Cheekbone. Zosatha ndondomeko ya zygomatic fupa

Mbali wophatikizidwa ndi gawo kutsogolo kwa chigaza zygomatic fupa. Ndipamene pa Chipilala zygomatic, ndiwo malire a kachisi dzenje.

mbali structural

Jugal ndi quadrangular mbale membala. Iye agwira kutsogolo (choipidwa) a chigaza ndi dipatimenti ubongo wake. Komanso, akhoza kuthandiza kugwirizana ndi maxillary sphenoid, kanthawi ndi mazunzo. Zonsezi amalenga maziko olimba izo.

Pali atatu pamwamba wopangidwa zygomatic fupa. Kaswili likusonyeza buccal (lateral), ndi kanthawi ndi yozungulira mbali.

Choyamba ndi otukukira kunja. Ndi njira ntchito atatu zolumukizidwa ndi maxilla, mazunzo ndi lobes mwakanthawi. Mbali yozungulira kumatanthauza mapangidwe a lateral yozungulira khoma ndi gawo la pansi pake. Zosatha Lobe kumatanthauza mapangidwe mpanda wa fossa infratemporal, ndi ndege ake anabwerera m'mbuyo.

Pamwamba pa fupa zygomatic

Mbali yozungulira ndi yosalala, izo kumatanthauza mapangidwe kanjira zapambuyo, ndicho akunja khoma gawo ndi gawo pansi. Kunja pamwamba kumakhaladi lobnoosnovnoy ndondomeko, ndi pamaso pa malire ake infraorbital m'mphepete. Komanso anaika wapadera zygomaticofacial yozungulira dzenje. The yozungulira pamwamba mazunzo ndondomeko limapangidwa bwino amalembedwa okwera.

Zosatha pamwamba akukumana inwards ndi chammbuyo. Iye amatenga gawo mu mapangidwe khoma kutsogolo kwa fossa kachisi. Ndi zygomaticofacial zosatha dzenje. Zygoma zosatha mafuta anakafika ku ngodya zake kumbuyo, chikugwirizana ndi ndondomeko zygomatic la fupa mwakanthawi. Pamodzi iwo apanga Chipilala zygomatic. Pakati pa iwo ndi otchedwa zosatha-zygomatic suture.

Wina osiyana fupa pamwamba malar. Ndi yosalala, otukukira kunja mawonekedwe ndi phiri wapadera ndi dzenje zygomaticofacial. chapamwamba ake semicircular m'mphepete Malire a mbali pakhomo la kanjira ndi pansi. Lobnoosnovnoy ndondomeko (gawo a) - ndi verhnenaruzhnogo gawo la anati pamwamba. Kutsogolo kwa ziwalo ndi kukodzedwa kuposa kumbuyo. Zygomatic ndondomeko ya fupa mazunzo chikugwirizana ndi izo. Pakati pa iwo ndi skuloverhnechelyustnoy msoko. Malowa ali pamtunda m'mphepete kumbuyo wachitatu chapamwamba kwa ndondomekoyi, wotchedwa Kalvare.

Komanso cheekbone ananamizira ndi lalikulu phiko fupa otchedwa mphero. pawiri awo ndipamene mphero-zygomatic suture.

Features

Chifukwa cha kukula kwa izi amafotokozera makamaka a chigaza nkhope, mawonekedwe ake ndi ngodya kuti anapanga ndi pamalo kutsogolo, chimatanthauza mtundu thupi, jenda, mtundu, msinkhu.

Akatswiri kuona 2 magawo a chitukuko cha fupa zygomatic: mafupa ndi minofu connective. N'zochititsa chidwi kuti m'dera 2-3 ya ossification kuwonekera trimester mimba. Iwo ali kale pa miyezi 3 chitukuko yoopsa.

Komanso tiyenera kudziwa kuti gawo la mafupa yozungulira ndi kafukufuku woonda akhoza kufika ndi perforating njira dayisi bizygomatic-kanthawi ndi zygomaticofacial dzenje.

kuvulala zotheka

Mu nkhani ya kuwonongeka munthu sungathe analetsa wovulala fupa zygomatic. Iwo amakhala ndi mapindikidwe ndi Anabweza zokhudzana kumunda. Mu gawo nizhneglaznoy mu Chipilala m'dera zygomatic mukhoza kuona chinthu otchedwa. Pa nthawi yomweyo pali mavuto pamene kuyesera atsegule pakamwa pake kapena kupanga magulu lateral pachibwano. Fractures ali limodzi ndi magazi mu diso la diso ndi imfa ya kumverera, dzanzi m'dera la mitsempha infraorbital.

Ngati fupa zygomatic ali ankatembenukira kwambiri, pangakhale m'mphuno magazi kuchokera mbali ya mbali yomweyo, ndipo kusawona bwino, zomwe odwala fotokozani ngati zinthu awiri. Koma matenda zolondola n'chotheka pambuyo X-ray bwino.

zochiritsira

Ngati mfundo ya pa zygomatic wovulala fupa udakhazikika mwa chithunzi, izo zimatanthauza kuti m'pofunika kuti abwezeretse anatomical okhulupirika. Izi zachitika mothandizidwa muyike pena zinyalala mu malo olondola. Pambuyo pake, ndi zofunika akadali kukonza. Ngati panalibe kusamutsidwa, chithandizo ndi zochepa kwa mankhwala ndi thupi mankhwala kusankhidwa.

opaleshoni kuchira

Opaleshoni alowererepo kokha chofunika milandu yapadera. Zikuphatikizapo zinthu pamene zygomatic chigaza fupa anali zikukhudza, ndi njira zake ndi ankatembenukira.

njira yonse opaleshoni akhoza kugawidwa mu intraoral ndi extraoral. Wokwanira kudziwika njira Limberg, Gillies, Dingman. Iwo ali njira extraoral.

