Case Overview
Linyeoe tsa ts'oaetso ea sefahleho tse amanang le ho robeha ha sefahleho, mekhoa ea Le Fort I, le ho se sebetse ha occlusal ho tloaelehile likotsing tse matla haholo. Afrika Bophirimela, haholo-holo Ghana, ho amoheloa ha maemo a tsoetseng pele Mekhoa ea ho lokisa CMF, mekhoa ea ORIF, le litsamaiso tsa ho roala li-titanium maxillofacial plating li ntlafalitse haholo liphetho bakeng sa bakuli ba sithabetseng maikutlo. Nyeoe e latelang e totobatsa katleho ea ho tsosolosoa ha sefahleho se amanang le hlooho ea humeral ka ho robeha ha sefahleho sa Le Fort I, se laoloang Sepetleleng sa Thuto sa Korle Bu ho sebelisoa. CZMEDITECH 2.0mm lipoleiti tsa maxillofacial le li-screws tsa ho itšeha.
Boitsebiso ba Mokuli
Motho e motona, ya dilemo di 33. Ho se kgone ho kopanya meno, enlogated face/ Leqhoa la 1 la ho robeha ha Midface ka mora kotsi ya sephethephethe tseleng.
Imaging pele ho Opereishene
Litšoantšo tsa pele ho ts'ebetso li bonts'itse ho hloka botsitso ho hoholo ha sefahleho, ho tsamaellana le ho robeha ha Le Fort I ho bakang mathata a ts'ebetso ea mahlo le ho lelefatsa ha bohareng ba sefahleho. Mekhoa ena hangata e amahanngoa le selinyeoe tse matla tsa ho tsosolosoa ha bohloko ba sefahleho .
![preoperative-imaging-lefort-fracture-ghana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
Imaging ka Intraoperative
Maikutlo a ka hare ho opereishene a bonts'a phokotso e nepahetseng ea likarolo tsa fracture, le sehlopha sa opereishene se etsang repositioning ea anatomical le ho lokisa ka hare ka thata, ho etsa bonnete ba ho lumellana hantle ha li-buttresses tsa sefahleho. Lipoleiti tsa maxillofacial li ne li entsoe ka contour bakeng sa ho bapisa sefahleho sa sefahleho sa mokuli sa tlhaho, ho ntlafatsa botsitso ba ho lokisa.
![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")
Litšoantšo tsa Postoperative
Litšoantšo tsa postoperative li netefalitse pholiso e tsitsitseng ea masapo, ts'ebetso e tsosolositsoeng ea occlusal, le symmetry e khotsofatsang ea bohareng ba sefahleho, ho bonts'a katleho ea mekhoa ea ho roala ka titanium tsamaisong ea ts'oaetso ea sefahleho.
![postoperative-outcome-maxillofacial-fixation-humeral-head]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Litšoantšo tsa Postoperative
Dr. Gabriel o ile a bontša khotsofalo e kholo ka lipoleiti tsa maxillofacial tse fanoeng ke CZMEDITECH. Lipoleiti tsa maxillofacial li fana ka mokhoa o tsitsitseng le o bonolo oa ho ikamahanya le maemo le contour ho fihlela litlhoko tsa mokuli.
Tšebeliso ea Lipoleiti tsa titanium tsa 2.0mm li lumelletse ho pota-pota ka mokhoa o nepahetseng, ho lokisoa ka matla ha li-buttresses tse bohareng, le ho tsosolosa ts'ebetso ea ts'ebetso. Mokhoa ona o tsamaisana le maemo a lefats'e ka opereishene ea cranio-maxillofacial trauma.
Bohlokoa ba Clinical
Nyeoe ena e bonts'a bokhoni bo ntseng bo hola ba litsi tsa mahlomola tsa Ghana ho etsa tsoelo-pele Ho tsosolosoa ha CMF, haholo-holo ho fractures e rarahaneng ea Le Fort I. Motsoako oa ho lokisa ka thata, theknoloji ea miniplate, le likurufu tsa ho itipa li netefatsa liphetho tse ka lebelloang, mathata a fokotsehileng, le ho hlaphoheloa ka potlako ha .symmetry ea sefahleho le ho koala
LBH
1. Ke mofuta ofe oa ho robeha o ileng oa phekoloa tabeng ee?
Nyeoe ena e ne e ama leqeba la hlooho le ho robeha ha sefahleho Le Fort I ka lebaka la kotsi ea 'mileng. Ka bobeli li ne li hloka ho lokisoa ho tsitsitseng ho tsosolosa sebopeho sa sefahleho le ho koala.
