Kauae. tukanga pae tino o te wheua zygomatic

Ko tētahi o nga āhuatanga takirua ko te wahi mua o te angaanga wheua zygomatic. ngā te reira i te kikorangi zygomatic, e ko te rohe o te temepara rua.

hanganga āhuatanga

Jugal Ko te mema paraharaha tapawha. mau ia te mua (visceral) o te angaanga ki tona tari roro. I tua atu, ka taea e tauturu i te reira te hono ki maxillary rahirahinga, te pae tino, me te frontal. hangaia e tenei katoa he maro turanga mo reira.

E toru mata tënei wheua zygomatic. ngā Anatomy te buccal (lateral), nga wahi pae tino, me te orbital.

Ko te tetahi tuatahi he koropuku. tukanga reira te whakamahi i toru honoa ki te kauwae, frontal me matamata pae tino. whai wāhi te wahi orbital te i roto i te hanganga o te taiepa orbital lateral me wahi o tona raro. whai wāhi taupa pae tino e i roto i te hanganga o te taiepa o te fossa infratemporal, a tahuri hoki tona waka rererangi.

Ko te mata o te wheua zygomatic

He maheni te wahi orbital, kua whai wāhi te reira i roto i te hanganga o te āmionga mārōrō, ara he wahi taiepa i waho, me te wahi raro. Waho tenei mata riro te reira tukanga lobnoosnovnoy, a i roto i mua o ona rohe mata infraorbital. Reira whakanohoia ano poka orbital zygomaticofacial motuhake. Kei roto te tukanga mata frontal orbital tairanga pai-tohua.

mata pae tino anga whekau, me te whakamuri. e ia wahi i roto i te hanganga o te taiepa mua o te fossa temepara. Ko reira ano hoki te poka pae tino zygomaticofacial. Wheua pāpāringa konga pae tino whakawhānui i tona kokonga muri, te hono ki te tukanga zygomatic o te wheua pae tino. Fakataha hanga e ratou i te kikorangi zygomatic. I waenganui ia ratou ko te suture pae tino-zygomatic pera-ka karanga.

Ko malar tētahi atu mata wheua motuhake. Ko reira maheni, āhua ohu nei ki te maunga motuhake, me te poka zygomaticofacial. Ko tōna mata o runga ruawhetū ko te rohe o te taha tomokanga o te āmionga me raro. tukanga Lobnoosnovnoy (whakaaro he wahi) - ko verhnenaruzhnogo wahi o mea mata. I roto i te mua o ona wahi kua whakawhānui reira nui atu i roto i te hoki. hono tukanga Zygomatic o te wheua frontal te ki reira. I waenganui ia ratou ko te tui skuloverhnechelyustnoy. Kei runga i te mata muri o te tuatoru o runga o te tukanga, i huaina nei ko te Angaanga.

Hoki kauae titia ki te wheua parirau nui i huaina poro. Ratou pūhui hanga he suture poro-zygomatic.

āhuatanga

Nā ki te rahi o tenei āhuatanga ngā o te angaanga kanohi, ona ahua, me nga koki e kua hanga e ki papa mua, tautuhi te momo tinana, te ira tangata, iwi, tau.

Tohunga mōhio 2 ngā wāhanga o te whanaketanga o te wheua zygomatic: wheua, me te kiko tūhonohono. Ko reira taa'eraa e puta te rohe 2-3 o ossification i te huatū tuatahi o te hapūtanga. E kē ratou i te 3 marama o te whanaketanga fetal.

Ko reira taa'eraa hoki e i roto i te wahi o nga wheua orbital ki te uiuia angiangi taea te uru e perforating dice hongere poka bizygomatic-pae tino, me te zygomaticofacial.

whara taea

I roto i te take o te kino e kore e taea te kingi te tangata i roto i te whati o te wheua zygomatic. Kei te āhuatanga i te reira na roto i te deformation me mara e pā ana retraction. I roto i te wahi nizhneglaznoy i roto i te rohe kikorangi zygomatic taea kite koe i te taahiraa pera-ka karanga. I te wa taua i reira e raruraru ina ngana tona mangai ki te puaki ranei te hanga nekehanga lateral kauae. E haere tahi piere e toto i roto i te etine o te kanohi, me te mate o te sensation, te kōpā i te rohe o te karere infraorbital.

Ki te mea kua neke te wheua zygomatic tino, i reira kia kia nasal toto i te wahi o te taha kotahi, me kite te peroo, e whakaahua tūroro rite te taonga rua. Ko he taea tātaritanga tika i muri noa whakamātautau X-ray.

whakaora

Ki te te meka o te whatinga wheua zygomatic kua u na i roto i te pikitia, te auraa e te mea e tika ana ki te whakahoki tapatahi kikokiko. mahi tenei kei te ki te otaota awhina mai anō te i roto i te tūranga tika. I muri i taua, ko reira e minaminatia ki te whakatika tonu. Ki te kahore he displacement, he iti ki te therapy tarukino me te whakarite therapy tinana te maimoatanga.

whakaora Surgery

Kei te anake hiahiatia wawaotanga hāparapara i roto i te wā rawa. Ēnei ngā āhuatanga ka te zygomatic wheua angaanga i whati, a ka kua neke ona tukanga.

