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Jurnal Rekonstruksi dan Estetik

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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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ANALYSIS OF RAT PLATELET COUNT AFTER ELECTRICAL EXPOSURE IN ACUTE AND SUBACUTE PHASE OF BURN INJURY F P H, Fransiska Nooril; Elfiah, Ulfa; Indreswari, Laksmi; Wisudanti, Desie Dwi
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 1 (2019): Jurnal Rekonstruksi dan Estetik, June 2019
Publisher : Universitas Airlangga

Highlights: In the acute phase of electric burn injury, there was a significant change in platelet count. Contrarily, no significant change in platelet count was observed during the subacute phase of electric burn injury. Abstract: Introduction: Electrical burns are one of the causes of important health burdens throughout the world with incidences varying between 4–18% of all burns. In electrical burns, blood vessels are the heavily damaged tissue characterized by endothelial erosion, followed by adhesion and aggregation of platelets to form a hemostatic plug. The screening test for assessing the formation of a hemostatic plug is platelet count. Platelet count monitoring is very important during the resuscitation phase and treatment periods in severe burns, namely in acute and subacute phases of burns. The purpose of this study is to determine and analyze the changes in the platelet count of rats after electrical exposure in the acute and subacute phases of burns. Methods: This is a quasi-experimental study in vivo with post-test-only group design. The control group in this study was not given electrical exposure and the rat's blood was taken directly after the adaptation process. In the other five groups, P1, P2, P3, P4, and P5 were exposed to 140 V for 17 seconds, then their blood was taken for platelet counts on days 0, 3, 7, 10, and 14 post-exposure. Results : The result of this study based on a Post Hoc LSD test showed that there was a change of platelet number after exposure in the acute phase of burn injury and there was no change of platelet number after exposure in the burning subacute phase. Conclusions: Platelet count difference in acute phase of electric burn injury and no difference in platelet count difference in subacute phase of electric burn injury.

PENGARUH ORAL N-ACETYLCYSTEIN TERHADAP POLA FAKTOR PERTUMBUHAN ENDOTEL VASKULAR (VEGF) DAN FAKTOR PERTUMBUHAN FIBROBLAS (FGF) PADA MODEL KERETA LISTRIK TIKUS Sintaningrum, Elisabeth Prajanti; Saputro, Iswinarno Doso; Zarasade, Lobredia
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Highlights: Kadar rata-rata VEGF pada kelompok tikus yang menerima NAC lebih tinggi daripada kelompok kontrol. Hasil FGF pada kelompok tikus kontrol lebih tinggi pada hari ke-0 dan hari ke-8 dibandingkan dengan kelompok tikus yang menerima NAC. Di dalam kadar FGF dan VEGF tidak ada perbedaan yang signifikan antara kelompok yang menjalani perlakuan dan kelompok kontrol negatif. Abstrak: Latar Belakang: Luka bakar listrik menyebabkan cedera serius dengan mortalitas 20-30% dan 74% korban selamat dengan cedera permanen dan sekuel. Tingkat nekrosis pada luka bakar seringkali sulit untuk ditentukan karena sirkulasi mikrovaskuler pada jaringan dalam terlibat. N- acetylcysteine (NAC) dapat mengatasi stres oksidatif dan memiliki efek perlindungan terhadap kerusakan jaringan dari radikal bebas, secara hipotetis dengan sekresi berbagai faktor pertumbuhan yang mempercepat penyembuhan luka. Penelitian ini bertujuan untuk mempelajari pengaruh NAC terhadap tingkat faktor pertumbuhan endotermal vaskular (VEGF) dan faktor pertumbuhan fibroblast (FGF) dalam model luka bakar listrik tikus. Metode: Penelitian ini menggunakan desain randomized post-test only control group. Dalam penelitian ini, terdapat empat puluh dua tikus jantan galur Wistar yang ditempatkan dalam enam kelompok. Setiap tikus menerima arus bolak listrik sebesar 220 volt dengan intensitas 450-500 mA pada satu ekstremitas. Pengambilan sampel arteri femoralis dilakukan setelah pemberian dosis pertama NAC, setelah dosis pada hari ketiga, dan setelah delapan hari dari masing-masing dosis. Seluruh spesimen arteri femoralis dikenai pewarnaan dengan metode imunohistokimia dan diperiksa di bawah mikroskop dengan pembesaran 300 kali untuk mengevaluasi ekspresi VEGF dan FGF. Data dari seluruh sampel dikumpulkan dan kemudian dianalisis secara statistik. Hasil: Kadar rata-rata VEGF kelompok tikus yang menerima NAC lebih tinggi daripada kelompok kontrol dari awal pengamatan sampai hari ke 8. Hasil FGF pada tikus kontrol lebih tinggi pada hari ke-0 dan hari ke-8 dibandingkan dengan kelompok tikus yang menerima NAC. Namun, dalam tes yang berbeda tidak ada perbedaan yang signifikan (p>0,05) yang ditemukan pada pengukuran VEGF dan FGF pada hari yang sama antara kelompok kontrol dan kelompok perlakuan. Kesimpulan: Tidak ada perbedaan yang signifikan pada VEGF dan FGF antara kelompok kontrol negatif dan kelompok yang menjalani perlakuan.

