Background: Mandibular fractures may lead to several complications, including infection, nonunion, malunion, and temporomandibular joint ankylosis. The incidence of mandibular fractures is quite common in maxillofacial trauma. The characteristics of mandible fractures could be different among countries concerning the condition of the population. The etiological differences depend on age, demographic patterns of a country, environmental conditions, social conditions, socioeconomic status and cultural configuration. This study aimed to perceive the characteristic of mandibular fractures among patients attending The Oral and Maxillofacial Surgery Department in Dr. Hasan Sadikin General Hospital during 2017- 2020.Methods: This study was a retrospective descriptive study. Samples included medical records of patients with mandibular fractures attending The Oral and Maxillofacial Surgery Department in Dr. Hasan Sadikin General Hospital during January 2017- December 2020. Samples were chosen using inclusion and exclusion criteria. The characteristics of mandibular fracture were based on gender, fracture etiology, mandibular fracture location, and treatment.Results: This study presented that the incidence of mandibular fracture rate was higher in males with 284 cases (82.08%) than females with 62 cases (17.92%) with a ratio of 4.5 to 1. Based on age, mandibular fractures were often found in the adult age group (20-60 years old) with 215 cases (62.14%). The most common etiology was road traffic accidents, with 287 cases (82.95%). Parasymphisis region was the most common site of mandibular fracture with 94 cases (25.26%). Most treatments performed were open reduction internal fixation with 199 cases (57.51%).Conclusion: Mandibular fracture characteristics vary considerably among different study populations depending on demographic characteristics and socioeconomic status. The most frequent mandibular fracture site in Dr. Hasan Sadikin General Hospital Bandung was the parasymphisis region in a young adult age group.
Objective: To present a casereport of a 20 years old male with Le Fort II fracture accompanied with blowout fracture and its management. Methods: A 20 years old male patient with chief complaint of maxillary fracture and inability to chew food, also felt limitation of right eye movement and double vision was then diagnosed with Le Fort II fracture accompanied with blowout fracture of the right orbital base. The patient was rehabilitated using open reduction internal fixation of the maxilla to achieve good occlusion continue with immobilization. The orbital base fracture was rehabilitated by orbital mesh placement and release of tissue trapped inside the orbital base fracture fragments to achieve normal position and movement of the eyeball. Results: One month post-surgery follow-up showed the face was symmetrical and the enophthalmos was corrected. A good occlusion was reached. Conclusion: Proper management of Le Fort II fracture accompanied with orbital base blowout fracture can restore the function of the eye, mastication and occlusion. Symmetrical and proportional facial esthetics are among the indicators of a successful holistic maxillofacial trauma management.
carotid artery embolisation prior to the surgical removal of the lesion. Weber-Ferguson approach was adopted to achieve satisfactory exposure, and the defect on the facial region was restored with a monocortical cancellous iliac graft. Results: The lesion had been successfully removed, and aesthetically acceptable. Currently, six-months postoperatively, there is minimal scar of the flap incision, normal sensory and motor functions and no signs of recurrence. Conclusion:The presentation of the lesion is distinct from the conventional facial angiofibroma because of its single rather than multiple and enormous in spite of tiny size. Thus, a differential diagnosis of juvenile nasopharyngeal angiofibroma should not be excluded. The lesion warrants regular follow-up due to inability to surgically remove tumour wholly due to deep invasion of the sphenoid or high tumour growth rate of 10-36%.
Introduction: A zygomatico maxillary complex fracture is a facial bone fracture that commonly occurs as a centrally and laterally protruding zygomatic area. The effective surgical approach and exact reduction of the displaced fracture is the most important task in the treatment of a zygomatic fracture, from the aesthetic point of view. Determination of surgical approach and the fixation point of zygomatic arch fracture is one of the most challenging procedure. The purpose of this case report is to find out that the preauricular incison approach is one of the effective methods for reduction of zygomaticomaxillary complex fracture. Case Report: A 53 years old male patient presented with right zygomatico maxillary complex fractures. Diagnosis of right side tetrapod zygomatico maxillary complex fracture deformity was done by clinical examination and confirmed by computed tomography which included 3-D reconstruction view. The authors performed 4-point fixation using the preauricular approach to counter the disadvantages of the coronal approach. The results and usefulness of preauricular approach with 4-point fixation are reported in this study. Conclusion: Preauricular incision is an effective surgical approach for the reduction of zygomatic arch fracture. 4-point fixation using the easier-to-manipulate preauricular approach would be more useful than the conventional method that uses the coronal approach. Satisfactory reduction that showed exact correction was observed. In an outpatient follow-up, no complication such as nonunion or malunion was found, and facial symmetry was also shown. In addition, the preauricular scar was hardly observed. Keywords: zygomaticomaxillary complex fracture, preauricular incision, reduction, fixation
Background: Squamous Cell Carcinoma (SCC) is the most common case of oral cancer which often occurs laterally on the tongue and rarely develops on the dorsal surface of the tongue. More than half of the cases are diagnosed late, thereby reducing the survival rate of the patients. Objective: This report was intended as an evaluation for the management of squamous cell carcinoma under multidisciplinary approach between oral surgery and other departments, as well as the provision of further post-operative treatment. Case Report: The author presents a case of 68-years-old female patient with a lump and an ulcer on her tongue. Around six months prior to the visit, patient complained of tongue ulcer followed by the emergence of a lump in a size of a corn seed. The lump was gradually enlarged with constant widening of the ulcer. Pain on the tongue was also perceived. The patient was then referred to Hasan Sadikin Hospital for further treatment. Case Management: Patients underwent hemiglossectomy and Selective Neck Dissection (SND) surgical procedures performed by Oral and Maxillofacial Surgeon in collaboration with Surgical Oncologist. Furthermore, after surgery, the patient was consulted to the Hemato-Oncology Division of Internal Medicine Department for chemotherapy treatment. Conclusions: The exact diagnosis was made based on the histopathological biopsy results of the tongue tissue. Management of tongue cancer must be done multidisciplinary. Some things that must be considered in handling such cases are the eradication of the tumor, the return of oral cavity function, and the aesthetic/functional aspects of the patient. Keywords: Oral cancer, Squamous cell carcinoma, Tongue cancer
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