Claim Missing Document
Check
Articles

Found 2 Documents
Search

Conservative Wound Treatment in DMT2 Patients Using Honey Laksmi, Putu Pradnyasanti; Saraswati, Made Ratna; Rooseno, Ratna Rayeni Natasha; Devinta, Made Ratih Santi; Santosa, Agus
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 02 (2023): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i02.4645

Abstract

Background : The number of diabetic patients in Indonesia is on the rise. In contrast to typical wounds in non DMT2 patients, chronic wounds in DMT2 patients heal more slowly, which makes it difficult to achieve complete primary wound healing. Thus, surgery is frequently required to achieve optimal healing. Patients' physical condition, age, comorbidities, and financial circumstances such as high medical costs frequently limiting patients from receiving comprehensive care, resulting alternative treatments are required to treat chronic wounds in DMT2 patients whom prefer conventional medications, addressing all circumstances. Honey, in addition to having fructose compounds, which has the benefit of increasing glucose homeostasis and insulin response, resulting in lower insulin and plasma glucose levels, also has been shown to contain anti-inflammatory and antimicrobial substances that aid in wound healing. Thus, it may be an alternative therapy for chronic wound in DMT2 patients. Methods : A Case-series studies of four DMT2 patients who were referred to Plastic and Reconstructive Outpatient ward with chronic wound were evaluated on a monthly basis following conservative treatment using Nusantara local honey-coated gauze. Result : Secondary wound healing, which can be assessed from the epithelialization process started from the peri-wound area has been obtained through monthly observations. Conclusion : Honey is used as an alternative therapy for patients with diabetic foot ulcers due to its anti-microbial and anti-inflammatory properties in the wound healing process. Furthermore, honey is considered less expensive and more affordable alternative for patients with co-morbidities that is impossible to operate, or with financial limitations. Keywords: DMT2, Chronic wound, Honey
Literature Review for Iliaca, Scapula, and Fibula Free Flap as A Modality in Mandibular Ameloblastoma Reconstruction Tillasman, Natassya Sandra; Laksmi, Putu Pradnyasanti; Roosseno, Ratna Rayeni Natasha; Hamid, Agus Roy Rusly Hariantana
Journal of Society Medicine Vol. 3 No. 6 (2024): June
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i6.152

Abstract

Introduction: Mandibular reconstruction is complex as there are multiple goals for the final outcome, with a main focus of returning form and function as close to baseline as possible. It may be challenging for ameloblastoma treatment which is focused on surgical resection with a wide margin of normal tissue because of its high propensity for regional invasion. Free vascularized bone flaps are widely recognized as the optimal reconstruction for this case and have been widely developed from the iliaca, scapula, or fibula. Methods: Using the PubMed and Google Scholar databases, we searched for reported cases of ameloblastoma published in the English-language literature. Results: We were able to retrieve 47 acceptable literatures and perform a comprehensive literature review, particularly those using microvascular composite free flaps, then compared iliaca, scapula, and fibula free flaps to identify optimal flap choice for mandibular reconstruction. In addition, we present an additional case of ameloblastoma affecting the anterior mandible in a 26-year-old male patient. Conclusion: Microsurgical techniques are now considered safe and reliable in reconstruction of the jaws by reestablishing the continuity and normal anatomy, aiding to restore the normal function of swallowing, mastication, and speech production. In our experience, free osteocutaneous fibula flap technique is a further confirmation of its potential in the reconstruction of hard and soft tissue in maxillofacial surgery.