ukutshixa ipleyiti yolwakhiwo lwemaxillofacial ethe ngqo (isikhokelo somsonto)

Ukwaphuka kweMandible

1. Izinto ezichaphazela ukufuduswa kwecandelo lokuphuka emva kokuphuka kwe-mandibular zibandakanya: indawo yokuphuka, ubungakanani kunye nolwalathiso lwamandla angaphandle, isalathiso kunye nokuthambekela komgca wokuphuka, nokuba kukho izinyo kwindawo yokuphuka kunye nomphumo wokutsalwa kwe-muscle eqhotyoshelweyo.I-different displacement of icandelo lokuqhekeka lihlala livela ngenxa yeendawo ezahlukeneyo zokuphuka kunye nokutsalwa kwemisipha kumacala ahlukeneyo.

2. Ukuphazamiseka kwe-Occlusal

3. Intshukumo engaqhelekanga yecandelo lokuqhekeka

4. Ukuba ndindisholo kumlebe ongezantsi

5. Ukuvula umlomo okuthintelweyo

6. Ukukrazuka kweentsini

I-titanium mandibular plate yayisetyenziselwa ukulungiswa kwangaphakathi, kwaye iziphumo ezanelisayo zifunyenwe.Uncedo lwe-splint yayilolu hlobo lulandelayo: ipleyiti yetitanium ebhityileyo necutheneyo inokuthwala ngokupheleleyo amandla wamazinyo.Ipleyiti yetitanium esele yenziwe ngaphambili inokujikwa ukuze ihambelane neAngle ye-mandible, kwaye ipleyiti inokugotywa ukuziqhelanisa neradian. ye-mandible.Ipleyiti ye-titanium igxininiswe kunye neziphelo ezaphukileyo zamacala omabini ethambo ukuba zithwale ngokuthe ngqo kwaye ziqhube amandla amazinyo, ukwenzela ukuba i-flap ye-graft bone ayithwali amandla wamazinyo kwaye iluncedo kakhulu ekuphulukiseni amathambo.Ukugcinwa okuqinileyo. , akukho mfuneko yokulungiswa kwangaphandle, ukuphulukiswa kwesilonda kunokutya okuqhelekileyo, akukho mfuneko yokulinda ukubunjwa kwethambo lethambo, kukulungele ukubuyiswa kwangoko komsebenzi, ukunciphisa ubude besibhedlele sezigulane.Kwizigulane ezineziphene ezinkulu ze-mandibular ngenxa ukuya kwi-tumor resection kunye nezinye izizathu, indibaniselwano ye-vascular graft ye-iliac bone flap kunye nohlobo lokulungisa uhlobo lwe-titanium splint ukulungiswa kwangaphakathi kuluncedo kakhulu ekwakhiweni kwakhona kwethambo le-mandibular yesigulana kunye nokubuyiswa kwenkangeleko, ukuhlafuna, ukuginya, ukuphefumla kunye nentetho kunye nokunye. imisebenzi ebalulekileyo.

Ngokubanzi, ipleyiti yokutshixa i-mandibular kufuneka iyilwe ngokulinganayo ukuhlangabezana neemfuno ezahlukeneyo zecala lasekhohlo nasekunene le-maxillofacial.Ngeli xesha, izikrufu zokutshixa kunye nezikrufu ze-mandibular yokutshixa ipleyiti zimiliselwe kwii-engile kwipleyiti yethambo, engancediyo ekulungiseni utyando lokwaphuka okanye ukuncipha. Ipleyiti yokutshixa yendalo yonke eMaxillofacial, kuquka ipleyiti yokutshixa ye-universal maxillofacial, imingxuma exhomayo, enemingxuma enyukayo. , njengoko kuchaziwe kwi-maxillofacial universal jikelele yokugoba ipleyiti yokutshixa, i-maxillofacial jikelele ichaze i-Engile yeedigri ezili-120 phakathi kwepleyiti yokutshixa kumacala omabini, njengoko kuchaziwe kwicala lepleyiti yokutshixa yendalo yonke enemingxuma emininzi, njengoko kuchaziwe kwipleyiti yokutshixa enkulu kwelinye icala. icala elinemingxuma emininzi yokunyuka, echazwe kwimingxuma yokufakela, isebenzisana nemingxuma yokunyuka yokusabalalisa i-symmetrical, echazwe kwi-axis yomngxuma wofakelo kunye nokusebenzisana ne-axis yofakelo lomngxuma. icandelo lomngxuma wofakelo liyitrapezoidal, icala elingaphakathi lomngxuma wofakelo oluhambelanayo libonelelwe ngokuhambelana necandelo lomngxuma wofakelo lwetrapezoidal liyitrapezoidal, umngxuma wofakelo wetrapezoidal kunye nomngxuma wofakelo ohambelanayo wetrapezoidal usasazwa ngokulinganayo.Ipleyiti yokutshixa yendawo yonke yeMaxillofacial ingasetyenziswa macala omabini , ngaphandle kwesidingo sokuyila imveliso ye-symmetrical ekhohlo nasekunene, umngxuma wofakelo, kunye nomngxuma wofakelo unokufikelela kwi-30 degrees Angle nail placement.Maxillofacial universal locking plate, inokufikelela kwi-30 degrees ebanzi yokutshixa i-Angle, ukutshixa inyathelo elinye, kungakhathaliseki macala omabini. , kungakhathaliseki ukuba ngasekhohlo nasekunene, iimfuno ezahlukeneyo zinokufezekiswa ngepleyiti.