Original Research Article
Year: 2021 | Month: July | Volume: 8 | Issue: 7 | Pages: 386-390
DOI: https://doi.org/10.52403/ijrr.20210755
Comparison of Mastication Status in Ameloblastoma Patients Post-Mandibular Segmental Resection Operation with LC Type with Mandibular Reconstruction using Kirschner Wire and Plate Bone Graft in RSUD Dr. Soetomo
Asep Nasrullah*, Dwi Hari Susilo**, Marjono Dwi Wibowo**, Sahudi**
*General Surgery Resident, Faculty of Medicine, Airlangga University / RSUD Dr. Soetomo Surabaya
**SMF / Lab Teaching Staff. Surgery Faculty of Medicine, Airlangga University / Dr. Soetomo Surabaya
Corresponding Author: Asep Nasrullah
ABSTRACT
Introduction: Ameloblastoma is a benign epithelial neoplasm and accounts for 10% of all odontogenic tumors. It is characterized by a slow growth pattern and can grow to a very large size and cause severe facial deformities. Radical resection with K-wire reconstruction and plate bone graft is the most effective method but can cause deformity and malfunction of the patient's jaw. Mastication status is an important indicator to assess a good quality of life in ameloblastoma patients undergoing mandibular resection.
Methods: data comes from primary data in the form of interviews and secondary data in the form of medical records of ameloblastoma patients who have undergone mandibular resection surgery with LC type defects and underwent mandibular reconstruction with Kirschner Wire or Plate-Bone Graft in the Head-Neck Surgery Division at dr. Soetomo Surabaya. This study is an analytic study to see the mastication status of patients after mandibular resection and reconstruction. The research design is a Case Control Study.
Results: Based on a total of 80 research subjects consisting of 43 patients (53.8%) and 37 (46.3%). -60 years as many as 25 patients (31.3%), age 20 years as many as 18 patients (22.5%). and age 61 years as many as 5 patients (6.3%). Based on the type of reconstruction used, the results showed that 43 patients (53.8%) used plate bone graft and 37 patients (46.3%) used Kirschner wire. there is a relationship between the type of reconstruction used and the mastication status of the research subjects with p value = 0.004 (p <0.05).
Conclusion: Patients who underwent reconstructive surgery with plate bone graft had 4 times better mastication status compared to patients who underwent reconstructive surgery using Kirschner wire.
Keywords: mastication status, mandibular reconstruction, K-wire, plate bone graft.