Siauw, Cahyadi
DiscoverSys Inc

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Management of sinistra condyle fracture in emergency: case report Siauw, Cahyadi; Arumsari, Asri; Syamsudin, Endang; Fathurachman, Fathurachman
Journal of Dentomaxillofacial Science Vol 3, No 3 (2018): (Available online: 1 December 2018)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2685.44 KB) | DOI: 10.15562/jdmfs.v3i3.735

Abstract

Objective: Condyle fracture is a fracture that involves temporomandibular joint, resulting temporomandibular joint disorder. It often caused complications namely ankylosis and temporomandibular joint disorder. Trauma induced mandible fracture can leads to unilateral or bilateral condyle fracture.Method: Nine teen years old male came with mouth bleeding and pain on left lower jaw joint. Clinical examination showed laceration on right chin and left condyle fracture.Result: Management of patient to stitch laceration wound on chin region. Condyle fracture was treated conservatively using closed reduction method by arch bar and MMF rubber.Conclusion: Condyle fracture management needs a particular concern using closed method or conservative and open method or surgery. This present case chose closed method referring minimal displacement of condyle fracture.
Ballooning technique for orbital floor fracture reduction in neglected midfacial fracture: a case report Siauw, Cahyadi; Syamsudin, Endang; Ismiarto, Yoyos Dias
Journal of Case Reports in Dental Medicine Vol 1, No 2 (2019)
Publisher : Journal of Case Reports in Dental Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2243.558 KB)

Abstract

Objective: Midfacial fracture is a fracture that separates maxilla from the middle part of face. Orbital floor fracture includes in midfacial fracture that difficult to treat. The aggravating factor of the treatment are depressed fractures and infection. We use ballooning technique which is inflated in the maxillary sinus to lift fracture segment of orbital floor and to prevent the orbital floor displaced to the maxillary sinus.Methods: There were multiple lacerations at left eye and nose region, post suturing at left zygoma and left cheek region. Intraoral findings there were multiple laceration, then the patient was examined a complete blood count, chest xray, cervical lateral examination, and 3D CT-Scan examination.Results: Examination of head and panoramic xray was performed and showed there was no bone discontinuity, contact and stable fracture segments. Examination of the 5th day post operative showed minimal pus drainage, leukocytes were within normal limits and other lab results were normal. Physical examination showed minimum scar, there was no dehiscence, symmetrical face and drain was performed at left zygoma region, symmetrical orbital, intact and stable occlusion.Conclusion: In this case, ballooning technique was successfully reduced the ruptured orbital floor and obtained good result.Keywords: Ballooning, Fixation, Open fracture, Orbital floor fracture.