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EVALUASI KOMPLIKASI PLATE EXPOSURE PASCA RESEKSI AMELOBL ASTOMA MANDIBULA DENGAN REKONSTRUKSI PELAT TITANIUM DI RSUP DR. SARDJITO YOGYAKARTA
https://doi.org/10.22146/teknosains.24222 Maria Goreti Widiastuti(1*), Marsetyawan HNE Soesatyo(2), Rahardyan Magetsari(3), Alva Edy Tontowi(4)
(1) RSUP Dr. Sardjito Yogyakarta
(2) Bagian Histologi Fakultas Kedokteran Universitas Gadjah Mada
(3) Staf Medis Ortopedi dan Traumatologi RSUP Dr. Sadjito
(4) Departemen Teknik Mesin dan Industri Fakultas Teknik Universitas Gadjah Mada
(*) Corresponding Author
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.
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Andrew, T. And Lyos, M., 1993, Mandibular Reconstruction, Feb., 18.
Arden, R.L., Rachel, J.D., Marks, S.C., Dang, K., 1999, Volume-Length Impact of Lateral Jaw Resections on Complication Rates , Arch Otolaryngol Head Neck Surg, 125, 68-72.
Asian Congress on Oral and Maxillofacial Surgeons, 10th, Bali Indonesia, 2012, “A New Paradigm and Strategic Approach in Oral and Maxillofacial Surgeons: Evaluation of Rankl and Opg Expression in Folicular and Plexiform Type Ameloblastoma”, Yulvie, W., Latief B.S., Handayani, D.R., Indonesian Association of Oral and Maxillofacial Surgeons, Bandung.
Atilgan, S., Erol, B., Yardimeden, A., Yaman, F., Ucan, M.C., Gunes, N., Atalay, Y., Kose, I., 2010, “A Three Dimensional Analysis of Reconstruction Plates Used in Different Mandibular Defects”, Journal of Biotechnol. & Biotechnol. Eq., 24(2), hal. 1893-1896.
Azuma, Masaki., et al, 2014, “Mandibular Reconstruction Using Plates Prebent to Fit rapid Prototyping 3-dimensional Printing Models Ameliorates Contour Deformity”, http://www.head-face-med.com, diakses pada tanggal 30 Desember 2014.
Blackwell, E. Keith, Lacombe, V., 1999, “The Bridge Lateral Mandibular Reconstruction Plate Revisited”, Archive of Otolaryngol Head Neck Surgery, 125, hal. 988-993.
Boyd, T.G., Huber, K.M., Verbist, D.E., Bumpous, J.M., Wilhelmi, B.J., 2012, “Removal of Exposed Titanium Reconstruction Plate After Mandibular Reconstruction With a Free Fibula Osteocutaneous Flap With Large Surgical Pin Cutters: A Case Report and Literature Review”, AnOpen Access Journal, 12, 371-377.
Boyne, P.J., 1973,”Methods of Osseous Reconstruction of The Mandible Following Surgical Resection”, Journal of Biomedical Materials Research, Vol 7, No. 195, 195-204.
Chen, T.M., Wang, H.J., Cheng, T.Y., Chang, K.c., Lin, F.H., 2000, the Rationale of Mandible Reconstruction in Advanced Oral Cancer: Alloplastic Material Versus Autogenous Vascularized Bone Graft”, Materials Science and Engineering, C13, hal. 49-58.
Chen, W. T., Li, J., Yang, Z.H., Wang, J. G., Zhang, B, 2006, Ameloblastoma of TheAnterior Skull Base: Three Cases Treated by Radical Resections, J. Cranio maxillofac Surg., 34:412-414.
Clement, K.S., Rassekh, C.H., Quin, F.B., 1997, “Mandibular Reconstruction”, UTMB Department of Otolaryngology/Head and Neck Surgery.
Delacure, M., 2007, “Reconstruction of The Mandible”, Indian J Plast Surg. Vol. 40, Supplement, hal. S28-S34.
DuBrull, E.L., 1988, “Sicher and DuBrul’s Oral Anatomi”, 8th ed., Ishiyaku Euro America, Inc., St. Louis, Tokyo, hal. 31-36.
El-Fattah, H.M.A., Zaghlol A., Emera, G., Sedera, M.A., 2003, “Immediate Re-Establishment of Mandibular Continuity After Tumor Surgery Using Reconstruction Plates”, Egypt J Plast Reconstr Surg, 27(1), hal. 11-18.
