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  • NO. Sub Bagian 1 Laring-Faring: Usulan Kebutuhan Implant KSM THT-KL 2021

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    rahmihaolongan
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    This document summarizes the implant needs for ENT procedures at a hospital in 2021. It includes tracheostomy cannulas, stents, voice prosthetics, and ear tubes needed for diagnoses like tracheal stenosis, post-laryngectomy, otitis media, and otosclerosis. It also lists plate and screw types needed for facial reconstruction after procedures for conditions like mouth floor cancer, facial fractures, jaw tumors, and malocclusions. Specifications and quantities of each implant are specified. The head of the ENT department approves the proposed implant needs.

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    Implant THT-KL Revisi

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    This document summarizes the implant needs for ENT procedures at a hospital in 2021. It includes tracheostomy cannulas, stents, voice prosthetics, and ear tubes needed for diagnoses like tracheal stenosis, post-laryngectomy, otitis media, and otosclerosis. It also lists plate and screw types needed for facial reconstruction after procedures for conditions like mouth floor cancer, facial fractures, jaw tumors, and malocclusions. Specifications and quantities of each implant are specified. The head of the ENT department approves the proposed implant needs.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    6 views6 pages

    NO. Sub Bagian 1 Laring-Faring: Usulan Kebutuhan Implant KSM THT-KL 2021

    Uploaded by

    rahmihaolongan
    This document summarizes the implant needs for ENT procedures at a hospital in 2021. It includes tracheostomy cannulas, stents, voice prosthetics, and ear tubes needed for diagnoses like tracheal stenosis, post-laryngectomy, otitis media, and otosclerosis. It also lists plate and screw types needed for facial reconstruction after procedures for conditions like mouth floor cancer, facial fractures, jaw tumors, and malocclusions. Specifications and quantities of each implant are specified. The head of the ENT department approves the proposed implant needs.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    NO.

    SUB BAGIAN
    1 LARING-FARING

    2 OTOLOGI

    PLASTIK
    3
    REKONSTRUKSI
    DIAGNOSA NAMA TINDAKAN
    1. Obstruksi Jalan Nafas Tracheostomy Cannula

    2. Stenosis Tracheal Stent Tracheal

    3. Pasca Laringektomi Provox Voice

    1. OME 1. Timpanostomi + Pemasangan grommet tube ec


    otitis media efusi

    2. Otosklerosis 2. Stapedectomy

    1.Malignant neoplasm overlapping floor of mouth site 1. Other reconstruction of the facial bone
    2. Other reconstruction of the mandible
    3. Other excision of mouth
    4. Other skin graft to lip and mouth
    2.Fractures of malar and maxillary bones 1. Other open reduction of facial fracture
    2. Other reconstruction of other facial bone
    3.Benign neoplasm of lower jaw bone 1. Partial mandibulectomy
    2. Other recontruction of the mandible
    4.Plantar fascial fibromatosis 1. Open Reduction of mandibular fracture
    2. Open Reduction Of mandibular fracture
    5.Unspecified severe protein energy malnutrition 1.Insertion of palatal implant
    2.Total osteotomi of maxila
    3.Temporary tracheostomy
    6.Fracture of lower or distal ends 1. Other reconstruction of mandible
    7.Malocclution 1. Other reconstruction of mandible
    8.Frakture of other skull and facial bones 1. Other reconstruction of other facial bone
    9.Fracture of mandible 1. Other reconstruction of mandible
    10.Anomalies of jawcranial bone relationship 1. Other orthognathic surgery on mandible
    USULAN KEBUTUHAN IMPLANT KSM THT-KL 2021

    KODE INA CBGS/TOP UP


    Portex Blue Line Non fenestrated + Cuff

    Portex Blue Line fenestrated + Cuff

    Montgomery T-Tube

    Grommet tube

    Torp

    76.46
    76.43
    27.49
    27.56
    76.79
    76.46
    76.31
    76.43
    76.76
    76.76
    27.64
    76.44
    31.1
    76.43
    76.43
    76.46
    76.43
    76.64
    NT KSM THT-KL 2021

    IMPLANT
    SPESIFIKASI
    no 7
    no 7,5
    no 8

    no 7
    no 7,5
    no 8

    no 7
    no 8
    no 10
    no 12

    1. Micro plate 1.2 mm (212-0042) 37 x 50 mm mesh plate


    2. Midface plate 1.6 mm (218-2002) 40 x 40 mm rigid OsteoForm Mesh Plate
    3. Midface auto - drive screw 1.6 mm (211-1608) 1.6mm x 8mm auto drive screw
    4. Mini plate 2.0 mm series (210-0034) 16 hole straight plate
    5. Midface plate 1.6 mm (213-0011) 10 hole curve plate
    6. Midface plate 1.6 mm (218-0019) 1.6 mm rigid straight plate 10 hole
    7. Midface auto - drive screw 1.6 mm (211-1606) 1.6mm x 6mm auto drive screw
    8. Midface auto - drive screw 1.6 mm (211-1605) 1.6mm x 5mm auto drive screw
    9. Mini screw 2.0 (2216-2008) 2.0 mm x 8 mm auto drive screw
    10. Midface plate 1.6 mm series (218-0028) X plate
    STANDAR BMHP KETERANGAN
    JUMLAH KEBUTUHAN UNTUK TINDAKAN
    15 Set
    15 Set
    10 Set

    10 Set
    10 Set
    10 Set

    2 Set
    2 Set
    2 Set
    2 Set

    10 Set

    12 Box

    4 buah
    4 buah
    15 buah
    4 buah
    15 buah
    20 buah Ketua KSM THT
    50 buah
    30 buah
    15 buah dr. Novialdi,
    NIP. 19651122 SpTH
    19
    4 buah
    Ketua KSM THT-KL

    dr. Novialdi,
    NIP. 19651122 SpTHT-KL(K),
    199703 1001FICS

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