Nā ʻano o ke ʻoki ʻana o ka Jaw a me nā kumu no kēlā me kēia

Anter

• No ke aha e hana ai i ka ʻoki iwi?
• Osteotomy Maxillary
• Hōʻuluʻulu manaʻo
• Osteotomy mandibular
• Hōʻuluʻulu manaʻo
• Osteotomy Bimaxillary
• Hōʻuluʻulu manaʻo
• ʻO Genioplasty
• Hōʻuluʻulu manaʻo
• ʻOki kino ʻo TMJ
• He aha kaʻu e manaʻo ai ma mua o ka posturgery?
• Ma mua o ke kaha ʻana
• Ma ke ʻoki kino
• Hoʻoiho
• He aha nā pilikia?
• Ehia nā kumu kūʻai o ka iwi ā?
• Lawe aku

Hiki ke hoʻoponopono a hoʻoponopono hou paha i ka iwi ā luna. Kapa ʻia ia ma ke ʻano he ʻoki orthognathic. Hana ʻia ia e nā kauka ʻōlelo waha a i ʻole maxillofacial e hana pū ana me ka orthodontist i ka hapa nui o ka manawa.

Nui a hewahewa nā kumu no ke kumu e paipai ai i ka ʻāpana ʻāʻī. ʻO kahi laʻana, hiki i ka ʻoki ʻana o ka iwi ke hoʻoponopono i kahi nahu misaligned ma muli o ka ulu ʻana o ka iwi ā hewa a hoʻoponopono paha i kahi ʻeha.

E hoʻomau i ka heluhelu ʻana ke luʻu hohonu nei mākou i loko o nā ʻano ʻoki o ka iwi ā, ke hana ʻia lākou, a me nā mea hou aʻe.

No ke aha e hana ai i ka ʻoki iwi?

Paipai ʻia ke ʻoki ʻo Jaw inā loaʻa iā ʻoe kahi pilikia āpau e hiki ʻole ke kamaʻilio ʻia me nā orthodontics wale nō. ʻO Orthodontics kahi ʻano loea o ka niho kahua niho e pili ana i ka hoʻonohonoho ʻana o nā ā a me nā niho.

E hana pū kāu orthodontist a me kāu kauka haʻi waha e kōkua i ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau kūpono no kāu kūlana.

Hiki i kekahi mau laʻana o nā mea i hiki ke kōkua i ka ʻāpana ʻāpana me:

• ke hoʻoponopono nei i kāu nahu, kahi e pili pū ai kou mau niho ke paʻa kāu waha
• ke hoʻoponopono nei i nā kūlana e hoʻopili i ka symmetry o kou alo
• ke kōkua ʻana i ka ʻeha ma muli o kahi maʻi temporomandibular ami (TMJ)
• ka hoʻoponopono ʻana i kahi ʻeha a i ʻole ke kūlana hānau e pili ana i ka maka, e like me ka palule
• ka pale ʻana i ka lole a haehae hou i kou mau niho
• hana maʻalahi i nā hana e like me ka nahu ʻana, nāʻu ʻana ʻana a me ka ale ʻana paha
• ke kamaʻilio ʻana i nā pilikia hanu, e like me ka hanu ʻana o ka waha a me ka apnea moe ālai

ʻO ka manawa kūpono loa no ka ʻoki ʻana o ka iwi ma hope o ka pau ʻana o ka iwi ā i ka ulu ʻana, maʻamau i nā ʻōpio hope a i ʻole 20 mau mua.

Osteotomy Maxillary

ʻO Maxillary osteotomy ka ʻoki i hana ʻia ma kou iwi ā luna (maxilla).

