kutsekanso mbale ya anatomical 120 ° (bowo limodzi sankhani mitundu iwiri ya screw)

Monga chiwalo chofunika kwambiri cha nkhope kuti chikhale chokongola, mawonekedwe a mandible amathandizira kwambiri pa nkhope ya aesthetics.Zinthu zambiri monga kupwetekedwa mtima, matenda, kuchotsa chotupa ndi zina zotero zingayambitse chilema.Chilema cha mandible sichimangokhudza maonekedwe a wodwalayo, komanso chimayambitsa zolakwika mu kutafuna, kumeza, kulankhula ndi zina. kupereka zinthu zofunika kuti achire pambuyo ntchito zokhudza thupi ntchito monga kutafuna, kumeza ndi kulankhula.

Chifukwa cha kuwonongeka kwa mandible

Chithandizo cha zotupa: ameloblastoma, myxoma, carcinomas, sarcoma.

Kuvulala koopsa kwambiri: nthawi zambiri kumachitika chifukwa chovulala kwambiri ngati mfuti, ngozi zamakampani, komanso kugunda kwa magalimoto nthawi zina.

Zotupa kapena matenda.

Zolinga Zomanganso

1. Bwezerani mawonekedwe oyambirira a m'munsi mwa atatu a nkhope ndi mandible

2. Sungani kupitiriza kwa mandible ndikubwezeretsanso mgwirizano wa malo pakati pa mandible ndi minofu yofewa yozungulira

3. Kubwezeretsanso ntchito zabwino za kutafuna, kumeza, ndi kulankhula

4. Khalani ndi njira yodutsa mpweya yokwanira

Pali mitundu inayi ya microreconstruction ya mandibular defects.Trauma ndi chotupa resection ya mandible zingakhudze maonekedwe ndi kutsogolera zoperewera ntchito monga malocclusion chifukwa cha unilateral minofu kuvulala. zapangidwa, ndipo vuto la kumangidwanso bwino kwa mandible lagona pa kusankha njira yabwino kwambiri.Chifukwa cha zovuta za mandibular chilema, gulu losavuta, lothandiza komanso lovomerezeka mwadongosolo mwadongosolo komanso njira zamankhwala akadali opanda kanthu.Schultz et al.anasonyeza njira yatsopano yophweka yamagulu ndi njira yofananira yomanganso ndi kukonzanso mandible mwa kuchita, yomwe inasindikizidwa mu magazini atsopano a PRS. Gululi limayang'ana kwambiri mtima wa mitsempha m'dera la wolandira, ndi cholinga chokonzekera bwino mandibular ovuta. zolakwika ndi microsurgical means.Njirayi imagawidwa koyamba m'mitundu inayi molingana ndi zovuta za opaleshoni yokonzanso.Mzere wapakati wa mandible unali malire.Type 1 anali ndi unilateral chilema amene sanali kukhudza mandibular ngodya, mtundu 2 anali ndi unilateral chilema okhudza ipsilateral mandibular ngodya, mtundu 3 anali ndi mbali ziwiri chilema okhudza mbali ya mandibular ngodya, ndi mtundu 4 anali ndi mbali ziwiri chilema okhudza unilateral. kapena mbali ziwiri mandibular Angle.Mtundu uliwonse umagawidwanso mu mtundu A (wogwiritsidwa ntchito) ndi mtundu wa B (wosagwiritsidwa ntchito) malingana ndi ngati ziwiya za ipsilateral zili zoyenera kwa anastomosis.Mtundu wa B umafuna anastomosis ya contralateral ziwiya khomo lachiberekero. Pazochitika za mtundu wa 2, ndikofunikira kuwonetsa ngati njira ya condylar ikukhudzidwa kuti asankhe zomwe zimagwiritsidwa ntchito: Kuphatikizidwa kwa condylar unilateral ndi 2AC / BC, ndipo palibe kukhudzidwa kwa condylar ndi 2A. / B. Malingana ndi zomwe zili pamwambazi ndikuganizira za chilema cha khungu, kutalika kwa chilema cha mandibular, kufunikira kwa mano, ndi zochitika zina zapadera, dokotalayo amatsimikiziranso mtundu wa fupa laulere lomwe lingagwiritsidwe ntchito.

Mapulani Omangidwanso Anapangidwira kuti agwiritsidwe ntchito pa opaleshoni yapakamwa ndi maxillofacial, kuvulala ndi opaleshoni yokonzanso.Izi zikuphatikizanso kukonzanso kwa mandibular koyambirira, kusweka kwapang'onopang'ono ndi kumanga mlatho kwakanthawi podikirira kuchedwa kumangidwanso kwachiwiri, kuphatikiza ma fractures a edentulous ndi/kapena atrophic mandibles, komanso ma fractures osakhazikika.Phindu la Odwala - pofunafuna kupeza zotsatira zokhutiritsa zokongoletsa ndikuchepetsa nthawi ya opaleshoni.Mapleti Odwala Okhazikika a Mandible amachotsa kupsinjika kwamakina kuchokera ku mbale zopindika.