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All Journal Jurnal Sain Veteriner Jurnal Veteriner Berkala Ilmu Kesehatan Kulit dan Kelamin Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan JBN (Jurnal Bedah Nasional) Jurnal Plastik Rekonstruksi JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Indian Journal of Forensic Medicine & Toxicology Jurnal Rekonstruksi dan Estetik MEDICINUS Medical Sains : Jurnal Ilmiah Kefarmasian Folia Medica Indonesiana

Iswinarno Doso Saputro

Departemen Bedah Plastik Rekonstruksi Dan Estetik, Fakultas Kedokteran, Universitas Airlangga/RSUD Dr. Soetomo, Surabaya

Author-ID : 2896269

Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Veterinary Other

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DEVIATION AND ATROPHY OF MIDDLE PHALANX OF HAND FOLLOWING PARTIAL SEPARATION IN SYNDACTYLY PATIENT: THEIR FAULT OR OURS? Kusuma, Diana Murtiati; Saputro, Iswinarno Doso; Rizaliyana, Sitti; Beta Subakti Nata’atmadja
Jurnal Rekonstruksi dan Estetik Vol. 3 No. 1 (2018): Jurnal Rekonstruksi dan Estetik, June 2018
Publisher : Universitas Airlangga

Highlights: Complex syndactyly reconstruction presents surgical challenges, often resulting in rotational, angular, and nail deformities post-surgery. The early correction of congenital syndactyly, combined with dorsal rectangular flap usage and full-thickness skin grafts, leads to satisfactory outcomes and reduces the need for multiple surgeries per web Abstract: Introduction: Syndactyly is failure of differentiation in which the fingers fail to separate into individual appendages. It is the most common congenital hand anomaly, with an incidence of 1 in 2,000 to 2,500 live births. Surgical separation of fingers as early as 6 month-old is indicated when syndactyly involves digits of unequal length (i.e., ring and little fingers). Early separation is also required in complex syndactyly and cases of acrosyndactyly. The timing of surgery of all other cases of syndactyly remains somewhat controversial; most suggest surgical correction before age of 18 months, whereas others prefer to wait until after this age. Case Illustration: A 13-year old boy, presented with fusion of all fingers of the right hand at birth. Prior to his current visit, he underwent partial separation of the right fingers at the age of 6 y.o. at a local hospital. Following partial separation, the fingers did not grow normally. Current X-ray showed atrophy and deviation of middle phalanx. We performed separation of syndactyly between index and middle finger, and between fourth and small finger in our hospital. Interdigital webbings are released using local flap and the remaining raw surface is covered using full-thickness skin grafts. On follow up, the patient showed good functional and aesthetic outcome. He is able to write with his right hand with better coordination. Discussion: Complex syndactyly reconstruction is a challenging surgical problem. Common post surgical findings include rotational deformity, angular deformity, and nail deformity. We describe how we have altered our approach in these findings. Conclusion: Congenital syndactyly should be corrected early in life. Careful dissection, the use of a dorsal rectangular flap in combination with 2 volar triangular flaps, and use of full thickness skin grafts ensure a satisfactory outcome and minimize the number of operations per web.

PENGARUH PLATELET RICH FIBRIN PADA PROSES EPITELISASI LUKA DONOR SKIN GRAFT: STUDI META ANALISIS Zarasade, Lobredia; Hutagalung, Magda Rosalina; Saputro, Iswinarno Doso; Putri, Nadia Tamara
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Highlights: Bukti preklinik yang dianalisis tidak berpengaruh signifikan dari pemberian platelet-rich fibrin (PRF) pada donor skin graft terhadap kecepatan epitelisasi. Praktisi medis perlu mempertimbangkan dengan hati-hati penggunaan PRF dalam prosedur donor skin graft. Abstrak: Latar Belakang: Kehilangan kulit yang terlalu luas perlu jaringan penutup untuk mengatasinya, salah satu pilihan untuk menutup luka tersebut dengan melakukan tindakan skin grafting. Berdasarkan data IRJ Bedah Plastik Rekonstruksi dan Estetik RSUD Dr. Soetomo dalam 1 tahun (2017-2018) didapatkan pada 26 dari 50 kasus donor skin graft mengalami penyembuhan yang lebih dari waktu penyembuhan normal. Metode penyembuhan luka telah mengalami perkembangan beberapa tahun terakhir, salah satunya mulai dikenal peran platelet-rich fibrin (PRF). Metode: Penelitian ini merupakan penelitian dengan desain meta-analisis yang bersifat kuantitatif. Sumber data dari penelitian ini melalui penelusuran literatur di pencarian elektronik dengan menggunakan keyword pencarian literature. Database yang digunakan adalah Medline dan Pubmed antara tahun 2005-2020. Hasil: Seleksi literatur didapatkan lima studi, dengan tiga studi subjek menggunakan donor split thickness skin graft dan dua studi menggunakan donor free gingival graft. Dalam tiga studi menyebutkan pemberian platelet-rich fibrin (PRF) dapat mempercepat waktu penyembuhan dan epitelisasi. Hasil meta analisis menunjukkan tidak ada perbedaan antara kelompok pemberian platelet-rich fibrin (PRF) dan kelompok kontrol dalam proses epitelisasi pada donor skin graft (summary effect 1,30, 95% CI -0,42–3,02). Kesimpulan: Bukti-bukti preklinik berdasarkan studi meta-analisis ini menunjukkan bahwa tidak ada pengaruh signifikan terhadap pemberian platelet-rich fibrin (PRF) pada donor skin graft dalam kecepatan epitelisasi.

