Hubungan antara tipe fraktur zygomaticomaxillary complex dengan gangguan fungsi bola mata, fraktur orbital floor dan tindakan bone graft di RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar

Lucretya Yeniwati Tanuwijaya; Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya; I Made Suka Adnyana; Tjokorda Gde Bagus Mahadewa

doi:10.15562/ism.v14i2.1793

Hubungan antara tipe fraktur zygomaticomaxillary complex dengan gangguan fungsi bola mata, fraktur orbital floor dan tindakan bone graft di RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar

Lucretya Yeniwati Tanuwijaya ,

Agus Roy Rusly Hariantana Hamid ,

I Gusti Putu Hendra Sanjaya ,

I Made Suka Adnyana ,

Tjokorda Gde Bagus Mahadewa ,

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DOI: https://doi.org/10.15562/ism.v14i2.1793 |
Published: 2023-08-27

Abstract

Introduction: A zygomaticomaxillary complex fracture is the most common facial fracture after a nose fracture. Serious eye injuries most often complicate these fractures and are almost always associated with fractures of the orbital floor. This study aims to determine the relationship between the types of zygomaticomaxillary complex fractures and impaired ocular function, orbital floor fractures, and bone graft procedures.

Methods: This cross-sectional analytic observational study was conducted at Prof. Hospital. Dr. I.G.N.G. Ngoerah Denpasar. Data were obtained from patient medical records from January 2020 – December 2021 with a sample size of 85 subjects. Data analysis used the SPSS chi-square test for bivariate analysis.

Results: The majority of the 107 study subjects were male (75.7%) and aged ≥28 years (58.9%). Subjects who experienced type A1, A2, A3, B, and C fractures were 10 people (9.3%), 1 person (0.9%), 16 (15.0%), 68 people (63, 6%), and 12 people (11.2%). Fractures in the orbital area were experienced by most of the subjects in this study (51.4%). There was a significant positive relationship between fractures of the zygomaticomaxillary complex and impaired eyeball function (p<0.05) and a positive relationship between fractures of the orbital floor and bone grafting (p<0.05). The relationship between orbital floor fracture and bone graft based on the types of zygomaticomaxillary complex fractures showed a significant positive relationship in type A3 and in type B (p=0.036;0.006).

Conclusion: Fractures of the zygomaticomaxillary complex are associated with impaired eyeball function, fractures of the orbital floor, and bone grafting. Orbital floor fractures accompanying zygomaticomaxillary complex fractures in types A3 and B are significantly associated with bone grafting.

Pendahuluan: Fraktur zygomaticomaxillary complex merupakan fraktur pada wajah yang paling sering terjadi setelah fraktur hidung. Fraktur ini paling sering disertai dengan komplikasi cedera mata yang serius dan hampir selalu dikaitkan dengan fraktur orbital floor. Penelitian ini bertujuan untuk mengetahui hubungan antara tipe fraktur zygomaticomaxillary complex dengan gangguan fungsi bola mata, fraktur orbital floor, dan tindakan bone graft.
Metode: Penelitian observasional analitik dengan desain potong lintang ini dilakukan di RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar. Data diperoleh dari rekam medis pasien mulai Januari 2020 – Desember 2021 dengan besar sampel 85 subjek. Analisis data menggunakan SPSS uji chi square untuk analisis bivariat.
Hasil: Mayoritas dari 107 subjek penelitian berjenis kelamin laki-laki (75,7%) dan berusia ≥28 tahun (58,9%). Subjek yang mengalami fraktur tipe A1, A2, A3, B, dan C masing-masing sebanyak 10 orang (9,3 %), 1 orang (0,9%), 16 (15,0%), 68 orang (63,6%), dan 12 orang (11,2%). Fraktur di daerah orbita dialami oleh sebagian besar subjek pada penelitian ini (51,4%). Terdapat hubungan yang bermakna positif antara fraktur zygomaticomaxillary complex dengan gangguan fungsi bola mata (p<0.05), dan hubungan positif antara fraktur orbital floor dengan tindakan bone graft (p<0,05). Hubungan fraktur orbital floor dengan bone graft berdasarkan tipe-tipe fraktur zygomaticomaxillary complex menunjukkan hubungan yang bermakna positif pada tipe A3 dan pada tipe B (p=0,036;0,006).
Simpulan: Tipe fraktur zygomaticomaxillary complex berhubungan dengan terjadinya gangguan fungsi bola mata, fraktur orbital floor, tindakan bone graft. Fraktur orbital floor yang menyertai fraktur zygomaticomaxillary complex pada tipe A3 dan B berhubungan secara bermakna dengan tindakan bone graft.

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