Okubalulekile:i-titanium ehlanzekile yezokwelapha
Ubukhulu:2.4mm
Ukucaciswa komkhiqizo
| Into No. | Ukucaciswa | |||
| 10.13.06.12117101 | kwesokunxele | S | 12 izimbobo | 132 mm |
| 10.13.06.12217101 | kwesokudla | S | 12 izimbobo | 132 mm |
| 10.13.06.13117102 | kwesokunxele | M | 13 izimbobo | 138 mm |
| 10.13.06.13217102 | kwesokudla | M | 13 izimbobo | 138 mm |
| 10.13.06.14117103 | kwesokunxele | L | 14 izimbobo | 142 mm |
| 10.13.06.14217103 | kwesokudla | L | 14 izimbobo | 142 mm |
Inkomba:
•I-trauma engenzeka:
Ukuphuka okuncishisiwe kwe-mandible, ukuphuka okungazinzile, ukungezwani okungeyona ingxenye yegciwane kanye nenkinga yethambo.
•Ukwakhiwa kabusha kwe-Mandible:
Ngokokuqala ngqa noma ukwakhiwa kabusha kwesibili, okusetshenziselwa ukuhlanganiswa kwamathambo noma ukukhubazeka kwamabhulokhi amathambo e-dissociative (Uma umsebenzi wokuqala ungekho i-bone graft, ipuleti lokwakha kabusha liqinisekisa kuphela ukuthwala isikhathi esilinganiselwe, futhi kufanele lenze umsebenzi wesibili we-graft ukusekela i-pate yokwakha kabusha).
Izici Nezinzuzo:
•I-pitch-row yepuleti lokwakha kabusha idizayini ekhethekile yokulungiswa ngesikhathi sokusebenza, ukuthuthukisa isimo sokugxilisa ingcindezi endaweni ethile namandla okukhathala.
•imbobo eyodwa khetha izinhlobo ezimbili zesikulufu: ukukhiya kabusha ipuleti le-anatomical lokukhiya i-maxillofacial lingabona izindlela ezimbili ezigxilile: ezikhiyiwe nezingavaliwe. Isikulufu sokukhiya ibhulokhi yethambo egxilile futhi ngesikhathi esifanayo uqinise ipuleti, njengosekelo lokulungisa okwakhelwe ngaphakathi. Isikulufu esingakhiyi singenza i-engeli kanye nokuminyanisa ukulungisa.
Ukufanisa isikulufu:
φ2.4mm isikulufu esizithephayo
φ2.4mm isikulufu sokukhiya
Ithuluzi elifanayo:
i-drill drill bit φ1.9*57*82mm
umshayeli we-screw head screw: SW0.5 * 2.8 * 95mm
isibambo sokuhlanganisa esisheshayo esiqondile
Njengesitho sobuso esibalulekile sokugcina ubuhle, ukuma kwe-mandible kudlala indima ebalulekile ebuhleni bobuso.Izici eziningi ezifana nokuhlukunyezwa, ukutheleleka, ukukhishwa kwesimila nokunye kungabangela ukukhubazeka. Ukukhubazeka kwe-mandible akuthinti nje kuphela ukubukeka kwesiguli, kodwa futhi kubangela ukungahambi kahle ekuhlafuneni, ukugwinya, inkulumo kanye neminye imisebenzi.Ukwakhiwa kabusha kwe-mandibular ekahle akufanele nje kufinyelele ukuqhubeka nobuqotho bethambo le-mandibular nokubuyisela ukubukeka kobuso, kodwa futhi kunikeze izimo eziyisisekelo zokubuyiselwa kwemisebenzi ye-physiological yangemva kokuhlinzwa njengokuhlafuna, ukugwinya nokukhuluma.
Imbangela yokukhubazeka kwe-mandible
Ukwelashwa kwe-tumor: i-ameloblastoma, i-myxoma, i-carcinomas, i-sarcoma.
Ukulimala kwe-avulsive traumatic: ngokuvamile kuvame ukuvela ekulimaleni kwesivinini esiphezulu njengezibhamu, izingozi zezimboni, kanye nokushayisana kwezimoto ngezikhathi ezithile.
Izimo ezivuthayo noma ezithathelwanayo.
