CN105078640B - Head, neck and upper limb joint movement device used after operation for repairing oral and maxillofacial defect through pectoralis major myocutaneous flaps - Google Patents
Head, neck and upper limb joint movement device used after operation for repairing oral and maxillofacial defect through pectoralis major myocutaneous flaps Download PDFInfo
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- CN105078640B CN105078640B CN201510608347.9A CN201510608347A CN105078640B CN 105078640 B CN105078640 B CN 105078640B CN 201510608347 A CN201510608347 A CN 201510608347A CN 105078640 B CN105078640 B CN 105078640B
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Abstract
The invention relates to a head, neck and upper limb joint movement device used after operation for repairing the oral and maxillofacial defect through pectoralis major myocutaneous flaps. The head, neck and upper limb joint movement device mainly comprises a head cover. One side of the head cover is sequentially and fixedly connected with a neck cover, a shoulder cover, an upper arm cover, an elbow cover and a forearm cover. The neck covers, the shoulder covers, the upper arm covers, the elbow covers and the forearm covers act in a synthetic mode to force the head, the shoulders, the upper arms, the elbows and the forearms to rotate in the same direction. By means of the device, the head, the neck, the shoulders and the upper limbs of a patient can be moved synchronously, one certain portion does not move independently, and post-operation healing can be effectively promoted.
Description
Technical field
The present invention relates to armarium correlative technology field, is to be related to a kind of pectoralis major myocutaneous flap to repair oral cavity specifically
The postoperative head and neck upper limb associated movement device of Maxillofacial defect.
Background technology
Pectoralis major myocutaneous flap is usually used in repairing oral-maxillofacial defects.Routine operation is usually to be prepared into pectoralis major myocutaneous
Island skin flap, and the defective region for being transferred to incidence by infraclavicular tunnel repaired, with thoracic axis as blood supply
Blood vessel ensures Skin Flaps.
It is postoperative to carry out cervical spinal immobilization to ensure flap circulation, prevent vessel pedicle drawing from causing flap necrosis.While upper limb
Braking is also required to, is prevented the chest muscle broken ends of fractured bone from bleeding hematoma occurring and is caused vessel pedicle to oppress and infect.
At present, clinically the postoperative service braking mode of Repair of Oromaxillofacial Defect By Grafting Pectoralis Major is：Lie in bed one week；Head
Place sandbag and limit head movement in cervical region both sides.And upper limb still no brake measure under bed state, there is larger infection
Risk.
Current braking method, the drawbacks of have more, specially：
(1) long-term bed increases lower limb vein thrombus, causes pulmonary infarction possible and cerebral infarction probability；Increase decubital ulcer wind
Danger.
(2) sandbag row cervical spinal immobilization cannot stablize maintenance.Head still suffers from a certain degree of mobility, and patient is in response to medication
Can even occur significantly movable dangerous situation when thing occurs irritated.
(3) upper limb activity can cause chest muscle broken ends of fractured bone bleeding, postoperative hematoma, blocked drainage tube, the vascular compression base of a fruit, easily
Cause infection.
Therefore, it is necessary to design a kind of device to limit the postoperative trouble of Repair of Oromaxillofacial Defect By Grafting Pectoralis Major
The relative motion of the head of person, neck, breast and upper limb prevents infection ensureing patient's smooth recovery.
The content of the invention
The purpose of the present invention is to overcome above-mentioned the deficiencies in the prior art, there is provided a kind of pectoralis major myocutaneous flap repairs oral and maxillofacial surgery
The postoperative head and neck upper limb associated movement device of defect.The head of patient, neck, shoulder and upper limb can be realized synchronous fortune using this device
It is dynamic, there is no relative motion, it is effectively promoted postoperation recovery.
In order to reach above-mentioned purpose, the present invention is adopted the following technical scheme that：
A kind of pectoralis major myocutaneous flap repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases, including：
Head-shield；
The side of the head-shield is fixedly connected successively with neck cover, shoulder cover, upper arm cover, elbow cover and forearm cover；
The head-shield, neck cover, shoulder cover, upper arm cover, elbow cover and forearm cover synergism force head, shoulder, upper arm, elbow and forearm
Equidirectional rotation.
A kind of pectoralis major myocutaneous flap repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases, including：Head-shield；
The side of the head-shield is fixedly connected successively with neck cover, shoulder cover, upper arm cover, elbow cover and forearm cover；
The opposite side of the head-shield is fixedly connected successively with neck cover and shoulder cover；
The head-shield, two neck covers, two shoulder covers, upper arm cover, elbow cover and forearm cover synergism force head, both shoulders, on
The equidirectional rotation of arm, elbow and forearm.
