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All Journal E-Jurnal Medika Udayana Medical Journal of Indonesia Jurnal Plastik Rekonstruksi Indonesian Journal of Global Health research The Journal of Society Medicine (JSOCMED)
Hamid, Agus Roy Rusly Hariantana
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Civil Engineering, Building, Construction & Architecture Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Other

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The THE CORRELATION OFBODY MASSINDEX AND POST-RESUSCITATION ALBUMIN LEVELS WITHTHE MORTALITY OF BURNPATIENTS AT PROFNGOERAH GENERAL HOSPITAL PERIOD 2020-2022 Andiswari, Kadek Yurika; Samsarga, Gede Wara; Hamid, Agus Roy Rusly Hariantana; Sanjaya, I Gst. Putu Hendra
E-Jurnal Medika Udayana Vol 13 No 2 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i02.P09

Abstract

Background: Burn injuries are associated with high mortality and morbidity. The incidence of death resulting from burns can be influenced by various prognostic factors, with nutritional status being a significant contributor. Therefore, assessing nutritional status through the calculation of body mass index (BMI) and post-resuscitation albumin levels becomes imperative. Purpose: This study aims to explore the correlation between BMI and post-resuscitation albumin levels with the mortality of burn patients at Prof Ngoerah General Hospital during the period 2020-2022. Methods: This research adopts an observational analytical approach, utilizing a cross-sectional research design and consecutive sampling techniques. The study relies on secondary data, specifically medical records of burn patients. Out of a total of 134 medical records, 100 were selected based on adherence to inclusion and exclusion criteria. Results: The study reveals median values for age (42.5), BMI of 23.9 and albumin levels 24 hours post resuscitation recorded at 2.235. The Spearman test analysis conducted on 100 samples reveals a notable correlation between these variables and the mortality of burn patients (r = 0.263; PR 1.707; 95% CI 1.163 – 2.504; p = 0.008). The chi-square test analysis regarding the association between post-resuscitation albumin levels and burn patient mortality also demonstrates a significant relationship (PR 2.390; 95% CI 1.358 – 4.207; p = 0.000). Conclusion: In conclusion, there is a statistically significant association between mortality and both BMI and post-resuscitation albumin levels among burn patients treated at the Prof Ngoerah General Hospital during the period 2020-2022. Keywords: Post resuscitation albumin, mortality, BMI, burns
Literature Review for Iliaca, Scapula, and Fibula Free Flap as A Modality in Mandibular Ameloblastoma Reconstruction Tillasman, Natassya Sandra; Laksmi, Putu Pradnyasanti; Roosseno, Ratna Rayeni Natasha; Hamid, Agus Roy Rusly Hariantana
Journal of Society Medicine Vol. 3 No. 6 (2024): June
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i6.152

Abstract

Introduction: Mandibular reconstruction is complex as there are multiple goals for the final outcome, with a main focus of returning form and function as close to baseline as possible. It may be challenging for ameloblastoma treatment which is focused on surgical resection with a wide margin of normal tissue because of its high propensity for regional invasion. Free vascularized bone flaps are widely recognized as the optimal reconstruction for this case and have been widely developed from the iliaca, scapula, or fibula. Methods: Using the PubMed and Google Scholar databases, we searched for reported cases of ameloblastoma published in the English-language literature. Results: We were able to retrieve 47 acceptable literatures and perform a comprehensive literature review, particularly those using microvascular composite free flaps, then compared iliaca, scapula, and fibula free flaps to identify optimal flap choice for mandibular reconstruction. In addition, we present an additional case of ameloblastoma affecting the anterior mandible in a 26-year-old male patient. Conclusion: Microsurgical techniques are now considered safe and reliable in reconstruction of the jaws by reestablishing the continuity and normal anatomy, aiding to restore the normal function of swallowing, mastication, and speech production. In our experience, free osteocutaneous fibula flap technique is a further confirmation of its potential in the reconstruction of hard and soft tissue in maxillofacial surgery.
A Five-Year Epidemiological Analysis of Mandible Fractures in Bali Kawilarang, Bertha; Sanjaya, I Gusti Putu Hendra; Hamid, Agus Roy Rusly Hariantana
Jurnal Plastik Rekonstruksi Vol. 12 No. 1 (2025): (2025): Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i1.382

