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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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INDONESIA
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
Arjuna Subject : Kedokteran - Pembedahan
Articles 118 Documents
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THE BURDEN BENEATH THE BURNS: A FIFTY-MONTH RETROSPECTIVE EPIDEMIOLOGICAL STUDY IN EAST NUSA TENGGARA, INDONESIA Nada Syifa Kasih Widanti; Robertus Arian Datusanantyo
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.v11i1.84691

Abstract

Highlights: Scalds are the leading cause of burn injuries. Major burns affect both children and adults significantly. Electrical burns suggest occupational risk in Southeast Indonesia. Abstract: Introduction: Burn injuries remain a major public health concern, particularly in low- and middle-income countries (LMICs) such as Southeast Indonesia. The lack of long-term, region-specific epidemiological data limits understanding of burn incidence patterns and hinders effective prevention and management strategies. This study aims to address this gap by providing a multi-year epidemiological overview of burn injuries over a 50-month period in East Nusa Tenggara, Indonesia. Methods: A retrospective descriptive study was conducted using medical records of burn patients admitted to plastic surgery departments in three referral hospitals in Kupang, East Nusa Tenggara, from March 2021 to May 2025. Data included patient demographics, burn extent (TBSA), depth, cause, anatomical distribution, and severity categorized according to the American Burn Association criteria. Results: A total of 160 patients met the inclusion criteria, with a slight male predominance (52.5%). The mean age was 39.7 years for males and 36.6 years for females. Most burns involved less than 20% TBSA, with minor burns accounting for the largest proportion in both adults (41.18%) and pediatric patients (41.4%). Scald injuries were the most common cause (41.25%), followed by electrical burns (12.5%) and flame injuries. Adults were more frequently affected by electrical and flame burns, suggesting occupational exposure. Conclusion: Scald burns predominated across age groups, while major burns remained substantial in both children and adults. The relatively high proportion of electrical burns highlights the need for improved workplace safety measures. This multi-year, multi-center study provides one of the first long-term epidemiological datasets from referral hospitals in Eastern Indonesia, addressing a critical evidence gap and offering baseline data to inform targeted prevention strategies and future research on region-specific socio-cultural risk factors.
FACIAL NERVE PARESIS FOLLOWING RECONSTRUCTION OF NEGLECTED MANDIBULAR CONDYLE FRACTURE: SURGICAL CONSIDERATIONS AND ADJUNCTIVE NEUROTROPHIC THERAPY Putu Kania Iswari Niramayah; I Nyoman Putu Riasa; Bertha Kawilarang; Felicia Adelina Shannen
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.v11i1.86259

Abstract

Highlights: Delayed mandibular condylar fractures pose reconstructive challenges due to bone remodeling, with management options including condylar reconstruction or orthognathic surgery. A combined preauricular–retromandibular approach provides adequate exposure but carries a risk of facial nerve paresis, with outcomes inconsistently reported in the literature. Adjunctive oral mecobalamin appears safe and may support recovery in postoperative facial nerve paresis. Abstract: Introduction: Although mandibular condyle fractures are common, their treatment remains debatable, especially in neglected or delayed cases. Delayed cases often present with malunion and functional limitation and are associated with increased surgical difficulty. Facial nerve injury is a well-known complication of condylar reconstruction, but it remains underreported in delayed cases. Evidence guiding the management of delayed or revision cases is limited, and standardized treatment protocols are lacking. Case Illustration: A 47-year-old man with neglected mandibular fractures and left TMJ dislocation underwent initial ORIF and fixation. Persistent malocclusion and pain led to definitive osteotomy and ORIF of the left condyle via a combined preauricular and retromandibular approach. We present a case of neglected mandibular condylar fracture managed with osteotomy, reduction, and internal fixation using a combined preauricular–retromandibular approach. A scoping review of PubMed and Scopus was performed to evaluate surgical strategies for delayed or malunited condylar fractures. Of 238 records identified, six studies met inclusion criteria. Discussion: Included studies showed heterogeneous definitions and surgical approaches (condylar reconstruction and orthognathic surgery), both yielding satisfactory occlusion and function. Facial nerve outcomes were rarely reported. In this case, frontal branch paresis occurred postoperatively and nearly fully recovered within six months with conservative therapy and mecobalamin. Conclusion: Delayed condylar fractures require individualized, often complex surgical correction. Facial nerve morbidity remains insufficiently characterized. Oral mecobalamin appears safe and may support nerve recovery, although its clinical benefit requires validation. Development of standardized protocols for delayed or revision cases is warranted.
PLASTIC SURGERY MEDICAL TOURISM IN SOUTHEAST ASIA: MARKET DYNAMICS, DESTINATION STRATEGIES, AND INDONESIA'S COMPETITIVE POSITION Anak Agung Istri Ayu Detritha Sarasmartha Putri; Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya; Gede Wara Samsarga; Shita Diwyani Sudarsa; Astri Lestari Suyata
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.v11i1.86972

