Asɛm no mu Nsɛm a Wɔaka abom
TFacial trauma nsɛm a ɛfa mfinimfini anim a ɛpaapae, Le Fort I nhyehyɛe, ne occlusal dysfunction ho no abu so wɔ ahoɔden kɛse apirakuru mu. Wɔ Afrika Atɔe fam, titiriw Ghana no, nea wɔagye atom a ɛkɔ anim CMF fixation akwan, ORIF akwan, ne titanium maxillofacial plating nhyehyɛe ama nea efi mu ba no atu mpɔn kɛse ama ayarefo a wɔapirapira. Asɛm a edidi so yi si sɛnea wɔsan kyekyee anim a ɛfa humeral head–related facial impact a edii nkonim a Le Fort I midface fracture, a wɔde dii dwuma wɔ Korle Bu Teaching Hospital no so dua CZMEDITECH 2.0mm maxillofacial mprɛte ne nkɔnsɔnkɔnsɔn a ɛtumi tu ne ho.
Ayarefo Ho Nsɛm
Ɔbarima, a wadi mfe 33. Ɔrentumi mfa ne sẽ nhyɛ mu, enlogated face/ Le Fort 1 fracture of the Midface after a road traffic acciednt.
Mfonini a Wɔyɛ ansa na Wɔreyɛ Oprehyɛn
Mfonini a wɔyɛe ansa na wɔreyɛ oprehyɛn no daa mfinimfini anim a entumi nnyina pintinn kɛse adi, na ɛne Le Fort I a ɛpaapae a ɛde dwumadi mu occlusal haw ahorow ba ne mfinimfini anim no tenten hyia. Wɔtaa de saa nhwɛso ahorow yi bata se hovere anim ahodwiriw a wɔsan si ho nsɛm.
![ansa na wɔayɛ oprehyɛn-mfonini-lefort-fracture-ghana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Mfonini a Wɔyɛ wɔ Oprehyɛn Mu
Oprehyɛn no mu nneɛma a wɔhwɛe no kyerɛe sɛ abubuw no afã horow no so atew pɛpɛɛpɛ, na oprehyɛn kuw no yɛɛ nipadua no mu nsakrae ne emu nneɛma a wɔde si hɔ denneennen, na wɔhwɛɛ sɛ anim nnua a wɔde gyina so no hyia yiye. Wɔyɛɛ akisikuru mprɛte no sɛnea ɛbɛyɛ a ɛne ɔyarefo no anim a ɛyɛ kurukuruwa a efi awosu mu no bɛyɛ pɛ, na ɛmaa sɛnea wɔde fixation no gyina pintinn no yɛɛ yiye.
![oprehyɛn mu-hwɛ-anom-anim-mprɛte-fixation-ghana1-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech")
![oprehyɛn mu-hwɛ-anom-anim-mprɛte-fixation-ghana2-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech")
![oprehyɛn mu-hwɛ-anom-anim-mprɛte-fixation-ghana3-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech")
Oprehyɛn Akyi Mfoniniyɛ
Oprehyɛn akyi mfoninitwa sii nnompe no yare a ɛyɛ den, occlusal dwumadi a ɛsan ba, ne mfinimfini anim no pɛpɛɛpɛ a ɛma abotɔyam so dua, na ɛkyerɛɛ sɛnea titanium plating nhyehyɛe ahorow no tu mpɔn wɔ anim a ɛyɛ ahodwiriw ho dwumadie mu.
![oprehyɛn akyi-nea efi mu ba-maxillofacial-fixation-humeral-ti]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Oprehyɛn Akyi Mfoniniyɛ
Oduruyɛfo Gabriel daa abotɔyam kɛse adi wɔ maxillofacial mprɛte a CZMEDITECH de mae no ho. Maxillofacial mprɛte ma ɛyɛ den na ɛnyɛ den sɛ wɔbɛsakra no na wɔayɛ no contour de adi ayarefo ahiade ho dwuma.
Sɛnea wɔde di dwuma 2.0mm titanium mprɛte maa kwan ma contouring pɛpɛɛpɛ, fixation denneennen midface buttress, na san de dwumadi occlusion. Saa kwan yi ne wiase nyinaa gyinapɛn ahorow hyia wɔ cranio-maxillofacial oprehyɛn a wɔde yɛ apirakuru.
Nea Ɛho Hia wɔ Ayaresa mu
Saa asɛm yi kyerɛ tumi a ɛrenya nkɔanim wɔ Ghana mmeae a wɔhwɛ apirakuru so sɛ wɔbɛyɛ adwuma a ɛkɔ anim CMF a wɔsan yɛ no foforo, titiriw wɔ Le Fort I akisikuru a ɛyɛ den mu. Rigid fixation, miniplate technology, ne self-drilling screws a wɔaka abom no hwɛ hu sɛ nea ebefi mu aba a wotumi hyɛ ho nkɔm, ɛtew nsɛnnennen so, na f acial symmetry ne occlusion no san ba ntɛmntɛm.