TATALAKSANA MANAJEMEN OPERATIF PADA PASIEN SINDROM PARRY-ROMBERG DI RSUD DR. SOETOMO SURABAYA Setya, Aldy Mulia Hati; Saputro, Iswinarno Doso; Hutagalung, Magda Rosalina; Rizaliyana, Sitti
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Highlights: Tatalaksana Sindrom Parry-Romberg pada pasien melibatkan rekonstruksi wajah dengan menggunakan free flap dari otot Gracilis. Dilakukan terapi berupa obat-obatan golongan kortikosteroid, retinoid, antioksidan, dan imunosupresan untuk mengendalikan gejala dan perkembangan penyakit pada Sindrom Parry-Romberg. Abstrak: Latar Belakang: Sindrom Romberg yang juga memiliki sinonim dengan Sindrom Parry-Romberg (juga dikenal sebagai atrofi hemifasial progresif) adalah penyakit langka yang ditandai oleh penyusutan yang progresif serta degenerasi jaringan di bawah kulit, biasanya penyakit ini terjadi pada satu sisi wajah (atrofi hemifasial) tetapi kadang-kadang meluas ke bagian lain dari tubuh. Sebuah mekanisme autoimun dicurigai menjadi salah satu penyebab dari penyakit ini, dan sindrom ini diduga merupakan varian dari skleroderma lokal, untuk penyebab pasti patogenesis dari penyakit yang didapat ini hingga saat ini masih belum dapat ditentukan. Ilustrasi Kasus: Pasien perempuan berusia 23 tahun mengeluhkan ketidaksimetrisan wajah antara sisi kanan dan sisi kiri yang telah dialaminya selama 8 tahun, tetapi keluhan tersebut tidak mengalami perburukan dalam setahun terakhir.Tidak ada riwayat trauma. Dari anamnesis, tidak ada gejala seperti rasa baal atau kesemutan pada wajah sisi kanan, dan tidak ada riwayat penyakit serupa dalam keluarga pasien. Pemeriksaan fisik menunjukkan adanya atrofi pada musculus region Frontotemporal sisi kanan hingga cheek dextra. Pemeriksaan intraoral mengindikasikan oklusi gigi yang normal.Hasil pemeriksaan Saraf Cranial ke-7 (nervus fasialis) menunjukkan fungsi yang normal, termasuk kemampuan mengangkat alis, mengkerutkan dahi, mencucu, dan tersenyum pada kedua sisi wajah. Pemeriksaan mata menunjukkan visus yang baik pada mata kanan dan kiri, gerak bola mata yang normal, dan tidak ada penglihatan ganda. Pembahasan: Dilakukan tatalaksana berupa rekonstruksi dengan free flap dari otot Gracillis tungkai kanan pasien untuk sisi kanan wajah pasien yang di anastomosis dari arteri dan vena temporalis superior. Selain menggunakan free flap gracillis, Sindrom Parry-Romberg juga dapat menggunakan terapi lainnya seperti obat-obatan golongan kortikosteroid (topical dan intralesi), retinoid, anti-oksidan, dan imunosupresan. Kesimpulan: Pengobatan Sindrom Parry-Romberg dapat melibatkan berbagai pendekatan, termasuk prosedur bedah rekonstruksi dan penggunaan obat-obatan tertentu. Pilihan terapi harus dibicarakan antara pasien dan tim medis yang merawat untuk memastikan perencanaan pengobatan yang paling sesuai untuk kasus ini

