Penatalaksanaan Perawatan Hiperpigmentasi Pada Gingiva Dengan Metode Scrapping Menggunakan Pisau Bedah: Studi Kasus

Hyperpigmentation is a disorder of the gingiva caused by various factors including heredity, disease, drugs, smoking habits. This can occur because of the accumulation of melanin pigment in the basal gingival layer resulting in a brownish or blackish color on the surface of the gingiva which when viewed aesthetically is not good because it is not like the normal gingival color of coral pink. Objective: to get the gingival color back to normal, namely coral pink. Management in cases of pigmentation using the surgical method by scrapping using a scalpel No.15. In this study there were 3 cases, namely, case 1, a 20-year-old female patient had genetic or genetic hyperpigmentation. Case 2, a 27-year-old male patient had genetic or genetic hyperpigmentation. Case 3, a 24-year-old female patient had gingival pigmentation due to smoking habits. The results of surgical management in all three cases, namely the gingival depigmentation method by scrapping gave a good esetetic result, but for gingival hyperpigmentation in cases 1 and 2 it could recur later.

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SURGICAL MANAGEMENT OF DEPIGMENTATION IN HYPERPIGMENTATION WITH SCRAPPING METHOD USING SURGICAL SCALPEL

Interdental Jurnal Kedokteran Gigi (IJKG) ◽

10.46862/interdental.v17i2.2930 ◽

2021 ◽

Vol 17 (2) ◽

pp. 74-79

Author(s):

Ida Bagus Dhedy Widyabawa ◽

◽

Agus Gede Sutamaya ◽

Keyword(s):

Soft Tissue ◽

Case Management ◽

Surgical Management ◽

Male Patient ◽

Surgical Procedure ◽

Melanin Pigmentation ◽

Diamond Drill ◽

Pathological Conditions ◽

Surgical Methods ◽

Gingival Depigmentation

Introduction:The color of healthy gingiva is often influenced by melanin pigmentation as an abnormal deposition of melanocytes located in basal and suprabasal cells. Gingival hyperpigmentation that exceeds normal causes a variety of physiological and pathological conditions. Gingival depigmentation is a periodontal surgical procedure to remove or reduce gingival hyperpigmentation by various techniques to improve aesthetics. The procedures include the use of chemicals such as 90% phenol, diamond drill abrasion, gingivectomy, soft tissue autograft, partial thickness flap, cryosurgery and laser. Case: A 19-year-old male patient came to periodontist office, after an examination he had Smoker's melanosis hyperpigmentation in the upper anterior region. Case Management: The patient was given depigmentation surgery using the scrapping method using a scalpel No. 15c.Discussion: Surgical management of gingival depigmentation with scrapping provides good esthetic results. Conclusion: It is necessary to take a proper history and adequate examination and be wise in determining the various surgical methods of depigmentation.

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Clinical characteristics and treatments of hereditary leiomyomatosis renal cell carcinoma: two case reports and literature review

Aktuelle Urologie ◽

10.1055/a-1139-0697 ◽

2020 ◽

Author(s):

Dalin Feng ◽

Mingshuai Wang ◽

Xiaodong Zhang ◽

Jianwen Wang

Keyword(s):

Renal Cell Carcinoma ◽

Cell Carcinoma ◽

Female Patient ◽

Male Patient ◽

Renal Cell ◽

Clinical Characteristics ◽

Genetic Test ◽

Enhanced Ct ◽

The Right ◽

Hereditary Leiomyomatosis

Abstract Background The objective of this study is to discuss clinical characteristics and treatments of hereditary leiomyomatosis renal cell carcinoma on the basis of 2 cases and to review recent literature, in order to present medical advances. Methods A 29-year old male patient came to our hospital because of a huge tumour on the right kidney. Enhanced CT showed that the tumour was about 15.5*10.5 cm, and was considered to be malignant. Another case was a 38-year old female patient. She complained was found to have a right kidney tumour in a routine physical examination. Enhanced CT showed an early-stage tumour of about 4.3*3.7 cm on the lower pole of the right kidney. The male patient underwent open radical nephrectomy and the female patient underwent laparoscopic radical nephrectomy and extensive retroperitoneal lymph node dissection. The two patients underwent genetic testing and were diagnosed as having hereditary leiomyomatosis with renal cell carcinoma. Results The postoperative pathology in both patients revealed type 2 papillary renal cell carcinoma but with different prognosis. The male patient suffered multiple metastasis 10 months post-operation. The metastatic tumour of the abdominal wall was resected to confirm recurrence and hereditary leiomyomatosis renal cell carcinoma was diagnosed by the genetic test. While the female patient had a specific family history and uterine leiomyomas, the genetic test helped us to identify hereditary leiomyomatosis renal cell carcinoma pre-operation. Because of the early diagnosis and timely treatment, the female patient was considered to have a good prognosis. Conclusion Hereditary leiomyomatosis renal cell carcinoma is a rare hereditary disease resulting from FH gene mutation. There are currently no effective treatments.Our cases demonstrate that hereditary leiomyomatosis renal cell carcinoma is a very aggressive disease. Early screening and surveillance are recommended for patients with a family history or who are at risk of hereditary leiomyomatosis renal cell carcinoma. Surgical and palliative therapy still play an important role in clinical treatment.

