Cahyadi Siauw
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University, Bandung, Indonesia

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Ballooning technique for orbital floor fracture reduction in neglected midfacial fracture: a case report Cahyadi Siauw; Endang Syamsudin; Yoyos Dias Ismiarto
Journal of Case Reports in Dental Medicine Vol 1, No 2 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2243.558 KB) | DOI: 10.20956/jcrdm.v1i2.88

Abstract

Objective: Midfacial fracture is a fracture that separates maxilla from the middle part of face. Orbital floor fracture includes in midfacial fracture that difficult to treat. The aggravating factor of the treatment are depressed fractures and infection. We use ballooning technique which is inflated in the maxillary sinus to lift fracture segment of orbital floor and to prevent the orbital floor displaced to the maxillary sinus.Methods: There were multiple lacerations at left eye and nose region, post suturing at left zygoma and left cheek region. Intraoral findings there were multiple laceration, then the patient was examined a complete blood count, chest xray, cervical lateral examination, and 3D CT-Scan examination.Results: Examination of head and panoramic xray was performed and showed there was no bone discontinuity, contact and stable fracture segments. Examination of the 5th day post operative showed minimal pus drainage, leukocytes were within normal limits and other lab results were normal. Physical examination showed minimum scar, there was no dehiscence, symmetrical face and drain was performed at left zygoma region, symmetrical orbital, intact and stable occlusion.Conclusion: In this case, ballooning technique was successfully reduced the ruptured orbital floor and obtained good result.Keywords: Ballooning, Fixation, Open fracture, Orbital floor fracture.  
Anthropometry evaluation of lip and nasolabial post labioplasty millard technique in Deutromelayu Race Cahyadi Siauw; Harmas Y. Yusuf; Lucky Riawan
Journal of Dentomaxillofacial Science Article In Press
Publisher : DiscoverSys Inc.

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Abstract

Objective: To analyze and measure the anthropometric value of lips and nasolabial in patients with unilateral complete cleft lip after labioplasty using the Millard technique. Material and Methods: This research is a cross-sectional observational study. Thirty subjects who had a complete unilateral cleft lip and had undergone a labioplasty operation using the Millard technique for more than 3 months. Taking photos from the basilar with a distance of 75cm, the points measured were nostrill, nasal dome, columella and nose while from the frontal direction with a distance of 50 cm, the points measured were En, Al, Sba, Sn, Cph, Is, Ch and VML. The photo is taken perpendicular to a 90 degree angle in the frontal direction and a 45 degree angle to the subject in the basilar direction. Results: This study showed that nasolabial and lip measurements from the frontal direction did not have a significant difference between post-labioplasty with the normal side (p> 0.05) while nasolabial and lip measurements from the basilar direction, there was a significant difference between post-labioplasty and normal side (p <0.05). Conclusion: Millard technique is able to give good results in the frontal direction, while from the basilar direction it does not give good results so secondary operation is necessary.