SPLIT LATERAL FOREHEAD FLAP FOR RECONSTRUCTION OF UPPER AND LOWER EYELIDS Pramana, I G. A. N. Widya; Rizaliyana, Sitti
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 2 (2019): Jurnal Rekonstruksi dan Estetik, December 2019
Publisher : Universitas Airlangga

Highlights: Split Lateral Forehead Flap Technique was successful. Eyelid Reconstruction was Challenging. Abstract: Introduction: Eyelids reconstruction after tumor resection has be one of the most challenging procedures in reconstructive plastic surgery. Small defects may be closed by primary suture or covered by small local flaps or skin graft. But in large eyelids defects, we need to find a bigger source of color and texture matching tissue that will ensure functional and aesthetical outcomes. Many techniques have been described, but in this case, the author suggest a split lateral forehead flap designed to cover upper and lower eyelids. Case Illustration: A Male 51 years-old-patient, presented himself in our clinic with a basal cell carcinoma involving the right upper and lower eyelids. The tumor had a history of 7 years, without any pain or vision disorders involved. Tumor was widely excised, leaving a full thickness on upper and lower eyelids. The inner lining palpebral was replaced by composite auricular graft following by lateral cantophexy. A lateral forehead flap raised with a right temporal pedicle, and the distal part of flap was split in half, and inset into the upper and lower eyelids defect. The donor region was closed with an STSG from Femur Dextra. After 14 days the flap was divided, the functional result was excellent. Discussion: At first, surgeons were worried of raising forehead flaps beyond the midline, fearing that by splitting the distal flap would cause its compropmise. However, rich anastomostic plexus exists between the major forehead angiosomes lined by the smaller calibre "choke” vessels. Conclusions: Periorbital Basal cell carcinoma resection may leave great defect to the underlying tissue. The need to provide adequate support to this structure requires complex techniques with minimum two flaps. In our case, we performed a split lateral forehead flap with a good functional and cosmetic outcome.

THE EFFECT OF PROPANOLOL ON C-REACTIVE PROTEIN IN PATIENTS WITH SEVERE BURNS AT DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA U H, Muhammad Aulia; Saputro, Iswinarno Doso; Hutagalung, Magda Rosalina
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 1 (2019): Jurnal Rekonstruksi dan Estetik, June 2019
Publisher : Universitas Airlangga

