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Asri Arumsari
Departemen Bedah Mulut Dan Maksilofasial, Fakultas Kedokteran Gigi, Universitas Padjadjaran, Bandung, Jawa Barat
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Fraktur midfasial dengan intoksikasi alkohol: emergensi dan elektif Nur Huda Alimin; Asri Arumsari; Fathurachman Fathurachman
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 3 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (525.622 KB) | DOI: 10.22146/mkgk.32010

Abstract

Regio maksilofasial selain memegang peranan estetik juga termasuk organ yang melaksanakan fungsi penting tubuh seperti respirasi, bicara, mastikasi, penglihatan, membaui, sehingga kasus trauma wajah harus diberikan perhatian khusus. Prinsip advanced trauma life support (ATLS) harus diaplikasikan untuk pemeriksaan awal pada semua pasien dengan trauma maksilofasial. Tujuan dudi kasus ini adalah untuk menggambarkan prinsip-prinsip penatalaksanaan emergensi, elektif, serta evaluasi hasil terapi pada pasien trauma midfasial yang disertai intoksikasi alkohol. Pasien laki-laki usia 38 tahun mengalami kecelakaan sepeda motor dibawa ke Instalasi Gawat Darurat (IGD) RSUP Dr. Hasan Sadikin Bandung dengan intoksikasi alkohol disertai fraktur midfasial dan laserasi multipel di intraoral. Penanganan emergensi dilakukan dengan mengontrol airway serta menghentikan perdarahan. Terapi pembedahan ORIF dengan insersi miniplate dan screw melalui pendekatan intraoral dilakukan dua minggu setelah kecelakaan. Penanganan awal setiap pasien trauma harus mengikuti prinsip ATLS dankarena regio midfasial memengang peranan penting sehingga koreksinya harus dilakukan dengan tepat dan akurat.ABSTRACT: Midfacial fracture with alcohol intoxication. Maxillofacial region includes organs executing essential functions of the body like respiration, speech, mastication, vision, smelling so special attention must be paid in case of facial trauma. Advanced trauma life support (ATLS) principles must be applied for initial assessment of all maxillofacial trauma patients. Objectives to describe the principles of emergency management, elective, and evaluation of therapy results in patients with midfacial trauma that accompanied alcohol intoxication. A 38 years old male patient suffered a motorcycle accident was taken to the Emergency Room (ER) Dr. Hasan Sadikin Hospital with alcohol intoxication accompanied by midfacial fracture and multiple laceration intraorally. Emergency management is done by controlling the airway and stop the bleeding. The elective surgical treatment with ORIF (miniplate and screw insertion) through intraoral approach was done two weeks after the accident. Initial treatmentof all trauma patient should follow the principles of ATLS and because of midfacial region plays an important role so that corrections must be done properly and accurately. 
Penatalaksanaan adenoma pleomorfik di palatum pada pasien dewasa muda dengan biopsi eksisi Syahril Samad; Asri Arumsari; Kiki Akhmad Rizki
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 2, No 3 (2016)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.725 KB) | DOI: 10.22146/mkgk.32012

