ukukhiya ipuleti elingunxande elincane le-maxillofacial

Incazelo emfushane:

Isicelo

Idizayini yokwelashwa kokuhlinzwa kwe-maxillofacial trauma fracture, esetshenziselwa ingxenye yamakhala, i-pars orbitalis, i-pars zygomatica, isifunda se-maxlla, i-mandible (ukuhlukumezeka okulula nokuzinzile).

Thumela i-imeyili kithi Landa njenge-PDF

Imininingwane Yomkhiqizo

Omaka bomkhiqizo

Okubalulekile:i-titanium ehlanzekile yezokwelapha

Ubukhulu:1.0mm

Ukucaciswa komkhiqizo

Into No.	Ukucaciswa
10.01.04.08023000	8 izimbobo	25mm
10.01.04.12023000	12 izimbobo	38mm
10.01.04.16023000	16 izimbobo	51 mm

Izici Nezinzuzo:

•ukukhiya i-maxillofacial micro kanye nepuleti elincane lingasetshenziswa ngokuhlehla

•indlela yokukhiya: cindezela ubuchwepheshe bokukhiya

• imbobo eyodwa khetha izinhlobo ezimbili zesikulufu: ukukhiya nokungakhiyi konke kuyatholakala, kungenzeka ukuthi kuhlanganiswe mahhala amapuleti nezikulufu, kuhlangatshezwane nesidingo sezinkomba zomtholampilo ezingcono neziningi kakhulu.

•ipuleti lethambo lithatha i-titanium yesiJalimane ekhethekile eyenziwe ngokwezifiso ye-ZAPP njengempahla eluhlaza, ene-biocompatibilty enhle kanye nokusabalalisa usayizi wokusanhlamvu okufanayo. Ungaphazamisi ukuhlolwa kwe-MRI/CT

•Unqenqema lwepuleti lethambo lubushelelezi, lunciphisa ukugqugquzelwa kwezicubu ezithambile.

Ukufanisa isikulufu:

φ2.0mm isikulufu sokuzibhoboza

φ2.0mm isikulufu esizithephayo

φ2.0mm isikulufu sokukhiya

Ithuluzi elifanayo:

i-drill drill bit φ1.6*12*48mm

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

isibambo sokuhlanganisa esisheshayo esiqondile

Ipuleti lokukhiya idivayisi yokulungisa ukuphuka enembobo enentambo yokukhiya.Ipuleti lokukhiya livumela ithambo ukuthi lihlangane liqine kakhudlwana epuletini, okwenza isitho esinqanyuliwe sizinze nakakhulu ngemva kokumiswa kabusha.

Amapuleti okukhiya aqala ukusetshenziswa eminyakeni engu-20 edlule ekuhlinzeni umgogodla kanye ne-maxillofacial ukuze kuzinze ukuphuka ngenkathi kunciphisa ukuhlukaniswa kwezicubu ezithambile kanye nokulimala.

Ipuleti lokukhiya idivayisi yokulungisa ukuphuka enezimbobo ezinentambo lapho ipuleti lisebenza njengedivaysi yokulungisa i-engeli uma kufakwa isikulufu esinekhanda elinentambo.Zombili izimbobo zokukhiya nezingakhiyi zinganikezwa ukuze kufakwe isikulufu esihlukile.Noma yiliphi ipuleti elingagqunywa libe isikulufu esigxilile (esizinzile) se-engeli noma ibholithi empeleni iyipuleti lokukhiya, kodwa ukuqiniswa kwensimbi akuxhomeki embotsheni yensimbi. ngokuphelele kuncike esakhiweni sokukhiya se-steel plate ngokwayo.Igebe elithile lingashiywa phakathi kwe-steel plate nendawo yethambo, esusa umphumela omubi wokuthintana okusindayo phakathi kwe-steel plate nethambo, futhi kuthuthukisa kakhulu ukunikezwa kwegazi nokukhula nokutholakala kwe-periosteum.Umehluko omkhulu we-biomechanical phakathi kwepuleti lensimbi lendabuko kanye nepuleti lensimbi lendabuko ukuthi leli lakamuva lincike ekucindezelweni kwe-bone-plate interface ekuqineni kwethambo.

