cover
Contact Name
Iswinarno Doso Saputro
Contact Email
iswinarno.doso@fk.unair.ac.id
Phone
+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
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,
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
THE OCCURRENCE OF CONTRACTURE AND THE SEVERITY OF BURN INJURIES AMONG BURN PATIENTS TREATED AT DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2020-2022) Hamiseno, Gifta Marshanda Qanitah; Iswinarno Doso Saputro; Diah Mira Indramaya; Lobredia Zarasade
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.v9i1.52160

Abstract

Highlights: A robust association was observed between total body surface area (TBSA) and burn injuries, except in the case of elderly individuals. The duration of hospitalization is significantly associated with the occurrence of contracture. Abstract: Introduction: Burn injuries are a worldwide issue and can happen for many reasons, often causing skin damage that leads to deformities and movement difficulties. Many burn patients, up to 50%, experience contractures, which limit movement in areas such as the shoulders, wrists, and torso. Proper management through medicine, surgery, and therapy is crucial for helping these patients. Research at Dr. Soetomo General Academic Hospital is focused on studying the frequency of contractures after burn injuries to improve treatment and prevention methods. Methods: The research used descriptive analytics and gathered data from the Burn Unit at Gedung Bedah Pusat Terpadu (GBPT) and the Plastic Surgery Polyclinic at Dr. Soetomo General Academic Hospital in Surabaya. The study examined 40 eligible patients and assessed variables including burn severity, affected body area, and hospitalization duration. Results: The results showed that the average age of patients was 26.30 years, with 70% of them being male. Only 5% of patients had other health problems, mainly related to hormones. Most burns were caused by fire (37.5%), and many were second-degree burns (42.5%). The percentage of the body affected by burns varied by age: children had around 9.86%, adolescents had around 15.96%, and adults had around 5.25%. Most injuries were on the left arm (67.5%), and many patients stayed in the hospital for a long time (67.5%). Conclusion: All patients developed contractures following burns, irrespective of burn severity. There was a correlation between burn size and severity, except among older patients. Additionally, a notable association was observed between contracture occurrence and prolonged hospitalization.
USING OF NEGATIVE WOUND PRESSURE THERAPY (NPWT): A CASE SERIES OF WOUND DISRUPTION AS A COMPLICATION OF A CAESAREAN SECTION Herman Yosef Limpat Wihastyoko; Ellenora Resti Mustikaningrat; Dorothea Respa Kusumaningrat; Gisella Sekar Wruhastanti; Yohana Joni
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.v9i1.53349

Abstract

Highlights: Surgical site infection during caesarean section can cause complications, thereby increasing maternal mortality and morbidity, especially in groups at risk. VAC therapy can stimulate granulation tissue formation so that primary wound junctions occur. VAC shows its ability to close wounds entirely within 3-4 weeks. Abstract: Introduction: Wound disruption following caesarean sections is a common issue that can increase maternal mortality and morbidity. Several factors have been identified, including maternal, procedural, and antibiotic factors. The re-suturing method,  primer, and secondary suture often fail, causing recurrent and delayed healing. Case Illustration: CASE 1: A 26-year-old woman, 7 days post-caesarean section, presented with a wet wound and yellowish serous fluid. Three weeks later, wound dehiscence occurred despite re-debridement and re-suturing. Subsequent installation of VAC resulted in granulation tissue and re-epithelialization. CASE 2: A 32-year-old woman, 14 days post-caesarean section, complained of weakness and pus in the surgical wound. Upon examination, a red-yellowish fluid was found, indicating wound dehiscence. Re-debridement and VAC installation led to the formation of granulation tissue and re-epithelialization. Discussion: VAC is the new wound care technique that suctions or collects excess exudate that absorbent gauze cannot accommodate. In comparison, absorbent gauze is limited in its capacity to absorb the fluid that produced in wounds. An innovation where the use of VAC, which has a negative pressure function, can stimulate granulation tissue to form and can bind the edges of the  wound so that it can close naturally. Conclusion: In instances of wound disruption following surgery, such as in the case of a caesarean section, it may be prudent to contemplate re-debridement followed by re-suturing. VAC presents itself as a viable alternative for managing wound dehiscence until the formation of granulation tissue.
A CASE SERIES AND LITERATURE REVIEW: MANAGEMENT STRATEGIES FOR RADIATION-INDUCED ULCERS OF THE CHEST Kristine, Elizabeth; Syed Faqeer Hussain Bokhari; Sweety Pribadi
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.v9i1.53650

