Fractures o ka zygomatic iwi me ka pohupani hale

Zygomatic iwi fractures mai i koi kuikawa kaʻina hana no ka lawe ana maiʻike. No ka 'Oihana hoakaka ua poho mea,ʻaʻole paʻakikī, no ka mea, ua nui ka paakiki ole e hoomaopopo.

He aha characterizes ka poino?

Poho ua wehewehe aku ma ka iwi papalina retraction, i kūpono ai ka ai-kapaia "ka anu u" ma ka luahi o ka maka. Kēiaʻano o ka deformation ua ana IIeEeAIEUIeXAIIUE i loko o ka infraorbital hapa.

Fractures o ka zygomatic iwi , aʻo ia ka mea hiki ole i ke hoʻokō 'ia i ka puka o ka waha, a mea he maopopo PAaIEN o kekahi eha. Ke hoomanawanui hiki ole hoʻoneʻe i ka lalo iwi ā. A pau keia puluniu ua kapa komo iā ia maka kahe ana ke koko.

Inā loaa hanahana loa fractures o ka zygomatic iwi, paha i ka helehelena o ka nasal kahe ana ke koko mai o nā puka ihu, aia ma kaʻaoʻao ai.

Nō kāu, no ka hapanui o ka pono i loko o kaʻike, io ana i ka hoʻohana 'ana o ka X-Ray pono, aʻo ka mea e hiki ai e hana i kekahi kiʻi e hoike ana i ka poino. He nui trauma hoʻopaʻapaʻa i diagnose fractured cheekbone ma ke kiʻi mea paʻakikī loa. Akā,ʻaʻole hōʻike 'fractures hiki hoʻonāukiuki hopena maikaʻi' ole, e alakai i ka pathological loli ma ka iwipoo.

He aha ano o fracture o ka zygomatic iwi ma laila?

E like me ka rula, ike okoa ia nā 'ano o nā palapū: fracture o ka zygomatic iwi fracture me ka pohupani hale a me ka zygomatic iwi me pohupani hale.

Eha, pu ma ka offset, wehewehe aku ma ka pōʻino i ka luna maxillary sinuses. Ua Ua pani, e wehe ae, laina paha fragmentation.

Inā i ka lā o ka hewa i paa ai i 10 mau lā, ka mea, ua manaoia e e hou, akā, ina oi aku mamua o 10 mau lā a ma hope, he OOAOAaXUEE fracture. Inā, nae, mai ka poho i wahi hope o ka malama, i ka iwi ua kuhi hewa accrete paha i fused.

Symptoms o trauma fracture me ka pohupani hale

Ma hope o fracture o ka zygomatic iwi ke kēia symptoms:

• Kahe ana ke koko, haanou ana, a wahi iho la masking retraction ma ka papalina.
• Lihilihi edema, a interferes me kou mau maka paa.
• Pinepine kahe ana ke koko mai o nā puka ihu, aia ma kaʻaoʻao o ka poino cheekbones.
• Hoomanawanui paʻakikī e wehe i ka waha. No hoi ka mea hiki ole neʻe aku i kekahi mau aoao elua o ka iwi ā lalo.
• Pinepine i loaʻa blurred hihiʻo, diplopia pili me pohupani hale o ka'ōnohi a poʻopoʻo.
• A lohe o ka hooki ana i ka zygomatic iwi o ka hoʻomanawanuiʻole ai i ka oi kaʻeha ma luna o palpation.
• Fractures o ka zygomatic e pio hiki ke hui me ka iwi fractures cheekbone. Ma keia hihia i ka kūpono pohupani hale huina iwi koena ai, ana ke kuhikuhi ma ka kino fossa.

He aha ka ke kumu hana o ka hoʻomalu?

O ka papa kuhikuhi hana o ke ola ka poe e hana i loko o ke au o ka lapaau o ka poino iwi manao pono, e hoʻihoʻi aku. Fractures offset ka weheʻana ma keʻoki kino, no ka mea, e noi mai ana ka ho'ēmiʻana o ka iwi, koena ai a me kā lākou mau fixation. ʻoki lāʻau lapaʻau 'uao e lawe wahi i loko o ke ahonui o ka waha a me ka mai.

