kukiya kuvakazve anatomical 120 ° ndiro (gomba rimwe sarudza marudzi maviri escuru)

Sechinhu chakakosha chechiso chekuchengetedza runako, chimiro che mandible chinoita basa rakakosha mumeso aesthetics.Zvinhu zvakawanda zvakadai sekushungurudzika, utachiona, tumor resection nezvimwe zvakadaro zvinogona kukonzera kukanganisa. Kukanganisa kweiyo mandible hakungokanganisa chitarisiko chemurwere, asiwo kunokonzera kukanganisa mukucheka, kumedza, kutaura uye mamwe mabasa.Iyo yakanaka mandibular reconstruction haifaniri kungozadzisa kuenderera mberi uye kuvimbika kwefupa remandibular uye kudzorera chitarisiko chechiso, asi inopawo mamiriro ezvinhu ekugadzirisa kwemashure ekuvhiyiwa mabasa ehupenyu akadai sekucheka, kumedza uye kutaura.

Chikonzero chekuremara mandible

Tumor therapy: ameloblastoma, myxoma, carcinomas, sarcoma.

Avulsive traumatic damage: kazhinji inomuka kubva mukukuvadzwa kwepamusoro-velocity sepfuti, tsaona dzemuindasitiri, uye dzimwe nguva kubonderana kwemotokari.

Zvirwere kana zvirwere zvinotapukira.

Zvinangwa Zvekuvakazve

1. Dzosera chimiro chepakutanga chetatu chepasi chechiso uye mandible

2. Chengetedza kuenderera mberi kwemanda uye kudzorera hukama hwepakati pakati pemandible uye matishu akapfava akatenderedza.

3. Dzorera kutsenga kwakanaka, kumedza, uye kutaura

4. Chengetedza mhepo yakakwana

Kune marudzi mana ekugadzirwa kwe microreconstruction of mandibular defects.Kushungurudza uye kubviswa kwebundu remandible kunogona kukanganisa kuonekwa uye kutungamirira kuhutano hwehutano hwakadai semalocclusion nekuda kwekukuvara kwemhasuru unilateral.Kuitira kugadzirisa chitarisiko chinokanganisa uye kuvakazve basa racho, nzira dzakawanda dzekuvhiya dzakagadzirwa, uye kuoma kwekugadzirisa kunobudirira kweiyo mandible nhema mukusarudzwa kwemaitiro anobatsira ekugadzirisa maitiro, Iva nzira yakapusa yekushandiswa kwemaitiro akaoma. uye kazhinji inogamuchirwa kurongeka kwakarongeka uye nzira dzekurapa dzichiri dzisina chinhu.Schultz et al. yakaratidza nzira itsva yakareruka yekuronga uye nzira inoenderana yekuvakazve uye kugadziriswa kweiyo mandible kuburikidza nekuita, iyo yakabudiswa mumagazini ichangoburwa yePRS.Iyi kupatsanurwa kunotarisa kutendeseka kwevascular munzvimbo yevanogamuchira, nechinangwa chekugadzirisa nenzira kwayo kukanganisa kwakaoma mandibular ne microsurgical means.Nzira yacho inotanga kukamurwa kuva marudzi mana maererano nekuoma kwekuvhiya kwepakati. Type 1 yaive neunilateral defect iyo isingabatanidzi mandibular Angle, type 2 yaive neunilateral defect yaisanganisira ipsilateral mandibular Angle, type 3 yaive nebilateral defect isingabatanidzi divi remandibular Angle, uye type 4 yaive nebilateral defect inobatanidza unilateral kana bilateral mandibular type Angle (inopatsanurwa mhando Angle) inoshanda) zvichienderana nekuti ipsilateral midziyo yakakodzera anastomosis. Rudzi rweB runoda anastomosis ye contralateral cervical midziyo.Nekuda kwemhando ye2 kesi, zvakakosha kuratidza kana iyo condylar process inobatanidzwa kuitira kuti usarudze kuti ndeipi graft material inoshandiswa: Unilateral condylar kubatanidzwa ndeye 2AC / BC, uye hapana condylar kubatanidzwa ndeye 2A / B.Kubva pane kusarudzwa kwepamusoro uye kufunga nezvekukanganiswa kweganda, kureba kweganda, kureba uye kureba, kureba, kureba uye kureba kweganda. chiremba anovhiya anowedzera kutara rudzi rwemahara pfupa flap kushandiswa.

Preformed Reconstruction Plates dzakagadzirirwa kushandiswa mukuvhiya nemuromo uye maxillofacial, trauma uye kuvhiyiwa kwekuvakazve. Izvi zvinosanganisira kuvakwazve kwekutanga mandibular, kuputsika uye bhiriji kwenguva pfupi yakamirira kunonoka kuvakwa kwechipiri, kusanganisira kuputsika kwe edentulous uye / kana atrophic mandibles, pamwe nekutsemuka kusina kugadzikana. Murwere Benefit - kuburikidza nekutsvaga kuwana zvinogutsa aesthetic mhedzisiro uye kuderedza operative nguva. Patient Specific Plates for Mandible bvisa induced mechanical stress kubva pakupeta ma plates.