Penatalaksanaan Miksoma Odontogenik Periferal Maksila Sinistra pada Penderita Geriatri Pasca Stroke Non Hemoragik dengan Anestesi Umum

https://doi.org/10.22146/mkgk.11982

Anik Khoiriyah(1*), Maria Goreti Widastuti(2), Cahya Yustisia Hasan(3),

(1) Program Studi Bedah Mulut dan Maksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Bagian Bedah Mulut dan Maksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Bagian Bedah Mulut dan Maksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Miksoma odontogenik tipe periferal adalah miksoma yang berlokasi pada jaringan lunak, tumbuh lambat, kurang agresif dan mempunyai tingkat rekurensi yang rendah dibandingkan dengan miksoma odontogenik tipe sentral. Miksoma odontogenik periferal bisa terjadi pada setiap dekade kehidupan, paling banyak terjadi pada dekade keempat. Tujuan penulisan studi kasus ini adalah melaporkan keberhasilan eksisi miksoma odontogenik periferal yang terjadi pada pasien geriatri pasca stroke non hemoragik. Seorang pasien wanita usia 74 tahun, terdapat benjolan di gingiva rahang atas kiri, timbul sejak 3 bulan yang lalu, tidak sakit, tidak mudah berdarah, tetapi mengganggu pengunyahan. Pasien memiliki riwayat stroke non hemoragik yang terkontrol. Eksisi lesi dan kuretase tulang dilakukan dengan anestesi umum. Hasil pasca operasi, setelah dilakukan follow-up selama 6 bulan, tidak ada keluhan pasien terkait dengan penyakit yang diderita, tidak dehisensi, tidak kambuh dan prognosis baik. Eksisi miksoma odontogenik periferal yang terjadi pada pasien geriatri pasca stroke non hemoragik bisa dilakukan, tetapi harus dengan persiapan perioperatif yang optimal, meliputi konsultasi ke bagian neurologi, kardiologi dan rawat bersama dengan bagian penyakit dalam sub bagian geriatri, untuk meminimalkan interaksi obat-obatan yang diberikan dan mencegah komplikasi pasca operasi.  

 

ABSTRACT: Excision Peripheral Odontogenic Myxoma of the Maxillary Sinistra on Post Stroke Non-Hemorrhagic Patients under General Anesthesia. Peripheral odontogenic myxoma is a myxoma located on soft tissue, growing slowly, less aggressive and owning low recurrency rate compared to central odontogenic myxoma. Peripheral odontogenic myxoma may occur in every decade of life, mostly in the fourth decade. The aim of this report is to expose the successful excision of peripheral odontogenic myxoma on post non-hemorrhagic stroke of geriatric patient. A seventy-four-year-old woman had a pedunculated mass on the left maxillary gingivitis. It had been growing for 3 months, non-tender, non-bleeding but causing chewing inconvenience. She had a controlled non-hemorrhage stroke. An excision of lesion and bone curettage was conducted under general anesthesia. Six months after the operation, the follow-up showed no further complaints concerning her disease, no dehiscence, no recurrence, and the prognosis was good. It can be concluded that the excision of peripheral odontogenic myxoma on post non-hemorrhagic stroke of geriatric patients was feasible. However, it must be conducted under adequate perioperative preparation, which consists of neurology and cardiology consultation and joint treatment between internal department and geriatric sub-department to minimize drug interaction and to prevent post-operative complication.


Keywords


miksoma odontogenik periferal; geriatri; stroke non hemoragik; peripheral odontogenic myxoma; geriatric; non haemorrhagic stroke

Full Text:

PDF


References

Scully C. Oral and maxillofacial medicine 2nd ed. Edinburgh: Churchil livingstone; 2008. H. 252-56.

Raubenheimer EJ, Noftke CE. Peripheral odontogenic myxoma: A review of the literature and report of two cases. J Maxillofac and Oral Surg. 2012; 11 (1): 101-104.

Jain VK, Reddy SN. Peripheral odontogenic myxoma of maxillary gingiva: a rare clinical entity. J of Indian Soc of Periodontol. 2013; 17 (5): 653-56.

Aytac D, Yazicioglu, Eren H, Gorgun S. Peripheral odontogenic myxoma located on on the maxillary gingiva: report of a case and review of the literature. J of Oral Maxillofac Surg. 2008; 12 (1): 167-171.

Singhal R, Singh A, Rastogi P, Dixit J. Odontogenic myxoma presenting as localized inflamatory gingival enlargement; a diagnostic dilemma. J Indian Soc Periodontol. 012; 16 (2): 461-4

Regezi, Sciubba, Jordan. Oral Pathology 6th ed. Missouri: Elsevier; 2012. H. 168-169

Fomete B, Adebayo ET, Agbara R, Ayuba GI. Massive peripheral odontogenic myxoma in child: Case report review of literature. J of Oral and Maxillifacial Surg Med and Pathol. 2014; 26 (1): 163-165.

Reichart PA, Philipsen OH. Odontogenic tumors and allied lesions. London: Quintessence publishing; 2004. H. 18995.

Syamsuhidayat R. Kedokteran perioperatif: evaluasi dan tata laksana di Bidang Ilmu Penyakit Dalam FKUI Jakarta: Pusat penerbit ilmu penyakit dalam Fakultas Kedokteran Universitas Indonesia; 2007. H. 222-235.

Chow WB, Rosenthal RA, Merkow RP, Ko, CY, Esnaola NF. Optimal preoperative assesment of the geriatric surgical patien: a best practice guideline from the american college of surgeons national surgical quality improvement program and the american geriatrics society, Am Coll of Surgeons. 2012; (4) 215: 453-466.

Beliveau MM, Multach M. Perioperative care for the elderly patient The Mel Clin of North Am. 2003; 87: 273-289.

Joshi V, Shivkumaran S, Bhargava V, Kansara B, Sharma RS. Perioperative mangement of the geriatric patient. J of the Indian Academy of Ger. 2006; 2 (1): 28-33.

Riadi M. Stroke non hemoragik; pengertian dan referensi 2013. www.kajianpustaka.com. diunduh tanggal 5 September 2014.

Mashour GA, Moore LE, Lele AV, Robicsek SA, Gelb AW. Perioperative care of patients at high risk for stroke during or after non-cardiac, nonneurologic surgery: consenssus statement from the society for neurosience in anesthesiology and critical care. J of Neurosurg Anesth. 2014; 0 (0): 01-13.

Little JW, Falace DA, Miller CS, Rhodus NL. Dental Management of the Medically Compromised Patient. St. Louis Missouri: Mosby; 2002. H. 426-427.

Chang SH. Myxoma of the gingiva: A case report and literature Review. Chang Gung Med J. 2001; 24 (12): 826-31.

Departemen Farmakologi dan Terapi Fakultas Kedokteran Universitas Indonesia. Jakarta: Farmakologi dan Terapi. Balai penerbit FKUI; 2007. H. 349, 371, 383, 814.



DOI: https://doi.org/10.22146/mkgk.11982

Article Metrics

Abstract views : 418 | views : 585

Refbacks

  • There are currently no refbacks.




Copyright (c) 2016 Majalah Kedokteran Gigi Klinik



Currently, Majalah Kedokteran Gigi Klinik indexed by:

site
stats