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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
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Articles 104 Documents
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THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMES Asparini, Ruby Riana; Nur Khalida Zia; Sidharta, Bragastio; Sakthivel, Jeyasree; Naga, Bhuvana Sri
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.v8i2.47682

Abstract

Highlights: The severity of unilateral CLP was assessed by categorizing preoperative photo data based on the severity of the cleft, and this severity was then correlated with the surgical outcomes. The way wounds heal is influenced by the width of the gap and suture tension, which are crucial factors in determining surgical outcomes. Abstract: Introduction: An orofacial cleft is a congenital abnormality in which an abnormal opening or cleft of the lips and/or palate. Data in 2017 showed that the most encountered characters are patients with cleft lip and palate. The distribution of the incidence of cleft lip and palate at Cleft Lip and Palate (CLP) Center Faculty of Medicine University of Muhammadiyah Malang was dominated by the complete unilateral type, which was 45.22%. Generally, the severity of cleft lip and/or palate is influenced by the severity of the preoperative cleft. Methods: This study used a retrospective cohort design taken from 40 medical records at Cleft Lip and Palate (CLP) Center Faculty of Medicine University of Muhammadiyah Malang. The preoperative photo data were categorized according to the severity of the cleft, then postoperative photos were assessed according to the Visual Rating Chart (VRC) indicator. Results: The intraclass correlation coefficient (ICC) reliability test between evaluators has a strength of > 0.8 on the outcome of lip and nose surgery and also > 0.9 on the outcome of the palate, indicating that there was no perception gap between evaluators. The Mann-Whitney non-parametric test had a significance of p < 0.05, indicating that there was a positive correlation between the severity of unilateral cleft lip and palate and the outcome of surgery. Conclusion: There is a correlation between the severity of the unilateral cleft lip and palate and the surgical outcome.
PEDIATRIC OCULAR TRAUMA MANAGEMENT: A CASE STUDY OF EFFECTIVE INTRA-ORBITAL FOREIGN BODY IOFB EXTRACTION Doni Setiawan; Liesa Z Subuh; Alexandria Stephanie Suparman; Yugos Juli Fitra
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 1 (2024): Jurnal Rekonstruksi dan Estetik, June 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v9i1.49570

Abstract

Highlights: The rare nature of Orbitocranial Injury with Intraorbital Foreign Body (IOFB). Utilizing a 3D Head CT Scan to ascertain the precise location of the IOFB and its impact on anatomical structures is pivotal in shaping immediate treatment strategies, thereby reducing the potential for complications. Abstract: Introduction:  Penetrating intraorbital foreign body (IOFB) injuries are a rare form of traumatic injury. Recognized as a surgical emergency, meticulous history-taking and a thorough examination are essential for determining the trauma's mechanism and cause, facilitating accurate diagnosis and effective disease management. Case Illustration: In the emergency room, a 5-year-old female patient was presented with a craniofacial injury resulting from an IOFB. An evacuation procedure, conducted through a subsidiary incision, was performed to extract the foreign body. Interestingly, the object removed from the orbital cavity was a plastic foreign body, initially suspected to be a fractured orbital bone. Discussion: The clinical presentation, management, and outcomes of orbital foreign body injuries can differ based on the material composition of the foreign body. In cases of intraorbital foreign body trauma, the primary treatment goal is foreign body removal. Conclusion: Precise and accurate initial management in the emergency department is crucial. Early diagnosis, aided by a 3D head CT scan, is instrumental in locating the IOFB and identifying the involved anatomical structures. This, in turn, enables timely treatment decisions to minimize the risk of complications.
TREATMENT OF PRESSURE ULCERS OF THE SCALP IN DECOMPENSATED HYDROCEPHALY: A CLINICAL CHALLENGE. Kale, Letitia Bellavesta; Malelak, Elric Brahm; Datusanantyo, Robertus Arian; Ullah, Wajahat; Ali, Ahmed Mohamed Ahmed; Thumar, Dhyey; Kumar, Kundan
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.v8i2.49972

