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Characteristics of Pain Based on Numerical Rating Scale in Maxillofacial Trauma Patients Treated with Open Reduction Internal Fixation Yohanes Yoppy Purnomo; Endang Sjamsudin; Eka Marwansyah Oli'i
Nusantara Medical Science Journal Volume 6 Issue 1, January - June 2021
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v6i1.13855

Introduction: Open Reduction Internal Fixation (ORIF) is one of the maxillofacial bone fracture treatment procedures. Post-surgical pain is generally assessed by Numerical Rating Scale (NRS). Objective: To obtain information about pain characteristics in post-ORIF patients based on NRS. Methods: This study is an observational study with a retrospective descriptive approach. The research was conducted at Hasan Sadikin General Hospital (RSHS) Bandung in January 2018 - December 2019 based on medical record data. The data collected included age, gender, fracture area, diagnosis, duration of surgery, number of plates and screws, pre-surgical and post-surgical pain based on NRS, pain intensity measured every 8 hours postoperatively for 24 hours. Results: In this study, 65 medical records were obtained. The most frequent characteristics of the subjects were young adults aged 17-30 years (56.92%) and males (86.15%). The most frequent fracture locations were the mandible area (48.67%) and the most frequently performed surgery was at the mandibular area (60.46%). Regarding the duration of the surgery, most of the surgeries lasted for 61-120 minutes (32.30%) with the most used plates were plates (1-10 holes) and plates (11-20) holes, both having the same percentage (38.46%), and the most frequently used screw was screw (1-10) (49.23%). The most frequently used analgesics was Ketorolac (87.69%) and The NRS pain scale for ORIF was a mild type of surgery with an NRS scale of 1-3. The mean of pre-ORIF surgery patients showed a mild pain intensity with a percentage of 92.30% and postoperatively resulted in mild pain with a percentage of 95.38%. Conclusion: Characteristics of pain based on NRS in maxillofacial trauma patients treated with ORIF indicate mild pain and could be the result of the influence of analgesic drugs or subjective assessments, therefore, further research is needed to obtain a more precise assessment of the pain.

Penatalaksanaan kegawatdaruratan medis trauma maksilofasial pada anak disertai cedera kepalaEmergency management of maxillofacial trauma in children with a head injury Saptiadi Oktora; Eka Marwansyah Oli'i; Endang Sjamsudin
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2021): Februari 2021 (Suplemen 2)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.29510

