Kes Ɔvaviu .
Tfacial trauma kes dεm we involv midfεs fraktכs, le fכt I patεn, εn oklusal disfכnkshכn na kכmכn pan hכy-εnεji injuri dεm. na Wɛst Afrika, mɔ na Gana, di we aw dɛn dɔn adopt advans . CMF fikseshɔn tɛknik, ORIF prosidyuz, ɛn taytaniɔm maksilofashial pletin sistɛm dɔn rili impɔtant autkam fɔ trauma pasɛnt dɛn. Di kes we de kam biɛn ya de sho di saksesful rikostrɔkshɔn fɔ wan humeral ed–rilayt fes impak wit wan LE Fɔt I midfes fraktrɔs, we dɛn de manej na Korle Bu Tichin Ospital we de yuz CZmeditech 2.0mm maksilofashial plet ɛn sɛlf-drilin skru dɛn.
Infɔmeshɔn bɔt di pɔsin we sik .
Male, we ol 33. Inability to put in tit togeda, enlogated fes/ le fort 1 frakt of di midface afta wan rod trafik acciednt.
Di imej dɛn we dɛn bin dɔn mek bifo dɛn du di ɔpreshɔn .
Preoperative imaging demonstret signifikant midfes instability, konsistent wit wan LE Fort I fraktכs we de kכz fכnshכnal oklusal prכblεm dεm εn elongeshכn fכ di midfes. Dɛn patɛns ya kin kɔmɔn fɔ gɛt fɔ du wit SE .Vere Facial Trauma Reconstruction Cases.
![Preoperativ-imajin-Lefort-Frakchɔ-Ghana-CzMeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Intraɔpareshɔn imej dɛn .
Intraoperative views sho se di fraktכs segmεnt dεm we de fכm di frakshכn dεm de rεdukshכn, wit di sכja tim we de du anatomical riposishun εn rigid intanal fikseshכn, we de mek sכh se di fכs buttres dεm we de na di fes fayn fayn wan. Maksilofashial plet dɛn bin kɔntɔr fɔ mach di pɔsin in natura fes kɔva, impruv fikseshɔn stebiliti.
![Intraɔpareshɔn-vyu-maksilɔfashial-plet-fikseshɔn-gana1-CzMeditɛk]( "intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech")
![Intraɔpareshɔn-vyu-maksilɔfashial-plet-fiks-gana2-CZmeditɛk]( "intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech")
![Intraɔpareshɔn-vyu-maksilɔfashial-plet-fiks-gana3-CZmeditɛk]( "intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech")
Pɔst ɔpreshɔn imej dɛn .
Pɔst ɔpɛrativ imej kɔnfyus stebul bon hilin, ristɔred ɔklusal fɛnshɔn, ɛn satisfay simɛtri na di midfes, we de sho di ɛfɛktiv we taytaniɔm pletin sistɛm dɛn de insay fes trauma manejmɛnt.
![Pɔst-ɔp-ɔ-ɔp-autkam-maksilɔfashial-fiks-humeral-hɛd .]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Pɔst ɔpreshɔn imej dɛn .
Dr. Gabriel bin sho se i rili satisfay wit di maksilofashial plet dɛm we CZMeditech bin gi. Maksilofashial plet dɛn de gi stebul ɛn izi fɔ adap ɛn kɔnto fɔ mit di pɔsin in nid.
Di yus fɔ . 2.0mm titanium plet dεm alaw akכrd kכntouring, strכng fikseshכn fכ midfes buttress, εn rεstכreshכn fכ fכnshכnal oklushכn. Dis we fɔ du tin de alayns wit di glob ɔl standad dɛn insay . Kranio-Maksilofashial trauma ɔpreshɔn ..
Klinik signifyans .
Dis kes de sho di grow kapasiti fɔ Ghanaian trauma sɛnta fɔ du advans CMF rikostrɔkshɔn ., patikyula in kɔmpleks Le Fɔt I fraktrɔs. Di kɔmbaynshɔn fɔ rigid fikseshɔn, miniplɛt tɛknɔlɔji, ɛn sɛlf-drilin skru dɛn de mek shɔ se prɛdiktibɛl autkam, ridyus kɔmplikeshɔn, ɛn fasta rikavari fɔ F asial simɛtri ɛn ɔklushɔn.
