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Reduction Surgery of Giant Hemifacial Neurofibromas: A Case Report Ruby Riana A; Sitti Rizaliyana; Radias Dwi Padmani; Retno Handajani; S. Perdanakusuma
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17628

Abstract

Neurofibromatosis type 1 (NF-1), first described by Von Recklinghausen (1882), is an autosomal dominant disease caused by a spectrum of mutations in NF-1 gene. We reported a case of giant facial neurofibromas in 26 years old male patient without family history of neurofibromatosis type 1. Features typical of neurofibroma, including an enlarged nerve fascicle composed of elongated nuclei and scant cytoplasmic cells, were identified. Excision was performed with preservation of parotid duct. The mass weight was about 5,5 kg. There were some challenges during the procedure, such as bleeding, hypovolemia, and preservation of vital structure.
Distribution of Cleft Lip and Palate at Cleft Lip and Palate Center Medical Faculty, Universitas Muhammadiyah Malang, Indonesia Ruby Riana A; David S. Perdanakusuma; Retno Handayani
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15927

Abstract

Cleft lip and palate (CLP) and cleft palate (CP)are a common head and neck hereditary deformity. The highnumber of cases has prompted the Medical Faculty, Universitas Muhammadiyah Malang to start communityservice by providing free surgery to repair cleft lip and palate (Cleft Lip and Palate Center Medical Facultyof Universitas Muhammadiyah Malang (CLP MFUMM)).Purpose: To find the distribution of cases from the year of surgery, sex, side of CL/P, cleft palate (CP),hospital where the surgery was performed and parent education level in CLP MFUMM, from 2019 until2020.Patients and Methods: Two hundred and five consecutive cleft lip subjects, with or without palates, andcleft palate attending CLP MFUMM from 2019 until 2020 were studied.Results:The most surgeries done is at the year of 2019 (69%). Most of the patients were male (55%).CL/P were the most frequent cases (94%). Complete cleft found mostly in male patient with left unilateralcleft (23%), while incomplete cleft found mostly in female patient also with left unilateral cleft (7%). Thepalate involvement found mostly in soft palate only and female patients (46%). The surgeries were mostlyperformed at RSI Aisyiyah Malang (60%). The education level of the parents is mostly elementary school(father 36%, mother 34%).Conclusion: CL/P were the most frequent. Complete cleft mostly in male patient with left unilateral cleft,while incomplete cleft mostly in female patient also with left unilateral cleft. The cleft palate was mostlysoft palate only and female patients.
DISTRIBUSI SUMBING BIBIR DAN LANGIT-LANGIT DI CLEFT LIP AND PALATE CENTER FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH MALANG INDONESIA Ruby Riana A
Saintika Medika Vol. 11 No. 2 (2015): Desember 2015
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.v11i2.4200

Abstract

Objective: The purpose of this study was to investigate the distribution of different cleft pattern by the age of first operation, sex, side of cleft of Cleft Lips (CL), cleft palate (CP) and cleft lip and palate patients (CLP), and education level parents in Cleft Lip and Palate Center in Faculty of Medicine, University of Malang Muhammadiyah (CLPC FM UMM). Study design: Four hundred twenty-nine patients attending the CLPC FM UMM from January 2014 to December 2016 were studied. Most patients came from East Java, Indonesia and the surrounding areas. Result: Highest frequency of CL in CLPC FM UMM is in the age group 0-1 y.o, CP patients in the age group 1-5 y.o , while most CLP patients in the age group 1-5 y.o. Cleft lip and palate (61.31%) was most frequently found, followed by cleft lip with or without alveolus (33.33%) and cleft palate (5.36%). Cleft lip and palate, cleft lip with or without alveolus and cleft palate occurred more frequently in males. Left-sided unilateral clefts were observed in 57.34% of patients compared to right-sided unilateral clefts in 21.21%, the rest is bilateral cleft 21.45%. The unilateral complete CLP (45.22%) was most frequently found, followed by the unilateral incomplete CL (18.41%). Most of the parent’s education were elementary school graduated.Conclusion: The most frequent profile in the affected population were males, left sided unilateral complete CLP were most affected.