Pendahuluan: Pasien dengan fraktur maksilofasial mempunyai risiko tinggi disertai cedera kepala karena dekatnya letak anatomi tulang wajah dan kranium. Trauma maksilofasial sering menyebabkan cedera pada jaringan lunak, gigi geligi dan komponen utama rangka wajah termasuk mandibula, maksila, zigoma, kompleks nasoorbital-ethmoid (NOE) dan struktur supraorbital. Kegawatdaruratan medis pada anak merupakan suatu kondisi yang mendesak yang membutuhkan penanganan segera pada anak untuk mengurangi resiko kematian dan kecacatan. Laporan kasus ini bertujuan agar memberikan gambaran dan mengevaluasi tindakan pasien trauma maksilofasial yang disertai cedera kepala pada anak. Laporan kasus: Seorang anak laki-laki usia 9 tahun datang dengan keluhan perdarahan dari mulut, 3 jam karena terjatuh saat mengendarai sepeda. Pasien mengalami cedera kepala dan fraktur dentoalveolar rahang atas dan rahang bawah. Diagnosis cedera kepala ringan, fraktur palatum inkomplit, fraktur dentoalveolar regio gigi 54-21, 85-32 dengan fraktur segmental dentoalveolar regio gigi 42-83 disertai avulsi gigi 11,12,53,54,21,32,31,41,84 dan mobility grade 3 gigi 42,83,85, luka laserasi pada regio frontal, labii inferior, palatum, mentale dan gingiva regio gigi 54-21 dan 85-32, serta luka punctum pada regio labiomental. Penatalaksanaan kasus ini adalah dilakukan pembersihan luka, ekstraksi gigi 83, 85, 42, alveolektomi regio gigi 54-21, 32-85 serta penjahitan pada luka laserasi dan punctum dengan melibatkan bagian bedah saraf, ilmu kesehatan anak dan anestesi. Simpulan: Penatalaksanaan kegawatdaruratan medis cedera kepala dan trauma maksilofasial pada kasus ini dilakukan penjahitan pada intra oral dan ekstra oral serta ekstraksi gigi 42,83,85 dengan anestesi umum yang melibatkan bagian bedah saraf, ilmu kesehatan anak, anestesi dapat mencegah kematian dan mengurangi resiko kecacatan yang lebih parah. Penilaian awal secara komprehensif sangat penting dalam menentukan rencana perawatan kegawat daruratan pada pasien trauma maksilofasial.Kata kunci: Cedera kepala, trauma maksilofasial, kegawatdaruratan medis anak ABSTRACTIntroduction: Patients with maxillofacial fractures are at a high risk of head injury due to the cranium and facial bones' anatomy. Maxillofacial trauma often causes injury to soft tissues, teeth, and significant facial skeleton components, including the mandible, maxilla, zygoma, nasoorbitoethmoid (NOE) complex and supraorbital structures. A paediatric medical emergency is an urgent condition that requires immediate treatment to reduce the risk of death and disability. This case report was aimed to provide an overview and evaluation of the treatment for child patient with maxillofacial trauma accompanied by head injuries. Case report: A 9-year-old male child presented with complaints of bleeding from the mouth, 3 hours after falling while riding a bicycle. The patient had head injuries and dentoalveolar fractures of the maxilla and mandible. Diagnosis of minor head injury, incomplete palatal fracture, dentoalveolar fracture of teeth number 54-21, 85-32 with segmental fracture of the dentoalveolar region of teeth number 42-83 accompanied by avulsion in teeth number 11, 12, 53, 54, 21, 32, 31, 41, 84, and mobility grade 3 of teeth number 42, 83, 85. Laceration wounds in the frontal region, inferior labii, palate, mentale, and gingiva regions of teeth number 54-21 and 85-32, and punctum wounds in the labiomental region. This case management included rinsing the wound; extracting teeth number 83, 85, 42; alveolectomy in the region of teeth number 54-21, 32-85; suturing the laceration and punctum wounds involving neurosurgery, paediatric medicine and anaesthesia. Conclusion: Management of medical emergency of head injury and maxillofacial trauma in this case is performed with intraoral and extraoral suturing and extraction of teeth number 42, 83, 85, with general anaesthesia involving the Neurosurgery and Paediatrics Division. Anaesthesia can prevent death and reduce the more severe risk of disability. A comprehensive initial assessment is essential in determining the emergency treatment plan for maxillofacial trauma patients.Keywords: Head injury, maxillofacial trauma, paediatric medical emergency.

Ossifying Fibroma pada mandibula pasien anak Ratih Trikusumadewi Lubis; Fadhlil Ulum Abdul Rahman; Muhammad Adri Nurrahim; Lusi Epsilawati; Eka Marwansyah Oli'i
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 2 (2020): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v4i2.564

Objectives: To view a case report of mandibular ossifying fibroma (OF) in pediatric male. Case Report: A 12 year old child came to RSHS with a panoramic radiograph with the chief complaint of swelling in the right mandible. Panoramic radiograph shows well-defined mixed lesions with radiolucent content and snowflake-like opaque. MDCT shows a superior-inferior and bucco-lingual extension of the lesion. The suspicion of this case leads to Ossifying Fibroma with differential diagnosis of Adenomatoid Odontogenic Tumor (AOT) and Calcifiying Ephitelial Odontogenic Tumor (CEOT). Conclusion: OF cases in children, especially mandibular, are very rare, where the characteristics of the lesion can be well defined through the help of panoramic radiographs and MDCT. OF is a lesion that has benign characteristics with well-defined borders, and the most important lies in the presence of wrapping capsules and mixed internal structures accompanied by snowflake-like calcification.

Segmental Resection of Mandible for Treatment Unicystic Ameloblastoma: a Case Report Fadli Ashar; Eka Marwansyah; Andri Hardianto
Malahayati Nursing Journal Vol 4, No 10 (2022): Volume 4 Nomor 10 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v4i10.7124

ABSTRACT Ameloblastoma is the most common odontogenic tumour as it usually does not form metastasis, it is considered as benign tumour with a locally invasive growth pattern and destruction of the jaw and the surrounding tissue. Ameloblastoma annual incidence is 0.5 per 1.000.000 people, higher incidences are found in Africa, China and India in comparison with the western countries. About 80% of ameloblastomas are located in mandible, mainly in the third molar region, and 20% in the maxilla, particularly in the posterior region. Unicystic ameloblastoma is associated with a smaller relapse risk and is the only type that is susceptible for conservative surgery. Standar treatment for ameloblastoma today is radical resection with 1 cm resection margins. Recurrence range from 0 to 15% conservative surgery including enucleation and curettage recurrence rets as high as 55%. Recurrence ameloblastoma problem are associated with development of metastasis and transformation into ameloblastic carcinoma. Segmental resection with adequate margins followed by reconstruction with AO Plat the most ideal form of treatment available. Dentoalveolar rehabilitation is recommended in all such patients to improve final outcome. Keywords: Ameloblastoma, Segmental Resection, Reconstruction

