Asɛm no mu nsɛm a wɔaka abom .
Tfacial trauma nsɛm a ɛfa midface fractures, le fort i patterns, ne occlusal dysfunction ho no taa ba wɔ apirakuru a ahoɔden kɛse wom mu. wɔ Afrika Atɔe fam, titiriw Ghana, a wɔagye atom . CMF fixation techniques, ORIF ayaresa, ne titanium maxillofacial plating nhyehyɛe ahorow no ama nea efi mu ba no atu mpɔn kɛse ama ayarefo a wɔapirapira. Asɛm a edi so yi si anim nkɛntɛnso a ɛwɔ anim a ɛfa humeral ti ho a wɔsan yɛɛ no yiye a Le Fort I mfinimfini anim abubu, a wɔhwɛ so wɔ Korle Bu Nkyerɛkyerɛ Ayaresabea a wɔde di dwuma no so dua . Czmeditech 2.0mm maxillofacial mprɛte ne nkuruwankuruwa a ɛyɛ ne ho.
Ayarefo ho nsɛm .
Male, aged 33. ontumi mfa ne sẽ nka ho, enlogated face/ le fort 1 fracture of the midface after a road traffic acciednt.
Mfonini a wɔde yɛ oprehyɛn ansa na wɔayɛ oprehyɛn .
Mfonini a wɔyɛ ansa na wɔreyɛ oprehyɛn no daa mfinimfini anim a entumi nnyina pintinn adi, a ɛne Le Fort I a ɛpaapae a ɛde ɔhaw ahorow a ɛyɛ adwuma wɔ occlusal mu ba ne mfinimfini anim a ɛtrɛw no hyia. Saa nhwɛso ahorow yi taa bata SE ho .Vere anim apirakuru a wɔsan yɛ no foforo .
![ansa na wɔreyɛ no oprehyɛn-afiri a wɔde yɛ oprehyɛn-fracture-ghana-czmeditech .]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Intraoperative Imaging .
Oprehyɛn mu adwene ahorow kyerɛe sɛ mpaapaemu no afã horow no so tew pɛpɛɛpɛ, a oprehyɛn kuw no yɛɛ nipadua no mu nsakrae ne emu a wɔde si hɔ denneennen, na ɛhwɛ hui sɛ anim a wɔde gyina hɔ no hyia yiye. Wɔyɛɛ maxillofacial mprɛte no sɛnea ɛbɛyɛ a ɛne ɔyarefo no abɔde mu anim a ɛyɛ kurukuruwa no bɛyɛ pɛ, na ɛmaa fixation a ɛyɛ den no yɛɛ yiye.
![Oprehyɛn a ɛwɔ oprehyɛn no mu-maxillafacial-plate-fixation-Ghana1-Czmeditech .]( "intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech")
![Oprehyɛn mu-adwene-maxillafacial-plate-fixation-Ghana2-Czmeditech .]( "intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech")
![Oprehyɛn mu-adwene-maxillafacial-plate-fixation-Ghana3-Czmeditech .]( "intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech")
Oprehyɛn akyi mfonini .
Oprehyɛn akyi mfonini no sii so dua sɛ nnompe a ɛyɛ den a ɛsa yare, ɛma occlusal dwumadi san ba, na ɛma mfinimfini no yɛ pɛ a ɛma abotɔyam, na ɛkyerɛ sɛnea titanium plating nhyehyɛe ahorow no tu mpɔn wɔ anim apirakuru a wɔhwɛ so no mu.
![Oprehyɛn Akyi-Afiri-Maxillofacial-Fixation-Himeral-ti .]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Oprehyɛn akyi mfonini .
Oduruyɛfo Gabriel daa abotɔyam kɛse adi wɔ maxillofacial mprɛte a Czmeditech de mae no ho. Maxillofacial mprɛte ma wonya ahoɔden na ɛnyɛ den sɛ wɔbɛsakra wɔn ho na wɔayɛ no sɛnea ɛbɛyɛ a wobedi ayarefo ahiade ho dwuma.
a wɔde di dwuma wɔ . 2.0mm titanium mprɛte maa kwan ma contouring a ɛyɛ pɛpɛɛpɛ, midface buttresses a ɛyɛ den, ne functional occlusion a wɔsan de sii hɔ. Saa kwan yi ne wiase nyinaa gyinapɛn ahorow hyia wɔ . Oprehyɛn a wɔyɛ wɔ cranio-maxillofacial apirakuru ho ..
Ayaresa mu ntease .
Saa asɛm yi kyerɛ tumi a Ghana apirakuru mmeae ahorow no tumi renya nkɔanim kɛse CMF a wɔsan yɛ no foforo ., wɔ nkɔso titiriw wɔ Le Fort I abubuw mu. Nneɛma a wɔde si hɔ a ɛyɛ den, mfiridwuma a ɛyɛ kɛse, ne nkɔnsɔnkɔnsɔn a ɛma obi tumi twe ne ho no a wɔaka abom no hwɛ ma nneɛma a wotumi hyɛ ho nkɔm ba, ɔhaw ahorow a ɛso tew, na ɛsan nya ahoɔden a ɛne ne ho hyia ntɛmntɛm ne sɛnea occlusion no yɛ adwuma.
