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INDONESIA
Jurnal Plastik Rekonstruksi
Published by Yayasan Lingkar Studi Bedah Plastik
ISSN : 20896492     EISSN : 20899734     DOI : -
Core Subject : Education, Engineering,
Civil Engineering, Building, Construction & Architecture Other
Jurnal Plastik Rekonstruksi is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery. JPR publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types.
Arjuna Subject : -
Articles 250 Documents
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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

Abstract

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.
Aesthetic Evaluation After Three-Dimensional Shaping of Free Flap for Nasal Reconstruction without Additional Paramedian Forehead Flap Atmodiwirjo, Parintosa; Jonathan, Reinhart; Ramadan, Mohamad Rachadian; Triatmoko, Sara Ester; Erina, Maryam Nur; Ralena, Nadhira Anindita
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.v9i2.344

Abstract

Nasal reconstruction has continued to advance in accordance with Menick's vision as it was first conceived. His combination of radial forearm free flaps with the gold standard of paramedian forehead flaps is highly regarded for producing superior outcomes, and it has received widespread praise as a consequence. In this study, we present nine patients who had nose reconstruction using free flaps. All of the patients had successful outcomes. Using the FACE-Q questionnaire, we assessed the degree to which patients were satisfied with both the functional and aesthetic aspects of their appearance. The outcomes were positive for nine of the patients.
Central Facial Soft-Tissue Defect Following Surgical Resection: An Algorithm for Reconstruction Ramadan, Mohamad Rachadian; Atmodiwirjo, Parintosa; Tikyayala, Amila
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.v9i2.347

Abstract

Background: Central facial soft tissue defect poses a unique challenge for the reconstructive surgeon. The three-dimensional properties of the aesthetic facial subunit and its related function are the goals for reconstruction. Considering the prominent social role of the face, the procedure to achieve a good quality of life for patients may cost more than a single surgery. This single-center study presents an algorithm of treatment for central facial soft tissue defect and it’s proposed classification according to the authors’ experiences. Methods: A retrospective review of medical records and photos of patients who underwent central facial soft tissue defect reconstruction in Cipto Mangunkusumo National Hospital, Jakarta, Indonesia, from 2009 to 2019. Patients who underwent free flap reconstruction were followed up, and the primary outcomes were assessed using the FACE-Q head and neck cancer (FACE-Q H&N) scale. A classification system for central facial soft tissue defect with seven subtypes (1–7) based on the facial subunit and its treatment was proposed. Results: Twenty-five patients were included. The malignant tumor was the main etiology (88%), with basal cell carcinoma being the primary cancer pathology (64%). The average defect size was 120 cm2 (32-416 cm2) and most defects fell into subtype 6 of the classification (32%). Anterolateral thigh free flap (ALT) was the main flap of choice (64%), followed by radial forearm free flap (36%), with 92% of flaps succeeding rate from this series. All of the patients underwent at least one ancillary procedure following the reconstruction, while the average was 2 (1-6) procedures. FACE-Q H&N outcomes, especially on the appearance and appearance distress scale, showed a low to moderate score with a 72% response rate. Conclusions: Central facial soft-tissue defect continues to challenge reconstructive surgeons. While the advances in free tissue transfer might improve the general outcomes, the numerous and costly secondary procedures do not usually end up in the best appearance. This study displayed the need for modern reconstruction modalities that provide high satisfaction in aesthetic and functional outcomes with fewer secondary procedures. Vascularized Composite Allotransplantation (VCAT) might be the future choice.
THE EFFECT OF ORALLY ADMINISTERED COENZYME Q10 ON THE VIABILITY OF RANDOM SKIN FLAP IN NICOTINE EXPOSED WISTAR RATS Agustina, Wilma; Budi, Agus Santoso; Rizaliyana, Sitti
Jurnal Plastik Rekonstruksi Vol. 10 No. 1 (2023): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v10i1.345

