Case Overview
Iimeko ze-tFacial trauma ezibandakanya ukuphuka kwe-midface, iipateni ze-Le Fort I, kunye nokungasebenzi kakuhle kwe-occlusal zixhaphake kukulimala okuphezulu kwamandla. ENtshona Afrika, ngakumbi iGhana, ukwamkelwa kwenkqubela phambili Ubuchule bokulungisa i-CMF, iinkqubo ze-ORIF, kunye neenkqubo zokucwenga ze-titanium maxillofacial ziye zaphucula kakhulu iziphumo zezigulane ezibuhlungu. Eli tyala lilandelayo liqaqambisa ukwakhiwa ngokutsha okuyimpumelelo kwempembelelo yobuso enxulumene nentloko enobunewunewu kunye nokwaphuka kobuso eLe Fort I, elawulwa kwiSibhedlele sokuFundisa iKorle Bu kusetyenziswa. I-CZMEDITECH 2.0mm iipleyiti ze-maxillofacial kunye ne-self-drilling screws.
Ulwazi Lwesigulane
Indoda eneminyaka engama-33 ubudala
Ukufanekisa kwangaphambili
Imifanekiso yangaphambi kokusebenza ibonise ukungazinzi kobuso obuphakathi, okuhambelana nokuqhekeka kwe-Le Fort I okubangela iingxaki ezisebenzayo ze-occlusal kunye nobude be-midface. Ezi patheni zidla ngokunxulunyaniswa ne -seiimeko ezinzima zokuvuselela ukwenzakala kobuso .
![preoperative-imaging-lefort-fracture-ghana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
I-Intraoperative Imaging
Iimbono ze-intraoperative zibonise ukunciphisa okuchanekileyo kwamacandelo okuqhekeka, kunye neqela lotyando elenza ukulungiswa kwe-anatomical kunye nokulungiswa okuqinileyo kwangaphakathi, ukuqinisekisa ukulungelelaniswa okufanelekileyo kwee-buttresses zobuso. Iipleyiti ze-Maxillofacial zadityaniswa ukuze zihambelane ne-curvature yendalo yobuso besigulane, ukuphucula ukulungiswa kozinzo.
![i-intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana1-czmeditech")
![i-intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana2-czmeditech")
![i-intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech]( "intraoperative-view-maxillofacial-plate-fixation-ghana3-czmeditech")
Imifanekiso yasemva kotyando
I-postoperative imaging iqinisekisile ukuphulukiswa kwamathambo okuzinzile, ukubuyisela umsebenzi we-occlusal, kunye ne-symmetry eyanelisayo ye-midface, ebonisa ukusebenza kweenkqubo zokubethelwa kwe-titanium kulawulo lwe-trauma yobuso.
![postoperative-outcome-maxillofacial-fixation-humeral-head]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Imifanekiso yasemva kotyando
UGqr Gabriel ubonise ukwaneliseka okukhulu ngamacwecwe e-maxillofacial anikezelwe yi-CZMEDITECH. Iipleyiti ze-Maxillofacial zibonelela ngokuzinzileyo kwaye kulula ukuziqhelanisa kunye ne-contour ukuhlangabezana neemfuno zesigulane.
Ukusetyenziswa kwe Iipleyiti ze-2.0mm ze-titanium zivumele ukuguqulwa okuchanekileyo, ukulungiswa okunamandla kwee-midface buttresses, kunye nokubuyiselwa kokuvala okusebenzayo. Le ndlela ihambelana nemigangatho yehlabathi kwi utyando lwe-cranio-maxillofacial trauma.
Ukubaluleka kweklinikhi
Eli tyala libonisa amandla akhulayo amaziko okwenzakala eGhana ukuze aqhubele phambili Ukwakhiwa ngokutsha kweCMF, ngakumbi kwiifractures zeLe Fort I. Ukudityaniswa kokulungiswa okuqinileyo, itekhnoloji ye-miniplate, kunye ne-self-drilling screws iqinisekisa iziphumo eziqikelelwayo, iingxaki ezincitshisiweyo, kunye nokubuyiswa ngokukhawuleza kwe- facial symmetry kunye ne-occlusion.
