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All Journal e-CliniC Medical Scope Journal (MSJ) Jurnal Sosial dan Sains
Nico Lumintang
Universitas Sam Ratulangi
Astronomy Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Nursing Physics Public Health

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Oncocytic Carcinoma of Parotid Gland: A Case Report Nico Lumintang; Sherly Tandililing; Calenthia Ekawati
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.46277

Abstract

Oncocytic carcinoma is a rare malignant carcinoma, representing only 5% of all oncocytic tumors. Furthermore, oncocytic carcinoma of the parotid gland is uncommon, accounting only for under 1% of all salivary gland tumors. We reported an 82-year-old female presented with a right parotid mass. She had experienced a similar complaint six months ago and had undergone treatment. Physical examination showed a mobile and painless cystic mass of the right parotid without facial nerve involvement. Fine needle aspiration biopsy (FNAB) finding suggested benign cystic lesions with inflammatory cells and amorphous debris. Subsequently, she underwent surgical tumor excision and right-sided partial parotidectomy. Histopathological examination showed proliferative tumor cells with an atypical nucleus, abundant eosinophilic cytoplasm, and solid, trabecular, and tubular growth pattern, suggesting an oncocytic carcinoma of the parotid gland. In conclusion, oncocytic carcinoma must be considered in all parotid gland tumors with oncocytic cells despite the rarity. Considering its recurrence and metastasis nature, patients with oncocytic carcinoma should remain in a long-term follow-up. The role of radiotherapy and chemotherapy remains controversial but may be used for treating advanced-stage cases or distant metastasis Keywords: oncocytic carcinoma; parotid gland; partial parotidectomy
Angiomyolipoma in the Temporal Region: A Case Report Calenthia Ekawati; Nico Lumintang; Sherly Tandililing
Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v6i1.51679

Abstract

Abstract: Angiomyolipomas are benign tumors (consisting of fat tissues, smooth muscles, and blood vessels) that are often found in the kidney or liver. However, they are rarely found in the head and neck region and require proper management. We reported a 13-year-old girl presented with a mass in the right temple since last year. Musculoskeletal ultrasound (US) and contrast-enhanced computed tomography (CT) scan showed a well-defined hypoechoic lesion in the right temporal subfascial region, with a suspicion of a hemangioma. The patient underwent resection of the lesion. The diagnosis of angiomyolipoma was confirmed through a histopathological examination. The patient was subsequently discharged on the third postoperative day and had no further treatment. In conclusion, extraperitoneal angiomyolipomas are rarely found, and the diagnosis is confirmed by histopathological examination. The management of temporal angiomyolipomas is tumor resection. Keywords: temporal angiomyolipomas; histopathological diagnosis; surgical treatment
Identifikasi Nervus Laringeus Rekuren pada Tiroidektomi dan Ismolobektomi dengan Menentukan Vasa Nervorum pada Nervus Laringeus Rekuren Saat Pembedahan di RSUP Prof. Dr. R. D. Kandou Manado Periode 2017-2018 Diornald J. Mogi; Nico Lumintang
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.44763

