Journal article

STERNOCLEIDOMASTOID-CLAVICLE MYOOSSEUS FLAP IN PATIENT WITH PLATE DISPLACEMENT POST RESECTION AND RECONSTRUCTION OF AMELOBLASTOMA

Ronal Natawidjaja I GEDE BUDHI SETIAWAN

Volume : 2 Nomor : 1 Published : 2018, January

Jurnal Bedah Nasional

Abstrak

Background:ameloblastomais a common tumor found in head and neck disorder. The definitive treatment include resection of tumor and reconstruction for filling the large defect which left after tumor resection. The reconstruction option which can be done is flap method.In this case, we used sternocleidomastoid-clavicle myoosseus flap in our patient with post traumatic plate displacement postresectionandreconstruction ofameloblastoma.Case:a22-year-oldwomanpresented with unstability of jaw after hitting her chin to the tablesince 3 days prior to admission.On 2011,shehad history of ameloblastoma which got resected and reconstructed with fibular graftandplate in the same year.While the plate seemed to be broken, she wasmanaged with plate removal and reconstruct with sternocleidomastoid-clavicle myoosseus flap. Post operation, patientmanaged withgradual diet from liquid to solid. Observation Post Operation Day (POD) 3, flap is vital. Patient is discharged on POD 7 and visit as outpatient every 3-5 days until POD 14. Finally, we remove the suture, operation scar is good, and the flap is vitalduring oneyear follow up.Conclusion:sternocleidomastoid-clavicle myoosseus flap is practical and safe procedure, which can be used as alternative option in mandible reconstruction.