sutura en cirugia oral.ppt
TRANSCRIPT
7/23/2019 sutura en cirugia oral.ppt
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_kdvorsd`g` Gustrgl `o Cbdlo
cakacdedokta y kgturglozg
^o`ra Grgvokg ParrospgrgvokgNugcb+cl
Päckdcg `o suturgs ok cdrufåg argl
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^raco`dedokta `o såktosds usg`a pgrg ldfgr vgsassgkfuåkoas a gpraxdegr toid`as+
• sdeplo usa `o bdla y gfuig
• _tdl y kocosgrda pgrg ol a`aktólafa fokorgl
^ZDKCD^GL _SA9
% Cdorro ̀ o bord`gs qudrùrfdcgs y trgueçtdcgs
% boeastgsdgs y ldfg`urgs
% Egktokdedokta ̀ o gpósdtas y ̀ rokgios
% Prgtgedokta pravdsarda gvulsdók ̀ oktgrdg
S_P_ZGS
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^AZPG GF_IG
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^AZPG GF_IG
Egya – Bofgr `o Egtbdou
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DKSPZ_EOKPGL @O S_P_ZG
•
GF_IG
– Gcora dkaxd`gjlo gltg cgld`g` rosdstokto g carrasdók
– La egs `olfg`gs y cak mdla pgrg ovdtgr `osfgrra
– Juokg ostgjdld`g` ok partg gfuig
– Zdfd`gs y mloxdjlos
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GF_IG 9 AIA , C_OZ^A , ^_KPG
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PD^AS @O AIAS @O GF_IGS
G9 AJLAKFA J9 MZGKCOS C9 SDK AIA
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PD^AS @O GF_IGSPZG_EGPDCG GPZG_EGPDCG
]oktgig ]!S `osvoktgig
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MAZEGS @O C_OZ^AS @O GF_IGS
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KAEOKCLGP_ZG @O LG C_Z]G @OL C_OZ^A @O LG
GF_IG
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KAEOKCLGP_ZG @O LG SOCCDAK
PZGS]OZSGL @OL C_OZ^A @O LG GF_IG
CAZPGKPOS ZO@AK@GS
“ S “ PZDGKF_LGZ “ Z
“ CDLDK@ZDCG
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KAEOKCLGP_ZG @O LG ^_KPG @O LG GF_IG
“ Z “ CDLDK@ZDCG
“ P “ PZACGZ
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KAEOKCLGP_ZG @O LG ^_KPG @O LG GF_IG
“ S “ CDLDK@ZDCG
“ E “ EDCZA
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SOCCDAK PZGKS]OZSGL T ^_KPG @O LG GF_IG
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GF_IGS PZG_EGPDCGS
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GF_IG PZG_EGPDCG
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PDIOZGS
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± W_O OS _KG S_P_ZG1
Bojrg `o egtordglostärdl, quo so utdldzg
pgrg gpraxdegrtoid`as a ldfgr vgsas y egktokorlas ok
pasdcdók bgstg quocdcgtrdcok+
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CGZGCPOZDSPDCGS D@OGLOS @O _KG S_P_ZG
• ^uo`o usgrso ok cuglqudor tdpa `o dktorvokcdók+
• Mçcdl egkoia+
• Gltg muorzg toksdl gùk ok suturgs mdkgs+
• Sofurd`g` ok las ku`as+
• Eåkdeg rogccdók tdsulgr+
• Ka cgpdlgr, gktdglärfdca y ka cgkcoråfokg+
• Gjsarcdók pastaporgtardg cak eåkdeg rogccdóktdsulgr+
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OS^OCDMDCGCDAKOS ^GZG OL EGPOZDGL @O S_P_ZG
• Sor ostärdl
• Lg patokcdg `o toksdók `ojo pa`or pro`ocdrsoukdmareoeokto+
• `dçeotra poquo÷a pora sofura ok toid`a
• Pgeg÷a vg `o fruosa "7%>$ g euy mdkas "77%>$
• @ojo gku`grso cak sofurd`g`, poregkocor gtg`a y sustoktgr ol toid`a ok cdkcgtrdzgcdók
• @ojo pra`ucdr lg eokar rogccdók `o cuorpa oxtrg÷a
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BDLA @O S_P_ZG
GJSAZJDJLOS T
KA GJSAZJDJLOS
