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THE MANAGEMENT OF NECROTIZING FASCIITIS IN PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT Israr, Muftihat; Yuza, Abel Tasman; Priyanto, Winarno
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 11, No 1 (2024): Vol 11 No 1, Juni 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v11i1.1554

Abstract

Introduction: Necrotizing fasciitis due to odontogenic infection is a serious, rapidly progressive infection that infects the skin and soft tissue and has a high mortality rate, requiring early diagnosis and aggressive treatment. Systemic lupus erythematosus is an autoimmune disease that can predispose to severe odontogenic infections, especially necrotizing fasciitis, and worsens immune response to surgical debridement. Case and Management: A 46 years old female patient with a history of systemic lupus erythematosus was referred to the Emergency Department at Hasan Sadikin General Hospital, Bandung with complaints of swelling accompanied by pain at the chin extended to the right lower jaw region. Clinical examination revealed necrosis of the skin, fluctuations, spontaneous drainage, and crepitations. The patient was diagnosed with necrotizing fasciitis and was underwent necrotizing debridement at submental region and tooth extraction under local anesthesia and administration of broad-spectrum empiric antibiotics, followed by wound care with modern dressings. Immunosuppressant drugs were stopped for three days post treatment. Conclusion: Management of necrotizing fasciitis with necrotizing debridement, extraction of teeth, discontinuation of immunosuppressant, and empiric administration of broad-spectrum antibiotics in patients with Systemic Lupus Erythematosus was necessary to prevent further infection to other fascia.
TATALAKSANA BEDAH MIXOMA ODONTOGENIK PADA MANDIBULA : LAPORAN KASUS LANGKA Sulakso, Tito; Hardianto, Andri; Priyanto, Winarno
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Vol 11, No 1 (2024): Vol 11 No 1, Juni 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/jbd.v11i1.1555

Abstract

Introduction: Odontogenic myxoma is a rare benign odontogenic tumour. Although it grows slowly, odontogenic myxoma is aggressive and has a high recurrence rate after surgical intervention. The tumour is most commonly found in the posterior mandible and is more common in females than in males. Radiographically, odontogenic myxoma presents as a unilocular or multilocular radiolucency with irregular or scalloped borders, frequently accompanied by displacement of teeth in the vicinity of the tumour. The treatment of odontogenic myxoma may be either conservative or radical surgery. Case and Management: A 57-year-old female patient presented with a palpable mass on the lower jaw that had been growing for a period of two years, accompanied by pain and displacement of the lower teeth. A clinical examination revealed the presence of a hard, non-painful, non-bleeding lump with approximate dimensions of 6x5x4 cm on the mandible, accompanied by displacement of the anterior lower teeth. An incisional biopsy led to the diagnosis of an odontogenic myxoma in the left mandibular region. The patient subsequently underwent surgery comprising segmental resection and plate reconstruction. Conclusion: Odontogenic myxoma is a rare odontogenic tumour with a high recurrence rate. In such cases, segmental resection with a margin of ≥ 1 cm and mandibular reconstruction with a plate is considered the treatment of choice.
Management of Ankyloglossia with different severity: a case series in dental surgery Christianto, Stephanus; Priyanto, Winarno; Sjamsudin, Endang
Padjadjaran Journal of Dentistry Vol 36, No 1 (2024): March 2024
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no1.53574

Abstract

Introduction: The lingual frenulum is an important oral structure that plays an important role in the act of suction, speech, and feeding. Ankyloglossia (tongue tie) is a congenital anomaly that results when lingual frenulum is too short and adhere to tip of tongue, limiting the tongue movement. This case report aimed to explain management of Ankyloglossia with different severity. Case Report: This case report reported three cases of ankyloglossia with different ages and complaints of difficulty in feeding and speech. The patients were treated for lingual frenectomy procedure under general anesthesia using one haemostats method. The haemostats were used to clamp the upper aspect of frenulum which might have been helpful to guide the incision close to ventral surface of tongue. Care had to be taken not to injure the submandibular ducts when making incision at lower part of tongue. The result after 1 week of surgery: the wound was completely healed. Conclusion: Ankyloglossia will impair the function of suction, speech and feeding that affecting a considerable number of infants and children. It is important that accurate information and guidance are given to parents with regard to the indications and potential benefit of tongue tie revision. These case series offer guidelines which can be used by general and pediatric dentist for examination, diagnosis and treatment of ankyloglossia in different severity.KeywordAnkyloglossia, congenital, lingual frenulum
Modern Wound Dressings as Wound Care After Necrotomy Debridement at Right Submadible extended to Submentale region due to Necrotizing Fasciitis: A Case Report Laksmitarani, Niken; Priyanto, Winarno; Sjamsudin, Endang
Journal of Case Reports in Dental Medicine Vol 3, No 2 (2021)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v3i2.150

