Garuda - Garba Rujukan Digital

Pribadi, Sweety

Yayasan Lingkar Studi Bedah Plastik

Author-ID : 1016055

Civil Engineering, Building, Construction & Architecture Other

Published : 3 Documents Claim Missing Document

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Articles

Pectoralis Major Musculocutaneous Flap and Splitthickness Skin Graft for The Reconstruction of Pharyngocutaneous Fistula After Total Laryngeal Resection Atmodiwirjo, Parintosa; Pribadi, Sweety
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Pharyngocutaneous fistula (PCF) is the most frequent complication in the early postoperative period after total laryngectomy. Most PCF respond well to conservative management, but when it fails and the fistula persists surgical closure in indicated. Patients and Methods: Sixty-five year-old male was consulted to our division following total laryngectomy by the Ear Nose Throat surgeons, with wound dehiscence and pharyngocutaneous fistula. We performed a pectoralis major musculocutaneous flap (PMMCF) to close the fistula after a failed conservative management. The skin island of PMMCF was used as an inner lining to close the laryngeal fistula, the exteriorized muscle part of the "ap was then covered by skin graft.Results: PMMCF is a technically simple and reliable distant musculocutaneous pedicled flap to cover defect on the neck area. The skin island of the flap provided an adequate air-thight cover and successfully closed the laryngeal fistula.Summary: PCF is a problematic complication resulting from the resection of head and neck tumor. Early diagnosis and proper multidisciplinary management is required to prevent further morbidity. PMMCF is a simple, easy to perform and reliable option for closure of PCF.

How I Do It : Bilateral Cleft Lip Repair Sudjatmiko, Gentur; Pribadi, Sweety
Jurnal Plastik Rekonstruksi Vol. 2 No. 2 (2013): April Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Several techniques have evolved to achieve better outcomes in bilateral cleft lip repair. The techniques performed should overcome the challenge presented in bilateral cleft lip, such as protrusion of premaxilla, the short columella, the wide gap, minimal dry mucosa in prolabium also the low socioeconomic level that typically presented in cleft patient. Considering the challenges mentioned above, a proper design and precise technique should be defined. We proposed a design and technique with promising results, which involves: 1) The precision of the design, the adjustable point of the design to modify lateral flap will provide adequate thickness of vermillion to create tubercle as well as to provide adequate tissue for nasal floor. 2) The possibility to approximate the orbicularis oris muscle although the premaxilla is protruded. It is beneficial and cost-effective for the patients who cannot afford preoperative orthodontic treatment. 3) The suggestion to not worry about the immediate postoperative result as it will evolve to a satisfactory result. 4) The use of non-absorbable nylon 5.0 and 6.0 for the whole layers will overcome tension and reduce cost.

Random Perforator Flap : Some Experiences with Keystone Flap Sudjatmiko, Gentur; Pribadi, Sweety; Supit, Laureen
Jurnal Plastik Rekonstruksi Vol. 2 No. 2 (2013): April Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: In reconstructing challenging defects, surgeons are considered fairly fortunate when they are able to obtain a similar donor tissue quality to that of the missing tissue; in regards to their color, texture, size, and the ease of donor transfer to the defect. Several methods may be used, which frequently include the free tissue transfers using microvascular anastomoses bearing their specific consequences. We report a select of challenging cases which were successfully reconstructed using the Keystone flaps and avoid microvascular anastomoses, where otherwise the free tissue transfers would be the typical option for closure in such defects. Patient and Method: Nine cases of relatively large defect in various locations were reconstructed using the Keystone flaps supplied by either non-identified perforators or identified reliable perforators. Result: Out of the 9 defects located on various region of the body (lumbar, thorax, dorsum of the foot, plantar of the foot, posterior leg, sacrum, and cervicofacial) only the first 2 cases had identifiable perforators. All flaps survived completely without problem of vascularization. Summary: The Keystone flap is a useful and reliable random perforator-based flap even when the perforator vessels are not identified.

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