Abstract

Highlights: Studies of pressure injury in hydrocephalus patients are very limited. To determine the staging and diagnosis, clinicians must consider the anatomical location of pressure injury, especially in children. Pressure injury increases the risk of shunt infection in hydrocephalus patients. Abstract: Introduction:  A pressure injury is ‘localized injury to the skin and/or underlying tissue usually over a bony prominence, that caused by compression. Multiple studies have demonstrated that age, moisture, immobility, and friction/shear are key risk factors. We report a challenging case of multiple pressure injury over the scalp in hydrocephalus patients. Case Illustration: Three toddlers with Hydrocephalus was consulted due to multiple Pressure Injury over the scalp in the bilateral temporo-parietal and occipital region. After ventriculo-peritoneal shunting (VP-shunt), the wounds were managed in accordance with TIMERS guidelines. Discussion: Pediatric tissues are more susceptible to deformation injuries. Severe skull deformity and macrocephaly are serious problems that may lead to difficulties in head control and child positioning increases the risk of pressure injury. After VP-shunt, wound care is even more challenging since the surgical wound is closely related to pressure injuries. Shunt exposure can be occurred on these patients. According to both examination and intervention of TIMERS guidelines are essential as well as controlling risk factors of pressure injury development.     Conclusion: Surgeons should be aware that children with hydrocephalus may experience scalp injuries and changes to their body composition, which challenge the diagnosis and care process.
A CASE REPORT: REVEALING DELAYED CARDIAC PHENOMENON IN ELECTRICAL BURNS, AN INTERESTING PUZZLE Widiono, Evan; Fawzy, Ahmad; Prasetyo, Yudi Eko
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.v8i2.49984

Abstract

Highlights: Electrical injuries pose risks to the heart, with differing outcomes based on voltage exposure. The importance of ongoing observation is due to the development of delayed cardiac issues. Collaboration among medical specialties is essential to manage electrical burn injuries and associated cardiac complications effectively. Abstract: Introduction: Electricity is an integral aspect of modern life but poses potential long-lasting consequences. Electrical burns, although infrequent, hold significant implications and can lead to adverse cardiac outcomes. This study explores the intricate interplay between electrical injuries, neurological responses, and cardiac manifestations, emphasizing the need for comprehensive understanding and management. Case Illustration: A 28-year-old male tile builder sustained an electrical shock while working on a rooftop. He experienced convulsions and unconsciousness after his hair entangled with a high-voltage cable. Clinical evaluation revealed burns and vital signs within the normal range. Subsequent electrocardiogram (ECG) assessments unveiled ST-segment elevation and hyperacute T waves. Troponin I levels increased on the third day, indicative of a myocardial infarction (MI) induced by the electrical injury. Discussion: Electrical burns are complex and necessitate a multidisciplinary approach for accurate diagnosis and management. Collaborative efforts involving burn surgeons, cardiologists, and neurologists are essential to comprehend the holistic impact of electric injuries. This case shows that electrical injuries leading to loss of consciousness can later result in heart issues, as evidenced by significant electrocardiogram changes, emphasizing the need for ongoing monitoring. It underscores the importance of an interdisciplinary approach in managing burn injuries, particularly electrical burns, which can have hidden complications. Conclusion: Understanding the intricate dynamics between electrical injuries, neurological responses, and cardiac outcomes can improve therapeutic strategies and patient outcomes. This case underscores the importance of thorough and all-encompassing management to ensure the best possible care for the patient.
CURRENT ROLE OF SOCIAL MEDIA IN AESTHETIC PLASTIC SURGERY: WHY PLASTIC SURGEONS MUST TAKE CONCERN? Amandita, Tiara Amanna; Saraswati, Hastika
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.v8i2.50274

Abstract

Highlights: This study shows that in the era of society 5.0, digital technology has played a major role in doctor-patient communication in the medical field, especially in plastic aesthetic surgery. Only a few plastic surgeons comprehend this digital transformation. It is hoped that this study will help plastic surgeons better understand and adapt to social media. Abstract: Introduction: In the medical field, particularly in areas like plastic aesthetic surgery and cosmetology, social media has emerged as a convenient and interactive means of educating and promoting the services of doctors, hospitals, and institutions. However, there remains a pressing need for further research to thoroughly understand the influence of social media on plastic surgery procedures. This study aims to review the literature on the current facets of social media that impact patients' decision-makingin aesthetic plastic surgery. Methods: Database PubMed was used for the search terms: "plastic surgery," aesthetic, and "social media". Publication time ranges were set from 2019 until 2023. Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) were used to help arrange this literature review. Result: Thirteen records were included in this study. The studies uniformly emphasize the effectiveness of social media as a communication tool between doctors and patients or social media users. Popular platforms like Facebook, Instagram, Snapchat, and Twitter are widely used, varying based on factors like country, age, and gender. These platforms enable the global spread of education and information about plastic aesthetic surgery, effectively reaching a diverse audience. Conclusion: Social media serves as a platform for disseminating educational content, promoting professional work, engaging with the wider public community, and facilitating patient-doctor interactions in the decision-making process for plastic aesthetic surgery. Additionally, it plays a role in influencing patients' preferences regarding specific aesthetic plastic surgery procedures.
A META-ANALYSIS: THE UTILIZATION OF NEGATIVE PRESSURE WOUND THERAPY IN DIABETIC FOOT ULCERS Sanjiwani, Ni Putu Gita Raditya; Murti, I Putu Krisna
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.v8i2.50290

Abstract

Highlight : Diabetes mellitus has a global prevalence of more than 500 million individuals, and it is associated with a significant consequence known as diabetic foot ulcers (DFUs). Diabetic foot is a commonly observed complication of diabetes mellitus, characterized by the development of non-healing ulcers, which can have a substantial negative impact on the overall well-being of those affected. Negative pressure wound therapy (NPWT) effectively eliminates necrotic tissue and wound secretions, stimulates the production of granulation tissue, mitigates bacterial infection, and expedites the process of wound healing. Abstract: Introduction: Diabetes mellitus has a global prevalence and significant consequence known as diabetic foot ulcers. Negative pressure wound therapy (NPWT) is a modern therapeutic strategy for managing diabetic foot ulcers. The primary objective of this study is to assess the efficacy and safety by doing a thorough literature review and performing a meta-analysis. Methods: The search platforms chosen for this study were PubMed, Embase, and Cochrane Library databases with years of publication between 2013 and 2022. The analysis was conducted using the software RevMan 5.4 and R statistical software. Results: In the present investigation, a total of 291 articles were first subjected to screening. The analysis ultimately included nine relevant literatures after the screening process. The selected literature encompassed a collective sample size of 890 patients. The random effect model used in the analysis revealed a statistically significant discrepancy in the healing rate that had negative pressure wound therapy (NPWT) intervention with the healing rate analysis shows OR 0.77 [0.65, 0.90] p=0.0, and other outcome analysis shows no statistically significant result, adverse event incident OR  0.01 CI [0.00 to 0.04), p =0.23, and amputation rate was OR 0.01 CI [0.00 to 0.02] p = 0.81. Conclusions: This research has provided evidence of the effectiveness of negative pressure wound therapy (NPWT) as a potential approach for accelerating the wound healing process. However, when utilizing this innovative approach, it is imperative to guarantee meticulous regulation and modification of the negative pressure value to mitigate any potential risk of bleeding in the wound.
A CASE REPORT: ENHANCING TARSAL AND MUSCULAR SUPPORT FOR ECTROPION CORRECTION IN TESSIER 3 AND 5 FACIAL CLEFT Adifitrian, Teuku; Hartono, Hendra Tri; Garnasih, Agustina Indah
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.v8i2.51050