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PROFIL ABSES SUBMANDIBULA DI BAGIAN BEDAH RS Prof. Dr. R. D. KANDO MANADO PERIODE JUNI 2009 SAMPAI JULI 2012

e-CliniC ◽

10.35790/ecl.2.1.2014.3603 ◽

2014 ◽

Vol 2 (1) ◽

Author(s):

Inggrid Hesly ◽

Nico Lumintang ◽

Hilman Limpeleh

Keyword(s):

Incidence Rate ◽

Medical Record ◽

Female Patient ◽

Male Patient ◽

Research Data ◽

Observational Research ◽

Age Group ◽

Submandibular Region ◽

Female Patients ◽

Age Category

Abstract: Submandibular abscess is an inflammation with pus formation at submandibular region. submandibular abscess take the highest incidence rate of all types of neck abscesses. most of cases which caused by teeth infection at range 70-85 %, the rest are caused by sialadenitis, lymphadenitis, mouth wall laceration or fracture of the mandible. Aim of this study was to determine the profile of the submandibular abscess cases . This was descriptive retrospective observational research. Data were obtained from medical record from department of surgery BLU/RSUP Prof. dr. R. D. Kandou Manado for last three years from June 2009 to July 2012. Based on 39 cases of submandibula abscess has found 21 male ( 53 % ) and 18 female patients ( 47 % ). In the age category over 50 years , there were 13 patient, 41-50 years there were 10 patients, 31-40 years age group by 2 patients, 21-30 years there were 7 patients , 11-20 years there were 4 patients , 0-1 years there were 3 patients. Result from this research is numbers male patient more than female patient, and the most patient is on over 50 years age category Keywords : Submandibular Abscess Abstrak: Abses submandibula adalah suatu peradangan yang disertai pembentukan pus pada daerah submandibula. Abses submandibula menempati urutan tertinggi dari seluruh abses leher dalam. 70-85 % kasus yang disebabkan oleh infeksi gigi merupakan kasus terbanyak, selebihnya disebabkan oleh sialadenitis, limfadenitis, laserasi dinding mulut atau fraktur mandibula. Tujuan penelitian ini untuk mengetahui profil kasus abses submandibula. Metode penelitian yang digunakan bersifat retrospektif deskriptif. Data diambil dari rekam medis semua pasien abses submandibula di bagian bedah BLU/RSUP Prof. dr. R.D. Kandou Manado selama tiga tahun terakhir dari Juni 2009 sampai Juli 2013. Berdasarkan data dari 39 pasien abses submandibula ditemukan 21 (53%) pasien laki-laki dan 18 (47%) pasien perempuan. Pada kelompok umur di atas 50 tahun terdapat 13 pasien, kelompok umur 41-50 tahun sebanyak 10 pasien, 31-40 tahun sebanyak 2 pasien, 21-30 tahun sebanyak 7 pasien, 11-20 tahun sebanyak 4 pasien, 0-10 tahun sebanyak 3 pasien. Berdasarkan dari hasil penelitian didapakan data mengenai abses submandibula yaitu pasien laki-laki lebih banyak dari pasien perempuan. Kelompok umur di atas 50 tahun merupakan kelompok umur terbanyak.Kata Kunci: Abses Submandibula

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A Case Report on the Surgical Management of Subhepatic Perforated Appendicitis: A Rare Presentation

10.21203/rs.3.rs-42236/v1 ◽

2020 ◽

Author(s):

Mumin Hakim ◽

Rania Mostafa ◽

Mohammed Al Shehri ◽

Sherif Sharawy

Keyword(s):

Case Report ◽

Acute Appendicitis ◽

Female Patient ◽

Surgical Management ◽

Perforated Appendicitis ◽

Exploratory Laparotomy ◽

Atypical Presentation ◽

Review Of Literature ◽

Rare Presentation ◽

Case Presentation

Abstract Background: Subhepatic appendicitis is an exceedingly rare presentation accounting for 0.01% of Acute appendicitis. It is of prime importance to be aware of various variants and thereby managing such challenging cases accordingly.Case presentation: We present a middle-aged female patient with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy.Conclusions: Surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of literature.

