By CAH Medical | Sichuan, China
Kune vatengi vanotsvaga yakaderera maMOQ uye yakakwira zvigadzirwa zvakasiyana, Multispecialty Suppliers inopa yakaderera MOQ kugadzirisa, kupera-kusvika-kumagumo zvigadziriso zvekugadzirisa, uye akawanda-mapoka ekutenga, achitsigirwa neindasitiri yavo yakapfuma uye ruzivo rwesevhisi uye kunzwisisa kwakasimba kwemafambiro echigadzirwa chiri kubuda.
Ⅰ. Chii chinoita craniomaxillofacial surgeon?
Craniomaxillofacial kuvhiyiwa kazhinji kunosanganisira matanho anotevera:
Preoperative kuongorora uye kugadzirira
Nhoroondo yakadzama uye kuongororwa kwemuviri, kusanganisira kutaridzika kwechiso uye kuvharika, kunoitwa, pamwe chete nezvidzidzo zvekufungidzira (zvakadai seCT uye MRI) kuongorora kusaenzana mucraniofacial skeleton. Urongwa hwekuvhiya hwemunhu hunogadzirwa, uye murwere nemhuri vanoziviswa zvizere nezvenjodzi dzekuvhiya, zvinotarisirwa mhedzisiro, uye mushure mekuvhiyiwa kupora maitiro. Ongororo dzenguva dzose dzekutanga kuvhiyiwa, dzakadai sehuwandu hweropa rakakwana, kuongororwa kweropa, uye kuongororwa kwekushanda kwechiropa neitsvo, kunoitwa, pamwe chete nekugadzirira nemuromo.
Anesthesia
Murwere anowanzo gamuchira general anesthesia kuti ave nechokwadi chekunyaradza uye kuchengeteka panguva yekuvhiyiwa.
Kuronga kwekucheka
Zvinoenderana nehurongwa hwekuvhiya, machekwa akakodzera anogadzirwa mumusoro, kumeso, kana mhango yemukanwa kuti anyatso buritsa pachena skeleton yecraniofacial kuti irapwe.
Bone incision uye kutamiswa
Bone incisions inogadzirwa uchishandisa zviridzwa zvakakodzera, uye mapfupa anounganidzwa munzvimbo yakakodzera.
Kugadziriswa kwemukati
Zvishandiso zvemukati zvekugadzirisa, zvakadai setitanium plates uye screws, zvinoshandiswa kuchengetedza mapfupa akadzingwa munzvimbo yakarurama, kuve nechokwadi chekugadzikana uye kuporesa.
Incision kuvhara
Mushure mekuderedza pfupa nekugadzirisa, incision yakanyatsovharwa. Kugadziriswa kwetishu dzakapfava uye kuvaka patsva kungave kuri madikanwa. Kuchengetwa kwepashure kunosanganisira hemostasis, drainage tube placement, uye ronda suturing. Mushure mekuvhiyiwa, zviratidzo zvakakosha zvemurwere zvinofanirwa kunyatsotariswa, matanho ekudzivirira kutapukirwa anofanirwa kuitwa, uye kudzidziswa kwekugadzirisa kwakakodzera kunofanirwa kupihwa.
Ⅱ. Ndeipi chiyero chekuvhiya kweCraniomaxillofacial?
Kukura kwekuvhiyiwa kwecraniomaxillofacial kunosanganisira zvinotevera zvinhu:
Kurongeka nenzvimbo yekuremara: Hurema hunogona kuiswa muchikamu seyedehenya, huma, ethmoid sinus, maxilla, zygomatic bone, nasal bone, lateral orbital wall, uye mandible.
Kurongeka ne etiology: Basilar invagination inokonzerwa nekuzvarwa kana kuwanikwa zvinhu uye inogona kukamurwazve mukukura uye kuwanikwa zvikonzero. Developmental basilar invagination ndeyekuzvigadzirisa mamiriro emucheche anovandudza zvishoma nezvishoma uye anonyangarika nezera; mafomu akawanikwa anowanzo kukonzerwa nekushungurudzika, mapundu, nezvimwe zvinhu. Zvichienderana nenzvimbo yekuremara, inogona kukamurwazve kuita midline basilar invagination uye isiri-yepakati basilar invagination.
Kurongeka nezviratidzo zvekiriniki: Mienzaniso inosanganisira kufambira mberi kwakanyanya kwekukura kwecraniofacial uye mandibular malformations (inozivikanwawo seCrouzon syndrome), benign congenital cranial deformities (inozivikanwawo seCrouzon type I), Crouzon type II, Crouzon type III, congenital overgrowth (inozivikanwawo seKlippel-Feil syndrome), uye brachycephaly syndrome. Kubva pane X-ray classification, kune nyore alveolar clefts uye yakaoma alveolar clefts. Zvichienderana nekuchinja kwepathological, kune yakazara uye isina kukwana cleft palates.
Kubva pakuomarara, kune mamakisi I, II, III, uye IV. Kazhinji, giredhi I rakapfava, nepo giredhi IV rakanyanya kuomarara.
Kuvhiyiwa kwekunatsa kunosanganisira kuvhiyiwa kwepamusoro kwezygomatic bone reduction, mandibular angle hypertrophy operation (kushandura chiso cheskweya kuchiso cheovha), uye horizontal chin osteotomy uye kuvhiyiwa kwekusimudzira (kugadzirisa chirebvu chidiki).
Maitiro ekuvhiya anosanganisira kubviswa zino, alveolar abscess incision uye drainage, tumor resection, cleft lip uye palate kugadzirisa, rurimi hypertrophy kururamisa, uye kubviswa kweshaya cyst.
Muchidimbu, kuwanda kwekuvhiyiwa kwecraniomaxillofacial kwakakura kwazvo, kufukidza huwandu hwakasiyana hwemamiriro, kubva pakuremara kwekuzvarwa kusvika pakukuvadzwa kwakawanikwa, uye kubva pakugadzirisa kushanda kusvika pakuvhiyiwa kwekunakisa.
Nguva yekutumira: Oct-16-2025
