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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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A COMBINATION OF CHEEK FLAP, CARTILAGE INSERTION, AND FAT TRANSFER ON POST-TRAUMA LOWER EYELID ECTROPION RECONSTRUCTION Elfiah, Ulfa; Aprinova, Dicky Primadika
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.v9i2.59646

Abstract

Highlights: This study introduces an innovative approach for post-traumatic ectropion reconstruction in children by combining Mustarde rotational cheek flap, cartilage insertion, and fat transfer. This method effectively addresses the challenges of cicatricial ectropion caused by injuries or burns, leading to improved, durable, and cost-effective outcomes in restoring eyelid function and volume. Abstract: Introduction:Ectropion correction surgery is a procedure designed to restore the anterior lamella to its anatomical position. This study aims to propose a combination of cheek flap and fat transfer as a method for post-traumatic ectropion reconstruction surgery. Case Illustration:A 10-year-old girl presented with ectropion caused by scar formation and volume loss in the infraorbital region following a traumatic incident seven years prior. The procedures performed in this case included a Mustarde rotational cheek flap to reconstruct the scar tissue in the infraorbital region that led to the ectropion, pure ear cartilage insertion to repair the damaged tarsal plate or tarsus, and fat transfer to address the volume loss in the infraorbital area. The donor fat was harvested from the inguinal region Discussion: The rationale for using the Mustarde rotational cheek flap, cartilage insertion, and fat transfer was based on the wide donor area, particularly in cases where the vertical dimension exceeds the horizontal dimension. This approach is believed to yield better outcomes compared to other methods, such as skin grafts. In this case, fat transfer was employed to restore the volume lost beneath the scar tissue following trauma. This combination technique is thought to be more durable and to provide superior results compared to alternative methods, while also being economically advantageous. Conclusion: The combination of the Mustarde rotational cheek flap, cartilage insertion, and fat transfer is believed to improve the outcomes of the reconstruction procedure following scar tissue release and correction of volume loss beneath the scar.
EARLY CLEFT LIP REPAIR: A LONG TERM FOLLOW-UP Moenadjat, Yefta
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.v9i2.60219

Abstract

Highlights: Early cleft repair benefits patients by reconstructing near-normal lip anatomy that persists after ten to fifteen years. The early procedure did not result in muscular or maxillary hypoplasia in long-term follow-ups; rather, development occurred in tandem with normal growth. Abstract: Introduction:  Published reports on the long-term outcomes of cleft lip surgery within the Indonesian population are limited, especially for those treated early in the neonatal period. This study presents follow-up data on early-managed cases, aiming to objectively evaluate the long-term results of such management. Case Illustration: A newborn with a complete unilateral cleft lip and palate had surgery on day two, achieving a symmetrical lip and nasal base. At 12 months, cleft palate surgery was performed. Fifteen years later, the patient sought a lip revision, expressing satisfaction with the results and opting against further procedures. Case 2: Another newborn with an incomplete cleft underwent surgery on day five, followed by palate repair at 12 months. Ten years later, the parents reported satisfaction with the outcomes and no desire for further revisions. Discussion: The discussion focused on the merit of early management and no negative impact on muscular and maxillary growth. Conclusion: The positive effects of early management through muscle management were observed in the long-term follow-up, as shown in these two reported cases.
HELMET USE COMPLIANCE SURVEY FOR CRANIOFACIAL TRAUMA PREVENTION AMONG MOTORCYCLISTS IN JAYAPURA CITY RING ROAD Bolly, Hendrikus Masang Ban; Trajanus Laurens Yembise
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.v9i2.64397

Abstract

Highlights: This study provides insights on helmet compliance among motorcyclists in Jayapura City to help prevent head injuries. The analysis shows non-compliance with helmets, especially on the Jayapura Ring Road, where up to four people ride a single motorbike. Consequently, accidents causing head injuries result in greater health and humanitarian impacts. Abstract: Introduction:  Compliance with helmet use by motorcycle riders and passengers passing through the highway is one of the important factors in preventing craniofacial injuries and head injury. This study designed to survey and evaluate the compliance with helmet use among motorcyclists and passengers on the ring road in Jayapura City. Methods: This time-based survey study observed compliance with helmet use by motorcycle riders and passengers passing through the Jayapura city ring road for 14 days of observation at three-time orders (morning, afternoon, and evening). Analysis of the collected data was carried out descriptively. Results: The results showed that during the study period, there were 6,411 motorcycles passing through, 18,602 motorcycle passers-by were at moderate risk of injury due to not wearing helmets (MR-IV) and 11,849 were at high risk (HR-II). The peak of non-compliance with helmet use occurred in the afternoon period (T3). The results showed that 71.92% of the HR-V group did not obey helmet use; 184.82% of the HR-II group did not obey helmet use. While non-compliance with helmet use in the MR-IV group even reached 290.15%. Conclusion: Helmet use compliance among motorcycle riders and passengers on the Jayapura Ring Road is low, increasing their risk of head injuries in accidents. This highlights the need for strategies to reduce helmet non-compliance in Jayapura City. The study focuses on one of the busiest routes, and further research is needed to assess helmet compliance on other busy routes in the city for a more comprehensive understanding.  
CLINICAL PROFILE AND MANAGEMENT OF HYPERTROPHIC SCARS AT DR. SOETOMO GENERAL ACADEMIC HOSPITAL SURABAYA, INDONESIA Perdanakusuma, Arda Rahmanisa; Iswinarno Doso Saputro; Evy Evrianti
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.v9i2.65031