Essig, H., Rana, M., Kokemuller, H., von See, C., Ruecker, M., Tavassol, F., Gelrich, N.C., 2011, “Pre-Operative Planning for Mandibular Reconstruction – A Full Digital Planning Workflow Resulting in A Patient Specific Reconstruction”, Head and Nech Oncology, 3(45), hal. 1-7.
Eufinger, H., Wehmoller, M., Machtens, E., 1997, Individual Prostheses and Resection Templates for Mandibular Resection and Reconstruction, British Journal of Oral and Maxillofacial Surgery, Vol. 35, No 6, December 1997, 413-418.
Gardner, D.G., Heikinhemo, K., Shear, M., Philipsen, H.P., Coleman, H., 2005, “Ameloblastoma”, In: Barnes, L., Evenson, J.W., Reichart, P., Sidransky, D., eds. World Health Organization Classification of Tumors, Pathology and Genetics of Head and Neck Tumor, Lyon: IARC Press, hal. 296-300.
Gunggum, S., Hosrogen, B., 2005, “Clinical and Radiologic Behaviour of Ameloblastoma in 4 Cases”, J. Can Dent Assoc, 71:481-484.
Hariani, B., Singh, R.K., Pal, U.S., Singh, G., 2012, Locking v/s Non- Locking Reconstruction Plates in Mandibular Reconstruction,Natl J. Maxillofac.Surg, 3,159-165.
Jedrusik-Pawlowska, Magdalena., et al, 2013, “Mandibular Reconstruction-Biomechanical Strength Analysis (FEM) based on A Retrospective Clinical Analysis of Selected Patients”, Acta of Bioengineering and Biomechanics Vol. 15 No. 2.
Kammerer, P.W., Klein, M.O., Moergel, M., Gemmel, M., Draenert, G.F., 2013, Local and systemic risk factors influencing the long-term success of angular stable alloplastic reconstruction plates of the mandible, Journal of Cranio=Maxillo-Facial Surgery, XXX, 1-6.
Katsuragi Y, dkk., Kayano, S., Azakawa, S., Nagamatsu, S., Koizumi, T., Matsui, T., Onisuka, T., Yurikusa, T., Chao Huang, W,, Nakagawa, M., 2011, Mandible Reconstruction using The Calcium – Sulphate Three-Dimensional Model and Rubber Stick: A New Method, “mould technique ‘, for more Accurate, Efficient and Simplified Fabrication, Journal of Plastic Reconstructive & Aesthetic Surgery, 64, 614-622.
Keliman , R.M., and Guillane, P.J., 1987, Use of the A/O reconstruction plate for bridging of mandibular defects, Clin. North Am., 20,519.
Kim, S.G., Jang, H.S., 2001, “Ameloblastoma: A Clinical, Radiographic, and Hispathologic Analysis of 71 Cases”, Oral Surg. Oral Med. Oral Pathol. Oral Radiol Endod, 91, hal. 649-653.
Kirkpatrick, D., Gandhi, R., Van Sickles, J.E., 2003, “Infections Associated with Locking Reconstruction Plates: A Retrospective Review”, Journal of Oral Maxillofacial Surgery, 61(4), 462-466.
Klotch, D.W., Gal, T.J., Gall, R.L. ,1995, “Assesment of Plate Use for Mandibular Reconstruction : Has Changing Technology Made a Difference ?”
Knott, P.D., Suh, JD., Nabili, V., Sercarz, J.A., Head, C., Abemayor, E., Blackwell, K.E, 2007, Evaluation of hardware-related complications in vascularized bone grafts with locking mandibular reconstruction, Arch Otolaryngol Head Neck Surg. 133(12):1302-6.
Liu, S.P., Cai, S.G., Zhang, J.G., Zhang, Y., 2013, Plate Related Complication after Mandibular Reconstruction, http//www,ncbi,nlm.nih.gov/pubmed/24438564, diunduh tanggal 29 Oktober 2014.
Markwardt, Jutto., et al, 2007, “Analysis of Complications after Reconstruction of Bone Defects Involving Complete Mandibular Resection Using Finite Element Modelling”, http://www.karger.com/onk, onkologie 2007;30:121-126, diakses pada tangga; 10 Januari 2015.