Abstract

Introduction : Nicotine was assumed to be the cause of compromised flap. The administration of antioxidants can eliminate such effect, and one of the most promising antioxidants is Coenzyme Q10. The research aims to find the effect of orally administered Coenzyme Q10 on the viability of random skin flaps in nicotine-exposed wistar rats. Method : Twenty-seven white rats (Rattus norvegicus) were assigned in three groups. The first group received no nicotine, while the other two groups were nebulized with nicotine for 4 consecutive weeks, and treated as random skin flaps. In third group, Coenzyme Q10 was administered for 7 days. Then, a standard histopathological staining and vascular endothelial growth factor (VEGF) measurement were performed on flap sample to examine the extent of neovascularization and VEGF cell expression. Result : The average number of capillaries in group I was 5.33 ± 1.323, in group II was 5.89 ± 0.782, and in group III was 7.78 ± 2.587. There was no significant difference (p = 0.317, 95% CI) in groups I and II of VEGF expression. However, significant differences were found in the intensity of VEGF (p = 0.009, 95% CI) in groups I and group III, and in groups II and group III (p = 0.011, 95% CI). Thus, the intensity was stronger on the subject with coenzyme Q10 compared with the other two groups. Conclusion: Coenzyme Q10 increases the viability of random flaps by increasing the number of capillaries and VEGF expression.
THE ACCEPTABILITY OF TELEMEDICINE IN POST-MASS CHARITY CIRCUMCISION IN INDONESIA: A PILOT STUDY Aulia, Indri; Valeria, Michelle; Zacharia, Nathaniel J.; Amangku, Bagus R.; Prasetyo, M. Luthfi
Jurnal Plastik Rekonstruksi Vol. 10 No. 1 (2023): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v10i1.348

Abstract

Introduction: Charity circumcision is common in Indonesia. It is usually done by general practitioners or medical students under supervision. Procedures are often held on a mass scale and rarely followed with post-monitoring. We developed a telemedicine follow-up protocol to educate and address post-procedure complications. This pilot study evaluates the acceptability of telemedicine follow-up protocol for charity circumcision in Indonesia. Method: Data were collected from operators and caregivers of children attending charity circumcision. The protocol consisted of text interviews (pain, urinary retention) and surgical sites' four-angle photographs (epithelialization, bleeding, infection, edema, and glans excoriation). The protocol was conducted two-way between caregivers and operators on days 1, 3, 7, and 30 after circumcision. The Ethics Committee of the Faculty of Medicine, Universitas Indonesia, has approved this study. Result: Twenty-five boys with a mean age of 8.02±1.53 years old have similar pre-operative, operative, and postoperative protocols. Twenty-one caregivers completed four times follow-ups, one missed two times follow-ups, and three missed the last follow-up. Mild pain was the most reported complication, with 32% (8/25), 12% (3/25), 8% (2/24) incidence on days 1, 3, and 7, respectively. By the end of the follow-up, there were no persisting complications, and 80% (20/25) of boys showed complete epithelialization. All caregivers and most operators were satisfied with telemedicine for post-mass circumcision monitoring. Conclusion: The telemedicine-based follow-up is acceptable and feasible to be applied in mass charity circumcision. This protocol is beneficial for monitoring the results and adverse events, therefore, should be routinely adopted in mass charity circumcision programs.
THE DOCUMENTATION OF CLEFT LIP AND PALATE PATIENTS AT THE DEWI SARTIKA HOSPITAL IN KENDARI Subarno, Saktrio Darmono; Ibnu Ikhsan, M. Idris
Jurnal Plastik Rekonstruksi Vol. 10 No. 1 (2023): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v10i1.349

Abstract

Introduction : Cleft in the lips and palate is a congenital abnormality in the lip and palate. The incidence of oral cleft in the United States is estimated to be 1 in 700 births. Meanwhile, for Indonesia, especially the Southeast Sulawesi region, it has not been well documented. Method : This is a retrospective study to determine the prevalence of cleft lip and cleft palate or labiopalatosc at Dewi Sartika Hospital in Kendari, Southeast Sulawesi between January and December 2018. Result : Prevalence of Labioschisis, Palatoschisis and Labiopalatochisis on January-December 2018 is 23 patients (33%), 13 patients (19%) and 34 patients (49%). Presentation for each of kind unilateral are : unilateral labioschisis is 38 patients (66,7%) and bilateral labioschisis is 19 patients (33,3%). Presentation according to the place of defect labioschisis : right is 10 patients (17,6%), left 28 patients (49,1%), bilateral 19 patients (33,3%). Distribution kind of palatoschizis : complete palatoschizis is 49 patients (89%) and Incomplete palatoschizis is 6 patients (11%). Presentation labioschizis according to sex : Male 40 patients (57%), and female is 30 patients (43%). Conclusion: The prevalence of cleft lip and palate has many forms, kind of labioschisis that large is unilateral labioschisis and localization defect is often on left edge. Complete labioschizis is large than incomplete palatoschizis. Labioschisis is happen more to male.
A POST OPERATIVE PALATOPLASTY FEEDING GUIDELINES: A LITERATURE REVIEW Salim, Darryl Samuel; Victe, Dona Christin; Sylvina, Sylvina; Setyarto, Muhammad Rizqy
Jurnal Plastik Rekonstruksi Vol. 10 No. 1 (2023): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v10i1.353

Abstract

Introduction: Post operative palatoplasty is one of the important things, because many complications that may occur post operatively such as bleeding, dehiscence, to velopharyngeal insufficiency. One of the factors that determine postoperative palatoplasty wound healing is feeding problem which is still controversial, both in terms of the type of food and the time of feeding. There are no guidelines for handling postoperative palatoplasty in Indonesia. For this reason, the author tries to make a feeding guides post palatoplasty by compiling existing literature, to be used as a reference in making guidelines. Method: Data collected from journal search engine with limited keyword. All article were analysed by authors to find focused data post palatoplasty feeding. All data is presented in a table, then compared and analysed. Result: There are nine articles that met the inclusion and exclusion criteria were obtained which were presented in the table and compared. Conclusion: Guidelines for post palatoplasty surgery must be made to provide the best results. Based on existing research and literature, the authors suggest including: a liquid diet after surgery, a soft diet as soon as possible, a solid diet after one month of surgery, and most importantly all diets must have good nutrition for Indonesia post palatoplasty feeding guidelines.
A FLAP MODALITY FOR RESURFACING FOLLOWING EXTERNAL GENITALIA TUMOR ABLATION: A CONSECUTIVE CASE SERIES Muzakkie, Mufida; Amatullah Sakinah, Annisaa Nabila
Jurnal Plastik Rekonstruksi Vol. 10 No. 1 (2023): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v10i1.358