TATALAKSANA MANAJEMEN OPERATIF PADA PASIEN SINDROM PARRY-ROMBERG DI RSUD DR. SOETOMO SURABAYA Setya, Aldy Mulia Hati; Saputro, Iswinarno Doso; Hutagalung, Magda Rosalina; Rizaliyana, Sitti
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Highlights: Tatalaksana Sindrom Parry-Romberg pada pasien melibatkan rekonstruksi wajah dengan menggunakan free flap dari otot Gracilis. Dilakukan terapi berupa obat-obatan golongan kortikosteroid, retinoid, antioksidan, dan imunosupresan untuk mengendalikan gejala dan perkembangan penyakit pada Sindrom Parry-Romberg. Abstrak: Latar Belakang: Sindrom Romberg yang juga memiliki sinonim dengan Sindrom Parry-Romberg (juga dikenal sebagai atrofi hemifasial progresif) adalah penyakit langka yang ditandai oleh penyusutan yang progresif serta degenerasi jaringan di bawah kulit, biasanya penyakit ini terjadi pada satu sisi wajah (atrofi hemifasial) tetapi kadang-kadang meluas ke bagian lain dari tubuh. Sebuah mekanisme autoimun dicurigai menjadi salah satu penyebab dari penyakit ini, dan sindrom ini diduga merupakan varian dari skleroderma lokal, untuk penyebab pasti patogenesis dari penyakit yang didapat ini hingga saat ini masih belum dapat ditentukan. Ilustrasi Kasus: Pasien perempuan berusia 23 tahun mengeluhkan ketidaksimetrisan wajah antara sisi kanan dan sisi kiri yang telah dialaminya selama 8 tahun, tetapi keluhan tersebut tidak mengalami perburukan dalam setahun terakhir.Tidak ada riwayat trauma. Dari anamnesis, tidak ada gejala seperti rasa baal atau kesemutan pada wajah sisi kanan, dan tidak ada riwayat penyakit serupa dalam keluarga pasien. Pemeriksaan fisik menunjukkan adanya atrofi pada musculus region Frontotemporal sisi kanan hingga cheek dextra. Pemeriksaan intraoral mengindikasikan oklusi gigi yang normal.Hasil pemeriksaan Saraf Cranial ke-7 (nervus fasialis) menunjukkan fungsi yang normal, termasuk kemampuan mengangkat alis, mengkerutkan dahi, mencucu, dan tersenyum pada kedua sisi wajah. Pemeriksaan mata menunjukkan visus yang baik pada mata kanan dan kiri, gerak bola mata yang normal, dan tidak ada penglihatan ganda. Pembahasan: Dilakukan tatalaksana berupa rekonstruksi dengan free flap dari otot Gracillis tungkai kanan pasien untuk sisi kanan wajah pasien yang di anastomosis dari arteri dan vena temporalis superior. Selain menggunakan free flap gracillis, Sindrom Parry-Romberg juga dapat menggunakan terapi lainnya seperti obat-obatan golongan kortikosteroid (topical dan intralesi), retinoid, anti-oksidan, dan imunosupresan. Kesimpulan: Pengobatan Sindrom Parry-Romberg dapat melibatkan berbagai pendekatan, termasuk prosedur bedah rekonstruksi dan penggunaan obat-obatan tertentu. Pilihan terapi harus dibicarakan antara pasien dan tim medis yang merawat untuk memastikan perencanaan pengobatan yang paling sesuai untuk kasus ini

