Nānā Kiʻi
ʻO nā hihia hōʻeha kino e pili ana i nā haʻihaʻi waena, nā ʻano Le Fort I, a me ka hana ʻino o ka occlusal he mea maʻamau i nā ʻeha ikaika. Ma ʻApelika Komohana, ʻoi aku hoʻi ʻo Ghana, ka hoʻopaʻa ʻana i ka holomua ʻO nā ʻenehana hoʻoponopono CMF, nā kaʻina hana ORIF, a me nā ʻōnaehana plating titanium maxillofacial i hoʻomaikaʻi nui i nā hopena no nā maʻi trauma. Hōʻike ka hihia aʻe i ka hana hou ʻana o ka hopena o ka maka e pili ana i ke poʻo humeral me ka ʻeha waena waena o Le Fort I, mālama ʻia ma Korle Bu Teaching Hospital me ka hoʻohana ʻana ʻO CZMEDITECH 2.0mm nā papa maxillofacial a me nā wili wili ponoʻī.
ʻIkepili maʻi
Kāne, makahiki 33. ʻAʻole hiki ke hoʻohui i kona mau niho, maka enlogated/ Le Fort 1 haʻi o ka Midface ma hope o ke kaʻa ʻana o ke alanui.
Kiʻi Preoperative
Ua hōʻike ʻia ke kiʻi preoperative i ka paʻa ʻole o ka midface, e like me ka haki ʻana o Le Fort I e hoʻopilikia ai i nā pilikia occlusal a me ka elongation o ka midface. Hoʻopili pinepine ʻia kēia mau hiʻohiʻona me senā hihia hoʻoponopono hou ʻana o ka maka .
![preoperative-imaging-lefort-fracture-ghana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Kiʻi Intraoperative
Hōʻike nā manaʻo Intraoperative i ka hoʻohaʻahaʻa pololei ʻana o nā ʻāpana haʻihaʻi, me ka hui ʻokiʻoki e hana ana i ka anatomical repositioning a me ka paʻa paʻa o loko, e hōʻoiaʻiʻo ana i ka alignment kūpono o nā pā alo. Ua hoʻohālikelike ʻia nā papa maxillofacial e hoʻohālikelike i ka curvature helehelena kūlohelohe o ka mea maʻi, e hoʻomaikaʻi ana i ka paʻa paʻa.
![intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech")
![intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech")
![intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech")
Kiʻi Postoperative
Ua hoʻopaʻa ʻia ke kiʻi postoperative i ka ho'ōla iwi paʻa, hoʻihoʻi i ka hana occlusal, a me ka symmetry ʻoluʻolu o ka midface, e hōʻike ana i ka pono o nā ʻōnaehana plating titanium i ka hoʻokele trauma facial.
![postoperative-outcome-maxillofacial-fixation-humeral-head]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Kiʻi Postoperative
Ua hōʻike ʻo Kauka Gabriel i ka hauʻoli nui me nā papa maxillofacial i hāʻawi ʻia e CZMEDITECH. Hāʻawi nā papa Maxillofacial i ka paʻa a maʻalahi ke hoʻololi a me ka contour e hoʻokō i nā pono o ka maʻi.
Ka hoohana ana o 2.0mm nā papa titanium i ʻae ʻia i ka contouring pololei, ka hoʻopaʻa paʻa ʻana o nā pā waena waena, a me ka hoʻihoʻi ʻana i ka occlusion hana. Kūlike kēia ala me nā kūlana honua ma ʻoki ʻeha cranio-maxillofacial.
ʻO ke koʻikoʻi o ke kino
Hōʻike kēia hihia i ka ulu nui ʻana o nā kikowaena trauma o Ghana e hoʻokō i ka holomua CMF hana hou, ma ka paʻakikī Le Fort I fractures. ʻO ka hui pū ʻana o ka paʻa paʻa paʻa, ka ʻenehana miniplate, a me nā wili hoʻoheheʻe ponoʻī e hōʻoia i nā hopena hiki ke ʻike ʻia, hoʻemi ʻia nā pilikia, a me ka wikiwiki o ka hoʻihoʻi ʻana o ka symmetry a me ka occlusion.
