gufunga kwiyubaka anatomical 120 ° isahani (umwobo umwe hitamo ubwoko bubiri bwa screw)

Nka ngingo yingenzi yo mumaso kugirango ibungabunge ubwiza, imiterere ya mandible igira uruhare runini mubyiza byo mumaso.Ibintu byinshi nko guhahamuka, kwandura, kuvura ibibyimba nibindi bishobora gutera ubusembwa. Ubusembwa bwa mandible ntabwo bugira ingaruka kumiterere yumurwayi gusa, ahubwo butera nubudasanzwe muburyo bwo guhekenya, kumira, kuvuga ndetse nindi mirimo. Kwiyubaka kwiza kwa mandibulaire ntigomba kugera gusa kubukomeza nubusugire bwamagufwa ya mandibular no kugarura isura yo mumaso, ahubwo binatanga ibyangombwa byibanze kugirango isubirane ryimikorere ya physiologiya nyuma yo kubaga nko guhekenya, kumira no kuvuga.

Impamvu yinenge yemewe

Ubuvuzi bwa Tumor: ameloblastoma, myxoma, kanseri, sarcomas.

Gukomeretsa bikabije: bikunze guturuka ku gukomeretsa umuvuduko mwinshi nk'imbunda, impanuka zo mu nganda, ndetse rimwe na rimwe impanuka z’ibinyabiziga.

Ibihe byo gutwika cyangwa kwandura.

Intego zo kwiyubaka

1. Kugarura imiterere yumwimerere ya gatatu yo hepfo yisura kandi byemewe

2. Komeza ubudahwema bwa manda kandi ugarure isano iri hagati yumwanya wemewe hamwe nuduce tworoshye

3. Kugarura neza guhekenya, kumira, no kuvuga imikorere

4. Komeza inzira ihagije

Hariho ubwoko bune bwa microreconstruction yubusembwa bwa mandibular.Trauma na tumor resection ya mandible irashobora kugira ingaruka kumiterere kandi biganisha kuri defisite ikora nka malocclusion bitewe no gukomeretsa imitsi itabogamye.Mu rwego rwo gusana inenge igaragara no kongera kubaka imikorere, hateguwe uburyo bwinshi bwo kubaga bwashyizweho muburyo bworoshye bwo gutoranya uburyo bworoshye, muburyo bworoshye bwo gushyiraho uburyo bworoshye, bushyirwaho muburyo bworoshye bwo guhitamo uburyo bwiza. nuburyo bwo kuvura buracyari ubusa.Schultz nibindi. yerekanye uburyo bushya bworoshe bwo gutondekanya hamwe nuburyo bujyanye no kongera kubaka no gusana ibyateganijwe binyuze mu myitozo, byasohotse mu kinyamakuru giheruka cya PRS.Iyi nzego yibanda ku busugire bw’imitsi mu gace kahawe, hagamijwe gusana neza inenge zikomeye za mandibular hakoreshejwe uburyo bwa microsurgical.Uburyo bwabanje kugabanywamo amoko ane ukurikije uburyo bwo kubaga bwubaka. Ubwoko bwa 1 bwari bufite inenge imwe itarimo Inguni ya mandibular, ubwoko bwa 2 bwari bufite inenge imwe irimo impande zombi za mandibular Angle, ubwoko bwa 3 bwari bufite inenge zombi zidafite impande zombi, kandi ubwoko bwa 4 bwari bufite inenge zombi zirimo impande zombi cyangwa impande zombi zikwiranye nubwoko bwa A (bukurikizwa) nubwoko B (ikurikizwa) nubwoko bwa B (bukurikizwa) nubwoko B (ikurikizwa) nubwoko bwa B (bukurikizwa) nubwoko B (ubwoko bukurikizwa) nubwoko B (bikurikizwa) nubwoko B (ubwoko bukurikizwa) nubwoko bwa B (bukurikizwa) nubwoko bwa B (ubwoko bukurikizwa) nubwoko bwa B (ubwoko bukurikizwa) nubwoko bwa B (ubwoko bukurikizwa) nubwoko bwa B (Ubwoko) Ubwoko B busaba anastomose yimitsi yinkondo y'umura itandukanijwe.Ku bwoko bwa 2, birakenewe kwerekana niba inzira ya condylar irimo kugira ngo hamenyekane ibikoresho byogukoresha: Uruhare rwa condylar uruhande rumwe ni 2AC / BC, kandi nta ruhare rwa condylar rufite 2A / B.Bishingiye ku byiciro byavuzwe haruguru kandi urebye inenge yamagufa, ukenera ubundi buryo bwihariye bwo kuvura amenyo, hamwe nubundi buryo bwihariye bwo kuvura amenyo, no gukenera ubundi buryo bwihariye bwo kuvura amenyo, no gukenera ubundi buryo bwihariye bwo kuvura amenyo, no gukenera ubundi buryo bwihariye bwo kuvura amenyo, no gukenera ubundi buryo bwihariye bwo kuvura amenyo, hamwe nubundi buryo bwihariye bwo gukenera amagufwa, ukundi. Byakoreshejwe.

Ibyapa byateguwe byubatswe bigenewe gukoreshwa mu kubaga umunwa na maxillofacial kubaga, ihahamuka no kubaga ibyubaka. Ibi bikubiyemo kwiyubaka kwa mandibular yibanze, kuvunika kwangiritse hamwe nikiraro cyigihe gito mugihe hagitegerejwe gutinda kwiyubaka kwa kabiri, harimo kuvunika kwa mandibilité na / cyangwa atropic mandibles, kimwe no kuvunika kudahindagurika. Inyungu z'abarwayi - binyuze mu gushaka kugera ku nyungu zishimishije no kugabanya igihe cyo gukora. Abarwayi Isahani yihariye ya Mandible ikuraho imihangayiko iterwa no gukubita amasahani.