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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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Articles 104 Documents

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DEVIATION AND ATROPHY OF MIDDLE PHALANX OF HAND FOLLOWING PARTIAL SEPARATION IN SYNDACTYLY PATIENT: THEIR FAULT OR OURS? Kusuma, Diana Murtiati; Saputro, Iswinarno Doso; Rizaliyana, Sitti; Beta Subakti Nata’atmadja
Jurnal Rekonstruksi dan Estetik Vol. 3 No. 1 (2018): Jurnal Rekonstruksi dan Estetik, June 2018
Publisher : Universitas Airlangga

Highlights: Complex syndactyly reconstruction presents surgical challenges, often resulting in rotational, angular, and nail deformities post-surgery. The early correction of congenital syndactyly, combined with dorsal rectangular flap usage and full-thickness skin grafts, leads to satisfactory outcomes and reduces the need for multiple surgeries per web Abstract: Introduction: Syndactyly is failure of differentiation in which the fingers fail to separate into individual appendages. It is the most common congenital hand anomaly, with an incidence of 1 in 2,000 to 2,500 live births. Surgical separation of fingers as early as 6 month-old is indicated when syndactyly involves digits of unequal length (i.e., ring and little fingers). Early separation is also required in complex syndactyly and cases of acrosyndactyly. The timing of surgery of all other cases of syndactyly remains somewhat controversial; most suggest surgical correction before age of 18 months, whereas others prefer to wait until after this age. Case Illustration: A 13-year old boy, presented with fusion of all fingers of the right hand at birth. Prior to his current visit, he underwent partial separation of the right fingers at the age of 6 y.o. at a local hospital. Following partial separation, the fingers did not grow normally. Current X-ray showed atrophy and deviation of middle phalanx. We performed separation of syndactyly between index and middle finger, and between fourth and small finger in our hospital. Interdigital webbings are released using local flap and the remaining raw surface is covered using full-thickness skin grafts. On follow up, the patient showed good functional and aesthetic outcome. He is able to write with his right hand with better coordination. Discussion: Complex syndactyly reconstruction is a challenging surgical problem. Common post surgical findings include rotational deformity, angular deformity, and nail deformity. We describe how we have altered our approach in these findings. Conclusion: Congenital syndactyly should be corrected early in life. Careful dissection, the use of a dorsal rectangular flap in combination with 2 volar triangular flaps, and use of full thickness skin grafts ensure a satisfactory outcome and minimize the number of operations per web.

EFFICACY OF AMNIOTIC MEMBRANE MESENCHYMAL STEM CELL THERAPY FOR BURN WOUNDS: META-ANALYSIS STUDY Bermani, Bayu Fasi; Budi, Agus Santoso; Hutagalung, Magda Rosalina
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Highlights: The healing potential of stem cell therapy for burn wounds, primarily attributed to angiogenesis and anti-inflammatory effects. AM-MSC therapy has a beneficial impact on burn wound healing, particularly by promoting angiogenesis and reducing inflammation. Abstract: Introduction: Burn injury is a trauma with high morbidity and mortality that requires special management from the start. stem cells have generated great hopes for the treatment of numerous conditions including burns. The Metaanalysis was performed for these preclinical studies to assess the efficacy and possible mechanisms of Amniotic Membrane Mesenchymal Stem Cell (AM- MSC) in treating burn wounds. Methods: Seven studies identified by searching PubMed, MEDLINE, databases from inception to October 2020. In addition, a manual search of references of studies was performed to obtain potential studies. Stata 16 was used for all data analysis. Results: The overall meta-analysis showed that AM-MSC therapy significantly improved burn healing rate (SMD 3.34, 95% CI 1.82 to 4.86), irrespective of transplant type, burn area, and treatment method in the control group. Conclusions: Meta-analysis showed that AM-MSC therapy exerts appears to exert a positive effect in burn wound healing, mainly through angiogenesis and anti- inflammatory actions. There is, therefore, justification for continued efforts to evaluate variations in future clinical studies using stem cells to treat a burn wound in order to maximize the effectiveness. the use of stem cells as an adjunct to first- line therapies in burns.

