Penatalaksanaan Malunion pada Fraktur Tulang Hyoid

Dian Pratama Putra, Novialdi Novialdi✉
DOI: https://doi.org/10.25077/mka.v45.i2.p208-220.2022

Abstract

Latar Belakang: Fraktur tulang hyoid sangat jarang terjadi dan biasanya dikaitkan dengan trauma lain seperti fraktur mandibular, vertebra cervical atau bersamaan dengan laserasi jaringan lunak. Hal ini merupakan akibat dari trauma langsung atau hiperekstensi leher. Malunion merupakan salah satu komplikasi dari fraktur tulang hyoid, yang terjadi saat proses penyembuhan tulang dengan deformitas dan gangguan fungsi. Diagnosis dapat dikonfirmasi dengan pemeriksaan tomografi komputer dan laringoskopi. Penatalaksanaan dilakukan berdasarkan jenis cedera, gejala, dan komplikasi potensial yang terkait. Laporan Kasus: Seorang laki-laki berusia 24 tahun dengan keluhan rasa mengganjal di tenggorok sejak 5 tahun yang lalu dan semakin memberat sejak 4 bulan terakhir. Pada pemeriksaan tomografi komputer regio colli, didapatkan kesan asimetris/ dislokasi tulang hyoid (sisi kiri) dengan gambaran garis/ fissure. Pada pasien dilakukan closing wedge osteotomy dan open reduction internal fixation (ORIF) tulang hyoid dengan miniplate dan screw. Kesimpulan: Pemilihan teknik closing wedge osteotomy dan ORIF menggunakan miniplate dan screw memberikan hasil yang memuaskan dalam penyembuhan dan fiksasi optimal pada penatalaksanaan malunion dari fraktur tulang hyoid.

Keywords

tulang hyoid; fraktur; malunion; wedge osteotomy; ORIF

Full Text:

PDF

References

Karna D, Dragovic AS, Mehra R, Mitra B. Management of traumatic hyoid bone fractures: A case series. Journal of Emergency Medicine, Trauma & Acute Care 2016;8(1):1-10.

Marcocci A, Schiraldi ME, Fiorino F. Unsuspected hyoid bone fracture following a sport laryngeal trauma. Journal of Otolaryngology-ENT Research. 2017;7(6):1-2.

Volpin G, Shtarker H. Management of delayed union, non-union and mal-union of long bone fractures. Eur Surg Orthop Traumatol. 2014:241-66.

Angoules AG, Boutsikari EC. Traumatic hyoid bone fractures: Rare but potentially life threatening injuries. Emergency Med. 2013;3(1):1-2.

Paulsen F, Waschke J. Head. In: Paulsen F, Waschke J, editors. Sobotta Atlas of Human Anatomy; Head, Neck and Neuroanatomy. 15 ed. Munich: Elsevier; 2011. p. 4-90.

Ong HI, Lilic N, Agar NJ. Hyoid bone fracture: an unrecognised complication of intubation or transoesophageal echocardiogram? The New Zealand medical journal. 2015;128(1412):60-3.

Porr J, Laframboise M, Kazemi M. Traumatic hyoid bone fracture – a case report and review of the literature. The Journal of the Canadian Chiropractic Association. 2012;56(4):269-74.

AlJulaih GH, Menezes R. Anatomy, head and neck, hyoid bone. Treasure Island: StatPearls Publishing; 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539726/.

Bokare B, Singh S. Physiology of Swallowing. In: Nerurkar NK, Roychoudhury A, editors. Textbook of Laryngology. New Delhi Jaypee Brothers Medical Publishers; 2017. p. 31-58.

Zenga J, Harris MS. Otolaryngalogy: Head and Neck Surgery. In: Doherty GM, editor. Current Diagnosis & Treatment Surgery. 15 ed. New York Mc Graw Hill; 2020. p. 237-75.

Panara K, Ahangar ER, Padalia D. Physiology, swallowing. Treasure Island: StatPearls Publishing; 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541071/.

