cover referat radiologi

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REFERAT TRAUMA ORBITA DAN MAKSILOFASIAL Nathanael Andry Mianto 1015007 Charissa Lazarus 1015093 Stefanie Kristi 1015095 Patrick Kelvian 0915061 Sri Herlina Dalimunthe 1015132 Pembimbing : dr. Justin Ginting, Sp.Rad KSM Ilmu Radiologi Rumah Sakit Immanuel Fakultas Kedokteran Universitas Kristen Maranatha Bandung

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Page 1: Cover Referat Radiologi

REFERAT

TRAUMA ORBITA DAN MAKSILOFASIAL

Nathanael Andry Mianto 1015007

Charissa Lazarus 1015093

Stefanie Kristi 1015095

Patrick Kelvian 0915061

Sri Herlina Dalimunthe 1015132

Pembimbing :

dr. Justin Ginting, Sp.Rad

KSM Ilmu Radiologi

Rumah Sakit Immanuel

Fakultas Kedokteran

Universitas Kristen Maranatha

Bandung

2015

Page 2: Cover Referat Radiologi

KATA PENGANTAR

Puji syukur kami panjatkan kepada Tuhan karena berkat rahmat dan petunjuk-Nya penulis

dapat menyelesaikan referat berjudul Trauma Orbita dan Maksilofasial ini tepat pada waktunya.

Referat ini dibuat dalam rangka memenuhi tugas kepaniteraan klinik di bagian ilmu sinar

Rumah Sakit Immanuel Bandung. Pada kesempatan ini penulis mengucapkan terima kasih yang

sebesar-besarnya kepada dr. Justin Ginting, Sp.Rad selaku dokter pembimbing dalam kepaniteraan

klinik ilmu sinar ini dan rekan-rekan koas yang ikut membantu memberikan semangat dan dukungan

moril.

Penulis menyadari bahwa referat ini masih terdapat banyak kekurangan. Oleh karena itu,

penulis sangat mengharapkan kritik dan saran yang membangun dari semua pihak. Semoga referat ini

dapat bermanfaat dan menambah pengetahuan dalam bidang ilmu sinar khususnya dan bidang

kedokteran yang lain pada umumnya.

Bandung, 15 Maret 2015

Penulis

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Page 3: Cover Referat Radiologi

DAFTAR ISI

JUDUL......................................................................................................................................i

KATA PENGANTAR............................................................................................................ii

DAFTAR ISI..........................................................................................................................iii

DAFTAR GAMBAR.............................................................................................................iv

BAB I PENDAHULUAN........................................................................................................1

BAB II TINJAUAN PUSTAKA............................................................................................3

2.1 Anatomi.............................................................................................................................3

2.1.1 Vaskularisasi Kepala.................................................................................................5

2.1.2 Persarafan Wajah.......................................................................................................7

2.1.3 Facial Danger Zones ................................................................................................9

2.1.4 Buttress....................................................................................................................10

2.2 Fraktur Orbita .................................................................................................................11

2.2.1 Fraktur Blow-Out......................................................................................................11

2.2.1.1 Definisi...............................................................................................................11

2.2.1.2 Klasifikasi`.........................................................................................................11

2.2.1.3 Epidemiologi......................................................................................................12

2.2.1.4 Klasifikasi..........................................................................................................12

2.2.1.5 Gejala Klinis dan Diagnosis.............................................................................13

2.2.2 Fraktur Blow-In.......................................................................................................16

2.2.2.1 Definisi ..............................................................................................................16

2.2.2.2 Klasifikasi..........................................................................................................16

2.2.2.3 Patofisiologi.......................................................................................................17

2.2.2.4 Gejala Klinis .....................................................................................................18

2.2.2.5 Gambaran Radiologi..........................................................................................18

2.3 Fraktur Maksilofasial.......................................................................................................26

2.3.1 Definisi.....................................................................................................................26

2.3.2 Klasifikasi................................................................................................................26

2.3.3 Gambaran Radiologi................................................................................................29

2.4.4 Kandungan Kimia Putri Malu (Mimosa pudica Linn.)............................................15

2.4.5 Kegunaan.................................................................................................................17

BAB III SIMPULAN............................................................................................................44

DAFTAR PUSTAKA............................................................................................................45

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Page 4: Cover Referat Radiologi

DAFTAR GAMBAR

Gambar 2.1 Anatomi Tengkorak.................................................................................3

Gambar 2.2 Cavum Orbita..........................................................................................5

Gambar 2.3 Perdarahan Kepala...................................................................................6

