ihahamuka ryinshi rya micro X.

Gukomeretsa mu kanwa na maxillofacial mubisanzwe biterwa no gukomeretsa ku kazi, gukomeretsa siporo, impanuka zo mu muhanda no gukomeretsa ku mpanuka mu buzima.Amaraso atembera ya maxillofacial arakungahaye, ahujwe n'ubwonko nijosi, kandi ni intangiriro yinzira zubuhumekero ninzira zifungura.Hariho amagufwa menshi ya maxillofacial na sinus cavit.Hano hari amenyo yometse kumagufwa ya maxillofacial, kandi ururimi ruba mumunwa. Isura ifite imitsi yo mumaso nu mitsi yo mumaso; ingingo ya temporomandibular hamwe na glande y'amacandwe; Bakora imirimo yo kuvuga, kuvuga, guhekenya, kumira no guhumeka.

Gukosora kuvunika kwa maxillofacial nyuma yo kugabanuka nintambwe yingenzi mukuvura.Uburyo bukoreshwa muburyo bwo gukosora burimo gukosora urwasaya rumwe rukumbi, gukosora interjaw, gukosora interjaw, gukosora miniplate cyangwa microplate, gukosora cranial na jaw, hamwe nubundi buryo burimo gukosora perimaxillary no kwikuramo. isahani.

1. Uburyo bwo gutandukanya ibice byinyo byamenyo: ni ugukoresha mm 2 ya diameter ya aluminium ya aluminium cyangwa ibicuruzwa byarangiye hamwe na hook amenyo ya hook amenyo, ukurikije imiterere y amenyo, hanyuma ugakoresha insinga nziza yicyuma ukoresheje amenyo, gucamo ibice ku gice cyangwa amenyo yose kumpande zombi zumurongo wavunitse, kugirango ukosore igice cyacitse. Ubu buryo burakwiriye kuvunika nta kwimuka kugaragara, nko kuvunika umurongo wo hagati wa maxillochin hamwe no kuvunika kwa alveolar. .

2. Gukosora intermaxillary: uburyo busanzwe nugushira amenyo yometseho amenyo hejuru y amenyo yo hejuru no hepfo, hanyuma ugakoresha agace gato ka reberi mugukosora intermaxillary, kugirango urwasaya rugume mumwanya wumubano usanzwe udasanzwe.Ubu buryo ni iyo kwizerwa, ibereye kuvunika kwa mandibular zitandukanye, akarusho nuko urwasaya rushobora gukira mumwanya mwiza, rufasha kugarura imikorere, ibibi nuko abakomeretse badashobora gufungura umunwa ngo barye, nabyo ntibyoroshye kubungabunga isuku yo mu kanwa, bigomba gushimangira ubuforomo.

3. Guterana no gukosora: mugihe cyo kubagwa kumugaragaro kugabanuka, impande zombi zavunitse zavunitse zirashobora gucukurwa hanyuma zigahuzwa hanyuma zigashyirwa mumurongo wicyuma kitagira umwanda.Ubu nuburyo bwizewe bwo gukosora.Uvunika urwasaya n'urwasaya rutagira amenyo. kuvunika mubana nabyo birashobora gukosorwa nubu buryo.

4. Isahani ntoya cyangwa isahani ntoya: hashingiwe ku kugabanya intoki zifunguye, isahani ntoya cyangwa isahani ntoya ifite uburebure nuburyo bukwiye ishyirwa hejuru yamagufwa yimpera zombi zavunitse, kandi hakoreshwa umugozi udasanzwe winjire mu magufa ya cortex kugirango ukosore isahani, kugirango ugere ku ntego yo gukosora kuvunika. Isahani ntoya isanzwe ikoreshwa kuri mandat, mugihe plaque micro zikoreshwa kuri maxilla.

5 ku menyo ya maxillary, hanyuma uhambire impera imwe yigitereko cyumutwe winyuma yinyo yinyuma hamwe ninsinga zicyuma zitagira umwanda, naho ubundi impera yinyuma igacamo umunwa unyuze mumyanya yoroheje ya zygomaticocheek, hanyuma umanike ku nkunga ya capa capa.Mu gihe kimwe, intermaxillary fixation yongeyeho.

Igihe cyo kuvunika urwasaya gishobora kugenwa ukurikije imvune yumurwayi, imyaka ndetse nubuzima rusange muri rusange.Ni mubyumweru 3 ~ 4 kuri maxilla nicyumweru 4 ~ 8 kuri mandible.Uburyo bukomeye kandi buhamye burashobora gukoreshwa mugabanya igihe cya gukosora interjaw.Uburyo nuko nyuma yibyumweru 2 kugeza kuri 3 bya immobilisation, impeta ya reberi ikurwaho mugihe cyo kugaburira no kwemererwa kugenda neza biremewe.Nyuma yo gukoresha isahani ntoya cyangwa plaque ntoya kugirango ikosore imbere, imyitozo yimikorere irashobora gukorwa neza muri imbere kugirango uteze imbere gukira kuvunika.