PENYAKIT KELENJAR SALIVARY

oleh
GOSTRY ALDICA DOHUDE
pembimbing
dr. SINTA SARI RATUNANDA.,M.K es, Sp.T.H.T.K.L (K)

BAGIAN ILMU KESEHATAN TELINGA HIDUNG TENGOROKAN

BEDAH KEPALA LEHER
FAKULTAS KEDOKTERAN
UNIVERSITAS PADJAJARAN
BANDUNG
2015

PENDAHULUAN
Penyakit
Kelainan
padaNeoplastik
Non
kelenjar
Neoplastik
ludah

ANATOMI KELENJAR LUDAH

1. . Kelenjar Parotis
. Kelenjar parotis merupakan kelenjar ludah
terbesar
. Kelenjar parotis mengalirkan saliva yang
bersifat serous kedalam rongga mulut
melalui duktus stensen

CONTROL OF POSTOPERATIVE
HEMORRHAGE

CONTROL OF POSTOPERATIVE

Pain and Discomfort

three characteristics of the pain that occurs after
tooth extraction :
1. the pain is usually not severe and can be
managed
in
most
patients
with
mild
analgesics.
2. the peak pain experience occurs about 12
hours after the extraction and diminishes
rapidly after that.
3. Signifi cant pain from extraction rarely persists
longer than 2 days after surgery. With these
factors in mind, patients can best be advised
regarding the eff ective use of analgesics.

Diet
A high-calorie, high-volume liquid or soft diet is
best for the fi rst 12 to 24 hours.
Patient must have an adequate intake of fl uid
for the fi rst 24 hours.
Food in the fi rst 1 2 hours should be soft and
cool.
If the patient had multiple extractions in all
areas of the mouth, a soft diet is recommended
for several days after the surgical procedure.
Diabetic patient should be encouraged to
return to their normal insulin and caloric intake
as soon as possible

Oral Hygiene
Patients should be advised that keeping the teeth
& mouth clean results in a more rapid healing.
Patient may gently brush the teeth that are away
from the area of surgery.
Avoid immediate brushing the postoperative site to
prevent a new bleeding, avoid disturbing sutures,
& avoid inducing more pain.
The next day, patients should begin gentle rinses
with dilute salt (warm) water.
If oral hygiene is likely to be diffi cult after
extractions in multiple areas of the mouth, mouth
rinses with agents such as dilute hydrogen
peroxide may be used. 3 times a day for
approximately 1 week.

Edema

Once the surgery is completed, use ice packs to

help minimize the swelling and make the patient
feel more comfortable.
On the second postoperative day, neither ice nor
heat should be applied to the face.
On the third and subsequent postoperative days,
application of heat may help to resolve the swelling
more quickly
Swelling usually reaches its maximum 36 to 48

Prevention and Recognition of

Infection
The principles are to minimize tissue damage,
remove sources of infection, and cleanse the
wound.
Antibiotics
in the patients with depressed
immune host-defense responses should be
administered before the surgical procedure is
begun. Additional antibiotics after the surgery
are
usually
not
necessary
for
routine
extraction in healthy patients.

TRISMUS
Limitation in mouth opening
Trismus results from trauma and the resulting
infl ammation involving the muscles of
mastication.
Trismus may also result from multiple
injections of the local anesthetic, especially if
the injections have penetrated muscles.

ECCHYMOSIS
Blood in the submucosal or subcutaneous
tissues is known as ecchymosis.
Onset of ecchymosis is 2 to 4 days afte
surgery, and resolves within 7 to 10 days.

POSTOPERATIVE FOLLOW-UP
All patients seen by novice surgeons should
be given a return appointment so that the
surgeon can check the patient's progress
after the surgery and learn the appearance of
a normally healing socket.

OPERATIVE NOTE
Elements of an Operative Note
1. Date
2. Patient name and identification
3. Diagnosis of problem to be managed surgically
4. Review of medical history, medications, and vital signs
5. Oral examination
6. Anesthesia (amount used)
7. Procedure (including description of surgery and
complications)
8. Discharge instructions
9. Medications prescribed and their amounts (or attach
copy of
prescription)
10. Need for follow-up appointment
11. Signature (legible or printed underneath)

THANK YOU