Background technology
Along with enriching constantly of people's material life, the rich and varied of cultural life yearned for by people, people also day by day improve the requirement of U.S., pursuing appearance U.S.A is a kind of fashion of current people, therefore, surgical plastic beauty treatment is along with popular extremely people's favor, and angle of mandible shaping wherein one of emphasis especially.The method of angle of mandible shaping at present mainly is divided into mouthful outer approach and two kinds of mouthful interior approaches, and a mouthful outer approach is that otch plays the outside on mandibular ramus leading edge biteplane, incision skin, subcutaneous tissue and abundant blunt separation subperiosteum.The utilization technology subperiosteum of press-offing separates, expose the rear portion of middle and lower part, angle of mandible and the lower jaw member of mandibular bone ascending branch, bore labelling with roundlet, with long handle round bur and swing saw arc osteotomy by design before the art, cut saturating mandibular bone outside plate and part inner panel, the part synostosis that remains is chiseled with curved bone chisel.Separate depending on of inboard medial pterygoid, with the complete taking-up of angle of mandible that cuts down, the polishing of osteotomy line is trimmed to smooth smoothness.The advantage of this method is to appear angle of mandible and the location is easier to, clear visual field, and to lack radian be several big shortcoming of this method but leave the big and angle of mandible of otch cicatrix, damage range after the operation.Approach in the intraoral method per os, though there is not the worry of cicatrix, cause locating inaccurate owing to have tunnel vision, and otch is little and to peel off lacuna dark, lack object of reference, be difficult to correctly judge the osteotomy line position,, tend to make the osteotomy device to break away from the osteotomy line of design as careless manipulation, even because the visual field is little, how carrying out under blind looking, often apparatus can soft tissue injury cause intraoperative hemorrhage, even threat to life.The difficulty of being brought in the osteotomy often causes mandibular bone ascending branch fracture, and osteotomy does not reach expection arc angle effect, even causes osteotomy not thorough, residual osteocomma, can soft tissue injury and blood vessel, cause postoperative hematoma and massive hemorrhage once more, greatly influence surgical effect.
Summary of the invention
In order to overcome above-mentioned the deficiencies in the prior art, the present invention discloses a kind of can the quantification and by the variable lower jaw angle locating bone cutting device of setting curve osteotomy osteotomy in the angle of mandible plastic operation.
Technical scheme of the present invention is achieved in that a kind of variable lower jaw angle locating bone cutting device, comprise the flexible axle adapter sleeve, the right-hand member of described flexible axle adapter sleeve is connected with the inner medical motor that is provided with power transmission shaft, left end is provided with variable-angle clutch tooth and links to each other with the drive link right-hand member by described variable-angle clutch tooth, when being rotated counterclockwise described variable-angle clutch tooth to a certain degree the time, described flexible axle adapter sleeve and drive link are relaxed state, the head spindle of the left end connecting band drill bit of described drive link, described head spindle top is provided with the drill bit locking plate, has the scale locating rod on the drive link, the scale locating rod is connected to drill bit locking plate and mobile drag hook scale in the both sides of drive link, mobile drag hook scale and scale reference column junction are equipped with spring leaf, head spindle, drill bit and mobile drag hook scale and drive link are fixed in one, firmly pull-up and rotate drive link this moment, head spindle, drill bit, mobile drag hook scale also along with rotating together, can be adjusted to the angle that needs arbitrarily.Mobile drag hook scale width is 5mm.
Described mobile drag hook scale is provided with drag hook, anti-slop serrations, chute and small sircle hole, spring leaf passes small sircle hole and is fixed on the described drive link, it is 2mm and tangent small sircle hole that mobile drag hook scale is provided with 6--10 diameter, drill bit can pass chute makes mobile drag hook scale be connected with head spindle, when the drill bit locking plate is resisted against the scale reference column, drill bit locking plate counter-clockwise swing, when drill bit locking plate disengaging scale reference column, drill bit presents relaxed state, can freely take out.Drill bit on the head spindle is detachable, and drill bit passes chute mobile drag hook scale is fixed, and spurs the drill bit locking plate counterclockwise, the drill bit locking plate breaks away from the scale reference column, can take off drill bit this moment, and press spring leaf to the drive link direction, and mobile drag hook scale can be parallel to the drive link direction and move.
The present invention has following advantage with respect to prior art:
1, the present invention can freely rotate the angle of drive link, makes operator to control flexibly.
2, the present invention is simple to operate, and operating time is short, can significantly reduce complication, the safety coefficient height.
The specific embodiment:
For making one of ordinary skill in the art can be expressly understood technical scheme of the present invention more, now in conjunction with the accompanying drawings the specific embodiment of the present invention is described further.
A kind of variable lower jaw angle locating bone cutting device, comprise flexible axle adapter sleeve 1, the right-hand member of flexible axle adapter sleeve 1 is connected with the inner medical motor that is provided with power transmission shaft, left end is provided with variable-angle clutch tooth 2 and links to each other with the right-hand member of drive link 3 by variable-angle clutch tooth 2, when being rotated counterclockwise variable-angle clutch tooth 2 to a certain degree the time, flexible axle adapter sleeve 1 is relaxed state with drive link 2, the head spindle 6 of the left end connecting band drill bit 5 of drive link 3, head spindle 6 tops are provided with drill bit locking plate 7, has scale locating rod 8 on the drive link 3, scale locating rod 8 is connected to drill bit locking plate 7 and mobile drag hook scale 4 in the both sides of drive link 3, mobile drag hook scale 4 and scale reference column 8 junctions are equipped with spring leaf 9, head spindle 6, drill bit 5 and mobile drag hook scale 4 and drive link 3 are fixed in one, firmly pull-up and rotate drive link 3, head spindle 6, drill bit 5, mobile drag hook scale 4 also along with rotating together, can be adjusted to the angle that needs arbitrarily, and mobile drag hook scale 4 width are 4-5mm.
