Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciencesВестник Российской академии медицинских наук0869-60472414-3545"Paediatrician" Publishers LLC1806010.15690/vramn18060SURGERY: CURRENT ISSUESАКТУАЛЬНЫЕ ВОПРОСЫ ХИРУРГИИReview ArticleDigital technologies in the treatment of patients with mandibular fractures. Current state of the issueЦифровые технологии в лечении больных с переломами нижней челюсти. Современное состояние вопроса по данным систематического обзора литературыhttps://orcid.org/0000-0001-9620-35479785-2632PankratovAlexander S.ПанкратовАлександр Сергеевич
Russian Federation

MD, PhD, Professor

д.м.н., профессор

stomat-2008@mail.ruhttps://orcid.org/0009-0006-7500-93437847-3205GolovinOleg L.ГоловинОлег Леонидович
Russian Federation

PhD in Economics

к.э.н.

olgol2020@rambler.ruhttps://orcid.org/0000-0002-2280-85599663-2378GrininVasily M.ГрининВасилий Михайлович
Russian Federation

MD, PhD, Professor

д.м.н., профессор

grynin@mail.ruhttps://orcid.org/0009-0005-3477-63117659-2648DzhandarovJalil M.ДжандаровДжалил Магомедович
Russian Federation

MD

врач — челюстно-лицевой хирург

dzhandarov2000@mail.ruI.M. Sechenov First Moscow State Medical University (Sechenov University)Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)Russian Medical Academy of Continuing Professional EducationРоссийская медицинская академия непрерывного профессионального образованияInstitute of Applied Information TechnologiesИнститут прикладных информационных технологий051220258042882972302202528102025Copyright ©; 2025, "Paediatrician" Publishers LLCCopyright ©; 2025, Издательство "Педиатръ"2025"Paediatrician" Publishers LLCИздательство "Педиатръ"https://vestnikramn.spr-journal.ru/jour/about/submissionshttps://vestnikramn.spr-journal.ru/jour/article/view/18060

Fractures of the lower jaw are the most common type of damage to the bones of the facial skeleton. However, despite the introduction of new surgical technologies into clinical practice, the incidence of complications in patients with this type of injury remains unacceptably high, which dictates the need to improve their treatment methods. Objective of the study — to assess the capabilities and effectiveness of digital technologies in providing medical care to patients with fractures of the lower jaw, based on an analysis of literary data. This study is the first systematic review on this issue. The RINTS, Medline (PubMed), Google Scholar databases were studied from 2000 to 2024. Search terms were used reflecting the concepts of “digital technologies”, “fractures of the lower jaw”, “osteosynthesis”, “computer-assisted surgery”, “convolutional neural network”. The existing studies are devoted to improving diagnostic methods, creating repositories of large clinical and radiological databases with the possibility of their automated analysis, deep learning of convolutional neural networks for interpreting the obtained radiological images, technical support of surgical manipulations in order to improve the accuracy of repositioning bone fragments and their fixation. Digital technologies currently allow evidence-based assessment of the significance of certain clinical parameters when choosing treatment tactics, play an auxiliary role in assessing radiological images, increase the accuracy of the location of fixing structures and matching bone fragments, and reduce the time of surgery. The article discusses the factors that currently hinder the widespread introduction of digital technologies in the practice of treating patients with this type of injury and ways to overcome them.

Переломы нижней челюсти являются наиболее распространенным видом повреждений костей лицевого скелета. Однако, несмотря на внедрение в клиническую практику новых хирургических технологий, частота развития осложнений у пациентов с этим видом травмы остается недопустимо высокой, что диктует необходимость совершенствования их методов лечения. Цель исследования — оценить возможности и эффективность применения цифровых технологий при оказании медицинской помощи у пациентов с переломами нижней челюсти на основании анализа литературных данных. Настоящее исследование является первым систематическим обзором по данному вопросу. Изучены базы данных РИНЦ, Medline (PubMed), Google Scholar с 2000 по 2024 г. Использовались поисковые термины, отражающие понятия «цифровые технологии», «переломы нижней челюсти», «остеосинтез», «компьютер-ассистированная хирургия», «сверточные нейронные сети». Имеющиеся исследования посвящены совершенствованию методов диагностики, созданию хранилищ больших баз клинических и рентгенологических баз данных с возможностью их автоматизированного анализа, глубокому обучению сверточных нейронных сетей по интерпретации получаемых рентгенологических изображений, техническому сопровождению хирургических манипуляций с целью повышения точности репозиции костных фрагментов и их фиксации. Цифровые технологии в настоящее время позволяют на доказательной основе оценивать значимость тех или иных клинических параметров при выборе тактики лечения, играют вспомогательную роль при оценке рентгенологических изображений, повышают точность расположения фиксирующих конструкций и сопоставления костных фрагментов, сокращают время операции. В статье разбираются факторы, препятствующие широкому внедрению цифровых технологий в практику лечения больных с данным видом травмы, и пути их преодоления.

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