SUBGLOTTIC STENOSIS (SGS) PASCA TRAUMA INHALASI Lilihata, Jilvientasia Godive; Saputro, Iswinarno Doso; Lynda Hariani
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 2 (2021): Jurnal Rekonstruksi dan Estetik, Desember 2021
Publisher : Universitas Airlangga

Highlights: Pentingnya evaluasi FOL sejak awal setelah cedera inhalasi. Sekuel cedera inhalasi pada subglotis dapat dicegah dengan menggunakan ETT ukuran kecil dengan tekanan cuff yang tidak terlalu tinggi. Abstrak: Latar Belakang: Laryngotracheal stenosis (LTS) terjadi pada 24-53% pasien pasca trauma inhalasi Insiden komplikasi pasca pembedahan LTS adalah 33- 34% dan mortalitas pasca pembedahan adalah 1,5-2%.SGS sering terjadi pada cedera inhalasi pasca intubasi. Ilustrasi Kasus: Pasien dengan luka bakar pada area wajah dan keempat ekstremitas, akibat ledakan tabung gas pada ruangan tertutup. Sembilan jam pasca trauma, pasien mengeluhkan kesulitan bernapas. Pasien diintubasi selama 2 hari pasca trauma dan 5 kali intubasi lainnya dengan ETT cuff 6,5 mm untuk tindakan operasi. Tidak ada data tekanan cuff pasien. Hari ke-38 perawatan di rumah sakit, pasien mengeluh suaranya serak dan terkadang merasa sulit bernapas. Hasil fiber optic laryngoscopy (FOL) pasien menunjukan 30% penyempitan pada subglotis. Pasien didiagnosis dengan SGS stadium 1. Pasien tidak membutuhkan tindakan pembedahan dan hanya diobservasi. Hasil: Evaluasi FOL sebaiknya dilakukan sejak awal setelah cedera inhalasi. Namun, pada pasien kami, evaluasi FOL baru dilakukan setelah gejala SGS muncul. Risiko peningkatan SGS terkait dengan keparahan cedera inhalasi, tingkat peradangan, durasi penggunaan tabung endotrakeal (ETT) yang lama (lebih dari 10 hari), penggunaan ETT yang besar, dan intubasi berulang. Tekanan cuff pada ETT bisa menyebabkan masalah seperti bekas luka dan penyempitan pada subglotis. Tekanan cuff yang direkomendasikan adalah 20-30 cmH2O, dan perlu diukur dan disesuaikan setiap 4-12 jam. Pasien kami mengalami intubasi sebanyak 6 kali tanpa pengukuran tekanan cuff. Stadifikasi SGS sering menggunakan sistem Cotton Meyer staging, di mana Stadium 1 SGS biasanya tidak memerlukan tindakan pembedahan. Kesimpulan: Sekuel cedera inhalasi pada subglotis dapat dicegah dengan melakukan intubasi sesuai indikasi dan menggunakan Endotracheal Tube (ETT) ukuran kecil dengan tekanan cuff yang tidak terlalu tinggi. Hal ini dapat membantu mengurangi risiko terjadinya Subglottic Stenosis (SGS) yang serius.

PENGARUH PLATELET RICH FIBRIN PADA PROSES EPITELISASI LUKA DONOR SKIN GRAFT: STUDI META ANALISIS Zarasade, Lobredia; Hutagalung, Magda Rosalina; Saputro, Iswinarno Doso; Putri, Nadia Tamara
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Highlights: Bukti preklinik yang dianalisis tidak berpengaruh signifikan dari pemberian platelet-rich fibrin (PRF) pada donor skin graft terhadap kecepatan epitelisasi. Praktisi medis perlu mempertimbangkan dengan hati-hati penggunaan PRF dalam prosedur donor skin graft. Abstrak: Latar Belakang: Kehilangan kulit yang terlalu luas perlu jaringan penutup untuk mengatasinya, salah satu pilihan untuk menutup luka tersebut dengan melakukan tindakan skin grafting. Berdasarkan data IRJ Bedah Plastik Rekonstruksi dan Estetik RSUD Dr. Soetomo dalam 1 tahun (2017-2018) didapatkan pada 26 dari 50 kasus donor skin graft mengalami penyembuhan yang lebih dari waktu penyembuhan normal. Metode penyembuhan luka telah mengalami perkembangan beberapa tahun terakhir, salah satunya mulai dikenal peran platelet-rich fibrin (PRF). Metode: Penelitian ini merupakan penelitian dengan desain meta-analisis yang bersifat kuantitatif. Sumber data dari penelitian ini melalui penelusuran literatur di pencarian elektronik dengan menggunakan keyword pencarian literature. Database yang digunakan adalah Medline dan Pubmed antara tahun 2005-2020. Hasil: Seleksi literatur didapatkan lima studi, dengan tiga studi subjek menggunakan donor split thickness skin graft dan dua studi menggunakan donor free gingival graft. Dalam tiga studi menyebutkan pemberian platelet-rich fibrin (PRF) dapat mempercepat waktu penyembuhan dan epitelisasi. Hasil meta analisis menunjukkan tidak ada perbedaan antara kelompok pemberian platelet-rich fibrin (PRF) dan kelompok kontrol dalam proses epitelisasi pada donor skin graft (summary effect 1,30, 95% CI -0,42–3,02). Kesimpulan: Bukti-bukti preklinik berdasarkan studi meta-analisis ini menunjukkan bahwa tidak ada pengaruh signifikan terhadap pemberian platelet-rich fibrin (PRF) pada donor skin graft dalam kecepatan epitelisasi.