A kind of pectoralis major myocutaneous flap repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases, including：Head-shield；
The side of the head-shield is fixedly connected successively with neck cover, shoulder cover, upper arm cover and elbow cover, and elbow cover is with forearm cover by tight
Firmware is hinged；
The opposite side of the head-shield is fixedly connected successively with neck cover and shoulder cover；
The head-shield, two neck covers, two shoulder covers, upper arm cover, elbow cover and forearm cover synergism force head, both shoulders, on
The equidirectional rotation of arm, elbow and forearm.
Preferably, it is fixedly connected with magic tape on the forearm cover.
Preferably, the forearm cover is the semi-circular cylindrical structure of both ends open.
Preferably, the edge of the forearm cover at least has two planes, coincides with face and the level of one of plane
Face is parallel.
Preferably, the edge of the forearm cover at least has two planes, coincides with face and the level of one of plane
Face is vertical.
The invention has the beneficial effects as follows：
(1) patient operation after the completion of, wear this device, then head, neck, shoulder, elbow, forearm and upper arm be forced it is spacing, must
Must synchronous axial system.Head, neck, shoulder, elbow, forearm and upper arm cannot self-movements so that flap will not individually be transported because of certain part
It is dynamic be pulled cause blood fortune not freely with infection, greatly reduce the risk of hematoma and infection.
(2) wear after this device without the need for long-term bed, greatly reduce the possibility that thrombosis and decubital ulcer are generated.
(3) with magic tape, can be further spacing by forearm, prevent forearm self-movement from affecting post-operative recovery.
(4) elbow cover is articulated and connected with forearm cover by securing member, can change elbow cover and forearm cover by adjusting securing member
Angle, to adapt to the holding of different crowd's postures.
(5) forearm cover has towards breast or towards the different direction in two kinds of ground, can expand the scope of the crowd that is suitable for.
Description of the drawings
Fig. 1 is the structural representation of embodiment 1 in the present invention；
Fig. 2 is the structural representation of embodiment 2 in the present invention；
Fig. 3 is the structural representation of embodiment 3 in the present invention；
Fig. 4 is the structural representation of neck cover in the present invention；
Fig. 5 is the structural representation of shoulder cover in the present invention；
Fig. 6 is the structural representation of upper arm cover in the present invention；
Fig. 7 is the structural representation of elbow cover in the present invention；
Fig. 8 is the structural representation of forearm cover in the present invention；
In figure：1st, head-shield, 21, right side neck cover, 22, left side neck cover, 31, right side shoulder cover, 32, left side shoulder cover, 4, upper arm cover,
5th, elbow cover, 6, forearm cover, 7, magic tape, 8, securing member, 9, plane.
Specific embodiment
Below in conjunction with accompanying drawing, the present invention is described in detail.
Embodiment 1：A kind of pectoralis major myocutaneous flap repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases, its structure
Fig. 1 is referred to, shown in Fig. 4-8, including：
Head-shield 1；
The side of the head-shield 1 is fixed successively with right side neck cover 21, right side shoulder cover 31, upper arm cover 4, elbow cover 5 and forearm cover 6
Connection, is fixedly connected with magic tape 7 on forearm cover 6.
Wherein, the forearm cover 1 is the semi-circular cylindrical structure of both ends open.
The edge of the forearm cover at least has two planes 9, coincides with face and the plane-parallel of one of plane 9
Or it is vertical so that forearm by forearm cover 6 it is spacing when forearm can be towards chest, it is also possible to towards bottom surface, obtain different fixations
Posture, adapts to different people's demands.
When using, head-shield 1 is worn on the head, then accordingly, right side neck cover 21 will be by the half of cervical region or more bags
Wrap up in, right side shoulder cover 31 will be stuck on right shoulder, and upper arm cover 4 will be stuck on upper arm, and elbow cover 5 will be stuck in elbow cover, then by the right side
Side forearm is put into inside forearm cover 6, is tied on forearm using magic tape 7.
Because head-shield 1, right side neck cover 21, right side shoulder cover 31, upper arm cover 4, elbow cover 5 and forearm cover 6 are fixedly connected sequentially, and
Forearm is tied by magic tape 7, thus forearm, elbow and upper arm cannot carry out in the presence of shoulder joint forward, backward, to the left, to
Right, motion up and down.Simultaneously as the sidepiece of head-shield 1 is fixedly connected with right side neck cover 21, so head cannot be independent
Rotate.
Therefore, after patient wears in this device, the limbs of half body can be by Associated brake so that certain for being covered is all over the body
Body region cannot self-movement.So, head, neck, shoulder, elbow, forearm and upper arm must be regarded as by rotary shaft of waist carrying out together simultaneously
Step is rotated, and accordingly, postoperative flap will not be pulled by a certain self-movement muscle substantially, and then greatly improve skin
The success rate of the transplanting of lobe.
