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All Journal Jurnal Plastik Rekonstruksi

Bangun, Kristaninta

Division Of Plastic, Reconstructive, And Aesthetic Surgery, Department Of Surgery, Faculty Of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital

Author-ID : 1015944

Civil Engineering, Building, Construction & Architecture Other

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Articles

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Rare Expression Of Van Der Wound Syndrome: A Case Report Revisited Bangun, Kristaninta; Widayanti, Nurina; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol. 3 No. 2 (2016): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Van der Woude syndrome (VWS) is a rare developmental malformation, characterized by pits in the lower lip. Van der Woude syndrome is an autosomal dominant craniofacial syndrome with various expression: lower lip pits, cleft lip with or without cleft palate, syngnathia, hypoodontia, and ankyloglossia. Extra-oral abnormalities findings can be found: syndactily, corpus callosum dysgenesis, megacolon, ventricular septal defect and genital abnormality. Methods: We reported a case of 5-month-old male with rare expression of VWS: bilateral cleft lip and palate, syngnathia, lower lip pits, ptosis of upper left eyelid and macropenis. Results: We perform surgery to release the fibrous band to achieve satisfactory maximum mouth opening. Next we perform cheiloplasty and lower lip pit removal. Conclusion: Proper surgical intervention in VWS patients can improve feeding and prevent further temporomandibular complications. Careful examination of patients with cleft lip and lower lip pit should be done to avoid misdiagnosis.

Cancellous Bone Versus Tricalcium Phospate (TCP) For Bone Grafting: A Literature Review And Case Report Of Alveolar Bone Grafting In Cipto Mangunkusumo Hospital Maulana, Muhammad Iqbal; Primadian, Akmal; Pancawati, Julieta; Bangun, Kristaninta
Jurnal Plastik Rekonstruksi Vol. 4 No. 2 (2017): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: In the last decade, there are various methods of bone grafting in plastic surgery. Cancellous bone is more often used as bone graft than cortical bone due to its high osteoconductivity and osteogenic capability. The synthetic materials for bone graft such as tricalcium phospate (TCP) and hydroxy-apatite can be use as new alternative for bone grafting surgery. Methods: The PubMed® databases were searched using the terms: ‘bone graft OR bone grafting’ AND ‘cancellous bone OR iliac crest OR tibia’ AND ‘tricalcium phospate OR tricalciumphospate OR tri calcium phospate’, restricted to English language, and to a publication period from January 2010 to January 2017. The inclusion criteria were any kind of research paper that compared the utility of TCP synthetic graft and autograft as a bone graft. Results: Out of 139 selected studies, only 8 met the inclusion criteria. In 6 publications TCP graft has similar outcome and in 1 publication have a better result in reducing post operative complication. Conclusion: TCP graft can be used as substitution for autograft in particular clinical conditions and surgical methods.

Use of Resorbable Plate and Screws in Pediatric Craniofacial Reconstructive Surgery Kreshanti, Prasetyanugraheni; Handayani, Siti; Bangun, Kristaninta; Tiza, Melina
Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: To evaluate two pediatric patients with syndromic craniofacial anomaly that underwent craniofacial reconstructive surgery using resorbable plate-screw systems which have been claimed as biodegradable fixation materials and used in craniofacial reconstructive procedures owing to their advantages such as adequate biomechanical resistance, longer dwelling time, elimination through physiological routes without causing any foreign body reaction and/or significant sequale. Patient and Method: Resorbable plate-screw systems used in 2 patiens for craniofacial reconstructive procedures such as bilateral fronto-orbital advancement and segmental right orbita (four wall box) osteotomy were evaluated as for their efficacy. Result: Adequate fixation was obtained in both patient, but Infection complication was seen in segmental right orbita osteotomy patient that appear localized abcess formation on subciliary incision and fronto medial insicion. After drainage insicion and antibiotic administration for 1 week, the infection was relieved. Summary: Owing to resorbable copolymer which contain a polyester derivate of L- lactidc and glycolic acid are ideal fixation materials used favourably in pediatric craniofacial reconstructive surgery and have further advantages such as adequate biomechanical resistance against distraction and compression forces in the early postoperative period, longer dwelling time and elimination from the body through physiological routes without causing any foreign body reaction.