Isikulufu sokukhiya isikulufu esizithephayo futhi singasetshenziswa ngaphandle kokuthepha noma ukubhoboza amathambo. Akukho ngcindezi phakathi kwepuleti lensimbi ne-bone cortex, ngakho-ke akukho ngcindezi ku-periosteum, ukuze kuvikelwe ukunikezwa kwegazi kwe-periosteum. Ngokwesu lokuhlinza, singahlangabezana nezimfuneko zokuhlinza okuncane, futhi kungavikela kahle ukuhlinzekwa kwegazi lendawo, ukuze kungadingeki ukuphuka kwethambo. i-scaffold iyanwebeka. Ebukhoneni bomthwalo, kukhona ukugqugquzela ukucindezeleka phakathi kwamabhulokhi okuphuka, okuhambisana nokwakheka kwe-callus nokuphulukiswa kwe-fracture.

Ngemuva kokuphuka kwe-maxillofacial, ikakhulukazi ukunciphisa nokulungiswa.Isibonakaliso esibalulekile sokunciphisa ukuphuka komhlathi ukubuyisela ubuhlobo obujwayelekile be-occlusal bamazinyo angaphezulu naphansi, okungukuthi, ubuhlobo obubanzi bokuxhumana kwamazinyo.Ngaphandle kwalokho kuzothinta ukubuyiswa komsebenzi wokugcoba ngemva kokuphulukiswa kokuphuka.Kunezindlela ezintathu ezivamile zokusetha kabusha:

1.Ukunciphisa okukhohlisayo: esigabeni sokuqala sokuphuka komhlathi, ingxenye yokuphuka iyasebenza ngokuqhathaniswa, futhi ingxenye ye-fracture esusiwe ingabuyiselwa endaweni evamile ngesandla.

I-2. Ukunciphisa i-Traction: ngemva kokuphuka komhlathi, ngemva kwesikhathi eside (ngaphezu kwamasonto amathathu e-maxilla, ngaphezu kwamasonto amane e-mandible), ukuphuka kunengxenye yokuphulukiswa kwezicubu ze-fibrous, ukunciphisa okwenziwe ngesandla akuphumeleli, indlela yokunciphisa i-traction ingasetshenziswa.I-mandibular fracture multi-purpose jaw traction, isesigabeni se-mandibular se-disfraction ye-disfracture i-arch splint, bese-ke phakathi kwe-dental arch splint kanye ne-maxillary, enebhande elincane le-rubber le-elastic traction, ukuze kancane kancane libuyisele ubuhlobo obujwayelekile be-occlusal.Ngemva kokuphuka kwe-maxillary, uma ingxenye yokuphuka ishintsha emuva, i-arch splint yamazinyo ingafakwa phezu kwekhanda le-maxillary i-bracket dentition ingenziwa nge-dentition ye-metal bracket. I-elastic traction ingenziwa phakathi kwe-arch arch splint kanye nobakaki bensimbi, ukuze ingxenye ye-maxillary fracture ikwazi ukubuyiselwa phambili.I-Horizontal gravity traction ingasetshenziswa futhi lapho kudingeka amandla amakhulu okudonsa.

I-3.Ukunciphisa okuvulekile: Izinkomba zokunciphisa okuvulekile zibanzi.Ukunciphisa okuvulekile kufanele kwenziwe lapho ingxenye ye-fracture isuswa isikhathi eside futhi kukhona ukuphulukiswa kwe-fibrous noma ukuphulukiswa kwe-bony malalignment, futhi ukunciphisa akukwazi ukufinyelelwa ngokuxhaphaza noma ukudonsa.Izicubu ze-fibrous ezakhiwe ekuphulukiseni ukuphulukiswa phakathi kweziphetho eziphukile zikhishwa i-jascus noma i-chiwd fracture. iphinde ihlakazwe ukuze ibuyele endaweni yayo evamile.Ukunciphisa okuvulekile kuvame ukusetshenziselwa ukuphuka okusha noma ukuvuleka okuvulekile ngobunzima ekunciphiseni okwenziwe ngesandla noma ukungazinzi ngemva kokunciphisa.

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