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7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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WELCOME TO THE MORNING SESSION
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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Post-operative Case of Ameloblastoma in
Ri!t Si"e of Man"ible
Presented by
Dr. Dwarika Prasad Bajgai
MS Residency Phase B
Oral and Maxillofacial Surgery DepartentBangabandhu Sheikh Mujib Medical !ni"ersity
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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Parti#$lars of t!e Patient
ae$% Mrs. Mor&ina
ge$% () *rs
Sex$% +eale
Occupation$% ,ousewife
ddress$% -aalpur
ditted On$% /th #o" (01
Bed #o$% +P%2
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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C!ief Complaints
Pain and pus discharge intra%orally in right back
region of jaw since last 3 onths.
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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Histor% of Presentin Illness
Pt. was apparently well 3 onths back .4nitially she had pain in right
posterior region of lower jaw. 5hen she consulted dentist and got tooth
extracted fro sae site6 was asyptoatic for next two onths6 after
which she de"eloped occasional pus discharge and pain . Pain wasild6 non radiating6 interittent. She ga"e occasional history of
bleeding. #o anesthesia or paresthesia in right cheek region. She also
ga"e gradual enlargeent of the portion of jaw at the sae . 7ith all
these coplaints and clinical course she was aditted to OM+S Dept.BSMM!.
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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Past Histor%
Past Medical8Surgical ,istory$% #othing 9ontributory
Drug ,istory$% 'ntibiotics and 'nalgesic
Past dental ,istory% ,8O surgical extraction
,istory of 4uni&ation$% Partially 4uni&ed
Socio%econoic condition$% Poor +aily
Personal ,istory% #o h8o of betel :uid chewing or
soking
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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E&tra-oral e&amination
+ace% syetrical 6 #o other abnoralities seen on inspection
On Palpation of lesion6 bony hard expansion in the right angle%raus
region6 non%tender6 no anesthesia or paresthesia of cheek.
5M- exaination% non%tender6 no abnoral popping8clicking sound6noral range of centric and eccentric o"eents.
9er"ical ;yph nodes% Palpable right subandibular6 o"al6 non tender6
non indurated6 soft in consistency ( in no6 each about x.1 c( in
diension.
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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Intra-oral E&amination
4nspection
Mouth opening-adequate Oral hygiene-poor
Occlusion- Class I intercuspation Soft tissue , exophytic , sessile growthat right posterior vestibule and
retromolar area, about cmx!cm,bluish-blac" in color, no active
bleeding and pus dischargeseen
#alpation $ %xophytic soft tissue growth about !cmx!cm ,non-tender, no bleeding or pus discharge, hard bonyexpansion of both buccal and lingual cortical platespresent& 'd(acent nd molar tooth of right lower side is
mobile&
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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'efinitive 'ianosis
'eloblastoa of right body and angle region
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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OPG
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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CT SCAN
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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(' CT Re#onstr$#tion
7/23/2019 Case of Benign Jaw Swelling in Right Side of Mandible [Autosaved]
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Treatment Plan
<n%block excision of lesion = in"ol"ed Segental
Resection and Reconstruction by a"ascular iliac 9rest bone
Recommended