FAQ
1. Akisikuru bɛn na wɔsaa wɔ asɛm yi mu?
Saa asɛm yi fa humeral ti a opirae ne Le Fort I mfinimfini anim a ɛpaapae a efii akwanhyia bi a ɛkɔɔ so wɔ kwan so mu bae ho. Ná ɛsɛ sɛ wɔde abien no nyinaa si hɔ pintinn na ama anim no asan ayɛ nhyehyɛe ne nea ɛbɛkata so.
2. Dɛn nti na wɔpaw 2.0mm maxillofacial plates maa oprehyɛn yi?
2.0mm maxillofacial plates ma contouring tumi a eye kyɛn so, gyina pintinn, na wotumi sesa, na ɛma oprehyɛnfo tumi hyehyɛ mprɛte no sɛnea ɔyarefo no nipadua te —a eye ma mfinimfini anim a wɔsan yɛ.
3. So maxillofacial mprɛte fata sɛ wɔde sa Le Fort I a abubu no?
Aane. Maxillofacial mprɛte ma fixation a ɛyɛ den fa midface buttresses no so, na ɛboa ma wɔsan de occlusion, symmetry, ne structural support ba wɔ Le Fort I abubuw no mu.
4. Mfaso bɛn na CZMEDITECH a wɔde hyɛ nipadua mu no de mae bere a wɔyɛɛ saa adeyɛ yi?
Ná ɛnyɛ den sɛ wɔbɛbɔ CZMEDITECH mprɛte ne nkɔnsɔnkɔnsɔn no ho mfonini, na ɛma wotumi de ho to so, na ɛne nipadua mu ahwehwɛde ahorow a ɛwɔ abubuw nhyehyɛe no mu no hyia, na ɛmaa oprehyɛn no tu mpɔn na nea efi mu ba no tu mpɔn.
5. Bere tenten ahe na ɛtaa gye bere a obi ho tɔ no wɔ ORIF akyi ma Le Fort I abubu?
Ɛsono sɛnea wɔn ho tɔ wɔn, nanso ayarefo dodow no ara san nya nkɔso a ɛfata na wɔn anim yɛ adwuma wɔ adapɛn 6–12 mu, a egyina oprehyɛn akyi hwɛ a wodi so ne nea wodi akyi so.
6. Oprehyɛn akyi nsɛnnennen bɛn na ebetumi aba wɔ anim mfinimfini a abubu mu?
Nsɛnnennen a ebetumi aba ne malocclusion, ɔyare mmoawa, hardware a ɛda adi, anaasɛ anim a ɛnyɛ pɛpɛɛpɛ a aka. Nneɛma a wɔde si hɔ yiye ne nea wodi akyi no brɛ asiane ahorow yi ase kɛse.
7. So nkɔnsɔnkɔnsɔn a ɛno ankasa tumi tu no tu mpɔn ma anim a ɛwɔ anim a wɔde si hɔ?
Aane. Screws a wɔn ankasa tumi tu no brɛ bere a wɔde yɛ adwuma no ase, ɛma wɔde nneɛma a ɛyɛ den si hɔ, na ɛmma enhia sɛ wodi kan tu fam wɔ nsɛm pii mu, na ɛma ɛyɛ adwuma yiye ma midface ORIF akwan horow.
8. Ɔkwan bɛn so na plating boa ma occlusion san ba bere a Le Fort I abubu akyi?
Ɛdenam mfinimfini anim a ɛma ɛyɛ den so no, mprɛte no kura gyinabea a ɛfata ne nea ɛda fam no mu, na ɛma nsensan no ahinanan no san hyia na ɛkyekyere no yɛ nea ɛfata.
9. So wobetumi ayɛ nsakrae wɔ maxillofacial plates mu bere a wɔreyɛ oprehyɛn no ma ɛne ɔyarefo no nipadua ahyia?
Aane. Wɔayɛ anim mprɛte sɛ wɔmfa nkɔ oprehyɛn no mu, na ɛma nnuruyɛfo a wɔyɛ oprehyɛn tumi kotow na wɔyɛ no sɛnea ɛbɛyɛ a ɛbɛsakra pɛpɛɛpɛ ma ɛne anim nhyehyɛe ankorankoro ahyia.
10. So wɔkamfo ORIF kyerɛ ma mfinimfini anim a ɛpaapae a ɛyɛ hu te sɛ Le Fort I?
Wɔkamfo ORIF kyerɛ kɛse efisɛ ɛsan ma nhyehyɛe no mudi mu kura, ɛse no mu yɛ den, na ɛma anim yɛ fɛ yiye sen ayaresa a wɔde di dwuma wɔ ɔkwan a ɛyɛ katee so.
