Incamake y'urubanza
Ihungabana rya TFacial ririmo kuvunika hagati, imiterere ya Le Fort I, hamwe no kudakora neza birasanzwe mubikomere byingufu nyinshi. Muri Afrika yuburengerazuba, cyane cyane Gana, kwakirwa byateye imbere Ubuhanga bwo gutunganya CMF, uburyo bwa ORIF, hamwe na sisitemu ya plaque ya titanium maxillofacial yazamuye cyane umusaruro kubarwayi bafite ihungabana. Urubanza rukurikira rugaragaza iyubakwa ryiza ryumutwe wa humeral - bifitanye isano no mumaso hamwe no kuvunika hagati ya Le Fort I, byakorewe mubitaro byigisha bya Korle Bu ukoresheje CZMEDITECH 2.0mm isahani ya maxillofacial hamwe na screw yo kwikorera.
Amakuru y'abarwayi
Umugabo, ufite imyaka 33. Kudashobora gushyira amenyo hamwe, isura yuzuye / Le Fort 1 kuvunika kwa Midface nyuma yumuhanda wumuhanda.
Kwerekana amashusho mbere yo gutangira
Kwerekana amashusho mbere yo kwerekana byerekanaga ihungabana rinini hagati, bigahuza no kuvunika kwa Le Fort I bitera ibibazo byimikorere no kuramba hagati. Ibishushanyo bikunze guhuzwa na severe ihahamuka ryo mumaso ibibazo byo kwiyubaka .
![mbere yo gutangira-amashusho-lefort-kuvunika-ghana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Kwerekana amashusho
Imikorere idahwitse yerekanaga igabanuka ryukuri ryibice byavunitse, hamwe nitsinda ryokubaga rikora anatomical repositioning hamwe no gukosora imbere imbere, byemeza guhuza neza na buto yo mumaso. Isahani ya Maxillofacial yashizwemo kugirango ihuze umurwayi usanzwe wo mumaso, bigatezimbere.
![intraoperative-kureba-maxillofacial-isahani-gukosora-ghana1-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech")
![intraoperative-kureba-maxillofacial-isahani-gukosora-ghana2-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech")
![intraoperative-kureba-maxillofacial-isahani-gukosora-ghana3-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech")
Kwerekana amashusho
Kwerekana amashusho nyuma yibikorwa byemeje gukira amagufwa ahamye, kugarura imikorere idasanzwe, hamwe no guhuza neza hagati, byerekana imikorere ya sisitemu yo gutera titanium mugucunga ihungabana mumaso.
![nyuma yibikorwa-ibisubizo-maxillofacial-gukosora-humeral-umutwe]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Kwerekana amashusho
Dr. Gabriel yagaragaje ko yishimiye cyane amasahani ya maxillofacial yatanzwe na CZMEDITECH. Isahani ya Maxillofacial itanga ihamye kandi yoroshye guhuza no guhuza ibyifuzo byabarwayi.
Ikoreshwa rya 2.0mm isahani ya titanium yemerera guhuza neza, gukosora gukomeye kwa buto yo hagati, no kugarura imikorere. Ubu buryo bujyanye nuburinganire bwisi yose muri kubaga ihahamuka rya cranio-maxillofacial.
Akamaro ka Clinical
Uru rubanza rugaragaza ubushobozi bwikigo cy’ihungabana cyo muri Gana cyo gukora Kwiyubaka kwa CMF, cyane cyane mu kuvunika kwa Le Fort I. Gukomatanya gukosorwa gukomeye, kugabanya ikoranabuhanga, hamwe no kwifashisha imashini zitanga ubwishingizi butanga umusaruro uteganijwe, kugabanya ingorane, no gukira byihuse f acial symmetry and occlusion.
Ibibazo
1. Ni ubuhe bwoko bw'imvune zavuwe muri uru rubanza?
Uru rubanza rwarimo gukomeretsa mu mutwe no kuvunika hagati ya Le Fort I biturutse ku mpanuka yo mu muhanda. Byombi byasabye gukosorwa bihamye kugirango ugarure imiterere yo mumaso no gufunga.
2. Kuki icyapa cya 2.0mm maxillofacial cyatoranijwe kubagwa?
Isahani ya 2.0mm ya maxillofacial itanga ubushobozi buhebuje bwo guhuza ibintu, gutuza, no guhuza n'imihindagurikire y'ikirere, bigatuma abaganga babaga bakora isahani bakurikije anatomiya yumurwayi - nibyiza byo kwiyubaka hagati.
3. Ese amasahani ya maxillofacial akwiriye kuvura imvune za Le Fort I.
Yego. Isahani ya Maxillofacial itanga gukosorwa gukomeye kuri buto yo hagati, ifasha kugarura ibintu, guhuza, hamwe ninkunga yubatswe mubice bya Le Fort I.
4. Ni izihe nyungu zatewe CZMEDITECH yatanze muri ubu buryo?
Isahani ya CZMEDITECH na screw byari byoroshye guhuza, bitanga gukosorwa kwizewe, kandi bihuza nibisabwa na anatomique yuburyo bwo kuvunika, kunoza imikorere yo kubaga nibisubizo.
5. Gusubirana bifata igihe kingana iki nyuma ya ORIF kumeneka ya Le Fort I.
Gukira biratandukanye, ariko abarwayi benshi basubirana ibintu bisanzwe no mumaso mugihe cyibyumweru 6-12, bitewe no kubahiriza ubuvuzi nyuma yo kubagwa no kubikurikirana.
6. Ni izihe ngorane nyuma yo kubagwa zishobora kubaho mu kuvunika hagati?
Ibishobora kugorana harimo malocclusion, kwandura, kwerekana ibyuma, cyangwa asimmetrie yo mumaso isigaye. Gukosora neza no kubikurikirana bigabanya cyane izi ngaruka.
7. Ese imigozi yo kwikorera yonyine ifite akamaro ko gukosora maxillofacial?
Yego. Imiyoboro yo kwikorera yonyine igabanya igihe cyo gukora, itanga gukosorwa gukomeye, kandi ikuraho ibikenewe mbere yo gucukura inshuro nyinshi, bigatuma ikora neza hagati ya ORIF.
8. Nigute isahani ifasha kugarura ibicuruzwa nyuma yo kuvunika Le Fort I.
Mugukomeza hagati, amasahani agumana ibipimo byukuri bihagaritse kandi bitambitse, bituma amenyo y amenyo ahinduka kandi akamenyera bisanzwe.
9. Isahani ya maxillofacial irashobora guhinduka mugihe cyo kubagwa kugirango ihuze anatomiya yumurwayi?
Yego. Isahani ya Maxillofacial yagenewe guhuza ibikorwa, ituma abaganga babaga bunama kandi bakabishushanya kugirango bahuze neza nuburyo bwo mumaso.
10. ORIF irasabwa kuvunika hagati yimbere nka Le Fort I?
ORIF irasabwa cyane kuko igarura ubunyangamugayo bwimiterere, kuvura amenyo, hamwe nuburanga bwo mumaso neza kuruta kuvura konservateur.
