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All Journal Jurnal Plastik Rekonstruksi Journal of International Surgery and Clinical Medicine
Putra, Teuku Nanda
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Mirror foot: a case report of rare ten toes polydactyly Sitorus, Gina Yunita J.; Putra, Teuku Nanda; Ikhsan, Muhammad; Jannah, Siti Miftahul
Journal of International Surgery and Clinical Medicine Vol. 3 No. 2 (2023): (Available online: December 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i2.39

Abstract

Introduction: A rare congenital deformity known as "mirror image polydactyly" of the feet is typified by symmetrical duplication of the foot's digits. According to one study, only 28 cases (seven of which have treatment records) have been described in the English-language literature. Mirror foot can arise as a single congenital defect or a component of a hereditary syndrome involving several congenital defects. In this study, we reported a mirror foot case and emphasized its rarity, unusual presentation, and successful surgical treatment. Case presentation: A 3-month-old female child was born with unilateral mirror image polydactyly of the foot with congenital talipes equinovarus (CTEV) and congenital genu recurvatum. She was referred to the outpatient clinic of the surgery department of dr. Kariadi General Hospital. In a radiological examination, ten digits and nine metatarsals were found on the left foot. Preaxial duplicates of the first to fourth metatarsals were disarticulated, followed by ablation of five digits. The aim of surgical management for this case was to reconstruct a functional and cosmetically pleasing foot, which will benefit orthopedic surgeons in managing CTEV for serial cast correction. Six months after surgical intervention, the foot showed a satisfactory appearance. However, management of the CTEV was uneventful at the local orthopedic department, and the patient was referred to the pediatric orthopedic center in Jakarta. Conclusion: Incidence of mirror foot is extremely rare, and treatment must be tailored to each individual. Coordination among different departments should be pursued to ensure optimum care for patients.
Mirror foot : a case report of rare ten toes polydactyly Sitorus, Gina Yunit J; Putra, Teuku Nanda; Ikhsan, Muhammad; Jannah, Siti Miftahul
Journal of International Surgery and Clinical Medicine Vol. 4 No. 1 (2024): (Available online: 1 June 2024)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v4i1.36

Abstract

Background: A rare congenital abnormality known as "mirror image polydactyly" of the feet is typified by symmetrical duplication of the foot's fingers. According to Fukuzawa et al., only 28 cases—seven of which include treatment records—have been described in the English literature. Mirror foot can arise as a single congenital defect or a component of a hereditary syndrome involving several congenital defects. Methods: Our outpatient department received a referral for a 3-month-old infant who was born with unilateral mirror-image polydactyly of the foot, along with congenital talipes equinovarus (CTEV) and congenital genu recurvatum. A radiographic examination verified that the left foot had nine metatarsals and ten fingers. Five digits were ablation after preaxial duplicates of the first through fourth metatarsals were disarticulated. Results: Rebuilding a functional and aesthetically beautiful foot was the goal of the surgical care of this case, which will help orthopaedic surgeons manage CTEV for serial cast correction. The foot appeared excellent six months following the surgical procedure. The youngster was referred to the pediatric orthopaedic facility in Jakarta after the local orthopaedic department managed the CTEV without incident. Conclusion: Mirror feet are uncommon, and each patient needs treatment specifically designed for them. Coordination across various departments should be pursued to provide patients with the best care possible.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11055.437 KB) | DOI: 10.14228/jpr.v5i2.258

Abstract

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
Co-Authors Bangun, Kristaninta Jannah, Siti Miftahul Maulana, Muhammad Iqbal Muhammad Ikhsan Sitorus, Gina Yunit J Sitorus, Gina Yunita J.