dentist in pune.(bds. mds) - dr. amit t. suryawanshi. lipoma- case presentation
DESCRIPTION
Dentist in pune. (BDS. MDS) - Dr. Amit T. Suryawanshi. Seminar-Canine Impaction. Email ID- [email protected] Contact -Ph no.-9405622455 Subscribe our channel on youtube - https://www.youtube.com/channel/UC_gylEXTrjmEbbOTSXjuZ4Q/videos?view_as=public Follow us on slideshareTRANSCRIPT
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Lipoma - Case Presentation
Dr. Amit T. SuryawanshiDentist & Oral and Maxillofacial Surgeon
Pune, India
Contact details :Email ID - [email protected] No - 9405622455
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INVESTIGATIONS
BLOOD INVESTIGATIONS:• Total haemogram• Blood sugar levels• Bleeding and clotting time • Urine examination• HIV and HBsAg test.• LFT; RFT; serum electrolytes
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• ULTRASONOGRAPHY:Ill-defined region of altered echogenecity similar to subcutaneous fat. Underlying mandibular cortex was intact.Features suggestive of lipoma/ fibrolipoma, suggest FNAC correlation
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OTHER ROUTINE INVESTIGATIONS: - ECG - Chest radiograph PA view
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Treatment plan
• Excision of the lesion under Local anesthesia.
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Pre-operative instructions
• Informed Consent • Inj. Tetanous toxoid.• Xylocain sensitivity test• Inj. Taxim – 1 gm iv
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Incision made along the prominent aspect of the swelling
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Overlying skin was carefully separated in a lid- like fashion, retracted, and blunt dissection carried out to separate the lesion from the surrounding structures.
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Further dissection showed considerable attachment of the lesion to the underlying muscle.
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Lesion was completely separated from the surrounding structures and removed
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Excised specimen
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Wound - post-excision
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Excess skin was trimmed, and wound closure was done in layers with 4-0 vicryl & 5-0 proline.
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Postoperative instructions
• Soft diet for 1 week.• Follow-up after 1 week.• Suture removal to be done after 1 week.• Follow-ups 1 week, 15 days, 1 month, 3
months, 6 months, 1 Year, Then yearly follow up upto 5 years
• Inform SOS
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POST OPERATIVE MEDICATION
• Tab. Taxim-O 200 mg, BD• Tab Voveran 50 mg TDS• Tab Rantac 150 mg BD
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Immediate Postoperative photographs
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PREOPERATIVE POSTOPERATIVE
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THANK YOU