Highlights: The biochemical marker of inflammation and suggests a potential mechanism through which propranolol affects hypermetabolism in burn patients. The administration of propranolol giving effectivity of hypermetabolism which is characterized by decreasing in CRP levels. Abstract: Introduction: The incidence of burns in Indonesia progressively increases with the increase in its population and industries. From January to September 2000, 158 patients were treated in the burn unit of Dr. Soetomo General Academic Hospital with a mortality rate reaching 5.8%. Burns have a direct effect in causing both local and systemic changes in the body, not occurring in other injuries. In severe burns, a hypermetabolic state can occur, which increases cardiac workload and causes muscle atrophy and other morbidities. The purpose of this study is to examine the effect of propranolol on the hypermetabolic state in severely burned patients by measuring various clinical & laboratory parameters. Methods: This is an experimental study using pre and post test control group design with the objective of assessing the treatment outcome with oral propranolol given in 15 consecutive days for burn patients involving 25%- 60% TBSA. Measurements were taken three times, on day 0.7 and 14. Discussion: Obtained 16 samples divided into 2 groups. In the treatment group, there was a significant decrease in CRP levels on days 0.7 and 14 (p <0.05). The Mid Arm Circumference variable did not obtain a significant decreasing on days 0.7 and 14. The albumin level studied showed a significant decreasing on day 0 & 7 days with a value of p=0.045. From the comparison between the two groups, there were significant differences in CRP levels on days 0 & 14, with the mean value of the treatment group -5.12 + 2.88 and the mean value of the control group 2.86 + 7.37, and the value of p = 0.019. Conclusions: This study successfully proved that the administration of propranolol can overcome the effects of hypermetabolism which is characterized by decreasing in CRP levels.

FACTORS INFLUENCING SKIN NECROSIS RESULTING FROM EXTRAVASATION INJURIES AND THE RAPEUTIC APPROACHES IN THE PEDIATRIC INPATIENT WARD (JANUARY-DECEMBER 2019) Saputro, Iswinarno Doso; Budi, Agus Santoso; Noverta, Dhitta Aliefia
Jurnal Rekonstruksi dan Estetik Vol. 5 No. 1 (2020): Jurnal Rekonstruksi dan Estetik, June 2020
Publisher : Universitas Airlangga

Highlights: Skin necrotic injuries from extravasation were associated with age, the type of fluid/drug administered, and the location of the peripheral venous line, but not with gender. Autolytic debridement remains a prevalent and commonly used initial treatment approach for these injuries. Abstract: Introduction: Extravasation injury, a common complication of intravenous therapy in children, Interestingly, the complications arising from extravasation injuries could be more severe than the underlying medical conditions, sometimes even requiring amputation. The study aimed to identify the factors influencing the occurrence of skin necrosis due to extravasation injuries and to categorize the treatment approaches employed at Dr. Soetomo General Academic Hospital's pediatric facility in Surabaya from January to September 2019. Methods: This research takes a descriptive-analytic approach with a cross-sectional method. It involves examining data obtained from medical records. Specifically, the study focuses on the medical records of 44 pediatric patients who received treatment at Dr. Soetomo Hospital in Surabaya for skin necrosis resulting from extravasation injuries from January to December 2019. The analysis includes a retrospective review of patient information, looking at their characteristics, risk factors, the modalities used for wound care therapy, and the outcomes of their cases. Results: There were 44 cases of skin necrotic injury due to extravasation injury, with the largest percentage of neonates group (34%), male gender (66%), hypertonic fluids/drugs (73%), most regions of dorsum and wrist dextra (17%) and the most used therapeutic modality was autolytic debridement (45%). Conclusions: We found that the incidence of skin necrosis due to extravasation injury is influenced by factors such as the patient's age, the type of fluid or drug administered, and the location of the peripheral venous line. However, gender was not found to be a significant factor in the incidence of these injuries. Interestingly, the initial treatment approach that is still commonly employed is autolytic debridement.

UPPER LIP VERMILION TRANSPOSITION FLAP PADA COMMISUROPLASTY DAN Z PLASTY PADA REKONSTRUKSI MACROSTOMIA Saputro, Iswinarno Doso
Jurnal Rekonstruksi dan Estetik Vol. 6 No. 2 (2021): Jurnal Rekonstruksi dan Estetik, Desember 2021
Publisher : Universitas Airlangga

