Prihartiningsih Prihartiningsih, Prihartiningsih
Bagian Bedah Bedah Mulut, RSUP Dr. Sardjito, Yogyakarta, Indonesia

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Penatalaksanaan Fraktur Kompleks Zygomatikomaksilaris Sinistra dengan Miniplate Osteosynthesis Bernado, Pedro; Prihartiningsih, Prihartiningsih; Hasan, Cahya Yustisia
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013)
Publisher : Majalah Kedokteran Gigi Indonesia

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Abstract

Wajah terletak lebih ke anterior secara anatomis oleh sebab itu mudah mendapatkan trauma. Os Zigoma merupakan tulang yang menonjol pada wajah dan akan menahan gaya bentur terbesar pada wajah. Tulisan ini melaporkan penatalaksanan fraktur kompleks  zigomatikomaksilaris sinistra dengan miniplate osteosynthesis.Seorang laki-laki 22 tahun dirujuk ke Bagian Bedah Mulut RSUP Dr Sardjito dengan riwayat kecelakaan lalulintas tiga minggu sebelum masuk RS. Pasien mengeluh daerah pipi kiri terasa tebal dan dirasa lebih datar dari pipi kanan. Pemeriksaan klinis terdapat parestesi nervus infraorbita sinistra, displace tulang daerah infraorbital rim sinistra, diskontinuitas regio sinus maksilaris sinistra.  Radiografis CT axial dan koronal serta CT Scan 3D tampak fraktur melibatkan infraorbital rim sinistra, fraktur sinus maksila sinistra, fraktur pada sutura zigomaticofrontalis dan pada sutura zigomatikotemporalis. Penatalaksanaannya dilakukan open reduction internal fixation (ORIF) fraktur kompleks zigomatikomaksilaris dengan miniplate osteosynthesis di bawah anestesi umum. Pasca operasi gejala parestesi berangsur- angsur berkurang, defek infraorbital rim terkoreksi dan pipi kiri tampak kembali prominen. Prognosis kasus ini dubia ad bonam. ORIF dengan miniplate osteosynthesis dapat memulihkan deformitas wajah dengan hasil malar eminensia kembali prominen dan membuat kondisi dekompresi nervus infraorbita sinistra yang mendukung proses pemulihan sensorisnya.ABSTRACT: Management of Zygomaticomaxillaris Sinistra Complex Fractures with Osteosynthesis Miniplate. Face lies in a prominent position so that this area is often susceptible to trauma. Os zygomaticum is an area that holds the heaviest impact on facial trauma. This paper reports one case about zygomaticomaxillary complex fractures management with miniplate osteosynthesis. A 22 years old man was referred to the Department of Oral Surgery Dr Sardjito Hospital with a history of traffic accident three weeks before admission. He felt that his left cheek was thick and flatter than the right one. Clinical examination found that the left infraorbita nerve was paresthesized, the bone on the left infraorbital rim region was displaced and the left maxillary sinus region was discontinued. Radiography examination using CT axial and coronal, and 3D CT scan showed  both of the left infraorbital rim and maxillary sinus were fractured, as well as the zygomaticotemporalis suture and the zygomaticofrontalis suture. An Open Reduction Internal Fixation (ORIF) of the zygomaticomaxillary complex fractures with miniplate osteosynthesis was performed under  general  anesthesia. The  result  showed  that  the  postoperative paresthesia  symptoms  were  gradually  diminished,  the infraorbital rim defects were corrected and the prominent left cheek was recontructed. The prognosis was dubia ad bonam. It can be concluded that ORIF with miniplate osteosynthesis reconstructs the facial deformity, recovers the malar eminence prominency. The nerves decompression will favor the recovery process of the left infraorbita sensory
Penatalaksanaan Repair Palatoplasty dengan Teknik Furlow Double Opposing Z Plasty Arindra, Pingky Krisna; Prihartiningsih, Prihartiningsih; Rahardjo, Bambang Dwi
Majalah Kedokteran Gigi Indonesia Vol 1, No 1 (2015): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