Abstract

AbstractIntroduction: Necrotizing fasciitis is a fast-paced infection, severely damaging tissue. Surgical removal of tissue must be performed promptly, and aggressively to remove all involved soft tissue. The wound left after debridement necrotomy is wide enough to close primarily and should be treated by suitable dressings to accelerate wound healing. Objective: This case report aims to understand the concept of moist wound healing, the choice of dressing material, and the principles of optimal wound intervention for the wound healing process. Case: A 58 years old female patient presented with a complaint of swelling of the right lower jaw extended to the chin region. About a month earlier the patient complained of a lower right toothache, the patient went to the public health center, the lower right tooth was extracted but there was a residual root left behind. Then the patient still felt pain in the area of the extraction and the swelling in the lower jaw got bigger, the fragility of the superficial fascia, and the absence of pus. Then the patient was referred to the emergency room at Hasan Sadikin Hospital in Bandung. Case management: The patient was performed necrotomy debridement and tooth extraction causing the infection in local anesthesia, then the wound was treated with modern dressings. After 1 month of the procedure, the wound was closed properly. Conclusion: Modern dressings are wound care using the principle of balanced moisture (moisture balance). Choosing the right dressing material is a key concept to support the wound healing process.
The management of oroantral communication post dentral extraction M1: a case report Sulfiana, Sulfiana; Riawan, Lucky; Priyanto, Winarno
Journal of Case Reports in Dental Medicine Vol 1, No 3 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1562.967 KB) | DOI: 10.20956/jcrdm.v1i3.98

Abstract

Objective : The purpose of this to report the management of oronatral communication case after extraction of first upper molar. Method : A 45 y.o male patient came with discharge from the nose after tooth extraction, 3 hours prior to admission when he was extraction right upper tooth. Ginggival hyperemis of tooth 16 region. The therapy we performed was upper right molar buccal flap and analgesics and rhinoceros.Results : At the time of discharge the hospital was given rhinos caps 3x125 mg and medication from the previous hospital continued. Patient had no complaints when control back. Healing wounds in the flap shows good healing. And the patient no longer complains that there is fluid leakage while garglingConclussion : In this case, OAC cosure was treated with buccal flap and was given medication. The improvement was noted
Hemimandibulectomy and intermaxillary fixation: surgical treatment of ameloblastoma in mandible: a case report Sandiah, Jihad H.; Priyanto, Winarno; Adiantoro, Seto; Nurwiadh, Agus
Journal of Case Reports in Dental Medicine Vol 1, No 3 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5420.54 KB) | DOI: 10.20956/jcrdm.v1i3.101

Abstract

Objective: Ameloblastoma is a tumor derived from epithelial, gingival mucosa or gingivomaxillary that appear on a teeth. It is a benign yet destructive tumor with high recurrence rate. Hemimandibulectomy is one of therapies selected when the pathologic lesion had involved the coronoid processus and the condyle, although the therapy could results in facial defects and mandibular deviation.The purpose of this article is to report a hemimandibulectomy with bridging plate reconstruction and inter-maxillary fixation as a therapy for left mandibular ameloblastoma performed to reduce deviation and facial defects.Method: Fourty-two years old female patient came to the Oral and Maxillofacial Surgery Clinic at Hasan Sadikin Hospital Bandung, with a lump at the left side of lower jaw, it happened since 3 years ago, with small size in the beginning and grow gradually, painless, hard on palpation, and same colored with surrounding tissue.Result: The histopathologic examination results was plexiform type ameloblastoma at left mandible. Hemimandibulectomy is the removal of most or half of the mandible including the entire condyloideus process, coronoid processus, ramus and some mandibular corpus on one side of the jaw. Ameloblastoma is the most common odontogenic tumor in the mandible and maxilla. Ameloblastoma has several variations of histopathologic appearance, but the most commonly seen is the follicular and plexiform type. In most cases, ameloblastoma is usually asymptomatic, growing slowly, and can expand in the affected jaw.Conclusion: Hemimandibulectomy performed to remove pathologic lesions radically to prevent recurrence. Bridging plate is an act used as a mandibular reconstruction. Intermaxillary fixation is one of the ways to reduce mandibular deviation after hemimandibulectomy.Keywords: hemimandibulectomy, intermaxillary fixation, ameloblastoma