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Jurnal Rekonstruksi dan Estetik

JRE
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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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ANALISIS KEJADIAN SUMBING BIBIR DAN LANGIT: STUDI DESKRIPTIF BERDASARKAN TINJAUAN GEOGRAFIS Elfiah, Ulfa; Kushariyadi; Wahyudi, Septa S
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Highlights: Angka kejadian kelainan sumbing bibir dan langit-langit di sepuluh wilayah Jember memiliki angka lebih dari 5 penderita. Profesi orangtua, penggunaan pestisida, dan pencemaran logam berat menjadi faktor resiko terjadinya bibir sumbing dan langit di Jember dimana geografisnya adalah perkebunan dan pertanian. Abstrak: Latar Belakang: Angka kejadian sumbing bibir dan langit-langit masih tinggi di Indonesia sedangkan proses penatalaksanaannya masih belum optimal. Penelitian ini bertujuan untuk melakukan analisis kejadian sumbing bibir dan langit-langit berdasarkan tinjauan geografis sehingga dapat menemukan model penanganan yang tepat untuk mengurangi angka kejadian sumbing bibir dan langit-langit. Metode: Penelitian ini merupakan jenis penelitian deskriptif dengan menggunakan data rekam medis di salah satu rumah sakit di provinsi Jawa Timur Indonesia. Data yang digunakan adalah data penderita sumbing bibir dan langit-langit antara tahun 2017-2020. Data yang diperoleh kemudian dikelompokkan berdasarkan wilayah asal penderita yang kemudian dituangkan dalam sebuah peta untuk memberikan gambaran penyebaran penderita sumbing bibir dan langit-langit. Sedangkan karakteristik penderita seperti angka prevalensi, jenis kelainan dan pekerjaan orang tua ditampilkan dalam bentuk tabel. Hasil: Penelitian menunjukkan bahwa kejadian kelainan sumbing bibir dan langit-langit hampir merata di seluruh wilayah Jember bahkan terdapat sepuluh wilayah yang memiliki angka kejadian lebih dari 5 penderita. Tingginya angka kejadian ini kemungkinan berhubungan dengan faktor-faktor risiko seperti pekerja orang tua sebagai petani, penggunaan pestisida dan pencemaran logam berat yang banyak ditemukan di wilayah Jember yang secara geografis merupakan daerah perkebunan dan pertanian sebagai penyebab kejadian kelainan kongenital ini. Kesimpulan: Pemetaan penderita secara geografis akan memudahkan dalam menentukan prediksi angka kejadian dan faktor resiko terjadinya kelainan sumbing bibir dan langit-langit serta memudahkan dalam membuat sistem penanganan penderita sesuai dengan kondisi wilayah masing-masing penderita.

SURGICAL TECHNIQUE FOR COMPLEX SYNDACTYLY IN APERT SYNDROME: A SERIAL CASE Mesang, Williams; Budi, Agus Santoso; Hutagalung, Magda Rosalina
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 2 (2019): Jurnal Rekonstruksi dan Estetik, December 2019
Publisher : Universitas Airlangga

Highlights: Complex syndactyly in Apert syndrome, particularly when complicated with synonychia and synostosis, poses a significant surgical challenge. Successful surgical techniques for Apert syndrome syndactyly are crucial to achieving these goals. Abstract: Introduction: Complex syndactyly in Apert syndrome, especially complicated with synonychia and synostosis, is a surgical challenge. The incidence of Apert Syndrome is reported to be approximately 1 per 100,000 to 160,000 live births and its incidence in Indonesia is not yet known. It is practically symmetrical causing significant dysfunction and infection if not treated properly. The goals in the treatment are the separation of independent digits without disturbing function and growth, the creation of a lined commissure, the provision of skin cover for the denuded nail edge and exposed bone, and to creation of aesthetically pleasing individual fingertips with proper nails, nail folds, and adequate pulp fullness. This is due to the unreliability of the vascular branching pattern to the digits. Case Illustration: In this serial case, we reported 5 cases of Apert syndrome. We described the clinical findings, incision design, immediate and post-surgery follow-ups. Discussion: In this case, we combined dorsal rectangular flap and palmar triangular flap to make a new web space, Buck Gramcko pulp flap for the nail fold reconstruction, and full thickness skin graft w was taken from the groin to cover the raw areas. Absorbable 5.0 simple interrupted sutures were used in each patient. The results were uneventful, with satisfying function and aesthetic appearance. Conclusion: Choosing the best surgical technique for releasing the web space in syndactyly depends on the patient's condition and the plastic surgeon's decision was needed. In 5 patients, up there was no meaningful complication attained from the postoperative result.