Gambar 2.4 Arteri Karotis Komunis dan cabangnya..................................................7

Gambar 2.5 Percabangan Nervus Trigeminus.............................................................8

Gambar 2.6 Facial Danger Zones...............................................................................9

Gambar 2.7 Buttress .................................................................................................10

Gambar 2.8 Fraktur Blow-Out .................................................................................11

Gambar 2.9 Mekanisme Fraktur Blow-Out...............................................................13

Gambar 2.10 Gambaran Klinis Pasien dengan Fraktur Blow-Out.............................15

Gambar 2.11 Fraktur Blow-In....................................................................................16

Gambar 2.12 Fraktur Blow-In Superior dengan Fenomena Trap-Door.....................17

Gambar 2.13 Fraktur Blow-Out.................................................................................18

Gambar 2.14 Fraktur Blow-Out (Tear Drop Sign).....................................................19

Gambar 2.15 Fraktur Blow-Out ................................................................................20

Gambar 2.16 Fraktur Blow-Out.................................................................................20

Gambar 2.17 CT-Scan Fraktur Blow-Out..................................................................21

Gambar 2.18 CT-Scan Fraktur Blow Out...................................................................21

Gambar 2.19 CT-Scan Fraktur Blow-Out .................................................................22

Gambar 2.20 CT-Scan Fraktur Blow-Out..................................................................22

Gambar 2.21 MRI Fraktur Blow-Out.........................................................................23

Gambar 2.22 CT-Scan Fraktur Blow-In.....................................................................24

Gambar 2.23 CT-Scan Fraktur Blow-In.....................................................................24

Gambar 2.24 CT-Scan Fraktur Blow-In.....................................................................25

Gambar 2.25 CT-Scan Fraktur Blow-In.....................................................................25

Gambar 2.26 Le Fort I................................................................................................27

Gambar 2.27 Le Fort II...............................................................................................27

Gambar 2.28 Le Fort III.............................................................................................28

Gambar 2.29 Fraktur Le Fort......................................................................................29

Gambar 2.30 Fraktur Le Fort......................................................................................30

Gambar 2.31 Fraktur Le Fort......................................................................................31

Gambar 2.32 Fraktur Le Fort I...................................................................................32

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Page 5: Cover Referat Radiologi

Gambar 2.33 Fraktur Le Fort I...................................................................................33

Gambar 2.34 Fraktur Le Fort I...................................................................................33

Gambar 2.35 Fraktur Le Fort II..................................................................................34

Gambar 2.36 Fraktur Le Fort II..................................................................................35

Gambar 2.37 Fraktur Le Fort II..................................................................................35

Gambar 2.38 Fraktur Le Fort III.................................................................................36

Gambar 2.39 Fraktur Le Fort III.................................................................................37

Gambar 2.40 Fraktur Le Fort III.................................................................................37

Gambar 2.41 Fraktur Le Fort II..................................................................................38

Gambar 2.42 Fraktur Le Fort .....................................................................................38

Gambar 2.43 Fraktur Le Fort II..................................................................................39

Gambar 2.44 Kompleks Fraktur Le Fort II – Fraktur Tripod.....................................40

Gambar 2.45 Kompleks Fraktur Le Fort II – Fraktur Tripod.....................................40

Gambar 2.46 Kompleks Fraktur Le Fort II – Fraktur Tripod.....................................41

Gambar 2.47 Kompleks Fraktur Le Fort II – Fraktur Tripod.....................................41

Gambar 2.48 Kompleks Fraktur Le Fort II – Le Fort III............................................42

Gambar 2.49 Kompleks Fraktur Le Fort II – Le Fort III............................................43

Gambar 2.51 CT Scan Le Fort I...................................................................................44

Gambar 2.52 CT Scan Le Fort I...................................................................................44

Gambar 2.53 CT Scan Le Fort I...................................................................................45

Gambar 2.54 CT Scan Le Fort I...................................................................................45

Gambar 2.55 CT Scan Le Fort I...................................................................................46

Gambar 2.56 CT Scan Le Fort II..................................................................................46

Gambar 2.57 CT Scan Le Fort II..................................................................................47

Gambar 2.58 CT Scan Le Fort II..................................................................................47

Gambar 2.59 CT Scan Le Fort II..................................................................................48

Gambar 2.60 CT Scan Le Fort II..................................................................................48

Gambar 2.61 CT Scan Le Fort II..................................................................................49

Gambar 2.62 CT Scan Le Fort III.................................................................................49

Gambar 2.63 CT Scan Le Fort III.................................................................................50

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