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#bedahplastikntt @robertusarianarian9677@gmail.com @eanplastic
Pengantar Trauma
Maksilofasial
Robertus Arian Datusanantyo (EAN)
Plastic Surgeon - RSUD Prof. Dr. W. Z. Johannes
#bedahplastikntt @robertusarianarian9677@gmail.com @eanplastic
Anatomi 2
Ehrenfeld, Manson, & Prein (2012)
#bedahplastikntt @robertusarianarian9677@gmail.com @eanplastic
Nasal 3
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Nasoethmoid 4
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Buttresses 5
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Buttresses 6
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Zygomatikomaksilaris 7
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Mandibula 8
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Mandibula 9
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Maksila Le Fort 1 10
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Maksila Le Fort 2 11
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Maksila Le Fort 3 12
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Orbita 13
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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
14
A M P L E
#bedahplastikntt @robertusarianarian9677@gmail.com @eanplastic
Pemeriksaan Fisik
● Inspeksi
● Palpasi
● Pemeriksaan nervus facialis
● Oftalmologi
● Pemeriksaan intraoral
● Oklusi
15
#bedahplastikntt @robertusarianarian9677@gmail.com @eanplastic
Inspeksi
● Perlukaan apapun
● Darah, CSF, saliva
● Pergerakan
abnormal mata
dan rahang
● Edema
16
● Distopia
● Interchantal
● Battle’s Sign
● Hematoma
● Rhinorrhea
● Otorrhea
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Palpasi 17
http://most-beautiful-woman-in-the-world.blogspot.com/
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Nervus Facialis
Sensorik
Sentuhan
Dahi, pipi, bibir atas,
bibir bawah,
Gigi
18
Motorik
Angkat alis
Tutup mata
Senyum
Mecucu / bersiul
#bedahplastikntt @robertusarianarian9677@gmail.com @eanplastic
Oftalmologi & Intraoral
Oftalmologi
● Refleks pupil (direk,
indirek)
● Visus
● Diplopia
● Gerak bola mata
19
Intra Oral
● Laserasi palatum, dll
● Perdarahan aktif
● Trauma dentoalveolar
● Oklusi
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Foto Polos Kepala & Water’s 20
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CTScanKepala 21
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CTScanKepala 22
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CTScanKepala 23
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Tujuan Pembedahan
Restorasi Fungsi
● Oklusi
● Cavum Nasal
● Volume Cavum Orbita
24
Restorasi Bentuk
Wajah
● Facial Height
● Facial Width
● Proyeksi
#bedahplastikntt @robertusarianarian9677@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
25
#bedahplastikntt @robertusarianarian9677@gmail.com @eanplastic
Bacaan Lanjutan
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
26
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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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