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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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Free Flap Evaluation Following Reconstruction of Locally Advanced Squamous Cell Carcinoma of The Tongue Atmodiwirjo, Parintosa; Kartini, Diani; Arina, Maryam Nur; Sapphira, Elrica; Ramadan, Mohamad Rachadian; Triatmoko, Sara Ester
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.v10i2.361

Abstract

Background: Neoadjuvant chemotherapy (NAC) is a crucial component in the management of tongue-based locally advanced squamous cell carcinoma (LASCC) due to its ability to decrease tumor mass and facilitate free tissue transplantation. The utilization of adjuvant radiation and chemotherapy has been observed to decelerate the progression of post-operative tumor growth. Probability of free flap failure is elevated. Post-operative complications and the long-term functional outcomes of speaking, salivation, and swallowing determine the quality of free flaps. Methods: A retrospective review of tongue LASCC patients who underwent NAC followed by glossectomy and free tissue transfer from 2015 to 2018. Tongue functional outcomes of speaking, swallowing, and salivation were assessed using FACE-Q scale in 3 times follow-up period. Result: This study included 7 patients who underwent tongue reconstruction. Treatment modalities were based on tumor presentation, with 4 patients (57.1%) receiving Taxane, 5-Fluorouracil, and Paclitaxel/Doclitaxel (TPF), and 3 patients (42.1%) receiving Paclitaxel and 5-Fluorouracil (PF). Tongue reconstruction utilized the radial forearm free flap in 5 patients (71.4%) and the anterolateral thigh free flap in 2 patients (28.6%). Intraoperatively, NAC had no impact on the integrity of small and reliable donor vessels. Three patients died from tumor metastases after the second follow-up assessment, while one patient was lost to follow-up. The study found no significant association between chemotherapy dosage and free flap vitality (P = 0.629). FACE-Q assessments revealed moderate to low scores in speaking, eating, and drinking outcomes. Conclusion: Tongue reconstruction after NAC in LASCC patients remains a challenging procedure for surgeons. While the consideration of surgical difficulties due to damage of the donor vessels demands a more structured pre-operative plan. No correlation between the exposure of NAC or AR to free flap complication as well as functional outcome.
Forehead Flap for Facial Defects Reconstruction: Case Series and Review of The Literature Handoko, Tan Margaretha Heidina; Samuel, Darryl; Victe, Dona Christin; Yolla, Zulaekha; Joice Sitorus, Gina Yunita
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.v10i2.364

Abstract

Introduction: Forehead flap is one of the oldest techniques for reconstruction of the facial defects. Throughout the years, various advances in technologies and surgical techniques are continuously developing. Despite the ongoing advances in technology, forehead flap may be a simpler and useful alternative for facial defects. Method: This study was a retrospective case series of four patients presented to Dr. Kariadi Central-General Hospital during 2021-2022 with facial defects undergoing reconstruction with forehead flap. Case report based on the medical and surgical records. Result: All patients underwent reconstruction surgery in 2 stages. The first stage was flap elevation and transfer, and the second surgery was flap division and inset weeks later. All patients had overall good outcomes. Conclusion: Forehead flap is technically simple to perform, easy to master and provides good outcomes. In cases of free flap loss, a forehead flap can be used as a Plan B. Therefore, forehead flap is a reliable option for facial defect reconstruction and should be mastered especially by general plastic surgeons.
Cyanoacrylate Glue Burn Injury in 2 Years Old Child Wardhana, Aditya; Christabella, Rininta
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.v10i2.365

Abstract

Cyanoacrylate, a compound formed from formaldehyde and alkyl cyanoacetate, serves as a potent adhesive in daily life, cosmetics, medicine, and industry. Variants like methyl 2-cyanoacrylate and ethyl 2-cyanoacrylate are common for daily  and industrial use, with butyl 2-cyanoacrylate preferred in surgery as an adhesive for its low toxicity. While typically safe for skin, frequent contact can lead to dermatitis, paronychia, and onycholysis. This case report highlights a superficial burn in a two-year-old child caused by cyanoacrylate adhesive. Such burns are rare but require attention. Treatment involves gently separating the adhesive from the skin using soapy water, followed by the use of acetone, petroleum jelly, 0.9% NaCl solution, or 5% sodium bicarbonate solution, followed by the use of pumice stone or nail file to remove residue. Preventive measures include careful glue placement to limit access, especially by children. Caution is crucial when handling cyanoacrylate adhesive near cotton or wool due to its adhesive properties. In summary, cyanoacrylate offers versatility but requires caution to prevent dermatological issues and burns, especially when catalysed by cotton.
Postoperative Oronasal Fistula Formation Following The Furlow and Other Three Palatoplasty Techniques: A Systematic Review and Meta-Analysis Sari, Felicia Puspita; Satrio, Kenny; Samsarga, Gede Wara
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25251/vdfgb389

Abstract

Introduction : The technique for repairing a cleft palate depends on the length and width of the palate and the type of cleft palate according to the Veau classification. The most common surgical techniques include the Furlow double opposing Z-plasty, the Bardach palatoplasty, the von Langenbeck palatoplasty, and the V-Y pushback. One of the most frequent complications after cleft palate repair is an oronasal fistula (ONF). This article aimed to compare the risk of postoperative ONF formation following cleft palate repair. Method : We searched for manuscripts involving patients with ONF formation following the Furlow, Bardach, von Langenbeck, and V-Y pushback palatoplasty. Electronic literature searching of the PubMed, Scopus, and Cochrane databases was conducted for the studies published up to November 2022. Result: The meta-analysis used 17 studies, including the analysis of 3,207 repaired cleft palates. The Furlow technique was associated with a statistically lower risk of ONF formation when compared to the von Langenbeck and V-Y pushback techniques (RR=0.06[0.43-0.840],p<0.01 and RR=0.30[0.15-0.62],p<0.01 respectively). There were no statistically significant differences regarding ONF formation between the Furlow technique and the Bardach technique (RR=1.45[0.48-0.43],p=0.51). Conclusion: The Furlow technique is associated with a lower risk of ONF compared to the von Langenbeck and V-Y pushback techniques. There were no statistically significant differences in ONF formation between the Furlow and Bardach techniques.
The Efficacy of Topical Tranexamic Acid in Breast Surgery Evaluating the Drain Output and Complications Reduction: A Systematic Review and Meta-Analysis Sudarman, Jesica Putri; Sayudo, Iqbal Farhan; Putri, Marcelvina Mutiara; Ali, Gary; Handini, Nurliati Sari
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/

Abstract

Introduction : The topical administration of Tranexamic Acid (TXA) has gained significant attention for its potential advantages in various plastic surgery procedures. This study aims to conduct a systematic review and meta-analysis focusing on the use of topical TXA in breast surgery, analysing its impact on postoperative drain output and complications. Method : PubMed, Embase and the Cochrane Library databases were systematically searched to identify relevant studies. The data synthesis utilized random-effects models and the findings were presented as a mean difference and weighted odds ratio along with the corresponding 95% confidence interval. Results : Seven studies including four RCTs and three observational studies, comprising 1,553 breasts undergoing surgery were included. The average age of participants was 46 years; mean body mass index (BMI) was 26.1 kg/mm2. Of the breasts studied, 764 (49%) received topical TXA and 789 (51%) received normal saline as placebo. Overall, topical TXA was associated with a lower drain output in the first 24 hours postoperative (MD -25.87; p=0.00001) and a lower cumulative drain output (MD -59.72; p<0.00001). The rate of hematoma is significantly lower in the topical TXA group compared to the control group (OR 0.19; p=0.0009). There were no significant differences in rates of seroma, infection, thromboembolic events and time to drain removal between groups.   Conclusion: Evidence of this study suggests that administration of topical TXA significantly reduces the drain output production and hematoma in breast surgery. The use of topical TXA not significantly affecting rates of seroma, infection and postoperative duration with drain.
Sucralfate and Honey in Burn Wound Healing: An Article Review Wardhana, Aditya; Farhana, Nadya
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25251/yjadqx70

Abstract

Introduction : Several studies stated that sucralfate and honey topically promote wound healing process. Sucralfate has been used for stomatitis, excoriation in perianal and peristomal, ulcers, and burn wounds. Honey as a food which is taken orally, is also used topically for several kind of wounds including burn wounds. However, there is no study reviewing sucralfate and honey in burn wounds. Method : Literature review was conducted from 1st until 6th of June 2022 using the terms of “honey”, “sucralfate”, “burns” and “wound healing”. Pubmed, Cohrane, Science Direct, Scopus, and Google Scholar were the online data bases we used. We identified eight studies, three trials evaluated the effects of sucralfate in burn wounds and five trials evaluated the effects of honey in burn wounds. Result : 3 Randomized Controlled Trials (RTCs) (n=170) about the effects of sucralfate and 5 RCTs (n=474) reported the effects of honey in burn wounds. Both Sucralfate and Honey group had similar wound healing duration around 18 days and had early sign of wound healing by day 7. Honey has faster complete wound healing compared to sucralfate by day 21. Honey has remarkable antimicrobial effect within one hour. No side effects were reported in both trials. Both honey and sucralfate reduce the necessity for skin grafting. Conclusion: Both sucralfate and honey have similar rapid re-epithelization in burn wounds, but honey has faster complete wound healing by day 21. Both has similar antimicrobial effect, no side effects, and reduce the necessity for skin grafting.
Retrospective Single-Centre Descriptive Study of Characteristic and Management of Paediatric vs Adult Patients Presenting with Craniomaxillofacial Fracture Tania, Vika; Handayani, Siti; Santoso, Imam; Rodjani, Ines Hadianesti
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25251/48z46525

Abstract

Introduction: Pediatric facial fractures are recognized as separate entities from those occurring in the adult. They differ significantly in their epidemiology, diagnosis and treatment. An understanding of the cause, severity, and distribution of maxillofacial and skull vault trauma and associated injuries can assist in establishing clinical and research priorities for prevention and effective treatment of these injuries. Because there were no studies of maxillofacial injuries in a large series in Cipto Mangunkusumo Hospital, we retrospectively analyzed the characteristics of facial injury treated at our hospital from January 2009 to December 2013. Method: This research is a descriptive study to calculate and compare pediatric and adult maxillofacial fractures between 2009 until 2013. Total sampling of all medical record of maxillofacial trauma patient who came to Cipto Mangunkusumo Hospital form January 2009 until December 2013 was recorded. All data including age, gender, distribution of fracture site, etiology of fracture and fracture treatment were noted. Severity of mandibular and midface fracture also recorded along with their specific fracture distribution. Results: We recorded 409 patients with craniomaxilofacial (CMF) injuries for 5 previous years that being treated in Cipto Mangunkusumo Hospital. 17.6%(72) of these patients were pediatrics patient with age younger than 18 years old. From the gender distribution we can see that most of the patient were male (85.3%) with motorcycle as the main cause of trauma (75.6%). We can also see that midface fractures was highly suffered not only in adult patient but also in the pediatrics (58.7%) with orbital, nasal and zygomatic complex fractures as the top three most common fracture site. As for isolated mandible fractures share 22.7% from total fractures, and 18.6% suffered from both midface and mandible fracture. From all of these trauma patients, only 42.3% underwent open reduction and internal fixation surgery, while 28.9% refuse treatment. Conclusion: Maxillofacial trauma is not common in children; however, the incidence is increasing in this country. Although the principles of treatment follow as the adult’s, a few special considerations have to be taken into account in order to improve quality of life of the child in both short and long term. A multidisciplinary approach in the management is therefore highly recommended. Preventive measures and treatment plans in children and adult should be designed while keeping in mind their difference.
Results of Measuring Lactate Levels Value in Free Flap Reconstruction Muzakkie, Mufida; Adhania, Karnissa Rizkia
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25251/k4cg2w54

