maxillofacial trauma micro X ipleyiti

Ukulimala komlomo kunye ne-maxillofacial ngokuqhelekileyo kubangelwa ukulimala okunxulumene nomsebenzi, ukulimala kwezemidlalo, iingozi zendlela kunye nokulimala ngengozi ebomini. Ukujikeleza kwegazi kwi-maxillofacial kucebile, kudibene nengqondo kunye nentamo, kwaye kukuqala kwendlela yokuphefumla kunye ne-digestive tract.Kukho amathambo e-maxillofacial kunye ne-cavity sinuses. Kukho amazinyo ancanyathiselwe kwithambo le-maxillofacial, kwaye ulwimi luqulethwe emlonyeni.Ubuso bunezihlunu zobuso kunye nemithambo yobuso;Ilungu le-temporomandibular kunye namadlala amathe;Benza imisebenzi yokuthetha, intetho, ukuhlafuna, ukuginya nokuphefumla.

Ukulungiswa kwe-maxillofacial fracture emva kokunciphisa inyathelo elibalulekileyo kunyango.Iindlela zokulungisa eziqhelekileyo ezisetyenziswayo ziquka ukulungiswa kwe-arch yomhlathi omnye, ukulungiswa kwe-interjaw, ukulungiswa kwe-interjaw ligation, ukulungiswa kwe-miniplate okanye i-microplate, ukulungiswa kwe-cranial kunye nomhlathi, kunye nezinye iindlela zibandakanya ukulungiswa kwe-perimaxillary kunye nokulungiswa kwepleyiti yoxinzelelo.

1. Indlela yokulungisa i-splint ye-arch yamazinyo yomhlathi omnye: kukusebenzisa i-2 mm ububanzi be-aluminium wire okanye imveliso egqityiweyo kunye ne-hook yamazinyo e-arch splint, ngokwemilo ye-arch yamazinyo, kwaye emva koko usebenzise i-fine metal ligation wire ngokusebenzisa indawo yezinyo, i-splint ihlanganiswe kwinxalenye okanye onke amazinyo kumacala omabini e-fracture le ndlela yokulungiswa kwe-fracture . iifractures ngaphandle kokufuduswa okucacileyo, njengokuqhekeka komgca ophakathi we-maxillochin kunye ne-alveolar fracture yendawo.

2. Ukulungiswa kwe-Intermaxillary: indlela eqhelekileyo kukubeka i-arch yamazinyo ekhonjiweyo kumazinyo aphezulu nangaphantsi, kwaye emva koko usebenzise ibhanti encinci yerabha yokulungiswa kwe-intermaxillary, ukuze umhlathi uhlala kwindawo yobudlelwane obuqhelekileyo be-occlusal.Le ndlela inokuthenjwa, ifanelekile kwiintlobo ezahlukeneyo zokwaphuka kwe-mandibular, inzuzo kukuba i-mandicive iyakwazi ukuphulukisa i-jaw, i-advanteji inokuthi ihlanjululwe kwi-jaw ye-cool, i-advancement inokuthi ihlanjululwe kwi-jaw. into engalunganga kukuba abonzakeleyo abakwazi ukuvula umlomo ukuba batye, kwakhona akukho lula ukugcina ucoceko lomlomo, kufuneka bomeleze ukonga.

3. I-Interosseous ligation kunye nokulungiswa: kwimeko yokunciphisa utyando oluvulekileyo, iziphelo ezimbini eziphukileyo zinokuthi ziqhutywe kwaye zidibanise kwaye zilungiswe ngocingo lwensimbi engenasici.Le yindlela ethembekileyo yokulungisa.Ukuphulwa komhlathi kunye nokuphulwa komhlathi ongenamazinyo kubantwana nako kunokulungiswa ngale ndlela.

4. Ipleyiti encinci okanye i-micro plate fixation: ngesiseko sokunciphisa i-manual evulekileyo, ipleyiti encinci okanye i-micro plate yobude obufanelekileyo kunye nokumila ibekwe ngaphesheya kwethambo leephelo ezimbini eziqhekekileyo zokuphuka, kwaye i-screw ekhethekileyo isetyenziselwa ukungena kwi-cortex yethambo ukulungisa ipleyiti, ukuze kufezekiswe injongo yokulungiswa kwe-fracture.

5. Indlela yokulungisa i-cranial kunye ne-maxillofacial: i-maxillary transverse fracture, ayinakuthembela kuphela kwi-mandible ukulungiswa, inokusebenzisa i-skull ukulungiswa, ngaphandle koko ubuso obuphakathi buxhomekeke kwi-deformation emide. kunye nesinye isiphelo se-arch splint ngokusebenzisa i-cavity yomlomo ngokusebenzisa i-tissue ethambileyo ye-zygomaticocheek, kwaye uxhome kwinkxaso ye-plaster cap.Ngexesha elifanayo, ukulungiswa kwe-intermaxillary yongezwa.

Ixesha lokulungiswa kwe-jaw fracture linokumiselwa ngokuhambelana nokulimala kwesigulane, ubudala kunye nemeko eqhelekileyo. Ngokuqhelekileyo iiveki ze-3 ~ 4 ze-maxilla kunye ne-4 ~ 8 iiveki ze-mandible.Indlela eguquguqukayo kunye ne-static ingasetyenziselwa ukunciphisa ixesha lokulungiswa kwe-interjaw.Indlela kukuba emva kwe-2 ukuya kwii-3 iiveki zokunyanzeliswa, i-rubber ring kunye ne-plateer efanelekileyo isuswe kwi-plate ye-plate evunyelwe ukusetyenziswa kwe-microft encinci ikhutshwe ngelixa isitya esincinci sivunyelwe. ukulungiswa kwangaphakathi, uqeqesho olusebenzayo lunokuthi luqhutywe ngokufanelekileyo kwangaphambili ukukhuthaza ukuphulukiswa kwe-fracture.