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All Journal Journals of Ners Community Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Ilmiah Wahana Pendidikan MAHESA : Malahayati Health Student Journal Jurnal EduHealth Journal of Language and Health Journal Indonesia Law and Policy Review (JILPR) Indonesian Journal of Cancer Cakrawala Medika: Journal of Health Sciences Lombok Medical Journal
Made Agus Suanjaya
Universitas Islam Al-Azhar
Religion Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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The Relationship Of Knowledge Level About Breast Cancer With Breast Self-Examination Behavior As An Early Detection Of Breast Cancer On Students Of The Faculty Of Medical Al- Azhar Islamic University Dalilah Femilia; Fachrudi Hanafi; Made Agus Suanjaya; Shinta Wulandhari
Jurnal EduHealth Vol. 14 No. 01 (2023): Jurnal eduHealth, Periode Januari-Maret, 2023
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.186 KB)

Abstract

Breast cancer is when breast cells grow uncontrollably due to abnormal changes in genes in cell division. In Indonesia, the number of cases of breast cancer in 2020 even reached 68.858 (16.6%). One prevention of breast cancer is a case detection through breast self-examination (BSE). This study was aimed to determine the relationship between the level of knowledge about breast cancer and the act of early breast self-examination (BSE) as an early detection of breast cancer in FK UNIZAR students. This research employed a cross-sectional study, conducted at the Medical Faculty of Al-Azhar Islamic University on December 1-7 2022. A total of 132 respondents were included as the research sample. The data obtained were analyzed using SPSS with statistical tests using the Spearman Rank method. The results of the study found that 20 people (71. 4%) had good knowledge with adequate behavior and 97 people (93.3%) had poor behavior. There were 7 people (25.0%) who had sufficient knowledge with adequate behavior and 7 people (6.7%) with less behavior. And the sample that had less knowledge with sufficient behavior was 1 person (3.6%). According to the results of analysis from the Spearman's rank correlation test, it obtained a p-value of 0.001 (p-value <0.05) and a correlation coefficient of 0.284 with a negative value. There is a relationship between knowledge of breast cancer and breast self-examination behavior on FK UNIZAR students of 2019, 2020, and 2021.
Hubungan Kejadian Apendisitis Akut Dengan Peningkatan Mean Platelet Volume (Mpv) Di Rsud Kabupaten Klungkung Made Ngurah Jiyesta Wibawa; Sugianto Prajitno; Shinta Wulandhari; Made Agus Suanjaya
Journals of Ners Community Vol 13 No 2 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i2.2525

Abstract

Apendik vermiformis merupakan organ kecil tambahan yang terletak dibawah katup ileosekal serta melekat pada sekum. Apendik vermiformis mudah mengalami obstruksi hingga rentan terjadi infeksi akibat mekanisme pengosongan diri apendik vermiformis yang pada umumnya kurang efisien, ditambah ukuran lumen yang terbilang kecil. Infeksi inilah yang lebih dikenal sebagai apendisitis, radang pada apendik, atau penyakit usus buntu. Apendisitis dapat menyerang semua usia namun kasus tertinggi terdapat pada individu yang tergolong remaja hingga dewasa muda yaitu usia 18-40 tahun. Pemeriksaan darah lengkap merupakan salah satu tes laboratorium yang paling umum digunakan untuk diagnosis Apendisitis akut. Mean Platelet Volume (MPV) adalah tes yang terbilang murah dan sering digunakan untuk menunjukkan ukuran dan aktivitas platelet. Trombosit atau platelet memiliki efek membentuk bekuan darah (hemostasis) dan mengatur kejadian inflamasi. Jumlah trombosit dan MPV telah diteliti sebagai penanda inflamasi aktivitas penyakit. Mengetahui adanya hubungan antara kejadian apendisitis akut dengan peningkatan Mean Platelet Volume (MPV) pada dewasa muda di RSUD Kabupaten Klungkung. Penelitian ini bersifat kuantitatif analitik observasional dengan desain penelitian cross sectional study. Teknik pengambilan sampel menggunakan purposive sampling. Penelitian dilakukan di RSUD Kabupaten Klungkung pada tahun 2017-2021. Sampel penelitian sebanyak 170 sampel. Data yang diperoleh dianalisis dengan uji Chi Square. Batas nilai signifikasi adalah (p ≤ 0.05). Didapatkan jumlah pasien dengan apendisitis akut tanpa perforasi berjumlah 108 pasien (63,50%) dan jumlah pasien dengan apendisitis akut dengan perforasi berjumlah 62 orang (36,50). Didapatkan pula nilai MPV normal berjumlah 129 orang (75,90%), nilai MPV menurun berjumlah 41 orang (24,10%), dan tidak terdapat pasien dengan MPV meningkat. Berdasarkan hasil analisis data menggunakan Chi Square didapatkan nilai p-value 0,46 (p > 0,05). Tidak terdapat hubungan yang signifikan antara peningkatan MPV dengan kejadian Apendisitis Akut di Rumah Sakit Umum Klungkung
Prevalence and Characteristics of Breast Cancer Patients in Mataram City for the 2015-2020 Period Suanjaya, Made Agus; Sherliyanah, S; Utami, Sukandriani
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.59 KB) | DOI: 10.30604/jika.v6i2.958

