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OF MAXILLOFACIAL TRAUMA

Dr.Budi Laraswaty,SpR. Instalasi Rawat Darurat FK. Unair RSU Dr.Soetomo Surabaya

MAXILLO FACIAL TRAUMA

JENIS TRAUMA & KLINIS

PILIHAN DIAGNOSTIK

REKONSTRUKSI (THERAPIC)

PILIHAN DIAGNOSTIK IMAGING TERGANTUNG :


Klinis penderita Jenis trauma (organ) Berat / ringan trauma Trauma lain sebagai penyerta Ketersediaan peralatan diagnostik

TRAUMA WAJAH

MODALITAS RADIOLOGI DALAM MAXILLO FACIAL TRAUMA


X Ray foto Kepala (Plain Foto) Panoramic View CT Scan CT Scan III Dimensi MRI

X RAY FOTO :
Skull Foto AP / Lateral Waters View Submento Vertex View Towne View Cadwell view Eisler View T.M Joint View Panoramic

BAGIAN-BAGIAN TERKAIT PADA TRAUMA :

WAJAH MAXILLO

YANG FACIAL

Os Nasal, Smiss paranasal, ethnoid cell Mandibula Mid Face Os Zygoma

PER ORGAN

LE FORT FRACTUR
Gambar

FRACTURE OS NASAL

CALDWELL

OS NASAL

OS NASAL

PARANASAL SINUSES

FRACTUR MANDIBULA :
Kadang-kadang disertai cervical injuri Hati-hati karena berhubungan dengan Airway Perhatikan T.M Joint Dapatkah membuka mulut ?

MANDIBULA

MANDIBLE

SKULL

SKULL AP (TM JOINT)

SKULL AP (TM JOINT)

SKULL AP (TM JOINT)

TM JOINT

EISLER VIEW

SKULL AP

SKULL AP

PANORAMIC

SUBMENTO VERTEX VIEW

SUBMENTO VERTEX VIEW

TRAUMA PADA OS ZYGOMA & LEFORT FRACTUR


Simple Os Zygoma Waters View Communitive Fractur CT Scan

CT SCAN PADA FACIAL SMASH

CT SCAN PADA FACIAL SMASH

CT Scan III Dimensi

CT SCAN III DIMENSI

CT SCAN III DIMENSI

MID FACE

MID FACE

OS ZYGOMA

OS ZYGOMA

ZYGOMATIC BONE

TEMPORAL BONE

REFERENCES
Cristian, Thomson JR, Hasso An. Et all CT Evaluation of Trauma to the temporomandibular joint. J.oral. Maxillo Surg. 1987 : 45(920-923) Daftner at al. Computed Tomografi in the evaluation of severe facial trauma Computer Radiol 1983 (7) 91-92 Ensisco R Shaw A. et al 3D Lead antrometric analisis SPIE Symposium on Medical Imaging 2003 San Diego, USA, Feb. 2003 Daftner RH, Apple JS et.al. lateral view of facial fractures new observations. AJR. 1983. 141 (587-591) Kneeland,JB.R YAN DE, Carera DF Failed temporomandibulare joint protese. MR. Imaging Rad 1987.165 (179-181) Mayer YS., Wain Wreight et al The role of three Dimensional Computed Tomografi in the management of maxillofacial trauma. J. Trauma 1988 28) : 1043-1053 Redman, Purdy Miller, Rollins Facial Trauma. Emergency Rad 1993 (9598) Roger LF., Radiology of skeletal trauma New York churcill livingston Inc 1982 : 229-271

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