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Kasus bibir dan lelangit sumbing merupakan salah satu kelainan deformitas yang sering terjadi. Keadaan klinis bervariasi mulai dari kasus sumbing tidak komplit sampai dengan komplit. Keadaan klinis dengan lebar celah yang bervariasi membutuhkan teknik pembedahan yang tepat. Pasien-pasien dengan bibir dan atau lelangit sumbing mungkinsebelumnya telah menjalani beberapa intervensi pembedahan, sehingga sering memerlukan koreksi lebih lanjut untuk memperbaiki hasil operasi sebelumnya. Pasien anak laki-laki usia 4 tahun 7 bulan mengeluhkan masih terdapatnya celah di lelangit. Pasien didiagnosis dengan labiognatopalatoschisis bilateral. Sebelumnya pasein sudah menjalani 4 kali operasi penutupan celah bibir dan lelangit. Pasien menjalani 2 kali operasi bibir sumbing dengan metode lip adhesion dan metode Barsky, dan 2 kali operasi lelangit sumbing dengan metode pushback dilanjutkan dengan koreksi dengan z plasty, tetapi hasil akhir masih terdapat celah di palatum mole. Selanjutnya dilakukan operasi repair palatoplasi denganmetode Furlow double opposing z plasty dengan kombinasi insisi lateral, dan didapatkan hasil menutupnya celah di palatum mole sampai dengan uvula. Telah dilakukan operasi repair palatoplasi dengan metode Furlow double opposing z plasty. Teknik ini dilakukan untuk menghindari insisi yang terlalu luas dikarenakan terdapatnya jaringan fibrous yang tebal pada mukosa palatum pasca operasi sebelumnya. Tujuan studi kasus adalah untuk mengetahui kemampuan teknik Furlow Double Opposing Z Plasty sebagai prosedur repair palatoplasty. Repair Palatoplasty Management with Furlow Double Opposing Z Plasty Technique. Cases of cleft lip and palate are one of the deformity disorders that often occur. There are variety of clinical appearance ranging from incomplete to complete cases. Clinical appearance with different width requires proper surgical technique. Patients with cleft lip and palate had undergone surgical intervention, so that they needed surgical correction to repair the result or failure of the previous surgery. A Four year old boy complain there was cleft on the soft palate. The patient was diagnosed with labiognatopalatoscisis. The patient had undergone two stages of cleft lip surgery and twice of cleft palate surgery with pushback method and repair with z plasty, however the result was unsatisfactory. Further, the patient underwent repair palatoplasty surgery with Furlow double opposing z plasty method combined with lateral relaxing insicion. The result in the post surgery was the closure of cleft soft palate up to uvula. Repair palataplasty surgery has been done with Furlow double opposing z plasty method. This technique could avoid extended incision due to thick fibrous tissue on the palatum mucosa as the result of serial previous surgery. The aim of this case case study is to determine the technical capabilities of Furlow Double Opposing Z Plasty as palatoplasty repair procedure.
Parosteal osteosarcoma: a diagnostic dilemma on non-healing following tooth extractions: a case report Damanhuri, Rahma Y.; Prihartiningsih, Prihartiningsih; Rahajoe, Poerwati S.
Journal of Dentomaxillofacial Science Vol 3, No 1 (2018)
Publisher : DiscoverSys Inc

