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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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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 104 Documents
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SYSTEMATIC REVIEW: ANAPLASTIC LARGE CELL LYMPHOMA FOLLOWING BREAST IMPLANT SURGERY Eveline, Kezia; Lestari, Rizqi Shabrina; Beta Subakti Nata’admadja; Adzalika, Lavonia Berlina
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i1.31215

Abstract

Highlights: BIA-ALCL, a T-cell lymphoma associated with breast implants, is posing a growing medical challenge due to the increasing use of implants for cosmetic and reconstructive purposes The majority of BIA-ALCL cases were associated with cosmetic reasons for breast implants, and textured implants were predominantly implicated. Abstract: Introduction: BIA-ALCL, a T-cell lymphoma associated with breast implants, poses a growing medical challenge despite its relatively low occurrence, due to the increasing use of implants for cosmetic and reconstructive purposes. Our objective is to review the incidence, characteristics of patients, implant types, management, and outcome of BIA-ALCL. Methods: Pubmed and Science Direct databases were searched to identify case series and observational research. A systematic review was conducted by looking up the keywords "breast implant” and "anaplastic large cell lymphoma”. Result: 11 relevant articles were assessed. A total of 353 BIA-ALCL cases have been reported. The mean age at diagnosis was 59.6 years. More than half (53.26%) of the reasons for the breast implants in BIA-ALCL patients were cosmetic. The mean time from breast implant placement to diagnosis was 9.99 years. The majority (71.39%) of documented BIA-ALCL cases have been associated with textured devices. BIA-ALCL patients mainly presented with seroma (54.67%). Outcomes included remission (71%), death because of the disease (4.25%), and recurrence (3.96%) with a mean time of duration of follow-up was 2.53 years. Conclusion: BIA-ALCL is rare cancer in some patients with breast implants but is increasing in incidence largely due to consistent and long-term follow-up. It is important for physicians involved in the care of patients with breast implants to be aware of BIA-ALCL and do routine breast exams.
META-ANALYSIS: SQUAMOUS CELL CARCINOMA CASES ARISING FROM MORBUS HANSEN IN DR. SITANALA CENTRAL HOSPITAL (2011-2021) Victoria, Francisca; Pribadi, Sweety
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i1.37048

Abstract

Highlights: The majority of SCC cases were observed in males (86%), emphasizing a higher susceptibility of males to this form of cancer compared to females (14%). The study identified an increased risk of SCC particularly among individuals in the 46-55 and 56-65 age groups. The study revealed that a significant proportion of Morbus Hansen patients with SCC had a normal weight, while the occurrence of overweight and obesity was relatively low. Maintaining a healthy body weight may play a role in reducing the risk of SCC in this patient population. Abstract: Introduction: Leprosy, a chronic systemic infection caused by Mycobacterium Leprae, has been associated with the development of cutaneous neoplasms, such as squamous cell carcinoma. The aim of this study was to examine the characteristics of patients diagnosed with squamous cell carcinoma arising from Morbus Hansen (leprosy). Methods: A retrospective analysis of medical records from Dr. Sitanala Central Hospital was conducted, focusing on patients diagnosed with squamous cell carcinoma arising from Morbus Hansen over a 10-year period from 2011 to 2021. Descriptive analysis was performed on the collected data. Result: In this study, out of the twenty-one patients, the majority were male (86%), and the most common age group affected was between 46 and 55 years, accounting for 43% of the cases. Most patients had Morbus Hansen type BL (borderline lepromatous) and had been living with the condition for an average of 23 years. Additionally, a significant number of patients had a normal body mass index (52%) within the range of 20-24.9. Anemia was the main comorbidity observed, affecting 46% of the patients. Conclusion: Examining the clinical profile of these patients helps healthcare providers identify specific characteristics associated with this condition, further research with more comprehensive data is necessary to ensure accuracy. Future studies could also explore potential connections between hypertension, anemia, and squamous cell carcinoma arising from Morbus Hansen.
A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIA Sidarta, Erdo Puncak; Syeben Hezer Epatah Hietingwati; Robertus Arian Datusanantyo
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i1.37277

Abstract

Highlights: Gynecomastia is a known potential side effect of efavirenz, which may manifest in HIV patients. Healthcare providers should be vigilant and address the potential adverse effects of medications prescribed to individuals with HIV, including gynecomastia. Surgeons in resource-limited areas show flexibility and can achieve satisfactory results in procedures despite limited resources and surgical options. Abstract: Background: Human Immunodeficiency Virus (HIV) patients can now access antiretroviral drugs even in  resource-limited area. The majority of patients receive the fixed daily dose of an efavirenz-based antiviral (ARV) as advised by the World Health Organization (WHO), despite the fact that gynecomastia is a recognized side effect of evafirenz. Case Ilustration: We report a 31 year-old male with antiretroviral-associated gynecomastia that underwent the bilateral excision without liposuction procedure with satisfying result. Discussion: Surgeon in limited-resource area faces limited resources to perform some specific procedure. Meanwhile, limited resources also poses patients avoidable adverse events in otherwise clinical setting. The antiretroviral-associated gynecomastia is unavoidable because limited regimen choice. Surgeon needs also to adjust the surgical option to achieve satisfying result without instrument complexities. Conclusion: We reported satisfying surgical outcome in antiretroviral-associated bilateral gynecomastia patient with limited clinical setting.
ANALYSIS OF MAXILLARY FRACTURE PATIENTS PROFILE IN A TERTIARY GENERAL HOSPITAL (2018-2020) Suarta, I Dewa Gde Daniswara; Agus Santoso Budi; Rosy Setiawati; Magda Rosalina Hutagalung
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i1.37353

Abstract

Highlights: Maxillary fractures predominantly affected adult males aged between 18 and 64, comprising 92.36% of the cases studied. The most common type of maxillary fracture observed was Le Fort 3, followed by other Le Fort classes. The preferred treatment method for maxillary fractures was ORIF mini plating, which resulted in favorable outcomes with minimal complications. Abstract: Introduction: The maxilla is a crucial bone in the midface, playing a significant role both functionally and cosmetically.  Analyzing the medical records of maxillary fractures at Dr. Soetomo General Academic Hospital would offer an overview of the various treatments used and their corresponding outcomes were the aim of this study. This data would provide a general understanding of the patient's conditions during maxillary fracture treatment and could potentially support further research in this field. Methods: In this study, data on the profile, treatment, and management of maxillary fractures were taken from patient medical records at Dr. Soetomo General Academic Hospital between 2018 and 2020. Result: The study examined 144 cases of maxillary fractures at Dr. Soetomo General Academic Hospital, analyzing medical records and surgery reports from 2018 to 2020. Most of the patients (92.36%) were adult males (78.47%) aged between 18 and 64. The most common type of maxillary fracture observed was Le Fort 3 (47.22%), while other Le Fort classes accounted for fewer cases. The preferred treatment method was ORIF mini plating (81.25%), and the average hospital stay was around 12.56 days. Only one patient experienced post-treatment malocclusion in the 144 cases. In terms of complications, there were minimal instances of infections and exposed plates, with a total of four cases reported. Conclusion: The treatment outcomes at Dr. Soetomo General Academic Hospital showed lower incidence rates of post-surgical issues like malocclusion, infections, and exposed plates when compared to other current datasets.
A CASE REPORT: UNILATERAL COMPLETE CLEFT LIP RECONSTRUCTION USING THE MODIFICATION MILLARD TECHNIQUE Theodora Ratih Labdagati Iswara; Muhammad Aulia Ul Hakim
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i1.43868

Abstract

Highlights: The modified Millard technique, including the Tennison triangular flap, is effective in preventing vermillion notching and reducing scar complications in cleft lip repairs. The technique addresses concerns related to compromised lip tissue and nostril deformities, leading to improved appearance and functionality. Scar thinning techniques and separate nasoraphy contribute to enhanced aesthetics and optimal healing in cleft lip repairs. Abstract: Introduction: With 1 in 700 live births worldwide, cleft lip with or without cleft palate is the most prevalent congenital craniomaxillofacial birth condition. More people have a unilateral cleft lip than a bilateral cleft lip. With the exception of vision, it can influence the morphology and nearly all facial functions. The purpose of this study is to give an overview and learn more about the management of lip repair using the modified Millard approach, which can prevent straight line closure and vermilion notching. Case Illustration: We present a case of a 4-month-old male who underwent a modified Millard procedure and had a unilateral full cleft lip. The findings revealed no vermillion notch, acceptable columellar and alar lengths, symmetrical Cupid's bow, lip height, lip width, and philtrum angle. Discussion: The modified Millard technique, including the Tennison triangular flap, improves the repair of cleft lips by preventing vermillion notching and reducing scar complications. It also addresses concerns related to lip tissue compromise and nostril deformities. Scar thinning techniques and separate nasoraphy contribute to enhanced aesthetics and optimal healing. These modifications aim to achieve improved appearance and functionality in cleft lip repairs. Conclusion: The modified Millard technique can be considered as a viable option for treating unilateral cleft lip due to its ability to create a balanced Cupid's bow, maintain appropriate lip height and width, and achieve satisfactory aesthetic results in the nasal area without vermillion notching.
THE EPIDEMIOLOGY OF PLASTIC SURGERY CASES IN A TERTIARY GENERAL HOSPITAL IN SURABAYA, INDONESIA Dwika Intania Riano; Lavonia Berlina Adzalika; Indri Lakhsmi Putri; Rachmaniar Pramanasari
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i1.45272

Abstract

Highlights: Medical data registries play a crucial role in improving medical knowledge and enhancing patient care. Burn injuries, microtia, and orofacial clefts were identified as the most common occurrences among the patients The demographic patterns observed provide valuable insights into the patient population seeking plastic surgery services. Abstract: Introduction: Medical data registries are useful databases with well-defined data collection mechanisms. A well-designed and implemented registry can give surgeons a wealth of data for research and quality improvement efforts. The aim is describe the epidemiology of plastic surgery cases in a tertiary general hospital in Surabaya, Indonesia. Methods: A retrospective assessment of patients' medical records from 2016 to 2019 at Plastic Reconstructive and Aesthetic Surgery Unit, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia was conducted. A variety of factors were recorded and evaluated, including the patients' age, gender, diagnosis, and year. Results: We found that among 736 individuals' medical records during a four-year period, burn injuries (17.4%), microtia (11.7%), and orofacial clefts (11.5%) were the most prevalent occurrences. The majority of patients with burn injuries (31.3%), those with microtia (39.5%), those with cleft lip and palate (33%), and those with microtia (between the ages of 15 and 24) were all between the ages of 45 and 64. Patients who were men (52.6%) outnumbered those who were women (47.4%). This data indicates that there were more patients in 2019 than in previous years (397.%). Conclusion: The analysis of plastic surgery cases revealed a steady increase in the number of cases each year. Burns accounted for the biggest percentage of patient requests for care (17.4%). The majority of patients were male, and 21.9% of them were between the ages of 15 and 24 who were seeking care most frequently.
A CASE REPORT: THE STAGED RETRO AURICULAR FLAPS FOR AURICLE RECONSTRUCTION AFTER TRAUMATIC AMPUTATIONS Suparman, Alexandria Stephanie; Doni Setiawan; Yugos Juli Fitra
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i1.45402

Abstract

Highlights: Instances of severe ear injuries are uncommon. The paragraph explores the efficacy of the staged retro-auricular flap (SRF) as a proficient approach to ear reconstruction. SRF demonstrates the ability to successfully reinstate the ear's dimensions, contour, and functionality, yielding highly satisfactory functional and aesthetic outcomes. Abstract: Introduction:  A complete amputation or other severe auricular injury is rare. The amputated ear also presents a significant problem for the plastic surgeon. Case Illustration: A 29-year-old man had his left ear amputated due to trauma presented. He cut off his ear to get rid of the whisper because he has a history of psychiatric illnesses and complaints about hearing them. The remaining portion of the cartilage that was still linked to the ear attachment area was sutured to the preserved cartilage. The defect is covered using a stage pedicle flap. A skin transplant was used to close the donor flap's retro-auricular defect, which was its secondary defect. Discussion: A random-pattern flap with an abundant vascular supply is the staged retro-auricular flap (SRF). This flap's main disadvantage is the two-stage process required to complete it. Excellent cosmetic outcomes can be achieved by matching skin color and texture well in the postauricular sulcus, mastoid area, and posterior ear. Conclusion: SRF is an efficient ear reconstruction technique that offers relatively little operational morbidity and can restore the ear's size and shape with good to exceptional functional and cosmetic results when used on appropriately chosen helical ear abnormalities.
Front Matter Vol.8 No.1, 2023 Jurnal Rekonstruksi dan Estetik
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

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Abstract

Front Matter Vol.8 No.1, 2023
Back Matter Vol.8 No.1, 2023 Jurnal Rekonstruksi dan Estetik
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

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Abstract

Back Matter Vol.8 No.1, 2023
A CASE REPORT: A SCROTAL FLAP FOR PENILE PARAFFINOMA RECONSTRUCTION Iswara, Rr. Theodora Ratih Labdagati; Ul Hakim, Muhammad Aulia; Malineni, Jahnavi; Hidalgo, Katrina Ysabelle
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 2 (2023): Jurnal Rekonstruksi dan Estetik, December 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i2.43054

Abstract

Highlights: The single-stage scrotal flap technique can be used for paraffinoma cases where the lesion does not involve the scrotum. The therapy addresses concerns related to restoring the penile function as a sexual organ with the best appearance. The V-Y plasty can be used not only to form the penile shaft but also to minimize penile shortening. Abstract: Introduction: A large penile size is a source of pride and a symbol of masculinity for many men. One commonly used alternative for penile enlargement is the injection of high-viscosity liquids, such as paraffin, silicone, vaseline, and other substances, into the penis. However, this procedure can lead to negative consequences, including paraffinoma and siliconoma, which can cause pain during erections and even a reduction in penile size. Case Illustration: A 29-year-old male presented with complaints of penile enlargement, hardness on palpation, and pain during erections for the past three months before admission to the hospital. The patient's social history revealed that one year before admission, he had undergone a paraffin injection on the penile shaft, which was performed by non-medical personnel. Physical examination revealed a circumferentially enlarged penile shaft that was hard on palpation. A wide excision of the fibrotic tissue on the penile shaft was performed, and a scrotal flap was used to cover the exposed area. Discussion: We performed a wide excision of the fibrotic tissue on the penile shaft and followed it with a V-Y scrotal flap procedure to cover the exposed area. This single-stage surgery was feasible because the scrotal skin was still healthy and suitable for defect coverage. Conclusion: Penile reconstruction surgery with a scrotal flap is one of the therapeutic options for addressing paraffinoma cases, offering both cosmetic and functional benefits.

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