Karakteristik fraktur palatum yang disertai fraktur dentoalveolar pada pasien trauma maksilofasialCharacteristics of palate fracture accompanied with dentoalveolar fracture in patients with maxillofacial trauma Cahyono Yudianto; Endang Sjamsudin; Eka Marwansyah Oli’i
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 34, No 3 (2022): Desember 2022
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v34i3.42838

ABSTRAKPendahuluan: Fraktur palatum pada trauma maksilofasial jarang terjadi dan seringkali disertai fraktur dentoalveolar. Fraktur palatum yang disertai fraktur dentoalveolar seringkali menimbulkan kesulitan dalam perawatan dan dapat menimbulkan deformitas lengkung rahang. Penelitian ini bertujuan untuk mengetahui karakteristik fraktur palatum disertai fraktur dentoalveolar pada pasien trauma maksilofasial di Rumah Sakit Hasan Sadikin Bandung. Metode: Jenis penelitian observasional deskriptif dengan pendekatan cross-sectional dari rekam medis sejak Januari 2019 sampai Desember 2020. Penelitian dilakukan di Klinik Bedah Mulut dan Maksilofasial di RS Hasan Sadikin Bandung tahun 2021. Variabel yang dikumpulkan meliputi usia, jenis kelamin, lokasi fraktur, klasifikasi fraktur palatum dan klasifikasi fraktur dentoalveolar. Data disajikan dalam bentuk distribusi frekuensi menggunakan distribusi frekuensi numerik dengan perhitungan menggunakan software SPSS V 26. Hasil: Sampel penelitian yang memenuhi kriteria inklusi dan eksklusi yaitu sebanyak 12 pasien yang meliputi fraktur palatum disertai fraktur dentoalveolar. Usia terbanyak remaja akhir 17-25 tahun berjumlah 8 sampel. Jenis kelamin paling banyak terjadi pada laki laki 10 sampel. Lokasi fraktur palatum terbanyak pada sisi kiri tipe II dan tipe III sebanyak 50%. Klasifikasi fraktur dentoalveolar yang terbanyak adalah tipe V = 7 sampel. Lokasi fraktur dentoalveolar di anterior pada semua sampel sebanyak 12 sampel. Klasifikasi fraktur palatum yang terbanyak adalah tipe II = 5 sampel. Jenis perawatan terbanyak adalah closed reduction = 11 sampel. Etiologi fraktur palatum disertai fraktur dentoalveolar semuanya dikarenakan kecelakaan bermotor. Simpulan: Karakteristik fraktur palatum yang disertai fraktur dentoalveolar pada pasien trauma maksilofasial di Rumah Sakit Hasan Sadikin Bandung yang terbanyak usia remaja akhir, dengan jenis kelamin laki-laki, fraktur palatumnya tipe II dan III disertai fraktur dentoalveolar tipe V.Kata kunci: fraktur palatum; dentoalveolar; close reduction; interdental wiringABSTRACTIntroduction: Fracture of the palate in maxillofacial trauma is rare and often accompanied by dentoalveolar fractures. It is difficult to treat and can lead to arch deformity. This study aimed to identify characteristics of palatal fractures with dentoalveolar fractures in maxillofacial trauma patients at Hasan Sadikin Hospital, Bandung. Methods: This research is descriptive observational with a cross-sectional approach, medical records from January 2019 to December 2020. The study conducted at the Oral and Maxillofacial Surgery Clinic, Hasan Sadikin Hospital, Bandung, 2021. The variables collected included age, gender, fracture location, classification of palatal fractures, classification of dentoalveolar fractures. The data is presented in the form of a frequency distribution using a numerical frequency distribution with calculations using SPSS V 26 software. Results: 12 patients met the study sample criteria, including palatal fractures accompanied by dentoalveolar fractures. Most of the late adolescents aged 17-25 amounted to 8 samples. The most common sex is male with 10 samples. Location of most palate fractures on the left side of type II, and type III is as much as 50%. The most common classification of dentoalveolar fractures is type V = 7 samples. The location of the dentoalveolar fracture was anterior in all 12 samples. The most common classification of palatal fractures is type II = 5 samples. The type of treatment is closed reduction = 11 samples. The etiology of palatal fractures accompanied by dentoalveolar fractures is all due to motor accidents. Conclusion: Characteristics of palatal fractures accompanied by dentoalveolar fractures in maxillofacial trauma patients at Hasan Sadikin Hospital Bandung, mostly in late teens, with male sex, type II and III palatal fractures accompanied by type V dentoalveolar fractures.Keywords: palatal fracture; dentoalveolar; close reduction; interdental wiring