CORRELATION OF HYPERNATREMIA TO SUCCESS RATE OF SKIN GRAFT IN BURN PATIENTS DR. SOETOMO GENERAL ACADEMIC HOSPITAL BURN CENTER FROM 2014-2018 Wulandari, Ephora Christina; Lynda Hariani; Budi, Agus Santoso
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 2 (2019): Jurnal Rekonstruksi dan Estetik, December 2019
Publisher : Universitas Airlangga

Highlights: Patients with hypernatremia had a relative risk of experiencing graft failure, especially if the graft involved more than 10% of the affected area. The importance of managing electrolyte imbalances to enhance the success of skin graft procedures. Abstract: Introduction: From collective data from 2014 – 2018 from Burn Center in Dr. Soetomo General Academic Hospital, the rate of failed skin graft was 26%. This high number became a concerned because skin graft was the main procedure to close large burn wound. This event is affected by many problems, one of them is electrolyte imbalance. Hypernatremia was seen in major burn patients that causes the disruption of wound healing process of skin graft. Methods: A cross sectional study of patients with burns admitted to the Burn Centre of Dr. Soetomo Hospital between January 2014 and December 2018 were evaluated. Results : 143 subjects were involved in this study. 44 subjects are female (31%) and 99 subjects are male (69%). 66% of the burn injuries are caused by fire (93 subjects), 14% caused by electricity (20 subjects), 8% caused by scald (12 subjects), 6% caused by boiled oil (8 subjects), 4% caused by chemical agent (6 subjects) and 2% caused by blast injury (1 subject). 77% of all subjects (110 subjects) underwent split thickness skin graft less than 10% while 23% (33 subjects) underwent the procedure 10% or more than it. Hypernatremia is found in 16% of all subjects (23 subjects), 19% with hyponatremia (28 subjects) and majority of it, 65%, with normonatremia (92 subjects). From the study, it was found that the risk of failed skin graft was higher on hypernatremia subjects than normonatremia subjects, the relative risk was 6,06 to fail. This number was higher if the skin graft procedure took more than 10%. But, it was found the risk was higher on hyponatremia subjects than the rest of subjects, with the relative risk was 7.75 to fail. Conclusions: Hypernatremia caused high risk of failed skin graft on major burn patients.

SUCCESSFUL PHARYNGOPLASTY AFTER LE FORT I ADVANCEMENT IN A SEVERELY NEGLECTED CLEFT LIP AND PALATE PATIENT Arista, Timotius Hansen; Hutagalung, Magda Rosalina
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 1 (2019): Jurnal Rekonstruksi dan Estetik, June 2019
Publisher : Universitas Airlangga

Highlights: In a seriously neglected case, pharyngoplasty to a certain extent as a correction treatment of VPI was reliable. A posterior pharyngeal flap was seccessful to recover significant speech capacity. Abstract: Introduction: When indicated, velopharyngeal insufficiency (VPI) is treated with pharyngoplasty with consideration of patient's age. Several studies have evaluated the relationship between age at surgery and speech outcome. The best results regarding reduction of open nasality were obtained when surgeries were performed around age of 5 to 6 years and operative complications were also less frequent in the younger age group than in older patients. Pre-operative assessment such as nasopharyngoscopy and/or videofluoroscopy gives surgeons a chance to estimate flap dimension to correct the defect causing the VPI. Moreover, velopharyngoplasty proceeded with speech therapy yields better recovery. Case Illustration: A seriously neglected case of cleft lip and palate was reported. A 24 years old female underwent two palatorrhaphy at age 13 and 14 years old, which were far beyond the recommended age of 10 –12 months. The resulting hypernasality was further worsened by absence of speech therapy which should have been followed from age 1–4 years old. On presentation, this patient requested to have immediate orthognatic surgery to repair his severe type 3 facial profile and malocclusion, a procedure which he underwent worsening the VPI. We decided to surgically correct the VPI. Discussion: Nasoendoscopic assessment revealed he had an antero-posterior velopharyngeal closure problem which indicated a pharyngoplasty using a superiorly- based pharyngeal flap. Three months post-operatively his speech was re-evaluated by a speech therapist and nasoendoscopically. Despite imperfectness, significant improvement was achieved. Conclusions: Pharyngoplasty could still be reliable to a certain extent as a correction treatment of VPI in a seriously neglected case. A posterior pharyngeal flap helped this patient to recover significant speech capacity.

