Nudzɔdzɔwo ƒe wɔwɔfia .
Tfacial trauma case siwo ku ɖe mid face fractures, le fort I ƒe nɔnɔmewo, kple occlusal dysfunction ŋu bɔ ɖe abi siwo ŋu ŋusẽ le ŋutɔ me. le Ɣetoɖoƒe Afrika, vevietɔ Ghana, si nye Advanced . CMF ƒe fixation mɔnuwo, ORIF ƒe ɖoɖowo, kple titanium maxillofacial plating systems na nusiwo do tso eme na dɔnɔ siwo ŋu nuvevi wɔ la nyo ɖe edzi ŋutɔ. Nya si gbɔna la te gbe ɖe alesi wogbugbɔa humeral head–si ku ɖe mo ƒe ŋusẽkpɔɖeamedzi ŋu dzidzedzetɔe kple le fort I midface fracture, si dzi wokpɔna le Korle Bu Nufiafia Kɔdzi zã . CzmediTech 2.0mm Maxillofacial plates kple self-wrilling screws.
Dɔnɔwo Ŋuti Nyatakakawo .
Ŋutsu, ƒe 33. Eƒe aɖuwo ƒoƒo ƒu, enlogated face/ le fort 1 fracture of the mid face after a road traffic acciednt.
Nɔnɔmetatawo ɖeɖe do ŋgɔ na dɔwɔwɔ .
Nɔnɔmetatawo ɖeɖe do ŋgɔ na dɔwɔwɔ ɖee fia be titina ƒe malike ɖedzesi aɖe le eme, si sɔ kple le fort I ƒe gbagbã si he dɔwɔwɔ ƒe occlusal kuxiwo kple titina ƒe akpa si le titina vɛ. Zi geɖe la, kpɔɖeŋu siawo doa ƒome kple SE .Vere mo ƒe nuveviwɔame ƒe gbugbɔgatu nyawo.
![Do ŋgɔ na dɔwɔwɔ-nɔnɔmetata-lefort-fracture-ghana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Nɔnɔmetatawo ɖeɖe le dɔwɔwɔ me .
Dɔwɔwɔ le dɔwɔwɔ me ɖee fia be woɖe gbagbãƒea ƒe akpawo dzi kpɔtɔ pɛpɛpɛ, eye amekoko ƒe ƒuƒoƒoa wɔa ŋutilã ƒe wɔwɔme ƒe tɔtrɔ kple ememe ƒe tsɔtsɔme sesẽ, si wɔnɛ be mo ƒe akɔtaɖonuawo sɔna ɖe ɖoɖo nyui nu. Wotrɔ asi le maxillofacial plates ŋu be woasɔ kple dɔnɔa ƒe dzɔdzɔme mo ƒe ʋuʋu, si na fixation li ke nyuie wu.
![Dɔwɔwɔ le dɔwɔwɔ me-kpɔ-maxillofacial-plate-fixation-ghana1-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech")
![Dɔwɔwɔ le dɔwɔwɔ me-kpɔ-maxillofacial-plate-fixation-Ghana2-czmediTech]( "intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech")
![Dɔwɔwɔ le dɔwɔwɔ me-kpɔ-maxillofacial-plate-fixation-Ghana3-czmediTech]( "intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech")
Nɔnɔmetatawo ɖeɖe le dɔwɔwɔ vɔ megbe .
Dɔwɔwɔ le dɔwɔwɔ vɔ megbe ɖo kpe ƒu ƒe dɔyɔyɔ si li ke dzi, occlusal dɔwɔwɔ si wogbugbɔ ɖo te, kple titina ƒe nɔnɔme si naa dzidzeme ame, si ɖe titanium plating systems ƒe dɔwɔwɔ nyuie le mo ƒe abixɔxɔ dzi kpɔkpɔ me fia.
![Dɔwɔwɔ le dɔwɔwɔ vɔ megbe-maxillofacial-fixation-humeral-head]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Nɔnɔmetatawo ɖeɖe le dɔwɔwɔ vɔ megbe .
Ðɔkta Gabriel ɖe eƒe dzi dze eme ŋutɔ ɖe maxillofacial plate siwo CzmediTech na ŋu. Maxillofacial plates naa li ke eye wòle bɔbɔe be woatrɔ ɖe nɔnɔmeawo ŋu eye contour be woakpɔ dɔnɔwo ƒe nuhiahiãwo gbɔ.
alesi wozãa . 2.0mm titanium plates ɖe mɔ ɖe contouring si sɔ pɛpɛpɛ, titina ƒe ŋkumeɖobolowo ƒe fixation sesẽ, kple dɔwɔwɔ ƒe ʋuʋu gbugbɔgaɖoanyi ŋu. Mɔnu sia sɔ kple xexeame katã ƒe dzidzenuwo le . Cranio-maxillofacial ƒe amekoko si me wowɔa nuvevi ame le ..
Vevienyenye le atikewɔƒe .
