kukiya kuvakazve anatomical 120 ° ndiro (gomba rimwe sarudza marudzi maviri escuru)

Sechinhu chakakosha chechiso chekuchengetedza runako, chimiro che mandible chinoita basa rakakosha mumeso aesthetics.Zvinhu zvakawanda zvakadai sekushungurudzika, utachiona, tumor resection nezvimwe zvakadaro zvinogona kukonzera kukanganisa.Kuremara kwemandible hakusi kungokanganisa chitarisiko chemurwere, asiwo kunokonzera kukanganisa mukutsenga, kumedza, kutaura uye mamwe mabasa.Iyo yakanaka mandibular reconstruction haifaniri kungozadzisa kuenderera uye kuvimbika kwefupa remandibular uye kudzorera chitarisiko chechiso, asiwo. inopa mamiriro ekutanga ekudzoreredza kwemashure ekushanda kwemuviri mabasa senge kutsenga, kumedza uye kutaura.

Chikonzero chekuremara mandible

Tumor therapy: ameloblastoma, myxoma, carcinomas, sarcoma.

Avulsive traumatic damage: kazhinji inomuka kubva mukukuvadzwa kwepamusoro-velocity sepfuti, tsaona dzemuindasitiri, uye dzimwe nguva kubonderana kwemotokari.

Zvirwere kana zvirwere zvinotapukira.

Zvinangwa Zvekuvakazve

1. Dzosera chimiro chepakutanga chetatu chepasi chechiso uye mandible

2. Chengetedza kuenderera mberi kwemanda uye kudzorera hukama hwepakati pakati pemandible uye matishu akapfava akatenderedza.

3. Dzorera kutsenga kwakanaka, kumedza, uye kutaura

4. Chengetedza mhepo yakakwana

Kune mhando ina dze microreconstruction yemandibular defects.Kushungurudzika uye kubviswa kwebundu re mandible kunogona kukanganisa kutaridzika uye kutungamirira kuhutano hwehutano hwakadai semalocclusion nekuda kwekukuvara kwemusuru unilateral.Kuitira kugadzirisa chitarisiko chinokanganisa uye kuvakazve basa, nzira dzakawanda dzokuvhiya dzine yakagadzirwa, uye kuoma kwekubudirira kwekuvaka patsva kwe mandible kuri pakusarudza nzira yakanakisisa.Nekuda kwekuoma kwechirema che mandibular, seti yezvakareruka, zvinoshanda uye zvinogamuchirwa zvinogamuchirwa zvakarongeka uye nzira dzokurapa hazvisati zvaitwa.Schultz et al.yakaratidza nzira itsva yakareruka yekuisa nzira uye nzira inoenderana yekuvaka patsva nekugadzirisa mandible kuburikidza nekudzidzira, iyo yakabudiswa mumagazini yemazuva ano yePRS.Iyi kupatsanurwa kunotarisa kutendeseka kwevascular munzvimbo yevagamuchiri, nechinangwa chekugadzirisa zvakarurama mandibular yakaoma. kukanganisa ne microsurgical means.Nzira yacho inotanga yakakamurwa kuva mhando ina maererano nekuoma kwekuvhiya kwekugadzirisa.Iyo yepakati yepakati ye mandible ndiyo yaiva muganhu.Type 1 yaive neunilateral defect isingabatanidzi mandibular Angle, type 2 yaive neunilateral defect yaisanganisira ipsilateral mandibular Angle, type 3 yaive nebilateral defect isingabatanidzi divi reMandibular Angle, uye type 4 yaive nebilateral defect inobatanidza unilateral. kana bilateral mandibular Angle.Rudzi rumwe norumwe runoparadzaniswa kuva rudzi A (runoshanda) uye rudzi rweB (rusingashandi) maererano nokuti ipsilateral midziyo inokodzera anastomosis.Rudzi rweB runoda anastomosis ye contralateral cervical midziyo.Kune mhando ye2 kesi, zvakakosha kuratidza kana condylar process inobatanidzwa kuitira kuti usarudze kuti ndeapi magirafu ekushandisa: Unilateral condylar kubatanidzwa ndeye 2AC / BC, uye hapana condylar kubatanidzwa kwe2A. / B. Kubva pane zvakarongwa pamusoro apa uye tichifunga nezvekuremara kweganda, kureba kwemandibular defect, kudiwa kwemazino emazino, uye mamwe mamiriro ezvinhu anokosha, chiremba anovhiya anowedzera kugadzirisa rudzi rwekusununguka kwepfupa rinoshandiswa.

Preformed Reconstruction Plates dzakagadzirirwa kushandiswa mukuvhiya nemuromo uye maxillofacial, trauma uye kuvhiyiwa kwekuvakazve.Izvi zvinosanganisira kuvakwazve kwekutanga mandibular, kuputsika uye bhiriji kwenguva pfupi yakamirira kunonoka kuvakwa kwechipiri, kusanganisira kuputsika kwe edentulous uye / kana atrophic mandibles, pamwe nekutsemuka kusina kugadzikana.Murwere Benefit - kuburikidza nekutsvaga kuwana zvinogutsa aesthetic mhedzisiro uye kuderedza operative nguva.Patient Specific Plates for Mandible bvisa induced mechanical stress kubva pakupeta ma plates.