Nā kūlana i kāhea ʻia no ka osteotomy maxillary:

• kahi iwi ā luna e kūlia a emi iki paha
• he nahu hāmama, ʻo ia ke pili ʻole kou mau niho hope (molars) ke pani ʻia kou waha
• kahi crossbite, ʻo ia ka manawa e noho ai kekahi o kou mau niho o lalo i waho o kou mau niho o luna ke pani ʻia kou waha
• hyperplasia midfacial, kahi ʻano kahi e hoʻoliʻiliʻi ai ka ulu ʻana ma ka hapa waena o kou alo

Hōʻuluʻulu manaʻo

I loko o kēia kaʻina hana,

1. e lūlū i nā niho ma luna o kou mau niho o luna, e ʻae iā lākou e komo i nā iwi o kou iwi ā luna
2. ʻokiʻoki i ka iwi o kou iwi ā luna ma ke ʻano e ʻae iā lākou e neʻe iā ia ma ke ʻano he hoʻokahi anakahi
3. neʻe i kēia ʻāpana o kou iwi ā luna i mua i kūlike ia a pili pono me kāu mau niho lalo
4. kau i nā pā a i ʻole nā ​​ʻāpana e hoʻopaʻa i ka iwi i hoʻoponopono ʻia i kona kūlana hou
5. e hoʻohana i nā humuhumu e pani i ka ʻoki i loko o kāu mau gum

Osteotomy mandibular

Pili ka osteotomy Mandibular i ke kahakaha i hana ʻia ma kou iwi ā lalo (mandible). Hana pinepine ʻia ia i ka puka ʻana o kou iwi ā lalo a emi iki paha.

Hōʻuluʻulu manaʻo

Ke loaʻa iā ʻoe kahi osteotomy mandibular, e:

1. e lūlū i kāu mau kāʻei ma kēlā me kēia ʻaoʻao o kou iwi ā lalo, ma hope pono o kāu mau mole
2. ʻokiʻoki i ka iwi o ka iwi ā lalo, i ʻae ai i ka mea ʻokiʻoki e hoʻoneʻe pono iā ia i kahi kūlana hou
3. neʻe i ka iwi ā lalo i mua a i hope paha i kahi kūlana hou
4. kau i nā pā a i ʻole nā ​​ʻāpana e hoʻopaʻa i ka iwi ā i hoʻoponopono ʻia i kona kūlana hou
5. pani i nā ʻokiʻoki i loko o kāu mau gum me nā humuhumu

Osteotomy Bimaxillary

ʻO Bimaxillary osteotomy ka ʻoki kino i hana ʻia ma luna o kou luna a me kou iwi ā lalo. Hana ʻia ia inā pili ke ʻano i nā ā ā ʻelua.

Hōʻuluʻulu manaʻo

ʻO nā ʻenehana i hoʻohana ʻia no kēia ʻoki e pili pū me nā mea a mākou i kūkākūkā ai no ka maxillary a me ka mandibular osteotomy kaʻina.

Ma muli o ka paʻakikī o ka hana ma luna o ka iwi a luna a ma lalo, hiki i kāu kauka lāʻau ke hoʻohana i nā polokalamu hoʻohālikelike 3-D e kōkua i ka hoʻolālā ʻana i ke ʻoki.

ʻO Genioplasty

ʻO Genioplasty ke kahakaha ma ka auwae. Hiki iā ia ke kōkua i ka hoʻoponopono ʻana i ka auwae e hoʻi hope ana. Hana ʻia paha ia i kekahi manawa me ka osteotomy mandibular no kahi iwi ā lalo i emi iho.

Hōʻuluʻulu manaʻo

I ka wā o kahi genioplasty,

1. hana i kahi ʻoki i loko o kāu mau kāʻei a puni kou lehelehe lalo
2. ʻoki i kahi ʻāpana o ka chinbone, i ʻae iā lākou e neʻe
3. e hoʻoneʻe pono i ka chinbone i kona kūlana hou
4. kau i nā papa liʻiliʻi a i ʻole nā ​​ʻāpana e kōkua i ka hoʻopaʻa ʻana i ka iwi i hoʻoponopono ʻia i kona kūlana hou
5. pani i ka ʻoki me nā humuhumu

ʻOki kino ʻo TMJ

Koi paha kāu kauka iā TMJ ʻoki inā ʻaʻole pono nā hana ʻē aʻe i ka hoʻomaha ʻana i kāu mau hōʻailona TMJ.