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Dental Findings and Treatment in Consanguinity Associated Congenital Chronic Familial Neutropenia

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.31.2.x78245364736262k ◽

2007 ◽

Vol 31 (2) ◽

pp. 123-126 ◽

Cited By ~ 1

Author(s):

Nurcan Buduneli ◽

Dilsah Cogulu ◽

Levent Kardesler ◽

Necil Kütükçüler

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Female Patient ◽

Male Patient ◽

Periodontal Diseases ◽

Carious Lesions

The purpose of this report is to describe dental findings and treatment of an 11-year old male patient and a 5-year old female patient, children of first cousins, suffering from severe benign congenital chronic familial neutropenia. This case report emphazises the importance of differential diagnosis of immunodeficiencies including congenital chronic familial neutropenia in the background of severe periodontal diseases and/or diffuse carious lesions in children.

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Growth Hormone (GH) Secretion in Patients with an Inactivating Defect of the GH-Releasing Hormone (GHRH) Receptor Is Pulsatile: Evidence for a Role for Non-GHRH Inputs into the Generation of GH Pulses

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jcem.86.6.7536 ◽

2001 ◽

Vol 86 (6) ◽

pp. 2459-2464 ◽

Cited By ~ 48

Author(s):

Ferdinand Roelfsema ◽

Nienke R. Biermasz ◽

Ronald Groote Veldman ◽

Johannes D. Veldhuis ◽

Marijke Frölich ◽

...

Keyword(s):

Detection Limit ◽

Female Patient ◽

Male Patient ◽

Normal Values ◽

Age And Gender ◽

Male And Female ◽

Gh Secretion ◽

Ghrh Receptor ◽

And Gender ◽

Plasma Gh

GH secretion is regulated by the interaction of GHRH and somatostatin and is released in 10–20 pulses in each 24-h cycle. The exact roles in pulse generation played by somatostatin, GHRH, and the recently isolated GH-releasing peptide, Ghrelin, are not fully elucidated. To investigate the GHRH-mediated GH secretion in human, we investigated pulsatile, entropic, and 24-h rhythmic GH secretion in two young adults (male, 24 yr; female, 23 yr) from a Moroccan family with a novel inactivating defect of the GHRH receptor gene. Data were compared with values in age- and gender-matched controls. Plasma GH concentration were measured by a sensitive immunofluorometric assay, with a detection limit of 0.01 mU/L. All plasma GH concentrations in the female patient were measurable; in the male patient 30 of 145 samples were at or below the detection limit. GH secretion was pulsatile, with 21 and 23 secretory episodes/24 h in the male and female patients, respectively. The fraction of basal to total GH secretion was raised in both patients by 0.18 and 0.15, respectively. The total 24-h GH production rate was greatly diminished; in the male patient it was 6.9 mU/L (normal values for his age, 26–63 mU/L), and in the female patient it was 4.2 mU/L (normal values for her age, 96–390 mU/L). The nyctohemeral plasma GH rhythm was preserved (P < 0.001), with normal acrophases (0430 and 0218 h in the male and female, respectively). Approximate entropy was greatly elevated in both subjects (0.82 in the male and 1.17 in the female; upper normal values for age and gender, 0.24 and 0.59, respectively). Intravenous injection of 50 μg GHRH failed to increase the plasma GH concentration in both patients, but 100 μg GH-releasing peptide-2 elicited a definite increase (male patient, 0.13 to 1.74 mU/L; female patient, 0.29 to 0.87 mU/L). Both patients had a partial empty sella on magnetic resonance imaging scanning. In summary, the present studies in two patients with a profound loss of function mutation of the GHRH receptor favor the view that in the human the timing of GH pulses is primarily supervised by intermittent somatostatin withdrawal, and the amplitude of GH pulses is driven by GHRH. In addition, we infer that effectual GHRH input controls the GH cell mass and the orderliness of the secretory process.

