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#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Pengantar Trauma
Maksilofasial
Robertus Arian Datusanantyo (EAN)
Plastic Surgeon - RSUD Prof. Dr. W. Z. Johannes
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Anatomi 2
Ehrenfeld, Manson, & Prein (2012)
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
3
forehead
brow / alis
palpebra superior
palpebra inferior
canthus lateralis
dorsum nasi
nasal tip
ala nasi
columella
vermillion
white skin roll
nasal floor
nares
philtrum ridge
philtral column
cupid’s bow
helix
antihelix
tragus
antitragus
lobulus
canthus medialis
concha
commisure
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Penyebab Trauma Maksilofasial 4
(Barbosa et. al, 2017)
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Nasal 5
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Nasoethmoid 6
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Buttresses 7
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arian9677@gmail.com @eanplastic
Buttresses 8
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Zygomatikomaksilaris 9
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Mandibula 10
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Mandibula 11
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Maksila Le Fort 1 12
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Maksila Le Fort 2 13
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Maksila Le Fort 3 14
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Orbita 15
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arian9677@gmail.com @eanplastic
Anamnesis
● Sumber: pasien, saksi mata, keluarga (riwayat,
pengobatan)
● Mekanisme perlukaan
● Area yang kemungkinan terkena perlukaan
● Rentetan kejadian seputar trauma termasuk amnesia
● Alkohol: saat perlukaan dan kebiasaan
● Penggunaan helm, kaca mata, alat pelindung lain
16
A M P L E
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Pemeriksaan Fisik
● Inspeksi
● Palpasi
● Pemeriksaan nervus facialis
● Oftalmologi
● Pemeriksaan intraoral
● Oklusi
17
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Inspeksi
● Perlukaan apapun
● Darah, CSF, saliva
● Pergerakan
abnormal mata
dan rahang
● Edema
18
● Distopia
● Interchantal
● Battle’s Sign
● Hematoma
● Rhinorrhea
● Otorrhea
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Palpasi 19
http://most-beautiful-woman-in-the-world.blogspot.com/
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
20
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
21
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
22
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
23
P-Sequence
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
24
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
25
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
26
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
27
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
28
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
29
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
30
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Le Fort 1 31
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Le Fort 2 32
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Le Fort 3 33
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Nervus Facialis
Sensorik
Sentuhan
Dahi, pipi, bibir atas,
bibir bawah,
Gigi
34
Motorik
Angkat alis
Tutup mata
Senyum
Mecucu / bersiul
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
35
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Oftalmologi & Intraoral
Oftalmologi
● Refleks pupil (direk,
indirek)
● Visus
● Diplopia
● Gerak bola mata
36
Intra Oral
● Laserasi palatum, dll
● Perdarahan aktif
● Trauma dentoalveolar
● Oklusi
● MIO
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
37
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
38
Oklusi Normal
#bedahplastikntt @robertusarian
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39
Oklusi Crossbite Oklusi Open Bite
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
40
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Foto Polos Kepala & Water’s 41
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arian9677@gmail.com @eanplastic
CT
Scan
Kepala 42
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
CT
Scan
Kepala 43
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
CT
Scan
Kepala 44
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Tujuan Pembedahan
Restorasi Fungsi
● Oklusi
● Cavum Nasal
● Volume Cavum Orbita
45
Restorasi Bentuk
Wajah
● Facial Height
● Facial Width
● Proyeksi
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Take Home Message
● Regio maksilofacial memiliki hubungan erat dengan
sistem saraf pusat, panca indera, dan airway.
● Perlu pengetahuan anatomi untuk mengenali
kelainan pada trauma maksilofasial
● Perlu langkah sistematis untuk mengelola trauma
maksilofasial
● Kapan harus dirujuk dan isi edukasi sebelum
merujuk
46
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Bacaan Lanjutan
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.
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
Ehrenfeld et. al., 2012, Principles of Internal Fixation of the Craniomaxillofacial
Skeleton Trauma and Orthognathic Surgery, AO Foundation, Davos
Thorne et. al. (Eds.), 2014, Grabb and Smith’s Plastic Surgery 7th Edition, Lippincott
Williams & Wilkins, Philadelphia
47
#bedahplastikntt @robertusarian
arian9677@gmail.com @eanplastic
Terima Kasih
http://bit.ly/ean_slideshare
Bahan presentasi ini dipersiapkan untuk dokter muda putaran bedah di lingkungan Fakultas Kedokteran Universitas Nusa Cendana dan RSUD
Prof. Dr. W. Z. Johannes di Kupang, Provinsi Nusa Tenggara Timur. Seluruh materi presentasi dipersiapkan dengan Google Docs dan Microsoft
Office berlisensi resmi dan berjalan di pada lingkungan sistem operasi Mac OS 10.14.

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