maxillofacial trauma micro X ndiro

Kukuvara kwemuromo uye maxillofacial kunowanzo kukonzerwa nekukuvara kwakabatana nebasa, kukuvara kwemitambo, tsaona dzemotokari uye kukuvara kwetsaona muhupenyu. Kutenderera kweropa kwemaxillofacial kwakapfuma, kwakabatana neuropi nemutsipa, uye ndiko kutanga kwekufema kwekufema uye nzira yekudya.Kune mamwe maxillofacial bones uye cavity sinuses. Kune mazino anonamirwa pabhonzo remaxillofacial, uye rurimi rwuri mumuromo.Kumeso kune tsandanyama dzechiso netsinga dzechiso;The temporomandibular joint and the salivary glands;Idzo dzinoita mabasa ekutaura, kutaura, kutsenga, kumedza nekufema.

Kugadziriswa kwemaxillofacial fracture mushure mekuderedza inhanho inokosha mukurapa.Inowanzo shandiswa nzira dzekugadzirisa dzinosanganisira imwe chete yejaya arch splint fixation, interjaw fixation, interjaw ligation fixation, miniplate kana microplate fixation, cranial uye jaw fixation, uye dzimwe nzira dzinosanganisira perimaxillary fixation uye compression plate fixation.

1. Iyo splint fixation method ye single jaw dental arch: ndeye kushandisa 2 mm dhayamita aluminium wire kana chigadzirwa chakapedzwa ne hook dental arch splint, maererano nechimiro chemazino arch, uye zvino shandisa fine metal ligation wire kuburikidza nenzvimbo yezino, iyo splint inosungirirwa pane chikamu kana mazino ose pamativi ose maviri nzira yekuputsika, kuparadzanisa nzira yekugadzirisa. kutsemuka pasina kutamiswa kuri pachena, senge mutsara wepakati pekutsemuka kwe maxillochin uye kutsemuka kwealveolar.

2. Intermaxillary fixation: iyo yakajairika nzira ndeyekuisa yakasungirirwa mazino arch splint pamazino epamusoro uye ezasi, uye zvino shandisa bhandi duku rerubha rekugadzirisa intermaxillary, kuitira kuti shaya irambe iri panzvimbo yehutano hwehutsika.Iyi nzira inovimbika, yakakodzera kune zvakasiyana-siyana zvekuputsika kwemazino, iyo inobatsira, iyo mandindu inogona kuporesa nzvimbo yejaha yakanaka, kupora kupora kwejaw chakashata ndechekuti vakakuvara havagone kuvhura muromo kuti vadye, zvakare hazvisi nyore kuchengetedza utsanana hwemukanwa, inofanira kusimbisa mukoti.

3. Interosseous ligation uye kugadzirisa: munyaya yekuvhiya yakazaruka kuderedza, iyo miviri yakaputsika yekuputsika inogona kudonhedzwa uye ipapo yakasungirirwa uye yakagadziriswa kuburikidza nesimbi yesimbi isina tsvina.Iyiwo inzira yakavimbika yekugadzirisa.Kuputsika kweJawbone uye kuputika kweshaya kusina mazino muvana kunogonawo kugadziriswa nenzira iyi.

4. Diki ndiro kana micro plate fixation: pahwaro hwemanyorero akazaruka kuderedza, ndiro duku kana micro plate yehurefu hwakakodzera uye chimiro inoiswa pakatarisana nepfupa pamusoro pemigumo miviri yakatyoka yekutyoka, uye screw yakakosha inoshandiswa kupinda mukati mebhonzo cortex kugadzirisa ndiro, kuitira kuti kuzadzisa chinangwa chekugadzirisa kuputsika.

5. Cranial uye maxillofacial fixation method: maxillary transverse fracture, haigoni kungovimba nemanda yekugadzirisa, inogona kushandisa dehenya rekugadzirisa, kana zvisizvo chiso chepakati chinowanzoita deformation yakareba. Nzira yekugadzirisa ndeyekutanga kuisa arch splint pamazino makuru, wozosunga imwe mugumo wearch simbi, uye sunga imwe mugumo wearch, simbi isina tambo. uye imwe mugumo we arch splint kuburikidza nemuromo wemuromo kuburikidza nemucheka munyoro we zygomaticocheek, uye urembera parutsigiro rweplaster cap.Panguva imwecheteyo, intermaxillary fixation yakawedzerwa.

Nguva yekugadzirisa kuputika kweshaya inogona kugadziriswa maererano nekukuvara kwemurwere, makore uye mamiriro ezvinhu.Inowanzova 3 ~ 4 vhiki dzemaxilla uye 4 ~ 8 mavhiki ekuti mandible.Iyo nzira ine simba uye yakadzikama inogona kushandiswa kupfupisa nguva yekugadzirisa interjaw.Nzira ndeyokuti mushure memavhiki maviri kusvika ku3 ekusagadzikana, rubber ring uye ndiro rakakodzera rinobvumirwa kushandiswa kwechikafu che microft chekudya. kugadziriswa kwemukati, kudzidziswa kwekushanda kunogona kuitwa zvakanaka mberi kwekusimudzira kuporesa kuputsika.