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Management of nasolabial cyst in Cipto Mangunkusumo Hospital, Jakarta, Indonesia (case report)
E-Poster Presentation
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Management of nasolabial cyst in Cipto Mangunkusumo Hospital, Jakarta, Indonesia (case report)
Recall of patients from informed consent given before oral and maxillofacial surgery
S. Hadisutjipto ∗ , C. Jem
F. Hameed 1 , S.M. Haider 2,∗ , W. Kadri 3
Oral and Maxillofacial Surgery Department, Faculty of Dentistry, University of Indonesia, Indonesia
2
Nasolabial cyst is a rare cyst of the soft tissues located at the maxilla. It comprises around 0.7% of cysts of the jaws and 2,5% of the non-odontogenic cysts. Usually unilateral, only 11% of the cases are bilateral. Nasolabial cysts are painless, submucosal, presenting as a soft tissue swelling in the anterior mucolabial fold, leading to elevation of ala nasi, and could cause partial or total nasal obstruction. This cyst usually occurred in the fourth and fifth decades with a definite female predilection. The lesion grows slowly and measures between 1.5 and 3 cm. The reported incidence said that 65% of the patients had symptoms for over 12 months before a diagnosis was made. Nasolabial cyst are important to understand because of many lesions probably remain undetected until it become infected or associated with facial deformities. We reported one case of nasolabial cyst, presenting in 27 year old female with facial asymmetry due to the swelling in the philtrum region intra orally, cystic consistency, no tenderness, no palatal expansion and the patient is on ARV medication for HIV treatment. The diagnosis in this study was based on clinical findings and confirmed by histopathology examination. In this patient, we treated with enucleation which has reported for low recurrence. http://dx.doi.org/10.1016/j.ijom.2015.08.112 Dredging Method: an alternative approach for treatment of ameloblastoma I. Haider 1,∗ , M. Ahmed 2 1 2
Dhaka Dental College, Dhaka, Bangladesh Sapporo Dental College, Dhaka, Bangladesh
Ameloblastoma is a benign odontogenic tumour with variable clinical characteristics and histological patterns. Though it is benign, it is regarded as locally malignant lesion for its local invasiveness and persistent growth. Resection of the jaw has been the principle treatment of ameloblastoma as the chance of recurrence is extremely high if treated by simple enucleation and curettage. But the resection of jaw is associated with numbers of complications such as loss of jaw bone support, deformity, dysfunction and psychological distress even after reconstruction. To overcome these problems we considered a new concept of conservative surgical approach named ‘Dredging Method’. The purpose of this method is to eliminate the tumour tissues completely and to accelerate new bone formation for eventual achievement of normal contour of jaw. This study was performed at Dhaka Dental College & Hospital, Dhaka, Bangladesh from 1998 to 2012. Among 198 Ameloblastoma patients 69 were treated by ‘Dredging Method’. In these 69 patients, 03 patients present with recurrence, 04 patients lost for follow-up and rest of 62 patients should no recurrence and undergoing regular follow-up. Significant result could be achieved by systematic application of ‘Dredging Method’ for the restoration of normal form and function of the jaw as well as prevention of recurrence of the lesion. The presentation will elaborate our experience of ‘Dredging Method’ in treating ameloblastoma of jaws in Bangladeshi patients. http://dx.doi.org/10.1016/j.ijom.2015.08.113
1
Civil Hospital, Karachi, Pakistan Karachi Medical and Dental College and Abbassi Shaheed Hospital, Karachi, Pakistan 3 Jinnah Medical and Dental College, Karachi, Pakistan Background: Misunderstandings about consent requirements and goals, differing legal standards for informed consent disclosure, and the time pressures and competing demands of Surgery may also hinder the informed consent process. Objectives: To observe the level of recall of information given in informed consent to patients undergoing major oral, maxillofacial surgery, and whether the level of recall was the same for patients with Maxillofacial trauma and elective maxillofacial surgery. Methods: 116 were evaluated at three different centres between October 2013 and May 2014. Information