Abstract

Highlights: Radiotherapy leads to a high occurrence of skin alterations and can advance to different levels of tissue damage, presenting challenges in treatment. Management can be effective employing diverse wound treatment methods, although severe cases may necessitate surgical intervention. Surgery takes into several key considerations to increase chances of success and tackle specific issues of chest wall instability and breast reconstruction. Abstract: Introduction: Radiotherapy as an adjunct to cancer treatment causes a high incidence of radiation-induced tissue injury, ranging from radiation dermatitis to severe osteoradionecrosis. Currently, no gold standard exists in the management of radiation injury. Various strategies ranging from modern wound treatment to surgical management have been studied. Case Illustration: Three women presented with varying degrees of ulceration in the chest during or shortly following radiotherapy. Each case followed different approaches to management. One case solely received wound treatment, another received wound treatment and a sequestrectomy, and the third required surgical reconstruction of the chest wall and defect. Discussion: Methods of wound treatment range from topical agents, barrier films and dressings, hydrogel and hydrocolloid dressings, miscellaneous treatments, and biodressings. Surgery is required in severe cases, particularly with osteoradionecrosis. This may include wound debridement, biopsy, chest wall stabilization, closure using various flaps, and potential breast reconstruction. Conclusion: Radiation-induced ulcers of the chest pose a complex issue. Understanding effective treatment methods and key surgical principles is important for ensuring better outcomes. Further studies are needed to provide a complete guide to treatment.
A CASE REPORT: EARLOBE RECONSTRUCTION ON CONGENITAL AURICULAR LOBE DEFECT USING Z-PLASTY Amatullah, Nida' Fahima; Iswinarno Doso Saputro
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.v9i1.54622

Abstract

Highlights: Congenital ear defects typically result from growth failures during the fifth to ninth weeks of gestation or from mechanical stress during this period. Auricular lobuloplasty using the Z-plasty flap technique effectively addresses earlobe defects, resulting in optimal aesthetic outcomes with no keloid formation, minimal scarring, and no complications. Abstract: Introduction: Earlobe defects, often due to embryonal growth failure or injury, can affect aesthetics and social interactions despite not impacting hearing. Earlobe defect  can be formed either from birth as congenital defect or secondary manifestation of other causes such as tumor and external factor such as earring usage or trauma. This study aimed to address these issues by performing auricular lobuloplasty using a Z-plasty flap technique. The procedure, crucial for protecting the auditory canal and facilitating eyeglass use, was successful in achieving the desired aesthetic outcome. Data on microtia prevalence, particularly in Indonesia, highlights the need for such reconstructive surgeries. Case Illustration: A 9-year-old boy underwent auricular lobuloplasty to correct a cleft earlobe deformity, which caused social discomfort. The surgery, performed under general anesthesia, utilized a Z-plasty technique to lengthen and reorient the scar. Postoperative care included wound dressing changes and oral pain medication. After two weeks, satisfactory results were observed with no reported complications. Discussion: The study on congenital ear deformities focuses on Z-plasty for earlobe reconstruction, detailing classifications, surgical techniques, and case results. The surgery was successful with minimal scarring and no keloid formation. Using Weerda's classification, the technique showed minimal scarring and no keloid formation. The approach, emphasizing proper skin envelope and alignment with Langer lines, offers effective aesthetic restoration, making it a valuable reference for future earlobe reconstruction cases. Conclusion: Utilizing Z-plasty for earlobe defect reconstruction aids in improving the earlobe's appearance with minimal to no complications.
REGENERATIVE MEDICINE IN BURN INJURY: A BIBLIOMETRIC ANALYSIS AND LITERATURE REVIEW Rahman, Naufal Aminur; Devina, Santi; Pradana, Muhammad Yusuf Billiant; Godwin Emeka Ozokolie; Lanre Peter Daodu; Shreya Pandey
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.v9i1.56491