Abstract

Highlights: Most hypertrophic scar patients were aged 17 to 25, mainly female, and the scars were mostly caused by burns on the face and upper extremities. Surgical techniques were the most common treatment, with most scars measuring 1 to 5 cm². Abstract:  Introduction: Scars is a prevalent clinical concern that is often more complex than commonly perceived. Hypertrophic and keloid scars results from atypical wound healing responses following trauma, characterized by an excessive deposition of connective tissue. In Indonesia, there are remains a paucity of data on the clinical profile and management of hypertrophic scars. To address this gap, researchers conducted a descriptive study to systematically examine various variables associated with hypertrophic scars, aiming to enhance understanding and inform more effective management strategies. Methods: This research is a retrospective descriptive analysis utilizing secondary data from medical records of patients with hypertrophic scars treated at Dr. Soetomo General Academic Hospital in Surabaya during the 2019 – 2020 period. The data were collected and processed according to key variables, including age, gender, occupation, etiology, anatomical location of the hypertrophic scars, scar size, and therapeutic interventions. Results:The number of patients with hypertrophic scars at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from 2019 to 2020 was 68. Most patients were aged 17 to 25 years. The gender distribution was nearly equal, with 50% male and 50.9% female patients. Among the patients, 12.5% and 43% were students. Burns caused 37.5% and 25% of cases. The most common scar locations were the face (25%) and upper extremities (25%). Most scars measured 1 to 5 cm² (25%). The most common treatment was surgical techniques (80% and 48%). Conclusion: Most hypertrophic scar patients were aged 17 to 25 years, predominantly female, and students. The primary cause of the scars was burns, with the scars most commonly located on the face and upper extremities. The majority of scars measured between 1 and 5 cm², and surgical techniques were the most widely used therapy.
Jurnal Rekonstruksi dan Estetik, December 2024 JURNAL REKONSTRUKSI DAN ESTETIK
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 2 (2024): Jurnal Rekonstruksi dan Estetik, December 2024
Publisher : Universitas Airlangga

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Abstract

Back Matter
Jurnal Rekonstruksi dan Estetik, December 2024 JURNAL REKONSTRUKSI DAN ESTETIK
Jurnal Rekonstruksi dan Estetik Vol. 9 No. 2 (2024): Jurnal Rekonstruksi dan Estetik, December 2024
Publisher : Universitas Airlangga

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Abstract

Front Metter Vol.9. No.2 December 2024
RECONSTRUCTION OF CHIN DEFECT POST BASAL CELL CARCINOMA EXCISION USING RHOMBOID FLAP: A CASE REPORT Togatorop, Yeremia Maruli; Saktrio D. Subarno
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.64457

Abstract

Highlights: BCC is strongly associated with UV radiation exposure,commonly affecting the face, but the chin is rarely involved (1.2% incidence). Chin reconstruction after BCC excision is challenging, requiring careful flap selection for function and aesthetics. The rhomboid flap is a preferred choice, offering good blood supply, minimal tension, quick healing, and better cosmetic results. Abstract: Introduction: Basal cell carcinoma (BCC) is a malignant skin tumor with the highest incidence and originates from the basal cells of the epidermis, with the nodular type being the most common. Case Illustration: A 76-year-old female patient came with complaints of a lump on the chin that had enlarged and bled easily for 3 years before entering the hospital. The patient was diagnosed with Basal Cell Carcinoma in the chin region.  Discussion: Wide excision was performed under local anesthesia, then the wound was closed with a rhomboid flap. Evaluation after 1 month post-operatively the wound closed well and the scar was disguised.  Conclusion: The chin is a unique aesthetic area with unique contours and shapes, making it a challenge for plastic surgeons to perform reconstruction after extensive BCC excision. The rhomboid flap is a very versatile local flap because it can be used almost anywhere on the body, including the chin.
PRESSURE INJURY PATIENTS CHARACTERISTIC IN SOUTH EAST INDONESIA WARRANTS IMMEDIATE INITIATION OF PREDICTIVE ASSESSMENT TOOLS: A CHART REVIEW Djunaedi, Angela; Robertus Arian Datusanantyo
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.65076

Abstract

Highlights: The absence of Stage 1 pressure injuries reflects the need for a predictive assessment tool. The majority of patients were aged 60–71 and had unstageable pressure injuries. The main referring departments were Internal Medicine, Cardiology, and Pulmonology. Abstract: Introduction: Pressure injury (PI) is a worldwide health problem, a burden in many aspects, and influences life quality. Every PI case would be different due to several underlying factors and conditions which hindered the prevention strategies. We share the overview of PI patients on South East Indonesia. Method: A descriptive-retrospective study with chart review approach was held to review all case of PI consulted to plastic surgery from 2021-2023. Basic demographic data was collected along with the wound area, PI stage, and referrer department.   Result: PI was more frequent in Male patients insignificantly (p=0.069) developed more PI (55.13%) than female patients (44.87%). Almost half of PI case occurred in patients with more than 60 years old of age (48.71%). Most case were referred by the internal medicine, pulmology and cardiology department (43.59%) and mostly located in sacral region, (64.10%). Unstageable PI was found the most (48.72%) while no stage 1 PI was consulted. Discussion: The finding of the study existing knowledge about the risk factors for pressure injuries (PI), particularly sensory and motor impairment as well as immobility. The absence of stage 1 PI underscores the importance of a standardized predictive assessment tool to enhance early detection and intervention. Integrating routine visual inspection and palpation into the assessment process could improve the early recognition of PI. The intervention should be extended to educational program to family caregiver in discharge planning.   Conclusion: PI incidence corresponds with known risk populations. Hospital leadership should implement predictive PI assessment tools and incorporate PI education into discharge planning to improve early detection and intervention.
PROFILE OF KELOID PATIENTS IN SURGICAL WOUNDS: A STUDY AT DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY, DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2019-2022) Nurfaiza, Diandra Yasmin; Saputro, Iswinarno Doso; Indramaya, Diah Mira; Aruja Dhar; Saleh Ashafi; Milan Muhammed
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.66572

Abstract

Highlights: Previous keloid surgery mostly caused keloid recurrence. The most common symptom that accompanies keloids in surgical wounds was itching. Surgery and combination therapy were the most used therapy. Abstract: Introduction:   Keloid is an abnormal scar resulting from disruptions in the wound healing process. Clinically, keloids extend beyond the original wound margins and progressively enlarge into dense, firm nodules. They can develop following various forms of trauma, including surgical procedures. Several factors contribute to keloid formation in surgical wounds, such as age, gender, genetics, skin color, hormones, incision location, wound tension, and delayed healing. Methods: This retrospective descriptive study analyzes medical records of patients diagnosed with keloids due to surgical wounds at the Department of Plastic and Reconstructive Surgery, Dr. Soetomo General Academic Hospital, Surabaya, between 2019 and 2022. Results: Among 58 keloid patients, 23 developed keloids following surgery. The most common risk factor was a history of previous keloid surgery. The majority of patients were female, aged 17–25 years, students, and had no family history of keloids. The most frequent keloid location was the chest, with an onset of ≥1 year, a size of <20 cm², and associated itching. Surgical excision and combination therapy were the most commonly used treatment approaches. Conclusion: Previous keloid surgery is the primary risk factor for developing keloids in surgical wounds. Surgery and combination therapy remain the most frequently employed treatment strategies.
CHRONIC WOUNDS : RISK FACTORS AND EVIDENCE-BASED INTERVENTION Pinem, Veronica Abebia Beginanta; David Sontani Perdanakusuma; Evy Ervianti; Mikiyas Gifawosen Teferi; Harith Ali Al-Taie
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.66610

Abstract

Highlights: Identifies key risk factors for chronic wounds and the underexplored role of genetics and immune dysregulation in healing. Explores advanced interventions like smart bandages and bioengineered skin, while addressing accessibility challenges. Highlights the potential of personalized medicine and digital health in improving patient-centered wound care.   Abstract: Introduction: Chronic wounds are a pervasive and escalating public health issue, characterized by their inability to progress through the typical phases of healing, resulting in prolonged tissue damage and patient morbidity.  Common types include diabetic, pressure, arterial, and venous ulcers. Factors like comorbidities, infection, poor circulation, and inadequate care delay healing. This review aims to explore the risk factors for chronic wounds and evaluate evidence-based interventions to optimize treatment outcomes, thereby improving patient care and reducing healthcare costs.   Methods: A thorough literature review was performed using peer-reviewed journals and reliable medical databases, focusing on articles from the past 10 years for relevance. The search used keywords like "chronic wounds," "risk factors," "management," and "evidence-based interventions," selecting studies that addressed the epidemiology, causes, and treatment of chronic wounds. Results: The review identified major risk factors for chronic wounds, such as diabetes, poor circulation, neuropathy, infection, and aging. Effective treatments discussed include advanced dressings, debridement, negative pressure wound therapy, and skin grafts. A multidisciplinary, patient-focused approach was found to improve healing outcomes. Conclusion: Understanding  the risk factors of chronic wounds and applying evidence-based, personalized treatments can significantly improve healing outcomes. Ongoing research and innovation are essential to address gaps in care and enhance patient management.

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