Utyando Orthognathic phambi nasemva: ncomo

Iindlela bamazinyo mihla uyakwazi ukutshintsha umthamo babantu, lungise తీసివేయి Susa. Kodwa ngokuqhelekileyo ayithethi kukhokelela ekuphuculweni kakhulu ngembonakalo. Ukuba umntu na ngezifo kulwakhiwo kwemihlathi, yi nga ku pfuna utyando orthognathic. Eli wamazinyo candelo, ojongene nje kuphela uqeqesho malocclusion, kodwa ulibuyele wolingano- macala kunye olinganise echanekileyo ebusweni. Umzekelo, utshintsho nokumila kwesilevu okanye zobude mandible ayikwazi kunokufikelelwa ngokusebenzisa izibiyeli kunye nezinye isakhiwo amazinyo. It utyando orthognathic kukhokelela imbonakalo nomtsalane ngakumbi. It ilungisa deformation esinzulu ubuso kwi emhlathini.

Imbali zotyando orthognathic

Eli sebe bamazinyo idibanisa amayeza izithambiso kunye notyando maxillofacial. Injongo yawo kukuzuza iimpawu zobuso evumelanayo. Igama eli candelo livela kwigama lesiLatini ukuba bubonakala "mihlathi ngqo." Ekuqaleni, le imisebenzi lwenziwa kuphela umthamo ochanekileyo, nokumila kobuso ngexesha elifanayo yatshintsha kancinane. Eyona ekhethekileyo kukuba sichaphazele imihlathi esezantsi, kwaye liqatywe yenziwa ngaphandle, kangangokuba ubuso umonakalo esikhumbeni.

Kodwa ubuchule bentshukumo yasungulwa ngo-1965 yi emhlathini eliphezulu. Emva koko, utyando orthognathic iye indlela ephumelelayo ukutshintsha imilo ebusweni. Rhoqo nokuphucula iindlela zokusebenza, kwaye ziya kwenziwa ngokukhawuleza isenokungena emanxebeni zangaphakathi. Oku ukuba isigulane ukwenza ukubonakala nomtsalane ngakumbi. Kwiminyaka yakutshanje, indlela yokuqeqesha iye mihla, ngoku emva kokuba yena akazange yandishiya nentlungu.

Apho utyando eziphuhlileyo ngcono orthognathic

Oogqirha Latvia, eSt Petersburg eMoscow zithathwa ezona kule nkangeleko. imisebenzi ezinjalo kungenziwa e Riga nstitute bamazinyo. E St. Petersburg, kukho amaziko zonyango ezimbalwa ukuba enze ukulungisa ezinjalo. Utyando kakhulu ezaziwayo-kakuhle ingcali maxillofacial yi UGqr AR Andreischev.

Ingakumbi idume utyando orthognathic eMoscow. Iingcali zophando kunye Centre lwezonyango ze Otorhinolaryngology ukwenza le misebenzi usebenzisa ubuchule mihla, esebenzisa njengoko kuphuhliso lwabo. Le PhD, oogqirha best eRashiya enjalo inkangeleko A. N. Senyuk, I. Lyashev, MA Mokhirev kunye D. N. Nazaryan.

iintlobo zemisebenzi

Bonke ukusombulula ingxaki omnye - ukulungisa iziphene umhlathi nokuphucula imbonakalo ebusweni. Kodwa kuxhomekeka kwiimpawu ngamnye kunye nezinga sandla sifo le ukusetyenziswa imisebenzi eyahlukeneyo:

• osteotomy kwemihlathi yangasentla - intshukumo kunye nenkanuko yalo kunye amacwecwe titanium;
• osteotomy kwemihlathi ephantsi - ebeka kwindawo efanelekileyo;
• kwezinye iimeko kuyimfuneko kwemihlathi yahlulwe eziliqela ukuyandisa;
• ezihambayo amathambo emhlathini ;
• genioplasty - ukusika kwakuwo lasesilevini kunye nokulungiswa wezintlu umndilili ubuso;
• ngamanye amaxesha ufuna rhinoplasty ngakumbi, liposuction okanye inaliti otyebileyo, lipofilling.

