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Iswinarno Doso Saputro
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Departemen Bedah Plastik Rekonstruksi dan Estetik Fakultas Kedokteran Universitas Airlangga Jl. Mayjend Prof. Dr. Moestopo No. 6-8, Surabaya, 60285. (031) 5020091 ext 1314
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Jurnal Rekonstruksi dan Estetik
Published by Universitas Airlangga
ISSN : 23017937     EISSN : 27746062     DOI : http://dx.doi.org/10.20473/jre.v6i2.31832
Core Subject : Health,
Medicine & Pharmacology
Jurnal Rekonstruksi dan Estetik (p-ISSN:2301-7937, e-ISSN: 2774-6062) is a scientific peer-reviewed medical journal which is relevant to doctor and other health-related professions published by the Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. Jurnal Rekonstruksi dan Estetik is published twice a year, every June and December. Jurnal Rekonstruksi dan Estetik focuses in publishing case report, review article and original research report on the latest medical sciences. The scope of Jurnal Rekonstruksi dan Estetik includes burn and wound, hand surgery, microsurgery, oncoplasty, craniofacial and external genitalia reconstruction and aesthetics. The article could be written in either Bahasa Indonesia or English. Jurnal Rekonstruksi dan Estetik indexed by: Google Scholar, GARUDA, SCILIT, CrossRef, BASE
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Articles 104 Documents
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ASSESSMENT OF MAXILLOFACIAL TRAUMA IN KANJURUHAN GENERAL HOSPITAL MALANG USING FACIAL INJURY SEVERITY SCALE (FISS) SCORING SYSTEM Makayasa Putri, Kunthi Kencana; Deddy Setyo Nugroho
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.v10i1.70277

Abstract

Highlights:  Most maxillofacial trauma cases were mild, based on FISS scoring. The average FISS score was 3.37, with most patients scoring 2 (24.7%). Larger studies are needed to confirm FISS as a prognostic tool. Abstract: Introduction: Maxillofacial trauma is a unique form of trauma that may lead to various facial function disabilities. One method to assess the severity of maxillofacial fractures is the Facial Injury Severity Scale (FISS). This study aims to describe and evaluate the severity of maxillofacial trauma cases in the Emergency Room of Kanjuruhan General Hospital Malang using the FISS scoring system, from January 2022 to December 2023. Methods: This retrospective study collected data from patients with maxillofacial trauma treated at the Emergency Room of Kanjuruhan General Hospital Malang between January 2022 and December 2023. The variables recorded included age, gender, etiology, helmet use, type of fracture, and treatment received. Each patient was evaluated using the FISS scoring system to determine the severity level. Results: A total of 73 subjects were included. The youngest patient was 2 years old, and the oldest was 76 years. The average FISS score was 3.37 ± 1.9, with scores ranging from 1 to 9. Most patients had a FISS score of 2 (24.7%). Conclusion: The majority of maxillofacial trauma cases in the Emergency Room of Kanjuruhan General Hospital were classified as mild according to the FISS scoring system. Further studies with a larger sample size and a complete maxillofacial trauma database are needed to evaluate the prognostic value of the FISS system.
LOCAL FLAP TECHNIQUES OUTCOME FOR SACRAL PRESSURE ULCERS CLOSURES: A SYSTEMATIC REVIEW Pratama, Yanuar Ari; Lakshya Nehal Samineni
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.v10i1.70756

Abstract

Highlights: Local flap reconstruction for sacral defects due to chronic pressure ulcers faces major challenges, including a high risk of infection, recurrence, and the complex sacral anatomy. Effective local flap techniques tailored to patient needs such as, the Clover Style, Modified Parasacral Bilobed, and Bilobed Flaps have been shown to improve both functional and aesthetic outcomes. Abstract: Introduction: Sacral pressure ulcers (PUs) pose a major challenge, especially in bedridden and elderly patients, due to risks like infection and delayed healing. Surgical reconstruction using local flaps offers effective defect closure with low donor-site complications. This systematic review analyzes local flap techniques for sacral PU reconstruction based on studies published from 2019 to 2024. Method: A comprehensive literature search was conducted in PubMed, selecting empirical studies that met predefined inclusion criteria. A total of seven studies were reviewed, comprising five case series and two case reports. Result: The findings highlight multiple local flap techniques, including the Clover-Style Fasciocutaneous Perforator Flap, Modified Parasacral Perforator-Based Bilobed Flap, and Bilobed Flap, each demonstrating favorable outcomes with high flap survival rates and minimal complications. These techniques offer advantages such as tension-free closure, enhanced vascularity, and reduced recurrence risk, making them viable alternatives for sacral PU management. Conclusion: Local flap reconstruction is a reliable and effective method for managing sacral pressure ulcers, with high success rates and good healing outcomes. Flap selection depends on defect size, patient condition, and surgeon expertise. A multidisciplinary approach involving preoperative imaging, wound care specialists, and physiotherapists can enhance surgical success. Further research, particularly randomized controlled trials, is needed to strengthen evidence-based flap selection criteria. Overall, local flaps remain the mainstay in sacral pressure ulcer reconstruction, contributing to improved patient quality of life.
PEDICLED ABDOMINAL FLAP FOR MALIGNANT DEFECT RECONSTRUCTION: A VIABLE ALTERNATIVE TO FREE FLAP Kawilarang, Bertha; Utami, Putu Trisna
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.v10i1.70946

Abstract

Highlights: Pedicled abdominal flap remains a reliable reconstructive option in the era of microsurgery. Although a two-stage procedure, it provides safe and functional reconstruction. Compared to free flaps, it offers a simpler approach with fewer complications—crucial for cancer patients with limited prognosis. Abstract: Introduction: The pedicled abdominal flap, a commonly used reconstructive option, remains relevant in the era of advanced microsurgery despite the rising preference for free flaps. While free flaps offer advantages, they also carry risks of flap failure and require complex microvascular anastomosis, making them less suitable for certain patients. Case Illustration:  A 48-year-old female presented with a history of a non-healing ulcer over the left upper arm due to burn scarring from a flame injury sustained 20 years prior. Following tumor resection, debridement of the defect was done which showed complete loss of skin, subcutaneous tissue, and fascia of the upper arm. A rectangle shaped skin flap was designed on the left abdominal region on the same side as the defect on the affected upper arm. A pedicled axial fasciocutaneous flap was harvested from the left lumbar area of the abdomen, utilizing the paraumbilical perforators for vascularity. Discussion: This case report highlights the use of the pedicled abdominal flap in the reconstruction of defects resulting from malignancy, emphasizing its reliability and suitability in such complex scenarios. For individuals with malignancy, the pedicled abdominal flap is often favored due to its safer, single-stage procedure, minimizing complications and re-operation risks. Conclusion:  Compared to free flaps, the pedicled abdominal flap is a preferable choice in reconstructing defects in cancer patients due to its reliability, reduced risk of flap failure, and relatively simple surgical procedure. This is particularly important for cancer patients, where the focus is on achieving functional reconstruction while considering patient's prognosis.
Jurnal Rekonstruksi dan Estetik, June 2025 JURNAL REKONSTRUKSI DAN ESTETIK
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

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Abstract

Back Matter
Jurnal Rekonstruksi dan Estetik, June 2025 JURNAL REKONSTRUKSI DAN ESTETIK
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

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Abstract

Front Metter Vol.10. No.1 June 2025
RECURRENT TEMPOROMANDIBULAR JOINT ANKYLOSIS CAUSED BY OLD FRACTURE: A CASE REPORT Isya Wahdini, Siti; Idamatussilmi, Fina
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 2 (2025): Jurnal Rekonstruksi dan Estetik, December 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i2.66548

Abstract

Highlights: Adequate physiotherapy is essential to prevent the recurrence of temporomandibular joint ankylosis. Surgical treatment alone is insufficient without proper postoperative physiotherapy and patient compliance. Abstract Introduction: Temporomandibular joint (TMJ) ankylosis can greatly impact a child's nutrition, mental health, and craniofacial development. Trauma is the main cause. Early and proper treatment is crucial to avoid long-term issues and reoccurrence. Case Illustration:An 11-year-old girl presented with limited mouth opening and lower jaw pain three years after falling down the stairs. She underwent gradual TMJ distraction using bite blocks under general anesthesia followed by weekly physiotherapy, but her symptoms recurred after four months. A CT scan revealed left TMJ synarthrosis and condylar deformity. With improved adherence to physiotherapy, she achieved significant mouth opening and remained recurrence-free for six months.. Discussion: Gradual distraction with bite blocks, combined with regular physiotherapy, can improve joint mobility and muscle function while lowering the chances of re-ankylosis. This approach offers a less invasive option than surgery, which is especially valuable for children whose growth must be preserved. Closed procedures with structured rehabilitation are preferred because they result in fewer complications and require fewer follow-up appointments. Conclusion: The effectiveness of a non-invasive approach combining gradual distraction and physiotherapy in managing TMJ ankylosis is presented. The success of this treatment relies heavily on the patient's motivation and commitment. Early conservative treatment could be the main strategy for pediatric cases, potentially delaying or avoiding surgery. Continuous education and monitoring are key to achieving long-term success and preventing relapse.
WOUND HEALING EFFICACY OF MOIST EXPOSED BURN OINTMENT (MEBO) AND SILVER SULFADIAZINE IN PARTIAL-THICKNESS BURNS: A SYSTEMATIC REVIEW Wardhana, Aditya; Farhana, Nadya
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 2 (2025): Jurnal Rekonstruksi dan Estetik, December 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i2.71980

Abstract

Highlights: Superior efficacy between MEBO and SSD in burn patients. Improved Clinical Outcomes of wound healing in burn patients. Natural, Plant-Based Alternative for burn patients.  Abstract: Introduction: Burn injuries are a common global health issue that often require prolonged wound care and can lead to complications such as infections, delayed healing, and surgical interventions. Silver sulfadiazine (SSD) has long been the standard topical treatment for partial-thickness burns, but concerns remain regarding delayed healing and potential side effects. Moist Exposed Burn Ointment (MEBO), a Chinese herbal-based topical agent containing sesame oil, beta-sitosterol, and berberine, has emerged as a potential alternative due to its anti-inflammatory, antimicrobial, and moisture-retaining properties. Method: This systematic review aimed to evaluate the efficacy of MEBO compared to SSD in partial-thickness burn wound healing. A comprehensive search of PubMed, Cochrane, and Science Direct using the terms “MEBO,” “SSD,” “Burns,” and “Wound healing” identified five trials conducted between 2000 and 2008. Result: The results consistently demonstrated that MEBO provided comparable or superior outcomes to SSD, including shorter wound healing time, reduced pain, absence of infection in wound swabs, minimal slough and crust formation, lower complication rates, and reduced need for surgical intervention. Conclusion: These findings suggest that MEBO is an effective and potentially preferable alternative to SSD for managing partial-thickness burn wounds.
THERAPEUTIC POTENTIAL OF SNAIL MUCUS IN WOUND HEALING : A SYSTEMATIC REVIEW AND META-ANALYSIS Widjaja, Febe Alodia; Saputro, Iswinarno Doso; Asmaradianti, Aryunidya; Sindhu, Florencia Christina; Fabian, Pascalis; Irsyan Baginda Maulana
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 2 (2025): Jurnal Rekonstruksi dan Estetik, December 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i2.72008

Abstract

Highlights: Snail mucus extract significantly improves wound healing rates compared to standard treatments. A meta-analysis of randomized controlled trials (RCTs) showed a statistically significant effect (MD = -3.21%, P < 0.00001). The bioactive compounds in snail mucus promote collagen production and reduce inflammation. Abstract Introduction: Wound healing is a fundamental biological process comprising four sequential and overlapping phases: hemostasis, inflammation, proliferation, and remodeling. The successful restoration of tissue integrity requires that these phases proceed in the correct order and within an appropriate temporal framework. Proteins are indispensable to this process, as they mediate tissue growth, cellular renewal, and reparative mechanisms. Snail mucins, a class of large glycosylated proteins, have been reported to facilitate wound healing by stabilizing protein structures, modulating solubility and viscosity, and enhancing cell–cell recognition. In light of these properties, we conducted a meta-analysis of randomized controlled trials (RCTs) to assess the therapeutic efficacy of snail mucus extract in promoting wound repair. Method: RCTs on snail mucus extract for wound healing were identified through searches of PubMed, ProQuest, Web of Science, ScienceDirect, Scopus, EBSCOHost, and ClinicalTrials.gov. The review adhered to PRISMA guidelines, applied the PICO framework, and assessed study quality using the JADAD scale. Result: A total of 60 rats from three RCTs conducted between 2021 and 2023 were included in the meta-analysis. The findings demonstrated that the snail mucus group exhibited a significantly improved wound healing rate compared to the control group (MD = -3.21%, 95% CI: -3.72 to -2.69%, P < 0.00001). Conclusion: Snail mucus extract has been shown to significantly accelerate wound healing in animal models; however, further clinical studies are required to confirm its therapeutic efficacy in humans.
EFFECTIVENESS OF ANTIBIOTIC PROPHYLAXIS IN MAXILLOFACIAL TRAUMA SURGERY: A SYSTEMATIC REVIEW Agus Isamahendra, Naufal; Abiyyu, Muhammad Tidar; Doso Saputro, Iswinarno; Ari Pratama , Yanuar
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 2 (2025): Jurnal Rekonstruksi dan Estetik, December 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i2.72261