FAQ .
1. Mmubui bɛn na wɔyɛɛ ho adwuma wɔ asɛm yi mu?
Saa asɛm yi fa humeral head injury ne Le Fort I midface fracture a efi akwanhyia bi a ɛba wɔ akwan so mu bae. Na abien no nyinaa hia fixation a ɛyɛ den na ama anim nhyehyɛe ne occlusion asan aba.
2. Dɛn nti na wɔpaw 2.0mm maxillofacial mprɛte maa oprehyɛn yi?
2.0mm maxillofacial mprɛte ma contouring tumi a ɛkyɛn so, ɛyɛ pintinn, ne sɛnea wotumi yɛ nsakrae, na ɛma nnuruyɛfo a wɔyɛ oprehyɛn no tumi yɛ mprɛte no sɛnea ɔyarefo no nipadua te —ɛfata ma mfinimfini anim a wɔsan yɛ no.
3. So maxillofacial mprɛte no fata sɛ wɔde sa le fort i abubu?
Aane. Maxillofacial mprɛte ma fixation a ɛyɛ den wɔ midface buttresses no so, na ɛboa ma occlusion, symmetry, ne structure support san ba wɔ Le Fort I abubuw mu.
4. Mfaso bɛn na Czmeditech a wɔde hyɛ nipadua mu no de mae wɔ saa adeyɛ yi mu?
Na ɛnyɛ den sɛ wɔde Czmeditech mprɛte ne nkɔnsɔnkɔnsɔn no bɛkyekyere, na ɛma wotumi de ho to so, na ɛne nipadua no mu ntini ho ahwehwɛde ahorow a ɛwɔ akisikuru no mu no hyia, na ɛmaa oprehyɛn no yɛɛ yiye na nea efii mu bae no yɛɛ yiye.
5. Bere tenten bɛn na ahoɔden a wonya no taa gye ORIF ma Le Fort I fracture?
Ɛsono sɛnea wɔn ho tɔ wɔn, nanso ayarefo dodow no ara san nya occlusion a ɛfata ne wɔn anim dwumadi wɔ adapɛn 6–12 mu, a egyina oprehyɛn akyi hwɛ ne akyi a wodi so.
6. Oprehyɛn akyi haw ahorow bɛn na ebetumi aba wɔ mfinimfini anim a ɛpaapae no mu?
Nsɛnnennen a ebetumi aba no bi ne malocclusion, ɔyare mmoawa, hardware a wɔde hyɛ mu, anaasɛ anim a ɛnyɛ pɛpɛɛpɛ a aka. Fixation a ɛfata ne akyi a wodi no ma asiane ahorow yi so tew kɛse.
7. So screws a wɔde wɔn ho to so no tu mpɔn ma maxillofacial fixation?
Aane. Screws a wɔde wɔn ho to so no brɛ bere a wɔde yɛ oprehyɛn no ase, ɛma wotumi de wɔn ho hyɛ mu denneennen, na eyi hia a ɛho hia sɛ wodi kan tu no fi hɔ wɔ nsɛm pii mu, na ɛma ɛyɛ adwuma yiye ma ORIF a ɛwɔ anim no.
8. Ɔkwan bɛn so na plating boa ma occlusion san ba wɔ le fort i fracture akyi?
Ɛdenam mfinimfini anim a ɛma ɛyɛ den so no, mprɛte no kura nsusuwii a ɛfata a ɛda fam ne nea ɛda fam no mu, na ɛma nsensan no yɛ nea ɛfata na ɛma ɛyɛ nea ɛfata.
9. So wobetumi ayɛ nsakrae wɔ maxillofacial mprɛte mu bere a wɔreyɛ oprehyɛn no ma ɛne ɔyarefo no nipadua ahyia?
Aane. Wɔayɛ maxillofacial mprɛte no ama intraoperative contouring, na ɛma nnuruyɛfo a wɔyɛ oprehyɛn no kotow na wɔyɛ no sɛnea ɛbɛyɛ a ɛbɛsakra no pɛpɛɛpɛ ma ɛne ankorankoro anim nhyehyɛe ahyia.
10. So wɔkamfo Orif kyerɛ sɛ wɔmfa mfinimfini anim a ɛyɛ hu te sɛ Le Fort I?
Wɔkamfo Orif kyerɛ kɛse efisɛ ɛma nhyehyɛe mu nodi mu kura, nsensan a ɛkɔ nipadua no mu, ne anim a ɛyɛ fɛ no san ba yiye sen ayaresa a wɔde di dwuma wɔ ɔkwan a ɛyɛ mmerɛw so.