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Objective: This paper reports a case of mandibular ramus parosteal osteosarcoma, discussing diagnostic problems and reviewing treatment variations. Methods: A 37 year old male patient was referred by a private hospital with a history of abscesses treatment and removal of his right lower molar 1.5 years ago. The wound in his tooth socket was not healed. Swelling with abscesses recurred and was diagnosed as osteomyelitis. The Orthopantomogram (OPG) result showed a description of osteomyelitis, and the Multi Slice Computed Tomography (MSCT) 3D confirmed the suspected osteosarcoma. Histopathologic results indicated parosteal osteosarcoma. Result: Hemimandibulectomy and chemotherapy were performed with good results.Conclusion: This parosteal osteosarcoma was difficult to diagnosis quickly because the initial image resembled osteomyelitis but it was low grade and rare; therefore, meticulous and accurate diagnosis was deemed necessary. Chemotherapy-combined surgery was thereby performed for treating this parosteal osteosarcoma.
Parestesi pada fraktur kompleks zigomatikomaksilaris Paresthesia in zygomaticomaxillary complex fractures Bernado, Pedro; Prihartiningsih, Prihartiningsih; Rahajoe, Poerwati Soetji
Journal of Dentomaxillofacial Science Vol 12, No 3 (2013): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc

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Head trauma cases can involve os.zygoma and maxilla. Injury to the nerves is one of the complications that can beencountered as a result of the fracture fragments shift. This paper reported one case of n.infraorbitalis paresthesiafollowing zygomaticomaxillary complex fracture. A 30 years old man was referred to the Department of Oral Surgery,Dr.Sardjito Hospital with a history of traffic accident two weeks before admission. The patient complained of rightcheek area feels numbness, bite changed and there was a protrusion of bone under his right eye. Clinical examinationfound paresthesias of right n.infraorbitalis, left posterior open bite, and bone displace at right infraorbital rim. At theWaters x-ray and 3D CT scan visualized fractures involving the right maxillary and infraorbital rim. Open reductioninternal fixation (ORIF) zygomaticomaxillary complex fracture, with miniplate supported by arch bar as a device toachieve individually normal occlusions, was performed under general anesthesia. Postoperative follow up indicateparesthesia symptoms gradually decreased and totally recover within 5 months. Prognosis for this case was bonam. Itwas concluded that ORIF with miniplate, combined with mounting arch bar can support paresthesia correction due tothe displacing of fracture fragment zygomaticomaxillary complex.
Odontektomi Gigi Molar Ketiga Mandibula Impaksi Ektopik dengan Kista Dentigerous secara Ekstraoral Saleh, Edwyn; Prihartiningsih, Prihartiningsih; Rahardjo, Rahardjo
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 1, No 2 (2015)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

