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