Nthawi zina, akhoza kubwezeretsa okhulupirika ake kudzera ang'ambe thupilo mu M'mimbamo m'kamwa. Ngati zygomatic fupa atathana ndi titaniyamu mini-mbale, kuti zotsatira khola kwambiri.

Pambuyo pogwira aliyense wa mitundu ya zikunena n'kofunika kupewa kusamutsidwa zotheka makombo fupa. Chifukwa chaichi m'pofunika kuchepetsa kayendedwe ka m'kamwa, kumwa madzi ndi zofewa chakudya, musati kugona pa mbali akhudzidwa wa nkhope.

Kufotokozera njira extraoral

Limberg njira kwagona kuti kupyolera puncture wapadera (nthawizina Komabe, kupanga yaing'ono mtanda chigawo) wa Chipilala zygomatic anadzetsa M'mimbamo wa mbedza osakwatiwa-imodzi mu mphepete pansi. Kukhulupirika kwa fupa yafupika kayendedwe, lomwe ndi mbali zosiyana ndi kusamutsidwa a. Pamene poyerekeza ndi anapereka udindo olondola a pitani ndi kuzimva. Izi imatsitsimula chosokonekera wa nkhope. Komanso anazimiririka sitepe, chimene chinali m'mphepete m'munsi wa mpita wa.

Pofuna kubwezeretsa umphumphu wa pamwamba ndi kuika mu malo ndondomeko zosatha la fupa zygomatic angagwiritsidwe ntchito Gillies njira. Zikugwira ntchito dokotala wopanga ang'ambe thupilo mu scalp ndi. Komabe, iye dissects khungu, subcutaneous minofu ndi fascia mwakanthawi. Kudzera ang'ambe thupilo pansi ndichikepe akudyetsedwa zygomatic fupa kapena Chipilala, izo umayamba pansi gauze lapansi. Kenako, chida wapadera, amene ntchito ndalezo otlomok mu malo olondola.

Malinga ndi njira mu Dingman infratemporal dzenje kudzera mwa munthu 1.5 masentimita ang'ambe thupilo retractor kutumikiridwa. kung'ambika chikachitika m'dera la pamwamba m'dera lateral. Pankhaniyi, pambuyo pa kukonzedwanso kwa okhulupirika fupa padziko wolemba njira analimbikitsa zoika waya msoko m'mphepete pansi pa diso zitsulo, komwe ndi njira mazunzo a fupa zygomatic.

njira intraoral

Ngati mukufuna kuchotsa ena zidutswa svobodnolezhaschie fupa, magazi kuundana, wa mucosa, iwo anayamba njira zina opaleshoni. Izi zimatheka pamene ntchito intraoral zimenezo ndi kafukufuku wa nkusani maxillary.

Kubwezeretsa kukhulupirika kwa ang'ambe thupilo fupa analengedwa mu dera Transitional khola la fupa alveolar. Pamene katungulume-periosteal khumudwitsidwa wa mucous. Izi zachitika ntchito retractor kapena Buyalsky tsamba, imene pansi pa ndondomeko zygomatic la fupa mwakanthawi.

Pogwira ntchito imeneyi n'zothekanso kuti muyike pena zidutswa fupa zokhazikapo pansi. Chifukwa chaichi nkusani lolingana anaika yodoformny tampon. Iye ayenera mudzaze izo zolimba kusunga zinthu fupa masiku 10-14 mu malo olondola. Mapeto a anati tampon chimaonetsedwa mu meatus m'munsi m'mphuno. Pakuti anastomosis ichi chisanadze ntchito.

Loko fupa ndege mu malo zolondola pogwiritsa ntchito mbale titaniyamu kapena mini-waya china chotulutsa anakuta m'dera mu ndondomeko mazunzo, m'munsi m'mphepete mwa mwake diso, kuchisa, otchedwa alveolar zygomaticofacial. Komabe, njira yoyamba imatengedwa odalirika kwambiri.

Nthawi yapadera

Nthawi zina kugwiritsa ntchito amadzala. Iwo anayikidwa pa chilema fupa. Nthawi zambiri, madokotala amalangiza milandu chogwiritsira ntchito amadzala ceramic kuti zochokera hydroxyapatite osakaniza ndi mbale titaniyamu.

Pansi zizindikiro zoyenera mwina kuchitidwa decompression infraorbital mitsempha. Izi zachitika ndi kumasuka gawo intracanal zake zokwawa mu kanjira. Kuti athetse zopindika wa alveolar Crest fupa angagwiritsidwe ntchito amadzala zopangidwa TiNi. Zimenezi zimafuna kuchira wa akalowa zaminyewa wa m'njira za m'mphuno m'mphuno kudzera kutseka kuti uchiwo usatuluke tsaya kapena kumezanitsa kumwamba. njira zimenezi akhoza kuchepetsa chiopsezo sinusitis maxillary, amene angathe pambuyo kuvulazidwa.

Ntchito matabwa kunja, mukhoza logwirana ndi Chipilala zygomatic. Kuti zimenezi zitheke, izo sutured kwa mbale zopangidwa mofulumira kuumitsa pulasitiki. Patsinde kwenikweni adzamvetsere gauze yodoformnuyu. Izi zimathandiza kupewa bedsores.