maxillofacial trauma micro X farantin

Raunin baka da maxillofacial yawanci suna haifar da raunin da ke da alaƙa da aiki, raunin wasanni, haɗarin zirga-zirga da raunin haɗari a rayuwa.Zagayewar jini na maxillofacial yana da wadata, yana da alaƙa da kwakwalwa da wuyansa, kuma shine farkon tsarin numfashi da tsarin narkewa. Akwai ƙarin ƙasusuwan maxillofacial da sinuses na cavity.Akwai hakora da aka haɗe zuwa maxillofacial kashi, kuma harshe yana ƙunshe a cikin bakin. Fuskar tana da tsokoki na fuska da jijiyoyi na fuska, haɗin gwiwa na dan lokaci da glandan salivary; Suna yin ayyukan magana, magana, tauna, haɗiye da numfashi.

Gyaran maxillofacial fracture bayan raguwa shine muhimmin mataki a cikin jiyya.Hanyoyin gyaran gyare-gyaren da aka saba amfani da su sun hada da gyare-gyaren gyare-gyaren jaw guda ɗaya, ƙaddamarwa na interjaw, gyaran gyare-gyaren gyare-gyare, ƙarami ko microplate, gyaran cranial da jaw, da sauran hanyoyin sun hada da gyaran fuska na perimaxillary da matsawa. gyaran farantin karfe.

1. The splint kayyade Hanyar guda jaw hakori baka: shi ne don amfani da 2 mm diamita aluminum waya ko ƙãre samfurin tare da ƙugiya hakori baka splint, bisa ga siffar hakori baka, sa'an nan kuma amfani da lafiya karfe ligation waya ta cikin hakori sarari. an ɗora ƙashin ƙugu a kan ɓangaren ko duk hakora a bangarorin biyu na layi na raguwa, don gyara ɓangaren ɓarna. Wannan hanya ta dace da ɓarke ​​​​ba tare da ƙayyadadden wuri ba, irin su tsaka-tsakin tsaka-tsakin layi na maxillochin da ƙananan alveolar fracture na gida. .

2. Intermaxillary fixation: Hanyar gama gari ita ce sanya ƙwanƙolin ƙugiya na haƙori a kan hakora na sama da na ƙasa, sannan a yi amfani da ƙaramin band ɗin roba don gyaran tsaka-tsakin tsaka-tsakin, ta yadda muƙamuƙi ya kasance a matsayi na haɗin gwiwa na yau da kullun. abin dogara ne, ya dace da nau'i-nau'i na mandibular fractures, amfani da shi shine cewa za a iya warkar da muƙamuƙi a matsayi mai kyau, yana taimakawa wajen dawo da aiki, rashin lahani shi ne cewa wadanda suka ji rauni ba su iya bude baki don cin abinci, kuma ba sauki ba. don kula da tsaftar baki, yakamata a karfafa aikin jinya.

3. ligation ligation da fixation: idan aka samu raguwar aikin tiyatar, ana iya huda karaya biyun da suka karye sannan a gyara su ta hanyar waya ta bakin karfe. Wannan kuma ingantaccen hanyar gyarawa ne. Karyewar kashi da hakora mara hakora. Hakanan ana iya gyara karaya a cikin yara ta wannan hanyar.

4. Ƙananan faranti ko ƙananan farantin karfe: bisa ga raguwar buɗaɗɗen hannu, ƙaramin faranti ko ƙaramin faranti mai tsayi da siffar da ya dace an sanya shi a fadin kasusuwan kasusuwa biyu da suka karye na karaya, kuma ana amfani da dunƙule na musamman don shiga cikin kasusuwa na kasusuwa don gyara farantin karfe, don cimma manufar gyaran gyare-gyare na fracture. Yawancin lokaci ana amfani da ƙananan faranti don mandible, yayin da ake amfani da ƙananan faranti don maxilla.

5. Cranial da maxillofacial hanyar gyarawa: maxillary transverse fracture, ba zai iya dogara kawai a kan mandible don gyarawa ba, zai iya amfani da kwanyar don gyarawa, in ba haka ba tsakiyar fuska yana da sauƙi ga nakasar elongated.Hanyar gyarawa ita ce ta farko sanya ƙwanƙwasa baka. a kan maxillary hakora, sa'an nan kuma ɗaure daya ƙarshen baka splint a kan na baya hakori yankin da bakin karfe waya, da kuma sauran karshen baka splint ta cikin baka rami ta cikin taushi nama na zygomaticocheek, da kuma rataya a kan goyon bayan da filastar filasta.A lokaci guda, an ƙara gyaran tsaka-tsaki.

Za'a iya ƙayyade lokacin ƙayyadadden ƙwayar muƙamuƙi bisa ga raunin mai haƙuri, shekaru da yanayin gaba ɗaya. Yana da makonni 3 ~ 4 gabaɗaya don maxilla da 4 ~ 8 makonni don mandible. Za a iya amfani da hanyar mai tsauri da tsayayyen don rage lokacin lokaci na Hanyar interjaw.Hanyar ita ce bayan makonni 2 zuwa 3 na rashin motsi, an cire zobe na roba yayin ciyarwa kuma an yarda da motsi mai kyau. ci gaba don inganta karaya waraka.