SUBGLOTTIC STENOSIS (SGS) PASCA TRAUMA INHALASI Lilihata, Jilvientasia Godive; Saputro, Iswinarno Doso; Lynda Hariani
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 2 (2021): Jurnal Rekonstruksi dan Estetik, Desember 2021
Publisher : Universitas Airlangga

Highlights: Pentingnya evaluasi FOL sejak awal setelah cedera inhalasi. Sekuel cedera inhalasi pada subglotis dapat dicegah dengan menggunakan ETT ukuran kecil dengan tekanan cuff yang tidak terlalu tinggi. Abstrak: Latar Belakang: Laryngotracheal stenosis (LTS) terjadi pada 24-53% pasien pasca trauma inhalasi Insiden komplikasi pasca pembedahan LTS adalah 33- 34% dan mortalitas pasca pembedahan adalah 1,5-2%.SGS sering terjadi pada cedera inhalasi pasca intubasi. Ilustrasi Kasus: Pasien dengan luka bakar pada area wajah dan keempat ekstremitas, akibat ledakan tabung gas pada ruangan tertutup. Sembilan jam pasca trauma, pasien mengeluhkan kesulitan bernapas. Pasien diintubasi selama 2 hari pasca trauma dan 5 kali intubasi lainnya dengan ETT cuff 6,5 mm untuk tindakan operasi. Tidak ada data tekanan cuff pasien. Hari ke-38 perawatan di rumah sakit, pasien mengeluh suaranya serak dan terkadang merasa sulit bernapas. Hasil fiber optic laryngoscopy (FOL) pasien menunjukan 30% penyempitan pada subglotis. Pasien didiagnosis dengan SGS stadium 1. Pasien tidak membutuhkan tindakan pembedahan dan hanya diobservasi. Hasil: Evaluasi FOL sebaiknya dilakukan sejak awal setelah cedera inhalasi. Namun, pada pasien kami, evaluasi FOL baru dilakukan setelah gejala SGS muncul. Risiko peningkatan SGS terkait dengan keparahan cedera inhalasi, tingkat peradangan, durasi penggunaan tabung endotrakeal (ETT) yang lama (lebih dari 10 hari), penggunaan ETT yang besar, dan intubasi berulang. Tekanan cuff pada ETT bisa menyebabkan masalah seperti bekas luka dan penyempitan pada subglotis. Tekanan cuff yang direkomendasikan adalah 20-30 cmH2O, dan perlu diukur dan disesuaikan setiap 4-12 jam. Pasien kami mengalami intubasi sebanyak 6 kali tanpa pengukuran tekanan cuff. Stadifikasi SGS sering menggunakan sistem Cotton Meyer staging, di mana Stadium 1 SGS biasanya tidak memerlukan tindakan pembedahan. Kesimpulan: Sekuel cedera inhalasi pada subglotis dapat dicegah dengan melakukan intubasi sesuai indikasi dan menggunakan Endotracheal Tube (ETT) ukuran kecil dengan tekanan cuff yang tidak terlalu tinggi. Hal ini dapat membantu mengurangi risiko terjadinya Subglottic Stenosis (SGS) yang serius.

THE OCCURRENCE OF CONTRACTURE AND THE SEVERITY OF BURN INJURIES AMONG BURN PATIENTS TREATED AT DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2020-2022) Hamiseno, Gifta Marshanda Qanitah; Iswinarno Doso Saputro; Diah Mira Indramaya; Lobredia Zarasade
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 1 (2024): Jurnal Rekonstruksi dan Estetik, June 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v9i1.52160