Ramchand T, Choudhry OJ, Shukla PA, Tomovic S, Kuperan AB, Eloy JA. Management of hyoid bone fractures: a systematic review. Otolaryngology-Head Neck Surgery 2012;147(2):204-8.

Ozturk M, Sogut O, Yigit M, Kaplan O, Tataroglu O, Tas D. An extremely rare isolated hyoid bone fracture in a patient involved in a traffic accident. Journal of Current Surgery. 2018;8(1-2):18-21.

Keerthi R, Quadri A. Hyoid bone fracture: Associated with head and neck trauma—a rare case report. Journal of maxillofacial oral surgery 2016;15(2):249-52.

Sathyapriya B. A review on clinical significance of hyoid bone. European journal of molecular & clinical medicine2020;7(5):1293-7.

Samieirad S, Rayeni AS, Tohidi E. A rare case of hyoid bone fracture concomitant with a comminuted mandibular fracture. Journal of Maxillofacial and Oral Surgery. 2019;19(1):40-3.

Chen A. Orthopecdic Surgery. In: Doherty GM, editor. Current Diagnosis & Treatment Surgery. 15 ed. New York Mc Graw Hill; 2020. p. 1057-96.

Kfuri M. Malunion. In: Buckley RE, Moran CG, Apivatthakakul T, editors. AO Principles of Fracture Management. 1. 3 ed. Germany: Thieme; 2017. p. 493-512.

Gueorguiev-Rüegg B, Stoddart M. Biology and biomechanics in bone healing. In: Buckley RE, Moran CG, Apivatthakakul T, editors. AO Principles of Fracture Management. 1. 3 ed. Germany: Thieme; 2017. p. 9-26.

Arjunan K, HL S. Management of non-union and malunion after primary mandibular condyle fracture treatment: a review and recommendations. Journal of Oral and Maxillofacial Surgery. 2020;78(12):2267-72.

Ruezga KLL, Gonzalez LRR, Silva LFA. Chronic Hyoid Fracture. Cirugía Española. 2014;92(4):17.

White JB, Kim SW, Bielamowicz S. Hyoid bone dislocation: A new clinical condition. Otolaryngology–Head and Neck Surgery. 2008;139(1):318-9.

Pugh KJ, Rozbruch SR. Nonunions and malunions. In: Baumgaertner ML, Tornetta P, editors. Orthopaedic Knowledge Update; Trauma. 3 ed. USA: Bone and Joints; 2011. p. 115-30.

Brinker MR, O’Connor DP. Principles of malunions. In: Brown C, Heckman J, McQueen M, Ricci W, editors. Rockwood Green’s fractures in adults. 8th ed. Philadelphia: Wolters Kluwer Health; 2015. p. 869-94.

Cabudol JR, Romualdez JA, Guevara ES. Open reduction and fixation in acute laryngeal trauma under endoscopic guidance. PhiliPPine Journal of otolaryngology-head and neck Surgery. 2006;21(1,2):47-50.

Rifai M, Tawab MA. Unidentified hyoid bone fracture and its possible impact on the patient's life: a report of 2 cases. Annals of Otolaryngology and Rhinology. 2016;3(7):1-3.

Liu A, Pankhania R, Hu L, Khemani S. Isolated hyoid fracture as the result of judo practice: a rare cause of globus sensation in ENT outpatients. BMJ Case Reports. 2020;13(1):1-2.

Azer SA, Kshirsagar RK. Dysphagia. Treasure Island: StatPearls Publishing; 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559174/.

Elias N, Thomas J, Cheng A. Management of laryngeal trauma. Oral Maxillofacial Surgery Clinics of North America. 2021;33(1):417–27.

Moonsamy P, Sachdeva UM, Morse CR. Management of laryngotracheal trauma. Annals of cardiothoracic surgery. 2018;7(2):210-6.



Bookmark and Share
-->