Mawonedwe: 0 Wolemba: Site Editor Nthawi Yosindikiza: 2025-11-25 Origin: Tsamba
Nkhani Yophunzira: Humeral Head & Le Fort I Midface Fracture ku Ghana
Milandu yowopsa ya TFacial yokhudzana ndi kuwonongeka kwapakatikati, machitidwe a Le Fort I, ndi kusagwira bwino ntchito kwa occlusal ndizofala pakuvulala kwamphamvu kwambiri. Ku West Africa, makamaka Ghana, kukhazikitsidwa kwa patsogolo Njira zokonzera CMF, njira za ORIF, ndi titanium maxillofacial plating system zathandizira kwambiri zotsatira za odwala ovulala. Nkhani yotsatirayi ikuwonetsa kukonzanso bwino kwa nkhope yokhudzana ndi mutu wokhala ndi mutu wa Le Fort I wosweka, woyendetsedwa pachipatala cha Korle Bu Teaching pogwiritsa ntchito CZMEDITECH 2.0mm maxillofacial mbale ndi zomangira zokha.
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Kujambula koyambirira kunawonetsa kusakhazikika kwapakatikati, kogwirizana ndi kusweka kwa Le Fort I komwe kumayambitsa zovuta zowoneka bwino komanso kutalika kwapakati. Mitundu iyi nthawi zambiri imagwirizanitsidwa ndi seyokonzanso zoopsa za nkhope . milandu
Mawonedwe a intraoperative adawonetsa kuchepetsedwa bwino kwa magawo osweka, ndi gulu la opaleshoni likuchitanso mawonekedwe a anatomical ndi kukhazikika kwamkati mkati, kuwonetsetsa kuti ziboliboli za nkhope ziziyenda bwino. Ma mbale a maxillofacial adapangidwa kuti agwirizane ndi kupindika kwa nkhope ya wodwalayo, ndikuwongolera kukhazikika.

Kujambula pambuyo pa opaleshoni kunatsimikizira kuchiritsa kwa mafupa okhazikika, kubwezeretsedwa kwa occlusal ntchito, ndi kufanana kokhutiritsa kwa midface, kusonyeza mphamvu ya titaniyamu plating machitidwe poyang'anira zoopsa za nkhope.

Dr. Gabriel adakondwera kwambiri ndi mbale za maxillofacial zoperekedwa ndi CZMEDITECH. Ma mbale a maxillofacial amapereka okhazikika komanso osavuta kusintha ndikuwongolera kuti akwaniritse zosowa za odwala.
Kugwiritsa ntchito 2.0mm titaniyamu mbale amalola contouring molondola, kukonza mwamphamvu midface buttresses, ndi kubwezeretsa occlusion ntchito. Njira iyi imagwirizana ndi miyezo yapadziko lonse lapansi opaleshoni ya cranio-maxillofacial trauma.
Amagwiritsidwa ntchito mu ndondomeko iyi:
2.0mm 90 ° L-mbale, 4 mabowo Kumanzere 23mm
2.0mm Kudzibowola Screw, 2.0 * 7mm
2.0mm 90 ° L-mbale, 4 mabowo Kumanzere 23mm
Mlanduwu ukuwonetsa kuchuluka kwa malo ovulala ku Ghana kuti achite bwino kwambiri Kusintha kwa mtengo wa CMF, m'malo ovuta a Le Fort I. Kuphatikiza kokhazikika kokhazikika, ukadaulo wa miniplate, ndi zomangira zodzibowolera zimatsimikizira zotsatira zodziwikiratu, zovuta zochepetsera, ndikuchira msanga kwa .symmetry ya acial ndi kutsekeka
Mlanduwu unakhudza kuvulala kwamutu komanso kusweka kwapakati pa Le Fort I chifukwa cha ngozi yapamsewu. Zonsezi zinkafunika kukhazikika kokhazikika kuti abwezeretse mawonekedwe a nkhope ndi kutsekeka.
2.0mm maxillofacial plates amapereka luso lowongolera bwino, kukhazikika, komanso kusinthasintha, kulola maopaleshoni kuti apange mbale molingana ndi momwe wodwalayo alili -oyenera kumangidwanso kwapakati.
Inde. Ma mbale a maxillofacial amapereka kukhazikika kolimba kudutsa m'mabotolo apakati, kuthandiza kubwezeretsa kutsekeka, kufananiza, komanso kuthandizira pamapangidwe a Le Fort I fractures.
CZMEDITECH mbale ndi zomangira zinali zosavuta kupanga contour, anapereka kukhazikika kodalirika, ndi kufanana ndi zofunikira za anatomical za fracture pattern, kupititsa patsogolo opaleshoni ndi zotsatira zake.
Kuchira kumasiyanasiyana, koma odwala ambiri amapezanso kutsekeka kwabwinobwino komanso ntchito ya nkhope mkati mwa masabata a 6-12, malingana ndi kutsata chisamaliro chotsatira ndikutsatira.
Mavuto omwe angakhalepo ndi monga malocclusion, matenda, kuwonekera kwa hardware, kapena asymmetry yotsalira ya nkhope. Kukonzekera koyenera ndi kutsata kumachepetsa kwambiri zoopsazi.
Inde. Zomangira zodzibowolera zokha zimachepetsa nthawi yogwirira ntchito, zimapereka kukhazikika kwamphamvu, ndikuchotsa kufunikira koboola nthawi zambiri, zomwe zimapangitsa kuti zikhale zogwira mtima pamachitidwe apakati a ORIF.
Mwa kukhazikika pakati pa nkhope, mbale zimasunga miyeso yoyenera yoyima ndi yopingasa, zomwe zimapangitsa kuti mano azitha kusinthasintha ndi kutsekeka kuti asinthe.
Inde. Ma mbale a maxillofacial amapangidwa kuti azilumikizana ndi ma intraoperative, kulola maopaleshoni kupindika ndikuwaumba kuti agwirizane ndi mawonekedwe a nkhope.
ORIF imayamikiridwa kwambiri chifukwa imabwezeretsa kukhulupirika kwa kapangidwe kake, kutsekeka kwa mano, ndi kukongola kwa nkhope mogwira mtima kuposa chithandizo chodziletsa.