Embodiment 2：A kind of pectoralis major myocutaneous flap repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases, its structure
Fig. 2 is referred to, shown in Fig. 4-8, including：
Head-shield 1；
The side of the head-shield 1 is fixed successively with right side neck cover 21, right side shoulder cover 31, upper arm cover 4, elbow cover 5 and forearm cover 6
Connection；
The opposite side of the head-shield 1 is fixedly connected successively with left side neck cover 22 and left side shoulder cover 32；
Magic tape 7 is fixedly connected with the forearm cover 6.
Wherein, the forearm cover 1 is the semi-circular cylindrical structure of both ends open.
The edge of the forearm cover at least has two planes 9, coincides with face and the plane-parallel of one of plane 9
Or it is vertical so that forearm by forearm cover 6 it is spacing when forearm can be towards chest, it is also possible to towards bottom surface, obtain different fixations
Posture, adapts to different people's demands.
Wherein, left side neck cover 21 is identical with right side neck 22 structures of cover, in opposite direction, and right side shoulder cover 31 and left side shoulder cover 32 are also
It is such.
When using, head-shield 1 is worn on the head, then accordingly, right side neck cover 21 will be by the half of cervical region or more bags
Wrap up in, right side shoulder cover 31 will be stuck on right shoulder, and upper arm cover 4 will be stuck on upper arm, and elbow cover 5 will be stuck in elbow cover, then by the right side
Side forearm is put into inside forearm cover 6, is tied on forearm using magic tape 7.
Because head-shield 1, right side neck cover 21, right side shoulder cover 31, upper arm cover 4, elbow cover 5 and forearm cover 6 are fixedly connected sequentially, and
Forearm is tied by magic tape 7, thus forearm, elbow and upper arm cannot carry out in the presence of shoulder joint forward, backward, to the left, to
Right, motion up and down.Again because there is the presence of left side neck cover 22 and left side shoulder cover 32 so that right side shoulder also cannot be big
Width is moved, and further increases limit effect.Because the sidepiece of head-shield 1 is fixedly connected with right side neck cover 21, head cannot
It is independent to rotate.
Therefore, after patient wears in this device, the limbs of big half body can be by Associated brake so that what is covered is a certain
Body part cannot self-movement.So, head, neck, shoulder, elbow, forearm and upper arm must be regarded as by rotary shaft of waist carrying out simultaneously
Synchronous axial system, accordingly, postoperative flap will not be pulled by a certain self-movement muscle substantially, and then be greatly improved
The success rate of the transplanting of flap.
Embodiment 3：A kind of pectoralis major myocutaneous flap repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases, its structure
Refer to shown in Fig. 3-8, including：
Head-shield 1；
The side of the head-shield 1 is fixedly connected successively with right side neck cover 21, right side shoulder cover 31, upper arm cover 4 and elbow cover 5, elbow
Cover 5 is hinged with forearm cover 6 by securing member 8；
The opposite side of the head-shield 1 is fixedly connected successively with left side neck cover 22 and left side shoulder cover 32；
Magic tape 7 is fixedly connected with the forearm cover 6.
Wherein, the forearm cover 1 is the semi-circular cylindrical structure of both ends open.
The edge of the forearm cover at least has two planes 9, coincides with face and the plane-parallel of one of plane 9
Or it is vertical so that forearm by forearm cover 6 it is spacing when forearm can be towards chest, it is also possible to towards bottom surface, obtain different fixations
Posture, adapts to different people's demands.
Wherein, left side neck cover 21 is identical with right side neck 22 structures of cover, in opposite direction, and right side shoulder cover 31 and left side shoulder cover 32 are also
It is such.
Using front, securing member 8 is loosened, forearm cover 6 is rotated relative to elbow cover 5, more comfortably fixed with obtaining
Posture.Then securing member 8 is tightened.Securing member 8 can select bolts and nuts.When using, head-shield 1 is worn on the head,
Then corresponding, right side neck cover 21 will be by the half of cervical region or more parcels, and right side shoulder cover 31 will be stuck on right shoulder, upper arm
Cover 4 will be stuck on upper arm, and elbow cover 5 will be stuck in elbow cover, then right side forearm is put into inside forearm cover 6, using magic tape 7
Forearm is tied.
Because head-shield 1, right side neck cover 21, right side shoulder cover 31, upper arm cover 4, elbow cover 5 and forearm cover 6 are fixedly connected sequentially, and
Forearm is tied by magic tape 7, thus forearm, elbow and upper arm cannot carry out in the presence of shoulder joint forward, backward, to the left, to
Right, motion up and down.Again because there is the presence of left side neck cover 22 and left side shoulder cover 32 so that right side shoulder also cannot be big
Width is moved, and further increases limit effect.Because the sidepiece of head-shield 1 is fixedly connected with right side neck cover 21, head cannot
It is independent to rotate.
