Ngokuvamile abantu baphuka izinqulu wethambo zygomatic nge ukufuduka

Zygomatic ithambo waphuka angadingi izinqubo ezikhethekile sokufeza uphethwe. Ukuze Professionals isitatimende nomonakalo onjalo akunzima, ngoba kulula kakhulu ukuba aqaphele.

Zinjani umonakalo?

Umonakalo libhekene ithambo esihlathini ukuhlehlisa, yikuphi okwenza lo okuthiwa "isitebhisi" ebusweni lohlaselwayo. Lolu hlobo ukusonteka ngokuvamile isebenze ingxenye infraorbital.

Ngokuvamile abantu baphuka izinqulu we ithambo zygomatic futhi kukwenza kungenzeki ukuqedela uvule umlomo, okuyinto egqame bha yokulimala ekhona. Isiguli Awukwazi ukuhambisa umhlathi ongezansi. Uma lokhu fibre is camera iso ukopha.

Uma wathola waphuka ezinzima wethambo zygomatic, mhlawumbe ukubukeka acinene ukopha emakhaleni, elise ohlangothini wokulahlekelwa.

Ngokuvamile, i-iningi nokwethenjelwa e uphethwe asesebenzisa ukusetshenziswa imishini-X-ray, okuyinto wenza sikwazi ukwenza isithombe ukubonisa umonakalo. ukuhlukumezeka Abaningi baphikisa ngokuthi ukuxilonga cheekbone Waphuka ku isithombe kunzima kakhulu. Kodwa hhayi waphuka ezikhonjwe kungaba avuse nemiphumela engemihle, okuholela izinguquko sokugembula ogebhezini.

Yini izinhlobo ukwa wethambo zygomatic khona?

Njengomthetho, zihlukaniswa ezimbili zokulimala: ukwaphuka we zygomatic imigqa ephezulu nephansi nge ukufuduka namathambo zygomatic ngaphandle ukufuduka.

Ukulimala, ihambisane nohlelo offset, libhekene ukulimala elingenhla sinuses maxillary. It ivaliwe, evulekile, komugqa noma kwehlukana.

Uma usuku yokulimala lagujelwa izinsuku ezingu-10, kubhekwa ukuba fresh, kodwa uma izinsuku ezingaphezu kwezingu-10 noma kamuva, i ukwa yisikhathi. Uma Nokho, kusukela umonakalo senzeka ngenyanga edlule, ithambo kubhekwa accrete okungalungile noma cha tho.

Izimpawu ukubheduka ukwa nge ukufuduka

Ngemva ukwa wethambo zygomatic zimpawu ezilandelayo:

• Ukopha, ukuvuvukala futhi nilimaza ukugqiba sokuhoxisa e izihlathi.
• edema ijwabu leso, okuyinto ephazamisa ngamehlo akho ivaliwe.
• ukopha njalo aphuma emakhaleni, esisogwini ohlangothini cheekbones lilimele.
• Uyabekezela kunzima ukuvula umlomo. Futhi-ke ungeke ukwazi ukuya izinhlangothi ezahlukene umhlathi ongezansi.
• Ngokuvamile wathola angaboni kahle, diplopia elihlobene ne displacement yeso.
• Lapho ukunithandazela ithambo zygomatic isiguli waphawula ubuhlungu obuhlabayo ku palpation.
• Ngokuvamile abantu baphuka izinqulu lwaleli zygomatic zingahlanganiswa ne amathambo waphuka cheekbone. Kulokhu umphumela ukufuduka engela izinsalela, ngokuvamile iqondiswe ku fossa yesikhashana.

Uyini umsebenzi oyinhloko Ochwepheshe?

Umsebenzi oyinhloko abasebenzi bezempilo esikhathini ukwelashwa Iwukubuyisela abalimala ithambo ubuqotho. Ngokuvamile abantu baphuka izinqulu offset isuswe ngu ukuhlinzwa ngoba idinga nokwehlisa izinsalela futhi nenkanuko edlulele yabo. kokungenela Steel kungathatha indawo emlonyeni lesiguli nangaphakathi.

