maxillofacial trauma micro X ndiro

Kukuvara kwemuromo uye maxillofacial kunowanzo kukonzerwa nekukuvara kwakabatana nebasa, kukuvara kwemitambo, tsaona dzemotokari uye kukuvara kwetsaona muhupenyu.Kutenderera kweropa kwemaxillofacial kwakapfuma, kwakabatana neuropi nemutsipa, uye ndiko kutanga kwekufema kwekufema uye nzira yekudya.Kune mamwe maxillofacial bones uye cavity sinuses.Kune mazino anonamirwa pabhonzo remaxillofacial, uye rurimi rwuri mumuromo.Kumeso kune tsandanyama dzechiso netsinga dzechiso;The temporomandibular joint and the salivary glands;Idzo dzinoita mabasa ekutaura, kutaura, kutsenga, kumedza nekufema.

Kugadziriswa kwemaxillofacial fracture mushure mekuderedza inhanho inokosha mukurapa.Inowanzo shandiswa nzira dzekugadzirisa dzinosanganisira imwe shaya arch splint fixation, interjaw fixation, interjaw ligation fixation, miniplate kana microplate fixation, cranial uye jaw fixation, uye dzimwe nzira dzinosanganisira perimaxillary fixation uye compression. plate fixation.

1. Iyo splint fixation nzira yeimwe shaya mazino arch: ndeye kushandisa 2 mm dhayamita yealuminium waya kana yakapedzwa chigadzirwa nehoko yemazino arch splint, zvinoenderana nechimiro chemazino arch, uye wozoshandisa yakanaka simbi ligation waya kuburikidza nenzvimbo yezino, iyo splint inosungirirwa pachikamu kana mazino ose kumativi ose emutsara wekuputsika, kugadzirisa chikamu chekuputsika.Iyi nzira inokodzera kuputsika pasina kubuda pachena, zvakadai semutsara wepakati pakati pekuputsika kwemaxillochin uye kuputika kwealveolar. .

2. Intermaxillary fixation: iyo yakajairika nzira ndeyekuisa yakakochekera mazino arch splint pamazino epamusoro uye ezasi, uye wobva washandisa bhandi diki rerubha rekugadzirisa intermaxillary, kuitira kuti shaya irambe iri panzvimbo yehukama hwehukama.Iyi nzira. yakavimbika, yakakodzera kune dzakasiyana-siyana mandibular fractures, iyo yakanakira ndeyekuti shaya inogona kuporeswa munzvimbo yakanaka, inobatsira pakudzoreredza basa, chakashata ndechekuti vakakuvara havagone kuvhura muromo kuti vadye, zvakare hazvisi nyore. kuchengetedza hutsanana hwemukanwa, inofanira kusimbisa mukoti.

3. Interosseous ligation uye kugadzirisa: munyaya yekuvhiya yakazaruka kuderedza, iyo miviri yakaputsika yakaputsika inogona kudonhedzwa uye ipapo yakasungirirwa uye yakagadziriswa kuburikidza nesimbi isina tsvina.Iyiwo inzira yakavimbika yekugadzirisa. kuputsika muvana kunogonawo kugadziriswa nenzira iyi.

4. Diki ndiro kana micro plate fixation: pahwaro hwemanyorero akavhurika kuderedza, ndiro diki kana diki ndiro yehurefu hwakakodzera uye chimiro inoiswa pakatarisana nepfupa pamusoro pemakona maviri akatyoka ekutyoka, uye yakakosha sikuru inoshandiswa kuita. pinda mukati mefupa cortex kugadzirisa ndiro, kuitira kuti uwane chinangwa chekugadzirisa kuputsika.Mahwendefa maduku anowanzoshandiswa kune mandible, nepo micro plates inoshandiswa kune maxilla.

5. Cranial uye maxillofacial kugadzirisa nzira: maxillary transverse fracture, haigoni kuvimba chete mandible yekugadzirisa, inogona kushandisa dehenya rekugadzirisa, zvikasadaro chiso chepakati chinowanzoita deformation yakareba. Nzira yekugadzirisa ndeyekutanga kuisa arch splint. pamazino makuru, ipapo sunga imwe mugumo we arch splint panzvimbo yemashure mazino nesimbi isina tsvina, uye imwe mugumo we arch splint kuburikidza nemuromo wemuromo kuburikidza nemucheka munyoro we zygomaticocheek, uye urembera pakutsigirwa kwe plaster cap.Panguva imwecheteyo, intermaxillary fixation yakawedzerwa.

Nguva yekutyoka kweshaya inogona kugadziriswa maererano nekukuvara kwemurwere, zera uye mamiriro ezvinhu.Inowanzova 3 ~ 4 vhiki dzemaxilla uye 4 ~ 8 vhiki dze mandible.Iyo nzira ine simba uye yakasimba inogona kushandiswa kupfupisa nguva interjaw fixation.Iyo nzira ndeyokuti mushure memasvondo maviri kusvika ku3 ekusagadzikana, mhete yerubha inobviswa panguva yekudya uye kufamba kwakakodzera kunobvumirwa.Mushure mekushandiswa kweplate duku kana micro plate yekugadzirisa zvakasimba mukati, kudzidzira kushanda kunogona kuitwa zvakanaka mukati. kufambira mberi kusimudzira kuporeswa kwekutyoka.