Aia kekahi mau ʻano o ke ʻoki TMJ:

• ʻO Arthrocentesis. ʻO ke Arthrocentesis kahi hana invasive minimally e pili ana i ka hoʻohana ʻana i nā nila liʻiliʻi e hoʻopili i ka wai i ka TMJ. Hiki i kēia ke kōkua i ka lubricate i ka hui a holoi i nā ʻōpala i lohi a i ʻole nā ​​huahana by inflammator.
• ʻO Arthroscopy. I ka wā o karosroscopy, hoʻokomo ʻia kahi ʻōmole lahilahi i kapa ʻia he cannula i loko o ka ami. Hoʻohana ka mea hoʻopuka i kahi laulā lahilahi (arthroscope) a me nā mea hana liʻiliʻi e hana ma ka ami.
• Wehe ʻoki kino. ʻO ke kīʻaha hui pū (arthrotomy) ʻo ia ke ʻano nui loa o ke keʻoki ʻo TMJ. No kēia kaʻina hana, hana ʻia kahi ʻokiʻoki i mua o kou pepeiao. Hiki i kāu kauka ke hana e pani a wehe i nā ʻāpana TMJ i hoʻopili ʻia.

He aha kaʻu e manaʻo ai ma mua o ka posturgery?

Ma lalo, e ʻimi mākou i ka mea hiki iā ʻoe ke manaʻo ke loaʻa kāu ʻoki āpau.

Ma mua o ke kaha ʻana

I nā manawa he nui, ua hoʻokau kahi orthodontist i nā pale a i ʻole nā ​​mea kau i luna o kou mau niho i nā mahina ma mua o kou ʻoki ʻana. Kōkua kēia i ke kaulike i kou mau niho i ka hoʻomākaukau no kāu kaʻina hana.

E loaʻa paha iā ʻoe kekahi mau manawa koho ma mua o kāu ʻoki ʻana. Kōkua kēia i kāu orthodontist a me kāu kauka lapaʻau e hoʻolālā i kāu kaʻina hana. Hiki i ka hoʻomākaukau ke hoʻopili i ka ana ʻana, ka hopena, a me nā kukuna X o kou waha.

I kekahi manawa, hoʻohana ʻia ke hoʻohālikelike 3-D ma ke kamepiula.

Ma ke ʻoki kino

Hana ʻia ke kaha ʻo Jaw ma ka hoʻohana ʻana i ka anesthesia ākea. ʻO ia hoʻi e hiamoe ʻoe i kāu kaʻina hana.

Lawe ka hapa nui o nā ʻoki kino i 2 a 5 mau hola, akā pili ka lōʻihi pololei o ka manawa i ke ʻano kikoʻī e hana ʻia ana.

I ka wā o ka iwi ā, ua hana ʻia ka hapa nui o nā ʻoki i loko o kou waha, ʻoiai i kekahi mau hihia e hana ʻia nā liʻiliʻi liʻiliʻi ma waho.

Ma ka laulā, ʻaʻole paha ka scarring i kou maka a i ʻole ka ʻae.

Hoʻoiho

Noho ka hapa nui o ka poʻe i ka haukapila no 1 a 4 mau lā ma hope o kā lākou ʻoki kino.

Ke hiki iā ʻoe ke haʻalele i ka haukapila, hāʻawi kāu kauka iā ʻoe i nā ʻōkuhi no ka ʻai ʻana a me ka hoʻomaʻemaʻe waha. He mea nui e mālama pono i kēia mau ʻōkuhi i ka wā o ke ola hou ʻana.

Ma hope o kāu ʻoki ʻana, he mea maʻamau ka ʻike ʻana i ka pehu, ʻoʻoleʻa, a me ka hōʻoluʻolu ʻole i kou alo a me ka iwi ā. E hele aku kēia mau mea i ka hala o ka manawa.

I kēia manawa, e kau kauka i kāu lāʻau e kōkua i ka hōʻoluʻolu i kēia mau ʻōuli.

I kekahi mau hihia, ʻike paha ʻoe i ka helu ʻana i kou lehelehe luna a i lalo paha. He manawa maʻamau kēia a hele aku i kahi mau pule a mau mahina paha. I nā hihia rarer, paʻa paha ia.