Abstract

Angka kejadian kanker tertinggi pada perempuan adalah kanker payudara. Terbatasnya data yang terstruktur dan meningkatnya kejadian kanker payudara di Kota Mataram, Nusa Tenggara Barat. Tujuan Penelitian Untuk mengetahui gambaran prevalensi dan karakteristik kanker payudara di Kota Mataram tahun 2015-2020.Penelitian ini merupakanpenelitian deskriptif menggunakan data rekam medis. Populasi pada penelitian ini adalah semua penderita kanker payudara yang berdomisili di Kota Mataram pada tahun 2015-2020 sebanyak 420 orang. Pada penelitian ini didapatkan karakteristik penderita kanker payudara terbanyak berjenis kelamin perempuan 99.52%, berasal dari kecamatan Mataram 29.76%, dengan status perkawinan menikah 99.05%, sebagai ibu rumah tangga 90.02%, suku Sasak 82.62% dan beragama Islam 89.53%. Dengan usia insiden tertinggi pada usia 41-50 tahun 36.43%, mengenai payudara sebelah kiri 54.52% dengan stadium III (LABC) 47.15% dan gambaran histopatologi invasive ductal carcinoma  63.81% yang pada penegakan diagnosisnya dengan operasi biopsi. Penderita kanker payudara pada penelitian ini sebagian besar mendapat terapi operasi 99,28 %, dengan penyebaran terbanyak pada kelenjar getah bening axilla 78% dan metastasis jauhnya ke paru-paru 31%. Angka kematian pada penelitian ini sebanyak 5.48%. Penderita kanker payudara di Kota Mataram mempunyai rentang usia yang lebih muda dibandingkan dengan penderita kanker payudara di negara Barat. Angka kematian penderita kanker payudara di Kota Mataram cukup tinggi, disebabkan oleh keterlambatan penderita datang berobat dan lemahnya deteksi dini, dimana dari hasil penelitian didapatkan penderita kanker payudara terbanyak terdata pada stadium lanjut.
LEGAL PROTECTION OF CANCER PATIENTS’ SOCIAL SECURITY PARTICIPANTS IN TARGETING THERAPY SERVICES IN HOSPITAL Made Agus Suanjaya; Sutarno Sutarno; Mohammad Zamroni
JILPR Journal Indonesia Law and Policy Review Vol 4 No 3 (2023): Journal Indonesia Law and Policy Review (JILPR), June 2023
Publisher : International Peneliti Ekonomi, Sosial dan Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56371/jirpl.v4i3.141