Fractures ole pohupani hale i hana conservatively me ke kōkua o nā ai ', e like me ka aoao o ka physiotherapy.

He aha complications ke kānāwai?

He aha complications hiki i fracture o ka zygomatic iwi? Hopena o ka hopena o lapaau o ka luahi no ka 'inikua kōkua i e like penei:

• lehalehu t deformity, i hiki ke lawe i ka paakikiʻano;
• mandibular contracture;
• sinusitis a luna i loko o ka maʻi palapala;
• maxillary osteomyelitis.

Mandibular contracture hiki i pohupani hale o ka zygomatic iwi naau a me ka hope, i ka poʻea pau i ke kūpono 'ana o ke jamming a me ka apuupuu scars i loko o ka pahee nā'aʻaʻa o ka mandibular coronoid kaʻina.

Maxillary sinusitis i ka maʻi palapala, a i kāhea kia-traumatic osteomyelitis iwi hakina i i ke hoʻolauna i loko o ka sinus a me kona lumen.

Iapaau ana o nā mea maʻi me ka trauma o ka zygomatic iwi

Ua eliminates ka fracture o ka zygomatic iwi. Lapaʻau hiki e makeʻe kulana aʻoki lāʻau lapaʻau, ke kaumaha ma muli o ka nui o ke poho.

I hou piʻi (i oi aku mamua o 10 mau lā ma hope o ka ino) me offset hiki e hana koena o ka makeʻe kulana 'ana i kūpono. IeAUPIIe, IAa IO ana o ke koena ua paipai. Ma o ka wahi o ka i uhaiia cheekbone i anu. Mau ana i lawe mai iloko o ka mua mau lā ma hope o ka hana 'ia.

Puʻe E e hoʻokoe 'ia ma ka zygomatic iwi. Hāmama ka waha e e like i kaupalena 'ia no elua pule.

Lapaʻau I ka wa kahiko fracture

I kahiko fracture (ma 10 mau lā) me ka pohupani hale hehee ai hoikeia waleʻoki kino. I ka repositioning ka iwi hakina o ka iwi contraindicated ma hamama waha. Me keia make i hiki lehalehu t deformation, make o ka pā lonoaʻili i kaʻeha i loko o ka wahi o ka poho i ka infraorbital a me ka zygomatic nā aʻalolo, papalua hihio.

Fractures o ka zygomatic iwi, a me ka zygomatic e pio mai wehe 'ia ma kekahi mau ano.

hana Lamberg

'O kēia ka loa pinepine hoʻohana iaoia o ka lapaau. Ua Ua hoʻohana 'ia i loko o ka hihia ma ka poino i ka sinus paia mea mailuilu haalele. E reposition ua hoʻohana 'ia ka iwi makau me kekahi niho. Ke hoomanawanui kuhi he papamoe kūlana. He wahaheʻe ma luna o kona kua.

Ke kumu nui o ke kahua o ke ano o ka iapaau ana Lamberg

• ka luahi o ka poo mea ma kaʻaoʻao ola.
• Unidentate makau hookomoia ma kaʻili i ka zygoma mua 'oni iki i loko o ka papamoe hema, a laila, höʻike i ka huʻi huina me ka maka o ka pāʻili.
• Otlomok emi i kekahi ana e ku pono ana i ka pohupani hale. Manipulation ua lawe mai like loa me ka iwi clicks.

hana Keane

Oia iaoia mea kū ana i loko o ka hihia ma ka zygomatic iwi kaʻawale mai ka luna, a me ka frontal a me ke kino iwi. Mua, he incision o mucousʻili lahilahi i loko o ka wahi o ka malumalu pa i ka luna o ka alveolar nalu. Ma kahi eha, a haule iho la ia ma lalo o ka iwi kauka komo i ka'eleweka. Ma ka neʻe 'ana o luna, a waho hana offset iwi i loko o ka pololei kulana.