Abstract

Introduction: This study aims to assess the prevalence, sociodemographic factors, and patterns of mandible fractures at Prof. dr. I.G.N.G. Ngoerah General Hospital, recognizing that more than half of all maxillofacial injuries are due to mandible fractures, attributable to the mandible's prominent structure.Methods: This retrospective study was held in Prof. dr. I.G.N.G. Ngoerah General Hospital. Data were collected from January 2018 to December 2023. A total of 289 samples were included in this study. Age, gender, anatomical location of the fractures and unilateral/bilateral involvement were reported. Results: During the period spanning January 2018 to December 2023, a comprehensive analysis of 289 mandible fracture cases was conducted. Notably, the highest incidence was observed in 2022, comprising 72 cases. Predominantly affecting males (72.7%) within the age bracket of 21-30 years (40.1%), these fractures were primarily attributed to road traffic accidents (64.4%), often associated with alcohol influence (43.9%). Remarkably, non-helmet usage was prevalent among the majority of patients (69.9%), particularly motorcycle drivers (53.3%). The parasymphysis region emerged as the most frequently affected area (38.1%), with unilateral involvement prevailing in the majority of cases (61.6%). Additionally, associated injuries were noted in 88.5% of cases, with management predominantly comprising open reduction internal fixation (ORIF) complemented by maxillomandibular fixation (MMF) in 66.8% of cases.Conclusions: The findings of this study reveal a progressive rise in the annual incidence of mandible fractures. Consequently, there is a pressing need to heighten awareness among healthcare practitioners when managing patients presenting with maxillofacial traumas.
Comparison between free and pedicled anterolateral thigh flaps and surgical outcomes in soft tissue reconstruction Hamid, Agus Roy Rusly Hariantana
Medical Journal of Indonesia Vol. 34 No. 2 (2025): June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.258140

Abstract

BACKGROUND The anterolateral thigh (ALT) flap, harvested either as a free flap with microsurgical anastomosis or as a pedicled flap with an intact blood supply, is widely used to repair soft tissue defects. This study aimed to evaluate the ALT flap, both free and pedicled variants, as a reliable option for reconstruction, focusing on flap viability and complications. METHODS This cross-sectional study included 30 patients who underwent free or pedicled ALT flap reconstruction at IGNG Ngoerah Hospital, Bali, between 2020 and 2024. Inclusion criteria were complete medical records and confirmed vascular flow on preoperative Doppler ultrasound. Statistical analysis was performed using Fisher’s exact test for bivariate analysis. The primary outcomes evaluated were the incidence of complications and their association with the type of flap. RESULTS ALT flaps were used as free flaps in 60% of cases and as pedicled flaps in 40%. Most patients were adult males, with flap placements mainly in the abdomen (36.7%). Wound dehiscence and necrosis occurred in 13.3% of cases. Wound dehiscence and complications requiring follow-up occurred more frequently in patients undergoing free flap procedures (38.9% versus 8.3%, p<0.001; 22.2% versus 0%, p = 0.001). In contrast, the incidence of necrosis was comparable between the two flaps (16.75% versus 8.3%, p = 0.632). CONCLUSIONS The free ALT flap showed a higher risk of partial flap necrosis and required more intensive monitoring. Pedicled ALT flap demonstrated a lower complication rate and more straightforward postoperative care, suggesting a more favorable option.
Mentosternal Contracture Reconstruction with ALT Free Flap, Z-Plasty, and Stsg: A Case Report Setiawan, Chandra Wijaya; Hamid, Agus Roy Rusly Hariantana; Sanjaya, I Gusti Putu Hendra; Samsarga, Gede Wara; Sudarsa, Shita Diwyani; Suyata, Astrinita Lestari
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5317

Abstract

The consequences of post-burn neck contractures are considered the greatest challenge in reconstructive surgery. This deformity affects the neck area thereby limiting head movement. These complications can be associated with loss of articulation, cosmetic disfigurement and psychological changes that impair quality of life and result in loss of productivity. Therefore, an appropriate surgical management are essential to obtain optimal results. ALT (anterolateral) free flap can be used to resurface the defect, this technique provides a long pedicle with adequate lumen diameter of blood vessels. The z-plasty technique is useful for redirect a scar into better alignment with a natural skin fold or the lines of least skin tension. Split-thickness skin graft (STSG) is a preferred technique for large wound areas and relatively avascular sites. This study aims to report our experience in reconstructing burnt mentosternal contractures with ALT free flap, z-plasty and STSG. We present a clinical case of a thirty-five years old male with post-burn mentosternal contracture ONAH classification type III, dermogenic type diffuse flexion contracture of the colli region, anterior thorax region, and left and right superior extremity regions, dermogenic type linear contracture of the left and right anterior axillary regions, and burned ear deformity in the left and right auricular due to a history of burns from twenty-four years ago. A contracture release procedure was performed with ALT free flap reconstruction, z-plasty and STSG. After the reconstruction, a pleasing outcome was accomplished in terms of both functionality and esthetics. A severe mentosternal contracture was released, and the limited movement of the neck and both extremities was greatly lessened. Mentosternal contracture reconstruction with ALT free flap, z-plasty and STSG showed a good outcome in this case.
Co-Authors Andiswari, Kadek Yurika Kawilarang, Bertha Laksmi, Putu Pradnyasanti Roosseno, Ratna Rayeni Natasha Samsarga, Gede Wara Sanjaya, I Gst. Putu Hendra Sanjaya, I Gusti Putu Hendra Setiawan, Chandra Wijaya Sudarsa, Shita Diwyani Suyata, Astrinita Lestari Tillasman, Natassya Sandra