Ngokuvamile abantu baphuka izinqulu ngaphandle ukufuduka ziphathwa conservatively ngosizo izidakamizwa, kanye nethonya Physiotherapy.

Yini yezinkinga singenzeka?

Yini yezinkinga kungabangela ukwa wethambo zygomatic? Imiphumela yokwelashwa sekwedlule isisulu bathole usizo lwezempilo kungenzeka kanje:

• deformity ebusweni, okungathatha ubunjalo eziphikelelayo;
• contracture mandibular;
• sinusitis ongenhla efomini ezingamahlalakhona;
• osteomyelitis maxillary.

contracture Mandibular kungabangela ukufuduka wethambo zygomatic izibilini nasemuva, okuyinto enomthelela ukuthuthukiswa Jamming nezibazi olugubhayo kwezicubu ezithambile we mandibular inqubo coronoid.

sinusitis maxillary ngefomu chronic kuvuse ukucindezeleka kwangemva kwenhlekelele osteomyelitis izinsalela ukuthi luzoqala esikhathini itheku futhi inesikhala yayo.

Ukwelashwa kweziguli ukuhlukumezeka wethambo zygomatic

It iqeda ukwa wethambo zygomatic. Ukwelashwa kungaba olandelanayo noma kuhlinzwa, kuye kube sezingeni ukulimala.

Ngo umonakalo fresh (izinsuku ezingu-10 ngemva ukulimala) ngaphandle offset kungenzeka ukusebenzisa izinsalela amasu olandelanayo. Ngokuvamile ukugcinwa ukuphumula Kunconywa. On kwendawo cheekbone eziphukile ukubeka abandayo. Lezi zinyathelo abazenzi phakathi nezinsuku zokuqala ezingu amabili ngemuva kwesigameko.

Ingcindezi kufanele ayifakiwe ku ithambo zygomatic. Ukuvula umlomo kufanele kube njengoba elinganiselwe amasonto amabili.

Ukwelashwa In ukwa ubudala

Ngo ukwa ubudala (izinsuku ezingaphezu kwezingu-10) kanye isici ukufuduka kuboniswe ukuhlinzwa kuphela. Lapho ekuhleleni kabusha izinsalela yomhlathi contraindicated ku vula umlomo. Nale ukunqotshwa kungenzeka ukusonteka ebusweni, ukulahlekelwa kuvelana ubuhlungu endaweni umonakalo imizwa infraorbital futhi zygomatic, umbono double.

Ngokuvamile abantu baphuka izinqulu wethambo zygomatic futhi lwaleli zygomatic isuswe ngu izindlela ezehlukene.

indlela Lamberg

Lona njalo kunazo wasebenzisa indlela yokwelashwa. Isetshenziselwa esimweni lapho umonakalo odongeni itheku kuyinto engasho lutho. Ukuze ubeke kabusha hook ithambo isetshenziswa nomunye izinyo. Isiguli eqala evundlile. Ulala emhlane wakhe.

Izigaba main of the indlela yokwelashwa Lamberg

• ikhanda isisulu sika ohlangothini enempilo.
• hook Unidentate eyayifakwa isikhumba kuya zygoma lokuqala sigudluke ohlangothini ovundlile, bese kuqhutshekwa engela oyingozi ngosiko ebusweni kwangaphakathi.
• Otlomok ukunciphisa okuphambene ukunyakaza ukuze displacement. Izikhundla Kwenziwa nje ithambo ukuchofozwa.

indlela Keane

Le ndlela esebenzayo esimweni lapho ithambo zygomatic bathinteka kusukela ongenhla futhi engaphelele kanye amathambo yesikhashana. Okokuqala, imbobo ye ulwelwesi lwamafinyila endaweni zesikhashana Songa ongenhla we Crest alveolar. Ngesilonda eyawela ngaphansi udokotela ithambo langena ikheshi. Ngu ukunyakaza phezulu phandle kwenzeka offset bone ku isikhundla lesifanele.

