Zikafika pa opaleshoni ya orthognathic, kulondola ndi chilichonse. Njira yofewa yokhazikitsira nsagwada ndi kukhazikika kwa nsagwada imafuna zida zokhazikika zomwe sizili zamphamvu zokha za biomechanically komanso zimasinthidwa mwamawonekedwe kumadera ena a nkhope.
Pakati pa zosankha zosiyanasiyana zomwe madokotala ochita opaleshoni ndi magulu ogula zipatala amasankha, mabowo a orthognathic 0.6 L mbale 6 amawonekera ngati yankho lodalirika komanso loyengedwa bwino, makamaka pamachitidwe omwe amafuna kusintha kosawoneka bwino komanso kusokoneza pang'ono.
M'nkhaniyi, tikuwunika malingaliro a anatomical, ubwino wa mapangidwe, ndi ntchito za opaleshoni ya 6-hole L-woboola pakati 0.6 mm orthognathic mbale, kuthandiza asing'anga ndi ogula kumvetsa chifukwa chake ikuyenera malo mu dongosolo lililonse la maxillofacial fixation.
Kodi Ndi ChiyanindiOrthognathic0.6 L mbale(Mabowo 6)?
Mbale ya orthognathic 0.6 L yokhala ndi mabowo 6 ndi mbale yotsika kwambiri yopangidwa kuchokera ku titaniyamu yachipatala. Ndi makulidwe a 0.6 mm okha, amapangidwira kuti azigwiritsidwa ntchito mu orthognathic ndi maxillofacial njira, pomwe kusunga umphumphu wa mafupa ndikuchepetsa kukwiya kwa minofu yofewa yozungulira ndikofunikira. Kusintha kwa mawonekedwe a L ndi mawonekedwe a 6-hole kumapangitsa kukhala koyenera kuti akhazikike m'madera omwe amafunikira chithandizo chamakona ndi kugawa katundu wolondola.
Chifukwa chiyani makulidwe a 0,6 mm amafunikira
Chimodzi mwazinthu zodziwika bwino za mbale iyi ndi mawonekedwe ake opyapyala a 0.6 mm. Mosiyana ndi mbale zokulirapo zomwe zimagwiritsidwa ntchito pamagulu akulu a mafupa kapena malo okhala ndi katundu wambiri, mbale iyi yowonda kwambiri imapangidwira milandu yomwe imakhudza kuchuluka kwa fupa lapakati komanso kufunikira kwakukulu kwa mawonekedwe a anatomical. Izi zikuphatikizapo:
Kuchepa kwapalpability: Koyenera kumadera omwe minofu yofewa imakhala yopyapyala (mwachitsanzo, anterior maxilla kapena mandibular symphysis), kuchepetsa kupweteka kwapambuyo pa opaleshoni ndi zovuta.
Kuchotsa mafupa ochepa: Mapangidwe ang'onoang'ono amalola kukhazikika popanda kumeta kwambiri mafupa, kusunga mafupa ndikufulumizitsa machiritso.
Kuwonda kosinthika: Kuonda kwake kumathandizira kuti ma intraoperative apangike mosavuta ndikupindika, kumapangitsa kuti maopaleshoni aziyenda bwino.
Ma Anatomical Zones Oyenera Kwambiri Papuleti ya 6-Hole L
Mbale ya orthognathic 0.6 L yokhala ndi mabowo 6 imakhala yothandiza kwambiri m'malo omwe amafunikira kukhazikika bwino komanso kukhazikika, monga:
Mandibular Angle & Body Region
Mawonekedwe ake a L amapereka chithandizo chamakona, ndikupangitsa kuti ikhale yoyenera kuyang'anira ma osteotomies kapena fractures yokhudzana ndi ngodya ya mandibular. Dzanja lopingasa limagwirizana ndi thupi la mandible, pomwe mkono woyimirira umayenda mokulira motsatira ramus.
Maxillary Lateral Wall ndi Zygomatic Buttress
M'machitidwe a Le Fort I, mbaleyo itha kugwiritsidwa ntchito pakukhazikika kwa maxillary ofananira nawo chifukwa cha mawonekedwe ake ochepa komanso kukhazikika kwa anatomical.
Chin (Mental) Chigawo
Kwa genioplasty kapena symphyseal osteotomies, mbaleyo imapereka mgwirizano wabwino pakati pa kusinthasintha ndi kusasunthika, makamaka kwa odwala omwe ali ndi fupa lochepa la cortical.
Chithandizo cha Orbital Rim
Ngakhale sikugwiritsidwa ntchito koyambirira, mbaleyo imatha kuthandizanso kuwongolera kozungulira kozungulira komwe kumafunikira kukhazikika kochepa kwambiri.
Maderawa nthawi zambiri amakhala ndi zida zamakina apakatikati, pomwe zida zolimbitsidwa mopitilira muyeso zitha kukhala zochulukira, ndipo mapangidwe osakhazikika amatha kusokoneza bata. Mbale ya 0.6 mm L imagunda malo okoma.
Chifukwa chiyani 6-Hole Design?
Kukonzekera kwa 6-hole sikumangokhalira kusuntha-kumasonyeza kulinganiza bwino pakati pa kukhazikika ndi kusinthasintha. Ichi ndichifukwa chake zimagwira ntchito:
Kukhazikika kwa mfundo ziwiri pambali iliyonse ya L-mawonekedwe, kuphatikiza mabowo awiri owonjezera kuti musinthe mbali zambiri, kumapereka anangula otetezeka popanda kudzaza tsamba lililonse.
Ufulu wopangira opaleshoni: Madokotala ochita opaleshoni amatha kusankha zomangira zabwino kwambiri potengera kupezeka kwa mafupa ndikupewa mapangidwe a anatomical monga minyewa kapena mizu.
Mapangidwe ogawana katundu: Amagawira kupanikizika kogwira ntchito mofanana pa mbale ndi zomangira, kuchepetsa chiwopsezo cha kutopa kapena kumasuka.
Kapangidwe kameneka kamakhala kopindulitsa kwambiri pamapulogalamu osanyamula katundu kapena osanyamula pang'ono pomwe micromovement ikufunika kuchepetsedwa koma kukhazikika kwathunthu sikofunikira.
M'dziko lomwe likusinthika la opaleshoni ya maxillofacial ndi orthognathic, kusankha zida zoyenera zokhazikika ndikofunikira kuti mupeze zotsatira zabwino. Chimbale cha orthognathic 0.6 mm L chokhala ndi mabowo 6 chimadziwika chifukwa cha kusinthika kwake, mawonekedwe owonda kwambiri, komanso kapangidwe kake, zomwe zimapangitsa kuti ikhale chisankho chokonda kukonza bwino komanso kokhazikika m'magawo osankhidwa a nsagwada.
Kaya ndinu dokotala wofufuza zida zodalirika kapena wogawa omwe akufuna mayankho osiyanasiyana, mbale iyi imaphatikiza kulondola kwa uinjiniya ndi zochitika zachipatala.
Jiangsu Shuangyang Medical Instrument Co., Ltd. imapereka mbale zonse za orthognathic, zomangira za mafupa, ndi ma implants a maxillofacial okhala ndi zosankha zomwe mungasinthire komanso thandizo la akatswiri. Podaliridwa ndi akatswiri azachipatala padziko lonse lapansi, tadzipereka ku khalidwe labwino, luso lamakono, ndi mgwirizano wautali.
Nthawi yotumiza: Jul-17-2025