Mitswe of zygomatic mapfupa ne misha

Zygomatic pfupa mitswe regai zvinoda anokosha nzira yokuita kuongorora chirwere. For Nyanzvi mashoko kukuvara kwakadaro hakusi nyore, nokuti zviri nyore chaizvo kuziva.

Chii chinoratidzwa kukuvara?

Damage kunoratidzwa pfupa dama yokururamisa, iyo chinoumba vanonzi "danho" pachiso akuvara. Izvi rworudzi deformation kakawanda vemunyika mune infraorbital mugove.

Mitswe of zygomatic pfupa uye haikwani kupedza muromo wakashamiswa, iro chiratidzo yakajeka kumbova kukuvara. Murwere haagoni kufamba rezasi shaya. Kana faibha iri zvemapuranga ziso ropa.

Kana wakagamuchira chakakomba mitswe ari zygomatic pfupa, zvichida chitarisiko nasal ropa kubva kwemhino, riri kurutivi isingakundiki.

Kazhinji, nokuti akawanda rakavimbika iri nechirwere kushandisa kushandisa X-ray zvokushandisa, izvo zvinoita kuti tikwanise kuita mufananidzo kuratidza kuti kukuvara. kunotevera Vakawanda vanoti rokuongorora musoro cheekbone uri mufananidzo zvakaoma zvikuru. Asi haana kuzivikanwa mitswe kungakonzera Migumisiro, zvichitungamirira Kumwe kuchinja kunotanga ari dehenya.

Ndezvipi aigadzira pakakuvara of zygomatic pfupa ikoko?

Kazhinji, akasiyanisa nezvemarudzi maviri akuvara: pakakuvara ari zygomatic mapfupa pakakuvara ne misha uye mapfupa zygomatic pasina misha.

Kukuvara, achiperekedzwa ane zvaizopedza, vaine kukuvadzwa rokumusoro maxillary sinuses. Zvinonzi kuvharwa, wakashama, Linear kana kusabatana.

Kana musi zvinokuvadza yakaitirwa mazuva 10, zviri kuonekwa yakachena, asi kana mazuva anopfuura 10 kana gare gare, mumwe chikare kutsemuka. Kana, zvisinei, sezvo zvakakanganiswa kwakaitika mwedzi wokupedzisira, pfupa anonzi zvakaipa accrete kana kwete fused.

Zviratidzo pfungwa pakakuvara ne misha

Pashure kutsemuka of zygomatic mapfupa inotevera zviratidzo:

• Ropa, kuzvimba nokukuvadza masking yokururamisa iri pamatama.
• Fungiro edema, iyo chacho nameso ako akavharwa.
• Kakawanda ropa kubva kwemhino, riri kurutivi ukama cheekbones.
• Yomurwere zvakaoma kuvhura muromo. Uyewo hazvigoni kune kumativi akasiyana repasi shaya.
• Kazhinji kuwanikwa madzerere, diplopia chokuita misha yeziso.
• Kana muchinyengetera kuti zygomatic pfupa murwere akaona nomusiyano marwadzo pamusoro palpation.
• Mitswe of zygomatic chematenga inogona pamwe pfupa mitswe cheekbone. Panyaya iyi kunoguma misha angled mapfupa zvimedu, kwaiwanzonangiswa mu zvenyama fossa.

Nderipi basa unyanzvi?

The chikuru basa vashandi utano munguva kurapwa ndiko kudzorera vakuvara mapfupa kuvimbika. Mitswe Kushaya kubviswa nokuda pakuvhiya nokuti zvinoda rutapudzo remafupa nezvimedu vavo Kuda kutamba. Kuvhiya kupindira anogona kutora nzvimbo mumuromo murwere uye kunze.

Mitswe pasina misha vari kubatwa conservatively tichibatsirwa zvinodhaka, uyewo simba physiotherapy.

Chii yematambudziko anogona kuitika?

Chii yematambudziko zvinogona kukonzera pakakuvara ari zygomatic pfupa? Migumisiro mukupera kugwayana rubatsiro rwezveutano angava sezvinotevera:

• Chiso wakarebesa, izvo zvinogona kutora anosimbirira nechisikirwo;
• mandibular contracture;
• sinusitis yokumusoro shaya ari chisingaperi chimiro;
• maxillary osteomyelitis.

Mandibular contracture anogona kukonzera misha yacho zygomatic pfupa ura shure, izvo zvinoita kuti pave jamming uye ine mavanga ari zvinyoronyoro nyama yacho mandibular coronoid muitiro.

Maxillary sinusitis mune chirwere chimiro uye kukonzera post-dzechimwe osteomyelitis mapfupa zvimedu zviri kuziviswa munyika sinus uye ayo lumen.

Kurapa varwere mupfungwa pamusoro zygomatic mapfupa

It anobvisa pakakuvara ari zygomatic mapfupa. Kunokwanisa kuchinja kana zvomusejari, zvichienderana rwakadini kukuvara.

