Case Overview
TFacial trauma mob uas muaj feem nrog midface fractures, Le Fort I qauv, thiab occlusal dysfunction yog muaj nyob rau hauv high-zog raug mob. Nyob rau hauv West Africa, tshwj xeeb tshaj yog Ghana, kev saws me nyuam ntawm advanced CMF kho cov txheej txheem, ORIF cov txheej txheem, thiab titanium maxillofacial plating systems tau txhim kho cov txiaj ntsig zoo rau cov neeg mob raug mob. Cov ntaub ntawv hauv qab no qhia txog kev txhim kho ua tiav ntawm lub taub hau ntawm lub ntsej muag cuam tshuam nrog Le Fort I midface pob txha, tswj hwm ntawm Korle Bu Teaching Hospital siv CZMEDITECH 2.0mm maxillofacial daim hlau thiab tus kheej-drilling screws.
Cov Ntaub Ntawv Tus Neeg Mob
Txiv neej, hnub nyoog 33. Tsis muaj peev xwm muab nws cov hniav ua ke, enlogated lub ntsej muag / Le Fort 1 tawg ntawm lub Midface tom qab kev tsheb sib tsoo.
Preoperative Imaging
Preoperative imaging qhia tau hais tias tseem ceeb midface instability, raws li ib tug Le Fort I pob txha ua rau haumxeeb occlusal teeb meem thiab elongation ntawm lub midface. Cov qauv no feem ntau txuam nrog severe ntsej muag trauma reconstruction rooj plaub.
![preoperative-imaging-lefort-fracture-gana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Intraoperative duab
Intraoperative views pom meej txo qhov tawg ntu, nrog rau pab neeg phais ua anatomical repositioning thiab rigid sab hauv fixation, kom ntseeg tau raws li zoo raws li lub ntsej muag buttresses. Maxillofacial daim hlau tau contoured kom haum tus neeg mob lub ntsej muag curvature, txhim kho fixation stability.
![intraoperative-view-maxillofacial-phaj-fixation-ghana1-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech")
![intraoperative-view-maxillofacial-phaj-fixation-ghana2-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech")
![intraoperative-view-maxillofacial-phaj-fixation-ghana3-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech")
Postoperative Imaging
Postoperative imaging paub tseeb tias ruaj khov pob txha kho, rov qab occlusal muaj nuj nqi, thiab txaus siab symmetry ntawm lub midface, qhia tau hais tias cov hauj lwm zoo ntawm titanium plating systems nyob rau hauv lub ntsej muag raug mob.
![postoperative-outcome-maxillofacial-fixation-humeral-head]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Postoperative Imaging
Dr. Gabriel qhia kev txaus siab rau cov maxillofacial daim hlau muab los ntawm CZMEDITECH. Maxillofacial daim hlau muab ruaj khov thiab yooj yim rau kev hloov kho thiab contour kom tau raws li tus neeg mob xav tau.
Kev siv ntawm 2.0mm titanium daim hlau tso cai raug contouring, muaj zog fixation ntawm midface buttresses, thiab kho dua tshiab ntawm functional occlusion. Txoj kev no ua raws li cov qauv thoob ntiaj teb hauv Cranio-maxillofacial trauma phais.
Clinical tseem ceeb
Cov ntaub ntawv no qhia txog qhov muaj peev xwm loj hlob ntawm Ghanaian cov chaw raug mob kom ua tau zoo heev Reconstruction ntawm CMF, tshwj xeeb hauv cov pob txha Le Fort I. Kev sib xyaw ua ke ntawm kev txhim kho nruj, kev siv tshuab miniplate, thiab tus kheej-drilling screws ua kom cov txiaj ntsig tau txais txiaj ntsig, txo cov teeb meem, thiab rov qab sai dua ntawm f acial symmetry thiab occlusion.
FAQ
1. Hom pob txha tau kho li cas hauv qhov no?
Cov ntaub ntawv no cuam tshuam txog kev raug mob ntawm lub taub hau thiab Le Fort I midface pob txha uas tshwm sim los ntawm kev sib tsoo tsheb. Ob leeg yuav tsum tau ruaj khov fixation los kho lub ntsej muag qauv thiab occlusion.
2. Vim li cas 2.0mm maxillofacial daim hlau tau xaiv rau qhov kev phais no?
2.0mm maxillofacial daim hlau muaj qhov zoo tshaj plaws contouring muaj peev xwm, ruaj khov, thiab yoog raws, tso cai rau cov kws phais kom ua lub phaj raws li tus neeg mob lub cev - zoo tagnrho rau midface reconstruction.
3. Puas yog daim hlau maxillofacial haum rau kev kho cov pob txha Le Fort I?
Yog lawm. Maxillofacial daim hlau muab kev kho kom nruj thoob plaws lub ntsej muag lub ntsej muag, pab rov qab occlusion, symmetry, thiab kev txhawb nqa hauv Le Fort I fractures.
4. CZMEDITECH implants muab qhov zoo li cas rau lub sijhawm ua haujlwm no?
CZMEDITECH daim hlau thiab cov ntsia hlau tau yooj yim rau contour, muab kev txhim kho txhim khu kev qha, thiab ua tau raws li qhov xav tau ntawm lub cev ntawm cov qauv pob txha, txhim kho kev phais thiab cov txiaj ntsig.
5. Yuav rov qab tau ntev npaum li cas tom qab ORIF rau Le Fort I tawg?
Kev rov qab los sib txawv, tab sis feem ntau cov neeg mob rov zoo li qub occlusion thiab lub ntsej muag ua haujlwm tsis pub dhau 6-12 lub lis piam, nyob ntawm kev ua raws li kev saib xyuas tom qab kev phais thiab kev soj ntsuam.
6. Cov teeb meem tom qab phais dab tsi tuaj yeem tshwm sim hauv midface pob txha?
Tej yam tshwm sim muaj xws li malocclusion, kab mob, raug kho vajtse, los yog residual lub ntsej muag asymmetry. Kev kho kom raug thiab ua raws li yuav txo tau cov kev pheej hmoo no.
7. Puas yog tus kheej-drilling screws zoo rau maxillofacial fixation?
Yog lawm. Self-drilling screws txo lub sijhawm ua haujlwm, muab kev kho kom ruaj khov, thiab tshem tawm qhov xav tau rau kev xyaum ua ntej hauv ntau qhov xwm txheej, ua rau lawv ua haujlwm zoo rau midface ORIF cov txheej txheem.
8. Plating pab rov qab occlusion tom qab Le Fort I puas lawm?
Los ntawm stabilizing lub midface, daim hlau tuav qhov tseeb ntsug thiab kab rov tav qhov ntev, tso cai rau cov hniav arches realign thiab occlusion rau normalize.
9. Cov phaj maxillofacial puas tuaj yeem hloov kho thaum lub sijhawm phais kom haum rau tus neeg mob lub cev?
Yog lawm. Maxillofacial daim hlau yog tsim los rau intraoperative contouring, tso cai rau cov kws phais khoov thiab ua rau lawv kom meej haum rau ib tug neeg lub ntsej muag qauv.
10. Puas yog ORIF pom zoo rau kev puas tsuaj ntawm lub ntsej muag pob txha zoo li Le Fort I?
ORIF tau pom zoo dav vim tias nws kho cov qauv kev ncaj ncees, kho hniav occlusion, thiab lub ntsej muag zoo nkauj zoo dua li kev kho mob.