regarding the treatment, other treatment choices, and complications of surgery were given and informed consent was signed by patient. At 1–3 days postoperatively, the other author interviewed the included open ended questions In each area, patient’s knowledge sorted into three levels: no knowledge, insufficient knowledge, and full knowledge A statistical comparison was made between elective maxillofacial surgery patients and trauma patients with regard to the rates of recall of the information given were evaluated. Findings: 162 patients evaluated, 68 were trauma and 48 were elective, regarding diagnosis mostly patients know their diagnosis 78.4%. While operation details were not that much detailed 44.8% and potential complications were towards the least remembered area14.7% 26 trauma and 25 elective surgery patient read consent form and 40 out of 52 understand it (p < 0/01). Mostly trauma patients had no recollection of complications (p < 0/01). Conclusions: Maxillofacial specialists to be able to overcome legal problems that may arise in the future, it is necessary to spend sufficient time on the process of informed consent and to establish good communication with the patient. Considering that some of the information given to the patient will be forgotten after a time, informed consent process should include signed documentation. http://dx.doi.org/10.1016/j.ijom.2015.08.114 Profile of pediatric patients visiting oral and maxillofacial surgery clinics S. Ahmed 1 , S.M. Haider 2,∗ , F. Hameed 3 1
Abbasi Shaheed Hospital, Karachi, Pakistan Karachi Medical and Dental College and Abbassi Shaheed Hospital, Karachi, Pakistan 3 Civil Hospital, Karachi, Pakistan 2
Background: A lot of work has been done for the recognition of common paediatric pathologies and for improvement of their current management methods [1]. In developing countries infectious disease are still the leading cause of morbidity and mortality in children. This is contrary to the developed countries where injuries are the leading cause of death and disabilities. Since the social habits and living conditions in Pakistan are different from developed countries, the common disease in our part of the world is different [2,30]. Thus a nationwide profile of the problems faced by paediatric population is required necessity.
e221
Management of nasolabial cyst in Cipto Mangunkusumo Hospital, Jakarta, Indonesia (case report)
Recall of patients from informed consent given before oral and maxillofacial surgery
S. Hadisutjipto ∗ , C. Jem
F. Hameed 1 , S.M. Haider 2,∗ , W. Kadri 3
Oral and Maxillofacial Surgery Department, Faculty of Dentistry, University of Indonesia, Indonesia
2
Nasolabial cyst is a rare cyst of the soft tissues located at the maxilla. It comprises around 0.7% of cysts of the jaws and 2,5% of the non-odontogenic cysts. Usually unilateral, only 11% of the cases are bilateral. Nasolabial cysts are painless, submucosal, presenting as a soft tissue swelling in the anterior mucolabial fold, leading to elevation of ala nasi, and could cause partial or total nasal obstruction. This cyst usually occurred in the fourth and fifth decades with a definite female predilection. The lesion grows slowly and measures between 1.5 and 3 cm. The reported incidence said that 65% of the patients had symptoms for over 12 months before a diagnosis was made. Nasolabial cyst are important to understand because of many lesions probably remain undetected until it become infected or associated with facial deformities. We reported one case of nasolabial cyst, presenting in 27 year old female with facial asymmetry due to the swelling in the philtrum region intra orally, cystic consistency, no tenderness, no palatal expansion and the patient is on ARV medication for HIV treatment. The diagnosis in this study was based on clinical findings and confirmed by histopathology examination. In this patient, we treated with enucleation which has reported for low recurrence. http://dx.doi.org/10.1016/j.ijom.2015.08.112 Dredging Method: an alternative approach for treatment of ameloblastoma I. Haider 1,∗ , M. Ahmed 2 1 2
Dhaka Dental College, Dhaka, Bangladesh Sapporo Dental College, Dhaka, Bangladesh
