Kwinkalo yotyando lwe-craniomaxillofacial (CMF), ukuchaneka kunye nokuzinza kubalulekile kulawulo oluyimpumelelo lokwaphuka. Phakathi kwezixhobo ezahlukeneyo zokulungisa ezikhoyo, i-maxillofacial trauma self-tapping screw iye yavela njengokhetho olukhethwayo koogqirha abaninzi ngenxa yokusebenza kakuhle, ukuzinza, kunye nokuguquguquka. Eli nqaku liphonononga iingenelo zalo zeklinikhi, indima yoyilo lwalo lokuzicofa, ukusetyenziswa kumathambo obuso ahlukeneyo, kunye nokuthelekisa kunye neenkqubo zesikrufu sesintu.
Izibonelelo zeklinikhi kwi-Fracture Fixation
I-maxillofacial trauma self-tapping screw yenzelwe ngokukodwa ukuhlangabezana neemfuno ezizodwa ze-biomechanical kunye ne-anatomical yamathambo obuso. Uyilo lwayo luvumela oogqirha ukuba bafezekise ukulungiswa okukhuselekileyo kunye namanyathelo amancinci amancinci, okuguqulela kwixesha elincitshisiweyo lokusebenza kunye neziphumo eziphuculweyo zesigulane.
Iinzuzo eziphambili ziquka:
Ukuncipha kobunzima bokusebenza: Ngokususa imfuno yenkqubo yokucofa eyahlukileyo, isikrufu senza lula ukuhamba komsebenzi wotyando.
Uzinzo olomeleziweyo: Iprofayile yentambo yokuzicofa ibonelela ngamandla okulungisa asekuqaleni, nakwithambo lecortical elicekethekileyo.
I-Versatility kwi-fractures enzima: Ilungele uluhlu olubanzi lweepateni zokuphuka kwi-mandible, maxilla, kunye ne-zygoma.
Uyilo lokuSelf-Tapping– Ukuphelisa Pre-Drilling kwiimeko ezininzi
Utshintsho oluphambili lwe-maxillofacial trauma self-tapping screw kukukwazi ukusika umsonto ethambo ngexesha lokufakwa. Izikrufu zemveli zihlala zifuna umngxuma wokulingwa owenziwe kwangaphambili olandelwa kukucofa umsonto phambi kokufakwa, ukongeza amanyathelo otyando ongezelelweyo kunye nokunyusa umngcipheko wokungahambi kakuhle.
Ngezikrufu zokuzicofa:
Izixhobo ezimbalwa ezifunekayo, ukulungelelanisa indawo yokusebenza.
Ixesha elincitshisiweyo lotyando liyafezekiswa, elinokunciphisa ixesha le-anesthesia kunye nokunciphisa umngcipheko weengxaki ze-intraoperative.
Ukuchaneka okungcono kuyagcinwa, njengoko isikrufu silandela umkhondo ocetywayo ngaphandle kwesidingo sokutshatisa iindlela zoqheliso kunye nempompo.
Kwiimeko ezininzi zeklinikhi, ngakumbi xa usebenza ngethambo le-cortical eshinyeneyo kwi-mandible, izikrufu zokuzicofa zibonisiwe ukugcina ukuthengwa okuqinileyo ngaphandle kokucofa kwangaphambili, ukuba nje kusetyenziswa idiameter echanekileyo yomngxuma wokulinga.
Izicelo kwiiFractures ezahlukeneyo zeMaxillofacial
Ukuguquguquka kwemaxillofacial trauma self-tapping screwIvumela ukuba isetyenziswe kwiindawo ezahlukeneyo zokwaphuka:
I-Mandibular fractures: Kubandakanya umzimba, i-angle, kunye ne-symphyseal fractures, apho ukulungiswa okunamandla kubalulekile ukujamelana nemikhosi yokuphulukisa.
Ukuqhekeka kwe-Maxillary: Ngokukodwa iipateni zokuqhekeka kweLe Fort, apho ukulungiswa okuzinzileyo kuxhasa ukwakhiwa kwakhona kwe-midface.
I-Zygomatic fractures: Ukubonelela ukulungiswa okuzinzileyo ngelixa ugcina i-contour yobuso kunye ne-symmetry.
Iifractures ze-Orbital rim: Apho kuncinci, izikrufu ezichanekileyo zifuneka ukubuyisela isakhelo sesakhiwo se-orbit.
Kwiifractures ezinzima okanye ezidibeneyo, ukukwazi ukubeka i-screws ngokukhawuleza nangokukhuselekileyo kunokuba yinto ecacileyo ekufezekiseni ukuncitshiswa kwe-anatomical kunye nokubuyisela ukusebenza.
Uthelekiso lwezonyango: I-Maxillofacial Trauma Self-Tapping Screw vs.
Xa kuthelekiswa nezikrufu eziqhelekileyo, i-maxillofacial trauma self-tapping screw ibonisa iingenelo ezininzi ezicacileyo kwiisetingi zeklinikhi:
Ukusebenza kwexesha - Ngokuphawulekayo ngokukhawuleza ngenxa yokupheliswa kokuchithwa kwangaphambili.
Iingxaki ezimbalwa - Ukunciphisa umonakalo wamathambo we-thermal kunye nomngcipheko ophantsi we-drill slippage.
Uzinzo oluphuculweyo - Ukulungiswa okukhuselekileyo ngakumbi ngenxa yokubunjwa kwentambo ngokuthe ngqo.
Isixhobo esenziwe lula-Ifuna izixhobo ezimbalwa, ukuphucula ukuhamba komsebenzi wotyando.
Nangona kunjalo, kwithambo le-cortical elixinene kakhulu, ulawulo ngononophelo lwe-torque yokufaka kusafuneka ukunqanda ukucinezeleka okanye ukwaphuka kwesikrufu.
Ukuqukumbela, i-maxillofacial trauma self-tapping screw ibonelela ngezibonelelo ezibalulekileyo zokulungiswa kokwaphuka kwe-maxillofacial, kubandakanya ukunciphisa ixesha lotyando, ukuphuculwa kozinzo lokuqala, ukusetyenziswa okubanzi kuzo zonke iintlobo zokuqhekeka okuntsonkothileyo, kunye nokusebenza okuphezulu xa kuthelekiswa nezikrufu zemveli.
Njengomvelisi oqeqeshiweyo kunye nomthengisi we-screws ekumgangatho ophezulu we-maxillofacial trauma self-tapping screws, sinikezela ngeemveliso zobunjineli ezichanekileyo ezihlangabezana nemigangatho yezonyango yamazwe ngamazwe, siqinisekisa iziphumo zotyando ezizezona kunye nokhuseleko lwesigulana.
Ixesha lokuposa: Aug-13-2025