EVALUATION OF MODIFIED UNILATERAL NASOPLASTY IN PATIENT WITH POST OPERATION OF UNILATERAL LABIOPLASTY AT MALAHAYATI HOSPITAL BANDA ACEH: COHORT STUDY FROM 2017-2019 Taslima, Devyana Enggar; Taufik, Muhammad; Jailani, Muhammad; Rizal, Syamsul; Amirsyaha, Mirnasari
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Highlights: The study's outcomes reveal favorable results regarding nasal enhancement following rhinoplasty, disparities in surgical choices, and variations in patient gender distribution. It is essential to recognize that these preliminary findings, while encouraging, underscore the necessity for additional documentation and research. Abstract: Introduction: Nasal deformity associated with cleft lip has been viewed as one of the most challenging reconstructive problems in rhinoplasty. The common clinical features associated with cleft lip nasal deformity are its lack of symmetry, alar collapse on the affected side, short nasal length, loss of tip definition, obtuse nasal labial angle, and altered columella show among others. The complexity of cleft lip rhinoplasty is demonstrated by the an abundance of technique that is available for its correction. In this case weused the technique modified by Dr. Muhammad Jailani, SpBP-RE in Aceh. Methods: We conducted a retrospective study involving 139 patients who is done the rhinoplasty unilateral operation at Malahayati Hospital from January 2017 to November 2019. Demographic information was recorded such as a ratio between pre–operation and post–operation, gender, and age. Results: Our results has shown the result of comparison between cleft nose before rhinoplasty and cleft nose after rhinoplasty is ±0.26 : ±0.58, and the patients who came to the hospital for rhinoplasty unilateral surgery are 81% of 139 patients. Women (61.2%) experience rhinoplastymore dominant compared to man (38.8%), and the highest age average is between 1 year until 7 years old (71%) Conclusions: Improvement in procedure's duration and better positioning of both nasal tip and nostril. Expected improvements in terms of aesthetic and functions were observed but further documentations still needed.

MICROAUTOLOGOUS FAT TRANSPLANTATION (MAFT) SEBAGAI REKONSTRUKSI LANJUTAN PADA KASUS DEFORMITAS MAKSILOFASIAL PASCA TRAUMA Perdanakusuma, Ardea Ramadhanti; Primawati, Ariani; Budiman
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 2 (2021): Jurnal Rekonstruksi dan Estetik, Desember 2021
Publisher : Universitas Airlangga

Highlights: Pentingnya evaluasi FOL sejak awal setelah cedera inhalasi. Sekuel cedera inhalasi pada subglotis dapat dicegah dengan menggunakan ETT ukuran kecil dengan tekanan cuff yang tidak terlalu tinggi. Abstrak: Latar Belakang: Teknik Microautologous Fat Transplantation (MAFT) merupakan sebuah metode yang relatif baru untuk memindahkan lemak dari lokasi tubuh tertentu ke lokasi tubuh yang diinginkan dengan suatu alat khusus. Teknik transfer lemak sebenarnya sudah dilakukan sejak tahun 1893 namun terkendala dengan masih banyaknya lemak yang diresorpsi sehingga memerlukan beberapa kali tindakan ulangan. Ilustrasi Kasus: Wanita, 39 tahun datang dengan keluhan pipi cekung dan bibir asimetris. Pasien sudah menjalani operasi oleh dokter spesialis bedah plastik rekonstruksi dan estetik di RS Siloam dengan diagnosis fraktur Zygomaticomaxillary Complex (ZMC) kanan dan luka robek pipi kanan dilakukan reposisi dengan miniplate, screw, dan rekontruksi penutupan luka. Jaringan lemak diambil dengan spuit 60 cc tekanan negatif kemudian dilakukan sentrifugasi dengan kecepatan 3000 rpm selama 10 menit untuk memisahkan komponen lemak dan plasma. Lapisan lemak murni selanjutnya ditransplantasikan pada area wajah menggunakan MAFT Gun di bawah mata 3.5 ml, pipi 20.5 ml, dagu 3 ml, dan pelipis 1 ml. Hasil: Lama tindakan 2 jam 30 menit, prosedur anestesi sedasi sedang dan blok nervus infraorbitalis, nervus mentalis, nervus supraorbitalis, dan nervus supratrochealis ipsilateral. Deformitas dapat teratasi, longterm follow up 3 bulan pasca operasi tidak banyak jaringan lemak yang diresorpsi, sehingga penampilan masih baik. Hasil MAFT cukup memuaskan bagi pasien, sehingga memungkinkan prosedur MAFT menjadi alternatif solusi untuk mengoreksi deformitas maksilofasial pasca reposisi dan fiksasi yang mungkin hanya memerlukan tindakan touch up satu sampai dua kali saja. Kesimpulan: Teknik MAFT Gun merupakan prosedur yang efektif untuk memperbaiki kontur wajah, peremajaan wajah, memperbaiki area yang cekung, dan mengembalikan volume termasuk mengoreksi deformitas wajah akibat fraktur maksilofasial pasca reposisi fraktur maksilofasial yang kurang sempurna. Prosedur yang dilakukan relatif tidak invasif. Jaringan lemak dapat diambil dari berbagai area tubuh yang memiliki jaringan lemak berlebih. Menggunakan MAFT Gun yang telah tersertifikasi, proses transfer lemak dapat dilakukan secara akurat dan konsisten.

