LAPORAN KASUS

PENATALAKSANAAN MIKSOMA SINONASAL SINISTRA PADA ANAK LAKI-LAKI USIA 7 TAHUN Dr. Anjar Arum Setiawati

Pembimbing : Dr. Denny Satria Utama, Sp.THT-KL.,Msi-Med

PENDAHULUAN
Tumor jinak jaringan ikat yang bersifat invasif pada struktur sekitar dan dapat tumbuh ke dalam jaringan lunak dan tulang.

Miksoma

WHO

Tumor jinak berasal dari jaringan mesenkim primitif (ektomesenkial) dengan atau tanpa epitel odontogenik

Miksoma berasal dari sel mesenkim embrionik primitif / fibroblas dg cenderung produksi mukopolisakarida >>>

Virchow (1863) : PA mirip tali pusat Thoma & Goldman (1947) : miksoma odontogenikpd rahang Stout (1948) : kriteria PA miksoma sbg neoplasia yg tidak metastasis & tidk mengandung komponen selular jar mesenkim lain Willis (1948) : miksoma mrp derivat dari perubahan degeneratif pd fibroblas Glazunov & Pukhov (1960) : virus nukleus sel & cytoplasmic inclusion bodies pd miksoma intramuskular

America

Eropa

Asia

Afrika

0,5-17,7%

1-19%

0,5-17,7% 0,5-17,7%

Prevalensi

- < 0,5% dari seluruh tumor sinonasal - 3-20 % dari semua tumor odontogenik - Tumor ke-3 terbanyak setelah odontoma & ameloblastoma

Miksoma dapat terjadi pada semua rentang usia Prevalensi terbanyak pada usia 20 40 th

Laki-laki : wanita = 1: 1,5

Infantile myxoma 14 kasus selama 20 th

Predileksi : mandibula (ramus posterior), maksila jar lunak wajah, kel. Parotis, rongga hidung, sinus paranasal, nasofaring, bulu mata

Gambaran klinik
Lesi kecil asimtomatik Pembengkakan asimetris, tidak nyeri deformitas wajah Tie Jun Li dkk5 :
Pembengkakan asimetris 100% pergeseran gigi 44% impaksi gigi 24% Mimisan 23% parestesi bibir bawah 16,7% resorsi akar gigi 12%

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L/O/G/O

Thank You!