Cheekbone. inqubo Temporal ithambo zygomatic

Omunye izakhi abhanqiwe iyona phambi ingxenye ugebhezi ithambo zygomatic. It yakha lwaleli zygomatic, okuyinto umngcele ethempelini emgodini.

izici kwesakhiwo

Jugal kuyinto ipuleti ilungu quadrangular. Uneziqu phambili (visceral) Yekhanda nge umnyango wakhe ingqondo. Ngaphezu kwalokho, kungasiza baxhumane maxillary sphenoid, yesikhashana futhi engaphelele. Konke lokhu kudala isisekelo esiqinile ke.

Kunezinhlobo ezintathu ebusweni ehlanganisa ithambo zygomatic. Anatomy uqokomisa buccal (lateral), izingxenye yesikhashana futhi esemkhathini.

Eyokuqala kuyinto convex. It icubungula usebenzisa ezintathu oluhambisana kuya maxilla, engaphelele kanye iyizingxenye yesikhashana. I esemkhathini ingxenye ehilelekile ukwakheka lateral odongeni esemkhathini futhi ingxenye phansi yayo. Lobe Temporal ehilelekile kumiswa odongeni fossa infratemporal, futhi indiza yayo emuva.

Ingaphezulu ithambo zygomatic

Le ngxenye esemkhathini abushelelezi, ke ehilelekile ukwakheka orbit anterior, okungukuthi i yangaphandle udonga ingxenye futhi isabelo ongezansi. Ngaphandle lokhu ebusweni kuba inqubo lobnoosnovnoy, futhi phambi ilinganiselwe onqenqemeni infraorbital. Iphinde ibekwe ekhethekile zygomaticofacial imbobo esemkhathini. I esemkhathini ebusweni ngokuqondile inqubo yakhiwa kokuphakama kahle kumakwe.

ebusweni Temporal ebhekene izibilini nasemuva. Uthatha ingxenye kwetinhlavu odongeni phambi fossa ethempelini. Libuye libe zygomaticofacial imbobo yesikhashana. Zygoma neseleko yesikhashana esukela ekhoneni yayo ngemuva, ixhunywe inqubo zygomatic wethambo yesikhashana. Bebonke bakha lwaleli zygomatic. Phakathi kwazo kunane-okuthiwa suture yesikhashana-zygomatic.

Enye ehlukile ithambo amaqabunga Malar. Kuyinto bushelelezi, ukuma ayizindunduma nge amagquma akhethekile imbobo zygomaticofacial. onqenqemeni walo ongaphambili omise engenhla liwumngcele emnyango ohlangothini orbit futhi phansi. inqubo Lobnoosnovnoy (njengengxenye) - kuyinto verhnenaruzhnogo ingxenye wathi ebusweni. Phambi zayo ke unwetshiwe ezingaphezu kuka emhlane. inqubo Zygomatic wethambo frontal esihlobene naso. Phakathi kwabo kuyinto umphetho skuloverhnechelyustnoy. Itholakala kwi onqenqemeni ezingemuva yesithathu engenhla inqubo, okuthiwa Calvary.

Futhi cheekbone ziboshelwe iphiko ithambo elikhulu ngokuthi nhlonhlo. kwakwakhe yabo yakha suture nhlonhlo-zygomatic.

Izici

Ngenxa yobukhulu kwalesi sakhi ethile Yekhanda ebusweni, injalo kanye emakhoneni ukuthi akhiwa nge evele phambi, ukuchaza uhlobo umzimba, ubulili, uhlanga, iminyaka yobudala.

Ochwepheshe uqaphele 2 izigaba yentuthuko wethambo zygomatic: ithambo kanye ezicutshini. Kuyaphawuleka ukuthi 2-3 indawo Ukuqina sekuyenzeka avele senyanga yokuqala sokukhulelwa. Ziyakwazi kakade izinyanga 3 wokukhula kwengane esiswini.

Libuye ephawulekayo ukuthi ingxenye amathambo esemkhathini nge-probe mncane lungatholakala by perforating isiteshi amadayisi imbobo bizygomatic-temporal futhi zygomaticofacial.

ukulimala okungase kwenzeke

Endabeni ka umonakalo umuntu angeke wawususa ukwa wethambo zygomatic. It libhekene ukusonteka futhi ensimini sokuhoxisa ezihlobene. Ngo nizhneglaznoy iqhaza zygomatic lwaleli endaweni ungabona isinyathelo okuthiwa. Ngesikhathi esifanayo kukhona izinkinga uma uzama umlomo wakhe noma ukwenza ukunyakaza lateral emhlathini. Ngokuvamile abantu baphuka izinqulu ahambisana ukopha retina esweni futhi ukulahlekelwa ukuzwa, ukuba ndikindiki endaweni emsipheni infraorbital.

Uma amathambo zygomatic uye sigudluke kakhulu, kungase kube acinene ukopha kusukela ingxenye ohlangothini olufanayo, kanye angaboni kahle, okuyinto iziguli ukuchaza njengoba izinto double. Kodwa ukusazi ngokunembile isifo esikuphethe kungenzeka kuphela ngemuva-X-ray luhlolo.

zokwelapha

Uma iqiniso lo zygomatic imigqa ephezulu nephansi kwaqinisekiswa esithombeni, kusho ukuthi-ke kuyadingeka ukuba ubuyisele ubuqotho yokwakheka. Lokhu kwenziwa ne doti usizo kabusha sikhundla lengiyo. Ngemva kwalokho, kuyinto efiselekayo namanje silungise. Uma kwakungekho ukufuduka, ukuphathwa kukhawulwe yokwelapha izidakamizwa kanye sokuvivinya umzimba aphoyintimenti.

