Jurnal Plastik Rekonstruksi
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.
Articles
250 Documents
<![CDATA[Frontoethmoidal Encephalomeningocele Revisited : The Convenience Of Teamwork Approach, A CaseSeries ]]>
<![CDATA[Kusumastuti, Nadia]]>;
<![CDATA[Handayani, Siti]]>;
<![CDATA[Hatibie, Mendy]]>;
<![CDATA[Diah, Enrina]]>;
<![CDATA[Bangun, Kristaninta]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 5 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (508.979 KB)
|
DOI: 10.14228/jpr.v1i5.103
<![CDATA[Background: Frontoethmoidal encephalomeningocele (FEEM) is a congenital defect of the skull which poses many problems to the patient as it results in many craniofacial and neural morbidities. While recently surgical correction of this disease is done in a single-stage procedure, many in Indonesia still perform twostage surgery which bears more risks and is technically difficult to achieve good aesthetic results. This case series intend to assess the feasibility and convenience of teamwork approach between plastic surgeon and neurosurgeon in correcting FEEM in a single-stage operation. Methods:We reviewed 8 patients with FEEM treated in Plastic and Reconstructive Surgery Division, Cipto Mangunkusumo Hospital Jakarta from November 2005 until March 2010. Four of the cases were secondary cases from Neurosurgery Department, and the other 4 cases were treated in single-stage operation, in teamwork with Neurosurgery Department, using the Chula technique. Results of each surgery was assessed using objective parameters, which are Intercanthal Distance (ICD) and Interorbital Distance (IOD); and also subjective parameters which is aesthetic improvement.Result: All of the patients showed significant improvements in ICD and IOD measurements. No complication was found intra and post-operatively. All patients, especially the ones treated with singlestage surgery show good aesthetic results. Conclusion: To achieve goals of defect correction and aesthetically pleasant appearance, single-stage surgery in teamwork with the neurosurgery department seems to be most suitable and convenient.]]>
<![CDATA[Management of Traumatic Undiagnosed Condyle Fracture in Children ]]>
<![CDATA[Rizal, Syamsul]]>;
<![CDATA[Kreshanti, Prasetyanugraheni]]>;
<![CDATA[Handayani, Siti]]>;
<![CDATA[Bangun, Kristaninta]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 5 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (348.911 KB)
|
DOI: 10.14228/jpr.v1i5.104
<![CDATA[Background: Condyle trauma is considered to be the major cause of TMJ ankylosis but it is also the most neglected and under-managed problem in children. ?TMJ ankylosis leads to be malocclusion and facial disfigurement. The aim of early treatment is to restore the mandibular mobility and to enhance further growth in order to reduce the possibility of future facial asymmetry. Patients and Methods: We report two patients with inability to open mouth few months following injury. They most probably suffered missed diagnosis condyle fracture by the previous physician. The latest physical examination and radiological finding shows the mandible was micrognathic and unilateral TMJ ankylosis was confirmed. A sequential protocol of TMJ ankylosis management based on aggressive resection of ankylotic mass was performed and followed withphysiotherapy.Result: In 2 month-follow up, both patients showed significant improvement in mouth opening and the mastication function was restored, accompanied with physical therapy to gain maximum mouth opening for at least a year.Summary: A detail history, clinical and functional examination, radiographic examination facilitating correct diagnosis followed by immediate surgical intervention, and physiotherapy can help us to restore physical, psychological, and emotional health of the child patient.]]>
<![CDATA[The Effect Of Honey Give As Oral Drops In Precipitating Epithelialization Of Lateral Palatal Defects Post TwoFlap Palatoplasty ]]>
<![CDATA[Kreshanti, Prasetyanugraheni]]>;
<![CDATA[Sudjatmiko, Gentur]]>;
<![CDATA[Bangun, Kristaninta]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 5 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (612.266 KB)
|
DOI: 10.14228/jpr.v1i5.105
<![CDATA[Background : Two-flap palatoplasty, which is a very common technique used including in our institution, will result in lateral palatal defects without any periosteal coverage. Faster epithelialization is expected to decrease wound contraction thus reducing scar formation, and in the long run will result in good maxillary growth. In our institution, the retrospective study showed a fair maxillary growth (mean GOSLON score=3.5). Thus, we explore possibilities to precipitate the epithelialization process in pursuit of good maxillary growth in the future.Method :This is a prospective cohort study conducted in Cipto Mangunkusumo Hospital, on consecutive patients who underwent two-flap palatopasty from October 2010-February 2011. We followed up these patients weekly for 4 consecutive weeks to observe the rate of epithelialization of the lateral palatal defects.Result : Two-flap palatoplasty was performed in 48 patients, 23 among them were given honey as oral drops. Eighty-seven point five percent had unilateral complete cleft lip and palate and 12.5% had bilateral complete cleft lip and palate. Faster epithelialization of the lateral palatal defects post two-flap palatoplasty was significantly in!uenced by intraoral honey application on the wound as oral drops (RR 2.1, 95% CI 1.314 - 3.391, p < 0.001).Conclusion: Honey given as oral drops significantly precipitates the epithelialization process of the lateral palatal defects post two flap palatoplasty 2.1 times faster.]]>
