Laksmitarani, Niken
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Modern Wound Dressings as Wound Care After Necrotomy Debridement at Right Submadible extended to Submentale region due to Necrotizing Fasciitis: A Case Report Laksmitarani, Niken; Priyanto, Winarno; Sjamsudin, Endang
Journal of Case Reports in Dental Medicine Vol 3, No 2 (2021)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v3i2.150

Abstract

AbstractIntroduction: Necrotizing fasciitis is a fast-paced infection, severely damaging tissue. Surgical removal of tissue must be performed promptly, and aggressively to remove all involved soft tissue. The wound left after debridement necrotomy is wide enough to close primarily and should be treated by suitable dressings to accelerate wound healing. Objective: This case report aims to understand the concept of moist wound healing, the choice of dressing material, and the principles of optimal wound intervention for the wound healing process. Case: A 58 years old female patient presented with a complaint of swelling of the right lower jaw extended to the chin region. About a month earlier the patient complained of a lower right toothache, the patient went to the public health center, the lower right tooth was extracted but there was a residual root left behind. Then the patient still felt pain in the area of the extraction and the swelling in the lower jaw got bigger, the fragility of the superficial fascia, and the absence of pus. Then the patient was referred to the emergency room at Hasan Sadikin Hospital in Bandung. Case management: The patient was performed necrotomy debridement and tooth extraction causing the infection in local anesthesia, then the wound was treated with modern dressings. After 1 month of the procedure, the wound was closed properly. Conclusion: Modern dressings are wound care using the principle of balanced moisture (moisture balance). Choosing the right dressing material is a key concept to support the wound healing process.
Korelasi kadar vascular endothelial growth factor (vegf) saliva dengan gambaran klinis jaringan parut pada pasien pasca operasi labioplasti: studi analitik korelational Laksmitarani, Niken; Hardianto, Andri; Hadikrishna, Indra
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 36, No 3 (2024): Desember 2024
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v36i3.57695

Abstract

Pendahuluan: Jaringan parut pada labioplasti adalah hasil yang tak dapat dihindarkan dari luka operasi. Jaringan parut ini dapat menimbulkan masalah secara fungsional, kosmetik dan psikologis. Penilaian objektif memberikan pengukuran kuantitatif pada jaringan parut, sedangkan penilaian subjektif bergantung pada penilaian pengamat. Skala yang digunakan untuk mengevaluasi berbagai tipe jaringan parut salah satunya Vancouver Scar Scale (VSS). Penilaian objektif yang digunakan pada penelitian ini adalah nilai Vascular Endothelial Growth Factor (VEGF) diketahui sebagai mediator angiogenesis yang mempromosi penyembuhan luka kutan dan merangsang pembentukan jaringan parut. Tujuan penelitian ini adalah untuk menganalisis korelasi kadar vascular endothelial growth factor saliva dengan gambaran klinis jaringan parut pada pasien pasca operasi. Metode: Penelitian ini merupakan penelitian korelasi analitik dengan desain cross sectional yang menilai korelasi antara korelasi antara kadar VEGF dengan gambaran klinis jaringan parut pada 36 pasien dengan kasus celah bibir unilateral yang telah dilakukan operasi labioplasti di Rumah Sakit Gigi dan Mulut Pendidikan Fakultas Kedokteran Gigi Universitas Padjadjaran. Subjek pada penelitian ini adalah pasien yang memenuhi kriteria inklusi. Pemilihan subjek penelitian untuk kelompok uji dilakukan secara nonprobability sampling. Setelah dilakukan tindakan labioplasti, dilakukan pengukuran kadar VEGF pada hari ke-21, selanjutnya dilakukan penilaian gambaran klinis jaringan parut dengan VSS pada hari ke-90. Data yang terkumpul dianalisis dengan menggunakan uji korelasi Rank Spearman. Hasil: Terdapat korelasi yang kuat dan bermakna secara statistik antara kadar VEGF dengan gambaran klinis jaringan parut. Nilai koefisien korelasi antara VEGF dan gambaran klinis jaringan parut sebesar r=0,804 (p=0.001), yang dapat diartikan sebagai korelasi positif. Simpulan: Terdapat korelasi antara nilai VEGF saliva dengan gambaran klinis jaringan parut pada pasien pasca operasi labioplasti.Correlation between vascular endothelial growth factor (vegf) saliva with clinical features of scar tissue in patients post labioplasty surgery: study cross sectionalIntroduction: Scarring in labioplasty is an unavoidable outcome of a surgical wound. Such scarring can cause functional, aesthetic, and psychological complications. Objective assessments provide quantitative measurements of scarring, whereas subjective assessments rely on observer judgement. The scale used to evaluate various types of scarring is the Vancouver Scar Scale (VSS). The objective assessment used in this study is the value of Vascular Endothelial Growth Factor (VEGF), known as a mediator of angiogenesis that promotes cutaneous wound healing and stimulates scar tissue formation. Methods: This study is an analytical correlation study with cross-sectional design that assesses the relationship between VEGF levels and the clinical picture of scarring in 36 patients with unilateral cleft lip who had undergone labioplasty surgery at the Faculty of Dentistry Teaching Dental and Oral Hospital, Padjadjaran University. The subjects in this study were patients who met the inclusion criteria. The selection of research subjects for the test group was carried out by non-probability sampling. VEGF levels were measured on the 21st postoperative day, and the clinical picture of scar tissue was assessed using the VSS on the 90th postoperative day. The collected data were analyzed using the Spearman rank correlation test. Results: The findings demonstrated a strong and statistically significant positive correlation between salivary VEGF levels and the clinical picture of scarring. The correlation coefficient between VEGF and the clinical picture of scarring was r=0.804 (p=0.001), indicating a significant association. Conclusion: There is a significant positive correlation between salivary VEGF levels and the clinical picture of scarring in patients after labioplasty surgery.