ukutshixa ipleyiti yolwakhiwo lwe-anatomical eyi-120° (umngxuma omnye khetha iindidi ezimbini zesikrufu)

Inkcazelo emfutshane:


Iinkcukacha zeMveliso

Iithegi zeMveliso

Izinto:titanium ecocekileyo yonyango

Ukutyeba:2.4mm

Ukuchazwa kwemveliso

Inombolo yomba.

Inkcazo

10.13.06.12117101

khohlo

S

Imingxuma eli-12

132mm

10.13.06.12217101

kunene

S

Imingxuma eli-12

132mm

10.13.06.13117102

khohlo

M

13 imingxuma

138mm

10.13.06.13217102

kunene

M

13 imingxuma

138mm

10.13.06.14117103

khohlo

L

14 imingxuma

142mm

10.13.06.14217103

kunene

L

14 imingxuma

142mm

Isalathiso:

I-mandible trauma:

Ukuqhekeka okungapheliyo kwe-mandible, ukwaphuka okungazinzanga, i-nonnunion eyosulelekileyo kunye nesiphene samathambo.

Ulwakhiwo ngokutsha lweMandible:

Ngexesha lokuqala okanye okwesibini ukwakhiwa kwakhona, okusetyenziselwa ukuxutywa kwethambo okanye isiphene seebhloko zamathambo e-dissociative (Ukuba umsebenzi wokuqala awukho uxhulumaniso lwethambo, ipleyiti yokuvuselela iqinisekisa kuphela ukuthwala ixesha elilinganiselweyo, kwaye kufuneka yenze umsebenzi wesibini wethambo ukuxhasa pate yokwakha ngokutsha).

Iimpawu kunye neeNzuzo:

I-pitch-row yepleyiti yokwakhiwa kwakhona luyilo olukhethekileyo lokulungiswa ngexesha lokusebenza, ukuphucula i-concentration phenomenon kwindawo ethile kunye namandla okudinwa.

umngxuma omnye khetha ezimbini iintlobo isikrufu: ukutshixa maxillofacial reconstruction ipleyiti anatomical unokuqonda iindlela ezimbini ezisisigxina: itshixiwe kwaye ayitshixwanga.Isikrufu sokutshixa ibloko esisigxina yethambo kwaye kwangaxeshanye uyitshixe ngokuqinileyo ipleyiti, njengenkxaso yokulungiswa kwangaphandle.Isikrufu esingavaliyo sinokwenza i-angle kunye nokulungiswa koxinzelelo.

Ukuthelekisa isikrufu:

φ2.4mm isikrufu sokuzicofa

φ2.4mm isikrufu sokutshixa

Isixhobo esithelekisayo:

bit drill zonyango φ1.9*57*82mm

umqhubi we-screw head screw: SW0.5 * 2.8 * 95mm

umqheba wokudibanisa okhawulezayo


Njengelungu elibalulekileyo lobuso ukugcina ubuhle, imilo ye-mandible idlala indima ebalulekileyo kwi-aesthetics yobuso.Izinto ezininzi ezifana nokulimala, ukusuleleka, ukuchithwa kwe-tumor kunye nokunye kunokubangela isiphene.Isiphene se-mandible asichaphazeli nje ukubonakala kwesigulane, kodwa sibangela ukungahambi kakuhle ekuhlafuneni, ukuginya, intetho kunye neminye imisebenzi.Ukwakhiwa ngokutsha kwe-mandibular akufanele kufezekise kuphela ukuqhubeka kunye nokunyaniseka kwethambo le-mandibular kunye nokubuyisela ukubonakala kobuso, kodwa kwakhona. ukubonelela ngeemeko ezisisiseko zokubuyiselwa kwemisebenzi ye-physiological postoperative efana nokuhlafuna, ukuginya kunye nentetho.

Unobangela wesiphene mandible

Unyango lwe-tumor: i-ameloblastoma, i-myxoma, i-carcinomas, i-sarcomas.

Ukwenzakala okubuhlungu: okukholisa ukuvela kumonzakalo wesantya esiphezulu onje ngemipu, iingozi zemizi-mveliso, kunye nokungqubana kwemoto ngamaxesha athile.

Iimeko ezivuthayo okanye ezosulelayo.