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Gigi dikatakan impaksi ektopik apabila mengalami malposisi yang disebabkan oleh faktor kongenital atau mengalami perubahan posisi yang disertai dengan kondisi patologis. Kondisi patologis yang sering menyertai gigi impaksi ektopik adalah kista dentigerous. Tujuan dari studi pustaka ini adalah untuk memaparkan odontektomi pada kasus molar ketiga ektopik yang disertai dengan kista dentigerous. Operasi ini adalah untuk menghilangkan faktor penyebab terjadinya kista dentigerous serta membersihkan lesi kista agar tidak berkembang semakin membesar. Pasien laki-laki 38 tahun mengeluhkan adanya sedikit benjolan pada pipi sebelah kanan namun tanpa disertai rasa sakit. Benjolan dirasakan mulai muncul dalam satu tahun terakhir. Hasil pemeriksaan radiografik menunjukkan gigi molar ketiga mandibula kanan berada pada sudut angulus mandibula disertai adanya gambaran radiolusen pada mahkotanya didiagnosa sebagai impaksi ektopik gigi molar ketiga mandibula kanan disertai kista dentigerous. Tindakan operasi odontektomi dan enukleasi kista dentigerous dilakukan secara ekstraoral dengan anastesiumum, pemilihan metode pengambilan ekstraoral karena posisi gigi yang telah berubah jauh dari posisi normal gigi molar ketiga mandibula. Telah dilakukan pengambilan gigi molar ketiga mandibula yang impaksi ektopik dan enukleasi kista dentigerous secara ekstraoral, karena posisi gigi impaksi yang ektopik di ramus mandibula. Pengambilan gigi impaksi secara ekstraoral sangat jarang sekali dilakukan, namun jika posisi gigi berada jauh sekali dari posisi normal maka pendekatan ekstraoral merupakan metode operasi yang akan mempermudah proses pengambilan gigi dan enukleasi kista serta dapat meminimalkan hilangnya tulang mandibula yang sehat. ABSTRACT: Odontectomy of Ectopic Third Molar Associated with Dentigerous Cyst in Submandibular Region. Ectopic impacted tooth has been defined as malpositioned tooth caused by congenital factor or malpositioned tooth associated with pathologic condition. Pathologic condition associated with ectopic impacted tooth is dentigerous cyst. The purpose of this operation is to eliminate the causes of the dentigerous cyst and to raise cyst lesions that do not develop as they grow. A 38-year-old male patient complained of a painless slight swelling on his right cheek which occurred in the last one year. The radiograph examination shows an ectopic right mandibular third molar at the posterior border of the right angle of mandible, with an associated coronal radiolucency diagnosed as ectopic impacted right mandibular third molar associated with dentigerous cyst. The tooth and the cyst were removed surgically under general anesthetic via an extra-oral approach due to an extreme malposition of the tooth. The ectopic impacted right mandibular third molar and associated dentigerous cyst had been removed and enucleated surgically via extra-oral approach because the location of the ectopic impacted tooth was in the ramus of mandible. Extra-oral removal of ectopic mandibular third molar is very rare, however this approach will facilitate an easy removal and enucleation of an extremely malpositioned mandibular third molar associated with dentigerous cyst and minimize a loss of healthy mandibular bone.
Penatalaksanaan Kista Dentigerus Terinfeksi dengan Fistel Ekstra Oral pada Pipi Kanan Widhianingrum, Rita Koen; Goreti, Maria; Prihartiningsih, Prihartiningsih
MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM Vol 1, No 1 (2015)
Publisher : Fakultas Kedokteran Gigi, Universitas Gadjah Mada

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Kista dentigerus merupakan kista yang berhubungan dengan gigi yang tidak erupsi berasal dari sisa epitelial organ pembentuk gigi. Gejala klinis menunjukkan pembengkakan yang tumbuh lambat dan tidak sakit pada rahang. Gambaran radiografis memperlihatkan area radiolusen uniokular yang mengelilingi mahkota gigi yang tidak erupsi. Proses infeksi kronis pada kista dentigerus dapat menyebar lambat membentuk abses subperiosteal dan melewati barrier kulit membentuk fistel ekstra oral. Studi kasus ini laporkan seorang wanita 56 tahun yang datang ke poli Bedah Mulut dan Maksilofasial RSUP Dr Sardjito dengan kasus kista dentigerus pada regio angulus mandibula kanan dengan fistel ekstra oral pada pipi kanan. Penatalaksanaan kasus adalah pemberian antibiotik, enukleasi kista, pengambilan gigi 45, 47 dan 48 yang impaksi sertafistulektomi dengan pendekatan ekstra oral dan sinus shoe polishing technique di bawah bius umum. Evaluasi 3 minggu pasca operasi menunjukkan penyembuhan ekstra oral dan intra oral sempurna serta tidak terbentuk jaringan parut. ABSTRACT: Management of Infected Dentigerous Cyst with Extra Oral Fistulae on Right Cheek. Dentigerous cyst is an odontogenic cyst associated with unerupted teeth from epithelial remnant teeth organ. The clinical appearance shows slow-growing painless swelling lesion in jaw. The radiografics reveals uniocular radiolucency surrounding unerupted teeth. The chronic infection proccess in dentigerous cyst could spread slowly forming subperiosteal abcess and, through cutaneous barrier, it forms extra oral fistulae. We reported a 56 year old woman who came to RSUP Dr Sardjito with dentigerous cyst in mandible angulus with extra oral fistulae in the right cheek. The treatment consisted of antibiotic medication; cyst enucleation; removal of unerupted third molar, second premolar, second molar; and fistulectomy with extra oral approach and sinus shoe polishing technique under general anesthetic. Three week evaluation post surgery shows succesful extra oral and intra oral healing without scarring.
Penatalaksanaan Fraktur Kompleks Zygomatikomaksilaris Sinistra dengan Miniplate Osteosynthesis Bernado, Pedro; Prihartiningsih, Prihartiningsih; Hasan, Cahya Yustisia
Majalah Kedokteran Gigi Indonesia Vol 20, No 2 (2013): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

