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All Journal Journal of Dentomaxillofacial Science
Eky Nasuri
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
Dentistry

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Management of keratocystic odontogenic tumor in the maxillary sinus of 12-year-old children: A case report Hendy U. Suhandi; Yudy A. Utomo; Eky Nasuri; Vera Julia
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

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Objective: Keratocystic odontogenic tumor (KCOT) is a benign intraosseous tumor of odontogenic origin, making up the third most common odontogenic cyst. KCOTs arise from the remnants of dental lamina or the basal cells of the overlying oral epithelium. KCOTs are characterized by an aggressive behaviour with a relatively high recurrence rate, especially if they are associated with syndromes. Treatment of KCOTs include marsupialization, saucerization, Methods: A 12-year-old child patient was referred to the Specialist Clinic of Oral and Maxillofacial Surgery, Cipto Mangkusumo Hospital. On physical examination, facial asymmetry, a fixated swelling and lump in right maxilla from the second molar to canine with tenderness were observed. A complete history was taken and clinical examination followed by complete enucleation with sulcular flap from 12 region until 18 regions was performed. The diagnosis was maxillary dentigerous cyst based on histopathological result after the operation. Results: The medical history was not significant and patient was in a generally good condition with no fever, nausea, pain, or difficulty in breathing. Extra oral examination showed facial asymmetry and visible lump in the right region of the maxilla. Conclusion: The diagnosis of maxillary KCOT expanding to maxillary sinus can be achieved with adequate datas; history, clinical, and histopathological examinations. Careful surgical approach and proper treatment decision is crucial to avoid complications according to individual case of each patient, especially in children.
Local advancement flap: A case report Syarief Makka; Hendro Sunjaya; Eky Nasuri; Vera Julia
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

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Objective: A local flap, including an advancement flap, is useful for covering large skin defects on the head and neck. The incision of the advancement flap is carefully made to cover the main defect as efficiently as possible. Methods: A 34 years old female patient was referred to Department of Oral and Maxillofacial Surgery, Cipto Mangunkusumo National Central General Hospital and had a mandibular resection, extraction of tooth 45, and left condyle disarticulation, followed by fistulectomy, debridement, and squesterectomy. For closing the defect, a local advancement flap was made, the flap was incised, reduced, and pulled to wraparound the main site of the defect. Result: The local advancement flap combined with Burrow’s triangle design, result in complete closure of the defect and also has a maximum cosmetic appearance. Conclusion: Unipedicle-pedicle advancement flaps involve advancement by taking benefit of the skin elasticity, the advancement flap is also done by making an incision of the Burrow-triangles design subsequently bringing the skin laterally to level the length of the flap and the adjacent wound margin.
Co-Authors Hendro Sunjaya Hendy U. Suhandi Syarief Makka Vera Julia Yudy A. Utomo