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

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

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

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