Uhlolojikelele lwekesi
Amacala okuhlukumezeka ebusweni ahlanganisa ukuphuka kobuso obuphakathi, amaphethini e-Le Fort I, kanye nokungasebenzi kahle kwe-occlusal kuvamile ekulimaleni kwamandla aphezulu. ENtshonalanga Afrika, ikakhulukazi iGhana, ukwamukelwa kwezithuthukisi Amasu okulungisa i-CMF, izinqubo ze-ORIF, kanye nezinhlelo zokucwenga ze-titanium maxillofacial zenze ngcono kakhulu imiphumela yeziguli ezihlukumezekile. Icala elilandelayo liqokomisa ukwakhiwa kabusha ngempumelelo komthelela wobuso obuhlobene nekhanda elinomswakama ngokuphuka kwe-midface yase-Le Fort I, ephethwe e-Korle Bu Teaching Hospital kusetshenziswa. I-CZMEDITECH 2.0mm amapuleti e-maxillofacial kanye nezikulufu zokuzibhoboza.
Ulwazi Lwesiguli
Owesilisa, oneminyaka engu-33 ubudala.
I-Imaging Preoperative
I-imaging yangaphambi kokuhlinzwa ibonise ukungazinzi okukhulu kobuso obuphakathi, obuhambisana nokuphuka kwe-Le Fort I okubangela izinkinga zokusebenza kwe-occlusal kanye nobude bobuso obuphakathi. Lawa maphethini avame ukuhlotshaniswa ne -seamacala okuvuselela ukuhlukumezeka kobuso .
![preoperative-imaging-lefort-fracture-ghana-czmeditech]( "preoperative-imaging-lefort-fracture-ghana-czmeditech")
I-Intraoperative Imaging
Ukubuka kwangaphakathi kokuhlinza kubonise ukuncishiswa okunembile kwezingxenye zokuphuka, ithimba elihlinzayo lenza ukuhlelwa kabusha kwe-anatomical kanye nokulungiswa kwangaphakathi okuqinile, okuqinisekisa ukuqondana okufanele kwezinqe zobuso. Amapuleti e-maxillofacial ayenziwe ama-contours ukuze afane nokugoba kobuso besiguli, okwenza ngcono ukuzinza.
![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")
Isithombe se-Postoperative
I-Postoperative imaging iqinisekise ukuphulukiswa kwamathambo okuzinzile, ukubuyisela ukusebenza kwe-occlusal, nokulinganisa okwanelisayo kwe-midface, okubonisa ukusebenza kahle kwezinhlelo ze-titanium plating ekulawuleni ukuhlukumezeka kobuso.
![i-postoperative-outcome-maxillofacial-fixation-humeral-head]( "postoperative-outcome-maxillofacial-fixation-humeral-head")
Isithombe se-Postoperative
UDkt. Gabriel uzwakalise ukwaneliseka okukhulu ngamapuleti ama-maxillofacial ahlinzekwa yi-CZMEDITECH. Amapuleti e-Maxillofacial ahlinzeka ngokuzinza futhi kulula ukuzivumelanisa nezimo kanye ne-contour ukuhlangabezana nezidingo zesiguli.
Ukusetshenziswa kwe Amapuleti e-titanium angu-2.0mm avumele ukukhonta okunembile, ukulungiswa okuqinile kwezinqenqema zobuso obuphakathi nendawo, nokubuyiselwa kokuvaleka kokusebenza. Le ndlela ihambisana namazinga omhlaba ku ukuhlinzwa kwe-cranio-maxillofacial trauma.
Ukubaluleka Komtholampilo
Leli cala libonisa amandla akhulayo ezikhungo zokuhlukumezeka zaseGhana ukwenza okuthuthukile Ukwakhiwa kabusha kwe-CMF, ikakhulukazi ezindaweni eziyinkimbinkimbi ze-Le Fort I. Inhlanganisela yokulungiswa okuqinile, ubuchwepheshe be-miniplate, nezikulufu zokuzibhoboza kuqinisekisa imiphumela ebikezelwayo, izinkinga ezincishisiwe, nokululama ngokushesha kokulinganisa kwe- face nokuvala.
