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All Journal eJournal Kedokteran Indonesia Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Trimartani, Trimartani
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences

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The Potential Role of Indonesia’s Universal Health Coverage in Management of Severe-To-Profound Hearing Loss through Cochlear Implantation Trimartani, Trimartani; Wibowo, Adik
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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This study aimed to evaluate the role of Jaminan Kesehatan Nasional (JKN) in improving the quality of cochlear implant services using Strength, Weakness, Opportunity, and Threat (SWOT) analysis. The study identified the internal factors of the cochlear implant center in Cipto Mangunkusumo Hospital as a consideration for developing hospital policies and the external factors to determine strategies for future development. The role of JKN was highlighted on the SWOT analysis, showing that the cochlear implant center was strategically located, thus increased the quality and the competitive factor compared to other hospitals. Strength-Opportunity strategy was recommended in improving service quality and identifying the possibility of JKN and other grants to cover the cost and improve the services, research, and education. The SWOT of the Cochlear Implant Center was identified as: 1. Good internal condition (average score of the strengths is superior to the weaknesses), 2. Good external condition (average score of the opportunities is higher than the threats), 3. Using strengths to maximize the opportunities and alternative strategy to be an aggressive strategy. 4. The role of JKN presented in the SWOT quadrants would give JKN a potency and important role in improving the treatment of severe hearing impairment in Indonesia.
The Auricular Elevation Stage in Microtia Reconstruction Widodo, Dini Widiarni; Trimartani, Trimartani; Shabrina, Febby; Ranakusuma, Respati Wulansari
eJournal Kedokteran Indonesia Vol. 12 No. 2 (2024): Vol. 12 No. 2 - Agustus 2024
Publisher : Faculty of Medicine Universitas Indonesia

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Microtia is a congenital hypoplastic malformation of the pinna that can cause hearing impairment, cosmetic, and psychosocial problems. The auricular elevation in stage two is one of the most challenging procedures of autologous ear reconstruction. This article aims to determine whether the use of posterosuperior auricular fascia flap (PSFF), temporoparietal fascia flap (TPF), or retroauricular fascia flap (RFF) in stage 2 auricle reconstruction. A literature search was conducted in public databases and registries (PubMed/Medline, EBSCOhost, ProQuest, CENTRAL, ICTRP, Clinicaltrial.gov). Patients with unilateral or bilateral microtia were included in this study. The validity rating was assessed using the guideline from CEBM Oxford University. All these studies were analyzed for the systematic review of outcome studies of each surgical technique. PSFF is superior by reducing surgical time compared to RFF (p<0.01) with less risk of scarring (p=0.03) and less incidence of partial skin graft necrosis (p= 0.01). RFF offered superior aesthetic results compared to TPF. PSFF is a preferable technique for stage two reconstruction surgery in congenital microtia due to its ease of use, shorter operating time, and reduced complications compared to RFF. RFF may still be considered for better aesthetic outcomes, while TPF can be a suitable option in challenging cases.
Co-Authors Adik Wibowo Ranakusuma, Respati Wulansari Shabrina, Febby Widodo, Dini Widiarni