laka maxillofacial mini paʻa pololei

ʻO ka ʻoki ʻoki ʻana a i ʻole ka ʻokiʻoki ʻana, ʻo ia kekahi lālā o ka ʻoki.Mālama nā Orthopedics i ka ʻōnaehana musculoskeletal.Hoʻohana ʻia nā mea ʻokiʻoki a me nā ʻano nonsurgical e nā kauka orthopedic e mālama i ka ʻeha musculoskeletal, nā maʻi spine, nā ʻeha haʻuki, nā maʻi degenerative, nā maʻi, nā ʻōpū, a me nā maʻi congenital.

ʻO nā kaʻina hana maʻamau he 25 i hana ʻia e nā kauka orthopedic ma ke ʻano he: kuli arthroscopy a me meniscectomy, poʻohiwi arthroscopy a me ka decompression, ka hoʻokuʻu ʻana o ka tunnel carpal, ka arthroscopy kuli a me ka chondroplasty, ka wehe ʻana i ke kākoʻo implant, ka kuli arthroscopy a me ke kūkulu hou ʻana i ka ligament cruciate anterior, ke pani ʻana o ke kuli, ka hoʻoponopono ʻana o ʻāʻī ʻāʻī femoral, hoʻoponopono ʻana i ka haʻihaʻi trochanteric, debridement o ka ʻili / ʻiʻo / iwi / haʻihaʻi, ka hoʻoponopono ʻana o ke kuli arthroscopy o nā menisci, pani pani ʻana, poʻohiwi arthroscopy / distal clavicle excision, hoʻoponopono ʻana i ka rotator cuff tendon, hoʻoponopono i ka haʻihaʻi o ka radius (iwi) / ulna, laminectomy, hoʻoponopono i ka haʻi kuʻekuʻe wāwae (ʻano bimalleolar), arthroscopy poʻohiwi a me ka debridement, lumbar spinal fusion, hoʻoponopono ʻana i ka haʻihaʻi o ka ʻaoʻao mamao o ka radius, ʻoki ʻoki intervertebral haʻahaʻa haʻahaʻa, ʻokiʻoki i ka manamana lima, hoʻoponopono i ka haki kuʻekuʻe wāwae (fibula), ka hoʻoponopono ʻana i ka haʻihaʻi o ka lāʻau femoral, ka hoʻoponopono ʻana i ka haʻihaʻi trochanteric.

ʻO ka ʻeha maxillofacial i loko o nā keiki a me nā poʻe makua maʻamau e loaʻa mai i nā ʻeha haʻuki, hāʻule, hoʻouka ʻia, ulia kaʻa, hoʻouka ʻino, pā mai nā lima a mea paha.Hiki i ka hoʻouka holoholona, ​​ka pū, ka pahū a me nā ʻeha ʻē aʻe i ka wā kaua ke haʻihaʻi ka iwi maka.ʻO ka trauma kaʻa kekahi o nā kumu nui o nā ʻeha maka i ke ola o ke kūlanakauhale.Loaʻa pinepine ʻia ka ʻeha i ka wā e pā ai ka maka i kahi ʻāpana o loko o ke kaʻa, e like me ka huila.Eia kekahi, hiki i nā ʻeke lewa ke hoʻoulu i ka ʻāʻī a me nā lacerations i ka maka ke kau lākou.

Hiki ke hoʻokaʻawale ʻia nā ʻeha iwi maka i loko o ka iwi ihu, ka maxilla, a me ka maʻi.Hiki ke ha'iha'i ka ma'i ma kona symphysis, kino, angle, ramus, a me condyle.ʻO ka iwi papalina a me ka iwi mua nā wahi ʻē aʻe no ka haki.Hiki nō hoʻi nā haʻihaʻi i loko o nā iwi o ka palale a me nā mea i hui pū ʻia e hana i ka ʻōpuni o ka maka.

I ka hoʻomaka ʻana o ke kenekulia 20, ua kahakaha ʻo René Le Fort i nā wahi maʻamau no nā haʻihaʻi maka;ʻike ʻia kēia mau mea ʻo Le Fort I, II, a me III fractures (ʻākau).ʻO nā haʻihaʻi Le Fort I, i kapa ʻia ʻo Guérin a i ʻole nā ​​haʻihaʻi maxillary horizontal, e pili ana i ka maxilla, e hoʻokaʻawale iā ia mai ka palate.ʻO nā haʻihaʻi ʻo Le Fort II, i kapa ʻia hoʻi nā haʻihaʻi pyramidal o ka maxilla, e ʻaʻa i nā iwi ihu a me ka ʻaoʻao orbital.ʻO nā haʻihaʻi ʻo Le Fort III, i kapa ʻia hoʻi ka craniofacial disjunction a me ka transverse facial fractures, e hele i mua o ka maxilla a komo i ka iwi lacrimal, ka lamina papyracea, a me ka papahele orbital, a pili pinepine i ka iwi ethmoid, ka mea koʻikoʻi loa.ʻO Le Fort fractures, nona ka 10-20% o nā haʻihaʻi maka, pili pinepine me nā ʻeha koʻikoʻi ʻē aʻe.

Hoʻohana ʻia nā lāʻau lapaʻau no ka hoʻoponopono ʻana i ka haʻihaʻi iwi maxillofacial, ka manaʻo e hoʻoponopono i ka hoʻolālā iwi maoli o ka maka a waiho i kahi ʻike liʻiliʻi o ka ʻeha.Hiki ke mālama ʻia nā ʻeha o ka iwi me nā pā titanium maʻemaʻe a me nā wili hao titanium.ʻO nā mea resorbable kahi koho ʻē aʻe i loaʻa.

ʻAʻole hiki ke hoʻoweliweli ʻia ka maxillofacial trauma i ke ola, akā pili pinepine ia me nā ʻeha pōʻino, ka paʻa ʻana o ke ea a me nā pilikia e hoʻoweliweli i ke ola.Hiki ke ālai ʻia ke ea ma muli o ke koko, ka pehu ʻana o nā ʻiʻo a puni, a i ʻole ka pōʻino i nā hale.Hiki i ke kuni ʻana i ka maka ke hoʻohūhū i nā ʻiʻo a ma laila ke alakaʻi i ke ala ea.Hiki i ka hui pū ʻana o nā haʻihaʻi ihu, maxillary, a me mandibular ke hoʻoikaika i ke alaloa.Pono e nānā mau i ke ala ea, no ka mea, hiki i nā pilikia o ke ea ke hiki i ka hopena ma hope o ka ʻeha mua.

pono e ho'iho'i 'ia nā iwi i ko lākou mau wahi kūpono, no ka mea, pa'a paha nā a'alolo a me nā 'i'o i nā iwi ha'iha'i.ʻO ka haʻi ʻana o ka papahele orbital a i ʻole ka haʻihaʻi ʻana o ka iwi pā o ka ʻaoʻao o ka maka e hiki ke hoʻopaʻa i ka ʻiʻo medial rectus a i ʻole nā ​​ʻiʻo rectus inferior.

I nā ʻeha maka, hiki ke pōʻino nā aʻalolo a me nā aʻalolo o ka maka.ʻO ka haʻihaʻi ʻana o ka iwi ʻaoʻao hiki ke hoʻopilikia i ka hoʻokahe ʻana o ka sinus mua a hiki ke hana i ka sinusitis.ʻO ka maʻi maʻi kekahi pilikia.