ukukhiya ipuleti elingunxande elincane le-maxillofacial

Incazelo emfushane:

Isicelo

Idizayini yokwelashwa kokuhlinzwa kwe-maxillofacial trauma fracture, esetshenziselwa ingxenye yamakhala, i-pars orbitalis, i-pars zygomatica, isifunda se-maxlla, i-mandible (ukuhlukumezeka okulula nokuzinzile).


Imininingwane Yomkhiqizo

Omaka bomkhiqizo

Okubalulekile:i-titanium ehlanzekile yezokwelapha

Ubukhulu:1.0mm

Ukucaciswa komkhiqizo

Into No.

Ukucaciswa

10.01.04.08023000

8 izimbobo

25 mm

10.01.04.12023000

12 izimbobo

38mm

10.01.04.16023000

16 izimbobo

51 mm

Izici Nezinzuzo:

imininingwane (3)

ukukhiya i-maxillofacial micro kanye nepuleti elincane lingasetshenziswa ngokuhlehla

indlela yokukhiya: cindezela ubuchwepheshe bokukhiya

 imbobo eyodwa khetha izinhlobo ezimbili zesikulufu: ukukhiya nokungakhiyi konke kuyatholakala, kungenzeka ukuthi kuhlanganiswe mahhala amapuleti nezikulufu, kuhlangatshezwane nesidingo sezinkomba zomtholampilo ezingcono neziningi kakhulu.

ipuleti lethambo lithatha i-titanium yesiJalimane ekhethekile eyenziwe ngokwezifiso ye-ZAPP njengempahla eluhlaza, ene-biocompatibilty enhle nokusabalalisa usayizi wokusanhlamvu okufanayo. Ungaphazamisi ukuhlolwa kwe-MRI/CT

unqenqema ipuleti ibushelelezi, ukunciphisa ukukhuthazwa izicubu ezithambile.

Ukufanisa isikulufu:

φ2.0mm isikulufu sokuzibhoboza

φ2.0mm isikulufu esizithephayo

φ2.0mm isikulufu sokukhiya

Ithuluzi elifanayo:

i-drill bit yezokwelapha φ1.6*12*48mm

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

isibambo sokuhlanganisa esisheshayo esiqondile

ctu3

Ipuleti lokukhiya idivayisi yokulungisa ukuphuka enembobo enentambo yokukhiya.Ipuleti lokukhiya livumela ithambo ukuthi lihlangane liqine kakhudlwana epuletini, okwenza isitho esinqanyuliwe sizinze nakakhulu ngemva kokumiswa kabusha.

Amapuleti okukhiya aqala ukusetshenziswa eminyakeni engu-20 edlule ekuhlinzeni umgogodla kanye ne-maxillofacial ukuze kuzinze ukuphuka ngenkathi kunciphisa ukuhlukaniswa kwezicubu ezithambile kanye nokulimala.

Ipuleti lokukhiya idivayisi yokulungisa ukuphuka enezimbobo ezinentambo lapho ipuleti lisebenza njengedivaysi yokulungisa i-engeli uma kufakwa isikulufu esinekhanda elinentambo.Zombili izimbobo zokukhiya nezingakhiyi zinganikezwa ukuze kufakwe isikulufu esihlukile.Noma yiliphi ipuleti elingase kufakwe isikulufu esigxilile (esizinzile) se-engeli noma ibhawudi empeleni iyipuleti lokukhiya.Ukuqina kwe-steel plate akuncikile ekungqubuzaneni kwethambo ukuze kuqhamuke ukuxhumana, kodwa kuncike ngokuphelele esakhiweni sokukhiya se-steel plate ngokwayo.A igebe elithile lingashiywa phakathi kwepuleti lensimbi nendawo yethambo, okuqeda umthelela omubi wokuthintana okusindayo phakathi kwepuleti lensimbi nethambo, futhi kuthuthukisa kakhulu ukunikezwa kwegazi nokukhula nokubuyiselwa kwe-periosteum.Umehluko omkhulu we-biomechanical phakathi ipuleti lensimbi lendabuko kanye nepuleti lensimbi lendabuko ukuthi leli lakamuva lithembele kumandla okungqubuzana kusixhumi esibonakalayo sethambo lepuleti ukuze kucindezela ithambo.

