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All Journal Cermin Dunia Kedokteran Jurnal Sains, Teknologi dan Kesehatan Cermin Dunia Kedokteran
Oktavenra, Ari
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Computer Science & IT Engineering Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Public Health

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Rekonstruksi Pectoralis Major Myocutaneuos Flap untuk Defek Operasi Kanker Tiroid ., Oktahermoniza; Suyuthie, Heldrian Dwinanda; Oktavenra, Ari; Nora, Sondang; Khambri, Daan; Harahap, Wirsma Arif; Rustam, Rony; ., Azamris
Cermin Dunia Kedokteran Vol 49, No 1 (2022): Bedah
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.487 KB) | DOI: 10.55175/cdk.v49i1.1645

Abstract

Latar Belakang: Pembedahan kanker daerah kepala dan leher umumnya menimbulkan defek luas dan biasanya memerlukan flap. Meskipun free flap saat ini merupakan gold standard untuk rekonstruksi daerah kepala leher, pectoralis major myocutaneous flap (PMMC) masih digunakan. Kasus: Perempuan usia 47 tahun, dengan kanker tiroid papiler T4aN0M0 dengan ulserasi di kulit leher, menjalani tiroidektomi total dan defek operasi direkonstruksi dengan pectoralis major myocutaneous flap. Hasil rekonstruksi dapat diterima secara fungsional dan estetik. Tidak ada komplikasi hematom ataupun abses post operasi. Simpulan: Pectoralis major myocutaneous flap masih merupakan salah satu metode utama untuk rekonstruksi operasi kepala leher dan dapat diterima secara fungsional dan estetik jika free flap tidak dapat dilakukan. Background: Surgery for head and neck cancer generally leaves a wide defect that usually needed a flap. Although free flap is currently the gold standard for reconstruction of the head and neck, the pectoralis major myocutaneous flap is still popularly used. Case: A 47-year old female with thyroid carcinoma, underwent total thyroidectomy and the surgical defect was reconstructed with pectoralis major myocutaneous flap. The results were viable, functional, and aesthetically acceptable. No postoperative complications such as hematoma or abscess observed. Conclusion: Pectoralis major myocutaneous flap was still one of the main methods for head and neck reconstruction surgery. 
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETERLAMBATAN PASIEN KANKER PAYUDARA DATANG KE RSUP DR. M. DJAMIL PADANG Narulita, Jaesica Salsabila Dwi; Fortuna, Fory; Semiarty, Rima; Lestari, Yuniar; Oktavenra, Ari; Welan, Rahmani
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 1 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i1.972

Abstract

West Sumatra ranks third as the province with the highest incidence of breast cancer in Indonesia. Breast cancer is an uncontrolled growth of cells in breast tissue that requires immediate management. Most breast cancer patients seek medical care late, leading to the majority of cases being diagnosed at an advanced stage with a poorer prognosis. Identifying the factors contributing to this delay is crucial. This study aims to examine the relationship between various factors and the delay in patients seeking healthcare services. This research is an analytical observational study with a cross-sectional approach, conducted at RSUP Dr. M. Djamil Padang from August to October 2022, with a total sample of 72 respondents. Data were collected through questionnaires and analyzed using the chi-square test. The results indicate a significant relationship between education level (P = 0.009), knowledge (P = 0.000), fear (P = 0.000), socioeconomic status (P = 0.000), healthcare accessibility (P = 0.000), and the use of alternative medicine (P = 0.000) with delays in seeking healthcare services. However, no significant relationship was found between health insurance (P = 0.499) and social support (P = 0.139) and delays in seeking healthcare services. This study concludes that the factors associated with delays in seeking healthcare services among breast cancer patients include education, knowledge, fear, socioeconomic status, healthcare accessibility, and the use of alternative medicine
Eksisi Luas dan Rekonstruksi dengan Flap pada Karsinoma Sel Basal di Daerah Frontal Kanan: Laporan Kasus: Laporan Kasus Oktavenra, Ari; Halil, Amwal
Cermin Dunia Kedokteran Vol 53 No 07 (2026): Juli 2026
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i07.1720

Abstract

Introduction: Basal cell carcinoma is a type of non-melanoma skin cancer characterized by basaloid cells that form lobules, columns, bands, or strands. The primary goal of basal cell carcinoma treatment is to completely remove the tumor while preserving function and physical appearance as much as possible. Case: A 70-year-old man with basal cell carcinoma of the right frontal region-superior eyelid OD. Diagnosis was made based on physical examination and histopathological findings. The procedure included wide excision and frozen-section analysis of the surgical margins in the superior eyelid region and the medial canthus, with positive margins; reconstruction was performed with a rotational flap and a skin graft. Anatomical pathology results showed well-differentiated infiltrating basal cell carcinoma. The most effective therapy is surgery. Discussion: In this case, a diagnosis of mixed nodular and pigmented BCC was established based on clinical and histopathological findings, followed by surgical excision and reconstruction using an advancement flap appropriate for the defect in the frontal region. This approach yields a high cure rate; however, long-term follow-up remains necessary given the risk of recurrence and the emergence of new BCC lesions. Conclusion: Basal cell carcinoma generally grows slowly, often developing locally without spreading or metastasizing. Appropriate management can improve quality of life and life expectancy.
Co-Authors ., Azamris ., Oktahermoniza Amwal Halil Daan Khambri Fortuna, Fory Narulita, Jaesica Salsabila Dwi Nora, Sondang Rima Semiarty Rustam, Rony Suyuthie, Heldrian Dwinanda Wirsma Arif Harahap Yuniar Lestari