Iinjongo Zokwakha Ngokutsha

1. Buyisela ubume boqobo besithathu esisezantsi sobuso kunye ne-mandible

2. Gcina ukuqhubeka kwe-mandible kunye nokubuyisela ubudlelwane besithuba phakathi kwe-mandible kunye nezicubu ezithambileyo ezijikelezayo.

3. Ukubuyisela ukuhlafuna, ukuginya, kunye nemisebenzi yokuthetha

4. Gcina indlela yomoya eyaneleyo

Kukho iintlobo ezine ze-microreconstruction ye-defects ye-mandibular.I-trauma kunye ne-tumor resection ye-mandible inokuchaphazela ukubonakala kwaye ibangele ukusilela kokusebenza okufana ne-malocclusion ngenxa yokulimala kwemisipha ye-unilateral.Ukuze kulungiswe imbonakalo yesiphene kunye nokuvuselela umsebenzi, iindlela ezininzi zotyando zineemeko ezininzi zokuhlinzwa. yaphuhliswa, kwaye ubunzima bolwakhiwo ngokutsha olunempumelelo lwe-mandible bulele ekukhetheni eyona ndlela ingcono.Ngenxa yokuntsokotha kwesiphene se-mandibular, iseti yohlelo olulula, olusebenzayo nolwamkelwe ngokubanzi olucwangcisiweyo kunye neendlela zonyango alunanto.Schultz et al.ibonise indlela entsha yokuhlela eyenziwe lula kunye nendlela ehambelanayo yokwakhiwa kwakhona kunye nokulungiswa kwe-mandible ngokuziqhelanisa, eyapapashwa kwijenali yamva nje ye-PRS. iziphene ngeendlela ze-microsurgical.Indlela yokuqala yahlulahlulwe yaba ziindidi ezine ngokobunzima botyando lokuvuselela.Umgca osezantsi we-mandible wawungumda.Uhlobo loku-1 lwalunesiphako esingabambekiyo esingabandakanyi i-engile ye-mandibular, uhlobo lwesi-2 lwaluneziphene ezibandakanya i-engile ye-mandibular esecaleni, uhlobo lwesi-3 lwalunesiphako secala elibandakanya nelinye icala le-engile ye-mandibular, kunye nohlobo lwesi-4 luneziphene ezibandakanya icala elinye. okanye i-Angle ye-mandibular ye-bilateral.Udidi ngalunye luphinde lwahlulwe ngohlobo A (lusebenzayo) kunye nohlobo lwe-B (alusebenzi) ngokubhekiselele ekubeni iinqanawa ze-ipsilateral zifanelekile kwi-anastomosis.Uhlobo lwe-B ludinga i-anastomosis yeenqanawa zomlomo wesibeleko ezichaseneyo.Kuhlobo lwe-2 iimeko, kuyimfuneko ukubonisa ukuba inkqubo ye-condylar ibandakanyekayo ukwenzela ukuba kuthathwe isigqibo sokuba yeyiphi impahla ye-graft yokusetyenziswa: Ukubandakanyeka kwe-condylar ye-Unilateral yi-2AC / BC, kwaye akukho nxaxheba ye-condylar yi-2A. /B.Ngokusekelwe kolu luhlu lungasentla kunye nokuqwalasela ukukhubazeka kwesikhumba, ubude be-mandibular defect, imfuno yamazinyo emboleko, kunye nezinye iimeko ezikhethekileyo, ugqirha wotyando uqinisekisa ngakumbi uhlobo lwe-flap yamathambo yamahhala ekufuneka isetyenziswe.

Iipleyiti zoKwakha kwangaphambili zenzelwe ukusetyenziswa kwi-oral and maxillofacial surgery, trauma and reconstructive surgery.Oku kubandakanya ukwakhiwa ngokutsha kwe-mandibular esisiseko, iifractures ezenziweyo kunye nokuvalwa kwebhulorho okwethutyana kusalindwe ukulibaziseka kokwakhiwa ngokutsha, kubandakanywa ukophuka kwe-edentulous kunye/okanye i-atrophic mandibles, kunye nokwaphuka okungazinzanga.Inzuzo yesigulana - ngokufuna ukufumana iziphumo ezanelisayo zobuhle kunye nokunciphisa ixesha lokusebenza.Iipleyiti eziKhethekileyo zesigulana zeMandible ziphelise uxinzelelo olubangelwa ngumatshini kwiipleyiti zokugoba.


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