FAQ
1. He aha ke ʻano o nā haʻihaʻi i mālama ʻia i kēia hihia?
ʻO kēia hihia i pili i ka ʻeha poʻo humeral a me ka ʻeha waena waena o Le Fort I ma muli o kahi ulia kaʻa alanui. Pono nā mea ʻelua i ka hoʻoponopono paʻa e hoʻihoʻi i ke ʻano o ka helehelena a me ka occlusion.
2. No ke aha i koho ʻia ai nā pā maxillofacial 2.0mm no kēia ʻoki?
Hāʻawi nā papa maxillofacial 2.0mm maikaʻi loa i ka mana contouring, kūpaʻa, a me ka hoʻololi ʻana, e ʻae ana i nā kauka lapaʻau e hana i ka pā e like me ke anatomy o ka mea maʻi - kūpono no ke kūkulu hou ʻana i waena.
3. He kūpono anei nā papa maxillofacial no ka mālama ʻana i nā haki o Le Fort I?
ʻAe. Hāʻawi nā papa Maxillofacial i ka hoʻopaʻa paʻa ʻana ma waena o nā kumu waena, e kōkua ana i ka hoʻihoʻi ʻana i ka occlusion, symmetry, a me ke kākoʻo ʻana i nā ʻāpana Le Fort I.
4. He aha nā pōmaikaʻi i hāʻawi ʻia i nā implants CZMEDITECH i kēia kaʻina hana?
Ua maʻalahi nā papa a me nā wili CZMEDITECH i ka contour, hāʻawi i ka hoʻoponopono pono, a kūlike i nā koi anatomical o ke ʻano haʻihaʻi, e hoʻomaikaʻi ana i ka hana ʻoki a me nā hopena.
5. Pehea ka lōʻihi o ka hoʻōla maʻamau ma hope o ORIF no ka haki ʻana o Le Fort I?
He ʻokoʻa ka hoʻihoʻi ʻana, akā loaʻa hou ka hapa nui o nā maʻi i ka occlusion maʻamau a me ka hana o ka maka i loko o 6-12 pule, ma muli o ka mālama ʻana i ka mālama postoperative a me ka hahai ʻana.
6. He aha nā pilikia ma hope o ka hoʻopaʻa ʻana i hiki ke loaʻa i nā haʻi waena waena?
ʻO nā pilikia hiki ke loaʻa i ka malocclusion, ka maʻi, ka ʻike ʻana i ka ʻenehana, a i ʻole ke koena o ke alo asymmetry. ʻO ka hoʻoponopono kūpono a me ka hahai ʻana e hōʻemi nui i kēia mau pilikia.
7. He mea pono anei na wiliwili iho no ka hooponopono ana maxillofacial?
ʻAe. Hoʻemi ʻia ka manawa hana, hāʻawi i ka hoʻoponopono ikaika, a hoʻopau i ka pono no ka hoʻoheheʻe ʻana i nā hihia he nui, e hana pono ai no nā kaʻina hana ORIF midface.
8. Pehea ke kōkua ʻana o ka plating i ka hoʻihoʻi hou ʻana i ka occlusion ma hope o ka haki ʻana o Le Fort I?
Ma ka hoʻokūpaʻa ʻana i ka midface, mālama nā papa i nā ana kū pololei a me ke ākea, e ʻae ana i nā pio niho e hoʻoponopono hou a hoʻopaʻa i ka maʻamau.
9. Hiki ke hoʻololi ʻia nā papa maxillofacial i ka wā o ke kaʻina e kūpono i ke anatomy maʻi?
ʻAe. Hoʻolālā ʻia nā papa Maxillofacial no ka contouring intraoperative, e ʻae ana i nā kauka lapaʻau e kūlou a hoʻohua iā lākou no ka hoʻoponopono pololei ʻana i nā ʻano helehelena.
10. Ua ʻōlelo ʻia ʻo ORIF no nā haʻihaʻi waena waena e like me Le Fort I?
Manaʻo nui ʻia ʻo ORIF no ka mea e hoʻihoʻi ʻo ia i ka kūpaʻa o ke kūkulu ʻana, ka hoʻopaʻa ʻana i nā niho, a me ka nani o ka helehelena i ʻoi aku ka maikaʻi ma mua o ka mālama conservative.