indlela Vilaydzha

He is ngcono phezu indlela odlule. Isetshenziselwa ukuze ubeke kabusha lwaleli ithambo cheekbone. I imbobo wenziwa ku esibayeni zesikhashana endaweni ye molars lokuqala nelesibili. Phansi ikheshi Karapetyan owethulwa cheekbones ithambo noma lwaleli, okuyinto tibekwe esimeni.

indlela Dubova

Le ndlela isebenza lapho lilimele, is kuhlangene udonga ukuhlukumezeka itheku maxillary. Kulokhu eseyiqedile zygomatic imigqa ephezulu nephansi? Ukusebenza kuhilela kwesigaba ukuqaliswa lwaleli engenhla emlonyeni ithuluzi etholakala maphakathi ngaphambi izinyo lomhlathi yesibili. Okusaluketshezi ichopho periosteal is ehlutshiwe, eneka odongeni ohlangothini itheku maxillary futhi. Setha amathambo izinsalela. Kubandakanya abathintekayo futhi phansi izisekelo iso. fistula Artificial lisetshenzisiwe Yiqiniso engezansi ekhaleni. Itheku ihlumela uvalwe waqiniswa of gauze afuthwe ngesibulali iodoform. Qeda it is eyayifakwa ekhaleni. Rana, etholakala eduze umlomo, uvalwe sutured. THE TAMPON isusiwe emva 2 amaviki.

Indlela Kazanyana ukuguqulwa

Le ndlela kufana indlela aphatha ngayo ama-oki. Kodwa kukhona ezinye umehluko. Ukuze ugcine izingcezwana ithambo sikhundla lengiyo uma wokufaka lo sinuses esikhundleni gauze esetshenziswa tube injoloba soft.

Indlela Gillis, Kilner, iTshe

Bone waphuka cheekbone imbobo-2 cm ethempelini. Kulokhu, lo dokotela ukudansela isiginci sakhe emuva elisukela emngceleni wama izinwele. Isilonda ifakwe ikheshi ububanzi Gillis noma esebenzisa insaliwe. Ithuluzi lithuthela ithambo dengwane. A usekelo ithuluzi kuyinto wad Friend of gauze. Ngenxa yalesi ukuxhaphaza kungase reponirovanie doti.

indlela Dyushanzha

Lapho le ndlela yenziwa kabusha ithambo cheekbones eziklanyelwe lolu injongo esebenzisa ngamazinyo abukhali nezihlathi. Through the isikhumba esebenzisa leli thuluzi kungaba angathatha esihlathini ithambo reponirovat ke. Kunalokho, kungaba lezi esebenzisa wasebenzisa "ichashazi esebenzisa" noma nezizenze Khodorovich-Barinova.

Indlela kokuphatha Malanchuk-Hadarovicha

Le ndlela isetshenziselwa waphuka fresh nabadala ubudala. Hook nomunye izinyo sifakwe ngaphansi ithambo esihlathini noma arc cezu nge sigudluke kwangaphandle ngu isigwedlo. Ingalo usemahlombe amathambo cranial.

Osteosynthesis wire ngokusebenzisa umphetho noma polyamide lokuluhlaza

Ukwa wethambo zygomatic, kobukhulu ephakeme, iphathwa ngokusebenzisa wire weld. Le ndlela isetshenziswa esihlathini nebunzi, nezihlathi noma maxillary ukwa igebe noma dalulwa ezindaweni wathi. Ukuze ulungise izinsalela we cheekbones isicelo ipuleti encane lensimbi ngezikulufo ezincane.