ORTHOGNATHIC SURGERY COMBINED WITH ORTHODONTIC TREATMENT IN A PATIENT WITH BILATERAL CLEFT LIP, PALATE AND ALVEOLUS, WITHOUT ALVEOLAR BONE GRAFT: A CASE REPORT Siswanto, Yudi; Hutagalung, Magda Rosalina; Sjamsudin, Jusuf; Indri Lakhsmi Putri
Jurnal Rekonstruksi dan Estetik Vol. 3 No. 1 (2018): Jurnal Rekonstruksi dan Estetik, June 2018
Publisher : Universitas Airlangga

Highlights: The orthognathic surgery combined with orthodontic intervention, leads to positive functional and aesthetic outcomes in individuals diagnosed with bilateral cleft lip and palate. It emphasizes the continued importance of adhering to the standard protocol, including alveolar bone grafting before permanent canine eruption, to achieve optimal outcomes. Abstract: Introduction: The incidence of cleft lip and palate is 8 in every 10,000 live births. A patient with this condition experiences a deficiency in maxillary growth. Maxillary hypoplasia leads to malocclusion and skeletal disharmony. Orthognathic surgery at skeletal maturity is the standard procedure at the end of the protocol to correct maxillary hypoplasia resulting in malocclusion not correctable with orthodontics alone. Case Illustration: We report the result of orthognathic surgery performed on a 23 year old male with complete bilateral cleft lip, palate, and alveolus. We proceeded with bimaxillary surgery despite the alveolar cleft. We also recorded a neglected alveolar cleft in which he should have had undergone alveolar bone graft prior to the current procedure. The pre-maxillary segment was stabilized with miniplate followed by Le Fort 1 advancement and mandibular setback guided by an occlusal wafer. Malar augmentation was done by onlay bone grafts. Mandibulo-maxillary fixation was maintained. Postoperatively, a good occlusion and better facial harmony were achieved. He was planned to undergo a septorhinoplasty in the near future. Discussion: Despite adequate treatments following the protocol recommended by many centres, some patients developed some degree of maxillary hypoplasia. A quarter of this population need osteotomies and Le Fort I maxillary osteotomy is the most common procedure to correct retrognathic maxilla. Conclusion: Orthognathic surgery combined with orthodontic treatment in a patient with bilateral cleft lip and palate provided good functional and aesthetic result. However, this procedure cannot replace the standard protocol of having an alveolar.

QUANTITATIVE MEASUREMENT OF BILATERAL CHEILORRHAPHY: A RETROSPECTIVE STUDY Zarasade, Lobredia; Wulandari, Pratidina; Indri Lakhsmi Putri
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Highlights: There were no significant differences in anthropometric measurements across various groups indicating consistent results in these facial parameters. Bilateral cheilorrhaphy using the Djohansjah technique at the Surabaya CLP Center achieved satisfactory symmetry of the lips, nose, and philtrum, with consistent anthropometric measurements in preoperative cleft conditions. Abstract: Introduction: Bilateral cheilorraphy has higher complexity compared to unilateral cheilorraphy. Anthropometric measurements provide nasolabial identification of the surgery result objectively. This study aims to assess the outcome of bilateral cheilorrhaphy with the Djohansjah technique at Surabaya CLP Center. Methods: 26 patients underwent bilateral cheilorrhaphy from January 1 to December 31, 2018, at the Surabaya CLP Center. Anthropometric measurements were performed on control photos one-year post-surgery with the GIMP application (GNU Image Manipulation Software) version 2.10.12 to measure the cupid's bow width ratio, hemilabial length ratio, nasal width ratio, and philtrum ridge length ratio. A statistical analysis was performed using Independent Sample t-Tes and Mann-Whitney Test. Results: An anthropometric size difference test based on preoperative condition was performed. No significant difference of the cupid's bow width ratio, hemilabial length ratio, nasal width ratio, and philtrum ridge length ratio between the group of identical cleft lip and unidentical cleft lip with p > 0.05 was found. Likewise, there was no difference between the identical cleft alveolar and unidentical cleft alveolar, as well as the group with or without cleft palate. Conclusions: Symmetry of lips, nose, and philtrum was achieved with bilateral cheilorrhaphy with the Djohansjah technique at the Surabaya CLP Center and there was no significant difference in cupid's bow width ratio, hemilabial length ratio, nasal width ratio, and philtrum ridge length ratio on preoperative cleft condition.