KGP_ZGLOS T SDKPOPDCAS
EAKAMDLGEOKPAS
T
E_LPDMDLGEOKPAS
Os ol pracosa `o `ofrg`gcdók acurro parbd`róldsds
a pargccdók okzdeçtdcg+
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BDLAS @O S_P_ZG
• KA%GJSAZJDJLOS 9
AZDF+ KGP_ZGL 9% So`g+
% Glfa`ók+
% Glgejro `o gcora+% ^lgcgs `o tdtgkda+
AZDF+ SDKPOPDCA9% Kylak a paldged`g+
% ^aldostor+% ^aldprapdloka+
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BDLAS @O S_P_ZG
• GJSAZJDJLOS9
AZDF+ KGP_ZGL9 % Cgtfut "trdpg qudrurfdcg$
% Suturg Calgfoka
AZDF+ SDKPOPDCA9 %Eakacryl "paldflocgprako:?$
%]dcryl "paldflgctdkg 47>$
%@oxak "gcd`a paldfldcadca$
%Egxak "paldflucakgta$
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S O @ G"ka gjsarjdjlo kgturgl$
• Mdlgeokta pratodca "mdjrdkg$ bdlg`a par fusgka `o so`g+
• Eaka a eultdmdlgeokta8 tarcd`as a troksg`as+
•
So usg prdkcdpgleokto ok eucasg+• ^dor`o muorzg toksdl gl g÷a "rogjs+ : g÷as1$
• Mçcdl egkoia, sofurd`g` `o ku`a+
• Olovg`g cgpdlgrd`g`, pär`d`g toksdakgl+
• Egs usg`gs sak lgs 3%>+
• Jgia casta+
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C G P F _ P"gjsarjdjlo kgturgl$
• Calçfoka ̀ o sujeucasg dktostdka avoig y javdka
• Zogjs+ par gccdók okzdeçtdcg "loucacdtas$+
• Prgtg`a cak sglos cróedcgs "cgtfut cróedca$ +
• Muorzg toksdl 7> y 70 `ågs+
• Pdoepa `o gjsarcdók `opok`o `ol ostg`asdstäedca `ol pgcdokto a `ol trgta `g`a+ "4> `ågs$
• ^romoroktoeokto plgkas pramuk`as, zakgs `o`dmåcdl gccosa+
• Ok pgcdoktos ̀ o ̀ dmåcdl egkoia
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K T L A K "ka gjsarjdjlo sdktätdca$
• ^alåeora `o paldged`g+
• Eçs usg`a ok pdol+
•
Gltg muorzg toksdók y jgig rogccdók tdsulgr• Zoqudoro egyar lgzg`gs pgrg mdigcdók
• @dmåcdl egkdpulgcdók "eoeardg$
• @ojo gku`grso cud`g`asgeokto `ojd`a g lgeoeardg+
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] D C Z T L"gjsarjdjlo sdktätdca$
• Capalåeora caepuosta par çcd`a lçctdca% gcd`a fldcóldca
maregk pgrto `ol eotgjaldsea+
• Cak jgig muorzg `o toksdók ok caepgrgcdak g gjsarjdjlos
okzdeçtdcgs+• Gjsarcdók par bd`róldsds "?=%6> ̀ ågs$+
• Muorzg toksdl 70"=?/$%:7 ̀ ågs"0>/$
• Zogccdók tdsulgr lovo+
• Eokar tgsg `o pär`d`g toksdakgl y rogccdók tdsulgr quo ol
cgtfut+
• Zocujdorta – ka rocujdorta "paldflgctdkg$
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Atras ka gjsarvdjlos sdktätdcas
• ^aldostor
• ^aldprapdloka "^raloko®$
Poksdók par : g÷as, edkdeg rx tdsulgr, puktas par 7 eos
• ^PMO%o "Faro%Pox®$
Jgso paldtotrgmluaraotdloka a tomlók+ G`bosdók `o
eoejrgkgs rofokorgcdók tdsulgr fudg`g+
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G L G E J Z O
• ^grg su mgjrdcgcdók so utdldzg gcora dkaxd`gjlo `o prdeor
frg`a+
•
_sg`a ok astoasåktosds+• _sg`a ok ldfg`urgs `o trgueg mgcdgl
• @dçeotras vgk `o >+: g >+? , eçs usg`a os ol `o >+0 ee+
•
@dmåcdl egkdpulgcdók+• Egtordgl råfd`a+
• @dmåcdl ku`a+
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^lgcgs `o astoasåktosds
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MGCPAZOS W_O DKML_TOK GL OLOFDZ _K PD^A @O
S_P_ZG
• Pdoepa ok pracosa cdcgtrdzgcdók
• Lufgr y lakfdtu` `o lg losdók+
• ^rosokcdg a gusokcdg `o dkmoccdók,caktgedkgcdók a `rokgio+
• Okmoreo`g`os `o tdpa sdstäedcas+
• Cgrgctoråstdcgs måsdcgs `o las egtordglos,
caepraedsa ostätdca
± ä t d l ` t dt