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Wajah terletak lebih ke anterior secara anatomis oleh sebab itu mudah mendapatkan trauma. Os Zigoma merupakan tulang yang menonjol pada wajah dan akan menahan gaya bentur terbesar pada wajah. Tulisan ini melaporkan penatalaksanan fraktur kompleks  zigomatikomaksilaris sinistra dengan miniplate osteosynthesis.Seorang laki-laki 22 tahun dirujuk ke Bagian Bedah Mulut RSUP Dr Sardjito dengan riwayat kecelakaan lalulintas tiga minggu sebelum masuk RS. Pasien mengeluh daerah pipi kiri terasa tebal dan dirasa lebih datar dari pipi kanan. Pemeriksaan klinis terdapat parestesi nervus infraorbita sinistra, displace tulang daerah infraorbital rim sinistra, diskontinuitas regio sinus maksilaris sinistra.  Radiografis CT axial dan koronal serta CT Scan 3D tampak fraktur melibatkan infraorbital rim sinistra, fraktur sinus maksila sinistra, fraktur pada sutura zigomaticofrontalis dan pada sutura zigomatikotemporalis. Penatalaksanaannya dilakukan open reduction internal fixation (ORIF) fraktur kompleks zigomatikomaksilaris dengan miniplate osteosynthesis di bawah anestesi umum. Pasca operasi gejala parestesi berangsur- angsur berkurang, defek infraorbital rim terkoreksi dan pipi kiri tampak kembali prominen. Prognosis kasus ini dubia ad bonam. ORIF dengan miniplate osteosynthesis dapat memulihkan deformitas wajah dengan hasil malar eminensia kembali prominen dan membuat kondisi dekompresi nervus infraorbita sinistra yang mendukung proses pemulihan sensorisnya.Management of Zygomaticomaxillaris Sinistra Complex Fractures with Osteosynthesis Miniplate. Face lies in a prominent position so that this area is often susceptible to trauma. Os zygomaticum is an area that holds the heaviest impact on facial trauma. This paper reports one case about zygomaticomaxillary complex fractures management with miniplate osteosynthesis. A 22 years old man was referred to the Department of Oral Surgery Dr Sardjito Hospital with a history of traffic accident three weeks before admission. He felt that his left cheek was thick and flatter than the right one. Clinical examination found that the left infraorbita nerve was paresthesized, the bone on the left infraorbital rim region was displaced and the left maxillary sinus region was discontinued. Radiography examination using CT axial and coronal, and 3D CT scan showed  both of the left infraorbital rim and maxillary sinus were fractured, as well as the zygomaticotemporalis suture and the zygomaticofrontalis suture. An Open Reduction Internal Fixation (ORIF) of the zygomaticomaxillary complex fractures with miniplate osteosynthesis was performed under  general  anesthesia. The  result  showed  that  the  postoperative paresthesia  symptoms  were  gradually  diminished,  the infraorbital rim defects were corrected and the prominent left cheek was recontructed. The prognosis was dubia ad bonam. It can be concluded that ORIF with miniplate osteosynthesis reconstructs the facial deformity, recovers the malar eminence prominency. The nerves decompression will favor the recovery process of the left infraorbita sensory
PERBANDINGAN PROSES PENYEMBUHAN TULANG ANTARA IMPLANTASI HIDROKSIAPATIT NANOKRISTALIN DAN HIDROKSIAPATIT MIKROKRISTALIN (Kajian pada tulang tibia kelinci Pascawinata, Andries; Prihartiningsih, Prihartiningsih; Dwirahardjo, Bambang
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 1, Nomor 1, Juni 2014
Publisher : Universitas Baiturrahmah

