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Superior Laryngeal Nerve Injury in Thyroidectomy Surgery Taufiq Urahman; Sunarto Reksoprawiro
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14463

Introduction: The thyroid gland is one of the endocrine glands with the most frequent disorders or diseasescompared to other endocrine glands. Treatment of these disorders is generally performed by surgery orcalled a thyroidectomy. Thyroidectomy surgery can pose a risk of complications, both early complications,and late complications. Common complications are hemorrhage, hypoparathyroidism, recurrent laryngealnerve injury, and external branch of the superior laryngeal nerve.Purpose: To analyze the effect of the surgical method of superior thyroideal vasa ligation as distally aspossible on the prevention of injury to the external branch of the superior laryngeal nerve (EBSLN) inthyroidectomy.Methods: Clinical trial study with pre and post-test design in patients undergoing thyroidectomy surgery.Patients were examined using a questionnaire of the injury-related voice of EBSLN (SKC-EBSLN), whichtested the validity and reliability of the previous test and measured 1-octave sound ability before and afterthyroidectomy surgery using the superior thyroidectomy vasa ligation method as distally as possible to seeits effect on EBLSN function and tone ability function.Results: There were differences in the scores of the SKC-EBSLN questionnaire before and afterthyroidectomy surgery using the method of superior thyroideal vasa ligation as distally as possible (p<0.05). Further analysis showed that clinical diagnosis, surgery, tumor size, and AP outcome did not havea statistically significant effect on the postoperative SKC-EBSLN score (p> 0.05). In this study, the SKCEBSLN score had a significant effect on the 1-octave tone ability (p <0.05).Conclusion: As many as 51.9% of patients had a normal voice condition with few complaints and wereable to sing 1-octave tone after surgery using the method of superior thyroidal vasa ligation as distally aspossible. The SKC-EBSLN questionnaire is a valid and reliable questionnaire to evaluate the results ofthyroidectomy surgery.

A Study Demographic, Histopathological Patterns and Clinical Profile of Oral Squamous Cell Carcinoma in East Java, Indonesia: A Hospital-Based Study Kania Difa Parama; Nina Irawati; Sunarto Reksoprawiro; Sahudi
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 12 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v5i12.373

Background. Cancer remains a health problem in the world. Estimated 12,7 million new case and 7,6 deaths cause of cancer each year. Oral carcinoma is one of head and neck carcinoma. Oral carcinoma is 6th the most cancer in the world and 90% of the cases are squamous cell carcinoma. The purpose of this research is to study the clinic-epidemiological profile among Indonesian patients associated with oral cancer cases managed in Head and Neck Surgery Unit of Dr Soetomo General Hospital between January 2013- December 2016.Methods. Records of 116 cases were reviewed for clinical details, histopathological data, and follow-up status. Study variables included demographic factor, modifiable risk factors such as tobacco usage and alcohol consumption, site involved, staging, histopathological result, and treatment modalities. Data was presented in form of percentages and proportions.Results. Out of the total 116 cases, majority of the subjects were above 40 years old. Twenty-two (22%) of subjects were young adult (below 40 years old). Seventy-seven subjects (77 %) were male. It was observed that 16 cases (21%) of male subjects was a smoker before they had disease. No female subject consumed tobacco in all form or drinking alcohol. The most common site involved was tongue, followed by lower ginggivo-buccal complex. Histopathologically, 110 cases (95%) was well-differentiated squamous cell carcinoma. Most of the cases (88.8 %) were in advanced stage (stage III or IV) and were treated with surgery followed by adjuvant therapy.Conclusions. The most common site for oral cancer was tongue and majority of the cases were well-differentiated squamous cancer presented in advanced stage of disease. We observed that alcohol consumption and smoking did not have any role in causing oral cancer in women, therefore further study needed to evaluate other possible factors such as diet pattern and oral hygiene. Cigarette smoking might be the cause of oral cancer in male patients.

A Study Demographic, Histopathological Patterns and Clinical Profile of Oral Squamous Cell Carcinoma in East Java, Indonesia: A Hospital-Based Study Kania Difa Parama; Nina Irawati; Sunarto Reksoprawiro; Sahudi
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 12 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v5i12.373