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±quä egtordgl `o suturg poredto ukg
eoiar cdcgtrdzgcdók1
Sartdka, Mrgkcosca ot gl+ Argl Surf Argl Eo` Argl ^gtbal Argl Zg`dal Ok`a` :>>287>?9o7?%o72
So`g v!s Eakacryl ®
±q ä egtordgl `o s t rg g`bdoro
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±quä egtordgl `o suturg g`bdoro
eokas jgctordgs1So`g v!s Eakacryl ®
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^rdkcdpdas `o suturg
• ^ukta sdeätrdca ok gejas jar`os `o lg bord`g+
• Paegr prdeora ol jar`o ldjro+
• Paegr prdeora ol jar`o `o eokar osposar+
• @ocalgr las jar`os g`bord`as g plgkas ósoas
• Ol ku`a `ojo quo`gr g uka `o las lg`as `o lg
bord`g
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Kylak
So`g
Cgtfut®
]dcryl®
Cgrçctoråstdcgs måsdcgs `o suturgs ok pdol buegkg
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]dcryl® Cgtfut® So`g Kylak
Cgrçctoråstdcgs måsdcgs `o suturgs ok pdol buegkg
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^rdkcdpdas `o suturg
• Dktra`uccdók `o lg gfuig g :%3 ee `ol jar`o `o
lg bord`g+
• Dktra`uccdók porpok`dculgr gl plgka eucasa+
• Prgksmdxdók `ojo sofudr curvgturg `o lg gfuig+
• Ol pukta `ojo gjgrcgr ol osposar tatgl `ol
toid`a+
• Paegr egyar cgktd`g` `o toid`a ok
pramuk`d`g`+
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Suturg
• @dscaktdkug+
• Caktdkug
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Suturg
• Caktdkug+
– Sdeplo Ajldcug+
– Sdeplo pgrglolg+
– Sdeplo okmostakog`g a ok aigl+
C+ Fgy Osca`g% L+ Jokdkd+ Prgtg`a `o Cdrufåg Jucgl+ O`+ Orfók :>>0+
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Pdpas `o suturg
•
Caktdkug
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Suturg
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• @dscaktdkug Sdeplo, ^uktaSuolta+
– Eçs toid`a ok pramuk`d`g` quook supormdcdo+
– Dfugl cgktd`g` `o toid`a ggejas lg`as bord`g+
– @dstgkcdg oktro puktas ? %6
ee++
– Ku`a ka `ojo quo`gr sajrolåkog `o dkcdsdók
C+ Fgy Osca`g% L+ Jokdkd+ Prgtg`a `o Cdrufåg Jucgl+ O`+ Orfók :>>0+
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Suturg
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• @dscaktdkug
– ^ukta calcbakora
• Bardzaktgl
• ]ortdcgl
• Bord`gs ok toksdók
• Bord`gs ok cgvd`g`os+
C+ Fgy Osca`g% L+ Jokdkd+ Prgtg`a `o Cdrufåg Jucgl+ O`+ Orfók :>>0+
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Cgrgctoråstdcgs `o las ku`as
• Ol prdeor ku`a os `o gcaea`gcdók, sdoepro g
mgvar `o las puktoras `ol rolai+
• Ol sofuk`a ku`a os `o mdigcdók toredkgl a `o
suiocdók, puo`o sor g mgvar a ok caktrg `o las
puktoras `ol rolai
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Pdpas `o ku`as
• Ku`a `o cdruigka9 `as vuoltgs y ku`a,luofa ukg vuoltg y ku`a+
• Ku`a sdeplo 9 ukg vuoltg y ku`a , atrg
vuoltg y ku`a+
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Päckdcg `o suturg
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Pdpas `o suturg
• @dscaktdkug
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• Caktdkug
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Caktral 7> `ågs
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_kdvorsd`g` Gustrgl `o Cbdlo
cakacdedokta y kgturglozg
^o`ra Grgvokg Parros
Ldkh oloctrókdca oioepla suturg oxa`akcdg sdeplo
Clåkdcgs a`aktalófdcgs _GCb :>7:9
bttp9!!yautu+jo!Kxyx_3awGvs