hana Vilaydzha

He mea he hana hou ma luna o ka mua ina hana like. Ua Ua hoʻohana 'ia e reposition i ka iwi cheekbone e pio. Ke incision ua hana ma luna o ka malumalu pā i loko o ka wahi o ka mua a me ka lua o ka molars. Ke'eleweka papahele Karapetyan hoʻolauna cheekbones iwi paha e pio, i repositioned ma.

hana Dubova

Kēia iaoia Ua pili ka wā poino, ua hui ia me ka pa pohaku trauma maxillary sinus. Ma keia hihia eliminated ka zygomatic iwi fracture? Ke hana komo ai i ka manaʻo pauku o ke keena e pio mai o ka waha o ka mea paahana aia ma ka waena konu ma mua o ka lua o ka molar. Slimy periosteal huʻa ua ihi,ʻilikai ma kaʻaoʻao paia o ka maxillary sinus a. E hoʻopaʻa i iwi koena ai. Me loli a me ka lalo o ka maka kīnā. ʻimi hoʻopunipuni fistula ua noi ai i ka papa malalo o ka ihu. Sinus paa i paʻa mohala o gauze impregnated me ka iodoform. Pau ka mea, ua hookomoia ma ka ihu. Rana, e huli i ka ma kahi o ka waha, paa i sutured. Ke tampon Ua wehe 'ia ma hope o 2 pule.

Na Huaolelo Kazanyana conversions

Kēia papa hana, ua like no ke ano o ka hana maikaʻi laau oka. Akā, he mea kekahi koena unuhi. E malama i ka iwi hakina ma ka pololei kulana wā plugging na sinuses kahi o ka gauze hoʻohana Tube o ka pahee laholio.

Na Huaolelo Gillis, Kilner, ka Stone

Iwi fractures cheekbone incision o 2 knm i loko o ka luakini. Ma keia hihia, ke kauka pulls hoʻi, mai ka palena o ka lauoho. Kaʻeha Ua hookomoia akea'eleweka Gillis a laila kūlou ihola forceps. Ke koʻi lipi kolo ana i ka iwi hoʻoneʻe. A kākoʻo no ka mea paahana mea he pilipaa hoʻopöpö o gauze. Mahalo i kēia manipulation ke reponirovanie'ōpala.

hana Dyushanzha

A pau keia hana ua lawe reposition iwi cheekbones pela papahana no keia mea forceps me kaʻoi mau niho a me ka papalina. Ma kaʻili ma ka mea o keia paahana ke hopu a me ka papalina iwi reponirovat ia. Akā, i kēia mau forceps hiki ke hoʻohana ' "pōkā forceps" a me kona'ūpā ahi Khodorovich-Barinova.

A hana o ka hana maikaʻi Malanchuk-Hadarovicha

Kēia papa hana ua hoʻohana 'ia no ka fractures o ka hou, a kahiko-kahiko. Hook me kekahi niho ua hookomoia ma lalo o ka papalina iwi a piʻo a me ka hakina me ka 'oni iki mawaho ma ka une lōhai. Lima maluna o na iwi cranial.

Osteosynthesis uea ma ka ulana 'ole polyamide nā huakaʻi

Fracture o ka zygomatic iwi, ka oolea o ka i mea kiʻekiʻe, ua malamaia lakou nei, e ana weld uea. Kēia papa hana ua hoʻohana 'ia i loko o ka papalina a me ka lae, a me ka papalina a me maxillary fracture nahā i ole waiho hanau ma ka olelo ana wahi. E koho i ka iwi hakina o na cheekbones pili he uuku papa o ka mea hiki ke hooheheeia me ka liʻiliʻi nā kui nao.

hana Kazanyana

Kēia hana o ka lapaʻau ua hoʻohana 'ia i loko o ka hanana i'ōpala hoʻi ka ho'ēmiʻana ma o ka hookahi manipulation ua i loaa, a me ka mea hiki ole ke mālama i loko o ka pololei kulana. Ke incision ua i loko o ka wahi o ka lalo, lihilihi, a waiho i hooleiiaʻi mawaho iwi cheekbone kokoke i ka suborbital māhele 'āina. Ke kahua o ka iwi ia lŘlŘ leki uea ma a ua lawe i ka lahilahi kuhiliʻole kila kaula. Ho oholo wae hopena Ua hoolena mawaho, e hana i ka makau a me ka loop. Ma ia ano i kekahi kaʻina hana, ua kaiia'ku zygomatic iwi fixation i ke kookoo, a ia hoʻi ka mauna o loko o ka chap o ka gypsum.

