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All Journal e-CliniC Medical Scope Journal (MSJ)
Sonbay, Antonius E.
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Pattern of Skull and Facial Bone Fracture in Craniomaxillofacial Trauma Associated with Traumatic Brain Injury: A Retrospective Analysis at Tertiary Hospital Prasetyo, Eko; Oley, Maximillian C.; Tjungkagi, Ferdinan; Manuhutu, Yovanka N.; Sonbay, Antonius E.
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.46477

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Abstract: Trauma is one of the primary causes of death during the first four decade.  Craniomaxillo-facial (CMF) trauma has become a common presentation in emergency departments of hospitals. The most presentation of CMF trauma includes skull and facial bone fracture and traumatic brain injury (TBI). This study aimed to obtain the pattern of skull and facial bone fracture in craniomaxillofacial trauma associated with traumatic brain injury. This was a retrospective study conducted on 501 patients from January 2020 to December 2021. Demographic data included age, sex, length of stay (LOS), and Glasgow coma scale (GCS). The results showed that from the total 501 patients with skull and facial bone fracture with or without traumatic brain injury, 406 (81%) were males and 95 (19%) were females. The age range of the patients was between 2 years and 86 years (mean±SD 33.9±18.2). The most common patient affected age ranged from 21 to 30 years. The average of LOS was 7.2±5.7 days (0-33) and the mean of GCS was 10.2±4.2. Based on types of cases, there were 232 cases (60%) of skull and facial bone fractures accompanied by TBI; 154 cases (40%) of only skull and facial bone fracture; and 339 (59.5%) cases of only TBI. In conclusion, the distribution of TBI increases in those with skull and facial bone fractures. On the other hand, the distribution of TBI is more common without fracture. Hence every skull and facial bone fracture must be carefully evaluated clinically and radiologically to rule out any underlying TBI. Keywords: skull and facial bone fracture; craniomaxillofacial trauma; traumatic brain injury
Scalp Defect of Cranioplasty with Titanium Mesh: A Case Report Sonbay, Antonius E.; Prasetyo, Eko; Oley, Maximillian C.; Manuhutu, Yovanka; Tjungkagi, Ferdinan
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59703

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Abstract: Several implant materials for cranioplasty have been studied, including autologous bone, titanium mesh, polyetheretherketone (PEEK), and polymethyl methacrylate (PMMA). Titanium mesh is believed to have excellent biocompatibility, low cost, and satisfactory cosmetic effects, especially in three-dimensional (3D) custom-made meshes. We reported a 54-year-old man complaining of open wound in his left temporoparietal region since a month. Blood tests showed leukocytosis. Patient was diagnosed as scalp infection with previous cranioplasty using bone cement on temporoparietal region. The patient underwent scalp reconstruction with skin flap, removing skin defect, and split thickness skin graft (STSG) from left thigh. Patient was provided with outpatient medication consisting of analgesics and broad-spectrum antibiotics. Follow-up assessment 14 days after surgery did not reveal any secondary infections on titanium mesh implant and skin flap. The main complications of cranioplasty, in addition to the studied aesthetic results, are represented by the risk of infection, postoperative hematoma, impaired wound healing, as well as prolonged failure due to transplant absorption or infection, as a result of which the prosthesis needs to be removed. In conclusion, titanium mesh is still a better choice of material for cranioplasty in many factors such as price, accessibility, infection rate, and biocompatibility Keywords: scalp; cranioplasty; head injury; prosthesis
Co-Authors Eko Prasetyo Heni Pujiastuti Manuhutu, Yovanka Manuhutu, Yovanka N. Oley, Maximillian C. Tjungkagi, Ferdinan