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Latar belakang. Salah satu bahan alloplastik yang berkembang pesat saat ini yaitu hidroksiapatit (HA) sintetik. Hidroksiapatit sintetik konvensional yang banyak digunakan saat ini yaitu hidroksiapatit mikrokristalin dimana struktrur kristalnya berada dalam kisaran mikrometer. Beberapa dekade terakhir bentuk nanokristalin dari hidroksiapatit (10-100 nm) mendapat perhatian dari banyak peneliti terutama mengenai sifat fisik, mekanik, kimia dan biologisnya karena hidroksiapatit nanokristalin ini lebih menyerupai bentuk hidroksiapatit alami yang terdapat pada tulang dibandingkan hidroksiapatit mikrokristalin. Tujuan dari penelitian ini adalah untuk mengetahui perbandingan proses penyembuhan tulang antara implantasi hidroksiapatit nanokristalin dan hidroksiapatit mikrokristalin. Metode. Jenis penelitian adalah eksperimental dengan hewan coba kelinci berjumlah 18 ekor dibagi dalam 2 kelompok periode dekapitasi yaitu 9 ekor kelinci pada periode dekapitasi 2 minggu dan 9 ekor kelinci pada periode dekapitasi 4 minggu. Masing-masing periode dekapitasi ini kemudian dibagi lagi menjadi 3 kelompok lagi yaitu kelompok implantasi hidroksiapatit nanokristalin, kelompok implantasi hidroksiapatit mikrokristalin dan kelompok kontrol. Data dianalisis menggunakan uji statistik Kruskal wallis dan Mann Whitney U. Hasil. Pertumbuhan tulang baru yang ditunjukkan kelompok HA nanokristalin lebih tinggi dibandingkan HA mikrokristalin secara bermakna pada periode 2 minggu (p = 0,00). Pertumbuhan tulang baru yang ditunjukkan kelompok HA nanokristalin juga lebih tinggi dibandingkan HA mikrokristalin secara bermakna pada periode 4 minggu (p = 0,006). Kesimpulan. proses penyembuhan tulang pada implantasi hidroksiapatit nanokristalin lebih cepat dibandingkan proses penyembuhan tulang pada implantasi hidroksiapatit mikrokristalin.
Pola Komunikasi Keluarga Buruh Migran di Desan Pandan Wangi Kecamatan Jerowaru Kabupaten Lombok Timur Prihartiningsih, Prihartiningsih; Hadi, Agus Purbathin; Indiyati, Diyah
JCommsci - Journal Of Media and Communication Science Vol 1, No 2 (2018)
Publisher : Universitas Mataram

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Migrant worker children left by one or both parents need to observe, the role of the missing father / mother in the family will certainly feel different compared to a complete family member of the family, children who live with fathers without mothers and children who live with you without father or child who lives with a grandmother without a mother and father we need to know. In this study consisted of three families of migrant workers left by both parents, abandoned by Father, and left by the mother in Pandan Wangi Village, Jerowaru District, East Lombok Regency. The purpose of this study was to find out how the communication patterns of migrant workers' families and children's communication behavior in the families of migrant workers in Pandan Wangi Village, Jerowaru District, East Lombok Regency. The research was conducted using a research method through a descriptive approach with qualitative data. The results of the research showed in the families of migrant workers left by one of their parents mother / father applying a family communication pattern that leads to unbalanced split patterns which are unequal separate relationships, where one person in the wife / husband's family dominates.