Highlights: Penggunaan teknik upper lip vermilion flap pada Macrostomia memberikan hasil comisura yssang lebih natural dan tidak terjadi Penggunaan teknik Z plasty untuk penutupan kulit dapat mencegah terjadinya migrasi ke lateral dari comisura. Abstrak: Latar Belakang: Macrostomia adalah kelainan kongenital yang jarang terjadi, biasanya disertai kelainan lain. Kelainan ini diperkirakan terjadi pada 1 dari 80.000 kelahiran. Beberapa literatur telah menjelaskan tehnik operasi rekontruksi macrostomia, meski demikian belum ada satu standart operasi yang rekomendasikan, setiap tehnik memiliki kelebihan dan kekurangan. Ilustrasi Kasus: Penulis melaporkan satu kasus operasi rekontruksi macrostomia dengan menggunakan tehnik Kaplan untuk comisuroplaty, otot dijahitkan secara overlapping serta menggunakan Z plasty untuk penutupan kulit. Pembahasan: Pada kasus ini, Peggunaan teknik vermilion bibir atas yang ditransposisikan ke lower lip vermilion bibir bawah meghasil comisura yang lebih natural dan lebih simteris. Otot orbicularis oris dijahitkan sesuai dengan teknik Boo-Chai, sehingga fungsi otot dapat lebih optimal. Penutupan kulit pada kasus ini dengan menggunakan teknik Z plasty karena dengan teknik ini dapat mencegah terjadinya migrasi ke lateral dari comisura. Kesimpulan: Macrostomia untuk comisuroplasty dapat menggunakan teknik upper lip vermilion flap yang ditransposisikan ke lowwer lip vermilion flap dengan hasil comisura yang lebih natural serta migrasi comisura lateral. Untuk otot meggunakan teknik penjahitan Kajiwaka yang menghasilkan fungsi otot yang mendekati normal. Sedangkan, penutupan kulit menggunakan teknik Z plasty yang menghasilkan scar estetik lebih baik.

THE USE OF ALOE VERA GEL ON SCAR COLLAGEN Nur Alam, Amania; Jailani, Muhammad; Hajar, Siti
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 2 (2019): Jurnal Rekonstruksi dan Estetik, December 2019
Publisher : Universitas Airlangga

Highlights: The active chemical compounds present in Aloe vera are known to be efficacious in the process of healing open wounds. The use of Aloe vera can significantly improve scar collagen, with the highest improvement observed in the group treated with 50% Aloe vera gel. Abstract: Introduction: Aloe vera have active chemicals substances including saponins, tannins, flavonides, and polyphenols. Saponin takes a role as a disinfectant, so it is normally effective for healing any open wounds, while tannins have ability to be an antiseptic. This study aims to see how the effect of the Aloe vera gel on wound collagen, and too inspect which is the most effective concentration of the Aloe vera gel in the formation of wound collagen in wistar strains (Rattus novergicus) rats. Methods: This study uses a post-test only method with control group design. The subjects of this study were 28 male Wistar rats (Rattus novergicus). The subjects were divided into 4 groups consisting of 1 negative control group and 3 treated groups, the control group was not given any treatment, while the treated group was given the Aloe vera gel with each concentrations of 12.5%, 25%, and 50% respectively. The experiment was started by making a wound on the back of the rat which then be followed by applying the gel to the wound for 14 days. Results: The results showed the group with the 50% Aloe vera gel treatment had the best collagen formation, followed by a concentration of 25%, 12.5%, and the control group. Therefore, the used of Aloe vera has given good change in scar collagen, and the best scar collagen can be viewed in the group with 50% concentrate of Aloe vera. Conclusion: Increasing the concentration of applied Aloe vera gel led to the development of thicker collagen tissue in wounds on male white rats (Rattus novergicus strain Wistar). This suggests that Aloe vera may serve as a viable alternative treatment for wounds in our daily lives.