Abstract

Adenoma pleomorfik adalah tumor pada kelenjar saliva minor yang paling sering terjadi di daerah palatum keras (43%). Tumor pada kelenjar saliva minor mayoritas berupa tumor ganas akan tetapi adenoma pleomorfik merupakan tumor jinak. Insidensi terbanyak pada dekade ke – 4 sampai ke – 6. Laporan kasus ini bertujuan untuk menjelaskan penatalaksanaan adenoma pleomorfik dan insidensi kejadiannya pada pasien dewasa muda. Pasien perempuan umur 16 tahun dengan benjolan pada palatum. Secara klinis tampak massa yang sewarna dengan jaringan sekitar, bulat, nodul tunggal, tidak bergerak, berbatas jelas, palpasi agak keras, dan tanpa rasa sakit, diameter 4×3 cm,3×2 cm dengan pertumbuhan yang lambat. Foto rontgen panoramik dan waters menunjukkan adanya massa dan biopsi insisi menunjukkan adanya adenoma pleomorfik. Dilakukan terapi definitif untuk pengangkatan tumor dengan bedah eksisi. Pemeriksaan histopatologi memperlihatkan hasil yang sama dengan biopsi insisi. Kemudian, dilakukan pemasangan obturator. Hasil perawatan pada hari ketiga, minggu keempat dan minggu kedelapan memperlihatkan luka bekas operasi sudah menyembuh dan tidak ada tanda - tanda terjadinya rekurensi.Kasus adenoma pleomorfik harus menjadi pertimbangan dalam diagnosis banding pada pasien dengan benjolan di rongga mulut (di palatum, bibir, lidah dan mukosa bukal). Tingkat kekambuhan kasus adenoma pleomorfik dilaporkan sangat rendah setelah dilakukannya eksisi bedah.ABSTRACT: Palatum pleomorphic adenoma management in adult patient by excisional biopsy. Pleomorphic adenoma is a minor salivary gland tumour and most cases occurs in hard palatum (43%). Most cases in minor salivary gland tumour are malignant but pleomorphic adenoma is benign. The most incidence rate is at fourth to sixth decade.This case report is aimed to explain about the management of pleomorphic adenoma and the incidence in young adult. A 16 years old female with a mass in palatum. Clinically a mass is identically in color with surrounding tissue, round, single nodul, immobile, bounded clear, hard in palpation and without pain, with size is 4×3 cm, 3×2 cm in diameter with slow in progression. Panoramic and waters radiografi and also incisional biopsy shows the result is pleomorphic adenoma. Definitive therapy is done by excisional surgery. Histopatologically shows the same result with incisional biopsy. Then, insertion obturator was done. Patient came to control at third day, fourth week and eight week. Wound post operation was heal and no sign of recurrency. Pleomorphic adenoma should be considered in differential diagnose in patient with a mass in oral cavity (palatum, lip, tongue, and buccal mucosa). Reccurency rate of pleomorphic adenoma case is very low after excisional surgery.
COMPLICATIONS OF RECONSTRUCTION PLATE INSTALLATION IN MANDIBULAR Leni Ruslaini; Asri Arumsari; Abel Tasman; Kiki Akhmad Rizki
Dentino : Jurnal Kedokteran Gigi Vol 6, No 2 (2021)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v6i2.12011

Abstract

Background: Mandibular resection will cause mandibular stability disturbance due to loss of some part of the bone. Instability of the mandible can cause aesthetic, physiological, and psychological malfunction. Installment of mandibular reconstruction plat on the remaining mandibular using screws were suggested to restore its stability. However, it is not uncommon that plat exposure occurs following mandibular reconstruction, caused by inaccurate adaptation of the plats to the mandibular bone. The aims of this report are to describe the various complications and managements after jaw resection and reconstruction with plates. Case Report: A 44 years old male patient complained the small defect in the chin, painless, and no fluid emited, accompanied by dermatitis. Intra oral examination showed no abnormalities. About 1 year ago the patient performed segmental resection of the mandible on the indication of ameloblastoma. The radiological x-ray showed all screw detached from the plat and radiolucent images appeared around the plat that attached to the mandible. The diagnosis was fistula at regio mentale, post resection and reconstruction surgery, suspected caused by titanium plate allergies. The provided therapies were fistulectomy, screw removal, and plate reconstruction. Post therapy conditions showed improvement and no patients complaints of pain. Conclusion: Plate exposure is a complication that can occur after the installation of the reconstruction plate, but besides that it can also cause an allergic reaction from the material used. Keywords: Complication, Mandibular Resection, Plate Reconstruction, Titanium Plate Allergies
Penatalaksanaan kegawatdaruratan evakuasi benda asing pada regio oral maksilofasialEmergency management of corpus alienum evacuation in the oral maxillofacial region Ickman Setoaji Wibowo; Abel Tasman Yuza; Asri Arumsari; Renaldi Prasetia
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 2 (2020): November 2020 (Suplemen 1)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i2.29819