Hiki i ke ola hou ma waena o 6 a 12 mau pule. Ma hope o kekahi mau pule o ke ola ʻana, e hoʻomau ana kāu orthodontist i ka hoʻopili ʻana i kou mau niho me nā kūpeʻe.

Ke wehe ʻia kāu mau mea paʻa, e hāʻawi kāu orthodontist iā ʻoe i kahi mea mālama e kōkua i ka hoʻopili pono ʻana o kou mau niho.

He aha nā pilikia?

Ke palekana o ka ʻoki ʻana ma kou iwi ā.

Eia nō naʻe, e like me ke kahakaha ʻana, loaʻa iā ia i kahi mau pilikia. Pono e haʻi aku kāu kauka iā ʻoe i kēia mau pilikia ma mua o kāu kaʻina hana.

ʻO nā pilikia o ka ʻāpana ʻāʻī e komo pū me:

• he hopena maikaʻi ʻole i ka anesthesia
• kahe nui ke koko
• maʻi maʻi ma ka ʻoki kino kahua
• ʻeha i nā ʻāʻī o ka iwi ā
• haʻi o ka iwi ā
• nā pilikia me ka nahu a i ʻole ka hoʻopili ʻana ma hope o ke kahakaha ʻana, kahi e koi ai i kahi kaʻina hana hou aʻe
• hoʻi o ka iwi ā i kona kūlana mua
• ʻeha TMJ hou

Hiki paha i kekahi mau ʻōkuhi ke hoʻonui i ka makaʻu i ka hoʻohālikelike ʻia i nā poʻe ʻē aʻe.

Ua loaʻa kahi noiʻi ma 2019 i ka poʻe i loaʻa i ka osteotomy bimaxillary i ka nui o ka makaʻu no nā pilikia i hoʻohālikelike ʻia i ka poʻe i hana i ka osteotomy maxillary a mandibular wale nō.

Ehia nā kumu kūʻai o ka iwi ā?

Hiki ke loli ke kumukūʻai o ka ʻoki ālaki ma muli o nā kumu. Pākuʻi ʻia kēia mau mea e like me:

• ke kauka
• ke kaʻina hana
• kou wahi

Eia kekahi, e hoʻomanaʻo i ka nui o ke kumukūʻai no ka ʻoki ʻana o ka iwi i nā ʻāpana like, e like me:

• uku o ke kauka
• uku hale
• uku anesthesia
• nā hoʻokolohua hou aʻe i hana ʻia
• kekahi lāʻau i kuhikuhi ʻia

E nānā mau me kāu ʻoihana inikua e ʻike i ka mea i uhi ʻia ma mua o kou hoʻonohonoho ʻana i kāu ʻoki ālina. E uhi ka nui o nā ʻoihana ʻinikua i ka ʻoki āwae inā e mālama ia i kahi palapala i hoʻopaʻa ʻia, i kahi olakino olakino a pilikia paha.

Lawe aku

Hana ʻia ka hana ʻo Jaw e kōkua i ka hoʻoponopono a hoʻoponopono ʻana paha i ke kaulike o kou ā. Hiki iā ia ke hoʻopili i kou iwi ā luna, lalo ka iwi ā, ʻelua paha.

Nui a hewahewa nā ʻano o ka ʻoki ʻana o ka iwi ā. E hana pū kāu orthodontist a me kāu kauka lāʻau e hoʻolālā i kahi hana e kamaʻilio ai i kāu kūlana kikoʻī.

ʻOiai ʻoi aku ka palekana o ka ʻāpana ʻāpana, aia kekahi mau pilikia e pili pū me ia. Pono e hoʻomaopopo kāu kauka iā ʻoe i kēia ma mua o kou ʻoki ʻana.

Hiki ke hilinaʻi i ke kumukūʻai o ka ʻāpā iwi i nā kumu he nui, e like me ke kauka lāʻau kikoʻī a me ke ʻano o ke ʻoki. E hōʻoia mau i ka hōʻoia o kāu ʻinikua ma mua o ka hoʻonohonoho ʻana i kāu kaʻina hana.