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Raymond, Benni
Yayasan Lingkar Studi Bedah Plastik
Civil Engineering, Building, Construction & Architecture Other

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Self Made Nostril Retainer Raymond, Benni; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol. 1 No. 2 (2012): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (663.838 KB) | DOI: 10.14228/jpr.v1i2.48

Abstract

The main feature of the unilateral cleft lip nasal deformity is the asymmetry of the nose compared with the non cleft side. Nasal stents or nostril retainers are suggested to be useful in the management of these patients in order to maintain the new morphology and to mold the shape during healing process. To date, there are many types of factory made nostril retainer, but the price is relatively expensive and in contrary, most of our patient came from low-income population. The idea is to provide an easy and practical nostril retainer to obtain, easy to manufacture and easy to apply preoperatively and postoperatively, and it is also cost effective. Primary nose model including the nasal cavity is designed on the basis of non cleft side of patient’s nose. It is made by injecting alginate as negative impression. We use gypsum powder as positive impression material. From that positive impression, we mirror it to create other side of the nostril. Nostril retainer is then made using home-use silicone gel. We postulate that by using self-made nostril retainer which is made using cheap material. All of our patients could afford one, because the use of nostril retainer has been found effective post operatively after cleft primary rhinoplasty, avoiding relapse of the nasal reconstruction and drop of the nasal ala.
Standardization of Honey Application on Acute Partial Thickness Wound Raymond, Benni; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol. 1 No. 6 (2012): November Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (650.473 KB) | DOI: 10.14228/jpr.v1i6.121

Abstract

Backgrounds: : Inthe past few years, clinicians worldwide have been using honey for wound treatment. But until now, there was no such standard on method of honey application on wound. In our center, honey was applied on wound by once a day application and the result was observationally satisfactory. What if application of honey were done once every two days? Would the result become more satisfactory? This study aims to search honey application method, which gives the best result on wound treatment. Methods: This is single-blinded non-randomize clinical trial, which was conduscted in Cipto Mangunkusumo Hospital Jakarta from July until September 2012. 14 Patients with acute partial thickness wound resulted from STSG harvesting were involved in this study. Patients were devided into 2 groups: control (once every two days application of honey) and the rate of wound healing were evaluated. Rate of wound healing will be assessed as number of percentage of reduced non-epithelialized areas on the seventh day of application. Results: The mean percentage of non-epithelialized area reduction on treatment gruop was 86,76% and 97,97% on control group. There was significant difference on percentage of reduced area between control and treatment group (p<0,00). Conclusion: There was statistically signi!cant difference between once a day and once every two days application of honey. However, changing of honey dressing once a day is still a preferable method in wound treatment.
Co-Authors Sudjatmiko, Gentur