FAQ we de na di wɔl.
1. Us kayn fraktrɔs dɛn bin trit na dis kes?
Dis kes involv wan humeral ed injuri en wan le fort I midfes fraktrɔs we kɔmɔt frɔm wan rod trafik aksidɛnt. ɔl tu bin nid stebul fikseshɔn fɔ mek dɛn gɛt bak di fes strɔkchɔ ɛn ɔklushɔn.
2. Wetin mek dɛn bin pik 2.0mm maksilofashial plet fɔ dis ɔpreshɔn?
2.0mm maksilofashial plet dεm de gi fayn fayn kכntouring abiliti, stεbiliti, εn adaptabiliti, we de alaw di sכjaman dεm fכ shep di plet akɔdin to di sikman in anatכmi—i fayn fכ di midfes rεkכnstrכkshכn.
3. Maxillofacial plates fit fɔ trit Le Fɔt I fraktrɔs?
Yɛs. maksilofashial plet dεm de gi rigid fikseshכn akraos di midfes bכt, we de εp fכ mek dεn rεstכr oklushכn, simetri, εn strכkchכral sכpכt in LE FORT I fraktכs dεm.
4. Us bɛnifit dɛn CZMeditech implant dɛn bin gi we dɛn bin de du dis prosidyushɔn?
CZmeditech plet ɛn skru dɛn bin izi fɔ kɔnto, provided rilibul fikseshɔn, ɛn mach di anatomical rikwaymɛn dɛn fɔ di fraktrɔs patɛn, improve surgical efficiency ɛn autkam.
5. Aw lɔŋ rikavari kin tek afta ORIF fɔ wan le Fɔt I fraktrɔs?
Rikɔvayshɔn kin chenj, bɔt bɔku pan di sik pipul dɛn kin gɛt bak nɔmal ɔklushɔn ɛn di fes wok insay 6–12 wik, i kin dipen pan di adherence to post-ɔpareshɔn kia ɛn fɔlɔp.
6. Us post-ɔpareshɔn kɔmplikeshɔn dɛn kin apin insay midfes fraktrɔs?
Di kɔmplikɛshɔn dɛn we kin apin na maloklusɔn, infɛkshɔn, hadwɔd ɛksplɔshɔn, ɔ rɛsɛdyual fes asimɛtɛri. Prɔpa fikseshɔn ɛn fɔlɔp kin ridyus dɛn risk ya bad bad wan.
7. Yu tink se di skru dɛn we dɛn de yuz fɔ drɔ sɛlf kin wok fayn fɔ mek dɛn fiks di maksilofashial?
Yɛs. Self-drilling screws de ridyus operative taim, gi strong fixation, en eliminate di nid fo pre-drilling in plenti kes, mek dem efisient fo midfes orif prosidur.
8. Aw pletin de ɛp fɔ mek dɛn gɛt bak di ɔklushɔn afta wan Le Fɔt I fraktrɔs?
bay we dεn stεbyul di midfεs, di plet dεm de mεnten di kכrekt vεtikal εn כrizכnal dimenshכn dεm, we de alaw di dεnt arch dεm fכ rialayn εn oklushכn fכ nכmal.
9. Dɛn kin ajɔst di maksilofashial plet dɛn we dɛn de du di ɔpreshɔn fɔ fit di pɔsin in bɔdi?
Yɛs. Maksilofashial plet dεm dεn mek fכ intra כpεraytiv kכntouring, we de alaw sכjaman dεm fכ bεnd εn shep dεm fכ prεsis adapteshכn to wan wan fes strכkchכ dεm.
10. Na ORIF we dɛn kin rɛkɔmɛnd fɔ traumatik midfes fraktrɔs lɛk Le Fɔt I?
Orif na wan we bɔku pipul dɛn kin se bikɔs i de mek di strɔkchɔral intɛgriti, di dental ɔklushɔn, ɛn di fes aesthetics go fayn pas di kɔnsavaytiv tritmɛnt.
