Ukutshixa ipleyiti yolwakhiwo lwe-anatomical eyi-120° (umngxuma omnye khetha iindidi ezimbini zesikrufu)

Inkcazelo emfutshane:


Iinkcukacha zeMveliso

Iithegi zeMveliso

Izinto:titanium ecocekileyo yonyango

Ukutyeba:2.4mm

Ukuchazwa kwemveliso

Inombolo yomba.

Inkcazo

10.13.06.12117101

khohlo

S

Imingxuma eli-12

132mm

10.13.06.12217101

kunene

S

Imingxuma eli-12

132mm

10.13.06.13117102

khohlo

M

13 imingxuma

138mm

10.13.06.13217102

kunene

M

13 imingxuma

138mm

10.13.06.14117103

khohlo

L

14 imingxuma

142mm

10.13.06.14217103

kunene

L

14 imingxuma

142mm

Isalathiso:

I-mandible trauma:

Ukuqhekeka okungapheliyo kwe-mandible, ukwaphuka okungazinzanga, ukosuleleka kwe-nonunion kunye nesiphene samathambo.

Ulwakhiwo ngokutsha lweMandible:

Ngethuba lokuqala okanye ukwakhiwa kwakhona kwesibini, kusetyenziselwa ukudibanisa ithambo okanye i-defect of dissociative bone blocks (Ukuba umsebenzi wokuqala awukho i-bone graft, i-plate yokuvuselela iqinisekisa kuphela ukuthwala ixesha elilinganiselweyo, kwaye kufuneka yenze umsebenzi wesibini we-bone ukuxhasa i-pate yokuvuselela).

Iimpawu kunye neeNzuzo:

I-pitch-row yepleyiti yokwakhiwa kwakhona luyilo olukhethekileyo lokulungiswa ngexesha lokusebenza, ukuphucula imeko yoxinzelelo kwindawo ethile kunye namandla okudinwa.

umngxuma omnye khetha ezimbini iintlobo isikrufu: ukutshixa maxillofacial reconstruction ipleyiti anatomical unokuqonda iindlela ezimbini ezisisigxina: itshixiwe kwaye ayitshixwanga. Isikrufu sokutshixa ibloko esisigxina yethambo kwaye kwangaxeshanye uyitshixe ngokuqinileyo ipleyiti, njengenkxaso yokulungiswa kwangaphandle. Isikrufu esingavaliyo sinokwenza i-angle kunye nokulungiswa koxinzelelo.

Ukuthelekisa isikrufu:

φ2.4mm isikrufu sokuzicofa

φ2.4mm isikrufu sokutshixa

Isixhobo esithelekisayo:

bit drill zonyango φ1.9*57*82mm

umqhubi we-screw head screw: SW0.5 * 2.8 * 95mm

umqheba wokudibanisa okhawulezayo


Njengelungu elibalulekileyo lobuso ukugcina ubuhle, imilo ye-mandible idlala indima ebalulekileyo kwi-aesthetics yobuso.Izinto ezininzi ezifana nokulimala, ukusuleleka, ukuchithwa kwe-tumor kunye nokunye kunokubangela isiphene. Isiphene se-mandible asichaphazeli nje ukubonakala kwesigulane, kodwa kubangela ukungahambi kakuhle ekuhlafuneni, ukuginya, intetho kunye neminye imisebenzi.Ukwakhiwa ngokutsha kwe-mandibular akufanele kufezekiseke kuphela ukuqhubeka kunye nokunyaniseka kwethambo le-mandibular kunye nokubuyisela inkangeleko yobuso, kodwa kwakhona ukubonelela ngeemeko ezisisiseko zokubuyiselwa kwemisebenzi ye-physiological postoperative efana nokuhlafuna, ukugwinya kunye nokuthetha.

Unobangela wesiphene mandible

Unyango lwe-tumor: i-ameloblastoma, i-myxoma, i-carcinomas, i-sarcomas.

Ukwenzakala okubuhlungu: okukholisa ukuvela kumonzakalo wesantya esiphezulu onje ngemipu, iingozi zemizi-mveliso, kunye nokungqubana kwemoto ngamaxesha athile.

Iimeko ezivuthayo okanye ezosulelayo.

