CD Skripsi
Gambaran Morfologi Mandibula Pasien Pasca-Operasi Fraktur Di Rsud Arifin Achmad Menggunakan Aplikasi 3d Slicer®
Mandibular fracture is a common facial trauma with the risk of causing postoperative asymmetry. Conventional 2D radiography evaluation is limited by distortion, necessitating objective digital morphometric measurements using Computed Tomography (CT) scans. This descriptive retrospective cross-sectional study aimed to describe the mandibular morphology of postoperative fracture patients at Arifin Achmad General Hospital. Using a total sampling technique (n=7) from post-operative CT scans during January 2023–August 2025, angular (Axial, Coronal, Sagittal Mandibular Angle/SMA) and linear (Mandibular Ramus Length/MRL, Body Height, Intercondylar) measurements were performed using the 3D Slicer® software and analyzed descriptively. Subjects were predominantly male (57.1%) young adults (mean 28 ± 16.9 years) resulting from traffic accidents (85.7%). Morphometric results in unilateral cases showed the largest average linear deviation found in MRL at 1.8 mm and the largest angular deviation in SMA at 4.4°. Clinical interpretation against tolerance thresholds 2 mm linear, 3° angular) concluded that linear deviations were on average acceptable, but angular deviations (including SMA 4.4°) were quantitatively unacceptable, emphasizing the challenge in Ramus-Condyle angular restoration control. In conclusion, measurable postoperative morphological asymmetry was present, where the 3D Slicer® application is effective in objectively detecting residual deviations, supporting improved surgical protocols.
Keywords: 3D Slicer, Facial Asymmetry, CT Scan, Mandibular Fracture, Morphometry.
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