Open Versus Closed Treatment Of Subcondyle Mandible Fracture: An Evidence-Based Case Report Bangun, Kristaninta; Nangingtuari, Irinawati; Olivia, Andria; Maulana, Muhammad Iqbal
Jurnal Plastik Rekonstruksi Vol. 5 No. 1 (2018): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background : Mandibular subcondyle fractures are accounted for 25%-35% of all mandible fractures. Closed treatment has been the preferred treatment for several years because it’s relatively easier and non invasive but the complications that may arise are varied. Open reduction was one of the options that is considered to reduce complications. This study examines whether open reduction was a better choice than closed reduction in the management of mandible subcondyle fracture with parameter outcomes are complications, facial nerve injury, pain, and mouth occlusion. Method: A literature study was conducted from two databases: PubMed and Journal of Cranio-Maxillo-Facial Surgery (JOMS) with predefined keywords and references from 23-28 January 2018. The search was conducted with mandible subcondyle fracture, open reduction, and closed reduction. The search has been limited only for the last 5 years and limited to meta-analysis and systematic review. From the search, there were three articles used based on inclusion criteria in this case review. Result: The reviewed articles showed that open reduction provides better results than closed reduction, although open reduction results in complications of facial injuries and facial nerve weakness, but the complications were transient and tolerable.Conclusion: Based on existing clinical evidence, open reduction was the preferred management rather than closed. reduction due to better outcome and fewer complication.

Reconstruction Of Noe Fracture With Immediate Diced Costal Cartilage Grafting: A Case Series Bangun, Kristaninta; Maulana, Muhammad Iqbal; Putra, Teuku Nanda
Jurnal Plastik Rekonstruksi Vol. 5 No. 2 (2018): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background : Naso-orbital-ethmoid (NOE) fracture is one of the common injury and the management remains difficult and controversial due to the anatomic complexity. Severe facial deformity and dysfunction are the results from the untreated injury. Moreover, the results from many procedures are not aesthetically satisfying. Meanwhile diced cartilage graft popularity is increasing in order to correct nasal deformity whether post trauma, revision (secondary) rhinoplasty or cleft nose. The procedure is less time consuming, easy to perform and also highly malleable. Methods : This study presents our experience in managing four patients with NOE fracture using costal cartilage graft technique immediately after injury. A columellar V-shaped incision was made, the finely diced cartilage harvested from the eight rib was injected to the glabella, dorsum and nasal tip using one cc syringe needle with cut tip. Demographic data were obtained from the patients’ medical record. Post-operative results were observed. Result: The four surgeries were done, with average 5.75 (range, 2-9) days after injury. During the observation, nasal tip misalignment was observed in only one patient. Diced cartilage were not visible through the skin, although it could be palpable. No cartilage extrusion were occurred. After averange follow up 10.25 mo (range 8-12 mo) All patients were satisfied with their facial appearance. Conclusion: The fracture of NOE can be manage with immediate diced costal cartilage graft, since this treatment can achieve a normal facial function and appearance. The complications are low and manageable, making it as serious contender technique of choice in managing NOE fracture to other techniques. Keywords: NOE fracture, diced costal cartilage graft, facial fracture

Nasal Aesthetic Evaluation Following Pre-Surgical Naso-Alveolar Molding Application: A Single-Blinded Cohort Retrospective Study in Indonesia Bangun, Kristaninta; Sukasah, Chaula Luthfia; Kamayana, Jenisa Amanda Sandiarini; Basuki, Adi; Halim, Jessica; Nahdiyat, Nur Eulis Pujiastuti; Harsanto, Agatha Novell; Pramudita, Arvin
Jurnal Plastik Rekonstruksi Vol. 8 No. 1 (2021): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i1.320

Introduction: As a major facial aesthetic unit, the nose is one of the significant features in cleft lip and palate repair. The use of a naso-alveolar molding (NAM) device was known to help narrow the cleft gap and improve nasal aesthetics. This study aims to evaluate post-operative nasal morphology in unilateral cleft lip and palate patients who had used presurgical NAM, particularly in an established craniofacial centre in one of developing countries. Methods: A cohort retrospective study was conducted at Cleft Craniofacial Centre, Cipto Mangunkusumo Hospital Indonesia, comparing the nasal symmetry in unilateral cleft lip patients with and without prior application of NAM (NAM and control group), twelve months following primary cheiloplasty. Differences between the cleft and normal side were assessed using standard basilar view photographs based on five points nasal measurements. Results: A total of twelve patients were enrolled, six with a history of NAM application and six without (control). Overall nasal measurements confirmed a lower mean of differences in the NAM group compared to the control, showing statistically significant results in nostril height, nasal dome height, and columellar height (p <0.05). Conclusion: This study provides an insight that cleft lip patients with a history of NAM application had superior nasal symmetry compared to patients without presurgical NAM application 1-year post-cheiloplasty. Presurgical NAM application is recommended for patients with unilateral cleft lip and palate.