EVALUATION OF MODIFIED MILLARD'S TECHNIQUE WITH PREMAXILLA SHORTENING IN BILATERAL LABIOPLASTY AT MALAHAYATI HOSPITAL BANDA ACEH 2016- 2019 Taufik, Muhammad; Jailani, Muhammad
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 2 (2019): Jurnal Rekonstruksi dan Estetik, December 2019
Publisher : Universitas Airlangga

Highlights: The use of a modified Millard technique with premaxillary shortening in cleft lip and palate (CLP) reconstructive surgery. A majority of patients achieved positive results in bilateral labioplasty when the modified Millard technique with premaxillary shortening was employed. Abstract: Introduction: Cleft Lip and Palate (CLP) is a congenital abnormality in the form of gaps in the lips, gums and palate. Surgical techniques for reconstructive surgery vary greatly, but labioplasty using a modified millard technique with premaxillary shortening is a technique that we used in this study with the aim of premaxilla shortening to reduce the tension of the suture wound and will reduce the scar formed in Bilateral labioplasty after surgery. Methods: This research is a cohort with a retrospective approach conducted on labioplasty patients at Malahayati Hospital in Banda Aceh, which was handled in the period of 2016 - 2019. The sample amounted to 23 respondents who will be analyzed using the frequency distribution table. Results: The study found male sex as much as 60.9%, the age of patients in the age group 2 years and over as much as 69.6%, 6-9 months evaluation time as much as 87.0%, the diagnosis of complete bilateral labioplasty as much as 65.2% and good outcome in bil ateral labioplasty using modified Millard technique with premaxilla shortening as much as 73.9%. Conclusion: The majority of male sex is the most, the highest in the age group 2 years and above, the most evaluation time is 6-9 months, the most common diagnosis is complete bilateral labiolasty and the most results on bilateral labioplasty using modified millard techniques with premaxillary shortening is good outcome.

UMBILICAL RECONSTRUCTION WITH DOUBLE OPPOSING SEMILUNAR FLAP, AN APPEALING RESULTS: A CASE SERIES Muharram, Arif Rahmat; Budi, Agus Santoso; Zarasade, Lobredia; Beta Subakti Nata’atmadja
Jurnal Rekonstruksi dan Estetik Vol. 3 No. 1 (2018): Jurnal Rekonstruksi dan Estetik, June 2018
Publisher : Universitas Airlangga

Highlights: A double opposing semilunar flap has good result for umbilicus reconstruction. A double opposing semilunar ensures a natural appearance and avoids visible scarring while maintaining appropriate depth and size. Abstract: Introduction: Umbilical loss is not a common problem encountered in plastic surgery routine cases. The absence of umbilicus will cause significant effect in total aesthetic appearance of the abdomen, thus making it an essential part of anatomy landmark. Congenital defect, oncologic and abdominoplasty complication are the most often causes, and tremendous psychological trauma will cause patient to seek help. Case Illustration: There are many proposed technique for such reconstruction, based on original scar or wound and final expected shape, of course with their advantages and disadvantages. We used a double opposing semilunar flap for our cases. Along with its technical detail, we will present three cases comprises of the defect after omphalocele scar removal, umbilical endometriosis excision and postcentral abdominal tumor excision. Reports will be presented with preoperative and postoperative result. Discussion: This technique avoids the appearance of scarring and secondary stenosis by hiding the circular scar incision and maintaining its position in the middle of the new form. Conclusion: The reconstruction technique of the umbilicus presented for the anatomical units, provides a very natural look, and generates slight excess of skin on the upper part over time and giving a more graceful appearance.

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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

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Iswinarno Doso Saputro

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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