{"id":16174,"date":"2025-11-01T13:55:14","date_gmt":"2025-11-01T06:55:14","guid":{"rendered":"https:\/\/fkg.ugm.ac.id\/?p=16174"},"modified":"2025-11-20T11:09:14","modified_gmt":"2025-11-20T04:09:14","slug":"manajemen-miksoma-odontogenik-periferal-pada-pasien-geriatri-risiko-tinggi","status":"publish","type":"post","link":"https:\/\/fkg.ugm.ac.id\/en\/manajemen-miksoma-odontogenik-periferal-pada-pasien-geriatri-risiko-tinggi\/","title":{"rendered":"Management of Peripheral Odontogenic Myxoma in a High-Risk Geriatric Patient"},"content":{"rendered":"

Odontogenic tumors such as peripheral odontogenic myxoma of the maxilla, although generally benign and slow-growing, still require surgical intervention to prevent functional and aesthetic disturbances. Surgical procedures in elderly patients with comorbidities (e.g., post-stroke patients) carry a higher risk of postoperative complications. A recent case report from RSUP Dr. Sardjito shows that with adequate preparation, excision and curettage surgery in a geriatric patient with controlled non-hemorrhagic stroke can be performed safely without serious complications during a six-month follow-up period. Nevertheless, potential risks must be carefully assessed and managed.<\/p>\n\n\n\n

Case Overview<\/strong><\/h2>\n\n\n\n

A study conducted by an FKG UGM student, Anik Khoiriyah, under the supervision of Dr. drg. Maria Goreti Widiastuti, Sp.BM(K), and drg. Cahya Yustisia Hasan, Sp.BM(K), examined a 74-year-old female patient with a history of controlled non-hemorrhagic stroke who presented with a painless gingival mass on the left maxilla for approximately three months. The lesion did not bleed easily but interfered with mastication. The lesion was diagnosed as peripheral odontogenic myxoma and treated with excision and curettage under general anesthesia.\nComprehensive patient management included consultations with neurology and cardiology departments and co-management with geriatric services to minimize postoperative risks. Six months of follow-up showed a favorable prognosis: no complaints, no wound dehiscence, and no recurrence.\u00a0<\/p>\n\n\n\n

Potential Postoperative Complications<\/strong><\/h2>\n\n\n\n

Although no short-term complications were observed in this case, literature and clinical experience indicate that odontogenic tumor surgery\u2014particularly in elderly patients with comorbidities\u2014may be associated with several potential complications, including:<\/p>\n\n\n\n

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  1. Intraoperative or postoperative bleeding, especially in patients taking antiplatelet or anticoagulant medications.<\/li>\n\n\n\n
  2. Surgical site or soft tissue infection, with increased risk in patients with poor hygiene, compromised immune status, or uncontrolled comorbidities.<\/li>\n\n\n\n
  3. Wound dehiscence, leading to pain, infection, and delayed healing.<\/li>\n\n\n\n
  4. Tumor recurrence, if excision or bone curettage is incomplete, although recurrence risk in this case was low.<\/li>\n\n\n\n
  5. Anesthesia-related complications, particularly in geriatric patients with comorbidities such as stroke, including cardiovascular, neurological, and drug interaction risks.<\/li>\n\n\n\n
  6. Aesthetic or functional problems, such as impaired oral mobility, pain, facial contour changes, or chewing difficulties due to tissue or structural damage.<\/li>\n<\/ol>\n\n\n\n

    Factors Influencing Complication Risk<\/strong><\/h2>\n\n\n\n

    Based on the case report and retrospective literature review:<\/p>\n\n\n\n