Pola Fraktur Kraniomaksilofasial Akibat Trauma Tumpul Terkait Identifikasi Forensik

Authors

DOI:

https://doi.org/10.35790/eg.v13i1.54227

Abstract

Abstract: Blunt trauma has high morbidity and mortality rates worldwide. Traffic accidents, assaults or fights, falls, and accidents during sports are the leading cause of this trauma. The head and face areas are frequently the targets of blunt force attacks, and fatal cases are often attributed to trauma to these areas. The magnitude of the velocity and the surface area of ​​the blunt object will produce different oral craniofacial fracture patterns. This study aimed to obtain the pattern of craniomaxillofacial fracture patterns caused by blunt trauma and their relationship to various forensic cases. Craniomaxilofacial fractures divided into cranial, maxilofacial, and mandibular fractures are series of injuries resulting from blunt trauma that may present alone or in a combination of the three of them. This is due to the proximity of the anatomy of these three types of bones. Fracture patterns can be present around the trauma, and can also present far from the trauma area since the trauma will be directly transmitted to areas with lowest weak point. By knowing a fracture pattern, various forensic problems can be solved.

Keywords: blunt trauma; fracture pattern; craniomaxillofacial fracture; forensic cases

  

Abstrak: Trauma tumpul memiliki tingkat morbiditas dan mortalitas yang cukup tinggi di dunia. Kecelakaan lalu lintas, perkelahian, Tindakan kekerasan, jatuh, serta kecelakaan saat berolahraga merupakan faktor-faktor utama penyebab jenis trauma ini. Area kepala dan wajah merupakan area yang paling sering menjadi target serangan benda tumpul, dan beberapa kasus fatal sering ditemukan akibat trauma pada daerah tersebut. Bentuk dan luas permukaan benda tumpul serta kecepatan hantaman akan menghasilkan pola fraktur kraniomaksilofasial yang berbeda. Penelitian ini bertujuan untuk mendapatkan pola fraktur kraniomaksilofasial akibat trauma tumpul dan hubungannya pada berbagai kasus forensik. Fraktur kraniomaksilofasial yang terbagi atas fraktur kranial, maksilofasial, dan mandibula merupakan serangkaian cedera akibat trauma tumpul yang dapat hadir sendiri ataupun kombinasi ketiganya. Hal ini dikarenakan kedekatan anatomi dari ketiga jenis tulang ini. Pola fraktur dapat hadir di sekitar trauma, dan juga dapat hadir jauh dari area trauma. Hal ini dikarenakan dampak dari trauma akan langsung diteruskan ke daerah yang memiliki titik lemah paling rendah. Dengan mengetahui suatu pola fraktur maka berbagai masalah forensik dapat terpecahkan seperti merekonstruksi suatu kejadian, identifikasi jenis senjata, serta membantu proses pengadilan.

Kata kunci: trauma tumpul; pola fraktur; fraktur kraniomaksilofasial; kasus forensik

Author Biographies

Andi N. S. T. Meilana, Universitas Indonesia

Divisi Forensik Odontologi Departmen Biologi Oral Fakultas Kedokteran Gigi Universitas Indonesia, Jakarta, Indonesia

Elza I. Auerkari, Universitas Indonesia

Departmen Biologi Oral Fakultas Kedokteran Gigi Universitas Indonesia, Jakarta, Indonesia

References

Vij K. Textbook of Forensic Medicine and Toxicology: Principles and Practice (5th ed). India: Elsevier; 2011.

Simon LV, Lopez RA, King KC. Blunt force trauma. InStatPearls [Internet] 2021 Aug 11. StatPearls Publishing, Available from: https://www.ncbi.nlm.nih.gov/books/NBK470338/

Ruchonnet A, Diehl M, Tang YH, Kranioti EF. Cranial blunt force trauma in relation to the victim’s position: An experimental study using polyurethane bone spheres. Forensic Sci Int. 2019;301:350-7. Available from: https://doi.org/10.1016/j.forsciint.2019.05.051

Bellamy JL, Mundinger GS, Flores JM, Reddy SK, Mithani SK, Rodriguez ED, et al. Facial fractures of the upper craniofacial skeleton predict mortality and occult intracranial injury after blunt trauma: an analysis. J Craniofac Surg. 2013;24(6):1922-6. Doi: 10.1097/SCS.0b013e3182a30544

Saukko P, Knight B. Knight's Forensic Pathology. London: CRC press; 2015.

Khallaf M, Shahine MS. Epidemiological features of patients with craniomaxillofacial fractures: a single centre study. Open Journal of Modern Neurosurgery (OJMN). 2019;9(02):132. Available from: https://doi.org/10.4236/ojmn.2019.92013

Lovell NC. In: Wedel VL, Galloway A, editors. Broken Bones: Anthropological Analysis of Blunt Force Trauma (2nd ed). Springfield: Charles C. Thomas Publisher; 2013.

