This document discusses maxillofacial trauma management by Dr. Robertus Arian. It begins with definitions of plastic surgery and then discusses evaluation and management of maxillofacial trauma through history, physical exam, imaging, and surgical treatment planning. Key points covered include the anatomy of the maxillofacial region, common causes of trauma, approaches to examination including inspection, palpation, and evaluation of cranial nerves and occlusion. Treatment goals of restoring both form and function of the face are also outlined. Overall, the document provides an overview of evaluating and treating maxillofacial trauma from an anatomical and clinical perspective.
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Apa itu Bedah Plastik?
• “Plastik” berasal dari bahasa Yunani “Plasticos”
yang artinya membentuk.
• Kata “plastik” dalam ilmu bedah (1839); “plastik”
sebagai bahan turunan minyak bumi (1905).
• The finisher, problem-solving specialty
• Without an organ system of its own plastic
surgery is based on principles rather than
specific procedures in a defined anatomic
location (Thorne, 2014)
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Anamnesis
â—Ź Sumber: pasien, saksi mata, keluarga (riwayat,
pengobatan)
â—Ź Mekanisme perlukaan
â—Ź Area yang kemungkinan terkena perlukaan
â—Ź Rentetan kejadian seputar trauma termasuk amnesia
â—Ź Alkohol: saat perlukaan dan kebiasaan
â—Ź Penggunaan helm, kaca mata, alat pelindung lain
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A M P L E
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arian9677@gmail.com @eanplastic
Take Home Messages
● Perlu dasar pengetahuan anatomi dan fisiologi kepala –
leher untuk mengelola trauma maksilofasial.
â—Ź Perlu langkah sistematis untuk mengelola trauma
maksilofasial.
â—Ź Anamnesis + pemeriksaan fisik menentukan
pemeriksaan penunjang. Not the other way around!
â—Ź Practice makes perfect!
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Bacaan Lanjutan (1)
Arifin MZ, Sendjaja AN, Faried A. Application of the surgical Apgar score (SAS) to predict
postoperative complication(s) in the patients with traumatic brain injury: Study of
single center in Indonesia. Open Access Maced J Med Sci [Internet]. 2021 Apr
20;9(B):225–9.
Barbosa KGN, de Macedo Bernardino Í, d’Avila S, Ferreira EF e., Ferreira RC. Systematic
review and meta-analysis to determine the proportion of maxillofacial trauma resulting
from different etiologies among children and adolescents. Oral Maxillofac Surg.
2017;21(2):131–45.
Burkadze E, Axobadze K, Chkhaberidze N, Chikhladze N, Coman MA, Dulf D, et al.
Epidemiology of traumatic brain injury in georgia: A prospective hospital-based study.
Risk Manag Healthc Policy. 2021;14:1041–51.
Cooter, R. D. (1990). Craniofacial Fracture Patterns. The University of Adelaide.
David & Simpson (Eds), 1995, Craniomaxillofacial Trauma: A System of Multidisciplinary
Management by Members of the Australian Craniofacial Unit, Churchill Livingstone,
Edinburgh
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57. #bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Bacaan Lanjutan (2)
Ehrenfeld et. al., 2012, Principles of Internal Fixation of the Craniomaxillofacial Skeleton
Trauma and Orthognathic Surgery, AO Foundation, Davos
Raithel J. Risky Road Behavior of Adolescent Motorcyclists. Int J Adolesc Youth [Internet].
2001 Jan;9(2–3):127–45.
Tana L, Delima D, Kusumawardani N, Indrawati L. Helmet use behavior and its relation to
head injury of road traffic accident in Indonesia (Basic Health Research, 2018). Heal Sci J
Indones. 2021;12(1):56–65.
Thorne et. al. (Eds.), 2014, Grabb and Smith’s Plastic Surgery 7th Edition, Lippincott
Williams & Wilkins, Philadelphia
Zandi M, Seyed Hoseini SR. The relationship between head injury and facial trauma: A
case-control study. Oral Maxillofac Surg. 2013;17(3):201–7. Reis C, Wang Y, Akyol O, Ho
W, II R, Stier G, et al. What’s New in Traumatic Brain Injury: Update on Tracking,
Monitoring and Treatment. Int J Mol Sci [Internet]. 2015 May 26;16(12):11903–65.
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arian9677@gmail.com @eanplastic
dr. Robertus Arian D. (EAN), M.P.H.,M.Ked.Klin.,Sp.B.P.R.E.
Dokter Spesialis Bedah Plastik Rekonstruksi & Estetik
RSUD Prof. Dr. W. Z. Johannes; RS St. Carolus Borromeus; RS Leona
WA: +62 818 04 245 382; Instagram: @eanplastic;
E-mail: arian9677@gmail.com; #bedahplastikntt;
Presentations: http://bit.ly/ean_slideshare
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