IMAGING

OF
MAXILLOFACIAL TRAUMA
IMAGING
OF
MAXILLOFACIAL TRAUMA
Dr.Budi Laraswaty,SpR.
Instalasi Rawat Darurat
FK. Unair - RSU Dr.Soetomo
S u r a b a y a
Dr.Budi Laraswaty,SpR.
Instalasi Rawat Darurat
FK. Unair - RSU Dr.Soetomo
S u r a b a y a
MAXILLO FACIAL TRAUMA
JENIS TRAUMA & KLINIS
PILIHAN DIAGNOSTIK
REKONSTRUKSI (THERAPIC)
!ILIHAN DIAGNOSTIK IMAGING
TERGANTUNG :
Klinis penderita
Jenis trauma (organ)
Berat / ringan trauma
Trauma lain sebagai penyerta
Ketersediaan peralatan diagnostik
1RAUMA
WA1AH
1RAUMA
WA1AH
MODALITAS RADIOLOGI DALAM
MAXILLO FACIAL TRAUMA
X Ray foto Kepala (Plain Foto)
Panoramic View
CT Scan
CT Scan Dimensi
MR
X RAY FOTO :
Skull Foto AP / Lateral
Water's View
Submento Vertex View
Towne View
Cadwell view
Eisler View
T.M Joint View
Panoramic
AGIAN-AGIAN WAJAH YANG
TERKAIT !ADA MAXILLO FACIAL
TRAUMA :
Os Nasal, Smiss paranasal,
ethnoid cell
Mandibula
Mid Face
Os Zygoma
PER
ORGAN
LE FORT FRACTUR
Gambar
FRACTURE
OS NASAL
FRACTURE
OS NASAL
CALDWELL CALDWELL
OS NASAL OS NASAL
OS NASAL OS NASAL
!ARAAASAL
SIAUSES
!ARAAASAL
SIAUSES
FRACTUR MANDIULA : FRACTUR MANDIULA :
Kadang-kadang disertai cervical injuri
Hati-hati karena berhubungan dengan
Airway
Perhatikan T.M Joint
Dapatkah membuka mulut ?
MAADIBULA MAADIBULA
MAADIBLE MAADIBLE
SKULL SKULL
SKULL AP
(TM JOINT)
SKULL AP
(TM JOINT)
SKULL AP
(TM JOINT)
SKULL AP
(TM JOINT)
SKULL AP
(TM JOINT)
SKULL AP
(TM JOINT)
TM JOINT TM JOINT
EISLER
VIEW
EISLER
VIEW
SKULL A! SKULL A!
SKULL A! SKULL A!
PANORAMIC PANORAMIC
SUBMENTO
VERTEX
VIEW
SUBMENTO
VERTEX
VIEW
SUBMENTO
VERTEX
VIEW
SUBMENTO
VERTEX
VIEW
TRAUMA !ADA OS ZYGOMA &
LEFORT FRACTUR
TRAUMA !ADA OS ZYGOMA &
LEFORT FRACTUR
Simple Os Zygoma Water's View
Communitive Fractur CT Scan
CT SCAN
PADA FACIAL SMASH
CT SCAN
PADA FACIAL SMASH
CT SCAN
PADA FACIAL SMASH
CT Scan Dimensi
1 SAA III DIMEASI 1 SAA III DIMEASI
1 SAA III DIMEASI 1 SAA III DIMEASI
MID
FACE
MID
FACE
MID
FACE
MID
FACE
OS
ZYGOMA
OS
ZYGOMA
OS
ZYGOMA
OS
ZYGOMA
MA1I BAE MA1I BAE
1EM!RAL
BAE
1EM!RAL
BAE
REFERENCES 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
SPE Symposium on Medical maging
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. maging 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 nc 1982 :
229-271