Ubungqina obubonakalayo buxela ukuba ukuhlinza

Ngokuqhelekileyo, deformation bemihlathi malocclusion encinane okanye తీసివేయి Susa mgaqweni ukulungisa nge braces, izithsaba, okanye veneers. Kodwa hayi kuzo zonke iimeko ngale ndlela unako ukuphumelela. Braces rhoqo musa uncedo, okanye ngokuchasene noko, sibe sibi imeko yesigulane. Ukuba unyango amazinyo enjalo ikhutshwa phandle phantsi deformations kakhulu kwemihlathi, oko kunokukhokelela ezimbi welungu temporomandibular, okanye dislocation kwamazinyo.

Kukho imiqondiso ethile utyando orthognathic, nto leyo evumela ungenelelo kuphela xa kuyimfuneko. Ngokuqhelekileyo le meko:

• ubukhulu okungaqhelekanga le imihlathi;
• i asymmetry le imihlathi;
• angenwe prognathic, apho isigulana kwesilevu encinane kakhulu;
• ejonge ngamandla umhlathi asezantsi;
• gingival okanye uncumo yezi zinto.

Izimo

Ortognasticheskaya uqhaqho kubonisa bonke. Abanye abantu abakulungeleyo ukwenza umsebenzi onjalo ngaphandle deformation kakhulu. Ukuba unomntana lichanekile, kodwa kuphela yimbonakalo yomntu ayengathandi oogqirha bakhe musa ukwenza ukunyanga. Ukongeza, kukho Izimo ethile imisebenzi enjalo:

• esakhula phambi ukuyilwa lokugqibela emihlathini, oko kukuthi malunga iminyaka 18-21;
• ukopha yokudla;
• isifo sentliziyo;
• ngezifo kwenkqubo skeletal;
• ukuphazamiseka kwamadlala ezidalwe;
• diabetes;
• isifo-luvo.

Yintoni yoqeqesho kuyafuneka

Phambi kokuba umsebenzi kufuneka ukuba bangenele uviwo olupheleleyo ngugqirha wamazinyo. Ugqirha uya kumisela parameters yimfuneko ukulungiselela olufanelekileyo ilunga temporomandibular, ukuba imihlathi ngokupheleleyo nokubotshwa. Isebenzisa inkqubo Dolphin kwikhompyutha evumela ukuba ukwakha 3D-umfuziselo iimpawu zobuso evumelanayo ukuba umntu othile. Le itemplate ngoko kusetyenziswa ngexesha lokusebenza.

Kodwa ngaphambi kokuba baqale unyango orthognathic, kuyimfuneko ukuba ukulungelelanisa i తీసివేయి Susa kancinane. Yenza le braces okanye neekepusi selubala, nekufuneka zinxitywe kangangeenyanga ubuncinane 2-3. Ngamanye amaxesha le xesha lilibaziseka ngenyanga kangangeminyaka 1-1.5.

Njengokuba lo msebenzi

utyando Orthognathic - ilunyango kakhulu wesibeleko esigqibeleleyo. Ngoko ke, yonke imisebenzi lwenziwa esibhedlele. zomzimba jikelele Kuyimfuneko. Emva operation ihlale iiyure 5-6. Emva kweliso unyango kuyimfuneko, ukuze isigulane uhlala esibhedlele iintsuku eziliqela. Kodwa emva kokushiya ukuba enqabe kwimisebenzi yesiqhelo. Ngoko ke, enikwe esibhedlele iiveki ukuya ku-3.

