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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 118 Documents
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COMPARATIVE OUTCOMES OF EARLY VERSUS DELAYED WOUND GRAFTING IN BURN PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS Bunga, Rafeni; Nata'admaja, Beta Subakti
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.v10i2.75022

Abstract

Highlights: Early wound grafting appears to improve hospital stay duration and functional recovery. There is a tendency of higher graft success rates and reduced infection risks compared to delayed grafting in burn patients. Abstract:  Introductions: Burns are a significant global health issue, with over 265 million cases annually. Effective burn wound treatment is crucial, and the timing of surgical skin grafting plays a key role in recovery. Early excision and grafting, typically within 48 hours, is standard practice as it reduces morbidity, mortality, infection, graft failure, and hospitalization. Delaying grafting increases infection risk, while early intervention has been shown to improve wound healing. However, challenges like poor resuscitation and resource limitations may hinder early grafting, particularly in low-resource settings. This review evaluates the evidence on optimal grafting timing in burn patients. Methods: A systematic review and meta-analysis were conducted. A literature search was conducted from July 2024 to January 2025 comparing early (within 3-7 days) versus delayed (after 7 days) grafting. Studies included randomized controlled trials, cohort studies, and observational studies, with outcomes focused on hospitalization duration, infection rates, blood loss, and limb functionality. Results: Of 250 studies identified, seven met eligibility criteria. Early grafting significantly reduced hospital stay by 8.89 days (95% CI: -12.88 to -4.89) compared to delayed grafting. No significant differences were observed between early and delayed grafting in terms of blood loss, infection rates, or post-operative grip strength.  However, early grafting resulted in better post-operative Total Active Movement  (TAM) scores (MD: 22.10 [95% CI: 17.95 to 26.24]). Conclusion: Early grafting improves hospital recovery and functional outcomes. Further research is needed to confirm these findings.
MICROSURGERY IN A TERTIARY HOSPITAL IN EAST KALIMANTAN: A FIVE-YEAR RETROSPECTIVE STUDY FROM PLASTIC SURGERY DIVISION Swantara, Devina; Ardan, Andi; Yudhy Arius; Selmy Sabry Mohamed Awad
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.v10i2.78717

Abstract

Highlights: This is the first comprehensive epidemiological analysis of microsurgical cases in East Kalimantan, filling a critical data gap outside Java. Complex soft-tissue defects accounted for 93.5% of cases, all managed with free flap transfer, predominantly anterolateral thigh and radial forearm flaps. The observed free flap success rate of 77.5% demonstrates functional microsurgical capacity at a provincial hospital and highlights targets for improving perioperative monitoring and outcomes.   Abstract: Introduction:  Microsurgery is a critical pillar of modern reconstructive surgery, enabling restoration of complex tissue defects. Data on its demography and outcome in East Kalimantan remains unavailable, limiting strategic service planning. This study aimed to describe the perioperative variables and outcome of microsurgical cases at a provincial referral hospital. Methods: A retrospective study was conducted at the Plastic, Reconstructive, and Aesthetic Surgery Division of Abdoel Wahab Sjahranie Hospital. All patients who underwent microsurgery between January 2020 and December 2024 were included via total sampling. Medical records were reviewed to extract demographic characteristics, referral sources, primary diagnoses, surgical procedures, and free flap outcomes. Results: A total of 31 surgery in 28 patients, with fluctuating annual distribution (highest in 2020, lowest in 2022). Most patients were male (64.5%) and adults aged 18–60 years (80.7%), predominantly referred from type B hospitals (61.3%). The most frequent diagnosis was complex soft-tissue defects (93.5%), with malignancy, post-burn contracture, chronic wounds, and electrical trauma as leading etiologies. All reconstructions employed free flap transfer with overall success rate was 77.5%, predominance of anterolateral thigh flap (58.1%). Conclusion: Microsurgical cases at Abdoel Wahab Sjahranie Hospital primarily involved young-to-middle-aged males with complex soft-tissue defects, managed with free flap reconstruction. These findings affirm the hospital’s role as a regional microsurgical referral center and highlight the need for strengthened perioperative monitoring and service expansion beyond trauma-related reconstruction.
Jurnal Rekonstruksi dan Estetik, December 2025 JURNAL REKONSTRUKSI DAN ESTETIK
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 2 (2025): Jurnal Rekonstruksi dan Estetik, December 2025
Publisher : Universitas Airlangga

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Abstract

Front Matter
Jurnal Rekonstruksi dan Estetik, December 2025 JURNAL REKONSTRUKSI DAN ESTETIK
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