Abstract

Highlights: The oblique facial cleft is an uncommon and intricate craniofacial anomaly characterized by a low occurrence rate and significant variability. The treatment is intricate and relies on the surgeon's expertise and discernment. Utilizing a combination of Tarsal Strip and Midface Lifting techniques could serve as an alternative approach to address ectropion by enhancing both tarsal and muscular support. Abstract: Introduction:  Facial cleft is a rare and challenging craniofacial malformation with a low incidence ranging from 0.75 to 5.4 per 1000 common cleft. Due to the high variance in its occurrence, good techniques have not been established yet. Case Illustration: In this case study, we present the medical history of a 45-year-old woman who previously underwent multiple surgeries for the reconstruction of her lower eyelid. The initial surgeries were performed to address a unilateral facial cleft classified as Tessier 3 and 5, utilizing ear cartilage grafts for the tarsal plate. However, she subsequently experienced complications, including ectropion, epiphora, and soft tissue deformities around her left eye. The goal of the current surgical intervention is to rectify the ectropion and enhance overall facial aesthetics for improved outcomes. Discussion: The primary objectives of this surgical techniques are to enhance the tarsal support through the tarsal strip technique and to provide muscle support using the mid-face lifting technique. Additionally, we removed the scar and excess tissue from the lower lid to adjust the tarsal's proper length. These methods aim to address the ectropion and prevent its recurrence. Conclusion: This combination of techniques can be a potential alternative for rectifying ectropion by reinforcing both tarsal and muscular support structures.
PROGNOSIS OF INHALATION INJURY MORTALITY RATE WITH REVISED BAUX SCORE AT DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2019-2021) Salsabilla, Dhea Hasna; Agus Santoso Budi; Diah Mira Indramaya; Muslim, Ronaldo
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 1 (2024): Jurnal Rekonstruksi dan Estetik, June 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v9i1.51118

Abstract

Highlights: Fire is the most frequent cause of burns, while thermal contact is the least common. Mortality rate with revised Baux score in burn patients with inhalation injury showed a significant relationship. Abstract: Introduction: Burn trauma has quite a high mortality rate in Indonesia. One of the scoring systems that is straightforward to apply is the revised Baux score. However, there is no standardised scoring system that is currently in use in our institution. Therefore, the purpose is to determine the feasibility of using this scoring system in our population's features. Methods: This research is a retrospective study with research design case control design using secondary data in the form of medical record data from patients with acute burn trauma that were admitted to Burn Unit of Dr. Soetomo General Academic Hospital in Surabaya between January 2019 and December 2021. All the data will be divided by their group and analysed with SPSS software. Results: The study found significant relationships between several factors and mortality rates among burn patients. Age, total burn surface area percentage, presence of inhalation injury, and the revised Baux Score all showed significant correlations with mortality rate (p < 0.005). Specifically, among burn patients with inhalation injury, the correlation between mortality rate and revised Baux score remained significant (p=0.002). Conclusions:The study revealed that age, the percentage of total burn surface area, and the presence of inhalation injury are significantly associated with mortality rate among burn patients. Additionally, the revised Baux Score was identified as a useful tool for predicting the prognosis of burn patients with inhalation injury. These findings emphasize the importance of these factors in assessing and managing outcomes for burn patients, particularly those with inhalation injury.
Back Matter Vol.8 No.2, 2023 Jurnal Rekonstruksi dan Estetik
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 2 (2023): Jurnal Rekonstruksi dan Estetik, December 2023
Publisher : Universitas Airlangga

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Back Matter Vol.8 No.2, 2023
Front Matter Vol.8 No.2, 2023 Jurnal Rekonstruksi dan Estetik
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 2 (2023): Jurnal Rekonstruksi dan Estetik, December 2023
Publisher : Universitas Airlangga

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Front Matter Vol.8 No.2, 2023

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