Ingaba kukho iingxaki

Ngokuqhelekileyo, ezifana imisebenzi ubuninzi ukunyamezeleka lula. Kusenokuba kwingxaki emva kotyando - oko antsi komlomo, apho kungekudala uqobo yaye kunempembelelo entle: isigulane akuthethi zintlungu. Ukongezelela, maxa wambi kukho ithambe izihlunu ukudumba, umqala obuhlungu, nentetho engekho mgaqweni, ukuxinana ngeempumlo, isicaphucaphu okungephi. Ukuze uqiniseke yokuphumelela ukusebenza kwaye kungekho ziziphumo ebezingalindelekanga, kunyanzelekile ukuba akhethe ekliniki elungileyo kunye noogqirha abanezakhono.

Ukongeza, ukuba siphephe imiphumo ebuhlungu baya ukugcinwa imithetho emininzi, ngenxa yokuba lo msebenzi lwenziwa phantsi Ukubulawa jikelele:

• musa ukutya okanye usele iiyure eziyi-8 phambi utyando;
• zama ukuba utshaye imini phambi kwalo;
• ukuba wenze utyando kwi indisposition encinane, ifiva, okanye ukuphazamiseka emathunjini.

neziphumo zemisebenzi

Ortognasticheskaya Utyando uyakwazi ukuguqula inkangeleko yomntu. Phucula kobuso kusiza wayikhangelisa abancinane kunye nomtsalane ngakumbi. Oku kuyimfuneko kuba umgangatho ubuhle macala imilo ubuso. Ukongeza, uncumo entle, kakhulu, etsalela abantu. Umntu imilo mgaqweni le imihlathi idla uncumo nje eneentloni, azivalele yaye ulahlekelwa self-ukuzithemba.

Kwiintlobo ngeentlobo iifoto, ungabona hlobo lweziphumo inceda oko kuzuzwe utyando orthognathic. Ngaphambi kunye nasemva kotyando umguli rhoqo ibonakala eyahlukileyo. Kuyinto olukwazi ukoluka emhlathini, okanye ukwenza kube emfutshane, ukutshintsha indawo yayo, ukutshintsha imilo kunye nobukhulu kwesilevu. Ngenxa yoko, iimpawu zobuso zibe rhoqo ngakumbi nenkangeleko siguqulwe. Imiphumo emihle yokusebenza sicacisiwe kukuba zonke ukucuthwa yenziwa ngaphakathi, ngoko isidima laphu engaphandle akukho yaphazamiseka.

Ukongezelela ekufumaneni japan kubuhle, lo msebenzi inceda ukuphelisa abanezifo ezisebenzayo, ezifana ukusilela nokungacaci zentetho, imisebenzi nzima ukuhlafuna. Ke okona kubalulekileyo, ortognasticheskaya utyando kuphucula nezengqondo yomguli kunye kwandisa ukuqiniseka kwakhe.

Izimvo yale kulungisa

Enyanisweni bambalwa kakhulu abantu bazi ukuba yintoni na utyando orthognathic. Ukuphonononga zibonisa ukuba uninzi ulungiso niyagrenyana lwenziwa ngoncedo braces. Kuphela kwimeko deformations kakhulu ngabantu kwemihlathi kugqitywe uqhaqho. Kodwa abo basebenzisa iinkonzo ezifana bathi imbonakalo yazo batshintsha kuba ngcono. Abaninzi, ukuhlupheka iminyaka ukususela iingxaki zokuthetha kunye malocclusion, nokubandezeleka ndingento yanto, similise emva kotyando. utyando Orthognathic, nokuba ukunceda uvuseleleke iminyaka embalwa. Kwaye akukho imiphumela emibi okanye iingxaki emva kotyando, izigulane awuboni.

utyando Orthognathic - oku kuya kutshintsha ukubukeka ngcono kwi iingxaki ezinzulu kubume kwemihlathi. iindlela Modern ukwenza imisebenzi ukulungiswa okunjalo ekhuselekileyo nesebenzayo.