gufunga kwiyubaka anatomical 120 ° isahani (umwobo umwe hitamo ubwoko bubiri bwa screw)

Nka ngingo yingenzi yo mumaso kugirango ibungabunge ubwiza, imiterere ya mandible igira uruhare runini mubyiza byo mumaso.Ibintu byinshi nko guhahamuka, kwandura, kuvura ibibyimba nibindi bishobora gutera ubusembwa.Ubusembwa bwa mandible ntabwo bugira ingaruka kumiterere yumurwayi gusa, ahubwo butera nubudasanzwe muburyo bwo guhekenya, kumira, kuvuga nindi mirimo. Kwiyubaka kwiza kwa mandibular ntigomba kugera gusa kubukomeza nubusugire bwamagufwa ya mandibular no kugarura isura yo mumaso, ariko nanone tanga ibintu byibanze kugirango ugarure ibikorwa bya physiologique nyuma yibikorwa nko guhekenya, kumira no kuvuga.

Impamvu yinenge yemewe

Ubuvuzi bwa Tumor: ameloblastoma, myxoma, kanseri, sarcomas.

Gukomeretsa bikabije: bikunze guturuka ku gukomeretsa umuvuduko mwinshi nk'imbunda, impanuka zo mu nganda, ndetse rimwe na rimwe impanuka z’ibinyabiziga.

Ibihe byo gutwika cyangwa kwandura.

Intego zo kwiyubaka

1. Kugarura imiterere yumwimerere ya gatatu yo hepfo yisura kandi byemewe

2. Komeza ubudahwema bwa manda kandi ugarure isano iri hagati yumwanya wemewe hamwe nuduce tworoshye

3. Kugarura neza guhekenya, kumira, no kuvuga imikorere

4. Komeza inzira ihagije

Hariho ubwoko bune bwa microreconstruction yinenge ya mandibular.Trauma na tumor resection ya mandible birashobora kugira ingaruka kumiterere kandi biganisha kuri defisit imikorere nka malocclusion bitewe no gukomeretsa imitsi itabogamye. Kugirango usane inenge igaragara kandi wongere wubake imikorere, uburyo bwinshi bwo kubaga bufite byatejwe imbere, kandi ingorane zo kwiyubaka neza byubatswe byemewe muburyo bwo guhitamo uburyo bwiza.Kubera ingorabahizi yinenge ya mandibular, urutonde rwibintu byoroheje, bifatika kandi byemewe muri rusange uburyo bwo gutondeka no kuvura buracyari ubusa.Schultz et al.yerekanye uburyo bushya bworoshe bwo gutondekanya hamwe nuburyo bujyanye no kongera kubaka no gusana byemewe binyuze mu myitozo, byasohotse mu kinyamakuru giheruka cya PRS.Iyi nzego yibanda ku busugire bw’imitsi mu karere kahawe, hagamijwe gusana neza mandibular inenge hakoreshejwe uburyo bwa microsurgical.Uburyo bwabanje kugabanywamo amoko ane ukurikije uburyo bwo kubaga ibintu byubaka. Hagati yo hagati ya mandible yari imbibi.Ubwoko bwa 1 bwari bufite inenge imwe itarimo Inguni ya mandibular, ubwoko bwa 2 bwari bufite inenge imwe irimo impande zombi za mandibular, ubwoko bwa 3 bwari bufite inenge zombi zidafite impande zombi, kandi ubwoko bwa 4 bwari bufite inenge zombi zirimo uruhande rumwe cyangwa impande zombi za mandibular. Buri bwoko bwongeye kugabanywa mubwoko bwa A (bukoreshwa) n'ubwoko B (ntibukurikizwa) ukurikije niba imiyoboro y'impande zombi ikwiranye na anastomose.Ubwoko B busaba anastomose yimitsi yinkondo y'umura itandukanijwe.Ku bwoko bwa 2, birakenewe kwerekana niba inzira ya condylar irimo kugira ngo hamenyekane ibikoresho byogukoresha: Uruhare rwa condylar rutabogamye ni 2AC / BC, kandi nta ruhare rwabigenewe ni 2A .

Ibyapa byateguwe byubatswe bigenewe gukoreshwa mu kubaga umunwa na maxillofacial kubaga, ihahamuka no kubaga ibyubaka.Ibi bikubiyemo kwiyubaka kwa mandibular yibanze, kuvunika kwangiritse hamwe nikiraro cyigihe gito mugihe hagitegerejwe gutinda kwiyubaka kwa kabiri, harimo kuvunika kwa mandibilité na / cyangwa atropic mandibles, kimwe no kuvunika kudahindagurika.Inyungu z'abarwayi - binyuze mu gushaka kugera ku nyungu zishimishije no kugabanya igihe cyo gukora.Ibyapa byihariye byumurwayi byemewe birashobora gukuraho imihangayiko iterwa na plaque.