kulle maxillofacial karamin farantin rectangle

Kulle farantin shine na'urar gyara karaya tare da rami mai kullewa.Tsarin kulle yana ba da damar kashin da ya dace da farantin karfe, yana sa kashin da aka yanke ya fi kwanciyar hankali bayan an sake shi.

An fara amfani da faranti na kulle shekaru 20 da suka wuce a cikin kashin baya da maxillofacial tiyata don daidaita karaya yayin da rage raguwa mai laushi da rauni.

Farantin kulle shine na'urar gyara karaya tare da ramukan zaren wanda farantin yana aiki azaman na'urar gyaran kusurwa lokacin da aka sanya dunƙule tare da zaren kai.Dukansu kullewa da ramukan mara kullewa ana iya ba da su don shigar da dunƙule daban-daban.Duk wani farantin da zai iya. a dunƙule a cikin wani kafaffen (stable) Angle dunƙule ko ƙugiya ne da gaske a kulle farantin. Gyaran da karfe farantin ba ya dogara da gogayya kashi don gane dangane, amma gaba ɗaya dogara a kan kulle tsarin na karfe farantin kanta.A. Ana iya barin wasu tazara tsakanin farantin karfe da saman kashi, wanda ke kawar da mummunan tasirin hulɗa mai nauyi tsakanin farantin karfe da kashi, kuma yana inganta samar da jini sosai da haɓakawa da dawo da periosteum.Babban bambancin biomechanical tsakanin farantin karfe na gargajiya da farantin karfe na gargajiya shine na karshen yana dogara ne da karfin juzu'i a wurin farantin karfe don danne kashi.

Makullin kullewa shine dunƙule mai ɗaukar kai kuma ana iya amfani da shi ba tare da bugawa ko rawar jiki ba.Babu matsa lamba tsakanin farantin karfe da ƙwayar kasusuwa, don haka babu matsa lamba akan periosteum, don kare samar da jini na periosteum. A cikin sharuddan tiyata dabara, zai iya saduwa da bukatun na minimally m aiki, kuma zai iya da kyau kare gida samar da jini na karaya, sabõda haka, kashi grafting aiki ba a bukatar.The ciki gyarawa scaffold ne na roba.A gaban kaya, akwai damuwa da damuwa tsakanin ɓangarorin ɓarke ​​​​, wanda ke taimakawa wajen samar da callus da waraka.

Bayan maxillofacial fracture, shi ne yafi ragewa da kuma gyarawa.Mahimmin alamar raguwar raguwa na muƙamuƙi shine don mayar da dangantaka ta al'ada na hakora na sama da na ƙananan hakora, wato, dangantaka mai yawa na hakora.In ba haka ba zai shafi farfadowa na aikin mastication. Bayan waraka karaya.Akwai hanyoyin sake saiti guda uku:

1.Manipulative ragewa: a farkon mataki na muƙamuƙi fracture, da fracture kashi ne in mun gwada da aiki, da kuma rarrabuwa kashi za a iya mayar da zuwa al'ada matsayi da hannu.

2.Traction rage: bayan karaya na muƙamuƙi, bayan dogon lokaci (fiye da makonni uku na maxilla, fiye da makonni hudu na mandible), karaya yana da wani ɓangare na fibrous nama waraka, manual raguwa ba nasara, Za a iya amfani da hanyar rage ƙwanƙwasawa.The mandibular fracture Multi-purpose jaw traction, yana a cikin mandibular kashi yana da ƙaura daga cikin karaya sashe na jeri subsection hakori baka splint, sa'an nan tsakanin hakori baka splint da maxillary, tare da kananan roba band don na roba gogayya, sabõda haka, sannu a hankali mayar da al'ada occlusal dangantaka.Bayan maxillary karaya, idan karaya kashi ya koma baya, da hakori baka splint za a iya sanya a kan maxillary dentition, da filasta hula tare da karfe sashi za a iya zama. sanya a kai.Za'a iya yin juzu'i na roba tsakanin kashin baka na hakori da madaidaicin karfe, ta yadda za'a iya dawo da sashin karayar maxillary gaba. Hakanan za'a iya amfani da karfin juzu'i na tsaye lokacin da ake buƙatar babban ƙarfi.

3.Bude ragewa: Alamun raguwar buɗaɗɗen buɗaɗɗen buɗaɗɗen buɗaɗɗen ya kamata a yi shi lokacin da ɓangaren ɓarna ya tashi na dogon lokaci kuma ana samun warkarwa na fibrous ko raunin kashi, kuma ba za a iya samun raguwa ta hanyar magudi ko jan hankali ba. Fibrous nama da aka samu a cikin warakawar waraka tsakanin karyewar ƙarshen karaya an cire ko kuma a cire kiran da aka yi, kuma a sake wargaza muƙamuƙi don komawa matsayinsa na yau da kullun. a cikin raguwa na hannu ko rashin kwanciyar hankali bayan raguwa.