Imigomo Yokwakha Kabusha
1. Buyisela umumo wokuqala wengxenye yesithathu engezansi yobuso kanye ne-mandible
2. Gcina ukuqhubeka kwe-mandible futhi ubuyisele ubudlelwane bendawo phakathi kwe-mandible nezicubu ezithambile ezizungezile
3. Buyisela ukuhlafuna okuhle, ukugwinya, nokukhuluma
4. Gcina umoya owanele
Kunezinhlobo ezine zokwakhiwa kabusha okuncane kweziphambeko ze-mandibular.Ukuhlukumezeka nokususwa kwesimila se-mandible kungase kuthinte ukubukeka futhi kuholele ekulahlekeni kokusebenza okufana ne-malocclusion ngenxa yokulimala kwemisipha ehlangene. kanye nokuhlukaniswa okuhleliwe okujwayelekile nezindlela zokwelapha akukabhalwa lutho.Schultz et al. kubonise indlela entsha yokuhlukanisa eyenziwe lula kanye nendlela ehambisanayo yokwakhiwa kabusha kanye nokulungiswa kwe-mandible ngokwenza, eyanyatheliswa kujenali yakamuva ye-PRS.Lokhu kuhlukaniswa kugxile ekuthembekeni kwemithambo endaweni yomamukeli, ngenhloso yokulungisa ngokunembile ukukhubazeka okuyinkimbinkimbi kwe-mandibular ngokusebenzisa izindlela ezincane. Uhlobo loku-1 lube nenkinga ehlangene engabandakanyi i-engeli ye-mandibular, uhlobo 2 lube nenkinga ehlangene ehlanganisa i-engeli ye-mandibular engavumelani, uhlobo 3 lube nenkinga yezinhlangothi ezimbili ezihlanganisa noma yiluphi uhlangothi lwe-Engeli ye-mandibular, futhi uhlobo 4 lube nenkinga yezinhlangothi ezimbili ezihlanganisa i-engeli ye-mandibula ehlangene noma yamazwe amabili (i-apple engakwazi ukuhlukaniswa ngohlobo lwe-Angeli) futhi ihlukaniswe yaba i-engeli ye-mandibula. esebenzayo) ngokuya ngokuthi imikhumbi ye-ipsilateral ifanelekile yini i-anastomosis. Uhlobo B ludinga i-anastomosis yemikhumbi ye-contralateral yomlomo wesibeletho.Kumacala ohlobo lwe-2, kuyadingeka ukukhombisa ukuthi ngabe inqubo ye-condylar ihilelekile ukuze kunqunywe ukuthi iyiphi impahla ye-graft okufanele isetshenziswe: Ukubandakanyeka kwe-condylar ye-Unilateral yi-2AC / BC, futhi akukho ukubandakanyeka kwe-condylar kuyi-2A / B. Ngokusekelwe ekuhlukaniseni okungenhla futhi kucatshangelwa ukukhubazeka kwesikhumba, ezinye izimo ze-mandibula, ubude obukhethekile, ukukhubazeka, i-dentures ekhethekile udokotela ohlinzayo uphinda anqume uhlobo lwe-bone flap yamahhala okufanele lusetshenziswe.
Amapuleti Okwakha Kabusha Asenziwe Ngaphambili ahloselwe ukusetshenziswa ekuhlinzweni komlomo kanye ne-maxillofacial, ukuhlukumezeka nokuhlinzwa okwakha kabusha. Lokhu kufaka phakathi ukwakhiwa kabusha kwe-mandibula eyinhloko, ukuphuka okuqhubekayo kanye nebhuloho lesikhashana elilindele ukwakhiwa kabusha okulibazisekayo kwesibili, okuhlanganisa ukuphuka kwe-edentulous kanye/noma i-atrophic mandibles, kanye nokuphuka okungazinzile. Inzuzo Yesiguli - ngokufuna ukuzuza imiphumela yobuhle eyanelisayo kanye nokunciphisa isikhathi sokusebenza. Amapuleti Akhethekile Esiguli e-Mandible aqeda ukucindezeleka komshini okuvela kumapuleti agobayo.
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ukukhiya ipuleti le-maxillofacial mini 90° L
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ukukhiya ipuleti le-maxillofacial micro 110° L
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ukukhiya i-maxillofacial micro X plate
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i-maxillofacial trauma 2.4 isikulufu sokukhiya esingenakhanda
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ukukhiya ipuleti eliqondile le-maxillofacial mini
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i-maxillofacial trauma micro Y plate
