Penatalaksanaan fraktur kondilus bilateral dan korpus mandibula dengan reduksi tertutup pada pasien remaja
Management of bilateral condyle fracture and mandibular corpus with the closed reduction in adolescent patientsAbstract
ABSTRAK
Pendahuluan: Fraktur kondilus dan Korpus mandibula merupakan fraktur pada mandibula yang cukup sering terjadi pasca trauma. Komplikasi yang sering terjadi akibat fraktur kondilus dan korpus mandibula pada anak adalah ankilosis dan gangguan sendi sendi temporomandibula. Perawatan fraktur mandibula dapat dengan reduksi terbuka atau reduksi tertutup. Penanganan fraktur secara sederhana dan teknik yang tepat dapat mencegah komplikasi lebih lanjut. Tujuan laporan kasus ini memaparkan dan membahas penatalaksanaan kegawatdaruratan pada pasien remaja yang menderita fraktur kondilus dan korpus mandibula dengan reduksi tertutup. Laporan kasus: Pasien perempuan usia 16 tahun datang ke Rumah Sakit Gigi dan Mulut Unpad dengan keluhan perdarahan dari mulut dan sulit membuka mulut akibat kecelakaan lalu-lintas. Pemeriksaan klinis dan radiografis menunjukan adanya fraktur kondilus bilateral dan fraktur korpus mandibula. Pasien dilakukan pembersihan dan penjahitan luka, perawatan fraktur kondilus dengan reduksi tertutup dan fiksasi maksilomandibular dengan arch bar. Kontrol pada minggu ke 12 menunjukkan hasil perbaikan. Simpulan: Penatalaksanaan fraktur kondilus dan Korpus mandibula dengan reduksi tertutup yang tepat menunjukkan hasil yang memuaskan secara anantomi dan fungsi pada saat penatalaksaan kedaruratan trauma.
Kata kunci: fraktur kondilus bilateral; fraktur korpus mandibula; reduksi tertutup; fiksasi maksilomandibular
ABSTRACT
Introduction: Condyle and mandibular corpus fractures are quite common post-trauma mandibular fractures. Complications that often occur due to condyle and mandibular corpus fractures in children are ankylosis and temporomandibular joint disorders. Mandibular fractures can be treated with open reduction or closed reduction. Simple fracture management and proper technique can prevent further complications. This case report aimed to present and analyse the emergency management of condyle and mandibular corpus fractures in an adolescent patient with closed reduction. Case report: A 16-year-old female patient came to Universitas Padjadjaran Dental Hospital with complaints of oral bleeding and mouth-opening difficulty due to a traffic accident. Clinical and radiographic examination revealed bilateral condylar and mandibular corpus fractures. The patient was cleaned and sutured, treated for condylar fractures with closed reduction and maxillomandibular fixation with arch bars. The improvement showed at the control visit after 12 weeks. Conclusion: Management of condylar and mandibular corpus fractures with properly closed reduction showed satisfactory anatomical and functional results.
Keywords: bilateral condyle fracture; mandibular corpus fracture; closed reduction; maxillomandibular fixation
Keywords
Full Text:
PDFReferences
DAFTAR PUSTAKA
Braun TL, Xue AS, Maricevich RS. Differences in the Management of Pediatric Facial Trauma. Semin Plast Surg. 2017;31(2):118-122. DOI: 10.1055/s-0037-1601380.
Al Shetawi AH, Lim CA, Singh YK, Portnov JE, Blumberg SM. Pediatric Maxillofacial Trauma :A review of 156 Patients. J Oral Maxillofac Surg. 2016;74(7): 1420. E1-4. DOI: 10.1016/j.joms.2016.03.001
Chrcanovic BR. Open versus closed reduction: comminuted mandibular fractures. Oral Maxillofac Surg. 2013;17(2):95-104. DOI: 10.1007/s10006-012-0349-2.
Vane S, Thenmozhi MS. Mandibular Fracture; An Analysis of vulnerable fracture point, types and management methods. J Pharm Sci Res. 2015;7(9):714–7.
Jose A, Nagori SA, Agarwal B, Bhutia O, Roychoudhury A. Management of maxillofacial trauma in emergency: An update of challenges and controversies. J Emerg Trauma Shock. 2016;9(2):73-80. DOI: 10.4103/0974-2700.179456.
Mukherjee CG, Mukherjee U. Maxillofacial trauma in children. Int J Clin Pediatr Dent. 2012;5(3):231-6. DOI: 10.5005/jp-journals-10005-1174.
Yanti MN, Tasman A, Fathurachman. Perawatan Reduksi Tertutup Fraktur Mandibula pada Anak: Laporan Kasus. Dent Dent J. 2016;19(2):149-53. DOI: 10.32734/dentika.v19i2.458
Chrcanovic BR. Open versus closed reduction: mandibular condylar fractures in children. Oral Maxillofac Surg. 2012;16(3):245-55. DOI: 10.1007/s10006-012-0344-7.
Fonseca RJ. Oral and Maxillofacial Trauma. 2nd ed. Vol 1. London WB: Saunders Company. 2014. p. 473-567.
Shi J, Chen Z, Xu B. Causes and treatment of mandibular and condylar fractures in children and adolescents: a review of 104 cases. JAMA Otolaryngol Head Neck Surg. 2014;140(3):203-7. DOI: 10.1001/jamaoto.2013.6300.
Asim MA, Ibrahim MW, Javed MU, Zahra R, Qayyum MU. Functional outcomes of open versus closed treatment of unilateral mandibular condylar fractures. J Ayub Med Coll Abbottabad. 2019;31(1):67-71.
Goldman KE. Fractures mandible, condylar and subcondylar. eMed J. 2015;2:1-13. DOI: 10.15562/jdmfs.v3i3.735
Zhou HH, Han J, Li ZB. Conservative treatment of bilateral condylar fractures in children: case report and review of the literature. Int J Pediatr Otorhinolaryngol. 2014;78(9):1557-62. DOI: 10.1016/j.ijporl.2014.06.031.
Cortese A, Borri A, Bergaminelli M, Bergaminelli F, Claudio PP. Condylar Neck and Sub-Condylar Fractures: Surgical Consideration and Evolution of the Technique with Short Follow-Up on Five Cases. Dent J. 2020;8(4): 125. DOI: 10.3390/dj8040125
Kemenkes RI. Pedoman pencegahan dan pengendalian coronavirus disease 2019 (COVID-19). Vol. 5. Jakarta: Ministry of Health Indonesia; 2020. h.1–135
Choi KY, Yang JD, Chung HY, Cho BC. Current concepts in the mandibular condyle fracture management part ii: open reduction versus closed reduction. Arch Plast Surg. 2012;39(4):301-8. DOI: 10.5999/aps.2012.39.4.301.
Braun TL, Maricevich RS. Soft tissue management in facial trauma. Semin plast surg. 2017;31(2):73-9. DOI: 10.1055/s-0037-1601381.
Siauw C, Arumsari A, Syamsudin E, Fathurachman. Management of sinistra condyle fracture in emergency: case report.J Dentomaxillofac Sci. 2018;3(3):184-7. DOI: 10.15562/jdmfs.v3i3.735
DOI: https://doi.org/10.24198/jkg.v33i3.31027
Refbacks
- There are currently no refbacks.
Copyright (c) 2022 Jurnal Kedokteran Gigi Universitas Padjadjaran
INDEXING & PARTNERSHIP
Jurnal Kedokteran Gigi Universitas Padjadjaran dilisensikan di bawah Creative Commons Attribution 4.0 International License