Teknik Pemeriksaan Kegawatdaruratan Os Nasal Dengan Klinis Suspek Fraktur Di Instalasi Radiologi Rsi Siti Aisyah Madiun

  • Dea Desta Juni Lestari Universitas ‘Aisyiyah Yogyakarta
  • Ike Ade Nur Liscyaningsih Universitas ‘Aisyiyah Yogyakarta
  • Ayu Mahanani Universitas ‘Aisyiyah Yogyakarta

Keywords

Nasal Bone, Fracture, Computed Radiography, Lateral Projection, Semiprone True Lateral

Abstract

Background: Nasal bone fractures are among the most common facial injuries, commonly caused by traffic accidents, sports injuries, or direct trauma. Radiographic examination is essential for confirming the diagnosis, particularly in non-cooperative patients, where examination techniques must be adapted to ensure patient safety and obtain optimal diagnostic images. Objective: This study aimed to describe the radiographic examination procedure of the nasal bone and explain the rationale for using the semiprone true lateral position in non-cooperative patients with suspected nasal bone fractures at the Radiology Department of RSI Siti Aisyah Madiun. Method: A qualitative case study approach was conducted from December 2025 to January 2026 involving three radiographers and one radiologist. Data were collected through observation, interviews, documentation, and literature review, then analyzed descriptively. Results: The examination required no special patient preparation except removing metallic objects from the head region. Radiography was performed using a lateral projection in the semiprone true lateral position with exposure factors of 65 kV, 200 mA, and a focus-to-film distance of 100 cm. This positioning was selected because the patient was weak and unable to follow instructions, providing greater safety and comfort during the examination. The lateral projection clearly demonstrated the nasal bone anatomy and fracture line without requiring additional projections. Conclusion: The semiprone true lateral position is an effective radiographic technique for evaluating suspected nasal bone fractures in non-cooperative patients, providing adequate diagnostic information while improving patient safety and examination efficiency

References

Painan, M. Zein. 2024. TEKNIK PEMERIKSAAN OS NASAL PROYEKSI LATERAL DENGAN KLINIS POST KLL DI INSTALASI RADIOLOGI RSUD DR PROGRAM STUDI DIII RADIOLOGI FAKULTAS VOKASI UNIVERSITAS BAITURAHMAH PADANG 2024.

Pasaribu, Nelida Erlince, and Fahdira Mutia. 2024. “Radiografi Os Nasal Dengan Sangkaan Fraktur Os Nasal Di Rumah Sakit Islam Malahayati Medan.” Jurnal Widya5(2):1556–66 doi: 10.54593/aWlv5i2.375.

Afriani, Desi, Universitas Malikussaleh, and Kabupaten Aceh Utara. 2025. “Sebuah Studi : Seorang Laki-Laki 25 Tahun Dengan.” 3(8).

Ardha, Muchamad Arif Al, Irwan Triansyah, Ilham Arief, Nadia Purnama Dewi, Dessy, and Abdullah. 2022. “Fraktur Os Nasal Pada Wajah Akibat Benturan Pada Pintu.” Jurnal Kewarganegaraan 6(4):7 088–89.

Lampignano, John P., and Leslie E. Kendrick.2018.Textbook Of Positioning and Related Anatomy;2014. Vol. 50.

Mariska, Refi, Hayuning Pratiwi, Fisnandya Meita Astari, and Widya Mufida. 2024. “Studi Kasus Prosedur Pemeriksaan Radiografi Kasmiati et al. 2021. “Kasmiati et Al.” 32(3):167–86.

Nasal Bone Dengan Kasus Fracture A Case Study on the Radiographic Examination Procedure for Nasal Bone Fracture Abstract.” 2(September):214 0–44.

Solissa, Widia, Retno Wati, and Fisnandya Meita Astari. 2024. “Prosedur Pemeriksaan Radiografi Os . Nasal Pada Kasus Fraktur Di Instalasi Radiologi RSU PKU Muhammadiyah Delanggu The Radiographic Examination Procedure of Os . Nasal in Fracture Cases in Radiology Installation of PKU Muhammadiyah Delanggu Hospita”

Wang, Weitao, Thomas Lee, Yadranko Ducic, C. Frcs, and Sameep Kadakia. 2019. “Nasal Fractures : The Role of Primary Reduction and Secondary Revision.” 8629

2026-08-05