Nya la Ŋuti Nyatakaka
TFacial trauma cases siwo ku ɖe midface fractures, Le Fort I patterns, kple occlusal dysfunction ŋu bɔ ɖe abi siwo ŋu ŋusẽ geɖe le me. Le Ɣetoɖoƒe Afrika, vevietɔ le Ghana la, woxɔ deŋgɔwo CMF fixation mɔnuwo, ORIF ƒe dɔwɔwɔwo, kple titanium maxillofacial plating systems na emetsonuwo nyo ɖe edzi ŋutɔ na dɔnɔ siwo ŋu nuveviwɔame le. Nya si gbɔna la te gbe ɖe mo ƒe ʋuʋu si do ƒome kple humeral head–si do ƒome kple Le Fort I ƒe titina ƒe gbagbã, si wokpɔ le Korle Bu Nufiafia Kɔdzi zã me la gbugbɔgatu dzidzedzetɔe dzi CZMEDITECH 2.0mm maxillofacial plates kple wo ɖokui-ku-ku ƒe gaviwo.
Dɔnɔwo Ŋuti Nyatakakawo
Ŋutsu, si xɔ ƒe 33. Mete ŋu tsɔ eƒe aɖuwo ƒo ƒu o, enlogated mo/ Le Fort 1 fracture of the Midface after a road traffic acciednt.
Nɔnɔmetatawo Xɔxɔ Do Ŋgɔ Na Amekoko
Nɔnɔmetata siwo woɖe do ŋgɔ na dɔwɔwɔ na ame ɖee fia be titina mo ƒe malikenyenye ɖedzesi aɖe, si sɔ kple Le Fort I ƒe gbagbã si he dɔwɔwɔ ƒe occlusal kuxiwo kple titina mo ƒe didime vɛ. Zi geɖe la, wotsɔa kpɔɖeŋu siawo doa ƒome kple severe mo ƒe nuveviwɔame gbugbɔgatu nyawo.
![do ŋgɔ na dɔwɔwɔ-nɔnɔmetata-lefort-fracture-ghana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Nɔnɔmetatawo Xɔxɔ le Dɔwɔwɔ Me
Nukpɔkpɔ siwo wokpɔ le amekokoa me ɖee fia be woɖe akpa siwo gbã la dzi kpɔtɔ pɛpɛpɛ, eye amekolaa ƒe ƒuƒoƒoa wɔ ŋutilã ƒe wɔwɔme gbugbɔgaɖɔɖo kple ememe ɖɔɖɔɖo sesẽ, si na wokpɔ egbɔ be mo ƒe afɔtiwo sɔ ɖe ɖoɖo nu nyuie. Wotrɔ asi le mo ƒe aŋgbawo ŋu be woasɔ kple dɔnɔa ƒe mo ƒe dzɔdzɔme ƒe ƒoƒo, si na be nusiwo wotsɔ blaa moe la li ke nyuie wu.
![le dɔwɔwɔ me-nukpɔkpɔ-maxillofacial-plate-fixation-ghana1-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech")
![le dɔwɔwɔ me-nukpɔkpɔ-maxillofacial-plate-fixation-ghana2-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech")
![le dɔwɔwɔ me-nukpɔkpɔ-maxillofacial-plate-fixation-ghana3-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech")
Dɔwɔwɔ vɔ megbe ƒe Nɔnɔmetatawo Xɔxɔ
Dɔwɔwɔ vɔ megbe nɔnɔmetatawo ɖo kpe ƒu ƒe dɔyɔyɔ si li ke, occlusal ƒe dɔwɔwɔ ake, kple titina mo ƒe sɔsɔme si naa dzidzeme ame dzi, si ɖe titanium-plating systems ƒe dɔwɔwɔ nyuie le mo ƒe nuveviwɔame dzi kpɔkpɔ me fia.
![dɔwɔwɔ vɔ megbe-emetsonu-maxillofacial-fixation-humeral-ta]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Dɔwɔwɔ vɔ megbe ƒe Nɔnɔmetatawo Xɔxɔ
Ðɔkta Gabriel ɖe eƒe dzi dze eme ŋutɔ ɖe maxillofacial plates siwo CZMEDITECH na ŋu. Maxillofacial plates naa li ke eye wòle bɔbɔe be woatrɔ asi le wo ŋu eye wowɔa woƒe nɔnɔme be woakpɔ dɔnɔwo ƒe nuhiahiãwo gbɔ.
Alesi wozãa... 2.0mm titanium-gbadzɛwo ɖe mɔ na contouring pɛpɛpɛ, fixation sesẽ na midface buttress, kple gbugbɔgawɔ dɔwɔwɔ occlusion. Mɔnu sia sɔ kple xexeame katã ƒe dzidzenuwo le tagbɔ kple mo ƒe nuveviwɔame ƒe amekoko.
Dɔnɔdzikpɔƒe ƒe Vevienyenye
Nya sia ɖe ŋutete si le dzidzim ɖe edzi si le Ghanatɔwo ƒe nuveviwɔamedɔwɔƒewo si be woawɔ dɔ deŋgɔ CMF ƒe gbugbɔgatu, vevietɔ le Le Fort I ƒe gbagbã sesẽwo me fia. Fixation sesẽ, miniplate mɔ̃ɖaŋununya, kple self-drilling screws ƒe ƒuƒoƒo naa wokpɔa egbɔ be emetsonu siwo woate ŋu agblɔ ɖi, kuxiwo dzi ɖena kpɔtɔna, eye f acial symmetry kple occlusion ƒe hayahaya kabakaba.