Abstract

The purpose of this study to analyse laws and regulations as legal protection for social security participants in targeting therapy services in hospitals and to analyse the responsibility of the hospital for targeting therapy services. Legal protection for cancer patients participating in social security in targeting therapy services in hospitals in accordance with what is regulated in the 1945 Constitution, then Law Number 29 of 2004 concerning Medical Practice; Law of the Republic of Indonesia Number 36 of 2009 concerning Health, which shows that the state present in providing protection and legal protection to its people. So in practice in the field, both hospitals and medical personnel must stick to this rule so that cancer patients participating in social security receive optimal service in accordance with the latest scientific principles of medicine without violating applicable laws so as to create harmony between optimal patient treatment and applicable law. Hospital responsibility for targeting therapy services is crucial/important where hospitals have criminal responsibility regulated in the Criminal Code, civil liability related to default and unlawful acts as stated in the Civil Code and also administrative responsibility which is regulated in the rules medical.
Hubungan dan Prevalensi Tingkat Depresi, Tingkat Kecemasan, dan Tingkat Stres dengan Irritable Bowel Syndrome Pada Siswa/I SMAN 1 Lenek Kabupaten Lombok Timur Zainul Hamdi; Sugianto Prajitno; Fahriana Azmi; Made Agus Suanjaya
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14301

Abstract

ABSTRACT Irritable bowel syndrome (IBS) is a chronic and recurrent functional intestinal disorder, in the form of abdominal pain or discomfort and defecation pattern disorders that occur 1 time per week for at least 3 months, without any underlying structural abnormalities. Irritable bowel syndrome is a multifactoral disease that has several pathogenesis. Psychological factors such as stress, anxiety and depression can strongly affect the work of the colon. The colon has many neurons associated with the cerebrum. Part of the colon is controlled by the CNS, which responds to stress. This study aims to determine the prevalence of stress, anxiety, depression and the incidence of irritable bowel syndrome, as well as determine the relationship between stress, anxiety, depression and the incidence of irritable bowel syndrome in students of SMA N 1 Lenek East Lombok Regency. Analytical quantitative research with cross sectional research design. The sampling technique uses stratified random sampling. The research was conducted at SMA N 1 Lenek, East Lombok Regency. The study sample was 96 people. The data obtained were analyzed by the Chi-Square correlation test. The prevalence of irritable bowel syndrome in respondents was 40 people (41.7%), the prevalence of normal stress levels in respondents amounted to 36 people (37.5%), the prevalence of normal anxiety levels in respondents amounted to 17 people (17.7%), the prevalence of normal depression levels in respondents amounted to 45 people (46.9%). There is a significant relationship between stress and the incidence of irritable bowel syndrome. The p-value is 0.005 (p-value < 0.05). There was no significant association between anxiety and the incidence of irritable bowel syndrome. The p-value is 0.153 (p-value > 0.05). There is a significant relationship between depression and the incidence of irritable bowel syndrome. The p-value is 0.014 (p-value < 0.05). Conclusion: There is a relationship between stress and depression with the incidence of irritable bowel syndrome, but there is no relationship between anxiety and the incidence of irritable bowel syndrome in students of SMA N 1 Lenek East Lombok Regency. Keywords: Irritable Bowel Syndrome, Stress, Anxiety, DepressionABSTRAK Irritable bowel syndrome (IBS) adalah gangguan intestinal fungsional kronis dan berulang, berupa nyeri atau rasa tidak nyaman pada abdomen serta gangguan pola defekasi yang terjadi 1 kali per minggu setidaknya 3 bulan, tanpa adanya kelainan struktural yang mendasarinya. Irritable bowel syndrome merupakan penyakit multifaktoral yang memiliki beberapa patogenesis. Faktor psikologis seperti stres, kecemasan dan depresi dapat secara kuat memengaruhi kerja kolon. Kolon memiliki banyak neuron yang berhubungan dengan cerebrum. Sebagian kolon dikontrol oleh SSP, yang berespon terhadap stres. Penelitian ini bertujuan untuk mengetahui prevalensi stres, kecemasan, depresi dan kejadian irritable bowel syndrome, serta mengetahui hubungan stres, kecemasan, depresi dan kejadian irritable bowel syndrome pada siswa/i SMA N 1 Lenek Kabupaten Lombok Timur. Penelitian kuantitatif analitik dengan desain penelitian cross sectional. Teknik pengambilan sampel menggunakan stratified random sampling. Penelitian dilakukan di SMA N 1 Lenek Kabupaten Lombok Timur. Sampel penelitian sebanyak 96 orang. Data yang diperoleh dianalisis dengan uji korelasi Chi-Square. Prevalensi irritable bowel syndrome pada responden 40 orang (41,7%), prevalensi tingkat stres normal pada responden berjumlah 36 orang (37,5%), prevalensi tingkat kecemasan normal pada responden berjumlah 17 orang (17,7%), prevalensi tingkat depresi normal pada responden berjumlah 45 orang (46,9%). Terdapat hubungan yang signifikan antara stres dengan kejadian irritable bowel syndrome. Nilai p-value 0,005 (p-value < 0,05). Tidak terdapat hubungan yang signifikan antara kecemasan dengan kejadian irritable bowel syndrome. Nilai p-value 0,153 (p-value > 0,05). Terdapat hubungan yang signifikan antara depresi dengan kejadian irritable bowel syndrome. Nilai p-value 0,014 (p-value < 0,05). Terdapat hubungan antara stres dan depresi dengan kejadian irritable bowel syndrome, Namun tidak terdapat hubungan kecemasan dengan kejadian irritable bowel syndrome pada siswa/i SMA N 1 Lenek Kabupaten Lombok Timur. Kata Kunci: Irritable Bowel Syndrome, Stres, Kecemasan, Depresi
PENGETAHUAN DAN SIKAP MAHASISWI KEDOKTERAN UNIVERSITAS ISLAM AL-AZHAR MATARAM TERHADAP SADARI SEBAGAI DETEKSI DINI KANKER PAYUDARA Tilka Ayattulla; Made Agus Suanjaya; Ahia Zakira Rosmala; Dewi Utary
Cakrawala Medika: Journal of Health Sciences Vol. 2 No. 2 (2024): Cakrawala Medika: Journal of Health Sciences
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Medika Suherman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59981/ab1ghw71