Ka taea te wehea ngā tukanga hāparapara katoa ki intraoral me extraoral. Kati te mohiotia he tikanga Limberg, Gillies, Dingman. no ratou ki nga tikanga extraoral.

I roto i ētahi wā, ka taea e whakahokia tona tapatahi i roto i te kokoti i roto i te kōhao-waha. Ki te whakaritea wheua zygomatic ki Titanium paku-paraharaha, whakarato reira nga hua tino pūmau.

I muri e mau ana i roto i tetahi o nga momo o ngä mahinga ko reira nui ki te karo i te displacement taea o te wheua whatiwhatinga i. Hoki tenei whakaaro ko reira tika ki te rāhui i te kaupapa o te mangai, inu he kai wai, me te ngawari, kaua e moe i runga i te taha pāngia o te mata.

Whakaahuatanga tikanga extraoral

takoto Limberg tikanga i roto i te meka e roto i te poka motuhake (i ētahi wā, Heoi, kia he-wāhanga ripeka iti) o te kikorangi zygomatic kua whakaurua ki roto ki te kōhao o te matau kotahi-whai niho i roto i te mata raro. iti te tapatahi o te wheua te kaupapa, i te mea i roto i te huarahi i te ritenga ki te displacement. A, no te whakarite reira, ka whakaturia ki te tūranga tika o te pāwhiri te rongo. Kia whakahokia tenei te hangarite o te mata. ngaro ano taahiraa, i ko i te taha raro o te ohuraa.

I roto i te tikanga ki te whakahoki i te tapatahi o te mata, me te hoatu i roto i te wahi i te tukanga pae tino o te wheua zygomatic taea te whakamahi tikanga Gillies. hanga Whakahaere tākuta he kokoti i roto i te tumuaki. Heoi, dissects ia te kiri, kiko subcutaneous me te fascia pae tino. Na roto i whangai te kokoti i raro i te ararewa te wheua zygomatic kikorangi ranei, kua whakaurua te reira i raro i te whāriki. Next, he taputapu motuhake, whakamahia nei te rite te hua otlomok whakaturia i roto i te tūranga tika.

E ai ki te tikanga i roto i Dingman poka infratemporal hanga i roto i te retractor kokoti 1.5 cm whakahaere. meatia te tuaki e i roto i te rohe o te rohe rae lateral. I roto i tenei take, i muri i te whakahokinga mai o te tapatahi wheua mata o te tikanga kaituhi tūtohu ki te tangohia i te tui waea e tata ana te mata raro o te turanga kanohi, kei hea he te tukanga frontal o te wheua zygomatic.

tikanga intraoral

Ki te hiahia koe ki te tango i te tahi mau whatiwhatinga svobodnolezhaschie wheua, clots toto, o te mucosa, whakawhanakehia reira atu tikanga o te pokanga. Ko te taea tenei anake i roto i ngā mahi intraoral i roto i nei ki te mahi i te arotake o te pakohu maxillary.

Hei whakahoki i te tapatahi o te kokoti wheua i hanga i roto i te rohe o te puninga whakawhiti o te pūtake wheua. A, no te tenei paki tihorea-periosteal o mucous. meatia tenei e te whakamahi i te retractor ranei rau Buyalsky, puritia nei i raro i te tukanga zygomatic o te wheua pae tino.

I roto i mau ana i roto i tenei mahi e taea hoki ki te mai anō te wheua whatiwhatinga turanga raro. Hoki tenei whakaaro whakanohoia te pakohu hāngai whakapuru yodoformny. kia whakakiia e ia te reira raru ki te pupuri i te mea timatanga wheua mō te 10-14 ra i roto i te tūranga tika. whakaaturia Whakamutunga o mea whakapuru e i roto i te meatus nasal raro. Hoki tenei anastomosis mua-ka whakamahia.

Maukati rererangi wheua i roto i te tūranga tika mā te whakamahi i ngaahi peleti Titanium paku-waea rohe Weld whakakikorua ranei i roto i te tukanga frontal, te mata o raro o te turanga kanohi, heru, ka karanga zygomaticofacial kauae. Heoi, whakaaro te tikanga tuatahi te atu pono.

take motuhake

I roto i te tahi mau āhuatanga rapu te whakamahi o implants. E whakanohoia ana e ratou i te koha wheua. E mea pinepine, tūtohu kaiwhakaako i roto i ngā take motuhake ki te whakamahi i implants uku e kua hāngai i runga i hydroxyapatite i roto i ngā ki mau api Titanium.

I raro i tohu e tika ana kia kawea ai reira decompression io infraorbital. mahi tenei e te tuku i ona wahi intracanal, me te neke i te reira ki te ohuraa. Hei whakatau i taea te whakamahi i te hē o te tihi pūtake wheua i roto i implants hanga o Tini. E titau te reira i te ora o te ararewa epithelial o te sinuses nasal mā ngā paki paparinga uhi rangi ranei. Ka taea e taua tātai whakaiti i te mōrea o te pakohu kakā maxillary, e taea te whakawhanake i muri i te wharanga.

Mā te kaimono waho, ka taea e koe maukati i te kikorangi zygomatic. Ki tenei mutunga, kua sutured reira ki te paraharaha i hanga o kirihou nohopuku-pakeke. I raro i reira tika apu yodoformnuyu whāriki. E tauturu te reira ki te karo i bedsores.