Ukuhlinzwa yokutakula

kokungenela Steel kuphela edingekayo ezimweni ezehlukile. Lezi zihlanganisa izimo lapho zygomatic skull ithambo kwaba Waphuka, futhi izinqubo zawo udlulele.

Zonke izinqubo kuhlinzwa zingahlukaniswa zibe intraoral futhi extraoral. Engingakusho izindlela eyaziwa kukhona Limberg, Gillies, Dingman. Basonta amasu extraoral.

Kwezinye izimo, ungakwazi ukubuyisela isithunzi sayo ngokusebenzisa imbobo kule ngalo ingaphakathi ngomlomo. Uma amathambo zygomatic fixed titanium mini-amapuleti, ihlinzeka Imiphumela esitebeleni kunazo.

Ngemva enifeza zezinhlobo ukungenelela kubalulekile ukugwema ukuhamba okungenzeka izinsalela. Ngenxa yale njongo kubalulekile ukuze uvimbele ukuhamba umlomo, aphuze ukudla liquid elithambile, musa ukulala ohlangothini ethintekile ebusweni.

Incazelo extraoral izindlela

Limberg indlela itholakala lokuthi ukuthi ngokusebenzisa wokubhoboza ekhethekile (ngezinye izikhathi, nokho, wenze encane cross-section) lwaleli zygomatic is busuka umgodi we hook owodwa toothed e emaphethelweni phansi. Ubuqotho ithambo kuyehla ukunyakaza, okuyinto kolunye uhlangothi kuya ukufuduka. Uma kuqhathaniswa bese usetha isikhundla lesifanele ngokuchofoza lizwakele. Lokhu sivuselela wesimethri ebusweni. Futhi inyamalala isinyathelo, elalisendlini onqenqemeni engezansi emzileni.

Ukuze ukubuyisela ubuqotho kwamanzi futhi ukubeka inqubo yesikhashana wethambo zygomatic ingasetshenziswa Gillies indlela. udokotela Operating kwenza imbobo kule sezinwele. Nokho, dissects esikhumbeni, izicubu ongama bese fascia yesikhashana. Through the imbobo ngaphansi ikheshi sidla ithambo zygomatic noma lwaleli, it is yethulwa ngaphansi gauze. Ngokulandelayo, ithuluzi ekhethekile, esetshenziswa njengendawo isigwedlo otlomok setha sikhundla lengiyo.

Ngokusho indlela e Dingman imbobo infratemporal wenza ngokusebenzisa 1.5 cm imbobo retractor iqondiswa. I asike izidumbu zabantu kwenziwa endaweni lateral brow ndawo. Kulokhu, ngemva kokubuyiselwa bone ubuso ubuqotho inqubo umbhali Kunconywa ukuba abeke umthungo wire eduze emaphethelweni phansi izisekelo iso, lapho inqubo frontal wethambo zygomatic.

amasu intraoral

Uma ufuna ukususa ezinye izingcezwana svobodnolezhaschie ithambo, amahlule igazi, we mucosa, bakhula ezinye izindlela bokuhlinzwa. Lokhu kungenzeka lapho behlinza intraoral lapho ukwenza i audit of the itheku maxillary kuphela.

Ukubuyisela ubuqotho ithambo imbobo senziwa endaweni nesibaya zesikhashana wethambo alveolar. Uma lokhu ichopho ehlutshiwe-periosteal ka lwamafinyila. Lokhu kwenziwa kusetshenziswa retractor noma Buyalsky ikhaba, esiqhutshwa ngaphansi inqubo zygomatic wethambo yesikhashana.

Lapho efeza lo msebenzi kungenzeka ukuze ubeke kabusha izinsalela enethiwekhi phansi. Ngenxa yale njongo itheku okuhambisanayo ibekwe Tampon yodoformny. Kufanele ugcwalise ke Friend ukugcina izakhi ithambo izinsuku 10-14 sikhundla lengiyo. Ukuphela wathi Tampon siboniswa aphansi meatus acinene. Ngenxa yalesi anastomosis zangaphambi osetshenziswayo.

Khiya ithambo indiza sikhundla lengiyo ngokusebenzisa titanium amapuleti noma mini-wire weld Imbondela endaweni inqubo frontal, onqenqemeni engezansi enethiwekhi iso, ikamu, ngokuthi zygomaticofacial alveolar. Nokho, indlela yokuqala kubhekwa eziqinile.

ezimweni ezikhethekile

Kwezinye izimo ezidinga ukusetshenziswa izimila. Basuke walubeka isici ithambo. Ngokuvamile, odokotela batusa ezimweni ezikhethekile ukusebenzisa izimila Ceramic ukuthi zisekelwe hydroxyapatite lihambisana titanium amapuleti.

Ngaphansi izinkomba ezifanele kungase kwenziwe decompression emsipheni infraorbital. Lokhu kwenziwa ngokuba udedele intracanal ingxenye yalo futhi olisunduza liye ku-orbit. Ukuxazulula izici alveolar ithambo Crest ingasetshenziswa izimila eyenziwe noTini. Lokhu kudinga nokuvulwa ulwelwesi EPITHELIAL we sinuses acinene nge enezinto esihlathini noma xhumelela esibhakabhakeni. amaqhinga anjalo kunganciphisa ingozi sinusitis maxillary, ezingasetshenziswa ukuthuthukisa ngayo ngemva kokulimala.

Ukusebenzisa ezivuzayo yangaphandle, ungakwazi ukukhiya lwaleli zygomatic. Kuze kube yimanje, it is sutured kuya ipuleti eyenziwe ngepulasitiki okusheshayo-lukhuni. Ngaphansi kwalo ngempela badedele gauze yodoformnuyu. Kuyasiza ukugwema bedsores.