Highlights: A robust association was observed between total body surface area (TBSA) and burn injuries, except in the case of elderly individuals. The duration of hospitalization is significantly associated with the occurrence of contracture. Abstract: Introduction: Burn injuries are a worldwide issue and can happen for many reasons, often causing skin damage that leads to deformities and movement difficulties. Many burn patients, up to 50%, experience contractures, which limit movement in areas such as the shoulders, wrists, and torso. Proper management through medicine, surgery, and therapy is crucial for helping these patients. Research at Dr. Soetomo General Academic Hospital is focused on studying the frequency of contractures after burn injuries to improve treatment and prevention methods. Methods: The research used descriptive analytics and gathered data from the Burn Unit at Gedung Bedah Pusat Terpadu (GBPT) and the Plastic Surgery Polyclinic at Dr. Soetomo General Academic Hospital in Surabaya. The study examined 40 eligible patients and assessed variables including burn severity, affected body area, and hospitalization duration. Results: The results showed that the average age of patients was 26.30 years, with 70% of them being male. Only 5% of patients had other health problems, mainly related to hormones. Most burns were caused by fire (37.5%), and many were second-degree burns (42.5%). The percentage of the body affected by burns varied by age: children had around 9.86%, adolescents had around 15.96%, and adults had around 5.25%. Most injuries were on the left arm (67.5%), and many patients stayed in the hospital for a long time (67.5%). Conclusion: All patients developed contractures following burns, irrespective of burn severity. There was a correlation between burn size and severity, except among older patients. Additionally, a notable association was observed between contracture occurrence and prolonged hospitalization.

A CASE REPORT: EARLOBE RECONSTRUCTION ON CONGENITAL AURICULAR LOBE DEFECT USING Z-PLASTY Amatullah, Nida' Fahima; Iswinarno Doso Saputro
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 1 (2024): Jurnal Rekonstruksi dan Estetik, June 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v9i1.54622

Highlights: Congenital ear defects typically result from growth failures during the fifth to ninth weeks of gestation or from mechanical stress during this period. Auricular lobuloplasty using the Z-plasty flap technique effectively addresses earlobe defects, resulting in optimal aesthetic outcomes with no keloid formation, minimal scarring, and no complications. Abstract: Introduction: Earlobe defects, often due to embryonal growth failure or injury, can affect aesthetics and social interactions despite not impacting hearing. Earlobe defect can be formed either from birth as congenital defect or secondary manifestation of other causes such as tumor and external factor such as earring usage or trauma. This study aimed to address these issues by performing auricular lobuloplasty using a Z-plasty flap technique. The procedure, crucial for protecting the auditory canal and facilitating eyeglass use, was successful in achieving the desired aesthetic outcome. Data on microtia prevalence, particularly in Indonesia, highlights the need for such reconstructive surgeries. Case Illustration: A 9-year-old boy underwent auricular lobuloplasty to correct a cleft earlobe deformity, which caused social discomfort. The surgery, performed under general anesthesia, utilized a Z-plasty technique to lengthen and reorient the scar. Postoperative care included wound dressing changes and oral pain medication. After two weeks, satisfactory results were observed with no reported complications. Discussion: The study on congenital ear deformities focuses on Z-plasty for earlobe reconstruction, detailing classifications, surgical techniques, and case results. The surgery was successful with minimal scarring and no keloid formation. Using Weerda's classification, the technique showed minimal scarring and no keloid formation. The approach, emphasizing proper skin envelope and alignment with Langer lines, offers effective aesthetic restoration, making it a valuable reference for future earlobe reconstruction cases. Conclusion: Utilizing Z-plasty for earlobe defect reconstruction aids in improving the earlobe's appearance with minimal to no complications.

Manifestasi Klinis Covid-19 pada Kulit Iswinarno Doso Saputro; Medisa Primasari
MEDICINUS Vol. 34 No. 1 (2021): MEDICINUS
Publisher : PT Dexa Medica

Severe acute respiratory syndrome Coronavirus-2 (SARS-CoV-2) is a strain of coronavirus that causes Coronavirus Disease 2019 (Covid-19). The first case was reported in the city of Wuhan, China, through the consumption of bush meat which presumed to be the reservoir of the virus. Human-to-human transmission occurs through respiratory droplet inhalation or touching contaminated surfaces, then without washing hands, virus may enter the body through contact with mucous membrane in the eyes, nose, or mouth. Covid-19 manifested in various level of severity among individuals, from mild, severe, critical, or even symptom-free. Clinical manifestations are not specific and vary among individuals. Common symptoms are fever, cough, fatigue, shortness of breath, upper respiratory symptoms, gastrointestinal disorders, loss of taste or smell, also presentation of skin manifestation. Skin manifestation associated with Covid-19 also varies and may appear at different times without being followed by other symptoms. Laboratory tests, imaging test, and identification of genetic material of SARS-CoV-2 are necessary to confirm the diagnosis of COVID-19.

