Pemeriksaan Fisik Maxillo-facial
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THE/ROD/PIP
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Ilustrasi mekanisme trauma maksilofasial yang sering terjadi
1. Menabrak dari belakang
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2. Arah trauma dari depan
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3. Arah gaya dari samping
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PEMERIKSAAN AWAL
1. A : BEBASKAN JALAN NAFAS + STABILISASI CERVICAL SPINE
2. B : VENTILASI ADEKUAT3. C : KONTROL PERDARAHAN4. D : PEMERIKSAAN NEUROLOGI5. E : PROBLEM MENGANCAM
JIWA (THORAX, ABDOMEN, KEPALA,
EXTREMITAS )
PEMERIKSAAN TELITI KELAINAN MAXILLOFACIAL
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NyeriEdema, deformitasMaloklusiAnestesi bibir bawah dan daguMobilitas fragmen, unstable mandibulaTrismusDeviasi ke arah fraktur saat buka mulutAnterior open bite kontralateral frakturHematom/laserasi dasar mulutLaserasi mukosa ginggiva
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Open bite, edema
Gap mandibula, maloklusiGigi hilang
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evaluasi intra oralGigi tanggal ?
Laserasi mukosa ?
Oklusi ?
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menyusuri ramus mandibula sampai angulus, kemudian kedepan sampai dagu
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Step defect
False movement
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Fraktur mandibula segmental
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Epistaksis setelah trauma hidungEdema dorsum nasalEkimosis periorbitalDeformitas nasalNyeri tekanKrepitasi os nasalHematom mucosa cavum / septum nasiLaserasi kulit / mucosatelecanthus
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TRAUMA LANGSUNG PADA ZIGOMA
NYERI SAAT BUKA-TUTUP MULUT
TRISMUS
RASA TEBAL DIPIPI
DEPRESI EMINENTIA ZIGOMA
PERDARAHAN SUBCONJUNGTIVA
DIPLOPIA
TERABA FRAKTUR
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Deformitas, depresi zigoma
Hematom subconjungtiva
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FRAKTUR ZYGOMA…
Teraba gap atau step defectTampak Racoon eye
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Mulai rima orbita superior adakah deformitas atau stab-off pada perabaannya.
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Palpasi rima orbita bagian medial juga pada pangkal hidung kanan dan kiri simultan
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Palpasi pada arcus zygomaticus kanan dan kiri, dari depan ke belakang sampai TMJ
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1. RIWAYAT TRAUMA MIDFACE2. PERDARAHAN DAN OBSTRUKSI NAFAS3. NYERI4. PERIORBITAL EDEMA DAN EKIMOSIS5. MALOKLUSI6. NASAL FLATTENING7. TRAUMATIC TELECANTUS8. DEFORMITAS, DEPRESS MAXILLA, DISH FACE9. FLOATING MAXILLA
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RACOON EYES PADA FR. MAXILLA
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Nasal flattening, dish face
Telecantus
Edema, hematom
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FLOATING MAXILLA
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Fraktur Le Fort I
Fraktur Le Fort II
Fraktur Le Fort III
FRAKTUR MAKSILA
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TERBATASNYA GERAK MATA
PENURUNAN SENSASI DISTRIBUSI N. INFRAORBITA
ENOPHTALMUS
DIPLOPIA, TERUTAMA SAAT MELIRIK KE ATAS
DISKONTINUITAS RIMA ORBITA INFERIOR
SERING DISERTAI Fr ZIGOMA
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FRAKTUR BLOWOUT
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FRAKTUR BLOW OUT…
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