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All Journal Jurnal Plastik Rekonstruksi Indonesian Journal of Global Health research
Sanjaya, I Gusti Putu Hendra
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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.
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 Hamid, Agus Roy Rusly Hariantana Kawilarang, Bertha Samsarga, Gede Wara Setiawan, Chandra Wijaya Sudarsa, Shita Diwyani Suyata, Astrinita Lestari