Nya sia ɖe ŋutete si le Ghanatɔwo ƒe nuveviwɔamedɔwɔƒewo si be woawɔ ŋgɔyiyi CMF gbugbɔgatu ., vevietɔ le le Fort I ƒe gbagbã sesẽwo me la fia. Fixation sesẽ, miniplate mɔ̃ɖaŋununya, kple ɖokuiŋudzedze ƒe gaviwo ƒe ƒuƒoƒo kpɔa egbɔ be emetsonu siwo woate ŋu agblɔ ɖi, kuxi siwo dzi ɖe kpɔtɔ, kple f acial symmetry kple occlusion ƒe hayahaya kabakaba.
Nyabiasewo ƒe 1999 me.
1. Nuka ƒomevie wowɔ dɔ na le nya sia me?
Nya sia ku ɖe abi si woxɔ le ta ƒe ta ŋu kple Le Fort I titina ƒe gbagbã si do tso mɔdododziʋufɔku aɖe me ŋu. Wo ame evea siaa bia be woaɖo wo ɖe te si li ke be woagbugbɔ mo ƒe wɔwɔme kple occlusion aɖo anyi.
2. Nukatae wotia 2.0mm maxillofacial plates na amekoko sia?
2.0mm maxillofacial plates naa contouring ŋutete nyuitɔ kekeake, liƒo, kple tɔtrɔ ɖe nɔnɔmewo ŋu, si wɔnɛ be amekolawo te ŋu wɔa plate la le dɔnɔa ƒe ŋutilã ƒe wɔwɔme nu—si sɔ na midface reconstruction.
3. Ðe maxillofacial plates sɔ na le fort I fractures dadaa?
Ɛ̃. Maxillofacial plates naa finifiation sesẽ le midface buttresses, si kpena ɖe ame ŋu be woagbugbɔ axe mɔ na occlusion, symmetry, kple structural support le le fort I fractures me.
4. Viɖe kawoe CzmediTech Implants na le dɔ sia wɔwɔ me?
CzmediTech plates kple screws nɔ bɔbɔe be woawɔ contour, wonaa kakaɖedzi be fixation, eye wòsɔ kple ŋutilã ƒe nudidiwo le fracture pattern, si na amekoko ƒe ŋutete kple emetsonuwo nyo ɖe edzi.
5. Ɣeyiɣi didi kae zi geɖe la, hayahaya xɔa ORIF megbe hena le fort I fracture?
Gbɔdzɔgbɔdzɔ le vovovo, gake dɔnɔ akpa gãtɔ gakpɔa mɔ be woaxe mɔ ɖe enu nyuie eye mo ƒe dɔwɔwɔ le wo ŋu le kwasiɖa 6–12 me, le dɔwɔwɔ vɔ megbe beléle na wo kple wo yometiti nu.
6. Dɔwɔwɔ vɔ megbe kuxi kawoe ate ŋu ado mo ɖa le titina ƒe gbagbãƒewo?
Kuxi siwo ate ŋu ado tso eme dometɔ aɖewoe nye malocclusion, dɔlékuiwo, xɔtunuwo ƒe ɖeɖefia, alo mo ƒe asymmetry si susɔ. Ðoɖo nyui wɔwɔ kple edziyiyi ɖea afɔku siawo dzi kpɔtɔna ŋutɔ.
7. Ðe gavi siwo wotsɔna ƒua tsii la wɔa dɔ nyuie na maxillofacial fixation?
Ɛ̃. Gaku siwo wotsɔna ƒua gbe ɖe wo ɖokui si ɖea dɔwɔwɔ ƒe ɣeyiɣi dzi kpɔtɔna, naa finifiation nu sẽna ɖe edzi, eye woɖea alesi wòhiã be woawɔe do ŋgɔ le go geɖe me, si wɔnɛ be wowɔa dɔ nyuie na ORIF ƒe dɔwɔwɔ le titina.
8. Aleke Plating kpena ɖe ame ŋu be wòagaxe le le mɔ̃ aɖe si me megbã le megbe?
To titina ƒe mo ƒe liƒolili me la, agbalẽviawo léa dzidzeme siwo sɔ le tsitrenu kple esiwo le tsia dzi la me ɖe asi, si wɔnɛ be aɖu ƒe akpa siwo le tsia dzi la te ŋu gbugbɔa wo ɖona ɖe ɖoɖo nu eye woxea mɔ ɖe wo nu be woanɔ ɖoɖo nu.
9. Ðe woate ŋu atrɔ asi le maxillofacial platewo ŋu le amekokoa me be woasɔ ɖe dɔnɔwo ƒe ŋutilã ƒe wɔwɔme nua?
Ɛ̃. Wotrɔ asi le maxillofacial plates ŋu na intraoperative contouring, si wɔnɛ be amekolawo te ŋu bɔbɔa wo hetrɔa asi le wo ŋu be woatrɔ ɖe mo ƒe wɔwɔme ɖekaɖekawo ŋu pɛpɛpɛ.
10. Ðe wokafui be woawɔ ORIF na mid face fractures siwo naa nu tea ɖe ame dzi abe le Fort I enea?
Wokafu ORIF le teƒe geɖe elabena egbugbɔa xɔtuɖaŋu ƒe blibonyenye, aɖu ƒe ʋuʋu, kple mo ƒe atsyɔ̃ɖoɖowo ɖoa anyi nyuie wu atikewɔwɔ si me womezãa atikewo le o.
