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All Journal Jurnal Plastik Rekonstruksi Jurnal Rekonstruksi dan Estetik Cermin Dunia Kedokteran
Kawilarang, Bertha
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Civil Engineering, Building, Construction & Architecture Health Professions Medicine & Pharmacology Public Health Other

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Diagnosis dan Tatalaksana Sindrom Treacher Collins Kawilarang, Bertha
Cermin Dunia Kedokteran Vol 47, No 8 (2020): Kardiologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (455.727 KB) | DOI: 10.55175/cdk.v47i8.775

Abstract

Sindrom Treacher Collins adalah penyakit genetik langka yang menyebabkan berbagai malformasi kongenital terutama di kraniofasial. Diagnosis dapat ditegakkan sejak periode prenatal atau postnatal, analisis genetik untuk menentukan adanya mutasi gen merupakan diagnosis definitif. Tatalaksana multidisiplin dengan perencanaan tindakan operatif maupun non-operatif sejak lahir sampai usia dewasa.Treacher Collins syndrome is a rare genetic disease which causes various congenital malformation mainly in the craniofacial region. Diagnosis can be made in prenatal or postnatal period, genetic analysis to determine gene mutation remains as definitive diagnosis. Management requires a multidisciplinary approach, with of either operative or non-operative planning since birth to adult.
A Five-Year Epidemiological Analysis of Mandible Fractures in Bali Kawilarang, Bertha; Sanjaya, I Gusti Putu Hendra; Hamid, Agus Roy Rusly Hariantana
Jurnal Plastik Rekonstruksi Vol. 12 No. 1 (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.v12i1.382

Abstract

Introduction: This study aims to assess the prevalence, sociodemographic factors, and patterns of mandible fractures at Prof. dr. I.G.N.G. Ngoerah General Hospital, recognizing that more than half of all maxillofacial injuries are due to mandible fractures, attributable to the mandible's prominent structure.Methods: This retrospective study was held in Prof. dr. I.G.N.G. Ngoerah General Hospital. Data were collected from January 2018 to December 2023. A total of 289 samples were included in this study. Age, gender, anatomical location of the fractures and unilateral/bilateral involvement were reported. Results: During the period spanning January 2018 to December 2023, a comprehensive analysis of 289 mandible fracture cases was conducted. Notably, the highest incidence was observed in 2022, comprising 72 cases. Predominantly affecting males (72.7%) within the age bracket of 21-30 years (40.1%), these fractures were primarily attributed to road traffic accidents (64.4%), often associated with alcohol influence (43.9%). Remarkably, non-helmet usage was prevalent among the majority of patients (69.9%), particularly motorcycle drivers (53.3%). The parasymphysis region emerged as the most frequently affected area (38.1%), with unilateral involvement prevailing in the majority of cases (61.6%). Additionally, associated injuries were noted in 88.5% of cases, with management predominantly comprising open reduction internal fixation (ORIF) complemented by maxillomandibular fixation (MMF) in 66.8% of cases.Conclusions: The findings of this study reveal a progressive rise in the annual incidence of mandible fractures. Consequently, there is a pressing need to heighten awareness among healthcare practitioners when managing patients presenting with maxillofacial traumas.
PEDICLED ABDOMINAL FLAP FOR MALIGNANT DEFECT RECONSTRUCTION: A VIABLE ALTERNATIVE TO FREE FLAP Kawilarang, Bertha; Utami, Putu Trisna
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.70946

Abstract

Highlights: Pedicled abdominal flap remains a reliable reconstructive option in the era of microsurgery. Although a two-stage procedure, it provides safe and functional reconstruction. Compared to free flaps, it offers a simpler approach with fewer complications—crucial for cancer patients with limited prognosis. Abstract: Introduction: The pedicled abdominal flap, a commonly used reconstructive option, remains relevant in the era of advanced microsurgery despite the rising preference for free flaps. While free flaps offer advantages, they also carry risks of flap failure and require complex microvascular anastomosis, making them less suitable for certain patients. Case Illustration:  A 48-year-old female presented with a history of a non-healing ulcer over the left upper arm due to burn scarring from a flame injury sustained 20 years prior. Following tumor resection, debridement of the defect was done which showed complete loss of skin, subcutaneous tissue, and fascia of the upper arm. A rectangle shaped skin flap was designed on the left abdominal region on the same side as the defect on the affected upper arm. A pedicled axial fasciocutaneous flap was harvested from the left lumbar area of the abdomen, utilizing the paraumbilical perforators for vascularity. Discussion: This case report highlights the use of the pedicled abdominal flap in the reconstruction of defects resulting from malignancy, emphasizing its reliability and suitability in such complex scenarios. For individuals with malignancy, the pedicled abdominal flap is often favored due to its safer, single-stage procedure, minimizing complications and re-operation risks. Conclusion:  Compared to free flaps, the pedicled abdominal flap is a preferable choice in reconstructing defects in cancer patients due to its reliability, reduced risk of flap failure, and relatively simple surgical procedure. This is particularly important for cancer patients, where the focus is on achieving functional reconstruction while considering patient's prognosis.
Co-Authors Hamid, Agus Roy Rusly Hariantana Sanjaya, I Gusti Putu Hendra Utami, Putu Trisna