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Djaprie, Shelly M

Yayasan Lingkar Studi Bedah Plastik

Author-ID : 1015950

Civil Engineering, Building, Construction & Architecture Other

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Articles

Revision of Bilateral Celft Lip Deformity Using Abbe Flap Djaprie, Shelly M; Kreshanti, Prasetyanugraheni; Handayani, Siti; Bangun, Kristaninta
Jurnal Plastik Rekonstruksi Vol. 2 No. 2 (2013): April Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Most primary repair of bilateral complete cleft lip does not show satisfying result due to several deformities caused by inappropriate use of the hypoplastic prolabial tissue, failure to advance the lateral lip elements to the midline for primary repair of the orbicularis, and scarring. The Abbe flap is the accepted procedure for the correction of severe secondary deformity of a bilateral cleft lip. By introducing an adequate amount of lip tissue, it relieves the tightness of the upper lip and also corrects the depressions of the tip of the nose. Symmetry between the two lip is also achieved Patient and Method: Three patients with tight lip deformity underwent this procedure. The Abbe flap, which was taken from the central portion of the lower lip vermilion, was designed to repair the vermilion tubercle and the Cupid’s bow. A tiny portion of skin was included to facilitate closure of the donor site. The pedicle was divided 3 weeks after operation. Results: Each patients showed a more natural contour of the vermilion tubercle and the Cupid’s bow. The scarring of the donor site was inconspicuous. Summary: The Abbe flap can be considered as a choice for revision of bilateral cleft lip deformity. The disadvantages of this flap include patient’s discomfort and the need for multiple procedures.

Dressing for Partial Thickness Burn Using Microbial Cellulose and Transparent Film Dressing : A Comparative Study Djaprie, Shelly M; Wardhana, Aditya
Jurnal Plastik Rekonstruksi Vol. 2 No. 2 (2013): April Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Wound dressing aims are to create moist and warm condition to accelerate wound healing, decrease level of pain, collects of exudate, decrease the need of dressing changes, cost effectiveness and protection from bacterial contamination. Microbial cellulose creates a moist environment and strong adhesion to the wound to prevent bacterial contamination and protects from temperature changes. Meanwhile transparent film dressing has advantages such as easy to evaluate, rapid rate of epithelialization and provides high comfort for patients. This study aims to evaluate the efficacy of microbial cellulose dressing compare to transparent film dressing as control, in the treatment of partial thickness burn. Method: We perform a single blind randomized clinical trial study. All patients with partial thickness burn with total body surface less than 20% area burns at any age presenting to our burn unit will be included in the study. They were dressed using microbial cellulose and transparent film as control. Result: The epithelialization rate of patients treated by microbial cellulose was significantly faster and less pain, especially in day 3 and 10 (p=0,000) than those treated with transparent dressing. This study showed patient using microbial cellulose no need to change dressing, meanwhile in transparent dressing it need 2 to 3 times dressing changes and costs more money. Conclusion: The use of microbial cellulose dressing is a versatile and effective dressing for partial thickness burns. This innovative material will be an alternative dressing in partial-thickness burn wounds.

Lesson From Other Discipline’s Decision in Managing Giant Haemangioma Of The Hemithorax : Case Report Djaprie, Shelly M; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol. 1 No. 1 (2012): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

The management of the giant and moderate size infantile haemangiomas are challenging problems, especially in health systems with limited resources in developing countries. The aim of presenting this case is to take a lesson from another discipline’s decision in managing haemangioma.The author provide information based on clinical examination and surgical records of the patient with giant hemangioma which was consulted to plastic surgery team. A four month year old boy was consulted by pediatric surgery team with a giant size haemangioma on the right hemithorax.The treatment option for each haemangioma are different based on the case itself. Especially for this case, it seems better to be treated conservatively due to several reason, such as the phase of hemangioma, the location of the mass, the size, the donor morbidity. Early surgical excision of a moderate size infantile haemangioma may be justified especially when there is dificulty of follow-up. This approach will prevent growth deformation, impact on nearby vital organs and psychological problems.

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