Therefore, after patient wears in this device, the limbs of big half body can be by Associated brake so that what is covered is a certain
Body part cannot self-movement.So, head, neck, shoulder, elbow, forearm and upper arm must be regarded as by rotary shaft of waist carrying out simultaneously
Synchronous axial system, accordingly, postoperative flap will not be pulled by a certain self-movement muscle substantially, and then be greatly improved
The success rate of the transplanting of flap.
The foregoing description of the disclosed embodiments, enables professional and technical personnel in the field to realize or using the present invention.
Various modifications to embodiment will be apparent for those skilled in the art, as defined herein general
Principle can in other embodiments be realized without departing from the spirit or scope of the present invention, is not described in detail
Part, be prior art, here is not repeated.Therefore, the present invention is not intended to be limited to these enforcements shown in this article
Example, and it is to fit to the most wide scope consistent with principles disclosed herein and feature.
Claims (4)
1. a kind of pectoralis major myocutaneous flap repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases, it is characterised in that include：
Head-shield；
The side of the head-shield is fixedly connected successively with neck cover, shoulder cover, upper arm cover and elbow cover, and elbow cover passes through securing member with forearm cover
It is hinged；
The opposite side of the head-shield is fixedly connected successively with neck cover and shoulder cover；
The head-shield, two neck covers, two shoulder covers, upper arm cover, elbow cover and forearm cover synergism force head, both shoulders, upper arm, elbow
With the equidirectional rotation of forearm；
Magic tape is fixedly connected with the forearm cover.
2. pectoralis major myocutaneous flap according to claim 1 repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases,
Characterized in that, semi-circular cylindrical structure of the forearm cover for both ends open.
3. pectoralis major myocutaneous flap according to claim 1 repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases,
Characterized in that, the edge of the forearm cover at least has two planes, the face and horizontal plane for coinciding with one of plane is put down
OK.
4. pectoralis major myocutaneous flap according to claim 1 repairs the postoperative head and neck upper limb associated movement device of oral and maxillofacial diseases,
Characterized in that, the edge of the forearm cover at least has two planes, the face and horizontal plane for coinciding with one of plane is hung down
Directly.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510608347.9A CN105078640B (en) | 2015-09-22 | 2015-09-22 | Head, neck and upper limb joint movement device used after operation for repairing oral and maxillofacial defect through pectoralis major myocutaneous flaps |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510608347.9A CN105078640B (en) | 2015-09-22 | 2015-09-22 | Head, neck and upper limb joint movement device used after operation for repairing oral and maxillofacial defect through pectoralis major myocutaneous flaps |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105078640A CN105078640A (en) | 2015-11-25 |
| CN105078640B true CN105078640B (en) | 2017-05-17 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510608347.9A Expired - Fee Related CN105078640B (en) | 2015-09-22 | 2015-09-22 | Head, neck and upper limb joint movement device used after operation for repairing oral and maxillofacial defect through pectoralis major myocutaneous flaps |
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| CN (1) | CN105078640B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111772909B (en) * | 2020-08-17 | 2023-01-06 | 中国人民解放军空军军医大学 | Head restraint protection device used in psychological assessment of high-risk schizophrenic people |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5662594A (en) * | 1995-06-09 | 1997-09-02 | Rosenblatt; Marc | Dynamic exoskeletal orthosis |
| CN2455212Y (en) * | 2000-04-17 | 2001-10-24 | 黄贺军 | Body support after prothesis of pedicle flap |
| CN202724120U (en) * | 2012-05-16 | 2013-02-13 | 中山大学附属第一医院 | Combined fixing support tool for heads, necks and shoulders |
| CN204121206U (en) * | 2014-08-13 | 2015-01-28 | 赵颖 | A kind of fixing device for extremity postoperative for pedicled abdominal skin |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7185656B2 (en) * | 2004-12-09 | 2007-03-06 | Ergomd, Llc | System for restraining head and neck movement |
-
2015
- 2015-09-22 CN CN201510608347.9A patent/CN105078640B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5662594A (en) * | 1995-06-09 | 1997-09-02 | Rosenblatt; Marc | Dynamic exoskeletal orthosis |
| CN2455212Y (en) * | 2000-04-17 | 2001-10-24 | 黄贺军 | Body support after prothesis of pedicle flap |
| CN202724120U (en) * | 2012-05-16 | 2013-02-13 | 中山大学附属第一医院 | Combined fixing support tool for heads, necks and shoulders |
| CN204121206U (en) * | 2014-08-13 | 2015-01-28 | 赵颖 | A kind of fixing device for extremity postoperative for pedicled abdominal skin |
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| Publication number | Publication date |
|---|---|
| CN105078640A (en) | 2015-11-25 |
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Granted publication date: 20170517 Termination date: 20170922 |