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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 255 Documents
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Effectiveness of Tumescent in Reducing Blood Loss in Tangential Excision for Adult Burn Patients: A Systematic Review Aditya Wardhana; Albireza Ruhimat
Jurnal Plastik Rekonstruksi Vol. 13 No. 1 (2026): (2026) 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.v13i1.43

Abstract

Introduction: T Tangential excision is a standard surgical approach for managing deep burns, yet it often results in considerable intraoperative blood loss. This can lead to increased transfusion needs and a higher risk of postoperative complications. Among the strategies developed to minimize bleeding, tumescent infiltration—using diluted vasoconstrictors such as epinephrine—has gained interest due to its affordability, simplicity, and applicability in resource-limited settings.Method: This systematic review followed PRISMA 2020 guidelines. Literature searches were conducted in CENTRAL, MEDLINE (via PubMed), Scopus, and EBSCOhost. Included studies comprised randomized controlled trials, cohort studies, and case series assessing the impact of tumescent infiltration on intraoperative blood loss in adult patients undergoing tangential excision. Extracted data included study design, patient demographics, burn characteristics, surgical techniques, and outcomes related to blood loss and transfusion. Risk of bias was assessed using RoB 2.0 and ROBINS-I tools.Results: Seven studies were included for qualitative synthesis, most of which were cohort designs involving patients with full-thickness burns covering 1–50% of Total Body Surface Area (TBSA). The use of tumescent infiltration—commonly employing epinephrine concentration between 1:500.000 until 1:2.000.000 dilution—consistently demonstrated reduced intraoperative blood loss compared to conventional techniques such as adrenaline-soaked gauze. The degree of blood loss reduction varied across studies, influenced by TBSA, unit used, surgical methods, and infiltration protocols.Conclusion: Tumescent infiltration using epinephrine is an effective and safe method for reducing intraoperative bleeding in adult burn patients undergoing tangential excision even though there are differences in measurement of bleeding and tumescent concentration. Further multicenter cohort studies with standardized blood loss measurements are needed to confirm these findings and support wider adoption.
Beyond The Standard: Achieving Functional and Aesthetic Excellence in Unilateral Macrostomia Repair with Buccal Flap and Multi Z-Plasty Technique in Infancy Bimayudo Aprialdi; Affandi Wiramur; Rafeni Bunga Cikita
Jurnal Plastik Rekonstruksi Vol. 13 No. 1 (2026): (2026) 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.v13i1.52

Abstract

Introduction: Macrostomia is a rare congenital craniofacial anomaly that significantly affects feeding, speech, aesthetics, and psychosocial well-being. Early surgical intervention using advanced techniques is essential to restore anatomical integrity and improve functional outcomes. This case report presents the management of a five-month-old female infant with a unilateral left-sided macrostomia (Tessier Cleft-7) using a combination of buccal flap and multiple Z-plasty techniques.Case Presentation: The patient presented with a unilateral left-sided macrostomia since birth, accompanied by feeding difficulties characterized by choking and audible “blup-blup” sounds during feeding. Physical examination confirmed a moderate unilateral macrostomia without signs of infection or systemic illness. Preoperative assessments, including laboratory tests and multidisciplinary consultations, confirmed the patient’s fitness for surgery.Discussion: Surgical repair was performed with a multi-layer closure approach, utilizing a buccal flap for the inner layer and multiple Z-plasty for the outer layer to achieve tension-free closure and optimal aesthetic results. This technique aligns with contemporary trends favoring individualized, anatomy-driven repairs over traditional methods. The absence of intraoperative and postoperative complications and the satisfactory functional and cosmetic outcomes underscore the effectiveness of this approach. Compared to conventional linear closure techniques, multiple Z-plasty minimize scar contracture and enhance commissural symmetry, particularly in complex cases of macrostomia. This case highlights the critical role of multidisciplinary collaboration and tailored surgical planning in addressing the anatomical challenges of macrostomia and achieving optimal reconstructive outcomes.Conclusion: Early, multidisciplinary management of macrostomia using combined buccal flap and multiple Z-plasty techniques can achieve excellent functional and aesthetic outcomes with minimal complications. This case contributes to the growing literature supporting anatomy-specific surgical approaches and comprehensive perioperative care in macrostomia reconstruction.
Fisher’s and Modified Millard-Onizuka Techniques for Unilateral Cleft Lip Repair: Comparison of Surgical Outcomes and Patient Satisfaction Kristaninta Bangun; Andi Azwadi Rais; Vika Tania; Puri Ambar Lestari; Dhita Kurniasari; Vania Aramita Sari; Clara Menna
Jurnal Plastik Rekonstruksi Vol. 13 No. 1 (2026): (2026) 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.v13i1.55