Iinjongo Zokwakha Ngokutsha

1. Buyisela ubume boqobo besithathu esisezantsi sobuso kunye ne-mandible

2. Gcina ukuqhubeka kwe-mandible kunye nokubuyisela ubudlelwane besithuba phakathi kwe-mandible kunye nezicubu ezithambileyo ezijikelezayo.

3. Ukubuyisela ukuhlafuna, ukuginya, kunye nemisebenzi yokuthetha

4. Gcina indlela yomoya eyaneleyo

Kukho iintlobo ezine zokwakhiwa kwe-microreconstruction ye-mandibular defects.I-trauma kunye ne-tumor resection ye-mandible inokuchaphazela ukubonakala kwaye ikhokhelele kwiintsilelo zokusebenza ezifana ne-malocclusion ngenxa yokulimala kwemisipha ye-unilateral.Ukuze kulungiswe isiphene sembonakalo kunye nokwakhiwa kwakhona komsebenzi, iindlela ezininzi zotyando ziye zaphuhliswa, kunye nobunzima bokwakhiwa kwakhona kwe-mandible ephumelelayo kubuxoki ekukhethweni kwe-mandicause ye-complex ye-complex ye-complex. kwaye ulwahlulo olucwangcisiweyo oluvunyiweyo ngokubanzi kunye neendlela zonyango alunanto.Schultz et al. ibonise indlela entsha yolwahlulo eyenziwe lula kunye nendlela ehambelanayo yokwakhiwa kwakhona kunye nokulungiswa kwe-mandible ngokuziqhelanisa, eyapapashwa kwijenali yamva nje ye-PRS.Olu luhlu lugxile kwingqibelelo yemithambo kwindawo yomamkeli, ngembono yokulungisa ngokuchanekileyo iziphene ezintsonkothileyo ze-mandibular ngeendlela ze-microsurgical. Udidi lwe-1 lwalunesiphako esisecaleni esingabandakanyi i-Angle ye-mandibular, uhlobo lwesi-2 lwalunesiphako sohlangothi olulodwa olubandakanya i-Angle ye-mandibular ye-ipsilateral, uhlobo lwesi-3 lwalunesiphako se-bilateral ebandakanya naliphi na icala le-Angle ye-mandibular, kunye nohlobo lwesi-4 lwalunesiphako se-mandibular ebandakanya i-unilateral okanye i-bilateral mandibular i-Angle (i-apula yohlulwe ngakumbi) esebenzayo) malunga nokuba iinqanawa ze-ipsilateral zifanelekile kwi-anastomosis. Uhlobo lwe-B ludinga i-anastomosis yeenqanawa ze-contralateral ze-cervical.Kuhlobo lwe-2 iimeko, kuyimfuneko ukubonisa ukuba inkqubo ye-condylar ibandakanyekayo ukuze kugqitywe ukuba yiyiphi into eyenziwa yi-graft: Ukubandakanyeka kwe-condylar ye-Unilateral yi-2AC / BC, kwaye akukho nxaxheba ye-condylar yi-2A / B. Ngokusekelwe kuluhlu olungasentla kunye nokuqwalasela i-difect ye-mandibula yesikhumba, i-defect, i-defect, i-defect, ubude kunye nobude obukhethekileyo, ubude becala kunye nobude obude, i-defect, i-defect, i-defect, kunye ne-condylar. Ugqirha wotyando ngakumbi umisela uhlobo lwe-flap yamathambo yasimahla ekufuneka isetyenziswe.

Iipleyiti zoKwakha kwangaphambili zenzelwe ukusetyenziswa kwi-oral and maxillofacial surgery, trauma and reconstructive surgery. Oku kubandakanya ukwakhiwa ngokutsha kwe-mandibular esisiseko, iifractures ezenziweyo kunye nokuvalwa kwebhulorho okwethutyana kusalindwe ukulibaziseka kokwakhiwa ngokutsha, kubandakanywa ukophuka kwe-edentulous kunye/okanye i-atrophic mandibles, kunye nokwaphuka okungazinzanga. Inzuzo yesigulana - ngokufuna ukufumana iziphumo ezanelisayo zobuhle kunye nokunciphisa ixesha lokusebenza. Iipleyiti eziKhethekileyo zesigulana zeMandible ziphelise uxinzelelo olubangelwa ngumatshini kwiipleyiti zokugoba.


  • Ngaphambili:
  • Okulandelayo: