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All Journal Majalah Kedokteran Bandung Althea Medical Journal Padjadjaran Journal of Dentistry Jurnal Plastik Rekonstruksi Cermin Dunia Kedokteran
Hardisiswo Soedjana
Department Of Plastic Surgery Faculty Of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung
Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Other

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Journal : Jurnal Plastik Rekonstruksi

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Frontal Suspension Procedure using Frontalis Muscle for Management of Ptosis Soedjana, Hardisiswo
Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3287.375 KB) | DOI: 10.14228/jpr.v2i3.168

Abstract

Background : Ptosis has a reputation as a cosmetic problem, but it is more often as a functional deficit that can have real impact on patients’ lives. Ptosis results from the dysfunction of one or both of the upper eyelid retractors and often blocks peripheral vision. Ptosis can be congenital or caused by aging. Frontal suspension is one of few techniques for correction of ptosis especially for severe ptosis. Patient and Method : We reported one case of severe ptosis. The patient had bilateral congenital ptosis at both of upper eyelids. The upperlid excursion was 4 mm and marginal reflex distance (MRD) was 2 mm. A frontal suspension procedure using frontalis muscle was done for correction. Result : After frontal suspension procedure, MRDare 5 mm for both eyes. There wee no difficulty for closing the eyes. The cosmetic appearance was good. Patient was satisfied with the result. Conclusion : Frontal suspension procedure using frontalis muscle gives a good function and cosmetic result for severe ptosis.
Effectiveness Of Early Excisional Debridement In Burn Injuries To Sepsis Incidence And Mortality Rate At Burn Unit Of Hasan Sadikin Hospital Bowo, Setiagung Ambari; Soedjana, Hardisiswo
Jurnal Plastik Rekonstruksi Vol. 3 No. 2 (2016): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (536.271 KB) | DOI: 10.14228/jpr.v3i2.200

Abstract

Background: Sepsis is an important cause of mortality in patients with burn, although many factors influence it. Early excision debridement as source control treatment has been done routinely in our center. It was intended to prevent sepsis and decrease mortality rate. Methods: We performed a retrospective, cross sectional study over 4 years (2012-2014) among patients with flame burns in Burn Unit Dr. Hasan Sadikin Hospital who underwent early excisional debridement. The criteria of patients were adult, with full thickness burn, without inhalation injury and co morbid disease. The mortality, length of stay, and incidence of sepsis were analyzed by simple regression linier statistics using SPSS 16.0 for Windows. Results: Mortality rate of all patients was 43.3%, and 42.3% was directly caused by sepsis. Thirty-nine patients matched the criteria, 20 patients had early excision (< 3 days) and 19 patients had late excision (> 3 days). In early excision group, 75% got sepsis and 55% died. Mortality and incidence of sepsis wasn’t significantly different in both groups (p=0.252 and p=0.855). Both groups have same length of stay (mean : 13.1 and p=0.236). Sex as confounding factor wasn’t significantly different (p=0.774). The extent of TBSA and age were significant factors causing mortality rate (p < 0.05). Conclusion: There are many factors that contribute to the success of treating burn patient. Excision debridement was proven by this study not a major factor and ineffective to decrease sepsis and mortality in burned patients.
Co-Authors Achadiyani Amelia Febrina Ani Melani Maskoen Bashari, Muhammad Hasan Benny Muliawan Bowo, Setiagung Ambari Dany Hilmanto Eky Setiawan Soeria Soemantri Enny Rohmawaty Kiki Lukman Lisa Hasibuan Lisa Hasibuan Narmada, Steven Nasroen, Saskia Lenggogeni Putra Haqiqie Adnantama Lubis Rani Septrina Risa Davita, Theresia Selvy Harianti Sharon Noor Alya Steven Narmada Sunarjati Sudigdoadi Sunarjati Sudigdoadi Theresia Risa Davita Vita Murniati Tarawan Yodya Evila Yodya Evila, Yodya