Abstract

Highlights: This research analyzes regenerative medicine trends for burn injuries, providing valuable insights into focal points and article characteristics, enhancing understanding of this critical healthcare issue. This research analyzes trends in regenerative medicine for burn injuries, highlighting emerging areas like 3D printing, nanotechnology, and photothermal therapy as promising future research directions. Abstract: Introduction: Burn injuries represent a significant global health concern, demanding effective management strategies to mitigate their impact. Regenerative medicine offers promising approaches to address burn injury management, utilizing innovative techniques to improve wound healing and tissue regeneration. This paper presents a comprehensive bibliometric analysis and literature review, highlighting trends, hotspots, and article profiles in the application of regenerative medicine for burn injury management, offering valuable insights for future research to enhance burn care. Methods: A Scopus database search spanning from 2004 to 2024 was conducted using keywords related to regenerative medicine, burn injuries, and wound healing, yielding 602 relevant documents for analysis. Subsequent bibliometric analysis using VOSviewer and Biblioshiny identified key trends and contributors in the field. Results: The results indicate an increase in research studies over the years, peaking in 2022, followed by a slight decline. Zhang Y emerged as the top researcher, with the United States leading in research output. Researchers primarily focused on four main areas: materials and techniques, injury management, cell-based therapies, and wound healing strategies. Emerging areas such as 3D printing, nanotechnology, and photothermal therapy are gaining interest for future research. Conclusion: This study provides valuable insights into the evolving landscape of regenerative medicine for burn injury management. Zhang Y's significant contributions and the United States' leading role underscore the global effort in advancing research in this area. The exploration of new technologies like 3D printing and nanotechnology, alongside traditional approaches, signifies the dynamic nature of biomedical research in addressing burn injuries.        
Jurnal Rekonstruksi dan Estetik, June 2024 JURNAL REKONSTRUKSI DAN ESTETIK
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 1 (2024): Jurnal Rekonstruksi dan Estetik, June 2024
Publisher : Universitas Airlangga

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Abstract

BACK MATTER
Front Matter Vol.9 No.1, 2024 Jurnal Rekonstruksi dan Estetik
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

Abstract

Front Matter Vol.9 No.1, 2024
A COMBINATION TECHNIQUE OF AUTOLOGOUS AUGMENTATION AND BREAST LIFTING IN HYPOPLASTIC-THIRD GRADE PTOTIC BREAST: A CASE REPORT Beta Subakti Nataatmadja; Amatullah, Nida' Fahima; Lumintang, Loelita Marcelia
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 2 (2024): Jurnal Rekonstruksi dan Estetik, December 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v9i2.54614

Abstract

Highlights: This case shows autoaugmented mastopexy as a natural alternative to silicone implants for patients seeking breast enhancement. The combination of breast lift and autoaugmentation using the patient’s own tissue is presented as an effective method for achieving a firmer breast appearance while maintaining a natural look. The use of tailored preoperative design, including breast ultrasound, enhances surgical safety and outcomes. Abstract: Introduction: Breast ptosis is a common concern among women due to factors such as aging, pregnancy, breastfeeding, and weight loss. To achieve a beautiful breast shape, mastopexy (breast lift) with augmentation is often required. This case report highlights the relevance of the chosen augmentation method in addressing ptosis. Case Illustration: A 30-year-old woman had breast ptosis after her 2nd child and wanted a breast lift to have lifted and firmer breasts. Due to limited fat tissue available for transfer and her refusal to use silicone implants, the patient chose autoaugmented mastopexy. Before surgery in August 2022, breast ultrasound showed abnormalities. Preoperative design was made to determine skin and pedicle positions, using a wise pattern with a superior pedicle to lift the nipple-areola complex (NAC) and an inferior pedicle for autoaugmentation. Surgery was done carefully to achieve symmetry and desired result. Discussion: Breast tissue changes a lot during and after pregnancy and hormonal factors increases the risk of ptosis. According to Regnault classification, the patient was classified as 3rd degree ptosis. While prosthetic implants are common in breast surgery, the patient declined that option. Autoaugmented mastopexy offers a more natural result without the risks of implants. Conclusion: Breast lift with autoaugmentation is suitable for patients with breast ptosis seeking a firmer appearance without added volume. This technique utilizes the patient's own tissue to achieve satisfactory results, although outcomes may vary depending on individual factors.
IMPLEMENTATION OF AN OCCLUSAL WAFER IN SEVERE MANDIBULAR FRACTURE CASES WITH POST-ORIF MALOCCLUSION: A CASE SERIES Chintia Amelia Pratiwi; Mirnasari Amirsyah; Teuku Nanda Putra
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 2 (2024): Jurnal Rekonstruksi dan Estetik, December 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v9i2.54889