Abstract

Introduction : Free flap surgery which is performed by transferring tissue along with its vascularization, can fail due to vascular compromised which cause by thrombosis formation either in vein or artery. Disruption of blood flow patency that not treated immediately can cause ischemia and necrosis occurred in free flap, especially within five days after reconstruction. Previous study has proven that free flap monitoring with lactate levels measurement can accurately for evaluate the occurrence vascular compromised in free flap. Method : This study is a descriptive observational study with cross-sectional design. It was conducted by observing medical record of free flap reconstruction patient from November 2022 until November 2023 at Plastic and Reconstructive Surgery Department of RSUP Dr. Mohammad Hoesin Palembang. Data collection was carried out using total sampling technique and analysed using Statistical Package for the Social Science (SPSS) version 22.0 with univariate technique. Result : Free flap with vascular compromise has higher lactate levels value than viable one. Lactate levels value transition of viable free flap showed an increase after anastomosis and gradually decrease at the next assessment time, while lactate levels in free flap with vascular compromise increased to above reference value, mainly on the first day vascular compromise occurred. Conclusion: Clinical monitoring which combined with lactate levels assessment can accelerate the diagnose of blood flow patency disruption in free flap so that cause success rate improvement and better prognosis of free flap reconstruction patients.
A Five-Year Single-Surgeon Experience: Continuous Series of Microvascular Free Flap and Factors Influencing Its Viability Atmodiwirjo, Parintosa; Mochtar, Rezania; Ramadan, Mohamad Rachadian; Triatmoko, Sara Ester; Ralena, Nadhira Anindita
Jurnal Plastik Rekonstruksi Vol. 12 No. 1 (2025): (2025): Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i1.362

Abstract

Background: Over the past years, microvascular free tissue transfer has become increasingly popular in the field of plastic surgery. Our center has also been actively performing these complex surgeries for extensive defect closure. In this study spanning five years, our objective is to examine the challenges commonly encountered in free flap reconstruction and identify factors that contribute to the failure of such flaps, with the ultimate goal of enhancing our learning curve.Methods: This article presents a retrospective analysis of all patients who underwent microvascular free tissue transfer procedures performed by a single surgeon (PA) and teams of Plastic Reconstructive and Aesthetic Surgery residents from 2014 to 2018. Multivariate analysis was conducted to identify the factors associated with free flap failure.Results: Between 2014 and 2018, a total of 203 microvascular free tissue transfers were performed to reconstruct defects at various anatomical sites. The overall viable flap rate for microvascular free flap reconstructions, irrespective of the indication or anatomical location, was found to be 90.6%. The type of flap, whether it was a perforator or non-perforator flap, emerged as the main significant factor influencing free flap viability.Conclusion: Microvascular free tissue transfer represents an excellent reconstructive option for addressing large defects requiring extensive or composite flaps. By acknowledging the factors contributing to free flap failure, we can optimize outcomes and provide the best possible results for our patients.
A Five-Year Epidemiological Analysis of Mandible Fractures in Bali Kawilarang, Bertha; Sanjaya, I Gusti Putu Hendra; Hamid, Agus Roy Rusly Hariantana
Jurnal Plastik Rekonstruksi Vol. 12 No. 1 (2025): (2025): Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i1.382

Abstract

Introduction: This study aims to assess the prevalence, sociodemographic factors, and patterns of mandible fractures at Prof. dr. I.G.N.G. Ngoerah General Hospital, recognizing that more than half of all maxillofacial injuries are due to mandible fractures, attributable to the mandible's prominent structure.Methods: This retrospective study was held in Prof. dr. I.G.N.G. Ngoerah General Hospital. Data were collected from January 2018 to December 2023. A total of 289 samples were included in this study. Age, gender, anatomical location of the fractures and unilateral/bilateral involvement were reported. Results: During the period spanning January 2018 to December 2023, a comprehensive analysis of 289 mandible fracture cases was conducted. Notably, the highest incidence was observed in 2022, comprising 72 cases. Predominantly affecting males (72.7%) within the age bracket of 21-30 years (40.1%), these fractures were primarily attributed to road traffic accidents (64.4%), often associated with alcohol influence (43.9%). Remarkably, non-helmet usage was prevalent among the majority of patients (69.9%), particularly motorcycle drivers (53.3%). The parasymphysis region emerged as the most frequently affected area (38.1%), with unilateral involvement prevailing in the majority of cases (61.6%). Additionally, associated injuries were noted in 88.5% of cases, with management predominantly comprising open reduction internal fixation (ORIF) complemented by maxillomandibular fixation (MMF) in 66.8% of cases.Conclusions: The findings of this study reveal a progressive rise in the annual incidence of mandible fractures. Consequently, there is a pressing need to heighten awareness among healthcare practitioners when managing patients presenting with maxillofacial traumas.

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