Abstract

ABSTRAKPendahuluan: Benda asing yang menusuk pada daerah oral maksilofasial dapat disebabkan oleh trauma ataupun faktor iatrogenik. Kecelakaan olahraga merupakan salah satu etiologi terjadinya luka penetrasi. Setiap benda asing yang berpenetrasi pada jaringan lunak di daerah oral maksilofasial harus segera dilakukan evakuasi untuk mencegah terjadinya infeksi. Tujuan laporan kasus ini menyampaikan penatalaksanaan kegawatdaruratan evakuasi benda asing pada regio oral maksilofasial. Laporan kasus: Kasus ini terjadi pada seorang atlet anggar laki-laki dengan usia 16 tahun dibawa ke instalasi gawat darurat Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung dengan kondisi pedang anggar tertancap di dalam mulutnya. Kecelakaan terjadi 2 jam sebelum masuk rumah sakit ketika latihan bersama dengan lawan tanding di daerah Antapani tanpa menggunakan pelindung wajah. Pedang lawan tanding menusuk dan menancap pada mulut pasien. Pemeriksaan klinis dan penunjang berupa foto rontgen dilakukan sebelum tindakan evakuasi pada pasien. Pedang kemudian di evakuasi secara anestesi lokal dan dilakukan penutupan luka. Kontrol dilakukan pada hari ke-7 pasca tindakan. Simpulan: Penatalaksanaan kegawatdaruratan evakuasi benda asing pada regio oral maksilofasial yang cepat dan tepat dibutuhkan untuk keberhasilan penyembuhan pasien seperti tampak pada saat kontrol hari ketujuh yang menunjukkan perbaikan tanpa komplikasi.Kata kunci: Evakuasi, gawat darurat, benda asing, oral maksilofasial.  ABSTRACTIntroduction: Corpus alienum (foreign object) which stabbing the oral maxillofacial area can be caused by the trauma or iatrogenic factors. Sports accidents are one of the aetiologies of the penetration wound. Any foreign objects that penetrate the soft tissue in the oral maxillofacial area should be evacuated immediately to prevent infection. This case report was aimed to address the emergency management of corpus alienum evacuation in the oral maxillofacial region. Case report: This case occurred when a male fencing athlete aged 16-years-old was taken to the emergency department of Dr Hasan Sadikin Hospital Bandung, with a fencing sword stuck in his mouth. The accident occurred 2 hours before being admitted to the hospital while training together with opponents in the Antapani area without wearing face shields. The opponent's sword stabbed and penetrated the patient's mouth. Clinical and supporting examinations in the form of X-rays were performed prior to the patients’ evacuation. The sword was then evacuated under local anaesthesia, and the wound closure was performed. Control was carried out on the 7th-day post-treatment. Conclusion: Fast and precise emergency management of corpus alienum evacuation in the oral maxillofacial region is needed for the successful healing of the patient as seen on the seventh day of control which showed improvement without complications.Keywords: Evacuation, emergency department, corpus alienum, oral maxillofacial.
Eksisi pleomorfik adenoma pada palatum kerasExcision of pleomorphic adenoma in the hard palate Kalia Labitta Yudhasoka; Endang Sjamsudin; Asri Arumsari; Kiki Akhmad Rizki
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 31, No 2 (2019): Agustus 2019
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.138 KB) | DOI: 10.24198/jkg.v31i2.18074