<![CDATA[Traumatic Palatal Defect Closure With Prosthesis Post Surgical Reconstruction: A Team Approach ]]>
<![CDATA[Martina, Nungki Ratna]]>;
<![CDATA[Kreshanti, Prasetyanugraheni]]>;
<![CDATA[Handayani, Siti]]>;
<![CDATA[Bangun, Kristaninta]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 5 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (383.185 KB)
|
DOI: 10.14228/jpr.v1i5.106
<![CDATA[Background: Palatal defect may be a result of congenital malformations, trauma or tumors. In most maxillopalatal trauma, surgical reconstruction is required to restore the function and appearance. Any palatal defect caused by maxillopalatal loss that cannot be achieved with surgical reconstruction needs special and comprehensive treatment. This can be done by prosthodontist prosthesis rehabilitation.Patients and Methods: A 20-year-old man underwent open reduction and internal fixation for severe maxillopalatal fracture and palatal loss. Intraoperative, the palatal defect could not be approximated due to palatal loss. In 3-month-follow up, there was a palatal defect and slight malocclusion due to anterior dental loss. Instead of performing complicated surgical procedures, we collaborate with the prosthodontist to assemble prosthesis with dental prosthesis that accommodate the closure of defect and improve appearance aesthetically. Result: The use of prosthesis improves functional and psychological wellbeing. It does not only close the palatal defect, but it also fills the anterior dental loss thus overcoming the malocclusion. Satisfying functional and aesthetic outcome was achieved. Summary: Rehabilitation of maxillopalatal defect has been well defined for prosthodontists and surgeons. A successful prosthetic design for functional restoration of the palatal defect utilizes the remaining palate and dentition to maximize the support, stability and appearance. In this case,prosthodontist and dentition prosthesis was used as modalities that offer simple solution to close the palatal defect compared to a more complicated surgical intervention.]]>
<![CDATA[Fetal Bovine Serum Substitute: Implication for Their Use in Translating Adipose-Derived Stem Cells from Bench to Bedside (Review) ]]>
<![CDATA[Josh, Fonny]]>;
<![CDATA[Mizuno, Hiroshi]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 5 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (411.585 KB)
|
DOI: 10.14228/jpr.v1i5.107
<![CDATA[Recently, cell based therapy become a popular topic in research fields. This therapy offers great potential to treat many diseases. Adipose-derived stem cell (ASCs) is known to have the special characteristic due to its abundant availability and easily harvesting. Then it rapidly advanced into clinical trials for treatment of a broad range of medical conditions. Before translating ASCs from bench to bedside, this process is facing other problems through fetal bovine serum (FBS) elimination. Animal-derived serum is not a suitable option for ASCs expansion regarding the possibility of viral or bacterial infection and immune reaction. By replacing FBS with other non-animal serum which gives the same effect as FBS, may significantly enhances the safety and quality of ASCs. Pooled human AB serum (AB-HS), human serum (HS), pooled human plasma lysate (PL), umbilical cord serum (UCS)/placental serum (PS), thrombinactivated platelet rich plasma (tPRP) or serum free (SF)/xeno-free (XF) have been considered as FBS alternatives and some already applied in clinical trials with human cells. This article focuses on a prospective alternatives serum through the elimination of FBS.]]>
<![CDATA[A Better Wound Care Assessment on Burn Patients ]]>
<![CDATA[Sanjaya, Hendra]]>;
<![CDATA[Wardhana, Aditya]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 5 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (382.358 KB)
|
DOI: 10.14228/jpr.v1i5.108
<![CDATA[Backgrounds: Burn, a damage and tissue loss caused by heat with a high morbidity and mortality, have a many variation and complex problem that require special management. After a period of shock, there were infections that threaten the burn patients. These hazards aggravate the wound to become wider, and it affects the mortality and the length of stay. That is why to reduce mortality rate and length of stay, we need a proper wound care.Methods:A retrospective descriptive studies was perform on 2b degree burn patients (20-25%) that treated with tangential excision and mebo or tangential excision and stsg. Data was taken from burns unit Cipto Mangunkusumo hospital in period of January to December 2011.Results: There were 30 patients (73.2%) that have been treat with tangential excision and mebo, and 11 patients (26.8%) that have been treat with tangential excision and stsg. The average length of stay for the tangential excision and mebo is 22.47 ? 23 days(SD 4.361), whereas patients with tangential excision and stsg is 15.82 ?16 days (SD 2.089). There were 8 patients (26.7%) with tangential excision and mebo that die, whereas patients with tangential excision and stsg were 2 patients (18.2%) that die. There were significant difference in the average length of stay (p = 0.018), but there was no difference in the proportion of patients dying status (P = 0.611).Conclusion:Wound care by tangential excision and stsg on 2b degree burn patient (20-25%), have a better outcome than patients treated by tangential excision and mebo.]]>
<![CDATA[Early Excision And Skin Allograft Helps To Control Infection In Major Burn At Burn Unit Cipto Mangunkusumo Hospital ]]>
<![CDATA[Natasha, Ratna Rayeni]]>;
