Winarno Priyanto
Department Of Oral And Maxillofacial Surgery, Padjadjaran University Bandung Indonesia

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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
PERAWATAN PLUNGING RANULA DENGAN PEMBUKAAN DARI INTRAORAL DAN EKSTRAORAL Melva Novi Yanti; Herman Hambali; Winarno Priyanto; Kiki A Riski
Journal of Syiah Kuala Dentistry Society Vol 2, No 1 (2017): JANUARY
Publisher : Dentistry Faculty

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Abstract

Plunging ranula is a mucous extravasation pseudocyst which arises from the sublingual gland and crosses the mylohyoid line into the neck, usually appear in conjunction with oral ranula. To evaluate that the early diagnosis and proper surgical procedure can decreased recurrences rate. A 25 year old man visited Department of Oral Surgery Hasan Sadikin Hospital because of a fluctuant swelling of the left submandibular region and swelling of floor of the mouth. A sonography revealed there was a cystic mass at left submandible and not related to left parotis gland and thyroid. There was enlargment of multiple gland at left neck. The clinical diagnosis was plunging ranula. This case was treated with marsupialization and extirpation of the mass included removal of sublingual salivary gland. Postoperatively, one week after surgery the swelling was reduced and there was no more pain and paresthesia. Many patients have experienced recurrence and sometimes larger lesions have occurred. Excision of the ranula with the associated sublingual salivary gland is the most accepted method with low recurrence rate. It is a case of a 25 year old male presented with plunging ranula with both the oral and submandibular component and its removal by combined intraoral and ekstraoral approach has been reported with no recurrence after a follow up of one mounth.Keyword: Plunging ranula, sublingual gland, mucous extravasation