Pengantar Trauma Maksilofasial - Skeletal (Diperbarui 2023)
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The document discusses trauma to the maxillofacial region. It covers anatomy, causes of injury, examination techniques, classification of fractures, and surgical treatment goals. Key points include the importance of thorough history taking and physical exam, the relationship between the maxillofacial region and other systems, and recognizing abnormalities from trauma through anatomical knowledge. Imaging plays a role in evaluation, and surgery aims to restore both function and aesthetics of the face.
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Pengantar Trauma Maksilofasial - Skeletal (Diperbarui 2023)
- 1. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic Pengantar Trauma Maksilofasial Trauma Skeletal Robertus Arian Datusanantyo (EAN) Plastic Surgeon - RSUD Prof. Dr. W. Z. Johannes
- 2. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic Anatomi 2 Ehrenfeld, Manson, & Prein (2012)
- 3. #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
- 4. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic Penyebab Trauma Maksilofasial 4 (Barbosa et. al, 2017)
- 16. #bedahplastikntt @robertusarian 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
- 17. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic Pemeriksaan Fisik ● Inspeksi ● Palpasi ● Pemeriksaan nervus facialis ● Oftalmologi ● Pemeriksaan intraoral ● Oklusi 17
- 18. #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
- 19. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic Palpasi 19 http://most-beautiful-woman-in-the-world.blogspot.com/
- 34. #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
- 36. #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
- 39. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic 39 Oklusi Crossbite Oklusi Open Bite
- 41. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic Foto Polos Kepala & Water’s 41
- 42. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic CT Scan Kepala – Potongan Aksial 42
- 43. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic CT Scan Kepala – Potongan Koronal 43
- 44. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic CT Scan Kepala – Potongan Sagital 44 #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic CT Scan Kepala – Potongan Sagital 44 #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic CT Scan Kepala – Potongan Sagital 44
- 45. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic CT Scan Kepala – Rekonst. 3D 45
- 49. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic Tujuan Pembedahan Restorasi Fungsi ● Oklusi ● Cavum Nasal ● Volume Cavum Orbita 49 Restorasi Bentuk Wajah ● Facial Height ● Facial Width ● Proyeksi
- 50. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic Take Home Message ● Regio maksilofasial memiliki hubungan erat dengan sistem saraf pusat, panca indera, dan airway. ● Pengetahuan anatomi: mengenali kelainan pada trauma maksilofasial ● Langkah sistematis trauma maksilofasial: anamnesis, pemeriksaan fisik, pemeriksaan penunjang ● Kapan harus dirujuk dan isi edukasi sebelum merujuk 50
- 51. #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 51
- 52. #bedahplastikntt @robertusarian arian9677@gmail.com @eanplastic dr. Robertus Arian D. (EAN), M.P.H.,M.Ked.Klin.,SpBP-RE 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 52