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INTER DISCIPLINARY MEET
CASE PRESENTATION
Dr. RAHUL TIWARI
Dept. of OMFS
PG student
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CASE HISTORY
NAME:P. VENKATESWARA RAOAGE: 46YRSSEX: MOCCUPATION: AGRICULTURAL WORKERADDRESS: GINTIMERAKA, AVANIGADDA, KRISHNAPH.NO:
CHIEF COMPLAINT: Reported with Swelling on 21/03/2016
HISTORY OF PRESENTING ILLNESS:Curettage – LA- 8 yrs
Opno:795620
DATE: 29/10/2016
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PAST MEDICAL HISTORY: Curettage – LA- 8 yrs
PAST DENTAL HISTORY:Xn
FAMILY HISTORY:
PERSONAL HISTORY:
DRUG HISTORY:
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GENERAL EXAMINATION:
No PICKLEvitals
EXTRAORAL EXAMINATION:
SYMMETRY-TMJ-MOUTH OPENING-LYMPHNODES-
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INTRAORAL EXAMINATION
Soft tissue examination-
lips- palate Floor of mouth- Tongue Vestibule-
Hard tissue examination-
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INVESTIGATIONS – OPG – 22/03/2016
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CT SCAN – AXIAL & CORONAL SECTION
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CT SCAN – BONY REC.IMAGES
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CT SCAN – BONY REC. IMAGES
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PROVISIONAL DIAGNOSIS-
Residual cyst
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Ameloblastoma
OKC
D/D
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Investigation
HematologicRadiologicPAC
Oral prophylaxis Impression for Obturator Pre anaesthetic preparation Wide excision of lesion under GA (Subtotal Maxillectomy) - orbital floor preserve. Obturator insertion after 2 weeks Follow up Planning for secondary reconstruction AFTER 1 YEAR using Temporalis / Tongue flap
TREATEMENT PLAN
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INTRA OPERATIVE WEBER FURGUSION INCISIONN
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EXPOSURE OF THE LESION
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TUMOUR EXSCION
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POST EXCISION
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SURGICAL CLOSURE
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EXCISED SPECIMEN
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HISTOPATHOLOGY
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BIOPSY
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POST OPERATIVE FOLLOW UP OPG- 18/10/2016 (6 MONTHS)
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POST OPE PICS (6 MONTHS)
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POST OPERATIVE (6 MONTHS)
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RECONSTRUCTIONS
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IMMEDIATE V/S DELAYED RECONSTRUCTION
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THANK YOU
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