Abstract

Pendahuluan: Tumor kelenjar ludah minor relatif jarang, tetapi memiliki kemungkinan lebih tinggi menjadi keganasan dibandingkan tumor kelenjar ludah mayor. Adenoma pleomorfik adalah neoplasma kelenjar ludah campuran jinak yang paling umum yang terhitung 60% dari semua tumor kelenjar saliva jinak. Presentasi histologis pleomorfik adenoma cukup beragam dan terjadi di kedua kelenjar ludah mayor dan minor. Pleomorfik adenoma kelenjar ludah minor secara intraoral sering terjadi pada kelenjar palatum.Tujuan laporan kasus ini adalah untuk membahas mengenai eksisi pleomorfik adenoma yang terjadi di palatum keras. Laporan kasus: Seorang wanita berusia 34 tahun dan muncul sebagai massa yang tumbuh lambat di sisi kanan tanpa gejala tanpa rasa sakit sejak 9 tahun yang lalu. Histopatologi mengungkapkan komponen epitel dan mesenkimal yang mengkonfirmasi diagnosis. Pasien berhasil diobati dengan biopsi eksisi. Neoplasma kelenjar ludah dapat terjadi di tempat manapun di mana terdapat jaringan saliva. Evaluasi lengkap pasien dan pengangkatan tumor harus dipastikan agar tumor tidak rekuren. Pemeriksaan histologis diperlukan karena tingginya persentase keganasan tumor. Simpulan: Eksisi Pleomorfik Adenoma pada palatum keras, sekitar 2-3 mm dari tepi lesi sampai menembus periosteum tulang maksila serta meluas ke posterior palatum dan pengamatan sampai kontrol selama dua bulan menunjukkan kesembuhan, dimana luka bekas operasi sembuh dan tidak ada tanda-tanda terjadinya rekurensi.Kata kunci: Biopsi eksisi, palatum, pleomorfik adenoma, tumor kelenjar ludah ABSTRACTIntroduction: Minor salivary gland tumours are relatively rare, but have a higher malignant tendency than major salivary gland tumours. Pleomorphic adenoma is the most common benign mixed salivary gland neoplasm accounting for 60% of all benign salivary gland tumours. Histomorphic pleomorphic adenoma presentations are quite diverse and occur in both major and minor salivary glands. Pleomorphic intra-salivary minor salivary glands often occur in the palate gland. The purpose of this case report was to discuss the pleomorphic excision of the adenoma that occurs in the hard palate. Case report: A woman aged 34 years and emerged as a slow-growing mass on the right side without symptoms without pain since 9 years ago. Histopathology revealed epithelial and mesenchymal components that confirmed the diagnosis. The patient was successfully treated with excisional biopsy. Salivary gland neoplasms can occur anywhere where there is salivary tissue. A complete evaluation of the patient and removal of the tumour must be ensured so that the tumour does not recur. Histological examination is needed because of the high percentage of tumour malignancy. Conclusion: Excision of pleomorphic adenoma in the hard palate, about 2-3 mm from the edge of the lesion to penetrate the periosteum of the maxillary bone and extend to the posterior palate and observation until control for two months shows healing, where the surgical wound healed and there were no signs of recurrence.Keywords: Excisional biopsy, palate, pleomorphic adenoma, salivary gland tumour
Sliding genioplasty pada penatalaksanaan deformitas dagu Edi Supriyanto; Asri Arumsari; Bambang A. Sulthana
Journal of Dentomaxillofacial Science Vol. 8 No. 2 (2009): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chin contour and position is important component in facial balance. Deformities ofchin may occur as isolation deformity or associated with other dentofacialdeformities. This is a case report of 15-year old girl with chief complaint of chindeformity, and sliding genioplasty has been performed without any complication.
Management of sinistra condyle fracture in emergency: case report Cahyadi Siauw; Asri Arumsari; Endang Syamsudin; Fathurachman Fathurachman
Journal of Dentomaxillofacial Science Vol. 3 No. 3 (2018): (Available online: 1 December 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2685.44 KB) | DOI: 10.15562/jdmfs.v3i3.735

Abstract

Objective: Condyle fracture is a fracture that involves temporomandibular joint, resulting temporomandibular joint disorder. It often caused complications namely ankylosis and temporomandibular joint disorder. Trauma induced mandible fracture can leads to unilateral or bilateral condyle fracture.Method: Nine teen years old male came with mouth bleeding and pain on left lower jaw joint. Clinical examination showed laceration on right chin and left condyle fracture.Result: Management of patient to stitch laceration wound on chin region. Condyle fracture was treated conservatively using closed reduction method by arch bar and MMF rubber.Conclusion: Condyle fracture management needs a particular concern using closed method or conservative and open method or surgery. This present case chose closed method referring minimal displacement of condyle fracture.
Manajemen Ekstrakulikuler Rohis di Sekolah Menengah Atas (SMA) Palembang Asri Arumsari; Muh Misdar; Yulia Tri Samiha
Studia Manageria Vol 2 No 1 (2020): Studia Manageria: Jurnal Manajemen Pendidikan Islam
Publisher : Program Magister Manajemen Pendidikan Islam Fakultas Ilmu Tarbiyah dan Keguruan Universitas Islam Negeri Raden Fatah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19109/studiamanageria.v2i1.4221

Abstract

The background in this research is to study how to manage the spiritist extracurricular in high schools (SMA) in Palembang's flagship schools including SMAN 1, SMAN 5, and SMAN 17 Palembang. Rohis extracurricular management is very necessary so that the purpose of this extracurricular can be done easily.The formulation of the problem in this study is how the management of spiritual extracurricular which includes planning, organizing, implementing and controlling in SMAN 1, SMAN 5, and SMAN 17 Palembang. The type of research used in the study of Rohis Religious Management Program in Palembang's High School is qualitative research. The research instrument uses documentation, interviews, observation and triangulation. And data analysis uses reduction, data presentation and data verification.The results showed that the management of the religious program in the top high schools in Palembang, the three schools planned at the beginning of the new school year each year to determine what activities would be carried out. Organizing, all mentoring members and coaches always work together to help each other in mentoring activities. Implementation, mentoring activities carried out outside the teaching and learning activities of students. Supervision, of the three schools the supervisor does not supervise regularly and the time is uncertain, whenever the supervisor can supervise
Manajemen infeksi submandibula disertai virus herpes zoster pada maksilofasial Fadly Rasyid; Asri Arumsari; Agus Nurwiadh
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 7, No 1 (2021)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mkgk.72000

