Reset dilator for condyle of mandible operation
Technical field
The present invention relates to a kind of medical instruments of oral maxillofacial surgery, specifically a kind of to perform the operation for condyle of mandible
Reset dilator.
Background technique
The ramus of mandible end of mandibular is there are two protrusion, and the condyle that is referred to as being located behind is dashed forward, the lower jaw that it is expanded by upper end
Neck of mandible composition below head and head.Condyle of mandible is oval, inside and outside path length, and anteroposterior diameter is short.Side is seen, and has a horizontal ridge will
The prominent top of condyle is divided into former and later two inclined-planes.Front bevel is small, is functional surfaces, is the weight bearing area in joint;Condyle of mandible is jaw bones
The area Zhe Haofa can be direct fracture caused by directly strike condyle protrusion, be also possible to mandibular chin portion or body portion by beating
Hit and caused by indirect fracture, be clinically easy to fail to pinpoint a disease in diagnosis.Condyle of mandible is the most weak position of mandibular, thus is mandibular
The predilection site of fracture.Since condyloid process is the important component of remporomandibular joint, there is special physiological function, when condyle is prominent
After fracture, temporomandibular joint certainly will be influenced, influences meshing functionss, and have obviously to the growth and development of children's mandibular and face
Influence.Currently, the treatment of fracture of condylar process is broadly divided into two major classes, one is the No operations using intermaxillary traction replacement and fixation
Treatment, i.e. conservative therapy, another kind are the operative treatments that surgical incision looks at lower replacement and fixation straight.For many years, who is excellent for two methods
Who is bad, and there are some disputes, but from the point of view of total situation, conservative therapy is always the mainstream of Treatment of Condylar Fractures.Conservative therapy is not
Operate exposed fracture site, but maxillary and mandibular teeth column is used to put Arch bar splint, in the 2 ~ 3mm of upper placement that grinds one's teeth in sleep early contacted
Valve rubber be scheduled on central occlusion position by intermaxillary traction, move down the mandibular ramus moved up, the bone stump of part on ascending branch
Restore therewith, be fixed on normal position, allow the condyle of fracture is prominent to heal on this position with ascending branch, completes bone again and connect
It connects.Chinese patent 2012100319709 discloses a kind of " Mandibular condyle fracture reduction dilator ", has and intersects hinge connection
Two clamp handles, the front ends of two clamp handles is supporting portion, and its rear end is grip part, and grip part passes through hinge when force
Leverage struts supporting portion, achievees the purpose that strut lower jaw and zygomatic arch, appears joint space, facilitates surgical procedure.But this
Kind dilator volume is larger, and inconvenient for operation, front end is located in patient's mouth in surgical procedure, and rear end is located at oral external, harm
Hinder surgical procedure and patient is more painful;Supporting portion and grip part are in the same plane, and patient is close in supporting portion in use
Side cheek inner wall, it is inconvenient for operation;In addition, lever control strength is difficult to grasp, careless slightly supporting portion is easily bent deformation;
In addition, the angle in upper supporting portion and lower supporting portion be it is fixed, do not adapt to the individual difference of patient, it is distracted accurate to influence
Property.
Summary of the invention
The object of the present invention is to provide it is a kind of it is compact-sized, easy to use, the painful small, reasonable stress of patient, be suitable for not
With the reset dilator for condyle of mandible operation of individual difference.
To achieve the above objectives, the technical scheme adopted by the invention is that: this be used for condyle of mandible operation reset support
The upper supporting portion that device includes and the corresponding lower supporting portion of human body mandibular notch, zygomatic arch corresponding with human body mandibular notch are identical is opened,
The both ends in the lower supporting portion have been respectively articulated with lower support front bar and lower support rear bar, and the both ends in the upper supporting portion have been respectively articulated with
Support front bar and upper support rear bar;Before the upper end of the lower support front bar and the lower end of upper support front bar are hinged on hinged shaft, after the lower support
The upper end of bar and the lower end of upper support rear bar are hinged on rear hinged shaft, and the preceding hinged shaft and rear hinged shaft are installed on axis.
The middle section of the axis is equipped with external screw thread, preceding hinged shaft and rear hinged shaft at least one by thread set in axis
On.
Each support rod can around preceding hinged shaft perhaps the rotation of rear hinged shaft and preceding hinged shaft or rear hinged shaft can on axis axis
To movement;Current hinged shaft or rear hinged shaft change the distance between preceding hinged shaft and rear hinged shaft when moving on axis
The distance between supporting portion and lower supporting portion in change.
The outer surface of axis is equipped with external screw thread and spline, and the preceding hinged shaft and rear hinged shaft pass through during spline is sleeved on
On axis, nut is equipped with by external thread sleeve on the axis, the nut set of tubulose is slideably sleeved on the nut, described
The outer surface of nut is equipped with worm gear, and gap is had between the nut set and nut, and the nut, which puts on to run through, is equipped with worm screw,
The light bar segment at the worm screw both ends is slidably mounted on the tube wall of nut set, and the middle section that the worm screw is located at nut set inner cavity passes through
Worm and gear cooperation is engaged with the nut.
The upper supporting portion be it is convex arc-shaped, the lower supporting portion be it is recessed arc-shaped, lower supporting portion front end
A boss is arranged below.
