kutsekanso mbale ya anatomical 120 ° (bowo limodzi sankhani mitundu iwiri ya screw)

Monga chiwalo chofunika kwambiri cha nkhope kuti chikhale chokongola, mawonekedwe a mandible amathandizira kwambiri pa nkhope ya aesthetics.Zinthu zambiri monga kupwetekedwa mtima, matenda, kuchotsa chotupa ndi zina zotero zingayambitse chilema. The chilema wa mandible osati kumakhudza maonekedwe a wodwalayo, komanso kumayambitsa sali bwino mu kutafuna, kumeza, kulankhula ndi ntchito zina.The abwino mandibular kumangidwanso sayenera kukwaniritsa kupitiriza ndi umphumphu wa fupa mandibular ndi kubwezeretsa maonekedwe a nkhope, komanso kupereka zinthu zofunika kwa achire postoperative zokhudza thupi ntchito monga kutafuna, kumeza ndi kulankhula.

Chifukwa cha kuwonongeka kwa mandible

Chithandizo cha zotupa: ameloblastoma, myxoma, carcinomas, sarcoma.

Kuvulala koopsa kwambiri: nthawi zambiri kumachitika chifukwa chovulala kwambiri ngati mfuti, ngozi zamakampani, komanso kugunda kwa magalimoto nthawi zina.

Zotupa kapena matenda.

Zolinga Zomanganso

1. Bwezerani mawonekedwe oyambirira a m'munsi mwa atatu a nkhope ndi mandible

2. Sungani kupitiriza kwa mandible ndikubwezeretsanso mgwirizano wa malo pakati pa mandible ndi minofu yofewa yozungulira

3. Kubwezeretsanso ntchito zabwino za kutafuna, kumeza, ndi kulankhula

4. Khalani ndi njira yodutsa mpweya yokwanira

Pali mitundu inayi ya microreconstruction ya mandibular defects.Trauma ndi chotupa resection wa mandible zingakhudze maonekedwe ndi kuchititsa zofooka zinchito monga malocclusion chifukwa cha unilateral minofu injury.In kuti kukonza maonekedwe chilema ndi kumanganso ntchito, ambiri opaleshoni njira zapangidwa, ndi vuto la kumangidwanso bwino kwa mandible mabodza mu kusankha mandicause njira yabwino kwambiri, Khalani osavuta seti defect. ndipo ambiri amavomereza mwadongosolo gulu ndi njira mankhwala akadali opanda kanthu.Schultz neri Al. anasonyeza latsopano chosavuta gulu njira ndi lolingana njira yomanganso ndi kukonza mandible mwa mchitidwe, amene linafalitsidwa mu magazini atsopano a PRS.gulu Izi zimayang'ana pa mtima mtima umphumphu m'dera wolandira, ndi cholinga kukonza molondola zofooka mandibular zovuta ndi microsurgical means.The njira poyamba anagawanika mu mitundu inayi malinga ndi zovuta za m'munsi opareshoni. Type 1 anali ndi unilateral chilema kuti sanali kukhudza mandibular ngodya, mtundu 2 anali ndi unilateral chilema okhudza ipsilateral mandibular Angle, mtundu 3 anali ndi mbali ziwiri chilema okhudza aliyense mbali ya mandibular Angle, ndi mtundu 4 anali ndi mbali ziwiri chilema okhudza unilateral kapena mayiko awiri mandibular mtundu Angle (osati kugawa) mtundu Englic (osagawaniza) mtundu Engle. yogwira ntchito) molingana ndi ngati ziwiya zamkati zili zoyenera kwa anastomosis. Mtundu B umafuna anastomosis wa contralateral ziwiya khomo lachiberekero. Pa milandu ya mtundu wa 2, ndikofunikira kuwonetsa ngati njira ya condylar ikukhudzidwa kuti asankhe kuti ndi zinthu ziti zomwe zingagwiritsidwe ntchito: Kuphatikizidwa kwa condylar kwa unilateral ndi 2AC / BC, ndipo palibe kukhudzidwa kwa condylar ndi 2A / B. Malingana ndi zomwe zili pamwambazi ndikuganizira za chilema cha khungu, chilema cha mandibula, chilema chamtundu wina, chilema, chilema, ndi zina zotero. dokotalayo amasankhanso mtundu wa fupa laulere lomwe lingagwiritsidwe ntchito.

Zopangira Zomanganso Zokonzedweratu zimapangidwira kuti zigwiritsidwe ntchito pa opaleshoni yapakamwa ndi maxillofacial, kuvulala ndi opaleshoni yokonzanso. Izi zikuphatikizanso kukonzanso kwa mandibular koyambirira, kusweka kwapang'onopang'ono ndi kumanga mlatho kwakanthawi podikirira kuchedwa kumangidwanso kwachiwiri, kuphatikiza ma fractures a edentulous ndi/kapena atrophic mandibles, komanso ma fractures osakhazikika. Phindu la Odwala - pofunafuna kupeza zotsatira zokhutiritsa zokongoletsa ndikuchepetsa nthawi ya opaleshoni. Mapleti Odwala Okhazikika a Mandible amachotsa kupsinjika kwamakina kuchokera ku mbale zopindika.