maxillofacial trauma micro double Y plate

Iimpawu ze-maxillofacial trauma

1. Ukujikeleza kwegazi okutyebileyo: kukho ukopha ngakumbi emva kokulimala, okulula ukwenza i-hematoma;I-tissue edema reaction reaction ikhawuleza kwaye inzima, njengesiseko somlomo, isiseko solwimi, umhlathi ophantsi kunye nezinye iindawo zokulimala, ngenxa ye-edema; ingcinezelo ye-hematoma kwaye ichaphazela indlela yomoya egudileyo, kwaye ibangele nokufuthanisela.Kwelinye icala, ngenxa yonikezelo lwegazi olutyebileyo, izicubu zinamandla okumelana nosulelo kunye nokuhlaziya, kwaye inxeba kulula ukuphilisa.

2. Ukulimala kwe-Maxillofacial kudla ngokuhamba kunye nokulimala kwezinyo: amazinyo aphukileyo angaphinda atshizwe kwi-tissue ekufutshane, ebangela "ukulimala kwe-shrapnel yesibini", kwaye inokudityaniswa kumatye amazinyo kunye neebhaktheriya kwizicubu ezinzulu, ezibangela ukusuleleka kwefestile. kumgca wokuqhekeka komhlathi ngamanye amaxesha kunokukhokelela ekusulelekeni ekupheleni kwethambo kwaye kuthintele ukuphulukiswa kokuphazamiseka.Ngakolunye uhlangothi, ukufuduka kwamazinyo okanye ukuchithwa kobudlelwane be-occlusal yenye yezona zibonakaliso ezibalulekileyo ekuxilongeni ukuphuka kwemihlathi. .Kunyango lwamazinyo kunye nethambo le-alveolar okanye ukuphuka komhlathi, ngokuqhelekileyo kufuneka kusetyenziswe amazinyo okanye i-dentition njenge-abutment ligation esisigxina, isiseko esibalulekileyo sokulungiswa kwe-jaw traction.

3. Kulula ukuba nzima ukuxakeka kunye nokulimala kwe-craniocerebral: kubandakanywa ukungqubuzana, ukuchithwa kwengqondo, i-hematoma ye-intracranial kunye ne-skull base fracture, njl. Ulwelo lwe-cerebrospinal oluvela kwi-nostril okanye umjelo wokuva wangaphandle.

4. Ngamanye amaxesha uhamba kunye nokulimala kwentamo: phantsi kwe-maxillofacial kunye nentamo, apho imithambo yegazi enkulu kunye nomqolo wesibeleko. i-paraplegia ephezulu.I-Carotid aneurysms, i-pseudoaneurysms kunye ne-arteriovenous fistulas ngamanye amaxesha inokwakheka kwinqanaba lokugqibela xa iinqanawa ezinkulu zentamo zonzakala ngamandla anzima entanyeni.

5. Kulula ukuba kwenzeke i-asphyxia: ukulimala kunokubangelwa ukufuduka kwezicubu, ukuvuvukala kunye nokuhla kolwimi, i-blood clots kunye ne-secretions blockage kwaye ichaphazela ukuphefumla okanye i-asphyxia.

6. Ukuphazamiseka kokutya kunye nokucoceka komlomo: Ukuvulwa komlomo, ukuhlafuna, ukuthetha okanye ukugwinya kunokuchaphazeleka emva kokulimala okanye xa i-interjaw traction ifunekayo kunyango, enokuphazamisa ukutya okuqhelekileyo.

7. Usulelo olulula: umlomo kunye ne-maxillofacial sinus cavity, kukho umngxuma womlomo, i-sinus kunye ne-orbit, njl. Ubukho benani elikhulu leebhaktheriya kule mingxunya ye-sinus, ukuba ifana nenxeba, iyakwazi ukusuleleka kwintsholongwane. .

8. Inokuhamba kunye nolunye ukwenzakala kwesakhiwo se-anatomical: ukusasazwa kwamadlala amathe, i-facial nerve kunye ne-trigeminal nerve kummandla womlomo kunye ne-maxillofacial, njengomonakalo we-parotid gland, kunokubangela i-fistula yamathe; Xa i-nerve ye-trigeminal yenzakele, ukuphazamiseka kunokuvela kwindawo yokusabalalisa ehambelanayo.

9. Ukukhubazeka kobuso: Emva kokulimala kwe-maxillofacial, ngokuqhelekileyo kukho amanqanaba ahlukeneyo okukhubazeka kobuso, okwenza kube nzima umthwalo wengqondo kunye nengqondo yabenzakeleyo.