Abstract

Abstract: There are two sets of nerves near the thyroid gland for voice control namely recurrent laryngeal nerve and external branch of the superior laryngeal nerve. There peripheral nerves rely on blood supply to maintain their structural and functional requirements, therefore, their vasa nervorum have to be identified in thyroidectomy and isthmolobectomy. This study aimed to obtain data on vasa nervorum whether it was visible or not in the recurrent laryngeal nerve during thyroidectomy and isthmolobectomy. This was a retrospective study using medical record data of observed vasa nervorum in all patients undergoing elective surgery for thyroidectomy and isthmolobectomy at Prof. Dr. R. D. Kandou Hospital in 2017-2018. The results obtained 48 cases who underwent elective surgery for thyroidectomy and isthmolobectomy. There were 33 cases with excellent visualization of the vasa nervorum against the recurrent laryngeal nerve (+++), 15 cases were visible but not very clear (++), and three cases were vague and difficult to observe (+). In conclusion, in most thyroidectomy and isthmolobectomy surgeries at Prof. Dr. R. D. Kandou Hospital visualization of vasa nervorum on recurrent laryngeal nerve is excellent to prevent nerve injury. Visual identification and dissection of this nerve is a standard technique to prevent the nerve injury during thyroidectomy or isthmolobectomy and other open neck surgeries. Keywords: recurrent laryngeal nerve; superior laryngeal nerve; thyroidectomy; isthmolobectomy   Abstrak: Terdapat dua kelompok saraf di dekat kelenjar tiroid yang membantu mengendalikan suara, yaitu nervus laringeus rekuren dan cabang eksternal nervus laringeus superior. Saraf perifer ini bergantung pada pasokan darah untuk mempertahankan kebutuhan struktural dan fungsional; oleh karena itu, vasa nervorum perlu diidentifikasi pada operasi tiroidektomi dan ismolobektomi. Penelitian ini bertujuan untuk mendapatkan data tentang vasa nervorum yang teramati pada nervus laringeus rekuren selama operasi tiroidektomi dan ismolobektomi. Jenis penelitian ialah retrospektif menggunakan rekam medis mengenai kasus vasa nervorum yang diamati pada semua pasien yang menjalani operasi elektif untuk tiroidektomi dan isthmolobectomi di RSUP Prof. Dr. R. D.  Kandou Manado pada 2017-2018. Hasil penelitian mendapatkan 48 kasus yang menjalani operasi elektif untuk tiroidektomi dan ismolobectomi. Terdapat 33 kasus dengan visualisasi vasa nervorum terhadap nervus laringeus rekuren sangat baik (+++), 15 kasus terlihat tetapi tidak terlalu jelas (++), dan tiga kasus samar-samar dan sulit diobservasi (+). Simpulan penelitian ini ialah pada sebagian besar operasi tiroidektomi dan ismolobektomi di RSUP Prof. Dr. R. D. Kandou Manado telah dilakukan visualisasi vasa nervorum terhadap nervus laringeus rekuren yang jelas untuk menghindari cedera pada nervus laringeus rekuren. Identifikasi visual dan diseksi nervus laringeus rekuren sekarang merupakan teknik standar untuk menghindari cedera nervus tersebut selama tiroidektomi atau ismolobektomi dan operasi leher terbuka lainnya. Kata kunci: nervus laringeus rekuren; nervus laringeus superior; tiroidektomi; ismolobektomi
Pengaruh Ukuran Kanul dan Durasi Kanulasi terhadap Lama Waktu Sembuh Luka Trakeostomi Pinkan Johana Lintong; Nico Lumintang; Sherly Tandililing; Fredrik G. Langi
Jurnal sosial dan sains Vol. 4 No. 10 (2024): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v4i10.20000

Abstract

Latar Belakang: Trakeostomi merupakan prosedur penting yang sering dilakukan untuk mempertahankan jalan napas, terutama pada pasien dengan kondisi kritis. Ukuran kanul dan durasi kanulasi trakeostomi diduga mempengaruhi waktu penyembuhan luka setelah dekanulasi. Namun, bukti yang mendukung hubungan ini masih terbatas. Tujuan: Penelitian ini bertujuan untuk mengevaluasi pengaruh ukuran kanul trakeostomi dan durasi kanulasi terhadap waktu penyembuhan luka trakeostomi pasca dekanulasi. Metode: Penelitian kohort prospektif dilakukan terhadap 13 pasien yang menjalani trakeostomi di RSUP Prof. Dr. R.D Kandou. Data mengenai ukuran kanul, durasi kanulasi, dan waktu penyembuhan luka dikumpulkan. Analisis statistik, termasuk regresi logistik dan analisis deskriptif, digunakan untuk menilai hubungan antar variabel. Hasil: Ukuran kanul bervariasi dari 6,5 mm hingga 7,5 mm, dengan durasi kanulasi berkisar antara 9 hingga 77 hari. Waktu penyembuhan luka juga bervariasi, dengan sebagian pasien sembuh dalam 14 hari, sementara yang lain membutuhkan waktu lebih dari 14 hari. Analisis statistik tidak menunjukkan adanya hubungan signifikan antara ukuran kanul maupun durasi kanulasi dengan waktu penyembuhan luka. Namun, infeksi parastoma ditemukan memperpanjang waktu penyembuhan rata-rata empat hari (p = 0,003). Kesimpulan: Ukuran kanul dan durasi kanulasi tidak memiliki pengaruh signifikan terhadap waktu penyembuhan luka trakeostomi pasca dekanulasi. Infeksi parastoma, di sisi lain, berperan penting dalam memperlambat penyembuhan luka. Penelitian lebih lanjut diperlukan untuk mengeksplorasi faktor-faktor spesifik yang mempengaruhi penundaan penyembuhan terkait infeksi.
Co-Authors Calenthia Ekawati Diornald J. Mogi Fredrik G. Langi Pinkan Johana Lintong Sherly Tandililing