2. Hobaneng ho ile ha khethoa lipoleiti tsa maxillofacial tsa 2.0mm bakeng sa opereishene ee?
Lipoleiti tsa maxillofacial tsa 2.0mm li fana ka bokhoni bo botle ba ho kopanya, botsitso, le ho ikamahanya le maemo, ho lumella lingaka tse buoang hore li bōpe poleiti ho latela sebōpeho sa mokuli-e loketseng bakeng sa ho tsosolosa bohareng ba sefahleho.
3. Na lipoleiti tsa maxillofacial li loketse ho phekola maqeba a Le Fort I?
Ee. Lipoleiti tsa maxillofacial li fana ka ts'ebetso e thata ho pholletsa le li-buttresses tse bohareng, ho thusa ho tsosolosa ho koala, ho lekana, le tšehetso ea sebopeho ho fractures ea Le Fort I.
4. Li-implants tsa CZMEDITECH li fane ka melemo efe nakong ea ts'ebetso ee?
Lipoleiti tsa CZMEDITECH le li-screws li ne li le bonolo ho pota-pota, li fana ka ho lokisoa ka botšepehi, 'me li lumellana le litlhoko tsa anatomical tsa mokhoa oa ho robeha, ho ntlafatsa katleho ea ho buuoa le liphello.
5. Ho fola ho nka nako e kae ka mor'a ORIF bakeng sa ho robeha ha Le Fort I?
Ho hlaphoheloa hoa fapana, empa bakuli ba bangata ba boela ba e-ba le ts'oaetso e tloaelehileng le sefahleho sa sefahleho nakong ea libeke tse 6-12, ho itšetlehile ka ho khomarela tlhokomelo ea morao-rao le ho latela.
6. Ke mathata afe a ka mor'a ho buuoa a ka 'nang a hlaha ho fractures ea bohareng?
Mathata a ka bang teng a kenyelletsa malocclusion, ts'oaetso, ts'oaetso ea hardware, kapa asymmetry ea sefahleho e setseng. Ho lokisoa hantle le ho lateloa ho fokotsa likotsi tsena haholo.
7. Na li-screws tsa ho itšeha li sebetsa hantle bakeng sa ho lokisa maxillofacial?
Ee. Li-screws tsa ho itšeha li fokotsa nako ea ts'ebetso, li fana ka ts'ebetso e matla, 'me li felisa tlhokahalo ea ho cheka pele maemong a mangata, ho etsa hore li sebetse hantle bakeng sa mekhoa ea ORIF ea midface.
8. Ho roala ho thusa joang ho khutlisetsa occlusion kamora ho robeha ha Le Fort I?
Ka ho tsitsisa bokahare ba sefahleho, lipoleiti li boloka litekanyo tse nepahetseng tse otlolohileng le tse tšekaletseng, e leng ho lumellang li-arches tsa meno ho ikamahanya le maemo le ho koala ho tloaeleha.
9. Na lipoleiti tsa maxillofacial li ka fetoloa nakong ea ho buuoa hore li lumellane le sebōpeho sa mokuli?
Ee. Lipoleiti tsa maxillofacial li etselitsoe ho etsa contouring intraoperative, ho lumella lingaka tse buoang hore li khumame le ho li etsa bakeng sa ho ikamahanya hantle le sebopeho sa sefahleho sa motho ka mong.
10. Na ORIF e khothaletsoa bakeng sa ho robeha ha sefahleho se sithabetsang joalo ka Le Fort I?
ORIF e khothaletsoa haholo hobane e khutlisa botsitso ba sebopeho, ho koaleha meno, le botle ba sefahleho ka katleho ho feta kalafo e bolokoang.
