maxillofacial trauma micro X ipleyiti

Ukulimala komlomo kunye ne-maxillofacial ngokuqhelekileyo kubangelwa ukulimala okunxulumene nomsebenzi, ukulimala kwezemidlalo, iingozi zendlela kunye nokulimala ngengozi ebomini.Ukujikeleza kwegazi kwi-maxillofacial kucebile, kudibene nengqondo kunye nentamo, kwaye kukuqala kwendlela yokuphefumla kunye ne-digestive tract.Kukho amathambo e-maxillofacial kunye ne-cavity sinuses.Kukho amazinyo ancanyathiselwe kwithambo le-maxillofacial, kwaye ulwimi luqulethwe emlonyeni.Ubuso bunezihlunu zobuso kunye nemithambo yobuso;Ilungu le-temporomandibular kunye namadlala amathe;Benza imisebenzi yokuthetha, intetho, ukuhlafuna, ukuginya nokuphefumla.

Ukulungiswa kwe-maxillofacial fracture emva kokunciphisa inyathelo elibalulekileyo kunyango.Iindlela zokulungisa ezisetyenziswa ngokuqhelekileyo ziquka ukulungiswa kwe-arch yomhlathi omnye, ukulungiswa kwe-interjaw, ukulungiswa kwe-interjaw ligation, ukulungiswa kwe-miniplate okanye i-microplate, ukulungiswa kwe-cranial kunye nomhlathi, kunye nezinye iindlela ziquka ukulungiswa kwe-perimaxillary kunye nokunyanzeliswa. ukulungiswa kwepleyiti.

1. Indlela yokulungisa i-splint ye-arch yamazinyo yomhlathi omnye: kukusebenzisa i-2 mm ububanzi bocingo lwe-aluminium okanye imveliso egqityiweyo kunye ne-hook yamazinyo e-arch splint, ngokwemilo ye-arch yamazinyo, kwaye emva koko sebenzisa i-metal ligation wire ngokusebenzisa indawo yezinyo, i-splint ihlanganiswe kwinxalenye okanye onke amazinyo kumacala omabini omgca wokuphuka, ukulungisa isahlulo sokuphuka.Le ndlela ifanelekile kwiifractures ngaphandle kokufuduka okucacileyo, njengokuqhekeka kwe-middleline ye-maxillochin kunye ne-alveolar fracture yendawo. .

2. Ukulungiswa kwe-Intermaxillary: indlela eqhelekileyo kukubeka i-arch yamazinyo ekhonjiweyo kumazinyo aphezulu nangaphantsi, kwaye emva koko usebenzise ibhanti encinci yerabha yokulungiswa kwe-intermaxillary, ukwenzela ukuba umhlathi uhlala kwindawo yobudlelwane obuqhelekileyo be-occlusal.Le ndlela inokwethenjelwa, ifanelekile kwiindidi ezahlukeneyo ze-mandibular fractures, inzuzo kukuba umhlathi unokuphiliswa kwindawo efanelekileyo, ukulungele ukubuyiswa komsebenzi, ukungahambi kakuhle kukuba abonzakeleyo abakwazi ukuvula umlomo ukuba badle, kwaye akukho lula. ukugcina ucoceko lomlomo, kufuneka komeleze ukonga.

3. I-Interosseous ligation kunye nokulungiswa: kwimeko yokunciphisa utyando oluvulekileyo, iziphelo ezimbini eziphukileyo zokuphuka ziyakwazi ukuqhutyelwa kwaye emva koko zihlanganiswe kwaye zilungiswe ngocingo lwensimbi engenasici.Le yindlela ethembekileyo yokulungisa.Ukuphuka komhlathi kunye nomhlathi ongenamazinyo. ukuphuka ebantwaneni nako kunokulungiswa ngale ndlela.

4. Ukulungiswa kwepleyiti encinci okanye i-micro plate: ngesiseko sokunciphisa okuvulekileyo okuvulekileyo, ipleyiti encinci okanye ipleyiti encinci yobude obufanelekileyo kunye nemilo ibekwe ngaphesheya kwendawo yamathambo yeziphelo ezimbini ezaphukileyo zokwaphuka, kwaye isikrufu esikhethekileyo sisetyenziselwa ukungena kwi-cortex yamathambo ukulungisa i-plate, ukwenzela ukuba kufezekiswe injongo yokulungiswa kokuphuka.Amacwecwe amancinci ahlala esetyenziselwa i-mandible, ngelixa iiplate ezincinci zisetyenziselwa i-maxilla.

5. Indlela yokulungisa i-cranial kunye ne-maxillofacial: i-maxillary transverse fracture, ayinakuthembela kuphela kwi-mandible ukulungiswa, inokusebenzisa ukhakhayi ukulungiswa, kungenjalo ubuso obuphakathi buxhomekeke kwi-deformation emide.Indlela yokulungiswa kukubeka kuqala i-arch splint. kumazinyo amakhulu, emva koko ubophe enye isiphelo se-arch splint kwindawo yangasemva yezinyo ngocingo lwensimbi engenasici, kunye nesinye isiphelo se-arch splint ngokusebenzisa umngxuma womlomo ngokusebenzisa izicubu ezithambileyo ze-zygomaticocheek, kwaye uxhome kwinkxaso ye-zygomaticocheek. I-plaster cap.Ngexesha elifanayo, ukulungiswa kwe-intermaxillary yongezwa.

Ixesha lokulungiswa komhlathi womhlathi linokumiselwa ngokokulimala kwesigulane, ubudala kunye nemeko jikelele. Ngokuqhelekileyo iiveki ze-3 ~ 4 ze-maxilla kunye ne-4 ~ 8 iiveki ze-mandible. Indlela eguquguqukayo kunye ne-static ingasetyenziselwa ukunciphisa ixesha ukulungiswa kwe-interjaw.Indlela kukuba emva kweeveki ezi-2 ukuya kwezi-3 zokunganyangeki, i-rubber ring isuswe ngelixa ukondla kunye nokunyakaza okufanelekileyo kuvunyelwe.Emva kokusetyenziswa kweplate encinci okanye i-micro plate yokulungiswa kwangaphakathi okunamandla, uqeqesho olusebenzayo lunokuthi luqhutywe ngokufanelekileyo. phambili ukukhuthaza ukuphiliswa kokwaphuka.