Ka CAH Medical | Sichuan, China
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Ⅰ. Ngaka ea craniomaxillofacial e etsa eng?
Opereishene ea Craniomaxillofacial hangata e kenyelletsa mehato e latelang:
Tlhahlobo le boitokisetso pele ho opereishene
Histori e qaqileng le tlhahlobo ea 'mele, ho kenyelletsa le ponahalo ea sefahleho le ho koala, li etsoa, hammoho le lithuto tsa litšoantšo tsa cranial (tse kang CT le MRI) ho hlahloba ho se tloaelehe ha skeleton ea craniofacial. Ho etsoa moralo oa motho ka mong oa ho buoa, 'me mokuli le lelapa ba tsebisoa ka botlalo ka likotsi tsa ho buuoa, liphello tse lebeletsoeng, le mokhoa oa ho hlaphoheloa ka mor'a ho buuoa. Litlhahlobo tsa ka mehla pele ho buuoa, tse kang palo e feletseng ea mali, tlhahlobo ea mali, le liteko tsa sebete le liphio, li etsoa hammoho le ho lokisoa ha molomo ho hlokahalang.
Anesthesia
Hangata mokuli o fuoa anesthesia e akaretsang ho netefatsa boiketlo le polokeho nakong ea opereishene.
Moralo oa ho seha
Ho ea ka morero oa ho buuoa, maqeba a nepahetseng a etsoa letlalong la hlooho, sefahleho, kapa molomong oa molomo ho pepesa ka botlalo skeleton ea craniofacial e lokelang ho phekoloa.
Ho seha lesapo le ho falla
Ho seha masapo ho sebelisoa lisebelisoa tse loketseng, 'me masapo a bokelloa sebakeng se loketseng.
Ho lokisa ka hare
Lisebelisoa tsa ho lokisa ka hare, tse kang lipoleiti tsa titanium le li-screws, li sebelisetsoa ho tiisa masapo a tlohileng sebakeng se nepahetseng, ho netefatsa botsitso le pholiso.
Ho koaloa ha sekhahla
Ka mor'a ho fokotsa lesapo le ho lokisa, ho phunyeha ho koetsoe ka hloko. Ho ka 'na ha hlokahala ho lokisoa le ho tsosolosoa ha lisele tse bonolo. Tlhokomelo ea kamora ho buuoa e kenyelletsa hemostasis, drainage tube placement, le ho suturing ea maqeba. Ka mor'a ho buuoa, matšoao a bohlokoa a mokuli a tlameha ho behoa leihlo ka hloko, mehato ea thibelo ea tšoaetso e tlameha ho kenngoa ts'ebetsong, 'me ho fanoe ka koetliso e nepahetseng ea ho tsosolosa.
Ⅱ. Boemo ba opereishene ea Craniomaxillofacial ke bofe?
Boholo ba opereishene ea craniomaxillofacial e kenyelletsa lintlha tse latelang:
Ho hlophisoa ho ea ka sebaka sa ho holofala: Mefokolo e ka aroloa e le ea lehata, phatla, sinus ea ethmoid, maxilla, zygomatic bone, nasal bone, lateral orbital lebota, le mandible.
Classification by etiology: Basilar invagination e bakoa ke congenital or fumanwe lintlha tse 'me e ka aroloa ho ea pele ka lisosa tsa nts'etsopele le tse fumanoeng. Tsoelo-pele ea basilar invagination ke boemo bo ikemetseng ba masea bo ntlafatsang butle-butle le ho nyamela ka lilemo; mefuta e fumanoang hangata e bakoa ke ho sithabela maikutlo, lihlahala, le lintlha tse ling. Ho ipapisitsoe le sebaka sa bofokoli, e ka aroloa hape ka har'a invagination ea basilar e bohareng le invagination e seng bohareng ba basilar.
Ho hlophisoa ka liponahatso tsa bongaka: Mehlala e kenyelletsa kholo e matla ea craniofacial le mandibular malformations (eo hape e tsejoang e le Crouzon syndrome), benign congenital cranial deformities (eo hape e tsejoang e le Crouzon type I), Crouzon type II, Crouzon type III, congenital overgrowth (e tsejoang hape e le Klippel-Feil syndrome). Ho ipapisitsoe le tlhahlobo ea X-ray, ho na le maphao a bonolo a alveolar le maphao a rarahaneng a alveolar. Ho ipapisitsoe le liphetoho tsa pathological, ho na le maphaopha a felletseng le a sa fellang.
Ho latela boima, ho na le limaraka tsa I, II, III, le IV. Ha re bua ka kakaretso, sehlopha sa I se bobebe, ha sehlopha sa IV se le matla le ho feta.
Opereishene ea litlolo e kenyelletsa opereishene e phahameng ea phokotso ea masapo a zygomatic, opereishene ea hypertrophy angle ea mandibular (ho fetola sefahleho se sekoere ho ea sefahlehong sa oval), le osteotomy ea chin osteotomy le opereishene ea tsoelo-pele (ho lokisa selelu se senyenyane).
Mehato ea ho buoa e kenyelletsa ho ntša leino, ho phunya lesapo la alveolar le ho ntša metsi, ho ntša hlahala, ho lokisa molomo le mahalapa, ho lokisa leleme le ho ntša lesapo la mohlahare.
Ka kakaretso, sebaka sa opereishene ea craniomaxillofacial e pharaletse haholo, e akaretsa maemo a fapaneng a fapaneng, ho tloha ho bofokoli ba tlhaho ho isa likotsing tse fumanoeng, le ho tloha ho lokisoe ho ea ho opereishene ea litlolo.
Nako ea poso: Oct-16-2025