Isikulufu sokukhiya yisikulufu esizithephayo futhi singasetshenziswa ngaphandle kokuthepha noma ukubhola kwethambo.Ayikho ingcindezi phakathi kwepuleti lensimbi ne-bone cortex, ngakho-ke akukho ngcindezi ku-periosteum, ukuze kuvikelwe ukunikezwa kwegazi kwe-periosteum. Mayelana nendlela yokuhlinza, ingahlangabezana nezidingo zokuhlinza kancane kancane, futhi ingavikela kahle igazi lendawo eliphukile, ukuze kungadingeki ukuxhunyelelwa kwethambo.Isikafula sokulungisa sangaphakathi siyanwebeka.Ebukhoneni bomthwalo, kukhona ukugqugquzela ukucindezeleka phakathi kwamabhulokhi okuphuka, okuhambisana nokwakheka kwe-callus nokuphulukiswa kwe-fracture.

Ngemuva kokuphuka kwe-maxillofacial, ikakhulukazi ukunciphisa nokulungiswa.Isibonakaliso esibalulekile sokunciphisa ukuphuka komhlathi ukubuyisela ubuhlobo obujwayelekile be-occlusal bamazinyo angaphezulu naphansi, okungukuthi, ukuxhumana okubanzi kwamazinyo.Ngaphandle kwalokho kuzothinta ukubuyiswa komsebenzi wokuxubha. ngemva kokwelashwa kokuphuka.Kunezindlela ezintathu ezivamile zokusetha kabusha:

1.Ukunciphisa okukhohlisayo: esigabeni sokuqala sokuphuka komhlathi, ingxenye yokuphuka iyasebenza ngokuqhathaniswa, futhi ingxenye ye-fracture esusiwe ingabuyiselwa endaweni evamile ngesandla.

2. Ukunciphisa ukudonsa: ngemva kokuphuka komhlathi, ngemva kwesikhathi eside (ngaphezu kwamasonto amathathu e-maxilla, ngaphezu kwamasonto amane e-mandible), ukuphuka kunengxenye yokuphulukiswa kwezicubu ze-fibrous, ukunciphisa ngesandla akuphumeleli, indlela yokunciphisa ukudonsa ingasetshenziswa.Ukuqhekeka kwe-mandibular ukuphuka komhlathi okunezinjongo eziningi, kusethanjeni lomndibula kunokugudluka kwengxenye yokuphuka kokubekwa kwesigatshana se-arch splint yamazinyo, bese kuba phakathi kwe-arch splint yamazinyo kanye ne-maxillary, nge ibhande elincane lenjoloba lokudonsa okunwebekayo, ukuze kancane kancane libuyisele ubuhlobo obuvamile be-occlusal.Ngemva kokuphuka kwe-maxillary, uma ingxenye ye-fracture ishintsha emuva, i-arch splint yamazinyo ingafakwa ku-dentition maxillary, futhi i-cap ye-plaster ene-bracket yensimbi ingaba eyenziwe ekhanda.I-elastic traction ingenziwa phakathi kwe-arch arch splint kanye nobakaki bensimbi, ukuze ingxenye ye-maxillary fracture ikwazi ukubuyiselwa phambili.I-Horizontal gravity traction ingasetshenziswa futhi lapho kudingeka amandla amakhulu okudonsa.

3.Ukuncishiswa okuvulekile: Izinkomba zokunciphisa okuvulekile zibanzi.Ukunciphisa okuvulekile kufanele kwenziwe lapho ingxenye yokuphuka isuswa isikhathi eside futhi kukhona ukuphulukiswa kwe-fibrous noma ukuphulukiswa kokungahambi kahle kwamathambo, futhi ukuncishiswa akukwazi ukuzuzwa ngokukhohlisa noma ukudonsa. izicubu ze-fibrous ezakhiwe ekuphulukisweni kokuhlukaniswa phakathi kweziphetho eziphukile zokuphuka ziyasikwa noma i-callus ikhishwe, futhi umhlathi uhlanjululwe kabusha ukuze ubuyele endaweni yawo evamile.Ukunciphisa okuvulekile ngokuvamile kusetshenziselwa ukuphuka okusha noma ukuphuka okuvulekile kanzima. ekunciphiseni mathupha noma ukungazinzi ngemva kokunciphisa.


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