Okubalulekile:i-titanium ehlanzekile yezokwelapha
Ubukhulu:2.4mm
Ukucaciswa komkhiqizo
| Into No. | Ukucaciswa | |||
| 10.13.06.12117101 | kwesokunxele | S | 12 izimbobo | 132 mm |
| 10.13.06.12217101 | kwesokudla | S | 12 izimbobo | 132 mm |
| 10.13.06.13117102 | kwesokunxele | M | 13 izimbobo | 138 mm |
| 10.13.06.13217102 | kwesokudla | M | 13 izimbobo | 138 mm |
| 10.13.06.14117103 | kwesokunxele | L | 14 izimbobo | 142 mm |
| 10.13.06.14217103 | kwesokudla | L | 14 izimbobo | 142 mm |
Inkomba:
•I-trauma engenzeka:
Ukuphuka okuncishisiwe kwe-mandible, ukuphuka okungazinzile, ukungezwani okungeyona ingxenye yegciwane kanye nenkinga yethambo.
•Ukwakhiwa kabusha kwe-Mandible:
Ngokokuqala ngqa noma ukwakhiwa kabusha kwesibili, okusetshenziselwa ukufakwa kwamathambo noma ukukhubazeka kwamabhulokhi amathambo e-dissociative (Uma umsebenzi wokuqala ungaxhunywanga, ipuleti lokwakha kabusha liqinisekisa kuphela ukuthwala isikhathi esilinganiselwe, futhi kufanele lenze umsebenzi wesibili wokuxhunyelelwa kwethambo ukusekela i-reconstruction pate).
Izici Nezinzuzo:
•I-pitch-row yepuleti lokwakha kabusha idizayini ekhethekile yokulungiswa ngesikhathi sokusebenza, ukuthuthukisa isimo sokugxilisa ingcindezi endaweni ethile namandla okukhathala.
•imbobo eyodwa khetha izinhlobo ezimbili zesikulufu: ukukhiya ipuleti le-anatomical lokwakha kabusha i-maxillofacial lingabona izindlela ezimbili ezigxilile: ezikhiyiwe nezingavaliwe.Isikulufu sokukhiya ibhulokhi yethambo egxilile futhi ngesikhathi esifanayo uqinise ipuleti, njengosekelo lokulungisa okwakhelwe ngaphakathi.Isikulufu esingakhiyi singenza i-engeli kanye nokuminyanisa ukulungisa.
Ukufanisa isikulufu:
φ2.4mm isikulufu esizithephayo
φ2.4mm isikulufu sokukhiya
Ithuluzi elifanayo:
i-drill drill bit φ1.9*57*82mm
umshayeli we-screw head screw: SW0.5 * 2.8 * 95mm
isibambo sokuhlanganisa esisheshayo esiqondile
Njengesitho sobuso esibalulekile sokugcina ubuhle, ukuma kwe-mandible kudlala indima ebalulekile ebuhleni bobuso.Izici eziningi ezifana nokuhlukunyezwa, ukutheleleka, ukukhishwa kwesimila nokunye kungabangela ukukhubazeka.Ukukhubazeka kwe-mandible akuthinti nje kuphela ukubukeka kwesiguli, kodwa futhi kubangela okungavamile ekuhlafuneni, ukugwinya, inkulumo kanye neminye imisebenzi.Ukwakhiwa kabusha kwe-mandibular ekahle akufanele nje kufinyelele ukuqhubeka nobuqotho bethambo le-mandibular nokubuyisela ukubukeka kobuso, kodwa futhi. hlinzeka ngezimo eziyisisekelo zokubuyiselwa kwemisebenzi yokuphila yangemva kokuhlinzwa njengokuhlafuna, ukugwinya nokukhuluma.
Imbangela yokukhubazeka kwe-mandible
Ukwelashwa kwe-tumor: i-ameloblastoma, i-myxoma, i-carcinomas, i-sarcoma.
Ukulimala kwe-avulsive traumatic: ngokuvamile kuvame ukuvela ekulimaleni kwesivinini esiphezulu njengezibhamu, izingozi zezimboni, kanye nokushayisana kwezimoto ngezikhathi ezithile.
Izimo ezivuthayo noma ezithathelwanayo.