Abstract

Kanker payudara menduduki peringkat kedua setelah kanker leher rahim yang menyerang kaum perempuan di dunia dan lebih dari 80% kasus kanker payudara ditemukan pada tahap lanjut, sehingga pengobatan menjadi lebih sulit dilakukan. Salah satu upaya yang dapat dilakukan untuk mendeteksi kanker payudara secara dini adalah melakukan SADARI (Pemeriksaan Payudara Sendiri). Penelitian ini bertujuan untuk mengetahui hubungan antara faktor usia, tingkat pengetahuan dan sikap dengan perilaku SADARI pada mahasiswi Fakultas Kedokteran Universitas Islam Al-Azhar. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional. Penelitian ini melibatkan 170 responden yang dipilih dengan teknik Simple Random Sampling. Hasil penelitian menggunakan uji Rank Spearman nilai p-value usia sebesar 0,020 (<0,05), tingkat pengetahuan sebesar 0,000 (<0,05), sikap sebesar 0,041 (<0,05). Kesimpulan dari penelitian ini terdapat hubungan yang signifikan atara usia, tingkat pengetahuan dan sikap dengan perilaku pemeriksaan payudara sendiri (SADARI) pada mahasiswi Fakultas Kedokteran Universitas Islam Al-Azhar.
Hubungan Umur, Jenis Kelamin dan Masa Kerja dengan Keluhan Musculoskeletal Disorders (MSDs) pada Dokter, Bidan dan Perawat di RSUD Provinsi NTB Candra Dewi, Kadek; Pebruanto, Henry; Pratiwi, Made Rika Anastasia; Suanjaya, Made Agus
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 22 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14574779