EFEKTIVITAS PEMBERIAN KAPSUL EKSTRAK CHANNA STRIATA TERHADAP KADAR ALBUMIN PADA KASUS LUKA BAKAR Isamahendra, Naufal Agus; Murtiastutik, Dwi; Lynda Hariani
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 2 (2021): Jurnal Rekonstruksi dan Estetik, Desember 2021
Publisher : Universitas Airlangga

Highlights: Kapsul ekstrak Channa striata meningkatkan kadar albumin dalam tubuh dan mempercepat penyembuhan luka pasien luka bakar. Efek positif kapsul ekstrak Channa striata adalah menurunkan kadar MDA serum dan meningkatkan balans nitrogen ke arah positif. Abstrak: Latar Belakang: Luka bakar adalah cedera pada kulit atau jaringan organik lainnya yang disebabkan oleh panas, radiasi, zat radioaktif, listrik, gesekan atau kontak dengan bahan kimia. Bagian tubuh yang mengalami luka bakar akan vasodilatasi akibat adanya stimulus mediator inflamasi yang dilepaskan oleh sel endotel, platelet dan leukosit yang rusak, mengakibatkan peningkatan tekanan hidrostatik kapiler yang menyebabkan meningkatnya permeabilitas membran kapiler. Keadaan ini membuat cairan dan elektrolit di intravaskuler keluar ke ekstravaskuler. Albumin juga ikut keluar ke ekstraseluler pada proses ini, sehingga terjadi hipoalbuminemia. Diperlukan adanya solusi untuk peningkatan kadar albumin selain melalui transfusi, dengan syarat alternatif transfusi albumin ini diharapkan lebih hemat dan efisien dibandingkan dengan albumin transfusi yang terkenal mahal. Ekstrak Channa striata merupakan sebuah produk baru yang diharapkan dapat menjadi alternatif albumin transfusi ini. Tujuan penelitian adalah untuk mengetahui apakah pemberian kapsul ekstrak Channa striata dapat meningkatkan kadar albumin dalam darah pada kasus luka bakar. Metode: Metode penelitian ini menggunakan metode systematical review dengan mengambil jurnal melalui Google Scholar dan ScienceDirect. Hasil:Dari 5 literatur yang dianalisa, semua menyatakan bahwa Channa striata mempercepat penyembuhan luka dan meningkatkan kadar albumin. Kesimpulan: Kesimpulan dari penelitian ini adalah kapsul ekstrak Channa striata dapat meningkatkan kadar albumin dalam tubuh serta mempercepat penyembuhan luka pasien luka bakar. Kapsul ekstrak Channa striata biasanya diberikan sebagai suplementasi bersama bahan lain untuk memenuhi kebutuhan gizi pasien. Penelitian ini membuktikan efek kapsul ekstrak Channa striata terhadap kadar albumin menurunkan kadar MDA serum dan meningkatkan balans nitrogen ke arah positif.

A CASE SERIES : HYMENOPLASTY BASED ON THE TYPE OF THE TEAR OR CLEFT PREOPERATION FINDING FOR GOOD SATISFACTION POSTOPERATIVE RESULT Ramli, Rianto Noviady; Budi, Agus Santoso
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 2 (2019): Jurnal Rekonstruksi dan Estetik, December 2019
Publisher : Universitas Airlangga

Highlights: Surgical hymenoplasty technique based on the type of the tear or cleft finding preoperative for satisfaction postoperative approach yields satisfactory results. Surgical hymenoplasty technique, tailored to the specific type of hymenal tear or cleft identified preoperatively. Abstract: Introduction: To describe our surgical hymenoplasty technique based on the type of the tear or cleft finding preoperative for satisfaction postoperative. Case Illustration: Hymenoplasty was performed on 4 patient on January 2017 until March 2017, we found three patients with U-type. We performed hymenoplasty which is to create a new surface raw, on the right and left cleft to be stiched, we use a rapid absorbable suture material, with horizontal mattress technique. Discussion: No complications developed in the patients who had undergone hymenoplasty and all patients stated that the sexual intercourse they experienced was similar to the night of the initial experience. Conclusion: Our new apporach for hymenoplasty is a technique that has good results, and this is a good approach in doing hymenoplasty. A comprehensive preoperatif consultation is essential to ensure patient and surgeon satisfaction postoperatively. Preoperative evaluation of the hymenal tissue is the basis on which a surgical technique is selected. The surgical technique is determining factor for a succesful hymenorrhaphy.

COMPARATION OF EFFECTIVENESS OF SILVER SULFADIAZINE AND GENTAMICIN ON ABRASION WOUND HEALING Mohan, Mohan; Jailani, Muhammad; Amirsyah, Mirnasari
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 1 (2019): Jurnal Rekonstruksi dan Estetik, June 2019
Publisher : Universitas Airlangga

Highlights: Silver sulfadiazine (SSD) in abrasion wound treatment giving the advantages in proliferation phase. SSD was found to be more effective in healing abrasions than gentamicin cream. Abstract: Introduction: Abrasion is injury to skin due to trauma that affects the surface of the epidermis or superficial epithelium, especially from friction to the depth of the dermal papillae. The basic principle of abrasion treatment is to maintain moist condition in wound surface.This study aims to compare the effectiveness of silver sulfadiazine (SSD) and gentamicin cream in the process of healing abrasions. Methods: The study used a post-test only control group design. A total of 30 samples of abrasion patients who came for treatment at the ED were sampled, and divided into 3 groups, namely wound care by providing SSD, gentamicin and tulle. Results: The wound dimensions are assessed from the length and width measured at the 1st day, the 5th day, and the 10th day. At the 10th day assessment, SSD was found to be more effective in healing abrasions compared to other groups. Conclusions: The use of SSD in abrasion wound treatment is believed to have advantages in proliferation phase where SSD is a sulfonamide class antibiotic that produces synergic effects along with silver which constantly absorbs exudates and bacteria, combines chloride tissue and several other proteins in the process of wound healing.

CORELATION OF PARENTS' PROFILES OF CHILDREN WITH LATE CLEFT REPAIR IN SURABAYA CLEFT LIP AND PALATE CENTRE (JANUARY 2015–DECEMBER 2017) Ningrum, Laras Puspita; Saputro, Iswinarno Doso; Zarasade, Lobredia
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Highlights: Economic factors and insufficient information about cleft palate treatment was the primary cause of delayed repairs,except for Parents' education levels. The essential responsibility of primary care physicians is to provide education on treatment stages to minimize delays. Abstract: Introduction: Optimal time of Cleft palate repair is during the 10 to 12 month of age. In this time produce far natural results in terms of speech because it enabled the maturation of scar tissue postoperatively. The soft palate must function properly before the patient starts learning to talk, otherwise speech disorders such as persistent rhinolalia aperta might arise. In pediatric patients, the role of parents is very important on adherence to therapy. Methods: This is a cross-sectional study. The first study group was parents of patients who had surgical repair before two years old and the second group was the parents of patients who had repair after two years old. We compared age, monthly income, education level, number of children, and residential distance from Surabaya of the two groups. Results: The data of this study were obtained from the medical records of patients with cleft lip surgery at CLP Center Surabaya in 2015th-2017th with total of 358 patients, 172 were female and 186 were male. 52 patients with delayed cleft palate surgery. Patients' parents in both groups were mostly 31- 40 years old, were high school graduated, has one child, earned less than 1.5 million rupiah a month, and lived less than 100 kms from Surabaya. From the statistical results, parent's income has the strongest correlation with the patient's age in cleft palate surgery (-2.7). A negative coefficient means that the less parent's income, the more patient likely had delayed cleft palate surgery. While other factors found weak and very weak correlations. Conclusions:The results form patient's parents' interview, concluded that besides economic factors, the lack of information cleft palate treatment is the key factors that contributed to the delay of cleft palate repair. The education level does not affect the delay in cleft palate surgery, because even in high educated parents, sometimes they don't understand the stages of cleft lip and palate treatment. This study emphasized the necessity to educate about the stages of surgery by primary care physicians, to minimize delays.

PALATE FRACTURE PROFILE IN PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY OF DR. SOETOMO GENERAL ACADEMIC HOSPITAL: JANUARY 2012- DECEMBER 2017 N., Priscilla Valentine; Budi, Agus Santoso; Zarasade, Lobredia
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 1 (2019): Jurnal Rekonstruksi dan Estetik, June 2019
Publisher : Universitas Airlangga