Repair of Enophthalmus in Neglected Tetrapod Zygoma Fracture with Diced Cartilage Graft and Fascia Lata Sling Graft: A Case Report Bangun, Kristaninta; Halim, Jessica; Handayani, Siti
Jurnal Plastik Rekonstruksi Vol. 9 No. 1 (2022): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v9i1.332

Introduction: Zygoma fractures with orbital involvement, are the most common midfacial traumas, which cause severe aesthetic and functional sequelae. Late reduction of orbital floor fracture may result in entrapment of orbital soft tissue, predisposing the occurrence of enophthalmos. This article aimed to report enopthalmus correction in neglected tetrapod zygoma fracture case with autologous diced cartilage graft and fascia lata graft.Case Presentation: A 42-year-old female was injured in a traffic accident 8 years ago. Facial fracture was not repaired surgically, resulting in facial asymmetry and diplopia. Physical examination revealed right-sided zygoma deformity, 5mm dystopia, depressed malar eminence, gaze restriction and enophthalmus on the right eye. 3D CT scan confirmed a malunited neglected tetrapod zygoma fracture.Result: Corrective osteotomy was performed to reconstruct the tetrapod zygoma fracture using combination of bicoronal, infracilliary, and maxillary vestibular approach. 4-point fixation and stepladder modification was used. 1.6 cc of cartilage-derived diced bone graft was inserted on the posterior orbital floor to repair enophthalmos. Six months follow-up revealed improved dystopia and malar prominence. Additional surgery was done to repair scleral show and smoothen and augment lower lid volume using 4.5x0.6 cm fascia lata graft hammocked from the medial canthus to lateral orbital bone.Discussion & Conclusion: Long neglected zygoma fracture possessed a difficulty in reconstructing malunited zygoma articulation. Good aesthetic and functional outcome are achievable following use of diced cartilage and fascia lata graft for enophthalmus correction in neglected zygoma-orbital fracture, suggesting the role of fascia lata sling graft for treatment of scleral show and lower lid volume replacement.

Lima Protocol for Cleft Palate Repair in Cleft and Craniofacial Centre Cipto Mangunkusumo Hospital Indonesia: A Preliminary Study Bangun, Kristaninta; Halim, Jessica; Tania, Vika
Jurnal Plastik Rekonstruksi Vol. 9 No. 1 (2022): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v9i1.337

Background : The techniques of cleft palate repair has faced significant evolutions. More importantly, no surgical protocol has been significantly associated with lower incidence of post-operative complications such as fistula formation, velopharyngeal insufficiency, or speech hypernasality. As cleft width is a strong predictor of outcomes, The Lima Protocol was introduced to select suitable surgical technique based on the degree of severity measured by palatal index. This article aimed to evaluate the efficacy of the newly established Lima Protocol in lowering post-operative complications in primary cleft palate repair surgery in Cleft and Craniofacial Center, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.Case Presentation : This study is a case series featuring 6 patients with cleft palate treated with primary palatoplasty. Surgical techniques were selected based on the degree of severity measured by Palatal Index. The average age of performing primary palatoplasty was 14 months. 50% of the cases was classified as Veau 2 and the rest was Veau 3. Half of the patients fell into severe category based on Palatal Index and the other half was in moderate group. None of the patients developed fistula formation 3 months post-palatoplasty.Discussion & Conclusion: We confirmed that the 1-flap technique provided adequate closure comparable with the 2-flap technique without risking mucoperiosteal flap necrosis and fistula formation. Using the strengths of different surgical techniques individualized for each case based on the palatal index and grade of severity is indisputably a practical strategy. Trials with longer follow-ups are required to widely implement The Lima Protocol.

