ho notlela maxillofacial mini otlolohileng poleiti

Opereishene ea masapo kapa ea masapo, ke lekala le le leng la opereishene.Orthopedics e tsotella tsamaiso ea musculoskeletal.Mekhoa ea bobeli ea ho buoa le e sa buuoeng e sebelisoa ke lingaka tsa masapo ho phekola ho sithabela ha mesifa, mafu a mokokotlo, likotsi tsa lipapali, mafu a fokolang, tšoaetso, lihlahala le mathata a congenital.

Mekhoa e ka holimo ea 25 e tloaelehileng e etsoang ke lingaka tsa masapo ka tatellano ke: arthroscopy ea lengole le meniscectomy, arthroscopy ea mahetla le decompression, ho lokolloa ha kotopo ea carpal, arthroscopy ea lengole le chondroplasty, ho tlosoa ho kenngoa ha tšehetso, arthroscopy ea lengole le anterior cruciate ligament reconstruction, ho fetola lengole, ho lokisoa. ho robeha ha molala oa botšehali, ho lokisoa ha trochanteric fracture, ho senyeha ha letlalo / mesifa / lesapo / ho robeha, ho lokisoa ha arthroscopy ea lengole la menisci ka bobeli, phetoho ea letheka, lehetla la arthroscopy / distal clavicle excision, tokiso ea rotator cuff tendon, ho lokisa fracture ea radius (bone) / ulna, laminectomy, ho lokisoa ha ho robeha ha maqaqailana (mofuta oa bimalleolar), arthroscopy ea mahetla le ho senyeha, ho kopana ha lesapo la mokokotlo, ho lokisa ho robeha ha karolo e ka thōko ea radius, opereishene e tlaase ea mokokotlo oa mokokotlo oa mokokotlo, mokokotlo oa monoana oa menoana, ho lokisa ho robeha ha maqaqailaneng (fibula), ho lokisoa ha fracture ea femoral shaft, ho lokisoa ha fracture ea trochanteric.

maxillofacial trauma ho bana hammoho le batho ba baholo e tloaelehileng e tsoa likotsing tsa lipapali, ho oa, ho hlaseloa, ho soahlamana ha likoloi, litlhaselo tse sehlōhō, ho otla ka litebele kapa lintho.Litlhaselo tsa liphoofolo, lithunya, liqhomane le likotsi tse ling tsa nako ea ntoa le tsona li ka baka ho robeha ha masapo a sefahleho.Tlhekefetso ea likoloi ke e 'ngoe ea lisosa tse ka sehloohong tsa likotsi tsa sefahleho bophelong ba litoropo.Ho sithabela maikutlo hangata ho etsahala ha sefahleho se otla karolo e ka hare ea koloi, joalo ka lebili la setereng.Ho feta moo, li-airbags li ka baka maqeba a li-corneal le maqeba sefahlehong ha li tsamaisoa.

Likotsi tsa lesapo la sefahleho li ka aroloa hoo e ka bang ho kenyelletsa lesapo la nko, maxilla le mandible.Mandible e ka 'na ea robeha ho symphysis,' mele, angle, ramus le condyle.Cheekbone le lesapo le ka pele ke libaka tse ling tsa ho robeha.Ho ka 'na ha robeha hape masapong a mahalapa le a kopanang ho theha potoloho ea leihlo.

Mathoasong a lekholo la bo20 la lilemo, René Le Fort e ile ea etsa 'mapa oa libaka tse tloaelehileng tsa ho robeha ha sefahleho;tsena joale li tsejoa e le Le Fort I, II, le III fractures (ka ho le letona).Le Fort I fractures, eo hape e bitsoang Guérin kapa fractures e holimo ea maxillary, e kenyelletsa maxilla, e e arolang le mahalapeng.Le Fort II fractures, eo hape e bitsoang pyramidal fractures ea maxilla, e tšela masapo a nko le mokokotlo oa orbital.Likhopo tsa Le Fort III, tse boetseng li bitsoa craniofacial disjunction le transverse face fractures, li tšela ka pele ho maxilla 'me li kenyelletsa lesapo la lacrimal, lamina papyracea le orbital floor,' me hangata li ama lesapo la ethmoid, ke tsona tse tebileng ka ho fetisisa.Le Fort fractures, e leng karolo ea 10-20% ea ho robeha ha sefahleho, hangata e amahanngoa le likotsi tse ling tse tebileng.

Liphekolo tsa ho buoa li amoheloa bakeng sa ho lokisa ho robeha ha masapo a maxillofacial, sepheo sa ho lokisa sebopeho sa masapo a tlhaho a sefahleho le ho siea sebaka se senyenyane sa kotsi ka hohle kamoo ho ka khonehang.Likotsi tsa masapo li ka phekoloa ka lipoleiti tse hloekileng tsa titanium le li-screw tsa titanium alloy.Lisebelisoa tse ka sebelisoang hape ke khetho e 'ngoe e fumanehang.

maxillofacial trauma hangata e tlisa tšokelo bophelong, empa hangata e amahanngoa le likotsi tse kotsi, ho thibela moea le mathata a mang a kotsi.Tsela ea moea e ka thijoa ka lebaka la ho tsoa mali, ho ruruha ha lisele tse potolohileng, kapa ho senyeha ha mehaho.Ho chesa sefahlehong ho ka baka ho ruruha ha lisele, 'me ka hona ho lebisa ho thibaneng ha moea.Metsoako ea ho robeha ha nko, maxillary le mandibular e ka ama tsela ea moea.Hoa hlokahala ho shebella tsela ea moea kamehla, hobane mathata a moea a ka hlaha ka morao ka mor'a kotsi ea pele.

masapo a lokela ho khutlisetsoa libakeng tsa ’ona kapele kamoo ho ka khonehang, hobane methapo le mesifa e ka ’na ea qabelloa ke masapo a robehileng.Ho robeha ha orbital floor kapa medial orbital lebota ho robeha ha leihlo ho ka tšoasa lesapo la mokokotlo kapa mesifa e tlase ea rectus.

Maqebeng a sefahleho, masela a tabohang le methapo ea sefahleho e ka senyeha.Ho robeha ha lesapo le ka pele ho ka sitisa ho phalla ha sinus e ka pele 'me ho ka baka sinusitis.Tšoaetso ke bothata bo bong bo ka bang teng.