Martola, M., Lindqvist, C., Hanninen, H., Al-Shukun, J, 2007, “Fracture of Titanium Plates Used for Mandibular Reconstruction Folllowing Ablative Tumor Surgery”. Journal Biomed Mater Res B Appl Biomater, 80(2), hal. 345-352.
Maurer, P., Eckert, A.W., Kriwalsky, M.S., Schubert, J., 2010, “Scope and Limitation of Methods of Mandibular Reconstruction: Along-term Follow-up”, Br J Oral Maxillofac Surg, 48(2), hal.100-104.
Narra, Nathaniel et al, 2013, “Finite Element Analysis of Customizeed Reconstruction Plates for Mandibular Continuity Defect Theraphy”, Journal of Biomechanics.
Oji, C., Uguru, C.C., Mgbokwere, U., Chukwuneke, F., Ugomuoh R.N., Ezike, H., 2003, “A Technique of Tongue Fixation After Total Mandibulectomy: The Oji Spatula”, British Journal of Oral and Maxillofacial Surgery, 41, hal. 392-395.
Oliveira, M.T.F., et al, 2013, “Reconstruction of Mandibular Defects”, http://dx.doi.org/10.5772/52104, diakses pada tanggal 5 Januari 2015, chapter 17.
Probst, F.A., Mast, G., Ermer, M., Gutwald, R., Schmelzeisen, R., Pautke, C., 2012, Matrix MANDIBLE Preformed Reconstruction Plates – a two-year two-institution experience in 71 patients, J. Oral Maxillofac. Surg, 70, hal 657-666.
Rana, M., Warraich, R., Kokemuller, H., Lemound, J., Essig, H., Tavassol, F., Eckardt, A., Gellrich, N.C., 2011, “Reconstruction of Mandibular Defects –Clinical Retrospective Research Over a 10 Year Periode-“, Head and Neck Oncology, 3.
Salgueiro, Martin I., 2010, “Experience with The Use of Prebent Plates for The Reconstruction of Mandibular Defects”, Craniomaxillofac Trauma Reconstr. Dec 2010; 3(40: 201-208.
Samman, N., Luk, W.K., Chow, T.W., Cheung, L.K., Tideman, H., Clark, R.K.F., 1999,”Custom-made Titanium Mandibular Recosntruction Tray”, Australian Dental Journal, 44(3), hal. 195-199.
Seminar Nasional Aktualisasi Sains dan IPTEK Kedokteran Gigi UNSOED II , AKSIKG – II 2013, Jurusan Kedokteran Gigi, Fakultas Kedokteran dan Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman, Purwokerto, 2013, Current Aesthetic and Painless Dentistry, Widiastuti, M.G; Pascawinata, A; Purwokerto, Panitia AKSIKG –II 2013.
Singare, S., Dichen, L., Bingheng, L., Yanpu, L., Zhenyu, G., Yaxiong, L., 2004, “Design and Fabrication of Custom Mandible Titanium Tray Based on Rapid Prototyping”, Medical Engineering and Physics.
Soames, J.V., Southam, J.C., 1998,“Oral Pathology. 3rd ed. Oxford: Oxford University Press, hal. 275.
Stojadinovic, S., Eufinger H., Wehmoller, M., Machtens, E., 1999, One-step Resection and Reconstruction of The Mandible using Computer-Aided Technique-Experimental and Clinical Results, Mund Kiefer Gesichtschir, Vol 3, May, S151-153.
Szypryt, P., Forward, D., 2009, The Use and Abuse of Locking Plates, Orthop. Trauma, 23, :281-290.
Tideman, H., Samman, N., Cheung, K.K., 1998, Functional Reconstruction on The Mandible: a Modified Titanium Mesh System. Int J. Oral Maxillofac. Surg. 27:339-345.
Yamada, H., Ishihama, K., Yasuda, K., Nakayama, Y.H., Okayama, M., Yamada, T., Furusawa, K., 2010, “Precontoured Mandibular Plate with Three Dimensional Model Significantly Shortened The Mandibular Reconstructions Time”.
Zhou, L., Yanpu, L., 2011, Rapid Prototyping in Correction of Craniofacial Skeletal Deformities, dalam Advanced Applications of Rapid Protyping Technology in Modern Engineering, Diedit oleh Hoque Muhammad Enamul, China: InTech, hal. 119-128.
DOI: https://doi.org/10.22146/teknosains.24222
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