Nyabiasewo ƒe Nyabiasewo
1. Woda abi ka ƒomevie le nya sia me?
Nya sia ku ɖe abi si woxɔ le akɔta ƒe ta kple Le Fort I ƒe mo titina ƒe gbagbã si tso mɔdododziʋufɔku aɖe ta ŋu. Wo ame evea siaa hiã be woatsɔ wo aɖo wo ŋu wòali ke be mo ƒe nɔnɔme kple mo ƒe ʋuʋu nagadze.
2. Nukatae wotia 2.0mm maxillofacial plates na amekoko sia?
2.0mm maxillofacial plates naa contouring ŋutete nyui aɖe, li ke, kple tɔtrɔ ɖe nɔnɔmewo ŋu, si wɔnɛ be amekolawo te ŋu trɔa plate la ɖe dɔnɔa ƒe ŋutilã ƒe wɔwɔme nu—si sɔ nyuie na titina mo gbugbɔgatu.
3. Ðe maxillofacial plates sɔ na Le Fort I ƒe gbagbãƒewo dada?
Ɛ̃. Maxillofacial plates naa nu sesẽwo léna ɖe titina mo ƒe afɔtiwo dzi, si kpena ɖe ame ŋu be woagbugbɔ axe mɔ na nu, si sɔ, kple xɔtuɖoɖo ƒe kpekpeɖeŋu le Le Fort I ƒe gbagbãƒewo.
4. Viɖe kawoe CZMEDITECH ƒe nusiwo wotsɔ dea lãme na ame na le dɔwɔwɔ sia me?
CZMEDITECH-gbadzɛwo kple gaviwo ƒe nɔnɔme wɔwɔ nɔ bɔbɔe, wonaa nusiwo ŋu kakaɖedzi le, eye wosɔ kple ŋutilã ƒe nudidi siwo le gbagbã ƒe nɔnɔmea me, si na amekokoa ƒe dɔwɔwɔ nyuie kple emetsonuwo nyo ɖe edzi.
5. Ɣeyiɣi didi kae wòxɔna le hayahaya me zi geɖe le ORIF megbe le Le Fort I ƒe gbagbã ta?
Alesi wohayana la toa vovo, gake dɔnɔ akpa gãtɔ gakpɔa woƒe mo ƒe ʋuʋu nyuie eye woƒe mo wɔa dɔ nyuie le kwasiɖa 6–12 me, le alesi wowɔna ɖe dɔwɔwɔ vɔ megbe beléle kple wo yometiti dzi.
6. Kuxi kawoe ate ŋu ado mo ɖa le amekoko megbe le mo ƒe titina ƒe gbagbã me?
Kuxi siwo ate ŋu ado mo ɖa dometɔ aɖewoe nye mo ƒe ʋuʋu nyuie, dɔlékuiwo xɔxɔ, xɔtunuwo ƒe dɔwɔwɔ, alo mo ƒe asymmetry susɔea. Fixation nyuie kple edziyiyi ɖea afɔku siawo dzi kpɔtɔna ŋutɔ.
7. Ðe gavi siwo wotsɔna kua nu le wo ɖokui si wɔa dɔ nyuie le mo ƒe ŋkume ƒe ʋuʋu mea?
Ɛ̃. Kplu siwo woate ŋu aku le wo ɖokui si ɖea dɔwɔwɔ ƒe ɣeyiɣi dzi kpɔtɔna, wonaa nu sesẽwo nɔa wo ŋu, eye womegahiãna be woaku do ŋgɔ le go geɖe me o, si wɔnɛ be wowɔa dɔ nyuie na ORIF ƒe dɔwɔwɔ le titina.
8. Aleke plating kpena ɖe ame ŋu wògbugbɔa nu xena le Le Fort I ƒe gbagbã megbe?
To titina mo ƒe liƒolili me la, agbalẽviawo léa woƒe didime si sɔ ɖe tsitrenu kple le tsia dzi me ɖe asi, si wɔnɛ be aɖuawo ƒe aɖakawo gadzena ake eye woƒe ʋuʋu nɔa ɖoɖo nu.
9. Ðe woate ŋu atrɔ asi le maxillofacial plates ŋu le amekokoa me be wòasɔ ɖe dɔnɔa ƒe ŋutilã ƒe wɔwɔme nua?
Ɛ̃. Wotrɔ asi le mo ƒe aɖakawo ŋu be woatsɔ awɔ mo ƒe nɔnɔme le amekokoa me, si wɔnɛ be amekolawo te ŋu bɔbɔna hewɔa woƒe nɔnɔme be woate ŋu atrɔ ɖe mo ƒe wɔwɔme ɖekaɖekawo ŋu pɛpɛpɛ.
10. Ðe wokafu ORIF na mo ƒe titina ƒe gbagbã siwo wɔ nuku abe Le Fort I enea?
Wokafu ORIF le afisiafi elabena enaa aɖuwo ƒe wɔwɔme ƒe blibonyenye, aɖuwo ƒe ʋuʋu, kple mo ƒe atsyɔ̃ɖoɖo gaɖoa wo me nyuie wu atikewɔwɔ si me womezãa nu geɖe le o.
