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All Journal Jurnal Rekonstruksi dan Estetik Indonesian Journal of Cancer
Yunanto Kurnia
Department Of Surgery, Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Public Health

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MANAGEMENT OF A RARE CASE OF PEDIATRIC DEEP STERNAL WOUND INFECTION WITH VACUUM-ASSISTED CLOSURE (VAC) Ramli, Rianto Noviady; Kusumaputri, Ayu Prima; Prabowo, Arif Yudho; Kurnia, Yunanto; Prawoto, Almas Nur
Jurnal Rekonstruksi dan Estetik Vol. 7 No. 2 (2022): Jurnal Rekonstruksi dan Estetik, December 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v7i2.41217

Abstract

HIGHLIGHTS: 1.This case series demonstrates that the combination of micro and nano fat shows promising results for overcoming facial contour deformity.2. Growth factors and stem cells in nano fat complemented the micro fat properties, thus increasing the survivability rate.   ABSTRACT: Background: Patients with craniofacial clefts who have had reconstructive surgery often develop problems,such as contour deformity that will cause psychological issues. Micro and nano fat grafting are various methods utilized to overcome these issues. Case and Operation Technique: This case series describes two patients with facial contour deformities due to Tessier 3 and 4 craniofacial clefts, respectively. Each patient underwent secondary reconstruction correction surgery followed by a combination of micro and nano fat grafting. Discussion: Results on day 7 after surgery were promising. Growth factors and stem cells in nano fat complemented the micro fat properties, thus increasing the survivability rate. Conclusion: This case series demonstrates that the combination of micro and nano fat shows promising results for overcoming facial contour deformity.
Complex Pediatric Neuroblastoma Presenting With Superior Vena Cava Syndrome, Tumor Lysis, and Massive Pleural Effusion Maya Novariza; Sri Mulatsih, MD, PhD; Pudjo Hagung Widjajanto; Alexandra Pangarso; Dito Pondra Dharma; Aulia Suluk Brilliant Sumpono; Yunanto Kurnia; Clements Nicodhemus Garuda Nagara
Indonesian Journal of Cancer Vol. 20 No. 2 (2026): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v20i2.1637

Abstract

Background: The simultaneous presence of superior vena cava syndrome, tumor lysis syndrome, massive pleural effusion, and metabolic syndrome in a child with mediastinal neuroblastoma is exceedingly rare and sparsely described in the literature. The concurrent occurrence of superior vena cava syndrome (SVCS), tumor lysis syndrome (TLS), massive pleural effusion, and metabolic syndrome in a pediatric patient is exceedingly rare and poses significant diagnostic and therapeutic challenges. This case report highlights a rare and urgent clinical scenario involving these overlapping conditions.Case Presentation: An 8-year-old girl presented with shortness of breath, facial swelling, cough, and a neck lump. Imaging revealed a large mediastinal mass with massive right pleural effusion. Laboratory findings supported the diagnosis of TLS and metabolic syndrome in the context of obesity. Histopathology confirmed the differentiation of neuroblastoma. The patient was managed with steroids, chemotherapy, drainage, and supportive care, including metabolic syndrome assessment and nutritional interventions. Conclusions: This case emphasizes the importance of early recognition and multidisciplinary management of complex pediatric oncology emergencies. SVCS, TLS, and massive pleural effusion may co-occur in rare mediastinal neuroblastomas, especially in children with obesity and metabolic syndrome. Prompt recognition and integrated multidisciplinary care are essential to improve outcomes in complex pediatric oncology emergencies.
Co-Authors Alexandra Pangarso Aulia Suluk Brilliant Sumpono Clements Nicodhemus Garuda Nagara Dito Pondra Dharma Kusumaputri, Ayu Prima Maya Novariza Prabowo, Arif Yudho Prawoto, Almas Nur Pudjo Hagung Widjajanto Ramli, Rianto Noviady Sri Mulatsih, MD, PhD