Jurnal Teknosains
Vol 5, No 2 (2016): June

EVALUASI KOMPLIKASI PLATE EXPOSURE PASCA RESEKSI AMELOBL ASTOMA MANDIBULA DENGAN REKONSTRUKSI PELAT TITANIUM DI RSUP DR. SARDJITO YOGYAKARTA

Maria Goreti Widiastuti (RSUP Dr. Sardjito Yogyakarta)
Marsetyawan HNE Soesatyo (Bagian Histologi Fakultas Kedokteran Universitas Gadjah Mada)
Rahardyan Magetsari (Staf Medis Ortopedi dan Traumatologi RSUP Dr. Sadjito)
Alva Edy Tontowi (Departemen Teknik Mesin dan Industri Fakultas Teknik Universitas Gadjah Mada)



Article Info

Publish Date
30 Aug 2017

Abstract

Resection of the jaw is a primary option of treatment in mandibular ameloblastoma with bone damage. Mandibular resection will cause mandibular stability disturbance due toloss of some part of the bone. Instability of the mandible can cause aesthetic, physiological, and psychological malfunctioning. To restore its stability, installment of mandibular reconstruction plate on the remaining mandibular by using screws. However, it is not uncommon that plate exposure occurs following mandibular reconstruction, caused by inaccurate adaptation of the plates to the mandibular bone. A  3D stereolithography modelcan help provide the best assesment on the bone defect, plan the making of the more easily pre-operative curved plates and provide more accurate faster surgery time. Objective: To evaluate plate exposure after mandibular resection with titanium reconstruction plates in Dr. SardjitoHospital. Case report: A case was reported on mandibular reconstruction after resection of ameloblastoma with titanium plate performed in Dr. Sardjito Hospital that experienced intra-oral plate exposure and oro-cutaneous fistula on the left mandible. The clinical evaluation showed the curved titanium plate did not adapt well with the remaining mandibular bone; therefore, the titanium plate was removed without replacing it with a new plate. Inappropriate adaptationof curved titanium plate is one of the main causes of plate exposure. The use of a 3D stereolithography model is very helpful for the success of mandibular reconstruction.

Copyrights © 2016






Journal Info

Abbrev

teknosains

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Industrial & Manufacturing Engineering Mechanical Engineering

Description

Jurnal Teknosains is a peer-reviewed journal which began publication in 2011, and published each semester in June and December. It is a series of scientific publications in engineering, science and technology area. Jurnal Teknosains aims to encourage research in Science and Technology studies. ...