indlela Kazanyana

Le ndlela yokwelapha esetshenziswa uma kwenzeka ukuthi doti ukunciphisa ngokusebenzisa zokukhwabanisa olulodwa akuyona etholwe, futhi abakwazi igcinwe sikhundla lengiyo. I imbobo senziwa endaweni leso aphansi, kusale obala ithambo cheekbone eduze esifundeni suborbital. Ukwakheka kwamathambo kwenzeka imbobo lapho wenziwa a mncane engagqwali izintambo steel. ekupheleni esephetha uzimisele nibonakala ukwakha hook noma iluphu. Ngokusebenzisa inqubo enjalo yenziwa zygomatic ithambo nenkanuko edlulele induku, okuyinto aboshelwe isivalo Gypsum.

indlela Shinbareva

ithambo Zygomatic eqondiswa olunameva hook ngebhandeshi unidentate of Gypsum. Ngokujika eyodwa hook arc injected ngokuqinile emaphethelweni engezansi bhasi endaweni ayimigodi. Isikhumba sutured. Isiguli kufanele kuhlonishwe engashiyi ukudla. Kuyadingeka ukuba ugweme ingcindezi cheekbone.

indlela Bragin

Ngokuvamile ukwa nge ukufuduka usebenzisa eyodwa-shank hook akunakwenzeka ukulungisa izingcezwana sikhundla lengiyo, njengoba ukunyakaza asebenzayo tesifundvo ingenye kuphela iqatha lenhlanzi arc eziphukile. Kulokhu hook bidentate. It ahlelwe ukuvuleka okuyothi doti kungaba kwenziwe ngaphansi lingatury futhi athwale nenkanuko edlulele kuya wesitimela yangaphandle.

Indlela Matas-Berin

Ngu izinaliti ezinkulu lwalugobile ngokusebenzisa Imisipha esengxenyeni imisipha yesikhashana ku cheekbones arc labetibambile ngocingo mncane. Ezakhiwe iluphu wire siphela. Ngakho lapho reponirovanie lwaleli zygomatic.

Indlela Matas-Berin

Le nqubo ihilela suturing wire. Le nqubo ibizwa kuboniswe endabeni lapho ezinye izindlela musa asize. Kanye onqenqemeni engezansi arc ekhiqizwa cheekbones obuphelele Sectional okuyinto 2 cm. Izingxenye ezilimele ziqoqwa ndawonye. Enisemikhawulweni izingcezwana by izimbobo ezincane boron kwathela. Ngosizo intambo polyamide izingcezwana zihlangene. Banikwa nenkanuko edlulele lesifanele. Imikhawulo ngentambo zibambene, leli nxeba ithungwe up ezihambisanayo.

kungenziwa ekuqa- sebuningini izinsalela izinsalela fixed esebenzisa okusheshayo-ukuqina ipuleti plastic. ububanzi 1.5 cm, kanye nobude oluhambisana lwaleli zygomatic isiguli.

Uma izingcezwana ngosizo inaliti lwalugobile ngeke vpravleny, kusukela ngaphandle kwe isinqamu ngamunye wenziwa khona ngaphansi intambo polyamide. Imikhawulo ngentambo zibambene ngaphansi plate. Phakathi plate kanye isikhumba okuvalelwe turundy nge iodoform. Ngakho bedsores waxwayisa. ipuleti 8-10 usuku isusiwe.

In the ukungabikho kwephulwe imvelo ukusebenza, futhi isikhathi esijana kusukela ngosuku ukwa (ngaphezu konyaka 1) isetshenziswa coronoid inqubo resection noma osteotomy wethambo zygomatic.

isiphetho

Ukwa wethambo zygomatic, izithombe ethulwa kulesi sihloko libhekisela esigabeni Ezimweni ezimbi kakhulu emkhakheni traumatology.

Ukubambezeleka ekwelashweni kungabangela ukulimala eziningana nemiphumela engathandeki. Ngakho-ke, ngemva ukulimala it is kakhulu Kunconywa ukuba ukuhlehlisa Ukuvakashela udokotela. Lo chwepheshe uzoqoka luhlolo ezidingekayo bese ukhetha indlela efanele ukwelashwa.