Isa MI, Fenton TW, Goots AC, Watson EO, Vaughan PE, Wei F. Experimental investigation of cranial fracture initiation in blunt human head impacts. Forensic Sci Int. 2019;300:51-62. Available from: https://doi.org/10.1016/j.forsciint.2019.04.003

Lalloo R, Lucchesi LR, Bisignano C, Castle CD, Dingels ZV, Fox JT, et al. Epidemiology of facial fractures: incidence, prevalence and years lived with disability estimates from the Global Burden of Disease 2017 study. Inj Prev. 20201;26(Suppl 2):i27-35. Available from: https://doi.org/10.1136/injuryprev-2019-043297

Roselló GE, Granado QAM, Garcia MA, Martí SJ, Sala GL, Mármol BB, et al. Facial fractures: classification and highlights for a useful report. Insights Imaging. 2020;11(1):1-5. Available from: https://doi. org/10.1186/s13244-020-00847-w

Magagula SC, Hardcastle T. Defining current facial fracture patterns in a quaternary institution following high-velocity blunt trauma. S Afr J Radiol. 2016;20(1):1-6. Available from: http://dx.doi.org/10.4102/ sajr.v20i1.1005

Phillips BJ, Turco LM. Le Fort fractures: a collective review. Bulletin of Emergency & Trauma (BEAT). 2017;5(4):221. Available from: https://doi.org/10.18869/acadpub.beat.5.4.499.

Roumeliotis G, Ahluwalia R, Jenkyn T, Yazdani A. The Le Fort system revisited: trauma velocity predicts the path of Le Fort I fractures through the lateral buttress. Plastic Surg. 2015;23(1):40-2.

Available from: https://doi.org/10.1177/229255031502300111

Goots A, Isa MI, Fenton TW, Wei F. Blunt force trauma in the human mandible: an experimental investigation. Forensic Sci Int: Reports. 2022;5:100252. Available from: https://doi.org/10.1016/j.fsir.2021.100252

Adserias-Garriga J. A review of forensic analysis of dental and maxillofacial skeletal trauma. Forensic Sci Int. 2019;299:80-8. Available from: https://doi.org/10.1016/j.forsciint.2019.03.027

Segura‐Palleres I, Sobrero F, Roccia F, de Oliveira Gorla LF, Pereira‐Filho VA, Gallafassi D, et al. Characteristics and age‐related injury patterns of maxillofacial fractures in children and adolescents: a multicentric and prospective study. Dent Traumatol. 2022;38(3):213-22. Available from: https: //doi.org/10.1111/edt.12735

Pickrell BB, Serebrakian AT, Maricevich RS. Mandible fractures. Semin Plast Surg. 2017;31(2):100-7. Available from: https://doi.org/10.1055/s-0037-1601374

Pérez-Cano FD, Parra-Cabrera G, Vilchis-Torres I, Reyes-Lagos JJ, Jiménez-Delgado JJ. Exploring fracture patterns: assessing representation methods for bone fracture simulation. J Pers Med. 2024;14(4):376. Available from: https://doi.org/ 10.3390/jpm14040376

Schwab N, Jordana X, Monreal J, Garrido X, Soler J, Vega M, et al. Ballistic long bone fracture pattern: an experimental study. Int J Legal Med. 2024;138(4):1685-700. Available from: https://doi.org/10.1007/ s00414-024-03191-6

Cianci V, Mondello C, Cracò A, Cianci A, Bottari A, Gualniera P, et al. Hyoid bone fracture pattern assessment in the forensic field: the importance of post mortem radiological imaging. Diagnostics (Basel). 2024;14(7):674. Available from: https://doi.org/10.3390/diagnostics14070674

Lin KC, Peng SH, Kuo PJ, Chen YC, Rau CS, Hsieh CH. Patterns associated with adult mandibular fractures in Southern Taiwan—a cross-sectional retrospective study. Int J Environ Res Public Health. 2017;14(7):821. Available from: https://doi.org/10.3390/ijerph14070821

Isaac CV, Cornelison JB, Devota CJ, Shattuck BL, Castellani RJ. An unusual blunt force trauma pattern and mechanism to the cranial vault: Investigation of an atypical infant homicide. J Forensic Sci. 2023;68(1):315-26. Doi: 10.1111/1556-4029.15168

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Published

2024-08-22

How to Cite

Meilana, A. N. S. T., & Auerkari, E. I. (2024). Pola Fraktur Kraniomaksilofasial Akibat Trauma Tumpul Terkait Identifikasi Forensik . E-GiGi, 13(1), 201–210. https://doi.org/10.35790/eg.v13i1.54227

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