Abstract

Highlights: Antibiotic prophylaxis does not significantly decrease surgical site infection rates in maxillofacial trauma surgery. Post-operative antibiotic regimens are not recommended as they increase costs without reducing infection rates.  Abstract Introduction: The effectiveness of antibiotic prophylaxis in maxillofacial trauma surgery remains a subject of debate, with varying recommendations regarding its necessity and duration. This systematic review aims to evaluate the impact of prophylactic antibiotics on the incidence of surgical site infections (SSIs) in maxillofacial trauma patients. Methods: A systematic literature search was conducted using Google Scholar, following predefined inclusion and exclusion criteria based on the PICO framework. Studies included observational cohort studies comparing the use of prophylactic antibiotics to either no antibiotics or different regimens of antibiotic administration. The quality of the selected studies was assessed using the JBI Critical Appraisal Checklist for Cohort Studies. Results: Six studies met the inclusion criteria, with five reporting no significant reduction in SSIs with prophylactic antibiotic use, regardless of the timing or duration of administration. Only one study found a statistically significant decrease in SSIs with preoperative antibiotic prophylaxis. Variations in study design, antibiotic regimens, surgical techniques, and patient populations may have influenced the inconsistent findings. Conclusion: The findings suggest that routine antibiotic prophylaxis in maxillofacial trauma surgery may not be universally beneficial and should be reconsidered in favor of a more selective, patient-specific approach. Given the increasing concerns regarding antimicrobial resistance, prophylactic antibiotics should be reserved for high-risk patients where a clear benefit can be demonstrated. Further research, particularly well-designed randomized controlled trials, is necessary to establish standardized guidelines and optimize perioperative infection control strategies.
MECHANISMS AND OUTCOMES OF 1470NM LASER THERAPY FOR VAGINAL REJUVENATION: A MULTI-OMICS OBSERVATIONAL STUDY Smit Bharat Solanki; Dutta, Deblina
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 2 (2025): Jurnal Rekonstruksi dan Estetik, December 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i2.74266

Abstract

Highlights: Multi-omics analysis revealed significant upregulation of genes and proteins linked to collagen remodeling and angiogenesis after 1470nm laser therapy. The study provides the first integrated clinical and molecular evidence demonstrating the mechanistic role of TGF-β signaling in vaginal tissue regeneration following laser treatment. Abstract:  Introduction: Vaginal laxity and compromised vascularization significantly impact women’s quality of life, especially post-childbirth and during menopause. Non-invasive therapies, such as 1470nm laser technology, stimulate collagen production and enhance tissue regeneration. This study hypothesizes that 1470nm laser therapy improves vaginal health through collagen remodeling and neovascularization, supported by multi-omics data elucidating key biological pathways. Methods: This prospective observational study enrolled 120 women aged 25–65 years with symptoms of vaginal laxity, dryness, or decreased elasticity. Participants underwent 3–5 sessions of 1470nm laser therapy. Clinical outcomes were assessed using high-resolution ultrasound, optical coherence tomography (OCT), histopathology, and patient-reported outcomes (FSFI, PGI-I). Multi-omics integration included RNA sequencing, proteomics, and metabolomics. Results: Vaginal wall thickness increased by 35% (p<0.001), and collagen density improved by 42% (p<0.001). FSFI scores rose by 28% (p<0.001), with 92% of women reporting improved sexual satisfaction. Molecular analyses showed upregulation of collagen synthesis and angiogenesis-related genes (COL1A1, COL3A1, VEGF, FGF), with TGF-β signaling emerging as a key regulatory pathway. Conclusion: 1470nm laser therapy significantly improves vaginal structure and function with a favorable safety profile. This study uniquely integrates clinical outcomes with multi-omics data, offering novel mechanistic insights and supporting its role in personalized regenerative gynecology.

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