maxillofacial trauma mini pololei alahaka pā

ʻO ka trauma maxillofacial, i kapa ʻia hoʻi he trauma maka, ʻo ia kekahi ʻeha kino i hiki mai i ka maka.Hiki ke hoʻokaʻawale ʻia ka ʻeha ma Maxillofacial i nā ʻeha ʻili palupalu, e like me ke kuni, nā ʻūhā a me nā ʻūhā, a i ʻole nā ​​​​haʻihaʻi o nā iwi maka e like me nā ʻeha maka, nā ʻeha o ka ihu a me nā ʻāʻī.hiki i nā ha'iha'i ke alaka'i i ka 'eha, ka pehu, ka poho o ka hana, ka ho'ololi 'ana i ke kino o ka helehelena.

ʻO nā ʻeha maxillofacial hiki ke hopena i ka hōʻino a me ka nalowale o ka hana o ka maka;e like me ka makapō a i ʻole ka pilikia o ka hoʻoneʻe ʻana i ka iwi ā.He haʻahaʻa haʻahaʻa hiki ke hoʻoweliweli i ke ola, akā hiki i ka maxillofacial trauma hiki ke make, no ka mea hiki ke hoʻoulu i ke koko nui a i ʻole ke keʻakeʻa i ke alaloa;no laila, ʻo ka manaʻo nui i ka mālama ʻana, ʻo ia ka wehe ʻana o ke alaloa a ʻaʻole hoʻoweliweli i hiki i ka mea maʻi ke hanu.Ke manaʻo ʻia ka haʻihaʻi ʻana o ka iwi, e hoʻohana i ka radiography e ʻike ai.Pono e hana i ka lapaʻau ʻana no nā ʻeha ʻē aʻe e like me ka ʻeha lolo traumatic, ka mea maʻamau e hele pū me ka ʻeha maka nui.

E like me nā haʻihaʻi ʻē aʻe, aia nā haʻihaʻi iwi maxillofacial me ka ʻeha, ka ʻeha, a me ka pehu ʻana o nā ʻiʻo a puni.Hiki mai ke koko ihu nui ma ka ha'i o ka ihu, ka ha'i o ka maxilla, a me ka ha'i po'o. Hiki ke pili i ka ha'i o ka ihu, a me ka pehu a me ka po'o.He ʻeha pinepine ka poʻe me ka haʻi ʻana o ka mandibular a paʻakikī hoʻi i ka wehe ʻana o ka waha a hiki i ka helu ʻana o ka lehelehe a me ka ʻauwae.Ma ka hihia o Le Fort fractures, hiki i ka midface ke neʻe e pili ana i ke koena o ka maka a i ʻole ka iwi poʻo.

ʻO ka haʻihaʻi o ka maxilla fracture

1. Laina ha'i ua pili ka iwi maxillary me ka iwi ihu, iwi zygomatic a me na iwi craniofacial e ae.ʻO ka laina haʻihaʻi hiki ke loaʻa i nā hiku a me nā paia iwi nāwaliwali. Ua hoʻokaʻawale ʻo Le Fort i ka haʻihaʻi i ʻekolu mau ʻano e like me ke kiʻekiʻe a me ke kiʻekiʻe o ka laina haʻihaʻi.

ʻO keʻano I fracture: iʻikeʻia hoʻiʻo ka haʻihaʻi maxillary haʻahaʻa a iʻole ka haʻihaʻi ākea. ʻO ka laina haʻihaʻi e hoʻonui i ke ākea mai ka piriform foramen a hiki i ka maxillary pterygoid suture ma nāʻaoʻaoʻelua ma ke ala kiʻekiʻe o ke kaʻina hana alveolar.

Kapa ʻia ka ʻano II fracture median maxillary fracture a i ʻole conical fracture. ʻO ka laina haʻihaʻi mai ka nasofrontal suture i hele i ke alahaka o ka ihu, ka pā orbital medial, ka papahele orbital a me ka orbital maxillary suture laterally, a laila hahai i ka paia lateral o ka maxilla a hiki i ka pterygeal process.I kekahi manawa hiki ke kahili i ka ethmoid sinus a hiki i ka fossa anterior, cerebrospinal fluid rhinorrhea.

Type III fracture ua kapaia maxillary kiʻekiʻe haʻihaʻi haʻihaʻi a craniofacial kaʻawale fracture.Fracture laina mai ka ihu mua suture i nāʻaoʻaoʻelua ma ke alahaka o ka ihu, orbit, ma o ka zygomaticofrontal suture hoʻi i ka pterygeal kaʻina, ke kukulu ana o ka craniofacial kaawale, alakaʻi pinepine i ka waena o ka maka elongation a me ke kaumaha, keia 'ano o ka haʻihaʻi i hele pū me ka iwi poʻo kumu haʻihaʻi a craniocerebral eha, pepeiao, ihu koko a cerebrospinal wai leakage.

2. ʻO ka hoʻoneʻe ʻana o ka māhele haʻihaʻi maʻamau ka neʻe ʻana ma hope a me lalo.

3. Occlusal pilikia.

4. Orbital a me periorbital hoʻololi orbital a me periorbital pinepine i hele pū me kaʻiʻo koko, edema, ke kukuluia'na o ka 'okoʻa "eyeglass symptoms", pinepine hoike ia e like me periorbital ecchymosis, luna a me lalo ohe a me bulbous conjunctival koko, a me ka maka displacement a me ka diplopia.

5. Eha lolo.

ʻO nā ʻano lapaʻau no nā ʻeha maxillofacial penei:

1. ʻO ka ʻeha o ka maʻi palupalu ma Maxillofacial: ʻo ke kumu o ka mālama ʻana he debridement i ka manawa, a hoʻihoʻi ʻia ka ʻiʻo i hoʻoneʻe ʻia a hoʻopaʻa ʻia.

2, ka ʻāʻī: ka hoʻohaʻahaʻa hope ʻana, me ka hoʻohana ʻana i ke ala hoʻoponopono kūloko e hoʻoponopono ai i ka wahi i hoʻopilikia ʻia, e hoʻihoʻi i ka hoʻomau o ka iwi ā, e hoʻāʻo e hoʻihoʻi i ka pilina occlusal preoperative maʻamau.