Abstract

Highlights: Plastic surgery medical tourism is driven by lower costs, shorter waiting times, quality care, and the appeal of combining treatment with travel. Thailand, South Korea, and Malaysia lead through strong government support, international accreditation, and integrated services. Indonesia, especially Bali, has strong potential but needs improvements in accreditation, language skills, and coordinated national promotion. Abstract: Introduction: Medical tourism has become a rapidly growing global industry, and plastic surgery medical tourism has gained substantial popularity due to cost advantages, accessibility, perceived quality of care, and the opportunity to combine treatment with leisure travel. This review focuses on plastic surgery medical tourism in Southeast Asia, with South Korea included as a non–Southeast Asian benchmark because of its advanced development in this field. Methods: This narrative review synthesized peer‑reviewed articles, policy documents, and institutional reports (e.g., WHO, ISAPS, JCI) published from 2010–2025. Literature was searched in December 2025 using PubMed and Google Scholar, followed by a four‑stage screening process. A thematic comparative analysis was conducted across three Southeast Asian destinations (Thailand, Malaysia, and Indonesia), with South Korea serving as a benchmark market for plastic surgery medical tourism. Results: Plastic surgery medical tourism is mainly driven by cost, shorter waiting times, accreditation and quality assurance, specialist availability, and integration of healthcare with tourism services. Within Southeast Asia, Thailand and Malaysia lead through stronger coordination, branding, and streamlined patient pathways, while South Korea exemplifies a highly coordinated, branding‑intensive model. Indonesia, especially Bali, has strong potential with competitive pricing and tourism appeal but faces challenges in governance, accreditation, and patient navigation. Conclusion: Plastic surgery medical tourism represents a strategic opportunity for economic and health sector development. Strengthening government involvement, international promotion, hospital accreditation, infrastructure, and human resource capacity is essential to enhance competitiveness and sustainability.
DELAYED EPITHELIALIZATION AFTER COMPOSITE GRAFT NECROSIS IN FINGERTIP RECONSTRUCTION: A RARE SALVAGE PHENOMENON Ocly Davira Putri Laisnima; Agus Roy Rusly Hariantana Hamid; I Gusti Putu Hendra Sanjaya; Shita Diwyani Sudarsa; Astrinita Lestari Suyata; Gede Wara Samsarga
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.v11i1.88194

Abstract

Highlights: Delayed epithelialization occurred beneath a clinically necrotic composite graft, enabling unexpected salvage of a fingertip injury without complex secondary reconstruction. Delayed debridement and necrotomy preserved regenerating tissue and resulted in favorable outcomes in an Allen type III injury. Apparently nonviable composite grafts may still function as a temporary scaffold for epithelial regeneration in selected cases. Abstract: Introduction: Composite grafting is a commonly used technique for fingertip reconstruction after distal digital amputations, but graft necrosis remains a major complication that often requires secondary procedures. This report describes a rare salvage phenomenon involving delayed epithelialization beneath a necrotic composite graft. Case Illustration: A 25‑year‑old male sustained an Allen type III crush injury of the right index fingertip with comminuted distal phalanx fracture. Initial management in the emergency department consisted of wound irrigation, debridement, composite grafting of the amputated segment, and pin fixation under local anesthesia, in accordance with the patient’s preference to avoid surgery in the operating room and to preserve fingertip length. Discussion: Despite progressive graft necrosis, the patient declined early debridement. Three months post-injury, delayed debridement and necrotomy were performed under regional anesthesia. Intraoperatively, epithelialization was unexpectedly identified in the deep tissue layers beneath the necrotic graft. The wound was managed with moist dressings and topical gentamicin. One week post-debridement, a 0.5 × 0.5 cm wound demonstrated crusting and epithelialization without infection. At subsequent follow-up, the patient exhibited minimal pain, restored sensibility, normal joint motion, preserved grip strength, and nail regrowth. Conclusion: Delayed epithelialization beneath necrotic composite grafts is rare. Careful delayed debridement may preserve tissue and avoid secondary reconstruction in selected cases.
ACCESSORY AURICLE AND HEMIFACIAL MICROSOMIA IN A ONE-YEAR-OLD PATIENT: A CASE REPORT WITH SCOPING REVIEW Ulfa Elfiah; Gita Anggraini Nur Rohmah; Galang Cahyo Pamungkas
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.v11i1.88262

Abstract

Highlights: Infants with accessory auricles should undergo careful clinical evaluation to determine whether the condition is part of a syndrome or an isolated congenital anomaly. In hemifacial microsomia without functional impairment, observation is an appropriate management approach. Abstract Introduction: Hemifacial microsomia (HFM) is the second most common congenital craniofacial malformation after cleft lip and/or palate, characterized by facial asymmetry due to abnormal development of the first and second pharyngeal arches. Accessory auricle may occur as an isolated anomaly or as part of the HFM spectrum. This study also presents a scoping review of reported cases (2001–2024) to compare clinical findings and management approaches. Case Illustration: We report a one-year-old girl who presented with left-sided HFM and a left accessory auricle. Clinical findings included facial asymmetry, micrognathia, macrostomia, and a preauricular cartilaginous skin tag, without airway or feeding problems. 3D CT revealed hypoplasia of the left mandibular condyle and temporomandibular joint, with no intracranial abnormalities. Management included conservative observation of the mandibular deformity and surgical excision of the accessory auricle. Discussion: Accessory auricles may occur as isolated congenital anomalies or in association with craniofacial conditions such as hemifacial microsomia (HFM). Imaging plays an important role in assessing skeletal involvement and excluding intracranial abnormalities. In HFM patients without functional impairment, conservative management with regular monitoring of mandibular growth is appropriate. Surgical excision of accessory auricles is usually performed for aesthetic reasons and can be achieved with a simple procedure. Conclusion: In this case, the mandibular deformity was managed conservatively with observation, while the accessory auricle was treated with surgical excision and primary closure, followed by routine wound care, with satisfactory outcomes.
Jurnal Rekonstruksi dan Estetik, June 2026 JURNAL REKONSTRUKSI DAN ESTETIK
Jurnal Rekonstruksi dan Estetik Vol. 11 No. 1 (2026): Jurnal Rekonstruksi dan Estetik, June 2026
Publisher : Universitas Airlangga

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Abstract

BACK MATTER
MODIFIED CRYPTOTIA RECONSTRUCTION USING LARGE Z-PLASTY AND CARTILAGE STRUT: A CASE REPORT Rianto Noviady Ramli; Estelita Liana; Zulfa Tsurayya
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.v11i1.91050

Abstract

Highlights: A combined large Z-plasty and cartilage strut technique effectively corrects Type I cryptotia Simultaneous correction of skin deficiency and cartilage deformity improves surgical outcomes Intentional overcorrection of the cephaloauricular angle helps maintain long-term ear projection The technique provides adequate posterior auricular skin coverage and restores the auriculotemporal sulcus Favorable short-term results were achieved with no complications or recurrence Abstract Introduction: Cryptotia is a congenital auricular deformity characterized by burial of the upper portion of the ear beneath the temporal skin. Successful correction requires correction of both skin deficiency and cartilage deformity. Case Illustration: We report a case of Type I cryptotia treated with a combination of a large Z-plasty for posterior skin release and a conchal cartilage strut graft to widen the cephaloauricular angle. Intentional overcorrection was performed to ensure stable projection after skin closure. Discussion: The procedure provided adequate skin coverage, restored the cephaloauricular sulcus, and achieved a postoperative cephaloauricular angle of approximately 30 degrees, comparable to that of the contralateral normal ear. No complications or recurrence were observed during the one-month follow-up. Conclusion: This combined technique offers a promising approach for the correction of Type I cryptotia by simultaneously addressing both skin and cartilage abnormalities. Further studies with larger samples sizes and longer follow-up periods are needed to evaluate.
Jurnal Rekonstruksi dan Estetik, June 2026 JURNAL REKONSTRUKSI DAN ESTETIK
Jurnal Rekonstruksi dan Estetik Vol. 11 No. 1 (2026): Jurnal Rekonstruksi dan Estetik, June 2026
Publisher : Universitas Airlangga

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Abstract

FRONT MATTER

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