Abstract

Background:Musculoskeletal Disorders (MSDs) is an accumulation of various types of pain in nerves, tendons and muscles that are used uncontrollably, work is done repeatedly and static work positions for long periods of time. MSDs are disorders that are rarely life-threatening, but MSDs can reduce quality of life and work productivity. This study aims to determine the relationship between age, sex and work period with complaints of MSDs among doctors, midwives and nurses at the NTB Provincial Regional Hospital. Method:This research is an analytical observational study using a research design cross sectional. The sampling technique is proportionate stratified random sampling. The research sample was 86 samples according to the inclusion and exclusion criterias. The data obtained were analyzed using a correlation test chi-square. Results:The results of this study showed that 49 people aged >30 years complained of MSDs and 17 people aged ≤30 years complained of MSDs (19.8%). There were 42 female respondents with MSDs complaints (48.8%) and 24 male respondents with MSDs complaints (27.9%). Respondents with work experience >5 years with MSDs were 37 people (30.7%) and respondents with work experience ≤ 5 years with MSDs complaints were 29 people (35.3%). There is a significant relationship between age and complaints of MSDs (p-value of 0.000;p-value < 0.05). There is no significant relationship between gender and complaints of MSDs (p-value of 0.137;p-value > 0.05). There is a significant relationship between working hours and complaints of MSDs (p-value of 0.001;p-value > 0,05). Conclusion:There is a significant relationship between age and length of service with MSDs complaints and there is no significant relationship between gender and MSDs complaints among doctors, midwives and nurses at the NTB Provincial Regional Hospital.
The Relationship between Energy Drink Consumption Dependence, Alcohol Consumption Level, and Obesity on the Incidence of Hypertension Arduta, Firmandito Satya; Utama, Lalu Buly Fatrahady; Wiatma, Deny Sutrisna; Suanjaya, Made Agus
Journal of Language and Health Vol 5 No 3 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i3.5568

Abstract

Hypertension is non-communicable disease with high and increasing incidence. Based on the Profile Book of Asy-Syifa' West Sumbawa Hospital 2022, there were 2686 cases of hypertension. Dependence on energy drink consumption, alcohol consumption level, and obesity play a role in causing hypertension through their effects on impaired cardiac output and vascular resistance. This research aimed to analyse the relation between dependence energy drink consumption, alcohol consumption level, and obesity to the incidence of hypertension at Asy-Syifa' Hospital, West Sumbawa. The research utilized an observational analytical approach utilizing a cross-sectional study design. A total of 75 samples were chosen through a purposive sampling method, adhering to the inclusion and exclusion criteria. Data was gathered using questionnaires, BMI results, and patient blood pressure examination results. The data was analyzed using the Chi-Square correlation test. The analysis results indicated a correlation between dependence on energy drink consumption and its association with the incidence of hypertension in Asy-Syifa' West Sumbawa Hospital (p = 0.026). There is an association between alcohol consumption levels and the incidence of hypertension in Asy-Syifa' Hospital West Sumbawa (p = 0.002). There is an association between obesity and the incidence of hypertension in Asy-Syifa' Hospital West Sumbawa (p = <0.001).
High Hypoxia Inducible Factor-1α Expression and Positive Limphovascular Invasion as Risk Factors for Axillary Lymph Nodes Metastasis in Breast Cancer Setiawan, I Gede Budhi; Suanjaya, Made Agus; Suryawisesa, IB Made
Indonesian Journal of Cancer Vol 19, No 2 (2025): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i2.1302

Abstract

Background: Hypoxia-inducible factor-1α (HIF-1α) expression enables tumor cell proliferation and has a role in the processes of epithelial-mesenchymal transition, invasion, extravasation, and metastasis. Lymphovascular Invasion (LVI) causes a significant increase in the occurrence of axilla lymph node metastasis. This study aims to prove that high HIF-1α expression and LVI (+) as risk factors for axillary lymph node metastasis in breast cancer. Method: The study conducted was a case-control study involving all histopathologically confirmed breast cancer patients at Prof. Dr. I.G.N.G. Ngoerah Hospital during the period from January 2019 to December 2022. In this study, the case group consisted of patients with breast cancer and axilla lymph node (+), while the control group included breast cancer patients without these characteristics. Data analysis was processed using SPSS version 26, which included descriptive statistical analysis, proportion comparison tests, and multiple logistic regression tests, with significance set at p 0.05.Results: LVI (+) has a risk of metastasis to lymph nodes (+) of 6 times (95% CI 1.53–23.44, P = 0.007) and adjusted OR 4.33 (95% CI 2.369–6.053; P = 0.025). The results of the HIF1-α ROC curve obtained a sensitivity value of 86.4% and specificity of 79.2% with a cut-off value of 5.4. A score ≥ 5.4 has a risk of metastasis to lymph nodes (+) of 24.01 times (95% CI 5.03–115.25; P 0.001) and adjusted OR 24.06 (95% CI 5.026–115.247; p 0.001). Conclusion: High HIF-1α expression and positive lymphovascular invasion as risk factors for axillary lymph node metastasis in breast cancer, with HIF-1α showing a particularly strong association. These findings suggest their potential as predictive biomarkers for metastasis. However, the study’s retrospective, single-center design limits generalizability. Future research should validate these results in larger, multicenter cohorts and explore the underlying mechanism to enhance clinical application.
Oral Cancer and Reconstruction: A Serial Case Report Ilham, Lalu Fahril; Suanjaya, Made Agus; Lalu Fauzan Adi Yuliansyah
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v4i3.7894

