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All Journal Journal of Dentomaxillofacial Science
Vera Julia
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.
The use of resorbable plate in complex pediatric parasymphysis fracture management: A rare case report Andrianto Soeprapto; Fitriana; Vera Julia; Dwi Ariawan
Journal of Dentomaxillofacial Science Article In Press
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Objective: The use of open reduction and internal fixation with resorbable plate is the best management for complex pediatric mandibular fractures as the potential growth and development of the mandibular. The most common resorbable plate in Indonesia is ®inion plate. Case Report: A 6 year old girl fell off her bicycle on a downhill road 30 minutes before the hospital admission. Comminuted basal triangle fracture of left mandibular parasymphysis from 3DCT imaging was found. Open reduction and internal fixation with resorbable plate and monocortical screws was performed from extraoral and intraoral approach. Conclusion: Management of complex pediatric parasymphysis fracture require ORIF with plating on inferior border of mandibular and using monocortical screws to avoid any damage to nearby tooth buds. The resorbable plates give good outcome and advantage in pediatric patients as their potential growth and development of the mandibular.
Local advancement flap: A case report Syarief Makka; Hendro Sunjaya; Eky Nasuri; Vera Julia
Journal of Dentomaxillofacial Science Article In Press
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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.
Neglected fracture of bilateral mandibular corpus: A case report Wayan HS. Sandi; Wenny Yulvie; Yudy A. Utomo; Vera Julia; Lilies D. Sulistyani
Journal of Dentomaxillofacial Science Article In Press
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Objective: This paper aimed to report the management of neglected bilateral mandibular corpus fracture with open reduction and fixation technique. Method: A 38-year-old male patient was referred to Dr. Cipto Mangunkusumo Hospital with chief complaints can not close the mouth and chewing food properly. The patient had a history of injured in motor vehicle accidents, 3 months ago. Extra oral examination showed facial asymmetry, while in ntra oral examination revealed anterior open bite malocclusion. In orthopantomogram (OPG) image, fracture lines in bilateral mandibular corpus were seen. Results: The fractures were managed with Open Reduction Internal Fixation (ORIF) using reconstruction plates to reestablished the occlusion and facial asymmetry. Postoperative evaluation showed good occlusion and facial symmetrical without injured the mental nerve. Conclusion: Early and proper management of bilateral mandible corpus fracture will provide the optimum result. Refracturing the neglected bilateral mandibular corpus is treatment choice in order to restore the mastication and aesthetic function.
Cemento-ossifying fibroma of the jaw: A case report Moara GP. Yudha; Wenny Yulvie; Vera Julia
Journal of Dentomaxillofacial Science Article In Press
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Objective: The purpose of this case report is to evaluate the treatment plan for the following patients. The definite diagnosis of these lesions requires the integration of their clinical, radiological and histological characteristics. Methods: For 8 years ago, a 52-year-old female patient initially felt an increase in the mouth of the left lower jaw. The lumps are initially the size of a marble and then expand like a ping-pong ball. The lumps are painless. Before the mass, there was no history of trauma in this area. There is no history of fever and no history of weight loss. The patient underwent a biopsy of the left mandible at Dr. Cipto Mangunkusumo National Central Public Hospital in September 2019. Results: Cemento ossifying fibroma. The lumps in the cheek gums extend to the lingual area of ​​teeth 35-37, the size is 6x5x4cm, the texture is hard, the surface is smooth, the boundary is not clear, not fixed, there is no tenderness, and the color and temperature are the same as the surrounding tissues. The lump does not bleed easily, and there is no discharge of pus or blood. The patient's treatment plan was to perform a segmental mandibular resection with a 2.4 mm reconstruction plate. Conclusion: The treatment planning for segmental mandibulectomy in general anesthesia is one of the right treatment options. Choosing a submental submandibular approach to the surgical procedure can provide easy access and visualization during surgery.
Co-Authors Andrianto Soeprapto Dwi Ariawan Eky Nasuri Fitriana Hendro Sunjaya Hendy U. Suhandi Lilies D. Sulistyani Moara GP. Yudha Syarief Makka Wayan HS. Sandi Wenny Yulvie Wenny Yulvie Yudy A. Utomo