Interdisciplinary meet ameloblastoma venkateswara rao - Dr RAHUL TIWARI POST GRADUATE STUDENT SIBAR INSTITUTE OF DENTAL SCIENCES, TAKKELLAPADU GUNTUR ANDHRA PRADESH

1. Dr. RAHUL TIWARI
Dept. of OMFS
PG student

2. CASE HISTORY
NAME:P. VENKATESWARA RAO
AGE: 46YRS
SEX: M
OCCUPATION: AGRICULTURAL WORKER
ADDRESS: GINTIMERAKA, AVANIGADDA, KRISHNA
PH.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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3. PAST MEDICAL HISTORY:
Curettage – LA- 8 yrs
PAST DENTAL HISTORY:Xn
FAMILY HISTORY:
PERSONAL HISTORY:
DRUG HISTORY:
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4. GENERAL EXAMINATION:
No PICKLE
vitals
EXTRAORAL EXAMINATION:
SYMMETRY-
TMJ-
MOUTH OPENING-
LYMPHNODES-
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5. INTRAORAL EXAMINATION
Soft tissue examination-
lips-
palate
Floor of mouth-
Tongue
Vestibule-
Hard tissue examination-
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6. INVESTIGATIONS – OPG – 22/03/2016
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7. CT SCAN – AXIAL & CORONAL SECTION
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8. CT SCAN –
BONY REC.
IMAGES
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9. CT SCAN – BONY REC. IMAGES
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10. PROVISIONAL DIAGNOSIS-
Residual cyst
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11. Ameloblastoma
OKC
D/D
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 Investigation
 Hematologic
 Radiologic
 PAC
 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

13. INTRA OPERATIVE WEBER FURGUSION INCISIONN
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14. EXPOSURE OF THE LESION
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15. TUMOUR EXSCION
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16. POST EXCISION
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17. SURGICAL CLOSURE
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EXCISED SPECIMEN

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HISTOPATHOLOGY

20. BIOPSY
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POST OPERATIVE FOLLOW UP OPG- 18/10/2016 (6 MONTHS)

22. POST OPE PICS (6 MONTHS)
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23. POST OPERATIVE (6 MONTHS)
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RECONSTRUCTIONS

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IMMEDIATE V/S DELAYED RECONSTRUCTION

26. THANK YOU
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