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Sinta Chaira Maulanisa
Universitas Riau
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Subplatysmal Flap Reconstruction After Hemiglossectomy and Radical Neck Dissection for Tongue Squamous Cell Carcinoma in low-resource settings Fahreza Syukri; Muhammad Zaki Abdul Hafiz; Andrea Valentino; Effif Syofra Tripriadi; Fathar Usman Bunawir; Muhammad Salamullah; Sinta Chaira Maulanisa
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55488

Abstract

Background: Squamous cell carcinoma (SCC) of the tongue exhibits aggressive local behavior and a high propensity for early cervical lymphatic metastasis. The routine management of locally advanced disease consists of hemiglossectomy with radical neck dissection followed by primary reconstruction. In many low-resource settings, microvascular free flaps may not be feasible due to limited infrastructure, prolonged operative times, or patient comorbidities. The subplatysmal flap offers a practical, time-efficient alternative in such circumstances. Case Presentation: We report a 71-year-old male with stage T3N2bM0 tongue SCC who underwent hemiglossectomy and ipsilateral RND, followed by immediate reconstruction using a subplatysmal flap harvested from the anterior cervical triangle. The flap provided adequate coverage, excellent viability, and satisfactory functional recovery, with no major postoperative complications. Conclusion: The subplatysmal flap is relatively safe and oncologically acceptable as well as functionally efficient method for moderate-size tongue defect, especially for older age or comorbid patient and non-microsurgical center.
Community-Based Tele-Mentored Ultrasound for Urological Screening in Rural Primary Care Afdal; Indra Jaya; Muhammad Teguh Hardiansyah; Muhammad Adan Yashar; Gatot Aji Prihartomo; Romy Deviandri; Sinta Chaira Maulanisa
Jurnal Pengabdian UNDIKMA Vol. 7 No. 2 (2026): May
Publisher : LPPM Universitas Pendidikan Mandalika (UNDIKMA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/jpu.v7i2.20028

Abstract

This community service activity aims to assess the feasibility and impact of the community-based HHUS tele-mentoring program for urological screening in rural primary healthcare centers in Indonesia. A prospective quasi-experimental study was conducted from August to October 2025 at Pangkalan Baru Primary Health Center, Riau, Indonesia. Four general practitioners (GPs) underwent a one-day HHUS training session, followed by one month of tele-mentoring using the UroSono Mentor app, a telemedicine platform that supports both real-time video consultation and asynchronous image review, and one additional month of independent practice. Confidence, usability, feasibility, mentor responsiveness, patient satisfaction, and behavioral intention were assessed using structured questionnaires. Data were analyzed using the Friedman test (p < 0.05). Confidence scores improved significantly across all phases (p = 0.018), increasing from 2.06 (pre-training) to 4.37 (tele-mentoring) and 3.81 (independent practice). Training satisfaction was high (3.81 ± 0.19), with positive ratings for mentor responsiveness (4.44 ± 0.24) and usability (4.13 ± 0.14). Patient satisfaction averaged 4.49 ± 0.54. Of the 26 patients examined, 69.2% had normal findings, while 30.8% required referral. Community-based tele-mentored HHUS effectively enhanced GPs’ competence and confidence, achieving strong acceptance among both healthcare providers and patients. The UroSono Mentor model shows promise for scalable integration into rural urological screening programs.
Co-Authors Afdal Andrea Valentino Effif Syofra Tripriadi Fahreza Syukri Fathar Usman Bunawir Gatot Aji Prihartomo Indra Jaya Muhammad Adan Yashar Muhammad Salamullah Muhammad Teguh Hardiansyah Muhammad Zaki Abdul Hafiz Romy Deviandri