In matsva kukuvadza (hapana mazuva anopfuura 10 pashure zvinokuvadza) pasina zvaizopedza zvichibvira kushandisa zvimedu kuchinja nzira. Kazhinji kuchengetwa zororo inokurudzirwa. On nzvimbo yakaputsika cheekbone akaisa chando. Matanho aya kunze mumazuva maviri mushure chiitiko wokutanga.

Pressure zvinofanira kunze pamusoro zygomatic pfupa. Kuvhura muromo inofanira kuva shoma kwevhiki mbiri.

Treatment In yekare kutsemuka

In kutsemuka yekare (pamusoro 10 Mazuva) pamwe misha chinhu dzakaratidza chete kuvhiyiwa. Kana repositioning pfupa zvimedu rushaya contraindicated mumuromo wakashama. With kukundwa zvinokwanisika chiso deformation, kurasikirwa aikanganiswa marwadzo munzvimbo kuvadza infraorbital uye zygomatic tsinga, chiono kaviri.

Mitswe of zygomatic mapfupa uye zygomatic chematenga kubviswa nokushandisa nzira dzakasiyana-siyana.

nzira Lamberg

Ndicho inonyanyoshandiswa kushandiswa nzira kurapwa. Rinoshandiswa panyaya apo kuvadza sinus Rusvingo vasingakoshi. Kuti reposition pfupa chirauro rinoshandiswa zino chete. Murwere anotora munhu chinjikira chinzvimbo. Anogara ari kumusana kwake.

The chikuru nzendo nzira kurapwa Lamberg

• musoro wemunhu akuvara riri utano divi.
• Unidentate haka akaiswa kubudikidza ganda kuti zygoma wokutanga zvakachinja muna chinjikira negwara, uye ipapo chinoita pagungano rikwanise yorusvingo neminondo yomukati pamusoro.
• Otlomok kuderedza sangano chakatarisana misha. Bata rinoitwa sokuvapo mafupa the clicks.

nzira Keane

Nzira yakadaro rinoshanda panyaya umo zygomatic mapfupa vakanyarara kubva yokumusoro shaya frontal uye mapfupa nezvenyama. Chokutanga, ane incision kuti mucous Kamudzira munzvimbo Transitional peta yokumusoro rushaya pamusoro alveolar penyika. Kuburikidza ronda dzakawira pasi pfupa chiremba akapinda erevheta. By kufamba kumusoro uye outwards chinoitika zvaizopedza bvupa munzvimbo yakarurama nzvimbo.

nzira Vilaydzha

Ndiye kuvandudzika pamusoro yapfuura nzira. Rinoshandiswa reposition pfupa cheekbone chematenga. The incision rinoitwa pasi Transitional mudanga munzvimbo yokutanga uye wechipiri molars. The erevheta uriri Karapetyan akatanga cheekbones pfupa kana yokufeva, izvo repositioned mu.

nzira Dubova

Nzira Izvi zvinoshanda kana kukuvaradzwa, unobatanidzwa norusvingo kunotevera maxillary sinus. Panyaya iyi Kwakabvisa zygomatic mapfupa kutsemuka? The oparesheni kunosanganisira chikamu Implementation rokumusoro Arch of pamuromo chishandiso yaiva pakati pamberi wechipiri matadza. Slimy periosteal kurova-rova iri akasvuura, achifumura kurutivi parusvingo maxillary sinus uye. Set mapfupa zvimedu. Kusanganisira sei uye pasi ziso rimwe. Chakagadzirwa fistula rinoshandiswa yepazasi kosi mhino. Sinus zvakasimba up chipande kuti gauze akaiswa mushonga wokuuraya iodoform. Kupera zviri akaiswa kuburikidza mhino. Rana, iri pedyo muromo, zvakasimba sutured. The tampon chinobviswa pashure 2 weeks.

Method Kazanyana kutendeuka

Nzira Izvi zvakafanana nzira kurapa yemiouki. Asi pane zvimwe musiyano. Kuti tirambe pfupa zvimedu zviri zvakarurama nzvimbo apo plugging ari sinuses pane gauze akashandisa chubhu kuti nyoro rabha.

Method Gillis, Kilner, ibwe

Bone mitswe cheekbone incision 2 masendimita mutemberi. Panyaya iyi, chiremba racho rose ringakweva kubva pamuganhu bvudzi. The ronda akaiswa yakafara erevheta Gillis kana hwakakungwa forceps. The chishandiso runoita kuti misha pfupa. A rutsigiro nokuti chokushandisa chinhu zvakasimba wad kuti gauze. Pamusana kumonyanisa ichi kunogona reponirovanie ungwandangwanda.

nzira Dyushanzha

Kana nzira iri unotakurwa reposition mapfupa cheekbones zvikuru akagadzirirwa chinangwa ichi forceps unopinza mazino uye matama. Kuburikidza ganda achishandisa chokushandisa ichi yaungashandisa uye pashaya dzavo reponirovat izvozvo. Asi, forceps izvi zvinogona kushandiswa "bara forceps" kana nembato Khodorovich-Barinova.