Imigomo Yokwakha Kabusha
1. Buyisela umumo wokuqala wengxenye yesithathu engezansi yobuso kanye ne-mandible
2. Gcina ukuqhubeka kwe-mandible futhi ubuyisele ubudlelwane bendawo phakathi kwe-mandible nezicubu ezithambile ezizungezile
3. Buyisela ukuhlafuna okuhle, ukugwinya, nokukhuluma kahle
4. Gcina umoya owanele
Kunezinhlobo ezine zokwakhiwa kabusha okuncane kweziphambeko ze-mandibular.Ukuhlukumezeka nokususwa kwesimila se-mandible kungase kuthinte ukubukeka futhi kubangele ukusilela ekusebenzeni okufana ne-malocclusion ngenxa yokulimala kwemisipha ehlangene. ithuthukisiwe, futhi ubunzima bokwakhiwa kabusha ngempumelelo kwe-mandible kusekukhethweni kwendlela engcono kakhulu.Ngenxa yobunkimbinkimbi besici se-mandibular, isethi yezindlela ezilula, ezisebenzayo nezijwayelekile ezamukelwayo zokuhlukanisa kanye nezindlela zokwelapha ezihlelekile azinalutho.Schultz et al.kubonise indlela entsha yokuhlukanisa eyenziwe lula kanye nendlela ehambisanayo yokwakhiwa kabusha kanye nokulungiswa kwe-mandible ngokwenza, eyanyatheliswa kujenali yakamuva ye-PRS.Lokhu kuhlukaniswa kugxile ekuthembekeni kwemithambo endaweni yomamukeli, ngenhloso yokulungisa ngokunembile umandibula oyinkimbinkimbi. amaphutha ngezindlela ze-microsurgical.Indlela iqala ihlukaniswe yaba izinhlobo ezine ngokuya ngobunkimbinkimbi bokuhlinzwa okuvuselelayo.Umugqa omaphakathi ophansi we-mandible wawuwumngcele.Uhlobo loku-1 lube nenkinga ehlangene engabandakanyi i-engeli ye-mandibular, uhlobo 2 lwalunesici esihlangothini olulodwa oluhlanganisa i-engeli ye-mandibular ephikisanayo, uhlobo 3 lwalunokukhubazeka okuhlangene okubandakanya noma yiluphi uhlangothi lwe-Engeli ye-mandibular, futhi uhlobo 4 lwalunokukhubazeka okuhlangene okuhlanganisa uhlangothi olulodwa. noma i-engeli ye-mandibular yamazwe amabili.Uhlobo ngalunye luphinde luhlukaniswe lube uhlobo A (olusebenzayo) nohlobo B (alusebenzi) ngokuya ngokuthi imikhumbi ye-ipsilateral ifanele i-anastomosis.Uhlobo B ludinga i-anastomosis yemikhumbi ye-contralateral yomlomo wesibeletho.Kumacala ohlobo lwe-2, kuyadingeka ukukhombisa ukuthi ngabe inqubo ye-condylar ihilelekile ukuze kunqunywe ukuthi iyiphi impahla ye-graft okufanele isetshenziswe: Ukubandakanyeka kwe-condylar ye-Unilateral yi-2AC / BC, futhi akukho ukubandakanyeka kwe-condylar yi-2A. /B.Ngokusekelwe ekuhlukaniseni okungenhla nokucabangela ukukhubazeka kwesikhumba, ubude besici se-mandibular, isidingo samazinyo okufakelwa, nezinye izimo ezikhethekile, udokotela ohlinzayo uqhubeka enquma uhlobo lwe-flap yamathambo yamahhala okufanele isetshenziswe.
Amapuleti Okwakha Kabusha Esenziwe Ngaphambili ahloselwe ukusetshenziswa ekuhlinzweni komlomo kanye ne-maxillofacial, ukuhlukumezeka nokuhlinzwa okwakha kabusha.Lokhu kufaka phakathi ukwakhiwa kabusha kwe-mandibula eyinhloko, ukuphuka okuqhubekayo kanye nebhuloho lesikhashana elilindele ukwakhiwa kabusha okulibazisekayo kwesibili, okuhlanganisa ukuphuka kwe-edentulous kanye/noma i-atrophic mandibles, kanye nokuphuka okungazinzile.Inzuzo Yesiguli - ngokufuna ukuzuza imiphumela yobuhle eyanelisayo kanye nokunciphisa isikhathi sokusebenza.Amapuleti Akhethekile Esiguli e-Mandible asusa ukucindezeleka komshini okuvela kumapuleti agobayo.
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ukukhiya ipuleti le-maxillofacial mini 110° L
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I-maxillofacial trauma mini arc plate
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ukwakhiwa kabusha kwe-maxillofacial 120 ° L ipuleti
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i-anatomical locking maxillofacial mini iqonde ...
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φ2.0mm isikulufu sokuzibhoboza
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ipuleti lebhuloho eliqondile le-maxillofacial trauma mini
