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Arini, Septa Santiya
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Follicular Ameloblastoma of Maxillary: A Case Report Sakuntala, Athalaila Azzahrasukma; Arini, Septa Santiya; Prajogo, Johanna Kezia; Pahlevi, Muhammad Reza
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.1048

Abstract

Introduction: Ameloblastoma is a benign odontogenic tumor that appears in the mandible and maxilla. Ameloblastoma has slow growth that takes several years for symptoms to appear, but ameloblastoma in the maxilla has a more aggressive clinical course compared to the mandible. The lack of initial symptoms leading to diagnosis at an advanced disease when the tumour has already extended beyond maxilla. The cancellous structure of the maxillary bone makes it easier for tumors to spread to the nasal cavity, paranasal sinuses, orbitals, parapharyngeal tissue and skull base. This article reports a case of resection of maxillary ameloblastoma. Case Report: A 63 year old female patient came with complaints of a lump on her right cheek since 2 years back that gradually increased in size. Since 2 months ago, pus and blood have been coming out of the lump. Extra oral examination revealed a well-defined mass with a solid and hard consistency, there were no ulcers or fistulas. Intraorally, a mass measuring 5x5x3cm was found in the region of teeth 12 to 15 which extended to the buccal-palatal area. History of allergies and weight loss was denied. Supporting examinations including panoramic radiography, PA chest radiography, CT-Scan, FNAB, and biopsy resulted in a diagnosis of ameloblastoma. Treatment was carried out by resection of the right maxillary tumor mass under general anesthesia. Discussion: In this case, the patient's clinical examination showed a hard and large palpable swelling in the right maxilla area which extended from the region of tooth 12 to tooth 15 which caused facial asymmetry and no tooth mobility was found. This hard and painless swelling takes about 2 years before the patient experiences symptoms of pus and blood discharge. The post-maxillectomy defect in this case was covered with an intraoral prosthesis in the form of a post-surgical obturator made of acrylic resin. The obturator functions to hold the surgical packing, and prevent food or dirt contamination in the defect area which can cause infection and slow healing. The use of a prosthesis also helps restore swallowing and speech function to the patient. Conlussion: In principle, the treatment for ameloblastoma is resection of the involved bone, as in this case the action taken is a maxillectomy. Maxillectomy can result in facial and oral cavity deformities characterised by facial disfigurement and alterations in oral functionality.Therefore, maxillary reconstruction is needed to treat maxillary defects after surgical procedures involving the loss of part or all of the maxilla.
Meta-Analysis: Effects of Gender, Waiting Time, Visits, and Insurance on Outpatient Satisfaction with Health Services Prasetyowati, Regita Azzahra; Ibrahim, Natalia Prisca; Arini, Septa Santiya; Murti, Bhisma; Munawaroh, Siti Mar'atul
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.02

Abstract

Background: Patient satisfaction is the result of the service process felt by the patient, overall satisfaction arises from the patient's evaluation of the experience or as an interaction, including the availability of health services provided by officers (health workers), so that patient satisfaction can be used to assess the quality of services received by the patient. This study aims to estimate the magnitude of the influence of gender, waiting time, visits, and insurance on health service satisfaction. Subjects and Method: Systematic review and meta-analysis using PRISMA flow charts and PICO models. Population: outpatients. Intervention: Female, long waiting time, already visited, using insurance. Comparison: Male, short waiting time, first time visit, and not using insurance. Outcome: Outpatient satisfaction with health services. The online databases used were Google Scholar, Biomedcentral, Taylor & Francis and Plos with the keywords gender, waiting time, visits, insurance, outpatient satisfaction, cross-sectional and aOR. Inclusion criteria were full text articles with cross-sectional use of multivariate analysis that included aOR and were published from 2014-2024. Data analysis using the RevMan 5.3 application. Result: Twelve primary studies were used to analyze gender and patient satisfaction with health services. Women had satisfaction with health services 1.19 times compared to men (aOR= 1.19; 95% CI=1.11 to 1.28; p<0.001). Ten primary studies were used to analyze insurance and patient satisfaction with health services. Patients who have insurance are 1.23 times more satisfied with health services than those who do not have insurance (aOR= 1.23; 95% CI=1.09 to 1.40; p<0.001). Seven primary studies were used to analyze waiting times and patient satisfaction with health services. Patients who experienced short waiting times were 0.30 times more satisfied with health services compared to those with long waiting times (aOR=0.30; 95% CI=0.21 to 0.44; p<0.001). Seven primary studies were used to analyze visit frequency and patient satisfaction with health services. Patients who have visited are 2.96 times more satisfied with health services than patients who are visiting for the first time (aOR=2.96; 95% CI=2.60 to 3.37; p<0.001). Conclusion: Female gender, short waiting times, repeat visits and insurance in increasing outpatient satisfaction with health services.
Co-Authors Bhisma Murti Ibrahim, Natalia Prisca Muhammad Reza Pahlevi Munawaroh, Siti Mar'atul Prajogo, Johanna Kezia Prasetyowati, Regita Azzahra Sakuntala, Athalaila Azzahrasukma