Highlights: The demographic data of patients with palate fractures is young adult men aged 19-30 years, the most common of palatal fracture type is parasagittal type, and causes of trauma being traffic accidents. The use of transmolar wiring and plating, occlusion was achieved well. Abstract: Introduction: Palatal fractures are often associated with maxillofacial fractures and Le Fort fractures. The diagnosis and management of palatal fractures in the midface area is a challenge for a plastic surgeon in restoring function and aesthetics. With the results of this study, it is expected to be a database of maxillofacial fractures treated at SMF Reconstructive Plastic Surgery and Aesthetic Dr. Soetomo General Academic Hospital, Surabaya and gave the ability to make a fast and precise diagnosis for time and technical maxillofacial fractures. Methods: This study uses medical record data for all patients diagnosed with palatal fractures in Dr. Soetomo General Academic Hospital, Surabaya during January 2012 to December 2017. The variables studied were demographic data including sex, age, mechanism of occurrence of accidents, types of fractures, management, complications that occur and length of treatment. Discussion: There were 82 patients with palatal fractures, with traffic accidents being the most common cause of palate fracture (n=61) followed by workplace accidents and households in second place (12 and 9%). Most sufferers were men (68%), women (14%) with the highest age range of men aged 19-30 years who were followed by ages 31-45. The most were parasagittal fractures (56%), then Sagittal (15%), paraalveolar (9%), alveolar (1%), comminutive (1%). no fractures with anterior and posterolateral alveolar types, posterolateral type or transverse type fractures. Hospitalization period with plating (12 days), transmolar wiring (10.6 days), and conservative (13.8 days). Conclusions: In this study assessed the experience in the reconstruction and aesthetic plastic surgery department of Dr. Soetomo General Academic Hospital regarding palatal fractures and accompanying demographic data. The type of fracture that occurs is also related to the management performed. Incomplete medical records caused problems in this study.

SEVERE CONSTRICTED HEAD – AN EXTREME FORM OF CROUZON SYNDROME POSING CHALLENGING FRONTO-ORBITAL ADVANCEMENT: A CASE SERIES REPORTS Lupitasari, Ciptomurti; Zarasade, Lobredia; Hutagalung, Magda Rosalina
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 2 (2019): Jurnal Rekonstruksi dan Estetik, December 2019
Publisher : Universitas Airlangga

Highlights: Severe Constricted Head in Crouzon Syndrome. Complex surgical interventions to address severe craniofacial abnormalities in Crouzon syndrome. Abstract: Introduction: Constricted head or cloverleaf deformity in Crouzon syndrome is a severe form of the syndrome involving trilobed coronal and lambdoid synostosis. Crouzon syndrome with acanthosis nigricans is distinct from the classic Crouzon syndrome, characterized by thick and dark skin in body folds. The major problems resulting from constricted head are related to craniostenosis, orbitostenosis developing from abnormalities of the skull base associated with progressive rise in intracranial and intraorbital pressures which could progress to hydrocephalus and cerebellar herniation. Case Illustration: Two cases with severe Crouzon syndrome were reported. The first was a five month old girl associated with acanthosis nigricans and the other was a sixteen month old boy, both whose phenotypic expressions were at the extreme severe end of the disease spectrum. On examination there was serious corneal exposure, visual loss, severely narrow head, midface hypoplasia, and beaked nose. CT scan showed typical cloverleaf skull, expanded middle cranial fossa, foreshortened anterior and posterior fossae and honeycomb appearance in the occiput involving pansutural synostosis and extensive copper beaten deformity from the high intracranial pressure . Both were complicated with hydrocephalus requiring ventricul operitoneal shunt. Discussion: This required an arduous effort in releasing the brain from the multiply punctured calvaria, avoiding excessive dural tear and bleeding and ultimately preserving the brain. Excessive bleeding was also caused by the raised ICP. Both patients are planned to undergo occipital expansion three months later. Conclusion: Severely constricted head in Crouzon syndrome is an extreme manifestation and late stage of the syndrome which not only will result in irreversible complication but will require meticulous surgical technique.

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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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Contact Name Iswinarno Doso Saputro

Contact Email iswinarno.doso@fk.unair.ac.id

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Journal Mail Official jre@journal.unair.ac.id

Editorial Address Departemen Bedah Plastik Rekonstruksi dan Estetik Fakultas Kedokteran Universitas Airlangga Jl. Mayjend Prof. Dr. Moestopo No. 6-8, Surabaya, 60285. (031) 5020091 ext 1314

Location Kota surabaya, Jawa timur INDONESIA

Abstract

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Iswinarno Doso Saputro

Contact Email
iswinarno.doso@fk.unair.ac.id

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+628155247800

Journal Mail Official
jre@journal.unair.ac.id

Editorial Address
Departemen Bedah Plastik Rekonstruksi dan Estetik Fakultas Kedokteran Universitas Airlangga Jl. Mayjend Prof. Dr. Moestopo No. 6-8, Surabaya, 60285. (031) 5020091 ext 1314

Location
Kota surabaya,

Jawa timur

INDONESIA