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JANUARY 2019
MAXILLOFACIAL TRAUMA
SEGMENTAL FRACTURE MANDIBULLA
+
INTRAORAL MUCOSAL LASERATION
NOVIARSIH MUSLIMAH
K1A1 13 117
Supervisor :
dr. Saktrio D. Subarno, Sp. BP-RE
IDENTITY
Name : Mr. A
Age : 16 years old
Sex : Male
Address : Konawe
Admission : November 5 th 2018
Doctor in charge : dr. Saktrio D. Subarno, Sp.BP-
RE
HISTORY TAKING
(Alloanamnesis and Heteroanamnesis)
Chief complain :
Right facial pain
Anamnesis :
Since 5 hours before admitted to the hospital due to traffic accident
Mecanism of trauma :
The patient was riding a motorcycle with high speed, did not using
helmet. The patient tried to avoid a car and motorcycle and then his face hit
a tree at the right side. Another mechanism was unknown.
History of unconsciousness (+), nausea (+) vomiting (+)
History of alcohol consumtion and drugs
History of nosebleed (+), mouth bleeds (+) ear bleeds (-)
History of previous medication (+) at Konawe Hospital (IVFD Ketorolac,
Ranitidine, ceftriaxone, piracetam, mefenamic acid
PRIMARY SURVEY
A : Clear
B : RR : 20 x/m, symetrical, thoracoabdominal
C : BP: 110/70, HR: 86
D : E4 V5 M6
E : T: 36.6
SECONDARY SURVEY
General state :
Moderate illness, composmentis, normal
weight,
Vital sign :
BP = 120/80 mmHg
HR = 78x/m, regular, strong
RR = 20x/m, regular
Temperature = 36.5oC
STATUS PRESENT
Facial Region
I : Deformity (+), Hematoma (-), swelling (+) right buccal region
wound (+) Vulnus excoriatum right sub mandible region,
active bleeding (-), visus (normal), diplopia (-)
BLOOD ROUTINE
MAXILLOFACIAL TRAUMA
SEGMENTAL MANDIBLE FRACTURE
+
INTRAORAL MUCOSAL LACERATION
MANAGEMENT
•IVFD
• Wound care •Analgetic Injection
•H2RA Injection
• Education •Antibiotic Injection
Kecelakaan Kecelakaan
Kerja Kendaraan
Trauma
penetrasi (luka
Olahraga
pisau atau luka
tembak)
GEJALA
Nyeri daerah mandibula
Perdarahan
Bengkak
Gangguan fungsi
Rasa kram/kebas di daerah mandibula
Pemeriksaan Fisik
Hematom
Maloklusi
Spasme otot
Krepitasi
Step of
Unstable mandibulla
PEMERIKSAAN PENUNJANG
Foto
Skull Panora
Skull CT-Scan
Water’s mic
AP/Lat Kepala
View View
obliq
Penatalaksanaan
IVFD
Antibiotik
Pengobatan
simptomatis
Pembedahan
Reposisi
Close Reduction
Ligatur dental Imobilisasi
Arch bar
Splint protesa
Fiksasi
Mobilis
Open Reduction asi
Kawat, pelat dan
sekrup, miniplat,
mikroplat.