<![CDATA[Wardhana, Aditya]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 5 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (459.053 KB)
|
DOI: 10.14228/jpr.v1i5.109
<![CDATA[Backgrounds: Burns are systemic complex injuries following an exposure to thermal energy and can cause damage to the skin. Skin, as body cover, will protect the underlying tissue from infection, act as a thermo regulator and control the evaporations. The principle of burn therapy is to remove the necrotic tissue and to replace the function of the skin in the body by using a temporary cover with synthetic dressings or skin allograft. Skin allograft remains an ideal temporary cover, particularly when sufficient autograft skin is not available.Patients and Methods: We performed early excision and cover the wound with cadaver skin allograft in two patients suffered from major burn admitted to Cipto Mangunkusumo Hospital in 2012. We observed the wound clinically and monitored the leukocytes count to evaluate the rate of infection.Results: We observed four patients with major burn. Two patients treated with early excision and skin allograft has decreasing in exudates production, less bad odor in wound area, body temperature stable in normal value and also the decreasing leukocytes counts gradually. The results of wound area and body temperature in two patients treated conventionally are not much different from the initial wound and have high leukocytes count more than 10.000 in the majority of laboratory findings. The skin allograft can control the infection by suppressing the bacterial proliferation, promote epithelialization and prepare the wound better.Summary: Patient in this study treated with early excision and skin allograft has better outcome compared to patients treated conservatively.]]>
<![CDATA[Epidemiology of Burn Injuries in Cipto Mangunkusumo Hospital from 2009 to 2010 ]]>
<![CDATA[Pujisriyani, Pujisriyani]]>;
<![CDATA[Wardhana, Aditya]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 5 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (275.134 KB)
|
DOI: 10.14228/jpr.v1i5.110
<![CDATA[Background: Burns are one of the most devastating conditions encountered in medical world. It affects people of all ages, from the very young to the elderly, and represents an assault on all aspects of the patient, from the physical to the psychological.Method: The collection and analysis of burn patients admitted to Cipto Mangunkusumo Burn Centre between January 2009 and December 2010 were studied retrospectively in terms of admissions, age, sex, extent of burn, causes of burns, referral, length of hospital stay (LOS) and mortality. Result: A total of 303 burn patients were admitted with the male to female ratio is 2.26 : 1 and the mean age of admission is 25.7 years (15-54 yr). Most of the patient presented with 20-50% extent of burn (mean 45.87%). The most common cause of burn injury is LPG at 30.4 % followed by flame at 25.7% and by scald at 19.1%. The overall mean LOS and mortality are 13.72 days and 34%. Conclusion : LPG is the major cause of burn and the mortality are 42.4%. Because of level of the mortality, the prevention and management of LPG and the safety of the product of LPG should be given in terms of government regulations.]]>
<![CDATA[Breast Augmentation in Swyer Syndrome Patient ]]>
<![CDATA[Tania, Vika]]>;
<![CDATA[Wardhana, Aditya]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 5 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (407.231 KB)
|
DOI: 10.14228/jpr.v1i5.111
<![CDATA[Background: The number of breast augmentation in Indonesia has been raised, especially in young women. Women with disorders of sex development (DSD) can be one of our patients that come for breast augmentation. These patients may also have other problems that can lead to serious disease in her later life, such as malignancies which has 30% probability.Patients and Methods: We report one case of female with 46 XY karyotype and normal female phenotype. She appeared to be normal female but did not develop secondary sexual characteristics at puberty with Tanner classi!cation M1P1, did not menstruate, and had streak gonads in ovarian localization. This gonadal dysgenesis syndrome is also called Swyer syndrome.Result: A clinical team consists of plastic surgeons, gynecologist, psychiatrist, geneticist was build to manage our patient comprehensively. We performed breast augmentation, laparoscopic gonadectomy, and psychological support.Summary: Patient with disorder of sex development (DSD) can be one of our patients who come for breast augmentation. One must pay attention to subtle sign leading to DSD patients such as, history of amenorrhea, wide chest and lack of women body curve. Complete evaluation of sexual development is needed before performing breast augmentation.]]>
<![CDATA[Keypoints in Wound Contractures ]]>
<![CDATA[Sudjatmiko, Gentur]]>;
<![CDATA[Tania, Vika]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 1 No. 6 (2012): Jurnal Plastik Rekonstruksi ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (469.771 KB)
|
DOI: 10.14228/jpr.v1i6.112
<![CDATA[Wound contracture is a challenging problem to deal with. By understanding the phases of wound healing, attempts can be performed to prevent abnormal wound healing that can lead to scar contracture. This article will attempt to provide a simple summary of wound contracture and how to prevent it.Although most wounds can be expected to heal uneventfully, infection, dehiscence, and delayed healing continue to be problems, associated with signi!cant morbidity, mortality, and economic cost. Wound contracture is one of morbidities that caused by delayed healing and incorrect management of wound.]]>
