temporal fossa interlink mbale

Chifukwa ndi kukonza minofu ya chigaza, kusankha zipangizo choyamba kumafuna biocompatibility mkulu, ndi kufunika kuonetsetsa mphamvu inayake ndi stiffness pa nthawi yomweyo, amene osati amapereka mphamvu zokwanira chitetezo chokwanira, komanso amakwaniritsa zosowa za intraoperative kuumba; kuti akwaniritse zotsatira zokhutiritsa za kukonza kondomu ndi opaleshoni ya pulasitiki.Zida zokonzetsera zikuphatikizapo autologous cranial flap kukonza, kukonza zitsulo zopangiratu, mbale ya titaniyamu yamitundu itatu ndi CT kukonza katatu. sangathe kubwezeretsedwanso mu situ atangodulidwa, koma akhoza kukwiriridwa pansi pa khungu la autologous kuti atetezedwe ndi kusungidwa. kufunika kwa opareshoni yachiwiri, ndipo chigaza chinali ndi kuipa kwa kuyamwa kochepa kapena necrosis, kumasula pambuyo pa kukonzanso ndi kusakhazikika kosakhazikika. ndi chigaza autogenous sangathe kupunduka, ntchito autogenous chigaza replantation adzakhala bwino chigaza kukonza.Mwamwayi, tsopano ndi cranium.ukadaulo wa cryopreservation, fupa la wodwalayo la autologous limatha kusungidwa bwino kwa zaka zingapo.Pamene wodwalayo akufunika kukonzanso pambuyo pa opaleshoni, fupa la autologous likhoza kuikidwa kumbuyo kwa malo omwe ali ndi vuto la wodwalayo nthawi iliyonse kuti akwaniritse bwino. , anthu sayenera kokha kupyolera mu chigaza kukonza kuchira akhoza kufika anatomical, zokhudza thupi, akukhala kwambiri ndi mkulu kufunika kwa maonekedwe kukongola, kuti akonze thupi ndi odwala chigaza chimeric wangwiro, nthawi zonse reconstructive opaleshoni nthawi zambiri ndi madokotala mu preoperative kapena intraoperative malinga ndi odwala ndi kukula ndi mawonekedwe a mbali chilema, dzanja mtundu titaniyamu aloyi pepala, pambuyo kuyerekeza odwala ndi mutu mobwerezabwereza kukonza mtundu, kudula msoko, mpaka kukwaniritsa zofunika za odwala mbali chilema ndi zomangira, potsiriza izi zimafuna kuti dokotala ayenera molingana ndi mawonekedwe a odwala omwe ali ndi vuto la chigaza pa tebulo la opaleshoni kuti apange kubwezeretsa mwamsanga, Komabe, chifukwa cha mawonekedwe osiyanasiyana a chilema cha chigaza mwa wodwala aliyense, kukonza zinthu titaniyamu aloyi ndi. sizovuta kupanga, ndipo kuumba mobwerezabwereza kumafunika panthawi yogwira ntchito, zomwe zimawonjezera nthawi yogwira ntchito.Komanso, kudula mobwerezabwereza titaniyamu aloyi mauna mbale kufooketsa mphamvu zake, kuwonjezera ntchito zomangira titaniyamu aloyi, ndiyeno kuonjezera mtengo ntchito. d titaniyamu mbale, ndipo anatengera luso digito chigaza mawonekedwe, mbali iyi ya ntchito kungakhale zabwino kwambiri kumaliza pamaso opaleshoni, kwambiri kufupikitsa nthawi opareshoni ndi bala komanso nthawi yochepa kukhudzana, kuchepetsa kwambiri effusion ndi matenda zinachitika pambuyo mwayi, pa nthawi yomweyo kuchepetsa ntchito mphamvu ya opaleshoni dokotala.CT 3D kumanganso luso la digito chigaza mawonekedwe luso ndi kusintha patsogolo kwa fupa kukonza opaleshoni, CT atatu azithunzithunzi kumangidwanso zachokera udindo wa odwala ndi chigoba chilema, yesezera zachilengedwe mitundu ya Chigaza, pambuyo CT processing deta, 3D kumangidwanso mankhwala, pamwamba pa chigaza cha chilengedwe padziko mapu, kompyuta mothandizidwa kamangidwe ka zithunzi ndi titaniyamu digito kupanga ndi zina zotero njira zisanu, ntchito atatu azithunzi-thunzi zotsatira CT mayeso, odwala ndi yeniyeni. kapangidwe ka umunthu kukonza chilema cha chigaza, titaniyamu aloyi pa opaleshoni bwino anakonza pa mutu wa odwala chilema, luso kuzindikira kuphatikiza yeniyeni titaniyamu aloyi ndi mbali chigoba chilema, kuti akwaniritse chitetezo makina a ubongo minofu, kukwaniritsa. zabwino achire zotsatira, komanso kuchepetsa ululu wa odwala, chiopsezo cha mankhwala ndi kwambiri yafupika, postoperative kuchira nthawi ya odwala ndi adzafupikitsidwa, mwamsanga achire ntchito, kuphatikiza mu gulu.