Papa craniomaxillofacial

Loaʻa i ka mea maʻi ka maʻi maʻi maʻamau e hōʻoia i ka hōʻoluʻolu a me ka palekana i ka wā o ke kaʻina.

Hoʻolālā ʻoki

Wahi a ka hoʻolālā hoʻolālā, ua hoʻolālā ʻia nā ʻoki kūpono i ka ʻili poʻo, ka maka, a i ʻole ka waha waha e hōʻike pono i ka iwi craniofacial e mālama ʻia.

ʻO ka ʻoki iwi a me ka hoʻoneʻe ʻana

Hana ʻia nā ʻoki iwi me nā mea hana kūpono, a hoʻoneʻe ʻia nā iwi i kahi kūpono.

Hoʻopaʻa kūloko

Hoʻohana ʻia nā mea hoʻoponopono kūloko, e like me nā papa titanium a me nā ʻūlū, e hoʻopaʻa i nā iwi i hoʻoneʻe ʻia i ke kūlana kūpono, e hōʻoia i ka paʻa a me ka ho'ōla.

Pani ʻoki

Ma hope o ka emi ʻana o ka iwi a me ka hoʻopaʻa ʻana, ua pani ʻia ka ʻoki. Pono paha ka hoʻoponopono ʻana a me ke kūkulu hou ʻana i ka ʻiʻo palupalu. Hoʻokomo ʻia ka mālama ma hope o ka ʻoihana he hemostasis, hoʻokomo i ka paipu wai, a me ka humuhumu ʻeha. Ma hope o ka ʻoki ʻana, pono e nānā pono ʻia nā hōʻailona koʻikoʻi o ka mea maʻi, pono e hoʻokō ʻia nā hana pale ʻana i ka maʻi, a pono e hoʻolako ʻia nā hoʻomaʻamaʻa hoʻoponopono kūpono.

Ⅱ. He aha ke ʻano o ka hana ʻana o Craniomaxillofacial?

ʻO ka laulā o ka hana craniomaxillofacial e pili ana i kēia mau ʻano:

Hoʻokaʻawale ʻia e ka wahi o ka deformity: Hiki ke hoʻokaʻawale ʻia nā deformity e like me ka poʻo, ka lae, ethmoid sinus, maxilla, iwi zygomatic, iwi ihu, paia orbital lateral, a me mandible.

Hoʻokaʻawale ʻia e ka etiology: ʻO Basilar invagination ke kumu o nā kumu congenital a i loaʻa paha a hiki ke hoʻokaʻawale ʻia i nā kumu hoʻomohala a loaʻa. ʻO ka hoʻomohala ʻana i ka basilar invagination kahi kūlana paʻa ponoʻī i nā pēpē e hoʻomaikaʻi mālie a nalowale me ka makahiki; ʻO nā ʻano i loaʻa pinepine ʻia e ka trauma, nā ʻōpū, a me nā mea ʻē aʻe. Ma muli o ka wahi o ka deformity, hiki ke hoʻokaʻawale hou ʻia i ka invagination basilar midline a me ka invagination basilar non-midline.

Hoʻokaʻawale ʻia e nā hōʻike lapaʻau: ʻO nā laʻana e pili ana i ka holomua holomua craniofacial a me ka mandibular malformations (ʻike pū ʻia ʻo Crouzon syndrome), benign congenital cranial deformities (ʻike pū ʻia ʻo Crouzon type I), Crouzon type II, Crouzon type III, congenital overgrowth (ʻike pū ʻia ʻo Klippel-Feil syndrome), a me brachycephaly. Ma muli o ka helu X-ray, aia nā māwae alveolar maʻalahi a me nā māwae alveolar paʻakikī. Ma muli o nā hoʻololi pathological, aia nā palate cleft piha a piha ʻole.

Ma muli o ka paʻakikī, aia nā papa I, II, III, a me IV. ʻO ka maʻamau, ʻoi aku ka maʻalahi o ka papa I, a ʻoi aku ka koʻikoʻi o ka papa IV.

Hoʻokomo ʻia nā ʻokiʻoki ʻana i nā iwi zygomatic kiʻekiʻe, ke ʻoki ʻoki ʻana i ka iwi zygomatic kiʻekiʻe, ke ʻoki ʻana i ka hypertrophy angle mandibular (no ka hoʻololi ʻana i ka maka huinahā i ka maka oval), a me ka osteotomy auwae ākea a me ke ʻoki holomua (e hoʻoponopono i kahi auwae liʻiliʻi).

ʻO nā kaʻina hana kaʻina hana ʻo ia ka unuhi ʻana o nā niho, ka ʻoki ʻana i ka ʻōpū o ka alveolar a me ka hoʻokahe ʻana, ka ʻoki ʻana i ka ʻōpū, ka lehelehe māwae a me ka hoʻoponopono ʻana i ka ʻāʻī, ka hoʻoponopono ʻana i ka hypertrophy alelo, a me ka wehe ʻana i ka ʻāʻī.

I ka hōʻuluʻulu manaʻo, ʻo ka laulā o ka ʻokiʻoki craniomaxillofacial he ākea loa, e uhi ana i kahi ākea o nā kūlana, mai nā deformities congenital a i loaʻa i nā ʻeha, a mai ka hoʻoponopono hana ʻana a hiki i ke ʻoki kino.