Pertimbangan persiapan tindakan radioterapi pada pasien dengan

hemiparese post stroke disertai Squamous Cell Carcinoma :

Case report

*Mila Islamia1, Yossy Yoanita Ariestiana2 Abul Fauzi3

Residen Bedah Mulut dan Maksillofasial, Fakultas Kedokteran Gigi,

1

Universitas Hasanuddin, Makassar, Indonesia

2,3
Staf Dosen Departemen Bedah Mulut dan Maksilofasial, Fakultas Kedokteran Gigi,
Universitas Hasanuddin, Makassar, Indonesia

Abstrak
Pendahuluan: Radioterapi memegang peranan penting pada penatalaksanaan kanker kepala leher. Selain paparan
radiasi, faktor host seperti oral hygene yang buruk dan adanya permasalahan pada gigi juga meningkatkan resiko
osteoradionekrosis.Oleh karena itu pentingnya persiapan pasien sebelum radioterapi sering dipertimbangkan
sebagai bagian dari rencana manajemen untuk mencegah komplikasi gigi seperti osteoradionekrosis.
Tujuan: Untuk mengetahui pertimbangan persiapan radioterapi pada pasien dengan squamous cell carcinoma
Case: Pasien dengan diagnosa squamous cell carcinonma konsul dari TS. THT -KL direncanakan radio terapi,
mengeluhkan gigi belakang kanan bawah sering sakit sejak ± 2 tahun yang lalu. Kondisi pasien hemiparese sisi
kanan post stroke sejak ± 5 tahun yang lalu dengan oral hygene yang buruk.
Penatalaksanaan: Dari hasil konsul kepada TS Interna dilakukan pemeriksaan PT, aPTT hasilnya dalam batas
normal. Ekstraksi gigi dilakukan per regio secara bertahap. Edukasi oral hygene pada pasien dan keluarganya. Boleh
dilakukan tindakan radioterapi setelah 3 bulan post pencabutan terakhir
Kesimpulan : Persiapan pasien sebelum tindakan radioterapi sangat bermanfaat dalam mencegah resiko
osteoradionekrosis.
Kata Kunci : Radioterapi, squamous cell carcinoma, Osteoradionecrosis.

*Korespondensi: mila313islamia@gmail.com
Translated from Indonesian to English - www.onlinedoctranslator.com

Considerations for the preparation of radiotherapy in patients with post-

stroke hemiparesis accompanied by squamous cell carcinoma:
case report

*Mila Islamia1, Yossy Yoanita Ariestiana2 Abul Fauzi3

1
Resident of Oral and Maxillofacial Surgery Specialist Study Program, Faculty of Dentistry,
Hasanuddin University, Makassar Indonesia.
2.3
Lecturer Staff of the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry,
Hasanuddin University, Makassar, Indonesia

Abstract
introduction:Radiotherapy plays an important role in the management of head and neck cancer. In addition to
radiation exposure, host factors such as poor oral hygiene and the presence of dental problems also increase the risk
of osteoradionecrosis. Therefore, the importance of patient preparation before radiotherapy is often considered as
part of the management plan to prevent dental complications such as osteoradionecrosis.
Objective: To know the consideration of radiotherapy preparation in patients with squamous cell carcinoma
Case Report: Patients with a diagnosis of squamous cell carcinoma consulted by ENT-Head and neck division, who
have radiotherapy as the treatment plan, complaining of pain in the right lower back tooth since ± 2 years ago. The
patient's condition was right-sided hemiparesis post-stroke since ± 5 years ago with poor oral hygiene.
Case Management: From the results of the consul to Internal medicine division, a PT examination was carried out,
the aPTT results were within normal limits. Tooth extraction was carried out by region in stages. Oral hygiene
education for patients and their families. Radiotherapy can be done after 3 months after the last tooth extraction
Conclusion: Patient preparation before radiotherapy is very useful in preventing the risk of osteoradionecrosis.

Keywords: Radiotherapy, squamous cell carcinoma, Osteoradionecrosis.

*Correspondence:mila313islamia@gmail.com