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Can thyroidectomy be performed in secondary thyroid cancer?

Archive of oncology ◽

10.2298/aoo0303183d ◽

2003 ◽

Vol 11 (3) ◽

pp. 183-183

Author(s):

Aleksandar Diklic ◽

Vladan Zivaljevic ◽

Ivan Paunovic ◽

Ksenija Krgovic ◽

Svetislav Tatic ◽

...

Keyword(s):

Thyroid Cancer ◽

Female Patient ◽

Male Patient ◽

Cancer Metastasis ◽

Case Reports ◽

Unknown Origin ◽

Breast Cancer Metastasis ◽

Thyroid Tumor ◽

Lung Lobectomy ◽

Toxic Goiter

Background: Secondary thyroid cancer is much less frequent than primary and in the majority of cases represents disseminated disease where operation on thyroid is useless or thyroid tumor is not operable, infiltrating surrounding structures. Methods: Five case reports of patients operated for secondary thyroid cancer. Results: Case 1: In male patient aged 64 years thyroidectomy was done for thyroid solid tumor 5 years after lung lobectomy for bronchogenic planocellular cancer. FNB suspected nonthyroid cancer histological analysis revealed planocellular cancer (Grimelius staining excluded medullar cancer) and multinodular goiter. Case 2: In female patient aged 65 years, thyroidectomy was done 4 years after left mastectomy with the history of long standing multinodular toxic goiter. Infiltrate remained in trachea and esophagus, histology revealed breast cancer metastasis in thyroid, confirmed with special mucin I, and estrogen receptor staining with negative thyroglobulin staining. Case 3: In female patient aged 76 years thyroidectomy was performed for metastatic lucidocellular kidney cancer in recurrent goiter (with Vimentin staining), a year after nephrectomy and 50 years after first goiter operation. Case 4: In female patient aged 58 years thyroidectomy was performed for planocellular infiltration of esophagus into the left thyroid lobe. Case 5: In female patient aged 77 years thyroidectomy was done for hemorrhage into thyrotoxic goiter, histology revealed metastasis of planocellular cancer of unknown origin into thyroid. Case 6: In male patient aged 54 years, thyroidectomy was done for thyroid metastatic lucidocellular cancer of kidney, 2 years after nephrectomy. Conclusion: Although prognosis of secondary thyroid cancer is poor, in rare cases aggressive surgery with adjuvant therapy may be successful.

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Isolated Right Ventricle Mass: The Role of Echocardiography in Diagnostic Dilemma

Journal of Cardiac Critical Care TSS ◽

10.1055/s-0038-1671679 ◽

2018 ◽

Vol 02 (01) ◽

pp. 044-047

Author(s):

Suruchi Ladha ◽

Usha Kiran ◽

Santanu Bora

Keyword(s):

Right Ventricle ◽

Transesophageal Echocardiography ◽

Female Patient ◽

Surgical Management ◽

Young Female ◽

The Other ◽

Diagnostic Dilemma ◽

Invaluable Tool ◽

Associated Mass

AbstractThe presence of a right ventricle mass is uncommon, especially if there is no associated mass in the other chambers of the heart. Right ventricle mass is usually due to thrombi or vegetations; however, a variety of tumors may also present similarly. The authors report the presence of an isolated right ventricle mass in a young female patient and the intraoperative use of transesophageal echocardiography in diagnostic dilemma. Echocardiography helps in assessing the characteristics of the mass, such as the size, shape, attachment points, and composition, and continues to remain an invaluable tool for guiding both the anesthetic and the surgical management of the case.

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Mandibular neurofibroma: Case report of a rare tumor

Clinics and Practice ◽

10.4081/cp.2019.1143 ◽

2019 ◽

Vol 9 (4) ◽

Author(s):

Ziad Sleiman ◽

Loubna Abboud ◽

Elie Mehanna ◽

Ramzi Mahmoud ◽

Elie Yaacoub ◽

...

Keyword(s):

Case Report ◽

Female Patient ◽

Surgical Management ◽

Rare Tumor ◽

Review Of The Literature ◽

Histological Features ◽

Jaw Bone

Neural tumors localized in jaw bone are relatively rare. This article presents a case of intraosseous neurofibroma of the mandible in a 37-year-old female patient. A review of clinical, radiographic, histological features and surgical management of the patient are discussed along with a review of the literature.

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