FAQ
1. Loluphi uhlobo lokwaphuka olunyangwayo kule meko?
Eli tyala lalibandakanya ukwenzakala entloko kunye nokwaphuka kobuso obuphakathi kweLe Fort I ngenxa yengozi yendlela. Zomibini zifuna ukulungiswa okuzinzileyo ukubuyisela ubume bobuso kunye nokuvala.
2. Kutheni kukhethwe iipleyiti ze-2.0mm maxillofacial kolu tyando?
Iipleyiti ze-2.0mm ze-maxillofacial zinika ubuchule obuhle bokujikeleza, ukuzinza, kunye nokuguquguquka, ukuvumela oogqirha botyando ukuba balolonge ipleyiti ngokuhambelana ne-anatomy yesigulane-elungele ukwakhiwa kwakhona kwe-midface.
3. Ngaba iipleyiti ze-maxillofacial zifanelekile ukunyanga i-Le Fort I fractures?
Ewe. Iipleyiti ze-Maxillofacial zibonelela ngokulungiswa okuqinileyo kuwo wonke ama-buttresses aphakathi, ukunceda ukubuyisela ukuvala, ukulinganisa, kunye nenkxaso yesakhiwo kwi-Le Fort I fractures.
4. Ziziphi iingenelo ezibonelelwe ngofakelo lwe-CZMEDITECH ngeli xesha lenkqubo?
Iiplati ze-CZMEDITECH kunye nezikrufu zazilula ukudibanisa, zibonelela ngokulungiswa okuthembekileyo, kwaye zihambelana neemfuno ze-anatomical zepateni yokuphuka, ukuphucula ukusebenza kakuhle kotyando kunye neziphumo.
5. Kuthatha ixesha elingakanani ukuchacha emva kwe-ORIF yokwaphuka kweLe Fort I?
Ukubuyiswa kuyahluka, kodwa izigulane ezininzi ziphinda ziphinde zibambeke ngokuqhelekileyo kunye nomsebenzi wobuso phakathi kweeveki ze-6-12, kuxhomekeke ekuthotyelweni kokunyamekela emva kokusebenza kunye nokulandelwa.
6. Ziziphi iingxaki ezinokuthi zenzeke emva kokuphuka kwe-midface fractures?
Iingxaki ezinokwenzeka ziquka i-malocclusion, usulelo, ukuvezwa kwe-hardware, okanye i-asymmetry yobuso obuseleyo. Ukulungiswa okufanelekileyo kunye nokulandelwa kunciphisa kakhulu le mingcipheko.
7. Ngaba i-self-drilling screws iyasebenza kwi-maxillofacial fixation?
Ewe. Izikhonkwane zokuzibhobhoza zinciphisa ixesha lokusebenza, zibonelela ngokulungiswa okuqinileyo, kwaye ziphelise imfuno yokugaya kwangaphambili kwiimeko ezininzi, zibenze zisebenze kakuhle kwiinkqubo ze-ORIF eziphakathi.
8. I-plating inceda njani ukubuyisela ukuvaleka emva kokwaphuka kweLe Fort I?
Ngokuzinzisa i-midface, iipleyiti zigcina imilinganiselo echanekileyo ethe nkqo kunye nethe tye, evumela i-arches yamazinyo ukuba ilungelelanise kwaye ivale ukuba ibe yesiqhelo.
9. Ngaba iipleyiti ze-maxillofacial zinokuhlengahlengiswa ngexesha lotyando ukuze zilungele i-anatomy yesigulana?
Ewe. Iipleyiti ze-Maxillofacial zenzelwe i-contouring ye-intraoperative, ivumela oogqirha botyando ukuba bagobe kwaye balolonge ukulungelelaniswa ngokuchanekileyo kwizakhiwo zobuso bomntu ngamnye.
10. Ngaba i-ORIF iyacetyiswa ngomothuko wokwaphuka kobuso obuphakathi njengeLe Fort I?
I-ORIF iyacetyiswa ngokubanzi kuba ibuyisela ingqibelelo yesakhiwo, ukuvaleka kwamazinyo, kunye nobuhle bobuso ngokufanelekileyo kunonyango olulondolozayo.