A nzira kwokubata Malanchuk-Hadarovicha

Nzira iyi inoshandiswa mitswe manyoro uye akare-kare. Hook pamwe zino mumwe akaiswa pasi padama pfupa kana chinhu chakakombama uye zvimedu pamwe haachatauri chokunze nenzira mhikuriso. Arm hunogara pamusoro mapfupa cranial.

Osteosynthesis waya kuburikidza musono kana polyamide pemavara

Kutsemuka of zygomatic pfupa, kwokuomerwa riri kumusoro, ikarapwa nokushandisa weld waya. Nzira iyi rinoshandiswa padama uye huma, uye matama kana maxillary kutsemuka pakakoromoka kana pachena muzvinhu akati. Kugadzirisa pfupa zvimedu cheekbones kushandisa chiduku bwendefa simbi pamwe screws diki.

nzira Kazanyana

nzira iyi yokurapa rinoshandiswa chiitiko kuti zvakapwanyika rutapudzo kuburikidza rimwe evanhu haina kuwana, uye ivo havagoni ichengeterwe yakarurama chinzvimbo. The incision yakaitwa munzvimbo rezasi fungiro, vachisiya pachena mapfupa cheekbone pedyo suborbital nharaunda. Paumbwe pfupa kunoitika mutsinga dzinofamba nemukaka kuburikidza iyo vakatakura nhete Stainless simbi waya. Vaziva magumo akatsunga kunze kuti vaumbe chiredzo kana loop. Pachishandiswa nzira yakadaro unotakurwa zygomatic mapfupa Kuda kutamba shamhu, iyo akatasva mune chivharo pamusoro gypsum.

nzira Shinbareva

Zygomatic mapfupa ndee kuti Barbed haka unidentate bhandeji kuti gypsum. With chete kwezana riemukaari chirauro jekiseni vakaraira pajinga kumucheto ngwanda panguva nzvimbo dzegirini. The ganda sutured. Murwere anofanira kuchengetwa kukudzivirirai zvokudya. Zvakakosha kudzivisa vomanikidza cheekbone.

nzira Bragin

Kazhinji pakakuvara pamwe misha uchishandisa chimwe shank haka hazvibviri kugadzirisa nezvimedu zviri zvakarurama chinzvimbo, sezvo yezviri kwebasa nyaya imwe chete chigamba wakaputsika chinhu chakakombama. Muchiitiko ichi mumwe bidentate haka. It vakaronga mawindo kuburikidza iyo masarasara anogona kuitwa pasi lingatury uye kutakura Kuda kutamba kuchivanze njanji.

Method Matas-Berin

By guru curved tsono kuburikidza mudzira mu zvenyama tsandanyama pamusoro cheekbones chinhu chakakombama akabata dzakaonda waya. Inoumbwa loop kuti waya yapera. Saka pane reponirovanie zygomatic Arch.

Method Matas-Berin

Nzira iyi inosanganisira suturing waya. chidobi Izvi zvinoratidzwa nezvakaitika kuna apo dzimwe nzira regai kubatsira. Pamwe yepazasi pamucheto chinhu chakakombama yaibereka cheekbones sectional wakareba 2 cm. Damaged zvikamu aunganidzwa pamwechete. At kumigumo zvimedu nokuda duku Boron kwakabereka maburi. Tichibatsirwa tambo polyamide zvimedu zvabatanidzwa. Vanopiwa yakarurama Kuda kutamba. The shinda migumo vari akasungirwa, ronda vasonanidza kumusoro zvakasimba.

Pakutanga kwezana rimwe muzvizhinji nezvimedu zvezvingwa pfupa zvimedu zvinogona wakaiswa pachishandiswa Fast koukukutu epurasitiki ndiro. Yakafara iri 1.5 cm uye urefu rinoenderana zygomatic chematenga murwere.

Kamwe Zvidimbu tichibatsirwa ari curved tsono kuchaita vpravleny, kubva kunze mumwe ichi rinoitwa pasi norwonzi polyamide. The shinda Migumo akasungwa pasi ndiro. Pakati mundiro uye ganda riri akanyudzwa turundy pamwe iodoform. Saka kuva akayambira bedsores. 8-10 zuva ndiro kubviswa.

Pasina kutyorwa kushanda hunhu, uye yakareba nguva kubva musi kutsemuka (anopfuura 1 gore) rinoshandiswa coronoid muitiro resection kana osteotomy pamusoro zygomatic mapfupa.

mhedziso

Kutsemuka of zygomatic pfupa, mapikicha vari munyaya ino zvinoreva chikamu chakakomba kacho pasango traumatology.

Pokumbononotswa kunokwanisa kukonzera kukuvara dzinoverengeka varwadziwe. Naizvozvo, pashure pokunge zvinokuvadza Zvinokurudzirwa zvakasimba kwete kumbosendeka kushanya kwachiremba. Mazvikokota achagadza anodiwa kuongororwa uye wasarudza zvakakodzera nzira kurapwa.