Hana hou poʻo a me ka helehelena

ʻO ke kūkulu hou ʻana i ke poʻo a me ka helehelena kahi ʻoki e hoʻoponopono a hoʻoponopono hou paha i nā deformities o ke poʻo a me ke alo (craniofacial).

Pehea e hana ai ke ʻoki ʻana no ke poʻo a me nā helehelena deformities (hana hou ʻana o craniofacial) i ka ʻano a me ke koʻikoʻi o ka deformity, a me ke ʻano o ke kanaka. ʻO ka huaʻōlelo lapaʻau no kēia ʻoki kino ʻo ia ke kūkulu hou ʻana i craniofacial.

Hoʻopili nā hana ʻokiʻoki i ka iwi poʻo (cranium), ka lolo, nā ʻalolo, nā maka, a me nā iwi a me ka ʻili o ka maka. ʻO ia ke kumu i kekahi manawa hana pū kekahi kauka lula (no ka ʻili a me ka maka) a me kahi neurosurgeon (lolo a me nā ʻalolo). Hana pū nā kauka lāʻau a me nā ʻāʻī i nā hana kūkulu hou o craniofacial.

Hana ʻia ke ʻokiʻoki ke hiamoe nui ʻoe a ʻaʻohe ʻeha (ma lalo o ka anesthesia āpau). Hiki ke ʻokiʻoki i 4 a 12 mau hola a ʻoi. ʻOkiʻoki a hoʻoneʻe ʻia kekahi mau iwi o ka maka. I ka wā o ke ʻoki kino, hoʻoneʻe ʻia nā aʻa a hoʻohui hou ʻia nā kīʻaha koko a me nā aʻalolo me ka hoʻohana ʻana i nā ʻenehana microscopic.

Lawe ʻia paha nā ʻāpana o nā iwi (nā iwi iwi) mai ke pelvis, iwi ʻaoʻao, a iwi poʻo paha e hoʻopiha i nā hakahaka kahi i neʻe ai nā iwi o ka maka a me ke poʻo. Hiki ke hoʻohana ʻia nā ʻāpana liʻiliʻi a me nā pā i hana ʻia me ka titanium a i ʻole ka mīkini paʻa i hana ʻia i nā mea hoʻōmi ʻia e paʻa ai nā iwi. Hiki ke hoʻohana ʻia nā implants. Hoʻohui pū ʻia nā iwi ā i paʻa nā wahi iwi hou i kahi. E uhi i nā lua, lawe ʻia nā pale mai ka lima, ka ʻūhā, ka paia o ka umauma, a me ka ʻūhā.

I kekahi manawa hana ke ʻoki i ka pehu o ka maka, waha, a ʻāʻī paha, a he mau pule paha ka lōʻihi. Hiki i kēia ke ālai i ke ala ea. No kēia, pono paha ʻoe e loaʻa i kahi tracheostomy manawa. ʻO kēia kahi puka liʻiliʻi i hana ʻia i kou ʻāʻī kahi e hoʻokomo ʻia ai kahi paipu (endotracheal tube) i ke alaloa (trachea). ʻAe kēia iā ʻoe e hanu ke pehu kou alo a me ke ala kiʻekiʻe.

Hana ʻia paha ʻo Craniofacial inā aia:

• Nā kīnā hānau a me nā deformities mai nā kūlana e like me ka lepe o ka lehelehe a me ka pā, craniosynostosis, Apert Syndrome
• Nā deformities i hoʻokumu ʻia e ka ʻoki ʻana i hana ʻia e mālama i nā tumors
• Nā hōʻeha i ke poʻo, ka maka, a i ʻole ka iwi ʻā
• Nā Tumors

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Pilikia i ka hanu ʻana
• Nā hopena i nā lāʻau
• Kahe ʻana o ke kahe, ke koko, maʻi

Nā pōpilikia no ke kahakaha ʻana o ke poʻo a me ka maka.

• ʻO ke aʻalolo (kahi maʻi nerve cranial) a i ʻole ka hōʻino ʻana o ka lolo
• Pono no ke kaha ʻana ma hope, keu hoʻi i nā keiki e ulu ana
• ʻO ka hapa hapa a i ʻole ka nalowale ʻana o nā kāwili iwi
• Scarring paʻa

ʻOi aku ka maʻamau o kēia mau pilikia i ka poʻe:

• Puhi
• Loaʻa kaʻai maikaʻi ʻole
• Loaʻa i nā kūlana olakino ʻē aʻe, e like me ka lupus
• Loaʻa ka maikaʻi o ke kahe o ke koko
• Loaʻa i nā ʻino nerve i hala

Hiki iā ʻoe ke hoʻolilo i nā lā 2 mua ma hope o ke kahakaha ʻana i ka keʻena mālama maʻi nui. Inā ʻaʻohe ou pilikia, hiki iā ʻoe ke haʻalele i ka haukapila ma waena o 1 pule. He 6 pule a ʻoi paha ka lōʻihi o ka hoʻōla ʻana. E hoʻomaikaʻi ka pehu ʻana i nā mahina aʻe.

Hiki ke manaʻo ʻia kahi hiʻohiʻona maʻamau hou aʻe ma hope o ke kaha ʻana. Pono i kekahi poʻe e loaʻa nā kaʻina hana ukali i ka makahiki 1 a 4 e hiki mai ana.

He mea nui ʻaʻole e pāʻani i nā haʻuki pili no 2 a 6 mau mahina ma hope o ke kaha ʻana.

ʻO ka poʻe i loaʻa kahi ʻeha koʻikoʻi e pono pinepine e hana ma o nā pilikia o ka naʻau o ka trauma a me ka loli i ko lākou helehelena. ʻO nā keiki a me nā mākua i loaʻa i kahi ʻeha koʻikoʻi hiki ke loaʻa i nā maʻi post-traumatic stress, depress, a me nā maʻi hopohopo. ʻO ke kamaʻilio ʻana i kahi ʻoihana olakino noʻonoʻo a i ʻole ke komo ʻana i kahi hui kākoʻo hiki ke kōkua.

ʻO nā mākua o nā keiki me nā deformities o ka helehelena pinepine i ka lawehala a hilahila paha, keu hoʻi ke kumu o nā deformities ma muli o kahi ʻano genetical. I ka ulu ʻana o nā keiki a lilo i makaʻala i ko lākou helehelena, ulu a hōʻino paha nā ʻōuli o ka naʻau.

Hana hou ʻana o Craniofacial; ʻOki kino Orbital-craniofacial; Kukulu hou i ka helehelena

• Iwi poʻo poʻo
• Iwi poʻo poʻo
• Hoʻoponopono lehelehe cleft - moʻo
• Hana hou ʻo Craniofacial - moʻo

ʻO Baker SR. Hana hou i nā hemahema o ke alo. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 24.

ʻO McGrath MH, Pomerantz JH. ʻOki kino ea. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 68.