JBN (Jurnal Bedah Nasional)
Vol 2 No 1 (2018): JBN (Jurnal Bedah Nasional)

Sternocleidomastoid-Clavicle Myoosseus Flap in Patient with Plate Displacement Post Resection and Reconstruction of Ameloblastoma

Ronald Natawidjaja (General Surgery Training Programme, Faculty of Medicine Udayana University, Sanglah General Hospital Denpasar, Bali, Indonesia)
Gede Budhi Setiawan (Division of Surgical Oncology, Department of Surgery, Faculty of Medicine Udayana University, Sanglah General Hospital Denpasar, Bali, Indonesia)



Article Info

Publish Date
18 Jan 2018

Abstract

Background: ameloblastoma is a common tumor found in head and neck disorder. The definitive treatment include resection of tumor and reconstruction for filling the large defect which left after tumor resection. The reconstruction option which can be done is flap method. In this case, we used sternocleidomastoid-clavicle myoosseus flap in our patient with post traumatic plate displacement post resection and reconstruction of ameloblastoma. Case: a 22-year-old woman presented with unstability of jaw after hitting her chin to the table since 3 days prior to admission. On 2011, she had history of ameloblastoma which got resected and reconstructed with fibular graft and plate in the same year. While the plate seemed to be broken, she was managed with plate removal and reconstruct with sternocleidomastoid-clavicle myoosseus flap. Post operation, patient managed with gradual diet from liquid to solid. Observation Post Operation Day (POD) 3, flap is vital. Patient is discharged on POD 7 and visit as outpatient every 3-5 days until POD 14. Finally, we remove the suture, operation scar is good, and the flap is vital during one year follow up. Conclusion: sternocleidomastoid-clavicle myoosseus flap is practical and safe procedure, which can be used as alternative option in mandible reconstruction.

Copyrights © 2018






Journal Info

Abbrev

jbn

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

JBN (Jurnal Bedah Nasional) is published twice a year in January and July. This journal encompasses original research articles, review articles, and case reports of all fields of surgery medicine, including General Surgery; Digestive Surgery; Oncology Surgery; Pediatric Surgery; Neurosurgery; ...