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All Journal Medical Journal of Indonesia Jurnal Plastik Rekonstruksi

Sudjatmiko, Gentur

Department of Surgery, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta

Author-ID : 669531

Civil Engineering, Building, Construction & Architecture Medicine & Pharmacology Other

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Surgical Intervention in Upper Lid Haemangioma To Prevent Amblyopia: Two Cases Report Sudjatmiko, Gentur; Marita, Adinda
Jurnal Plastik Rekonstruksi Vol. 1 No. 1 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Non-operative treatment for Hemangioma involving deeper skin structures extending into the mucosa is usually unsuccessful, since usually no involution will develop. Early surgical planning is important to prevent amblyopia and for the child’s self confidence of their cosmetic appearance later in life. We present two cases of superior palpebra hemangioma who underwent early surgical treatment. The first case involves a large hemangioma of the left superior palpebra with severe vision restriction; although later examination was proven that the visual function was still preserved. The second case involves a smaller perioccular lesion. Surgery was performed on both cases. In the larger hemangioma, only partial of tumor was removed by incision at the lid crease and intra-lesion injection of corticosteroids was administered to the remaining tumor.Advantages of surgical procedure in early rapidly growing stage and in very large hemangioma of upper eyelid; firstly, provides a definitive early treatment; secondly, safe because bleeding was manageable, and third prevent occlusion-related amblyopia. Besides these bene!ts surgery promises added esthetic outcome.

Lesson From Other Discipline’s Decision in Managing Giant Haemangioma Of The Hemithorax : Case Report Djaprie, Shelly M; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol. 1 No. 1 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

The management of the giant and moderate size infantile haemangiomas are challenging problems, especially in health systems with limited resources in developing countries. The aim of presenting this case is to take a lesson from another discipline’s decision in managing haemangioma. The author provide information based on clinical examination and surgical records of the patient with giant hemangioma which was consulted to plastic surgery team. A four month year old boy was consulted by pediatric surgery team with a giant size haemangioma on the right hemithorax.The treatment option for each haemangioma are different based on the case itself. Especially for this case, it seems better to be treated conservatively due to several reason, such as the phase of hemangioma, the location of the mass, the size, the donor morbidity. Early surgical excision of a moderate size infantile haemangioma may be justified especially when there is dificulty of follow-up. This approach will prevent growth deformation, impact on nearby vital organs and psychological problems.

Treatment of Buccal Lymph-hemangioma by Suction and Intralesional Steroid Injection Wardhana, Aditya; Sudjatmiko, Gentur; Tiza, Melina
Jurnal Plastik Rekonstruksi Vol. 1 No. 1 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Lymphangioma is a tumor-like lesion of lymphatics that most often located in the head and neck area, usually causing marked cosmetic and functional problems. Challenge continues to find a safe and effective modality of treatment for anatomical and functional purposes. Until now, no satisfactory methods in lymphangioma elimination. A 12 years old boy with lymphangioma of the left buccal was referred to the division of Plastic and Reconstructive Surgery in Cipto Mangunkusumo hospital. Suction and intralesional steroid injection was decided as a treatment in this patient. Pressure garment customized the size was made and applied to maintain and prevent healing in sagging position.Long term result should be evaluated, in this patient since the repair just only for 5 months. At follow up, 5 months post operatively after Suction and intralesional steroid injection, the buccal had improved significantly with normal anatomical and functional result. In our experience, the correction of the buccal lymph-hemangioma with suction and intralesional steroid injection was achieved a satisfactory result.

Medial Plantar Flap for Reconstruction of Heel Defect Raymond, Benny; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol. 1 No. 1 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Heel is subjected to exceed weight bearing and shearing forces. Full-thickness defects to the plantar surface of the foot present a challenge. Variety of procedures have been described for resurfacing this site, but not all achieve normal foot function. Reporting two cases, defects of the plantar surface of the heel resurfaced with medial plantar flap, an island fasciocutaneus flap and innervated, thus provide a good replacement.One patient show good result within 4 weeks, with minimal raw surface on secondary defect. While other patient didn’t show up after 2 weeks. Medial plantar flap was successfully used for heel defect reconstruction. Donor site morbidity was minimal, and patient could walk post-operatively without special devices for the heel.

Modified Two-Flap Palatoplasty With Leaving Lateral Periosteum and Application of Honey Pack : A Preliminary Study Bangun, Kristaninta; Sudjatmiko, Gentur; Mahandaru, Danu
Jurnal Plastik Rekonstruksi Vol. 1 No. 1 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

According to our experience in Ciptomangunkusumo hospital, most cleft palate patients has wide gap. It makes the epithelialization of the lateral defect takes longer time ( 3- 4 weeks). In this study, the authors propose a modified technique to the two-flap palatoplasty by not elevating the lateral part of the periosteum with the flap, and then apply honey packs to cover the lateral defects. The technique modification and additional honey-soaked dressing are expected to hasten the epithelialization rate. Twelve consecutive patients with non-syndromic cleft palate (with or without cleft lip) are included in the study. They undergo the modified two-flap palatoplasty with the lateral periosteum left behind, covering the palatal bone and the utilization of Honey pack. The rate of epithelialization is then observed every 2 days after operation until full healing is achieved. Complete epithelialization was attained within 5 days in one patient ( 2,8 mm/day), within 7 days in 8 patients (2-2,5mm/day), and within 9 days in 3 patients (2,2-2,7mm/day). There were no surgical complications, such as hemorrhage or wound infection. The fistula of the palate was not found until the defect closed. Our technique hasten the rate of epithelialization. It may prevent the maxillary growth disturbances in the future because faster healing reduces scar formation and wound contraction.

Co-Authors A., Nur A., Teuku Anggrahita, Tasya Anindhawati, Nur Atmadja, Tessa Miranda Bangun, Kristaninta Buchari, Frank D., Ishandono Djaprie, Shelly M Djoenaedi, Intania eko heryadi, eko Hakim, Intan Frischilla Hakim, Intan Friscilla Harsono, Anastasia Dessy Ibadurahman, Ibadurahman Irwansyah, Denny K. P., Ayu Diah K., Nadia Kreshanti, Prasetyanugraheni Kusumastuti, Nadia Laureen Supit Lestari, Puri Ambar Mahandaru, Danu Marita, Adinda Mukarramah, Dewi A. Mukarramah, Dewi Aisyah P., Nandita Melati Pribadi, Sweety Rani Septrina Raymond, Benni Raymond, Benny S., Asrofi Sandhi, Afriyanti Sari, Tessa Puspita Simamora, Huntal Sundoro, Ali Tania, Vika Tedjo, A. Tiza, Melina Utama, Defry Yundari, Yundari

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