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All Journal Jurnal Rekonstruksi dan Estetik
Robertus Arian Datusanantyo
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Medicine & Pharmacology

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MODIFIED CLEFT LIP EVALUATION PROFILE (MCLEP) INDEX FOR UNILATERAL CLEFT LIP REPAIR OUTCOME ASSESSMENT IN SURABAYA CLP CENTER Robertus Arian Datusanantyo; Hutagalung, Magda Rosalina; Rizaliyana, Sitti
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (627.182 KB) | DOI: 10.20473/jre.v5i1.24316

Abstract

Highlights: The study revealed that there were no notable variations in the ultimate scores, regardless of whether the cleft lip was complete or an alveolar cleft was present. If the palate cleft was not present, unilateral cleft lip repair yielded considerably superior results, showing enhancements in both total lip and nose scores. Abstract: Introduction:  Cleft lip and/or palate is the most common craniofacial congenital anomaly encountered by the plastic surgeon. Both reconstruction and outcome assessment are challenging. This study aimed to assess the outcome of unilateral cleft lip repair in the Surabaya CLP Center. Methods: All patients who underwent unilateral cleft lip repair in 2017 were included in the study. Those without complete photographs at minimally 52 weeks after surgery were excluded. The photographs of patients taken at least one-year post-surgery were assessed using a modified cleft lip evaluation profile (MCLEP) index. The data were then analyzed using statistical software. Results: There were 38 subjects included in the study. There was no significant difference in the final scores obtained based on completeness of the cleft lip and the presence of alveolar cleft. The total nose score was significantly better in the left side cleft (p = 0.002). When palate cleft was absent, the total lip score (p= 0.038), the total nose score (p = 0.008), and total score (p = 0.000) were also significantly better. Conclusion: The unilateral cleft lip repair in CLP Center Surabaya yielded good and symmetrically acceptable results. The study failed to observe the different outcomes of unilateral cleft lip repair based on completeness of the cleft lip and the presence of alveolar cleft. However, the unilateral cleft lip repair outcome was significantly better in the absence of palate cleft.
A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIA Sidarta, Erdo Puncak; Syeben Hezer Epatah Hietingwati; Robertus Arian Datusanantyo
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i1.37277

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Highlights: Gynecomastia is a known potential side effect of efavirenz, which may manifest in HIV patients. Healthcare providers should be vigilant and address the potential adverse effects of medications prescribed to individuals with HIV, including gynecomastia. Surgeons in resource-limited areas show flexibility and can achieve satisfactory results in procedures despite limited resources and surgical options. Abstract: Background: Human Immunodeficiency Virus (HIV) patients can now access antiretroviral drugs even in  resource-limited area. The majority of patients receive the fixed daily dose of an efavirenz-based antiviral (ARV) as advised by the World Health Organization (WHO), despite the fact that gynecomastia is a recognized side effect of evafirenz. Case Ilustration: We report a 31 year-old male with antiretroviral-associated gynecomastia that underwent the bilateral excision without liposuction procedure with satisfying result. Discussion: Surgeon in limited-resource area faces limited resources to perform some specific procedure. Meanwhile, limited resources also poses patients avoidable adverse events in otherwise clinical setting. The antiretroviral-associated gynecomastia is unavoidable because limited regimen choice. Surgeon needs also to adjust the surgical option to achieve satisfying result without instrument complexities. Conclusion: We reported satisfying surgical outcome in antiretroviral-associated bilateral gynecomastia patient with limited clinical setting.
PRESSURE INJURY PATIENTS CHARACTERISTIC IN SOUTH EAST INDONESIA WARRANTS IMMEDIATE INITIATION OF PREDICTIVE ASSESSMENT TOOLS: A CHART REVIEW Djunaedi, Angela; Robertus Arian Datusanantyo
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.65076

Abstract

Highlights: The absence of Stage 1 pressure injuries reflects the need for a predictive assessment tool. The majority of patients were aged 60–71 and had unstageable pressure injuries. The main referring departments were Internal Medicine, Cardiology, and Pulmonology. Abstract: Introduction: Pressure injury (PI) is a worldwide health problem, a burden in many aspects, and influences life quality. Every PI case would be different due to several underlying factors and conditions which hindered the prevention strategies. We share the overview of PI patients on South East Indonesia. Method: A descriptive-retrospective study with chart review approach was held to review all case of PI consulted to plastic surgery from 2021-2023. Basic demographic data was collected along with the wound area, PI stage, and referrer department.   Result: PI was more frequent in Male patients insignificantly (p=0.069) developed more PI (55.13%) than female patients (44.87%). Almost half of PI case occurred in patients with more than 60 years old of age (48.71%). Most case were referred by the internal medicine, pulmology and cardiology department (43.59%) and mostly located in sacral region, (64.10%). Unstageable PI was found the most (48.72%) while no stage 1 PI was consulted. Discussion: The finding of the study existing knowledge about the risk factors for pressure injuries (PI), particularly sensory and motor impairment as well as immobility. The absence of stage 1 PI underscores the importance of a standardized predictive assessment tool to enhance early detection and intervention. Integrating routine visual inspection and palpation into the assessment process could improve the early recognition of PI. The intervention should be extended to educational program to family caregiver in discharge planning.   Conclusion: PI incidence corresponds with known risk populations. Hospital leadership should implement predictive PI assessment tools and incorporate PI education into discharge planning to improve early detection and intervention.
Co-Authors Djunaedi, Angela Hutagalung, Magda Rosalina Rizaliyana, Sitti Sidarta, Erdo Puncak Syeben Hezer Epatah Hietingwati