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Boaz, Grace
Yayasan Lingkar Studi Bedah Plastik
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Journal : Jurnal Plastik Rekonstruksi

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Long Term Follow-up of Vascularized Dermal Fat Transfer Atmodiwirjo, Parintosa; Boaz, Grace
Jurnal Plastik Rekonstruksi Vol. 1 No. 6 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.441 KB) | DOI: 10.14228/jpr.v1i6.113

Abstract

Backgrounds: Fibrous dysplasia is an uncommon, benign disorder characterized by a tumor-like proliferation of fibro-osseous tissue. It can present as an autosomal dominant disorder affecting the mandible and maxilla bones in children in their teenage years. The patient manifests with unilateral firm swelling of cheek. It can be managed by excision and resulting contour defect that can be managed by reconstructing using vascularized dermal fat. Resorption is the main problem due to an insuf!cient blood supply, and vascularized dermal fat have been described to minimize this problem.Patients and Methods: In this study we report the results after insertion of vascularized dermal fat into zygomatic-maxilla region. The method consists of implantation of vascularized dermis with attached subcutaneous fat from the antero-lateral thigh (ALT) into the right zygomatic-maxilla region, anastomosing the vascular with temporal superficial vessel. During a one-year follow up, the patient showed good results. Graft atrophy was observed. Despite the more extensive surgery and some minor complications the safety of this method with good functional and cosmetic results makes vascularized dermal fat an excellent alternative to reconstruct facial contour defect.Results: Compared with free-fat grafts, resorption rates for vascularized adipose tissue transfers are very low. Satisfactory cosmetic results were also achieved.Summary: The advantages of this method is the minimized resorption and an excellent functional and cosmetic result. Therefor, we imply that vascularized dermal fat is an excellent method to reconstruct facial contour defect.
Distraction Osteogenesis for Micrognathia in Cipto Mangunkusumo Hospital : A Case Series Boaz, Grace; Kreshanti, Prasetyanugraheni; Handayani, Siti; Bangun, kristaninta
Jurnal Plastik Rekonstruksi Vol. 2 No. 1 (2013): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (436.991 KB) | DOI: 10.14228/jpr.v2i1.127

Abstract

Background: Micrognathia is usually associated with genetic syndromes, characterized by mandibular hypoplasia causing a receding chin. The overall incidence of micrognathia was 1 per 1600 births, makes it a rare case. Severe micrognathia can be a neonatal emergency due to airway obstruction by the tongue in the small oral cavity. One method for correcting micrognathia is distraction osteogenesis. Lack of experience due to rare incidence of case, expensive cost of distraction device and technical complexity of the operation can be obstacles to this management. Patient and Method: We report two cases of micrognathia corrected with distraction osteogenesis conducted in Cipto Mangunkusumo Hospital from 2011-2012. The method consists of implantation of bilateral distraction device to the inferior border of the mandibular body. The patients then followed postoperatively. Result: Mandibular lengthening by gradual distraction is a proper method for young patients with micrognathia. Despite our minimal experience and intricate kind of method, we are trying to improve our skill in the future. Summary: Distraction osteogenesis is one method for correcting congenital mandibular hypoplasia.
Co-Authors Atmodiwirjo, Parintosa Bangun, Kristaninta Kreshanti, Prasetyanugraheni Siti Handayani