Keloid and Hypertrophic Scar Post-Excision Recurrence: A Retrospective Study Azzahra, Alya Mutiara; Perdanakusuma, David Sontani; Indramaya, Diah Mira; Saputro, Iswinarno Doso
Jurnal Plastik Rekonstruksi Vol. 9 No. 2 (2022): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v9i2.343

Introduction : Abnormal scar recurrence can occur and often be greater than pre-excision because the recurrence rate is giving a high percentage. Data about keloid and hypertrophic scar recurrence are rarely found in Indonesia. Therefore, it is necessary to conduct research related to abnormal scar, aims to determine the incidence of abnormal scar recurrence to support future research by giving valuable data. Method : A retrospective descriptive study that evaluated post-excision abnormal scar patients from 2018 to 2020 using medical records. Result : The sixteen cases had varied by age with the highest number of presentations in the late adolescence (17-25 years) (31%). Comparison of male (56%) and female (44%) patients were 1.28:1. The distribution of patients with recurrence of abnormal scars based on the type of abnormal scar found that 11 patients (69%) had keloids and the rest had hypertrophic scars with a total of 5 patients (31%) with predominantly ear (38%). Strategies of therapy most commonly excision only (50%), followed by excision with steroid injection combination (31%). Conclusion: This exemplifies recurrence case in post-excision abnormal scar. Our findings indicate that there are differences in surgical strategy, such as wound closure techniques. Most of them were found with keloid scars and the incidence of recurrence was 11 cases and 5 cases experienced more than 1 recurrence. Furthermore, combination therapy, such as steroid injection, which is the most commonly used therapy after excision in this case, did not appear to prevent recurrence.

PENGARUH ORAL N-ACETYLCYSTEIN TERHADAP POLA FAKTOR PERTUMBUHAN ENDOTEL VASKULAR (VEGF) DAN FAKTOR PERTUMBUHAN FIBROBLAS (FGF) PADA MODEL KERETA LISTRIK TIKUS Sintaningrum, Elisabeth Prajanti; Saputro, Iswinarno Doso; Zarasade, Lobredia
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Highlights: Kadar rata-rata VEGF pada kelompok tikus yang menerima NAC lebih tinggi daripada kelompok kontrol. Hasil FGF pada kelompok tikus kontrol lebih tinggi pada hari ke-0 dan hari ke-8 dibandingkan dengan kelompok tikus yang menerima NAC. Di dalam kadar FGF dan VEGF tidak ada perbedaan yang signifikan antara kelompok yang menjalani perlakuan dan kelompok kontrol negatif. Abstrak: Latar Belakang: Luka bakar listrik menyebabkan cedera serius dengan mortalitas 20-30% dan 74% korban selamat dengan cedera permanen dan sekuel. Tingkat nekrosis pada luka bakar seringkali sulit untuk ditentukan karena sirkulasi mikrovaskuler pada jaringan dalam terlibat. N- acetylcysteine (NAC) dapat mengatasi stres oksidatif dan memiliki efek perlindungan terhadap kerusakan jaringan dari radikal bebas, secara hipotetis dengan sekresi berbagai faktor pertumbuhan yang mempercepat penyembuhan luka. Penelitian ini bertujuan untuk mempelajari pengaruh NAC terhadap tingkat faktor pertumbuhan endotermal vaskular (VEGF) dan faktor pertumbuhan fibroblast (FGF) dalam model luka bakar listrik tikus. Metode: Penelitian ini menggunakan desain randomized post-test only control group. Dalam penelitian ini, terdapat empat puluh dua tikus jantan galur Wistar yang ditempatkan dalam enam kelompok. Setiap tikus menerima arus bolak listrik sebesar 220 volt dengan intensitas 450-500 mA pada satu ekstremitas. Pengambilan sampel arteri femoralis dilakukan setelah pemberian dosis pertama NAC, setelah dosis pada hari ketiga, dan setelah delapan hari dari masing-masing dosis. Seluruh spesimen arteri femoralis dikenai pewarnaan dengan metode imunohistokimia dan diperiksa di bawah mikroskop dengan pembesaran 300 kali untuk mengevaluasi ekspresi VEGF dan FGF. Data dari seluruh sampel dikumpulkan dan kemudian dianalisis secara statistik. Hasil: Kadar rata-rata VEGF kelompok tikus yang menerima NAC lebih tinggi daripada kelompok kontrol dari awal pengamatan sampai hari ke 8. Hasil FGF pada tikus kontrol lebih tinggi pada hari ke-0 dan hari ke-8 dibandingkan dengan kelompok tikus yang menerima NAC. Namun, dalam tes yang berbeda tidak ada perbedaan yang signifikan (p>0,05) yang ditemukan pada pengukuran VEGF dan FGF pada hari yang sama antara kelompok kontrol dan kelompok perlakuan. Kesimpulan: Tidak ada perbedaan yang signifikan pada VEGF dan FGF antara kelompok kontrol negatif dan kelompok yang menjalani perlakuan.

