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Maximillian C. Oley
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Penetrating Neck Injury due to Foreign Body at C5 Level with Plexus Brachialis Nerve Injury: A Case Report Maximillian C. Oley; Eko Prasetyo; Ferdinan Tjungkagi; Yovanka N. Manuhutu; Diornald J. Mogi
Medical Scope Journal Vol. 4 No. 1 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v4i1.44239

Abstract

Abstract: Penetrating neck injury caused by screwdriver is a very rare case. Rapid transport to a major trauma center is needed for such patients to prevent neurological dysfunction and post traumatic tissue damage. Early and complete assessment and exact surgical procedure are very important to overcome a good outcome and prognosis. We reported a case of a 28-year-old male transferred to the emergency room after being stabbed using a screwdriver. No history of nausea, vomiting, and loss of consciousness. A screwdriver got stucked on the neck at the level of C5-C6 associated with edema but no active bleeding. The upper extremity examination revealed that the muscle contraction was 5555/4444, thumb test +/, opposition test +/-, abductor adductor test +/-, and sensory within normal limit. Radiology examination showed a metallic density of the foreign body in the cervical region penetrating from soft tissue to the vertebral body of cervical C5. The patient was diagnosed with penetrating neck injury due to foreign body in the posterior neck region at C5 level with plexus brachialis nerve injury. Foreign body removal and laminectomy were done to decompression purpose. This case need early, complete and adequate management to prevent post traumatic tissue damage, other neurological dysfunction, and mortality. On the fourth post-surgical day, the patient was discharged with stable vital signs and no neurological deficit. The regular follow up at the neurosurgical clinic showed that neither motoric nor sensoric deficit was found. In conclusion, penetrating neck injury which can cause severe morbidity and permanent disability need an adequate management to prevent any spinal cord damage and minimize any neurological dysfunction. Keywords: penetrating neck injury; spinal cord injury
Burn Hypertrophic Scar Profile Based on POSAS Score at Prof. Dr. R. D. Kandou Hospital Manado Mendy Hatibie; Maximillian C. Oley; Eko S. Sinaga
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.46370

Abstract

Burn injury is skin damage due to extreme temperature resulting in hypertrophic scar if impaired of wound healing occurs that can impact on the quality of life. Evaluation of hypertrophic scar objectively and subjectively including scar quality and quality of life patient could performed with POSAS score. This study aimed to evaluate burn hypertrophic scar profile based on POSAS core at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective study using medical records of burn patients from 2018 to 2020 at Prof. Dr. R. D. Kandou Hospital. The results obtained 64 samples. Most of the patients were male (75.0%). The most dominant age of patients was over the age of 21 years (79.7%). The most frequent cause of burns was exposure to hot water (71.9%) followed by fire (21.9%). The undergraduate education level was the most affected by burns (79.7%). The type of work most affected was the professional group (62.5%) followed by housewives (18.8%). Most of the wounds were superficial-middermal degree (71%) followed by superficial degree (15,6%) and deep dermal full thickness (12,5%). Assessment of hypertrophic scars using the POSAS score showed almost the same results between observers and patients. In conclusion, hypertrophic scar evaluation with POSAS score is very useful because it can evaluate the scar quality and the quality of life. POSAS score evaluation is depended on wound treatment, duration of wound healing, grading and wound burn area, and length of stay. Keywords: hypertrophic scar; POSAS score; quality of life
Penilaian Parut Hipertrofi Luka Bakar Berdasarkan Patient and Observer Scar Assessment Scales (POSAS) Eko S. Sinaga; Mendy Hatibie; Maximillian C. Oley; Fredrik G. Langi
Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v6i1.46566

Abstract

Abstract: Hypertrophic scar of burn can occur due to the imbalances in the wound healing process that can affect the quality of life. Patient and Observer Scar assessment Scales (POSAS) is an assessment instrument both from the patient and the observer. This study aimed to assess hypertrophic scars with POSAS. This was an observational and analytical study with a cross sectional design. Samples were patient with burns admitted to Prof. Dr. R. D. Kandou Hospital, Manado, and its network hospitals. The assessment was carried out directly when the patients being admitted to the hospital. Each patient who met the requirements had demographic and clinical data taken. Subsequent assessments were carried out at one month and six months after the initial treatment procedure. The results obtained 30 patients with burn dominated by females (63%). The most common degree of burns was superficial-middermal (67%). The assessment of POSAS by doctors and patients tended to be the same and both decreased in the first month and the sixth month after initial treatment procedure with a mean value of the total pre- initial treatment procedure score of 51.3±12.1; 1st month 44.2±9.5; 6th month 30.3±5.9. In conclusion, the evaluation of burns that produce acceptable hypertrophic scars using the POSAS score shows similarities in the assessment of observers and patients. Moreover, precautions at the beginning of the observation will affect the POSAS score Keywords: burn; hypertrophic scar; Patient and Observer Scar Assessment Scales   Abstrak: Parut hipertrofi paska luka bakar dapat terjadi karena ketidakseimbangan pada proses penyembuhan luka yang dapat memengaruhi kualitas hidup. Patient and Observer Scar Assessment Scales (POSAS) merupakan instrumen penilaian parut baik dari pasien maupun observer. Penelitian ini bertujuan untuk menilai parut hipertrofi dengan menggunakan POSAS. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Sampel penelitian ialah pasien dengan luka bakar yang dirawat di RSUP Prof. Dr. R. D. Kandou dan rumah sakit jejaring. Penilaian dilakukan langsung saat pasien masuk rumah sakit. Setiap pasien yang memenuhi persyaratan diambil data demografik dan kliniknya. Penilaian selanjutnya dilakukan pada satu bulan dan enam bulan paska tindakan perawatan awal. Hasil penelitian mendapatkan 30 pasien dengan luka bakar yang didominasi oleh pasien perempuan (63%). Derajat luka bakar terbanyak ialah superficial-middermal (67%). Penilaian POSAS oleh dokter dan pasien cenderung sama dan mengalami penurunan baik pada bulan pertama dan bulan keenam setelah tindakan dengan nilai mean skor total pra tindakan 51,3±12,1; bulan pertama 44,2±9,5; dan bulan keenam 30,3±5,9. Simpulan penelitian ini ialah evaluasi luka bakar yang menghasilkan jaringan parut akseptabel menggunakan skor POSAS menunjukkan kesamaan penilaian menurut observer dan pasien. Tindakan pencegahan pada awal pengamatan akan memengaruhi skor POSAS. Kata kunci: luka bakar; parut hipertrofi; Patient and Observer Scar Assessment Scales
Co-Authors Diornald J. Mogi Eko Prasetyo Eko S. Sinaga Ferdinan Tjungkagi Fredrik G. Langi Mendy Hatibie Yovanka N. Manuhutu