Abstract

Introduction: Unilateral cleft lip (UCL) surgery aims to achieve symmetry and correct functional and aesthetic issues. The Millard technique dominated until 2005, when Fisher introduced a new surgical method that is still in use today. This study aims to compare the symmetry outcomes and patient satisfaction levels between the Fisher and Modified Millard-Onizuka techniques.Method : A retrospective cohort study was conducted to compare the outcomes of the Fisher and Modified Millard-Onizuka techniques in patients with UCL who had undergone cleft lip surgery. Five experienced plastic surgeons assessed photographs using Steffensen’s criteria, while patients and parents completed the Cleft Evaluation Profile satisfaction questionnaire. Data were analysed using SPSS v.29.Results: The intraclass correlation test showed a Cronbach’s alpha >0.7 for all criteria, indicating strong reliability. Statistical analysis revealed no significant differences in Steffensen's criteria scores among the five raters between the study groups. However, the satisfaction questionnaire indicated higher satisfaction with dental appearance in the Fisher technique group. This finding may be attributed to the fact that all patients in this group were treated at a multidisciplinary cleft centre.Conclusion: Surgical outcomes and patient satisfaction after cleft lip surgery using Fisher’s technique are comparable to the modified Millard-Onizuka technique.
Adult Burn Contracture Reconstructions Caused by Burn Injury During Childhood: Patients’ Quality of Life and Surgical Challenges I Nyoman Putu Riasa; Bertha Kawilarang
Jurnal Plastik Rekonstruksi Vol. 13 No. 1 (2026): (2026) 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.v13i1.59

Abstract

Introduction: In many low- and middle-income countries (LMICs), childhood burns continue to be common, and contractures that persist into adulthood lead to significant disability. Observational studies suggest that health-related quality of life (HRQoL) generally improves over time in adult burn survivors; however, individuals with burn-scar contractures experience greater disability and lower HRQoL.Method: Descriptive, single-centre case series. Four adults with longstanding contractures from childhood flame burns were identified: postoperative qualitative HRQoL data (unstructured interviews). Surgical techniques and outcomes were recorded from clinical notes and photographs.Results: Growth through the scar caused multilevel deformities (bone/joint, tendon, soft tissue). Staged surgery included: (i) wrist/hand contracture release with ligament stabilisation, K-wire fixation, and tendon lengthening; (ii) multistage auricular reconstruction using a costal-cartilage framework covered by a pedicled temporoparietal fascial flap (TPFF) and ultrathin scalp skin graft; (iii) trunk/inguinoperineal release with abdominoplasty-style umbilical and nipple-areola complex (NAC) repositioning, and pedicled latissimus dorsi myocutaneous (LD-MC) flap; and (iv) staged regional reconstruction following oncologic resection of squamous-cell carcinoma (SCC) arising in a burn scar. In all cases, daily function and psychosocial well-being improved, and patients returned to work, demonstrating strong motivation for staged procedures.Conclusion: Even when reconstruction is delayed until adulthood, focusing on high-impact functional goals in a staged plan produces meaningful HRQoL improvements for survivors of childhood flame burns in resource-constrained settings.
Auricular Reconstruction and Postoperative Wound Care in Necrotizing Fasciitis Secondary to Malignant Otitis Externa in a Diabetic Patient with Scabies Amira Azra Arisa Putri; Mufida Muzakkie; Ratna Maila Dewi Anggraini; Fadel Fikri Suharto
Jurnal Plastik Rekonstruksi Vol. 13 No. 1 (2026): (2026) 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.v13i1.63

Abstract

Introduction: Necrotizing fasciitis of the auricle and periauricular region is extremely rare but life-threatening, typically affecting immunocompromised patients and occasionally complicating malignant otitis externa. Its aggressive progression and the auricle's complex anatomy demand early diagnosis and prompt multidisciplinary management to prevent extensive tissue loss.Case presentation: We report auricular necrotizing fasciitis secondary to malignant otitis externa in a 55-year-old patient with poorly controlled diabetes mellitus and concomitant scabies infestation. The infection progressed rapidly, causing necrosis of the auricle and surrounding soft tissues. Culture identified Pseudomonas aeruginosa as the causative pathogen. Management included targeted systemic antibiotics, strict glycemic control, and early staged surgical debridement. The plastic surgery team performed selective staged debridement, removing non-viable tissue while maximally preserving viable auricular cartilage. Postoperative care employed honey-based dressings to control infection and promote granulation.Conclusion: This case demonstrates the synergistic effects of diabetes mellitus and scabies in predisposing patients to severe infections and impairing wound healing. An early plastic surgery consultation facilitated anatomically precise debridement, preservation of the auricular contour, and avoidance of radical excision. Auricular necrotising fasciitis remains a surgical emergency requiring timely multidisciplinary intervention and tailored wound management to optimise functional and aesthetic outcomes in high-risk patients.

Page 26 of 26 | Total Record : 255

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