MARJOLIN'S ULCER: MALIGNANT TRANSFORMATION FROM BURN SCAR Prasetyo, Arif Tri; Rizaliyana, Sitti; Saputro, Iswinarno Doso
Jurnal Rekonstruksi dan Estetik Vol. 3 No. 1 (2018): Jurnal Rekonstruksi dan Estetik, June 2018
Publisher : Universitas Airlangga

Highlights: Marjolin's ulcer can develop into squamous cell carcinoma, typically resulting from chronic scar tissue due. Diagnosis and treatment follow standard malignant lesion protocols, with staging based on UICC classification using histopathological findings. Abstract: Introduction: Marjolin's ulcer is a malignant lesion from a scar due to burn trauma, chronic osteomyelitis, chronic inflammation, or chronic fistulae. This type of ulcer is rare, usually progressively growing on unhealed wound, accompanied by chronic trauma especially burn scar. Marjolin's ulcer can form different types of pathologies`. Squamous cell carcinoma is the most type of histology. Previously, there was 3 Marjolin's ulcer reported in Indonesia. Case Illustration: Reporting 3 Marjolin's ulcer case on Dr. Soetomo General Academic Hospital since 2008 to 2016. Two patients have history of unhealed chronic wound and one patient has history of burn injury 27 years ago. From the histopathology examination, all the results are squamous cell carcinoma. All patient undergo wide excision surgery done by surgical oncologist. All the defect is closed by flap modality. One patient's defect is closed by latissimus dorsi flap, the other with anterolateral thigh free flap, and the latter is closed by latissimus dorsi free flap. Remain raw surface close by split thickness skin graft. Discussion: Marjolin's ulcer is malignant lesion from scar due to burn trauma, chronic osteomyelitis, chronic inflammation, or chronic fistulae. Marjolin's ulcer sometimes grow become squamous cell carcinoma although require a long time. Treatment this case is same the other malignancy. Diagnosis should be confirmed by clinical, radiological, and pathological. Staging can use the classification of UICC (Union for International Cancer Control) in accordance with the histopathological results. Conclusion: Surgery serves as the primary approach for achieving local control, and radiotherapy plays a supplementary role, which must be supported by vigilant oncological monitoring.

CLINICAL PROFILES OF FROSTBITE IN DR. SOETOMO GENERAL ACADEMIC HOSPITAL: A CASE SERIES Wahyu Nugroho, Thomas Eduardus Sudrajat; Beta Subakti Nata’atmadja
Jurnal Rekonstruksi dan Estetik Vol. 4 No. 1 (2019): Jurnal Rekonstruksi dan Estetik, June 2019
Publisher : Universitas Airlangga

Highlights: This study presents three cases of frostbite in adults who participated in a Mount Denali expedition, highlighting the treatment process and outcomes. The importance of long-term follow-up management and prioritizing finger preservation and potential reconstruction in patient care. Abstract: Introduction: Frostbite is a common cold-related injury, especially among mountaineers in high-altitude settings. These injuries can occur both in freezing and above-freezing temperatures. The main goal of this study is to understand the clinical aspects of frostbite cases treated at Dr. Soetomo General Academic Hospital in Surabaya. Case Illustration: We present three cases of frostbite in adults who were part of a Mount Denali expedition, reaching an altitude of 6192 meters. Initial treatment included rewarming and pain relief. They were admitted to our facility 11st days after the injury, with one patient undergoing finger amputation on the 71st day. All received standard antibiotics and three days of hospital care. No initial surgeries were performed; instead, wound checks and rehabilitation were done as outpatients. On the 71st day, one patient had the third and fourth fingers amputated. The study found changes in platelet counts during the acute frostbite phase but no significant changes during the subacute phase following cold exposure. Discussion: The cases showed substantial improvements in wound healing, reduced swelling, increased mobility, and overall better health. Clear demarcation of damaged tissue occurred during observation. While frostbite is rare in tropical areas, it can impact individuals in cold-weather activities like mountain climbing and winter sports. Effective prevention and management are vital for good outcomes. Initially, conservative treatment is suggested, but surgery may be needed when the extent of tissue damage is apparent. Conclusions: Long-term follow-up management is necessary to achieve a good functional outcome. Preservation and if necessary reconstruction of the finger should become a priority in the patient management.

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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

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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

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Iswinarno Doso Saputro

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iswinarno.doso@fk.unair.ac.id

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+628155247800

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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