Prevalensi Dan Terapi Anomali Vaskular Pada Rongga Mulut Di Departemen Bedah Mulut Dan Maksilofasial Bambang Hudiworo; Indra Hadikrishna; Eka Marwansyah Oli’I
Journals of Ners Community Vol 13 No 1 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i1.2499

Anomali vaskular adalah kelainan kongenital dan abnormal neonatal bersifat benign lesions serta dapat terjadi di kepala-leher pada usia anak-anak dan dewasa dengan regio yang sering terjadi di lidah,bibir,mukosa bukal,dan palatum. Anomali vaskular diklasifikasikan menjadi dua klasifikasi utama,yaitu tumor vaskular dan malformasi vaskular. Penelitian dilakukan dengan studi deskriptif retrospektif dan dilaksanakan di Rumah Sakit Umum Pusat dr. Hasan Sadikin. Kriteria inklusi penelitian yaitu rekam medis pasien terdiagnosa anomali vaskular periode Januari 2019–Desember 2020. Terdapat 38 kasus anomali vaskular pada rongga mulut yang dilakukan perawatan di Kelompok Staff Medis (KSM) Bedah Mulut dan Maksilofasial RSHS. Kelompok mayoritas pasien berusia 13-24 tahun sebanyak 21 orang. Pasien perempuan adalah golongan yang sering berobat di RSHS yaitu sebanyak 27 orang. Tipe anomali vaskular yang umum terjadi adalah vena malformasi berjumlah 18 kasus atau 47% dari seluruh total kasus. Regio yang sering terjadi adalah di labii inferior superior berjumlah 14 kasus atau 37%. Terapi yang sering diberikan adalah injeksi scleroting agent dan eksisi sebanyak 34 kasus. Anomali vaskular rongga mulut adalah kelainan yang sering ditemukan di KSM Bedah Mulut dan Maksilofasial RSHS dengan terapi yang umum diberikan adalah injeksi scleroting agent dengan tujuan untuk minimalisir komplikasi setelah tindakan operasi.

Laporan Kasus Manajemen Kegawatdaruratan Trauma Jaringan Lunak Wajah Pada Anak Penderita Talasemia Fauzan Akmal; R Agus Nurwiadh; Eka Marwansyah Oli’i
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 11 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Facial soft tissue trauma is a common case in the emergency department. Handling this case requires special attention because the face is a prominent part and a marker of identity. Thalassemia is a blood disorder that causes the sufferer to experience anemia, where thalassemia patients must undergo blood transfusions for life. This case will describe a 14-year-old girl who came to the Emergency Department of Hasan Sadikin Hospital Bandung with complaints of bleeding on the eyelids due to a motorcycle accident, from the patient's history it is known that the patient is a thalassemia patient who routinely undergoes transfusions every month. As a result of this hemorrhage caused a significant decrease in hemoglobin value in the patient, so that emergency management was carried out, namely suturing the patient's traumatized eyelid and blood transfusion. Emergency management of facial soft tissue trauma in children with thalassemia must be done carefully to control bleeding and restore the function and aesthetics of traumatized facial tissues, besides that we also collaborate with pediatric colleagues for the management of anemia due to thalassemia in this patient.

Segmental Resection of Mandible for Treatment Unicystic Ameloblastoma: a Case Report Fadli Ashar; Eka Marwansyah; Andri Hardianto
Malahayati Nursing Journal Vol 5, No 3 (2023): Volume 5 Nomor 3 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i3.8270