hana Shinbareva

Zygomatic iwi ua paa i ka laumeki makau unidentate lole wili o gypsum. Me he hookahi huli o ka piʻo makau injected ikaika ma ka haahaa kihi o ka piha'ā ma ke kahua o ke kaumaha. Ka ili sutured. Ke hoomanawanui E ana i kona akua e minamina iʻai. He mea pono e pale aku puʻe ma ka cheekbone.

hana Bragin

Pinepine i ka fracture me ka pohupani hale hoʻohana hookahi-shank makau mea hiki ole, e koho i ka hakina ma ka pololei kulana, e like me kaʻeleu neʻeʻana o ke kumuhana, he hoʻokahi wale nō'āpana o kekahi lahuikanaka i mokumokuia piʻo. Ma keia hihia he bidentate makau. Ua hooponopono puka ma i'ōpala hoʻi hiki ke lawe mai ma lalo o lingatury, a lawe aku i ka fixation a hiki i ka pā hoino aku.

Na Huaolelo Matas-Berin

Ma ka nui uma paipu ma ka tendon i loko o ke kino Muscle ma cheekbones piʻo paʻa lahilahi uea. I hanaʻia ma kekahi loop o ka uea holo mai. Pela i reponirovanie zygomatic e pio.

Na Huaolelo Matas-Berin

Kēiaʻano hana kŰia suturing uea. Kēiaʻano hana ua hoike mai ia ma ka hihia wā 'ē aʻe kāu kiʻina hana mai i kōkua. Ma ka lalo kae o ka piʻo hua cheekbones mahele lōʻihi o ka i mea 2 knm. Poino māhele i ohi pu. Ma na welau o ka hakina ma ka mea uuku boron hanau puka. Me ke kōkua o ka pae o ka polyamide koena ai i hui. Ka mea i haawi mai i ka pololei fixation. i nākiʻiʻia ka pae welau, a me ka ua; akeke nui i kaʻeha pilipaa.

Ma ka huli ana o ka ai iiiaanoaa o ke koena o ka iwi, ke koena Hiki ke paʻa ma ka lilo o ka hoʻokēʻai-iho i poe paakiki ea una honua. Kona laula, he 1.5 knm, a me ka lōʻihi hoʻopili like i ka zygomatic e pio mai ana o ka hoʻomanawanui.

Once koena ai a me ke kōkua o nā uma kui kele ma e vpravleny, mai ka waho o kēlā me kēia apana nahaha ua lawe mai ma lalo o ka pae o ka polyamide. Ka pae welau i nākiʻiʻia ma lalo o ka una honua. Ma waena o ka papa, a me ka ili ua puni iho la turundy me ka iodoform. No laila, e aoia bedsores. 8-10 lā anuanu wehe.

I ka wa e kaawale aku o ka 'aʻe' ana o ka loiloi maoli, a me ka hou manawa o ka manawa, mai ka la aku o ka fracture (oi ma mua o 1 makahiki) ua hoʻohana 'coronoid kaʻina resection paha osteotomy o ka zygomatic iwi.

ka hopena

Fracture o ka zygomatic iwi, e hōʻike mai iā ia kiʻi i loko o kēia 'atikala pili i ka waeʻano o loa na hihia i loko o ke kula o ka traumatology.

Hoʻopaneʻe 'ia ana i loko o lapaʻau hiki i ka hewa a hiki i ka helu o undesirable hopena. No laila, ma hope o ka hewa ka mea, ua ikaika ka paipai 'ole e ka hailonaʻana i ke kipa i ke kauka. Ke hoʻomalu, e koho i ka pono hookolokolo, a koho i ka iaoiaeii pono o ka nohoʻana.