CORELATION OF PARENTS' PROFILES OF CHILDREN WITH LATE CLEFT REPAIR IN SURABAYA CLEFT LIP AND PALATE CENTRE (JANUARY 2015–DECEMBER 2017) Ningrum, Laras Puspita; Saputro, Iswinarno Doso; Zarasade, Lobredia
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Highlights: Economic factors and insufficient information about cleft palate treatment was the primary cause of delayed repairs,except for Parents' education levels. The essential responsibility of primary care physicians is to provide education on treatment stages to minimize delays. Abstract: Introduction: Optimal time of Cleft palate repair is during the 10 to 12 month of age. In this time produce far natural results in terms of speech because it enabled the maturation of scar tissue postoperatively. The soft palate must function properly before the patient starts learning to talk, otherwise speech disorders such as persistent rhinolalia aperta might arise. In pediatric patients, the role of parents is very important on adherence to therapy. Methods: This is a cross-sectional study. The first study group was parents of patients who had surgical repair before two years old and the second group was the parents of patients who had repair after two years old. We compared age, monthly income, education level, number of children, and residential distance from Surabaya of the two groups. Results: The data of this study were obtained from the medical records of patients with cleft lip surgery at CLP Center Surabaya in 2015th-2017th with total of 358 patients, 172 were female and 186 were male. 52 patients with delayed cleft palate surgery. Patients' parents in both groups were mostly 31- 40 years old, were high school graduated, has one child, earned less than 1.5 million rupiah a month, and lived less than 100 kms from Surabaya. From the statistical results, parent's income has the strongest correlation with the patient's age in cleft palate surgery (-2.7). A negative coefficient means that the less parent's income, the more patient likely had delayed cleft palate surgery. While other factors found weak and very weak correlations. Conclusions:The results form patient's parents' interview, concluded that besides economic factors, the lack of information cleft palate treatment is the key factors that contributed to the delay of cleft palate repair. The education level does not affect the delay in cleft palate surgery, because even in high educated parents, sometimes they don't understand the stages of cleft lip and palate treatment. This study emphasized the necessity to educate about the stages of surgery by primary care physicians, to minimize delays.

Co-Authors Agus Santoso Budi, Agus Santoso Amandita, Tiara Amatullah, Nida' Fahima Ardia Respati Hapsari Aruja Dhar Aryati Asmaradianti, Aryunidya Azzahra, Alya Mutiara Diah Mira Indramaya Dwi Murtiastutik Evy Evrianti Fabian, Pascalis Hamiseno, Gifta Marshanda Qanitah Hariani, Lynda Hasan, Helmia Hesty Aulia Palupi Hutagalung, Magda Rosalina Huvi, Indira I Made Suka Adnyana Irsyan Baginda Maulana Karimah, Azimatul Kurniawan, Rifqi Kusuma, Diana Murtiati Lilihata, Jilvientasia Godive Medisa Primasari Milan Muhammed Muhaimin Rifa’i N, Priscilla Valentin Nata’atmadja, Beta Subakti Ningrum, Laras Puspita Noverta, Dhitta Aliefia Nur Aida Nurfaiza, Diandra Yasmin Oki Nugraha Putra Perdanakusuma, Arda Rahmanisa Perdanakusuma, David Sontani Prasetyo, Arif Tri Putri, Nadia Tamara Rahel Yuana Sadikim Revita Widya Prasanti Rifqi Kurniawan Rizaliyana, Sitti Saleh Ashafi Salsabilla Gina Rania Samiyah Septin Mauludiyana Setya, Aldy Mulia Hati Sindhu, Florencia Christina Sintaningrum, Elisabeth Prajanti U H, Muhammad Aulia Vaniode Dyahayu Vitari Wahdini, Siti Isya Waode Fifin Ervina Wardhani, Rr. Indrayuni Lukitra Widjaja, Febe Alodia Willy Sandhika Wiwik Misaco Yuniarti Yoes Prijatna Dachlan Zakanito, Marelno Zarasade, Lobredia

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