FAQ
1. Hlobo luni lokuphuka olwelashwa kuleli cala?
Leli cala lalihilela ukulimala ekhanda okudumayo kanye nokuphuka kobuso obuphakathi kwase-Le Fort I ngenxa yengozi yomgwaqo. Kokubili kwakudinga ukulungiswa okuzinzile ukuze kubuyiselwe ukwakheka kobuso nokuvaleka.
2. Kungani kukhethwe amapuleti e-maxillofacial angu-2.0mm kulokhu kuhlinzwa?
Amapuleti ama-maxillofacial angu-2.0mm anikeza ikhono elihle kakhulu lokujika, ukuzinza, nokuvumelana nezimo, okuvumela odokotela abahlinzayo ukuba balolonge ipuleti ngokuvumelana nokwakheka kwesiguli—okulungele ukwakhiwa kabusha kobuso obuphakathi.
3. Ingabe amapuleti e-maxillofacial afanelekile ukwelapha ukuphuka kwe-Le Fort I?
Yebo. Amapuleti e-Maxillofacial ahlinzeka ngokulungiswa okuqinile kuzo zonke izinqe ezimaphakathi, esiza ukubuyisela ukuvala, ukulingana, nokusekelwa kwesakhiwo ekuqhekekeni kwe-Le Fort I.
4. Yiziphi izinzuzo izifakelo ze-CZMEDITECH ezanikeza phakathi nale nqubo?
Amapuleti nezikulufu ze-CZMEDITECH kwakulula uku-contour, kunikeze ukulungiswa okuthembekile, futhi kuhambisane nezidingo ze-anatomical zephethini yokuphuka, ukuthuthukisa ukusebenza kahle kokuhlinzwa kanye nemiphumela.
5. Ingabe ukululama ngokuvamile kuthatha isikhathi esingakanani ngemva kwe-ORIF yokuphuka kwe-Le Fort I?
Ukululama kuyahlukahluka, kodwa iziguli eziningi zithola ukuvaleka okuvamile nokusebenza kobuso phakathi namasonto angu-6-12, kuye ngokunamathela ekunakekelweni kwangemva kokuhlinzwa kanye nokulandelwa.
6. Yiziphi izinkinga zangemva kokuhlinzwa ezingase zenzeke ekuqhekekeni kobuso?
Izinkinga ezingaba khona zihlanganisa i-malocclusion, ukutheleleka, ukuchayeka kwehadiwe, noma i-asymmetry yobuso eyinsalela. Ukulungiswa okufanele kanye nokulandelela kunciphisa kakhulu lezi zingozi.
7. Ingabe izikulufu zokuzibhoboza ziyasebenza ekulungiseni i-maxillofacial?
Yebo. Izikulufu zokuzibhoboza zinciphisa isikhathi sokusebenza, zihlinzeka ngokulungiswa okuqinile, futhi ziqede isidingo sokumba ngaphambili ezimweni eziningi, zizenze zisebenze kahle ezinqubweni ze-ORIF ezimaphakathi.
8. Ukucwenga kusiza kanjani ukubuyisela ukuvaleka ngemva kokuphuka kweLe Fort I?
Ngokuzinzisa i-midface, amapuleti agcina ubukhulu obulungile obuqondile nobuvundlile, okuvumela ama-arch amazinyo ukuthi ahleleke futhi avale ukuze abe kwejwayelekile.
9. Ingabe amapuleti e-maxillofacial angalungiswa ngesikhathi sokuhlinzwa ukuze alingane ne-anatomy yesiguli?
Yebo. Amapuleti e-Maxillofacial aklanyelwe ukuhlangana kwe-intraoperative, okuvumela odokotela abahlinzayo ukuthi bagobe futhi bawalolonge ukuze bazivumelanise ngokunembile nezakhiwo zobuso zomuntu ngamunye.
10. Ingabe i-ORIF iyanconywa ngokuphuka kwe-midface okubuhlungu njenge-Le Fort I?
I-ORIF inconywe kakhulu ngoba ibuyisela ubuqotho besakhiwo, ukuvaleka kwamazinyo, nobuhle bobuso ngendlela ephumelela kakhulu kunokwelashwa okuvamile.
