maxillofacial trauma mini otlolohileng borokho poleiti

Maxillofacial trauma, eo hape e bitsoang trauma ea sefahleho, ke ts'oaetso leha e le efe ea 'mele e etsahalang sefahlehong.Maxillofacial trauma e ka aroloa ka likotsi tsa lisele tse bonolo, tse kenyelletsang ho chesa, matetetso le maqeba, kapa ho robeha ha masapo a sefahleho joalo ka likotsi tsa mahlo, ho robeha ha nko le ho robeha ha mohlahare.fractures e ka lebisa ho bohloko, ho ruruha, ho lahleheloa ke mosebetsi, liphetoho tsa sebopeho sa likarolo tsa sefahleho.

likotsi tsa maxillofacial li ka fella ka ho senyeha le ho lahleheloa ke mosebetsi oa sefahleho;joalo ka bofofu kapa bothata ba ho tsamaisa mohlahare.Ho na le monyetla o fokolang oa ho beha bophelo kotsing, empa ts'oaetso ea maxillofacial e ka boela ea bolaea, hobane e ka baka ho tsoa mali ho matla kapa ho kena-kenana le tsela ea moea;kahoo ntho e ka sehloohong e amehang kalafong ke ho tiisa hore tsela ea moea e bulehile ’me ha e sokeloe e le hore mokuli a khone ho hema.Ha ho belaelloa hore masapo a robehile, sebelisa radiography ho hlahloba.Hoa hlokahala ho etsa phekolo bakeng sa likotsi tse ling tse kang kotsi e sithabetsang ea boko, eo hangata e tsamaeang le leqeba le leholo la sefahleho.

Joalo ka fractures tse ling, ho robeha ha masapo a maxillofacial ho na le bohloko, matetetso le ho ruruha ha lisele tse potolohileng.Ho tsoa mali a mangata ho ka 'na ha etsahala ho Ho robeha ha nko, ho robeha ha maxilla, le ho robeha ha lehata.Ho robeha ha nko ho ka amahanngoa le ho holofala ha nko, hammoho le ho ruruha le matetetso.Batho ba nang le maqeba a mandibula hangata ba na le bohloko le bothata ba ho bula melomo 'me ba ka ba le bohatsu molomong le selelung.Tabeng ea Le Fort fractures, bohareng bo ka 'na ba sisinyeha ho ea ka sefahleho kapa lehata.

Ho robeha ha maxilla fracture

1. Fracture line lesapo la maxillary le amana le lesapo la nko, lesapo la zygomatic le masapo a mang a craniofacial.Fracture line e atisa ho etsahala ka li-sutures le marako a fokolang a masapo.Le Fort e arolelitse ho robeha ka mefuta e meraro ho latela bolelele le bophahamo ba mohala oa ho robeha.

Mofuta oa I oa fracture: o tsejoang hape e le ho robeha ha maxillary ka tlaase kapa ho robeha ka holimo. Mohala oa fracture o fetela ka holimo ho tloha ho piriform foramen ho ea ho maxillary pterygoid suture mahlakoreng ka bobeli ka tsela e phahameng ea ts'ebetso ea alveolar.

Mofuta oa II fracture o boetse o bitsoa median maxillary fracture kapa conical fracture. The fracture line ho tloha nasofrontal suture tšela borokho ba nko, medial orbital lerako, orbital mokatong le orbital maxillary suture laterally, 'me joale latela lateral lebota la maxilla ho pterygeal process. Ka linako tse ling e ka fiela sinus ea ethmoid ho ea fihla karolong e ka pele ea fossa, cerebrospinal fluid rhinorrhea.

Mofuta oa III oa fracture o boetse o bitsoa maxillary high level fracture kapa craniofacial separation fracture.Fracture line ho tloha nko e ka pele ea suture ho ea mahlakoreng ka bobeli ho pholletsa le borokho ba nko, orbit, ka zygomaticofrontal suture khutlela ts'ebetsong ea pterygeal, ho thehoa ha karohano ea craniofacial, hangata lebisa bohareng ba sefahleho elongation le ho tepella maikutlo, mofuta ona oa fracture tsamaea le lehata botlaaseng fracture kapa craniocerebral kotsi, tsebe, nko ho tsoa mali kapa cerebrospinal mokelikeli dutla.

2. Ho falla ha karolo ea fracture hangata ho etsahala ka morao le ka tlase ho falla.

3. Bothata ba ho se tsebe letho.

4. Orbital le periorbital liphetoho orbital le periorbital hangata tsamaea le ho tsoa mali lisele, edema, sebopeho sa e ikhethang "eyeglass matšoao a", hangata a bonahatsa e le periorbital ecchymosis, ka holimo le tlaase eyelid le bulbous conjunctival mali, kapa displacement leihlo le diplopia.

5. Ho lemala boko.

Mekhoa ea kalafo ea likotsi tsa maxillofacial e kenyelletsa:

1. Maxillofacial mahlahahlaha a bonolo a kotsi: molao-motheo oa phekolo ke ho senyeha ha nako ka nako, 'me lisele tse tlohileng mahaeng li tsosolosoa' me li sutured.Nakong ea ho senya, lesela le lokela ho bolokoa ka hohle kamoo ho ka khonehang ho fokotsa sekoli le tšusumetso ea sefahleho sa sefahleho sa mokuli ka mor'a kotsi.

2, ho robeha ha mohlahare: phokotso ea ho qetela ea fracture, ho sebelisa mokhoa oa ho lokisa ka hare ho lokisa sebaka se amehileng, ho tsosolosa tsoelo-pele ea mohlahare, leka ho tsosolosa kamano e tloaelehileng ea pele ho occlusal.