Abstract

Introduction : External genitalia defect may result from various cases such as vulvar cancer, cervical cancer, tumor metastases, etc. Female genitalia is challenging for reconstruction due to many complex anatomical structure like urethra, vagina, anus, and its a highly mobile region. It is need to reconstruct with high successful rate and low morbidity procedure. The aim of this paper is to report various flaps for resurfacing following external genitalia defect. Method : From September 2017 - April 2022, 7 patients referred by Obstetric Gynecology Department to Plastic Surgery Division at Muhammad Hoesin Central General Hospital. The data was reviewed retrospectively to evaluate demographic, diagnosis, choice of flap reconstruction, functional and anatomical long term evaluation. Result : The ages of the patients ranged from 29 - 67 year-old, diagnosed with cervical cancer with tumor metastases to vulva in 16% (n=1) and vulvar carcinoma 84% (n=5). Flaps performed: Antero-lateral Thigh (ALT) flap in 14,5% (n=1), gracilis flap in 28,5% (n= 2), rotation flap in 28,5% (n= 2), keystone flap in 28,5% (n=1). A major dehiscence and need required reoperation for abscess in 16% (n=1). Flap selection based on size, region, and anatomical structure defect. ALT was chosen for wide and bilateral vulvar and perineal defect, gracilis for unilateral vulvar and perineal defect, Keystone flap for half of vulvar and perineal defect, rotation flap for defect on mons region. Conclusion: Flap selection in genitalia external reconstruction must be consider on the anatomical loss structure and defect size to achive durable tissue for acceptable functional and mobilisation. The algorithm may help to choose for flap based on loss area.
Early Dangling Protocol Post Lower Extremity Free Flap Surgery: An Evidence-based Case Report Atmodiwirjo, Parintosa; Aditya, Timothy; Tafdhil Tardha, Muhammad; Nazwan Sani, Fadli
Jurnal Plastik Rekonstruksi Vol. 10 No. 2 (2023): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v10i2.346

Abstract

Background: Free flap is tissue transplantation by including its feeding artery from one body part to another. Intravascular thrombosis is the main obstacle commonly faced in the anastomosed part. Yet, postoperative extremity mobilization has widely become the main question related to flap failure. Only a few studies explained the best time to perform lower extremity mobilization post free flap surgery to maintain adequate flap viability. This study aimed to find the effectiveness of the dangling protocol in reducing lower extremity free flap surgery complications. Methods: A literature search was conducted through PubMed, Cochrane, and Embase in March 2022 using “Free tissue flap” or “free flap” AND “dangling protocol” or “early ambulation” AND “postoperative complication” keywords. Title and abstract screening, full-text reading, and eligibility assessment were performed to find related evidence regarding our clinical question. Results:  The two relevant articles are a systematic review and a clinical trial study. Both studies showed 94-100% flap viability after applying early dangling protocol as early as three days post lower leg free flap surgery with level evidence of IIB up to IV without any incidence of flap necrosis. Conclusion: Early dangling protocol can be implemented safely after free flap surgery of the lower extremity without postoperative complications such as total or partial necrosis.
Facial Soft Tissues Reconstruction Methods After Tumor Resection in Soedarso General Hospital 2017 - 2022 Jaya, Fidi Bhawana; Setiawan, Doni
Jurnal Plastik Rekonstruksi Vol. 10 No. 2 (2023): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v10i2.355

Abstract

Introduction: Facial contour deformity is a very challenging problem for aesthetic and reconstructive surgeons. Assessment of facial deformities is important for developing a subsequent reconstruction plan. Various techniques have been described for the repair of tumor-related defects of facial soft tissues. This study aimed to describe methods of Facial Soft Tissue Reconstruction after Tumor Resection at Soedarso General Hospital, West Kalimantan. Method: A retrospective descriptive study using data such as age, gender, type of tumor, size of the defect, and type of reconstruction done, which were collected from medical records of all patients with malignant facial soft tissue tumors who have underwent tissue reconstruction after tumor resection at Soedarso General Hospital, West Kalimantan, between 2017 and 2022. Result: A total of 48 patients were included. 33 patients underwent rotational flap only, 8 patients underwent rotational flap and skin graft, 1 patient underwent transposition flap, 6 patients underwent skin graft. 39 patients had BCC, 7 patients had SCC, 1 patient had MM, 1 patient had Meibom gland Adenocarcinoma. 25 patients were female, 23 patients were male. 41 patients had age 60 years old and older, 7 patients had age younger than 60 years old. 8 patients with defect size larger than 4x4x3 cm, 40 patients with defect size smaller than 4x4x3 cm. Conclusion: Knowledge of distribution patterns of facial soft tissue tumors will help to correctly choose the right options in facial reconstruction. Unawareness can lead to inadequate treatment with serious consequences for the affected patient.

Page 21 of 25 | Total Record : 250

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