Abstract

Abses di spasia submandibula paling sering ditemukan. Infeksi ini dapat menyebar secara unilateral atau bilateral ke ruang di sekitar leher bagian dalam dan dapat berakibat fatal atau mengancam jiwa, biasanya ditandai dengan pembengkakan. Kasus ini jarang terjadi dengan gambaran klinis yang disertai infeksi sekunder. Pada kasus ini, laki-laki usia 62 tahun datang dengan keluhan pembengkakan pada rahang bawah kiri, demam, nyeri di sekitar wajah, disertai mata kiri, hidung, dan bibir atas melepuh. Pada hasil pemeriksaan darah lengkap tidak ditemukan ada kelainan kecuali nilai SGOT sedikit rendah. Pada kasus ini dilakukan tindakan pencabutan gigi sebagai fokus infeksi, pemberian antibiotik dan antivirus baik secara oral maupun topical. Penyakit virus pada rongga mulut adalah jenis patologi menular yang mempengaruhi jaringan mulut. Pemeriksaan klinis dan pemeriksaan penunjang padakasus ini penting untuk menentukan perawatan yang tepat. Prognosis kasus ini sangat baik. Terlihat berkurangnya pembengkakan disertai lesi vesikel yang minimal. Penanganan yang tepat mengurangi resiko penyebaran infeksi yang dapat menyebabkan sepsis dan kegagalan organ.
Correlation between levels of patient satisfaction and the value of cephalometric skeletal analysis in post-orthognatic surgery patients Joni Putra; Endang Sjamsudin; Asri Arumsari; Abel T. Yuza
Journal of Dentomaxillofacial Science Vol. 7 No. 2 (2022): (Available online: 1 August 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v7i2.1385

Abstract

Objective: The purpose of this study was to analyze the level of patient satisfaction after orthognathic surgery and the correlation between the patient satisfaction level after orthognathic surgery and the results of the cephalometric skeletal analysis. Material and Methods: This study were patients who had orthognathic surgery either BSSO, Osteotomy Le Fort 1, or Double Jaw Surgery. First, the subjects filled out a questionnaire about patient satisfaction after orthognathic surgery, the second was taking cephalometric radiographs which were then analyzed by the Steiner method by measuring the angles of SNA, SNB, ANB, and GoGN-SN. Results: The results of the study on 10 research subjects showed that all questionnaire scores were in the "satisfied" category. Cephalometric skeletal analysis of all cephalograms showed 50% normal SNA angle, 10% normal SNB angle, 80% normal ANB angle, and 90% normal GoGN-SN angle. The Concordal Kendall test results show the correlation coefficient value of 0.534 or 53.4%. Conclusion: On average, patients are very satisfied with the orthognathic surgery they have undergone. There is a correlation between the level of patient satisfaction after orthognathic surgery and the results of the cephalometric skeletal analysis.
Co-Authors Abel T. Yuza Abel T. Yuza Abel Tasman Yuza Andi Tajrin Bambang A. Sulthana Cahyadi Siauw Daniel Happy Putra Dian Maifara Putri, Dian Maifara Didi Jaya Santri Edi Supriyanto Endang Sjamsudin Endang Sjamsudin Endang Syamsudin Fadly Rasyid Farah Asnely Putri Farah Asnely Putri Fathurachman Fathurachman Harmas Yazid Yusuf Ickman Setoaji Wibowo Ida Ayu Astuti Ida Ayu Astuti, Ida Ayu Ida Latifah Ikeu Tanziha Imtiyaz Olaf Jatmy Indra Hadikrishna Intan Nur’azizah Rahman Joni Putra Joni Putra Kalia Labitta Yudhasoka Katharina Oginawati Kiki Akhmad Rizki Kiki Akhmad Rizki Kiki Akhmad Rizki Leni Ruslaini Limanthara, Khriztie Muh Misdar Nur Huda Alimin Nurul Fahimah Pebrian Diki Prestya Pebrian Diki Prestya, Pebrian Diki R. Agus Nurwiadh Rahmi Susanti Renaldi Prasetia Rinaldy Jose Nathanael Shinta Silvia Sri Suryanti Syahril Samad Taqya Izdihar Muhanandi Utriweni Mukhaiyar Yuli Andravia Falensi Yulia Tri Samiha Zainul Abidin, Siti Nur Nabihah