Ameloblastoma is a benign odontogenic tumour with variable clinical characteristics and histological patterns. Though it is benign, it is regarded as locally malignant lesion for its local invasiveness and persistent growth. Resection of the jaw has been the principle treatment of ameloblastoma as the chance of recurrence is extremely high if treated by simple enucleation and curettage. But the resection of jaw is associated with numbers of complications such as loss of jaw bone support, deformity, dysfunction and psychological distress even after reconstruction. To overcome these problems we considered a new concept of conservative surgical approach named ‘Dredging Method’. The purpose of this method is to eliminate the tumour tissues completely and to accelerate new bone formation for eventual achievement of normal contour of jaw. This study was performed at Dhaka Dental College & Hospital, Dhaka, Bangladesh from 1998 to 2012. Among 198 Ameloblastoma patients 69 were treated by ‘Dredging Method’. In these 69 patients, 03 patients present with recurrence, 04 patients lost for follow-up and rest of 62 patients should no recurrence and undergoing regular follow-up. Significant result could be achieved by systematic application of ‘Dredging Method’ for the restoration of normal form and function of the jaw as well as prevention of recurrence of the lesion. The presentation will elaborate our experience of ‘Dredging Method’ in treating ameloblastoma of jaws in Bangladeshi patients. http://dx.doi.org/10.1016/j.ijom.2015.08.113
1
Civil Hospital, Karachi, Pakistan Karachi Medical and Dental College and Abbassi Shaheed Hospital, Karachi, Pakistan 3 Jinnah Medical and Dental College, Karachi, Pakistan Background: Misunderstandings about consent requirements and goals, differing legal standards for informed consent disclosure, and the time pressures and competing demands of Surgery may also hinder the informed consent process. Objectives: To observe the level of recall of information given in informed consent to patients undergoing major oral, maxillofacial surgery, and whether the level of recall was the same for patients with Maxillofacial trauma and elective maxillofacial surgery. Methods: 116 were evaluated at three different centres between October 2013 and May 2014. Information regarding the treatment, other treatment choices, and complications of surgery were given and informed consent was signed by patient. At 1–3 days postoperatively, the other author interviewed the included open ended questions In each area, patient’s knowledge sorted into three levels: no knowledge, insufficient knowledge, and full knowledge A statistical comparison was made between elective maxillofacial surgery patients and trauma patients with regard to the rates of recall of the information given were evaluated. Findings: 162 patients evaluated, 68 were trauma and 48 were elective, regarding diagnosis mostly patients know their diagnosis 78.4%. While operation details were not that much detailed 44.8% and potential complications were towards the least remembered area14.7% 26 trauma and 25 elective surgery patient read consent form and 40 out of 52 understand it (p < 0/01). Mostly trauma patients had no recollection of complications (p < 0/01). Conclusions: Maxillofacial specialists to be able to overcome legal problems that may arise in the future, it is necessary to spend sufficient time on the process of informed consent and to establish good communication with the patient. Considering that some of the information given to the patient will be forgotten after a time, informed consent process should include signed documentation. http://dx.doi.org/10.1016/j.ijom.2015.08.114 Profile of pediatric patients visiting oral and maxillofacial surgery clinics S. Ahmed 1 , S.M. Haider 2,∗ , F. Hameed 3 1
Abbasi Shaheed Hospital, Karachi, Pakistan Karachi Medical and Dental College and Abbassi Shaheed Hospital, Karachi, Pakistan 3 Civil Hospital, Karachi, Pakistan 2
Background: A lot of work has been done for the recognition of common paediatric pathologies and for improvement of their current management methods [1]. In developing countries infectious disease are still the leading cause of morbidity and mortality in children. This is contrary to the developed countries where injuries are the leading cause of death and disabilities. Since the social habits and living conditions in Pakistan are different from developed countries, the common disease in our part of the world is different [2,30]. Thus a nationwide profile of the problems faced by paediatric population is required necessity.