Abstract

Highlights: This study shows that occlusal wafers can effectively correct malocclusion in patients with segmental mandibular fractures after ORIF plating. Occlusal wafers help reshape the dental arch within 2 to 4 weeks, reduce surgery time, and simplify follow-up care, making them a valuable option for surgeons. Abstract: Introduction: Improper treatment of severe mandibular fractures can lead to malocclusion, which poses a significant challenge for reconstructive surgeons. The occlusal wafer provides an effective solution for managing malocclusion following ORIF plating of maxillofacial fractures during the one-month postoperative evaluation period. Made from acrylic resin, the occlusal wafer serves as an intermediate guide in orthognathic surgery. It helps reposition the maxilla, adjust the mandible, and modify the jawbones to achieve ideal occlusion. The device can reshape the dental arch to any pre-planned position within 2 to 4 weeks. Case Illustration: We present two cases of patients with segmental fractures.Case 1: A 26-year-old male also had segmental fractures of the left angle and right body of the mandible. He achieved occlusion after ORIF plating; however, malocclusion developed during the three-week follow-up. Case 2: A 28-year-old female presented with segmental fractures of the left angle and right body of the mandible. She initially achieved occlusion after ORIF plating, but malocclusion was noted during the one-month follow-up.  Discussion: Both of these patients had segmental fractures and experienced malocclusion following ORIF plating, but occlusion was achieved after occlusal wafer installation. Conclusion: The use of an occlusal wafer facilitates optimal occlusion, streamlines the surgical procedure by reducing operating time, and enhances the ease of postoperative monitoring. This approach proves particularly valuable in cases where ORIF plating has been performed yet ideal occlusal alignment remains unachieved.
COMPLETE UNILATERAL CLEFT LIP SURGERY USING MODIFIED ROTATION-ADVANCEMENT FLAP TO ENHANCE AESTHETIC APPEARANCE IN RSPAL DR. RAMELAN HOSPITAL: A CASE SERIES Hadikhosuma, Jessica Novia; Wicaksono, Bambang; Dhiparedja, Rionaldo
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 2 (2024): Jurnal Rekonstruksi dan Estetik, December 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v9i2.59067

Abstract

Highlights: Complete unilateral cleft lip influences not only the aesthetics of the face but also the functionality of the lip, nose, and upper jaw (maxilla). The surgery aims to establish a symmetrical, functional, and visually appealing contour of the lip, vermilion border, and nasal structure. The modified rotation-advancement flap represents a valuable approach for complete unilateral cleft lip repair surgery.   ABSTRACT Introduction: Unilateral cleft lip is  a common congenital anomaly affecting the upper lip and nose, impacting both aesthetics and function. Advances in surgical techniques have enhanced cleft lip repair, with the rotation-advancement flap being a notable method. This study examines the outcomes of a modified Millard’s rotation-advancement flap technique, developed and refined over 14 years. Case Illustration: Between September 2023 and February 2024, four patients with complete unilateral cleft lip and associated nasal deformity were treated at RSPAL Dr. Ramelan Hospital. Each patient underwent cleft lip repair using the modified rotation-advancement flap technique. Case Illustration: Four patients presented with complete unilateral cleft lip with nose deformity came to RSPAL Dr. Ramelan Hospital between September 2023 and February 2024, We performed cleft lip surgery using the modified rotation-advancement flap for each patient. Discussion: Surgical outcomes showed excellent symmetry, proper vermilion border alignment, and minimal scarring. Complications were rare, with no instances of wound dehiscence or infection. The study discusses the aesthetic and functional improvements achieved with this technique, underscoring its effectiveness in treating complete unilateral cleft lip and enhancing patient quality of life. Conclusion: The Modified Rotation-Advancement Flap technique provides a valuable approach for unilateral cleft lip repair, yielding satisfactory aesthetic and functional results. Further research with long-term follow-up and larger sample sizes is needed to confirm its efficacy and refine the technique.  

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