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The Use of Hyperbaric Oxygen Therapy for Ear Reconstruction: A Case Series Tulong, Marcella Tirza; Oley, Mendy Hatibie; Oley, Maximillian Christian; Sundoro, Ali; Faruk, Muhammad
Jurnal Plastik Rekonstruksi Vol. 8 No. 2 (2021): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i2.325

Abstract

Introduction: The unique anatomy of the ear makes the reconstruction more challenging. Microtia and auricula hematomas are deformities or defects that can occur in the ear. Treating traumatic injury and congenital malformations of the ears needs some technique and expertise. Hyperbaric Oxygen Therapy is an additional therapy that makes a significant contribution and is effective in wound healing. Case Series: In our first case, a 52-year-old man presented with a traumatic right cauliflower ear due to a traffic accident two weeks before hospital admission. The second case involves a boy 14-year-old who has a Microtia in the right ear with total ear construction performed using autologous costochondral cartilage techniques in a two-stage. Results: Both cases following hyperbaric oxygen therapy, yield good results with good scars, no sign of infection nor tissue necrosis Summary: The combination therapy of reconstructive surgery and administration of oxygen therapy gave satisfactory results in both cases. Five sessions of hyperbaric treatment showed promising results. There is no infection, rapid wound healing, and cessation of flap compromise.
A Keystone Flap as A Reconstructive Option for Anterior Abdominal and Inguinal Defect Mallo, Andly Resando; Oley, Mendy Hatibie
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 1 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i01.192

Abstract

The keystone flap is an effective solution to this by utilizing local tissue similar to a keystone to close the defect without the need for tissue transfer from other locations in the body. This makes it a highly effective option in reconstructing complex defects of the anterior abdomen and inguinal region, supporting complete patient recovery. This study aims to determine the effectiveness of using keystone flaps in covering large defects in the abdominal and inguinal walls after tumor removal. This study used a descriptive method with a retrospective approach. Data collection techniques in this study were literature study, observation and patient medical records. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation and conclusion drawing. The results showed that the keystone flap can be used to cover extensive damage to the abdominal and inguinal walls after tumor removal with success. The keystone flap is a reasonably easy defect reconstruction, is very reliable, and has low morbidity and complications
A Keystone Flap as A Reconstructive Option for Anterior Abdominal and Inguinal Defect Mallo, Andly Resando; Oley, Mendy Hatibie
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 1 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i01.192

Abstract

The keystone flap is an effective solution to this by utilizing local tissue similar to a keystone to close the defect without the need for tissue transfer from other locations in the body. This makes it a highly effective option in reconstructing complex defects of the anterior abdomen and inguinal region, supporting complete patient recovery. This study aims to determine the effectiveness of using keystone flaps in covering large defects in the abdominal and inguinal walls after tumor removal. This study used a descriptive method with a retrospective approach. Data collection techniques in this study were literature study, observation and patient medical records. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation and conclusion drawing. The results showed that the keystone flap can be used to cover extensive damage to the abdominal and inguinal walls after tumor removal with success. The keystone flap is a reasonably easy defect reconstruction, is very reliable, and has low morbidity and complications
The Management of Cleft Lip and Palate in Four Siblings with Van Der Woude Syndrome in a Developing Country: A Case Report Oley, Mendy Hatibie; Oley, Maximillian Christian; Setiadhi, Yudhaputra; Sukarno, Vania; Gunawan, Deborah Florencia; Faruk, Muhammad
Jurnal Plastik Rekonstruksi Vol. 12 No. 2 (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.v12i2.26

Abstract

Introduction: Van der Woude syndrome (VWS) is a rare genetic disorder characterized by cleft lip and/or palate and congenital lower lip pits. It is an autosomal dominant condition with high penetrance, affecting 0.5-2% of all cleft lip/palate cases. VWS is caused by mutations in the IRF6 gene and is associated with hypodontia and dental anomalies. Lip pits, which can cause aesthetic or functional problems, may intermittently drain saliva. VWS is diagnosed using genetic testing and bioinformatics tools, providing more accurate predictions. Treatment requires multidisciplinary care, including surgical removal of lip pits and cleft correction. This study describes a rare case of VWS family, including management strategies in low resource settings.Case presentation: A 42-year-old man from a non-consanguineous marriage presented with four out of five children affected by VWS, characterized by cleft lip and palate. All four children underwent labioplasty. The family history revealed no congenital defects in the father's and the first wife’s lineage, except for the second wife.Conclusion: Early identification of familial patterns and clinical presentation is essential in Van der Woude Syndrome, as it significantly impacts the management and quality of life of affected individuals, particularly in resource-limited settings.
Necrotizing Soft Tissue Infection (NSTI) of Head and Neck: A Case Report Moksidy, Reynaldy C.; Oley, Mendy Hatibie; Tamburian, Christa; Suoth, Stevy
Jurnal Ilmiah Universitas Batanghari Jambi Vol 25, No 3 (2025): Oktober
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v25i3.5934

Abstract

Necrotic soft tissue infection (NSTI) is a rapidly progressing skin infection characterized by necrosis of the fascia and subcutaneous tissue, while Ludwig's angina is a severe connective tissue infection of the floor of the mouth, often a complication of a dental infection, which can cause upper airway obstruction if left untreated. This study presents the case of a 32-year-old female patient with no previous hospitalization who presented to the Emergency Room with a wound and pain radiating from the neck to the chest, lasting for one week. The patient underwent a standard diagnostic and therapeutic protocol, including aggressive debridement under general anesthesia, with skin preservation and reconstruction via partial-thickness skin graft (STSG) for the wound defect. Ludwig's angina is primarily caused by infection of the mandibular molars, particularly the second and third molars, which account for more than 90% of cases. Although relatively rare, NSTI is characterized by rapid necrosis of the fascia and subcutaneous fat, leading to skin necrosis. Vigilance for the development of complications from cellulitis to NSTI, especially in cases thought to be caused by Ludwig's angina, is essential. Factors such as potential window periods for HIV and malnutrition need to be considered, emphasizing the importance of collaboration between reconstructive surgery specialists, epidemiologists, and thoracic and vascular disciplines to improve treatment strategies and preventive measures.