maxillofacial trauma micro double Y plate

Zvinoumba maxillofacial trauma

1. Kuwanda kweropa kutenderera: kune kubuda ropa kwakawanda mushure mekukuvara, izvo zviri nyore kugadzira hematoma;Tissue edema reaction inokurumidza uye inorema, senge pamuromo, chigadziko cherurimi, shaya yezasi uye zvimwe zvikamu zvekukuvara, nekuda kweedema, hematoma kudzvinyirirwa uye kunokanganisa nzira yemhepo yakatsetseka, uye kunyange kukonzera kuvharwa.Kune rumwe rutivi, nekuda kwekuwanda kweropa, mutsara une simba rakasimba rekudzivisa utachiona uye kudzorerazve, uye ronda riri nyore kupora.

2. Kukuvara kweMaxillofacial kunowanzoperekedzwa nekukuvara kwezino: mazino akaputsika anogonawo kuputirwa mukati menyama yakatarisana, zvichiita "secondary shrapnel kukuvadzwa", uye inogona kusungirirwa kune mazino matombo uye mabhakitiriya mumutumbi wakadzika, zvichiita kuti hutachiona hwehwindo.Caries. pamutsara wekuputsika kweshaya dzimwe nguva kunogona kutungamirira kuhutachiona pamagumo emapfupa uye kukanganisa kuporesa kwekuputsika.Kune rumwe rutivi, kubviswa kwemazino kana kuparadzaniswa kwehukama hwe occlusal ndiyo imwe yezviratidzo zvakakosha pakuonekwa kwekuputsika kweshaya. .Mukurapa mazino uye alveolar bone kana kutsemuka kweshaya, kazhinji inoda kushandisa mazino kana dentition seyo abutment ligation yakagadziriswa, ihwo hwaro hwakakosha hwekugadziriswa kweshaya.

3. Zviri nyore kuomeswa nekukuvadzwa kwecraniocerebral: kusanganisa concussion, brain contusion, intracranial hematoma uye skull base fracture, etc., uye chikamu chayo chikuru chekiriniki ndeye coma nhoroondo mushure mekukuvara. cerebrospinal fluid kubva mumhino kana yekunze inoongorora canal.

4. Dzimwe nguva pamwe chete nekukuvara kwemutsipa: pasi pemaxillofacial uye mutsipa, apo mitsipa mikuru yeropa uye cervical spine. high paraplegia.Carotid aneurysms, pseudoaneurysms uye arteriovenous fistula dzimwe nguva inogona kuumbwa munguva yekupedzisira apo midziyo mikuru yemutsipa inokuvadzwa nechisimba chisina simba mumutsipa.

5. Zviri nyore kuti zviitike asphyxia: kukuvadzwa kunogona kuitika nekuda kwekushanduka kwenyama, kuzvimba uye kudonha kwerurimi, kuvhara kweropa uye kuvhara kwekuvhara uye kukanganisa kufema kana asphyxia.

6. Kukanganiswa kwekudya uye utsanana hwemuromo: Kuvhura kwemuromo, kutsenga, kutaura kana kumedza kunogona kukanganiswa mushure mekukuvara kana kana kuputika kwemukati kunodiwa kurapwa, izvo zvinogona kukanganisa kudya kwakajairika.

7. Nyore kubatwa nechirwere: oral uye maxillofacial sinus mhango, pane oral mhango, nasal mhango, sinus uye orbit, etc.Kuvapo kwenhamba yakawanda yebhakitiriya mune idzi sinus cavities, kana zvakafanana neronda, rinowanzoita utachiona. .

8. Inogona kuperekedzwa nemamwe anatomical chimiro kukuvara: kuparadzirwa salivary glands, facial tsinga uye trigeminal tsinga mumuromo uye maxillofacial nharaunda, akadai parotid gland kukuvara, anogona kukonzera mate fistula;Kana kukuvara kumeso tsinga, anogona kubudisa chiso mitezo; Kana iyo trigeminal nerve yakakuvadzwa, chiveve chinogona kuoneka munzvimbo inoenderana yekugovera.

9. Kuremara kwechiso: Mushure mekukuvadzwa kwemaxillofacial, kazhinji kune madhigirii akasiyana ekuremara kwechiso, izvo zvinowedzera mutoro wepfungwa uye wepfungwa wevakakuvadzwa.