Mobile drag hook scale 4 is provided with drag hook 41, anti-slop serrations 42, chute 43 and small sircle hole 44, spring leaf 9 passes small sircle hole 44 and is fixed on the described drive link 3, it is 2mm and tangent small sircle hole 44 that mobile drag hook scale 4 is provided with 6--10 diameter, drill bit 5 can pass chute 43 makes mobile drag hook scale 4 be connected with head spindle 6, when drill bit locking plate 7 is resisted against scale reference column 8, drill bit locking plate 7 counter-clockwise swings, when drill bit locking plate 7 breaks away from scale reference column 8, drill bit presents relaxed state, can freely take out.Drill bit 5 on the head spindle 6 is detachable, drill bit 5 passes chute 43 mobile drag hook scale 4 is fixed, spur the drill bit locking plate counterclockwise, the drill bit locking plate breaks away from the scale reference column, can take off drill bit this moment, and press spring leaf to the drive link direction, mobile drag hook scale can be parallel to the drive link direction and move.
Concrete operations mode: when undergoing surgery, mark each parameter that the client will intercept according to X-ray sheet and customer demand, as intercept height, intercepting width, angle of mandible tangent line to the distance of intercepting camber line etc., at this moment, approach in the per os adopts this variable lower jaw angle locating bone cutting device labelling intercepting round dot on angle of mandible.At first labelling is the distance of angle of mandible tangent line to the intercepting radian, with regard to ordinary circumstance, this distance is not more than 12mm, if needing the intercepting distance is 12mm, because when spring leaf 9 blocks near mobile first small sircle hole of drag hook scale, mobile drag hook scale drag hook 41 is 2mm to the initial range of drill bit, from mobile drag hook scale 4, stay 5 circular holes then in a side near drill bit, spring leaf 9 passes mobile drag hook scale 4 and is fixed from the 6th circular hole, at this moment, mobile drag hook scale drag hook 41 is the 12mm of requirement to the distance of drill bit, in the operation, mobile drag hook scale drag hook 41 catches on the point of contact of angle of mandible by anti-slop serrations, flexible axle adapter sleeve 1 starts motor perpendicular to the angle of mandible tangent line at this moment, and the turning cylinder in the flexible axle adapter sleeve 1 drives drill bit 5 and get first round dot on angle of mandible, as shown in the figure, i.e. angle point A.After finishing first point, take out variable lower jaw angle locating bone cutting device, turn over counterclockwise and turn 90 degrees, and press spring leaf 9, allow its slow astern small sircle hole, being spring leaf 9 penetrates and is fixed from the 5th small sircle hole, at this moment, the distance that intercepts is 10mm, mobile drag hook scale drag hook 41 vertically moves a mobile drag hook scale width along the bone edge from the point of contact, be 5mm, start motor, get second round dot, promptly put B, press spring leaf 9 a slow astern small sircle hole more then, between drill bit 5 and spring leaf 9, leave and take 3 small sircle holes this moment, spring leaf 9 passes from the 4th small sircle hole, mobile drag hook scale drag hook 41 vertically moves a width again, and this moment, the distance of intercepting was 8mm, and the like, spring leaf passes the 3rd small sircle hole respectively, second small sircle hole, first small sircle hole, every slow astern small sircle hole, mobile drag hook scale drag hook 41 just more preceding placement locations vertically move a width, and mobile drag hook scale drag hook 41 continues to be close to the bone edge and vertically moves, Jie Qu distance is 6mm respectively, 4mm, 2mm is as figure, get a D, the point E, the some F, vertically get end ready after, take out the variable location of mandibular bone osteotomy device, again spring leaf 9 is locked on the 5th small sircle hole of drill bit 6, and rotation drive link 3 is rotated counterclockwise 180 degree, from the point of contact beginning of angle of mandible, mobile drag hook scale drag hook 41 is laterally moved a width, be 5mm, get the 7th point, some G, next, spring leaf 9 still is locked on the 5th round dot, just mobile drag hook scale drag hook 41 is laterally moved width, i.e. a 5mm, get a H, the intercepting distance of this moment is 10mm still.Make a call to the 9th round dot below, promptly put I, take out the variable location of mandibular bone osteotomy device, spring leaf 9 is locked on the 4th small sircle hole, mobile drag hook scale drag hook 41 continues horizontal mobile 5mm, get ready, this moment, the distance of intercepting was 8mm, and the like, respectively spring leaf 9 be locked in the 3rd, second and first small sircle hole on, mobile drag hook scale drag hook 41 is close to that the bone edge is still each laterally to move a width, be 5mm, to the last Jie Qu distance is 2mm, and the point of getting is respectively, some J, some K and some L.Impact the bottom of many some line camber lines then with instrument gently, extract cleaning then and get final product.According to the organization of human body principle, general vertical intercepting highly is not more than 25mm, promptly can not surpass the biteplane point.Transverse width is not more than 60mm, promptly can not surpass the 2nd and grind one's teeth in sleep and the vertical intersection point of lower jaw lower edge, is all safe intercepting scope.In the enterprising line ruler of these 3 lines location, construct the line camber line, all are got ready and are not all surmounted this line camber line scope.Adjust and the intercepting process in, angle of mandible bone tangent line is all the time perpendicular to flexible axle, but regulates drive link angle and arbor angle to strengthen the visual field of surgical staff to greatest extent by limit clutch tooth then.