The beneficial effects of the present invention are: compact-sized, when use, is entirely located in patient's mouth, easy to use, patient
Pain is small, and using screw rod or worm and gear driving structure, mechanically deform is less likely to occur in use or fractures for reasonable stress
The case where, the angle and shape in upper and lower supporting portion can be suitable for Different Individual difference according to stress condition adjust automatically.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of one embodiment of the invention.
Fig. 2 is the side structure schematic diagram of Fig. 1 embodiment.
Fig. 3 is the structural schematic diagram of another embodiment of the present invention.
Fig. 4 is the structural schematic diagram of worm and gear cooperation in Fig. 3 embodiment.
Fig. 5 is the enlarged structure schematic diagram of nut nut set.
Specific embodiment
As shown in Figure 1, the reset dilator of the present invention for condyle of mandible operation includes cutting with human body lower jaw
The identical upper supporting portion 2 of the corresponding lower supporting portion 1 of mark, zygomatic arch corresponding with human body mandibular notch.The both ends in the lower supporting portion 1
It is respectively articulated with lower support front bar 3 and lower support rear bar 4, after the both ends in the upper supporting portion 2 have been respectively articulated with support front bar 5 and upper support
Bar 6;The upper end of the lower support front bar 3 and the lower end of upper support front bar 5 be hinged on before on hinged shaft 7, the upper end of the lower support rear bar 4 with
The lower end of upper support rear bar 6 is hinged on rear hinged shaft 8, and the preceding hinged shaft 7 and rear hinged shaft 8 are installed on axis 9.As shown in Fig. 2,
It is equipped on preceding hinged shaft 7 and rear hinged shaft 8 and extends radially through hole, axis 9, which is inserted into, to be extended radially through in hole, and the end of each support rod passes through
Perhaps each support rod can rotate hinged shaft 7 around preceding hinged shaft 7 or rear hinged shaft 8 on rear hinged shaft 8 before bearing-ring device is sleeved on, and preceding
Hinged shaft 7 or rear hinged shaft 8 can move axially on axis 9 again.Current hinged shaft 7 or rear hinged shaft 8 moved on axis 9 when
It waits, changes the distance between preceding hinged shaft 7 and rear hinged shaft 8 i.e. changeable upper the distance between supporting portion 2 and lower supporting portion 1, that is, change
Become the distracted height of mandibular.
Embodiment as shown in Figure 1, Figure 2, the middle section of the axis 9 are equipped with external screw thread, preceding hinged shaft 7 and rear hinged shaft 8 at least within it
One passes through thread set on axis 9, another is sleeved on the light bar segment on axis 9, and two sides have snap ring, make to be mounted on
The hinged shaft of light bar segment can only be rotated and cannot be moved axially.For that lever 14 can be arranged in one end of axis 9 convenient for operation,
The lever 14 is the handwheel shape of the diminution with spoke, is clamped during lever 14 rotates when operation by surgical clamp
Axis 9 makes the axial movement of one of preceding hinged shaft 7 and rear hinged shaft 8, changes distance between the two.It is of course also possible to directly use hand
Stir lever 14.
Such as Fig. 3, Fig. 4 embodiment, the outer surface of the axis 9 is equipped with external screw thread and spline, the preceding hinged shaft 7 and rear hinge
Axis 8 is sleeved on axis 9 by spline, the spline with protrusion in the through hole of preceding hinged shaft 7 and rear hinged shaft 8, the flower
Key is installed in spline, be moved axially preceding hinged shaft 7 and rear hinged shaft 8 can only on axis 9, is not able to rotate.On the axis 9
Nut 10 is housed by external thread sleeve, is rotationally advancing nut 10 on axis 9.The nut set 11 of tubulose slideably covers
On the nut 10, the outer surface of the nut 10 is equipped with worm gear, has gap between the nut set 11 and nut 10,
Through worm screw 12 is equipped on the nut set 11, the light bar segment at 12 both ends of worm screw is slidably mounted on the tube wall of nut set 11
On, the middle section that the worm screw 12 is located at 11 inner cavities of nut set is cooperated by worm and gear engages with the nut 10.Rotary worm
Nut 10 can be pushed to rotate when 12, so that it be made to move on axis 9.In order to be sleeved on nut set 11 slideably
On the nut 10, as shown in figure 5, being equipped with the round card slot concentric with axis 9 in the both ends of the surface of nut 10,11 are covered in nut
Both ends of the surface be equipped with end cap, corresponding position is equipped with the snap ring 15 of matching circular card slot on the end cap, and snap ring 15 is installed on circle
In card slot.It is fixed on nut 10 in this way, not only nut can be covered 11, but also the two relative rotation can be made.It is rotated by handle
Worm screw 12 can push nut 10 mobile, change the distance between preceding hinged shaft 7 and rear hinged shaft 8, so as to adjust lower supporting portion 1 with it is upper
Height between supporting portion 2.In use, the inner wall of patient's cheek is close in lower supporting portion 1 and upper supporting portion 2, it is vertical with axis 9 to set
The operating side for the worm screw 12 set is located in the middle part of patient oral cavity, convenient for operation.
Above-mentioned upper supporting portion 2 be it is convex arc-shaped, there is preferable elasticity, both ends stress can produce change when big
Shape is bonded tissue, and adapts to Different Individual difference.The lower supporting portion 1 be it is recessed arc-shaped, 1 front end of lower supporting portion
A boss 13 is arranged below, which can be bonded the groove position of mandibular notch, facilitate firm position, standard
Really.