a tunnel, for the endolift. The endolift was inserted into the tunnel and an endoscope was inserted through it for visualisation. After alignment of the bone fragments and fixation with a miniplate through the endolift, the wound was sutured, and a dressing was applied. There were no complications during or after surgery in all 15 cases of surgery. Patients were discharged 3 days after the operation in satisfactory condition. The sutures were removed on the 7th day. Functional and cosmetic results were evaluated as satisfactory. The use of this method of treatment ultimately determines the degree of effectiveness, safety, and quality of life of the performed manipulations for patients, especially in countries with low levels of economic development.