Unveiling Insights: Understanding Public Knowledge, Preferences, and Perceptions of Plastic Surgery in Indonesia Bangun, Kristaninta; Teuku Fadli Nazwan Sani; Jesica Putri Sudarman; Menna, Clara
Jurnal Plastik Rekonstruksi Vol. 12 No. 2 (2025): (2025) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i2.33

Background: Plastic surgery spans beyond aesthetics, yet public perception often limits it to cosmetic procedures. This study explores public knowledge, preferences, and perceptions of plastic surgery in Indonesia. Method: A cross-sectional study was conducted between June–July 2024 using a structured, 20-item online questionnaire covering demographics, knowledge, preferences, and perceptions. Data from 488 participants were collected and analyzed using SPSS (version 29, IBM Corp., Armonk, NY, USA). Results : A total of 488 participants were recruited; most recognized aesthetic surgery (92%), burns (85%), facial fractures (89%), and clefts (87%) as part of plastic surgery but were less aware of its role in penile reconstruction (55%) and finger amputation (38%). Most respondents rejected misconceptions about plastic surgery and expressed a high regard for appearance (89%), and 57.4% of all respondents had an aesthetic consultation. Despite this, trust in Indonesian plastic surgeons achieving global standards remained limited, with only 66% expressing trust. Conclusion: Although the Indonesian public generally aware of the basic roles of plastic surgery, significant knowledge gaps exist for specialized procedures. Despite valuing appearance, hesitation to seek services and the lack of trust in local surgeons highlight the need for public education and trust-building initiatives. The Indonesian public showed good understanding of plastic surgery, with gaps in knowledge of its more specialized procedures, and a lack of trust in local plastic surgeons.

Bottle Versus Syringe Feeding After Palatoplasty: A Systematic Review Permana, Lucky; Bangun, Kristaninta; Menna, Clara; Amaliah, Rizky
Jurnal Plastik Rekonstruksi Vol. 11 No. 2 (2024): (2024) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v11i2.369

Introduction : Postoperative feeding after palatoplasty should be initiated immediately to maintain nutritional intake while preserving the palatal sutures to avoid trauma or tension that can lead to wound rupture. Currently, there is no consensus on post-palatoplasty preferred feeding method. This study aims to compare bottle versus syringe feeding in post-palatoplasty patients.Method : A systematic search was conducted in five databases namely PubMed, Embase, Scopus, ProQuest, and CINAHL, with the following keywords; palatoplasty, cleft palate repair, bottle feeding, syringe feeding, outcome, complication, growth, and nutrition. The selected studies were critically appraised using the Oxford CEBM (Centre for Evidence-Based Medicine) critical appraisal tools.Results: Two studies were included, with a total of 162 subjects. Both studies found that the formation of postoperative wound dehiscence and weight gain did not significantly differ between bottle and syringe groups. However, faster weight gain was observed in the bottle group. Habits and cultural factors could influence the outcomes of these studies.Conclusion: Bottle feeding is not significantly inferior to using syringe in terms of short-term postoperative complications, and can be used as an alternative feeding method for post-palatoplasty patients.

Co-Authors A., Nur Agatha Novell Harsanto, Agatha Novell Amaliah, Rizky Anindhawati, Nur Arvin Pramudita, Arvin Atmaja, Tessa Miranda Atmodiwirjo, Parintosa Basuki, Adi Boaz, Grace Chen, Zung Chung Diah, Enrina Djamaloeddin, Chaula Djaprie, Shelly M Djoenaedi, Intania Evie Lamtiur Pakpahan Evie Lamtiur, Evie Fortuna, Fory Hakim, Intan Friscilla Halim, Jessica Hapsari, Nathania Pudya Harsono, Anastasia Dessy Imam Susanto Irwansyah, Denny Jesica Putri Sudarman Kamayana, Jenisa Amanda Sandiarini Kesuma, Ayu Diah Kreshanti, Prasetyanugraheni Kreshanti, Prasetyanugrahni Kusumastuti, Nadia Lestari, Puri Ambar Luh Karunia Wahyuni, Luh Karunia Mahandaru, Danu Martina, Nungki Ratna Maulana, Muhammad Iqbal Mendy Hatibie Menna, Clara Mulyadi Mulyadi Nahdiyat, Nur Eulis Pujiastuti Nangingtuari, Irinawati Nindita, Eliza Olivia, Andria Pancawati, Julieta Permana, Lucky Prawoto, Pujisriyani Primadian, Akmal Putra, Teuku Nanda Putri, Nandita Melati Rayeni, Natasha Ratna Sandhi, Afriyanti Sastrasupena, Aditya Herwandar Simamora, Huntal Siti Handayani Soetjipto Soepodo, Fernita Leo Sudjatmiko, Gentur Sudjatmiko, Gentur Sukasah, Chaula Luthfia Syamsul Rizal Tania, Vika Teuku Fadli Nazwan Sani Tiza, Melina Vityadewi, Nurardhilah Widayanti, Nurina

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