Sling-like bandage on the lower jaw, chin sling: photo, how to do it yourself

At broken jaw it becomes necessary to make its movable part motionless. This can be achieved by immobilization with a sling bandage. The sling technique does not cause any particular difficulties, while the jaw is held motionless by pressing.

In addition, the chin sling is used in orthodontics as an adaptation in the treatment of abnormal bite, for him they wear it at night.

When the product is used: indications

At its core, this type of product is a strip of fabric or bandage, which provides fixation on the head with the lower jaw pressed to the upper.

For immobilization, a sling-like bandage is used for the following purposes:

• in order to prevent the displacement of jaw fragments, a sling is temporarily applied when the victim is delivered to the hospital;
• the constant wearing of such a product is used for medicinal purposes until the jaw bones are fused;
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• if for a long time there is no opportunity to go to the hospital to a qualified specialist;
• serious condition of the patient, limiting the ability to carry out basic medical measures.

It should be borne in mind that temporary immobilization does not allow for successful treatment of jaw fractures. As a rule, it is used within 4 days after the injury. But in emergency situations, this period may increase until the onset of a favorable moment, when complex therapy will be provided.

Varieties of sling-like dressing

In order to prevent the displacement of the fragments of the jaw when transporting the victim to a hospital, different types of sling are used. In this case, sometimes different improvised means can be used.

Simple

When using the bandage, circular tours are alternately established through the chin, top of the skull and the parietal zone. The auricles are bypassed in the front and back. Such a product weakens quickly. The use of an elastic bandage will be optimal, since its tension does not lead to a weakening of the device.

Parieto-chin according to Hippocrates

The parieto-chin bandage according to Hippocrates is distinguished by good fixation, does not require replacement for several days. Using a bandage, make up to three rounds around the circumference of the skull (along the forehead and back of the head). After that, a transition is made along the back of the head and perform from two to three circular rounds in the parieto-chin plane. It is not allowed to put a bandage on the auricles, they are bypassed in front and behind. Next, a second transition to the head is made. It is performed on the dorsum of the cervical spine with a bandage applied to the frontal spine and the back of the head.

A feature of the chin-parietal bandage is that the first horizontal tours provide contact for subsequent turns made vertically, and the last turns do not allow slipping products. In addition, the fixation of the lower jaw should not be overtightened and, conversely, in case of a fracture of the upper jaw, it is necessary to bandage tightly in order to prevent trauma to adjacent tissues.

Standard (hard)

A standard bandage or stiff sling consists of 2 parts. The first has the shape of a hat that is worn over the head. The second is applied to the chin, after placing a cotton-gauze napkin under it. Their connection is provided by rubber rings, which are attached to the tongue-shaped protrusions. The fixation of the head section occurs due to the ribbons that cover the head in the forehead and back of the head. When applying, one should adhere to the basic principle: the product should not allow displacement in the area of ​​the fracture.

Soft sling Pomerantseva-Urbanskaya

Shown in the photo to the right. It is based on the pressure of a fabric chin pad, which has rubber inserts on the sides, ending with a tape of soft fabric. There are holes in it where the laces are inserted to regulate the pressure. The disadvantage of this product is that it cannot be used in the absence of teeth.

Chin sling

The chin sling is used for malocclusion (open or temporary replaceable). The headband has a mouthguard made of plastic or dense fabric, which is attached to the head cap by means of rubber rings. Depending on the pathology, the thrust vector can change (be horizontal or vertical). It is recommended to wear a chin sling with a head cap before going to bed or when the patient is at home.

How to do it yourself

To make a sling with your own hands, you need to take a long piece of gauze or a wide bandage (approximately 60 or 70 cm). After that, cut it from both ends, and in the middle leave a solid gap from 15 to 20 centimeters (it is best to use a bandage with a width of 6 to 8 cm) Thus, the bandage has four free ends.

The device should be made of a sterile bandage. This need is due to the frequent presence of an open wound located at the site of the dressing.

Algorithm for applying a bandage

The sequence of applying a fixing sling assumes the following algorithm of actions:

1. Before the procedure, the hands are treated with an alcohol-containing solution.
2. Applying a bandage causes the need to stand in front of the affected person.
3. The patient is warned about the need to maintain an even posture and sit without making any sudden movements. The gaze should be directed in front of you, turns and tilts are not allowed.
4. It is important that the retaining ends are on the opposite side of the head. Therefore, the ribbons from the side of the chin should be tied at the crown of the head, and the upper ones in the region of the cervical spine.
5. The material used should not be tightly tightened to prevent the victim's free breathing being impaired.

Price

If a regular gauze bandage 10 centimeters wide is used to immobilize a fracture of the jaw, then such a bandage will have a cost within 11 rubles. The use of an elastic bandage will cost a little more, since its cost in a pharmacy starts from 200 rubles.

Ready-made fixation dressings for a fracture or dislocation of the jaw can be bought both at the pharmacy and through the online store.

Estimated price is within the following limits:

• the universal type of chin sling has a price of 3,100 rubles;
• products with a head cap, depending on the manufacturer, are in the price range from 1250 to 4100 rubles;
• LEONE sells its products, starting from 1500 rubles.

The use of a sling-like bandage on the jaw prevents the displacement of bones in a fracture of the jaw, and also prevents damage to adjacent tissues. In addition, the systematic use of this orthopedic product allows you to eliminate abnormal bite. This will contribute to the correct formation of the dentition, which in the future will not lead to early loss of dental units.