Abstract

BACK MATTER
A SERIAL OF BURN INJURY CASES FROM MARINE ACCIDENT OF LOCAL PASSENGER FERRY “CANTIKA EXPRESS 77” IN EAST NUSA TENGGARA, INDONESIA Robertus Arian Datusanantyo; Angela Djunaedi
Jurnal Rekonstruksi dan Estetik Vol. 11 No. 1 (2026): Jurnal Rekonstruksi dan Estetik, June 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v11i1.74000

Abstract

Highlights: This Hospitals near active local boat transport areas should anticipate risks such as hypothermia, inhalation injury, and extensive full-thickness burns in maritime burn victims. Elderly populations require tailored evacuation strategies due to slower response times during emergencies. Strengthening safety protocols and implementing fire safety education have been proven effective in improving preparedness to reduce the risk of fire-related accidents and burn injuries in local transportation. Abstract: Introduction: Despite marked decrease in total maritime accidents in Indonesia from 2022-2023, there was increase in total number of fire-related maritime accidents. This highlighted the awareness about fire safety protocols in local waterway transportation and brings lessons to related sectors including referral hospital. We present our experience regarding burn injury cases caused by fire accident of local transport boat. Case Illustration: There were five burn inpatients among hundreds of victims who were sent to our hospital after the fire accident of local transport boat. One case was lethal with the highest total burn surface area (TBSA) of 42% full-thickness to superficial dermal burn and inhalation trauma. Skin grafting was performed in one patient. The lowest TBSA was 7.5% with mixed dermal burn. Discussion: Thoracolumbar is the most affected site with full-thickness burn despite no affected thoracoabdominal site, reflecting the act of running away from the fire source. We also observed hypothermia caused by abandoning boat to the open water in all inpatients. Emergency response demo was not performed by the crew and the accident was worsened by fire extinguisher malfunction and passenger overcapacity. Conclusion: To lower the risk of accidents and injury, awareness and obedience of safety protocols should be emphasized. Hospital in area with extensive local transport boat operating should prioritize burn treatment management strategy including inhalation trauma, hypothermia, and extensive full-thickness burns.
PEDIATRIC AND ADOLESCENT BURN INJURIES IN INDONESIA: A THREE-YEAR REVIEW FROM A TERTIARY BURN CENTER Talcha Meidheany Putri Wiyono; Lynda Hariani; Nur Aisiyah Widjaja
Jurnal Rekonstruksi dan Estetik Vol. 11 No. 1 (2026): Jurnal Rekonstruksi dan Estetik, June 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v11i1.77735

Abstract

Highlights: This study fills the gap in epidemiological data on pediatric and adolescent burn injuries in Indonesia, providing baseline evidence for future research and policy-making. The findings emphasize the need for targeted household prevention and nutritional management strategies to improve clinical outcomes in pediatric burns. Abstract: Introduction: Burn injuries are a major cause of morbidity and mortality among children, leading to significant tissue damage, long-term disability, and death. Globally, approximately 180,000 burn-related deaths occur annually, with young children disproportionately affected due to curiosity, immature motor skills, and inadequate supervision. In Indonesia, the incidence of pediatric burns remains high, particularly in domestic settings, yet data from referral hospitals remain limited. This study aimed to describe the clinical profile of pediatric burn patients to inform prevention and treatment strategies. Methods: A retrospective descriptive study was conducted using medical records of 61 pediatric patients aged 0–18 years treated at the Burn Unit of Dr. Soetomo General Academic Hospital, Surabaya, from 2021 to 2023. Total sampling was applied. Variables included age, sex, burn etiology, burn depth, total body surface area (TBSA), and nutritional status. Data were analyzed descriptively. Results: Most patients were male (63.93%) and aged 0–5 years (70.49%). All burns were thermal in origin, predominantly hot water scalds (60.66%). Deep-dermal burns were most frequent (50.82%), and TBSA involvement of 10–20% was common (32.79%). While most patients had normal nutritional status aged 0-5 years (51.16%) and 6-18 years (61.11%), mild to severe malnutrition was observed. Conclusion: Pediatric burns in this center primarily affected boys under five years old, with hot water scalds, deep-dermal injuries, and moderate TBSA involvement predominating. Findings highlight the need for targeted household prevention, timely clinical intervention, and nutritional management to reduce the burden of pediatric burns.  
FUNCTIONAL AND PSYCHOSOCIAL OUTCOMES OF AUTOLOGOUS FASCIA SLING RECONSTRUCTION SURGERY IN A SCHOOL-AGE CHILD WITH CRANIOFACIAL NEUROFIBROMATOSIS TYPE 1 Putu Laksmi Febriyani; Adinda Widita; Ahmed Mostafa Elsaid Eid
Jurnal Rekonstruksi dan Estetik Vol. 11 No. 1 (2026): Jurnal Rekonstruksi dan Estetik, June 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v11i1.78269

Abstract

Highlights: This case report demonstrates successful staged craniofacial reconstruction in a pediatric NF1 patient using a static autologous temporal fascia sling. The technique improved eyelid function and facial contour without implants, while enhancing the patient’s self-confidence and quality of life. Complex craniofacial NF1 cases require multidisciplinary management and long-term follow-up. Abstract Introduction: Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder characterized by café-au-lait macules, cutaneous neurofibromas, and possible craniofacial involvement. Although benign, craniofacial NF1 can lead to significant deformity and functional impairment. This report presents the functional, aesthetic, and psychosocial outcomes of autologous temporal fascia sling reconstruction in a school-age child. Case Illustration: A 14-year-old boy presented with progressive swelling of the right hemifacial region since birth, accompanied by facial asymmetry, severe ptosis, visual impairment due to eyelid obstruction, and hearing loss. Radiological examination showed craniofacial involvement without intracranial extension. The patient previously underwent partial debulking, followed by wide excision of residual plexiform neurofibroma and reconstruction with an autologous temporal fascia sling as a second-stage procedure, restoring eyelid function and facial contour. Postoperatively, self-confidence improved and the patient returned to school, although visual and hearing deficits persisted. Discussion: Craniofacial NF1 presents therapeutic challenges due to tumor infiltration, recurrence, and psychosocial impact. Diagnosis is established through a combination of clinical signs, imaging, and histopathology. Surgery remains the primary treatment although it is often challenging to perform thoroughly and carries a risk of recurrence. Early intervention, especially in symptomatic cases, is crucial for improving function, appearance, and quality of life. Conclusion: Craniofacial reconstruction with a static autologous temporal fascia sling in NF1 can provide significant functional and aesthetics improvements. Long-term monitoring is still needed to detect recurrence and complications.
OPTIMAL TIMING FOR ORBITAL FLOOR FRACTURE SURGERY: A COMPREHENSIVE SYSTEMATIC REVIEW AND META-ANALYSIS OF CLINICAL AND AESTHETIC OUTCOMES Ni Putu Gita Raditya Sanjiwani; Gede Wara Samsarga; Kavita Wadde; Joshua Meng Hee Ding; Erk Evren; Tarun Bhagchandani
Jurnal Rekonstruksi dan Estetik Vol. 11 No. 1 (2026): Jurnal Rekonstruksi dan Estetik, June 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v11i1.81354

Abstract

Highlights: Early surgical repair (<14 days) significantly reduces the risk of persistent postoperative diplopia compared to delayed intervention (RR 0.43; 95% CI 0.21–0.89; p = 0.02). Postoperative enophthalmos rates are markedly low following early repair (2%), indicating superior orbital volume restoration, although reported data remain heterogeneous. Despite overall functional benefit, residual ocular motility impairment persists in ~9% of early-treated patients, highlighting the need for refined surgical techniques and standardized outcome reporting. Abstract Introduction: The optimal timing of surgical intervention for orbital floor fractures remains a subject of ongoing clinical debate. Although early repair is thought to prevent long-term functional and aesthetic complications, evidence from previous studies has been inconsistent. This systematic review and meta-analysis aimed to evaluate the functional and aesthetic outcomes of early (<14 days) versus delayed (≥14 days) surgical repair, particularly regarding ocular motility dysfunction, enophthalmos, and diplopia. Methods: A comprehensive literature search of PubMed, Embase, Scopus, Cochrane Library, and Web of Science was conducted to identify comparative studies evaluating the timing of surgical intervention for orbital floor fractures. Results: A total of six studies met the inclusion criteria, comprising 2,769 patients. Early repair significantly reduced the risk of persistent diplopia (RR 0.43; 95% CI 0.21–0.89; p = 0.02), although substantial heterogeneity was observed (I² = 83%). Proportional meta-analysis of early repair demonstrated a low pooled incidence of postoperative enophthalmos (2%; 95% CI 0.00–0.06), despite high heterogeneity (I² = 98.5%). Residual ocular motility dysfunction persisted in 9% of patients (95% CI 0.05–0.13), with minimal heterogeneity (I² = 0%). Conclusion: Early surgical repair of orbital floor fractures is associated with significantly improved functional outcomes, particularly a lower incidence of persistent diplopia and favorable aesthetic outcomes with low rates of enophthalmos. Nevertheless, the incomplete restoration of ocular motility in some patients underscores the importance of meticulous surgical technique and appropriate patient selection. Future high-quality prospective studies with standardized diagnostic criteria, surgical timing, and outcome measures are warranted.
ENHANCING PRIMARY HEALTHCARE CAPACITY IN MULTIDISCIPLINARY MANAGEMENT OF CLEFT LIP AND PALATE: A PRE-POST INTERVENTION STUDY FROM THE CLEFT MONTH 2025 WEBINAR AND WORKSHOP IN JAKARTA, INDONESIA Melinda Harini; Jenny Lauvita; Luh Karunia Wahyuni; Kristaninta Bangun; Prasetyanugraheni Kreshanti; Vika Tania; Widjajalaksmi Kusumaningsih; Nidya Yunaz; Tashiani Candra; Medha Paramitajati; Annisa Nurhasana; Amanda Yufika; Fally Usman Arif; Anindira Rustandi
Jurnal Rekonstruksi dan Estetik Vol. 11 No. 1 (2026): Jurnal Rekonstruksi dan Estetik, June 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v11i1.82623