Abstract

Introduction : The head and neck cancer are sixth most common cancers worldwide with cancer of oral cavity. The basic treatment modality for the carcinoma of oral cavity has been surgery and the large defects resulting from the ablation of the tumors require reconstruction. Reconstruction after wide excision of oral cancer challenge in itself, because it requires an appropriate method of reconstruction, in accordance with oncology rules and while maintaining the function . In this case serial, several methods of reconstruction from oral cancer are discussed. Case Report : We report 3 cases of patients female aged 48-71 years with complaints of lumps on the tongue. Patients with risk factors poor oral hygiene. On physical examination, cervical lymph node enlargement was found at levels I-IV. All patients underwent a CT scan of the head and neck. On histopathological examination, squamous cell carcinoma was found, the stage of oral cancer in this case series was stage I-III. The surgery was performed with a combined mandibular and neck dissection operation (Commando) with LD flap, and SCM flap. The patient is then treated in the intensive care unit for 1-2 days, then treated in the usual room and discharged on the 5-7th day of treatment without complications Discussion : Although there is increasing use of microvascular free flap in this era, however, conventional flap like LD and SCM still remains very reliable and versatile myocutaneous flap for primary as well as secondary reconstruction, In head and neck reconstruction, LD and SCM flap is used extensively due to its proven reliability and multipurpose nature . The main advantage of LD and SCM flap is that it can be used in a very wide range of defects in the head and neck region including the maxilla, neck as well as tempero-orbital area. Like the other myocutaneous flap, LD and SCM is harvested by single stage reconstructive procedure and does not require any flap delay or release. The morbidity of the donor site is surprisingly low, however, few patients may complain pain. It is also very useful in the patients with poor clinical conditions as well as for elderly patients. This flap can be used in the cases where there is inadequate recipient vessels for microanastomosis in the neck of the patients who underwent high dose radiotherapy or when there is contraindication to free flap such as medical conditions that make the patients unable to tolerate long surgical procedures or can be used as a salvage procedure after necrosis of free flap. wound dehiscence, infection, vascular rapture with marked increase in the morbidity. There is less mentioning of the incidence of recurrence at flap harvesting site however, few cases are reported in the literature. Conclusion : Reconstruction of composite oro mandibular defects of oral malignancy is a challenging problem for oncology surgeons. LD and SCM myocutaneous flap was found to be a versatile flap for reconstruction of large defects in the head and neck region with minimal complication rate. In today’s world of micro vascular flaps, in spite of associated complications, loco regional flaps play a crucial role at oncology centers. LD and SCM offer a faster, easier and reliable option for reconstruction in post-ablative head and neck surgery.
Co-Authors Ahia Zakira Rosmala Arduta, Firmandito Satya Candra Dewi, Kadek Dalilah Femilia Deny Sutrisna Wiatma Fachrudi Hanafi Fahriana Azmi Ilham, Lalu Fahril Lalu Fauzan Adi Yuliansyah Made Ngurah Jiyesta Wibawa Mohammad Zamroni Pebruanto, Henry Pratiwi, Made Rika Anastasia RR. Ella Evrita Hestiandari S Sherliyanah Setiawan, I Gede Budhi Sherliyanah, S Shinta Wulandhari Shinta Wulandhari Sugianto Prajitno Sugianto Prajitno Sukandriani Utami Suryawisesa, IB Made Sutarno Sutarno Tilka Ayattulla Utama, Lalu Buly Fatrahady Zainul Hamdi