ABSTRACT Ameloblastoma is the most common odontogenic tumour as it usually does not form metastasis, it is considered as benign tumour with a locally invasive growth pattern and destruction of the jaw and the surrounding tissue. Ameloblastoma annual incidence is 0.5 per 1.000.000 people, higher incidences are found in Africa, China and India in comparison with the western countries. About 80% of ameloblastomas are located in mandible, mainly in the third molar region, and 20% in the maxilla, particularly in the posterior region. Unicystic ameloblastoma is associated with a smaller relapse risk and is the only type that is susceptible for conservative surgery. Standar treatment for ameloblastoma today is radical resection with 1 cm resection margins. Recurrence range from 0 to 15% conservative surgery including enucleation and curettage recurrence rets as high as 55%. Recurrence ameloblastoma problem are associated with development of metastasis and transformation into ameloblastic carcinoma. Segmental resection with adequate margins followed by reconstruction with AO Plat the most ideal form of treatment available. Dentoalveolar rehabilitation is recommended in all such patients to improve final outcome Keyword: Ameloblastoma, Segmental Resection, Reconstruction

Prevalensi Dan Terapi Anomali Vaskular Pada Rongga Mulut Di Departemen Bedah Mulut Dan Maksilofasial Bambang Hudiworo K.D; Indra Hadikrishna; Eka Marwansyah Oli’I
Journals of Ners Community Vol 13 No 1 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i1.2527

Anomali vaskular adalah kelainan kongenital dan abnormal neonatal bersifat benign lesions serta dapat terjadi di kepala-leher pada usia anak-anak dan dewasa dengan regio yang sering terjadi di lidah,bibir,mukosa bukal,dan palatum. Anomali vaskular diklasifikasikan menjadi dua klasifikasi utama,yaitu tumor vaskular dan malformasi vaskular. Penelitian dilakukan dengan studi deskriptif retrospektif dan dilaksanakan di Rumah Sakit Umum Pusat dr. Hasan Sadikin. Kriteria inklusi penelitian yaitu rekam medis pasien terdiagnosa anomali vaskular periode Januari 2019–Desember 2020. Terdapat 38 kasus anomali vaskular pada rongga mulut yang dilakukan perawatan di Kelompok Staff Medis (KSM) Bedah Mulut dan Maksilofasial RSHS. Kelompok mayoritas pasien berusia 13-24 tahun sebanyak 21 orang. Pasien perempuan adalah golongan yang sering berobat di RSHS yaitu sebanyak 27 orang. Tipe anomali vaskular yang umum terjadi adalah vena malformasi berjumlah 18 kasus atau 47% dari seluruh total kasus. Regio yang sering terjadi adalah di labii inferior superior berjumlah 14 kasus atau 37%. Terapi yang sering diberikan adalah injeksi scleroting agent dan eksisi sebanyak 34 kasus. Anomali vaskular rongga mulut adalah kelainan yang sering ditemukan di KSM Bedah Mulut dan Maksilofasial RSHS dengan terapi yang umum diberikan adalah injeksi scleroting agent dengan tujuan untuk minimalisir komplikasi setelah tindakan operasi.

An evaluation of quality of life (OHIP-14) in facial adenocarcinoma patient with adjuvant therapy: case report: Evaluasi kualitas hidup (OHIP-14) pada pasien adenokarsinoma wajah dengan terapi adjuvant: laporan kasus Agustin Ninintowe T. Santo; Tenny Setiani Dewi; Eka Marwansyah Oli'i; Fika Faradillah Drakel
Makassar Dental Journal Vol. 11 No. 3 (2022): Volume 11 Issue 3 Desember 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i3.638

Adenocarcinoma is a type of carcinoma that begins from the glands. Impovement in management of head and neck cancer have resulted in decreased mortality, increased survival rates and patient’s quality of life. The World Health Organization defines quality of life are include three things, physical function, mentalstatus and ability to socially interact. It is reported a 19-year-old male with a history of right infraorbital adenocarcinoma who had undergone hemimaxillectomy,chemotherapy and radiotherapy. The patient complains painful swallowing and soreness in the oral cavity. Extraoral examination face and eyes was asymmetrical,there was keloid tissue in the right infraorbital and dry lips. Intraoral examination found white plaque on the upper labial mucosa, the left buccal mucosa had severalerythematous lesions and brownish macules. Yellowish white plaque on the anterior two-third of the tongue’s dorsum and there are fissures. Necrotic area on right hard palate with yellowish margin. The teeth at first region are edentulous, whereas regions 2, 3 and 4 most of them are radix. The patient’s quality of life was assessed using the oral health impact profile (OHIP-14). Based on the assessment, the patient's quality of life at the first visit was poor with score 45, the next visit showed improvement with score 39, reduced in pain, improved physical and psychological abilities. It s concluded that oral and dental health is an important thing that can improve the quality of life of patients with infraorbital adenocarcinoma which is supported by good communication between doctors and patients.

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