Case Overview
TFacial trauma kesi dzinosanganisira midface fractures, Le Fort I mapatani, uye occlusal dysfunction zvakajairika mukukuvara kwesimba guru. MuWest Africa, kunyanya Ghana, kutorwa kwepamusoro CMF kugadzirisa matekiniki, maitiro eORIF, uye titanium maxillofacial plating masisitimu zvakavandudza zvakanyanya mhedzisiro yevarwere vanoshungurudzika. Mhosva inotevera inosimbisa kuvakwazve kwakabudirira kwehumeral musoro-inoenderana nechiso chekubata neLe Fort I midface kuputsika, inotungamirwa paKorle Bu Teaching Hospital uchishandisa. CZMEDITECH 2.0mm maxillofacial mahwendefa uye self-drilling screws.
Ruzivo Rwokurwara
Murume, ane makore makumi matatu nematatu. Kusagona kuisa mazino ake pamwechete, chiso chakapetwa
Preoperative Imaging
Preoperative imaging yakaratidza kusagadzikana kwakanyanya kwepakati, kunoenderana nekutyoka kweLe Fort I kunokonzeresa matambudziko ekusaziva uye kurebesa kwepakati. Aya maitiro anowanzobatanidzwa ne severe facial trauma reconstruction kesi.
![preoperative-imaging-lefort-fracture-ghana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Intraoperative Imaging
Maonero eIntraoperative airatidza kuderedzwa chaiko kwezvikamu zvekutyoka, neboka rekuvhiya richiita anatomical repositioning uye rigid mukati mekugadzirisa, kuve nechokwadi kurongeka kwakaringana kwezviso zviso. Maxillofacial mahwendefa akakomberedzwa kuti aenderane nemurwere wechisikigo chiso chakakombama, achivandudza kugadzirisa kugadzikana.
![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")
Postoperative Imaging
Postoperative imaging yakasimbisa kugadzikana kwemapfupa ekupora, kudzoreredzwa occlusal basa, uye inogutsa symmetry yepakati, ichiratidza kushanda kwetitanium plating masisitimu mukutarisira kukuvadzwa kwechiso.
![postoperative-outcome-maxillofacial-fixation-humeral-head]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Postoperative Imaging
Dr. Gabriel akaratidza kugutsikana kukuru ne maxillofacial plates akapiwa neCZMEDITECH. Maxillofacial mahwendefa anopa kugadzikana uye nyore kugadzirisa uye contour kusangana nemurwere.
Kushandiswa kwe 2.0mm mahwendefa etitanium akabvumira kutenderera kwakarurama, kugadzirisa kwakasimba kwepakati pemabuttresses, uye kudzorerwa kwekushanda kwekuvhara. Iyi nzira inopindirana nezviyero zvepasi rose mu cranio-maxillofacial trauma operation.
Clinical Kukosha
Mhosva iyi inoratidza kukura kwenzvimbo dzeGhanaian trauma centers kuita zvemberi CMF kuvakazve, kunyanya muLe Fort I fractures yakaoma. Iko kusanganiswa kwekugadzirisa kwakasimba, miniplate tekinoroji, uye yekuzvirovera screws inova nechokwadi chemibairo inofanotaurwa, kuderedzwa kwematambudziko, uye nekukurumidza kupora kwef acial symmetry uye kuvharika.
FAQ
1. Kutyoka kwerudzii kwakarapwa munyaya iyi?
Mhosva iyi yaisanganisira kukuvara kwehumeral musoro uye kutsemuka kwepakati peLe Fort I kwakakonzerwa netsaona yemumugwagwa. Ose ari maviri aida kugadzirisa kwakagadzikana kudzorera chimiro chechiso uye kuvhara.
2. Sei 2.0mm maxillofacial plates akasarudzwa pakuvhiya uku?
2.0mm maxillofacial plates anopa yakanakisa contouring kugona, kugadzikana, uye kuchinjika, zvichibvumira vanachiremba vanovhiya kuti vagadzire ndiro zvinoenderana nemurwere wemuviri-yakanakira kuvakwazve kwepakati.
3. Ko maxillofacial plates akakodzera kurapa Le Fort I fractures?
Ehe. Maxillofacial mahwendefa anopa kugadzirisa kwakasimba mukati mepakati pemabuttresses, kubatsira kudzoreredza occlusion, symmetry, uye tsigiro yezvimiro muLe Fort I fractures.
4. Ndezvipi zvakanakira zvakaiswa CZMEDITECH panguva iyi?
CZMEDITECH mahwendefa uye screws zvaive nyore kuita contour, zvakapa kugadzirisa kwakavimbika, uye zvakaenderana neatomical zvinodiwa zvepattern yekutyoka, kuvandudza kuvhiya kugona uye mhedzisiro.
5. Kupora kunowanzotora nguva yakareba sei mushure meORIF yekutyoka kweLe Fort I?
Kudzorera kunosiyana, asi varwere vakawanda vanodzoka zvakare kuvharika uye kushanda kwechiso mukati memavhiki e6-12, zvichienderana nekuomerera kune mushure mekuvhiyiwa kutarisira uye kutevera.
6. Ndezvipi zvipingamupinyi zvepashure zvinogona kuitika pakati pekuputsika kwepakati?
Matambudziko anogona kuitika anosanganisira malocclusion, kutapukirwa, kuratidzwa kwehardware, kana kusara kwechiso asymmetry. Kugadzirisa kwakakodzera uye kutevera zvakanyanya kuderedza njodzi idzi.
7. Ko self-drilling screws inoshanda kune maxillofacial fixation?
Ehe. Self-drilling screws inoderedza nguva yekushanda, inopa kugadzirisa kwakasimba, uye kubvisa kudiwa kwepre-drilling muzviitiko zvakawanda, zvichiita kuti zvive zvakanaka kune midface ORIF maitiro.
8. Ko plating inobatsira sei kudzoreredza kuvharika mushure mekutsemuka kweLe Fort I?
Nekudzikamisa iyo midface, mahwendefa anochengetedza iwo chaiwo vertical and horizontal dimensions, achibvumira mazino arches kuti agadzirise uye occlusion kuti ajaire.
9. Ko maxillofacial plates anogona kugadziriswa panguva yekuvhiyiwa kuti aenderane neanatomy yemurwere?
Ehe. Maxillofacial plates akagadzirirwa intraoperative contouring, achibvumira vanachiremba vanovhiya kuti vakotame uye vagadzire ivo kuti vanyatso kuchinjika kune ega ega kumeso.
10. Ko ORIF inokurudzirwa kukuvadzwa kwepakati pekutsemuka seLe Fort I?
ORIF inokurudzirwa zvakanyanya nekuti inodzoreredza kuvimbika kwechimiro, kuvharika kwemazino, uye kunaka kwechiso zvinobudirira kupfuura kurapwa kwekuchengetedza.