Background. Cancer remains a health problem in the world. Estimated 12,7 million new case and 7,6 deaths cause of cancer each year. Oral carcinoma is one of head and neck carcinoma. Oral carcinoma is 6th the most cancer in the world and 90% of the cases are squamous cell carcinoma. The purpose of this research is to study the clinic-epidemiological profile among Indonesian patients associated with oral cancer cases managed in Head and Neck Surgery Unit of Dr Soetomo General Hospital between January 2013- December 2016.Methods. Records of 116 cases were reviewed for clinical details, histopathological data, and follow-up status. Study variables included demographic factor, modifiable risk factors such as tobacco usage and alcohol consumption, site involved, staging, histopathological result, and treatment modalities. Data was presented in form of percentages and proportions.Results. Out of the total 116 cases, majority of the subjects were above 40 years old. Twenty-two (22%) of subjects were young adult (below 40 years old). Seventy-seven subjects (77 %) were male. It was observed that 16 cases (21%) of male subjects was a smoker before they had disease. No female subject consumed tobacco in all form or drinking alcohol. The most common site involved was tongue, followed by lower ginggivo-buccal complex. Histopathologically, 110 cases (95%) was well-differentiated squamous cell carcinoma. Most of the cases (88.8 %) were in advanced stage (stage III or IV) and were treated with surgery followed by adjuvant therapy.Conclusions. The most common site for oral cancer was tongue and majority of the cases were well-differentiated squamous cancer presented in advanced stage of disease. We observed that alcohol consumption and smoking did not have any role in causing oral cancer in women, therefore further study needed to evaluate other possible factors such as diet pattern and oral hygiene. Cigarette smoking might be the cause of oral cancer in male patients.

COMPREHENSIVE RECONSTRUCTION OF FACIAL DEFECTS: A CASE STUDY UTILIZING COMBINED SKIN FLAP TECHNIQUES AND COMPOSITE GRAFT CHONDROCUTANEOUS Nico Lumintang; Sherly Tandililing; Sunarto Reksoprawiro; Melky Rendy Papea
JHN: Journal of Health and Nursing Vol. 3 No. 1 (2025): JHN: Journal of Health and Nursing
Publisher : ASIAN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58738/jhn.v3i1.685

Post-operative defects of skin tumor removal in the facial area, especially the nasal area, are very common. Reconstruction of defects in the nasal, presents a great challenge for surgeons where the presence of asymmetric conditions, changes in skin color and texture will be easily visible and cause changes in facial shape. In addition, to maintain and restore the function of the defective part that will be reconstructed, it requires high precision and expertise to obtain good results aesthetically and functionally. In this article, we present 3 cases of the combined use of auricular chondrocutaneous composite graft and paramedian forehead flap in defect reconstruction full thickness nasal ala after tumor excision. Two cases were unilateral reconstruction and 1 other case was bilateral reconstruction. Previously, the patient had been educated about the choice of surgical technique, risks and benefits of the surgical technique to be used and the patient had agreed to it. The reconstruction results in all three cases showed excellent results both aesthetically and functionally. The shape and contour of the thin auricular cartilage are very suitable for forming the nasal ala without the need for surgical molding as in other cartilage graft donors. The thin skin attached to the cartilage not only forms a lining which is perfect but also forms a wide nostril space. The weakness of the auricular chondrocutaneous composite graft in terms of vascularization supply can be overcome with paramedian forehead flap, which is also a large skin donor with contours and skin color that are most similar to the skin of the nasal. This procedure provides excellent results in terms of aesthetics and functionality, as well as minimal complications and donor mobility, so it can be the procedure of choice for reconstruction of large defects in the nasal after tumor removal.

Comprehensive Reconstruction of Facial Defects: A Case Study Utilizing Combined Skin Flap Techniques and Composite Graft Chondrocutaneus Reksoprawiro, Sunarto; Lumintang, Nico; Tandililing, Sherly; Papea, Melky Rendy
Blantika: Multidisciplinary Journal Vol. 3 No. 6 (2025): Special Issue
Publisher : PT. Publikasiku Academic Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57096/blantika.v3i6.362

Post-operative defects of skin tumor removal in the facial area, especially the nasal area, are very common. Reconstruction of defects in the nasal, presents a great challenge for surgeons where the presence of asymmetric conditions, changes in skin color and texture will be easily visible and cause changes in facial shape. In addition, to maintain and restore the function of the defective part that will be reconstructed, it requires high precision and expertise to obtain good results aesthetically and functionally. In this article, we present 3 cases of the combined use of auricular chondrocutaneous composite graft and paramedian forehead flap in defect reconstruction full tickness nasal ala after tumor excision. Two cases were unilateral reconstruction and 1 other case was bilateral reconstruction. Previously, the patient had been educated about the choice of surgical technique, risks and benefits of the surgical technique to be used and the patient had agreed to it. The reconstruction results in all three cases showed excellent results both aesthetically and functionally. The shape and contour of the thin auricular cartilage are very suitable for forming the nasal ala without the need for surgical molding as in other cartilage graft donors. The thin skin attached to the cartilage not only forms liningwhich is perfect but also forms a wide nostril space. The weakness of the auricular chondrocutaneous composite graft in terms of vascularization supply can be overcome with paramedian forehead flap, which is also a large skin donor with contours and skin color that are most similar to the skin of the nasal. This procedure provides excellent results in terms of aesthetics and functionality, as well as minimal complications and donor mobility, so it can be the procedure of choice for reconstruction of large defects in the nasal after tumor removal.

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