Abstract

Highlights: Hybrid webinar–practical hands-on workshop training significantly improved primary healthcare providers’ competencies in cleft lip and palate detection, referral, and multidisciplinary management. Knowledge improvement occurred consistently across all professional backgrounds with no significant differences between occupations. Abstract: Introduction: Cleft lip and palate are the most common craniofacial anomalies in Indonesia, requiring early detection and comprehensive multidisciplinary management. Primary healthcare providers play a crucial role in early screening, family education, and timely referral, yet gaps in knowledge and skill persist. Methods: A pre-post intervention study was conducted during the Cleft Month 2025 Webinar and Workshop, organized by Cleft Craniofacial Center RSCM and the Department of Physical Medicine and Rehabilitation, Faculty of Medicine Universitas Indonesia, in collaboration with DKI Jakarta Health Office. Participants included doctors, nurses, and midwives from selected primary healthcare centers who voluntarily registered and attended the full program. Knowledge and skills in multidisciplinary cleft management were assessed using structured multiple-choice pre- and post-tests developed by subject experts, aligned with training objectives. Participant satisfaction was evaluated using a post-intervention questionnaire. Results: A total of 244 participants attended the webinar and 59 joined the hands-on workshop. Workshop participants (mean age 34 years) showed significant improvements in overall and topic-specific scores except for 4th topic about Physical Medicine and Rehabilitation: Feeding guidance for infants with cleft. Webinar participants (mean age 41 years) had a mean pre-test score of 61.3, with only 7% achieving ≥80. Post-test scores improved significantly across all sessions. No differences were observed across professions. Conclusion:The Cleft Month 2025 Webinar and Workshop effectively improved the knowledge and skills of primary healthcare providers in the multidisciplinary management of cleft lip and palate, supporting early detection and appropriate referral in Jakarta.
BACTERIAL INVOLVEMENT OF PNEUMONIA IN BURN UNIT OF DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2022-2023) Rafif Marten Rabbani Dachlan; Lynda Hariani; Juniastuti
Jurnal Rekonstruksi dan Estetik Vol. 11 No. 1 (2026): Jurnal Rekonstruksi dan Estetik, June 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v11i1.82712

Abstract

Highlights: Pneumonia occurred in 19.35% of burn patients, predominantly in adults aged 16–60 years with a slight male predominance. Gram-negative bacteria, particularly Acinetobacter baumannii and Pseudomonas aeruginosa, were the main pathogens, indicating a high burden of nosocomial infection. Abstract: Introduction: Pneumonia in burn patients is an issue in burn injuries, requiring sufficient care and attention from treatment. Pneumonia is an infection that injures the lungs parenchyma, resulting in inflammation and bacteria playing a role in the increase of morbidity and mortality. This study aims to evaluate and describe the occurrence of pneumonia among burn patients. Methods: This retrospective observational study utilizes secondary data obtained from electronic medical records provided by Integrated Central Surgical Building (ICSB) Dr. Soetomo General Academic Hospital. EMR were collected from January 2022 to December 2023. The inclusion criteria were patients admitted with burn injuries and pneumonia. Samples excluded are those with incomplete variable, such as age, sex, comorbidities, length of stay, and causative pathogen. Results: A total of 124 patients were included in this study Pneumonia in Burn Patients in the burn units of Dr. Soetomo General Academic hospital were 24 (19.35%) patients, ages 16-60 were the most prominent age group. Males were slightly more likely to be affected with pneumonia, patients staying for more than 14 days (54%) were the largest group to be infected with pneumonia. Most common bacteria were Acinetobacter baumannii and Pseudomonas aeruginosa. Conclusion:Pneumonia occurred in 19% of burn patients, predominantly in adults aged 16–60 years with a slight male predominance, and was associated with prolonged hospital stay. Gram-negative bacteria, particularly Acinetobacter baumannii and Pseudomonas aeruginosa, were the main pathogens, highlighting pneumonia as a significant complication requiring early detection, infection control, and appropriate antimicrobial management.

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