Garuda - Garba Rujukan Digital

Imam Susanto

Universitas Bakrie

Author-ID : 395998

Civil Engineering, Building, Construction & Architecture Other

Published : 3 Documents Claim Missing Document

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Articles

Changing of Condylar Fracture Approach in Cipto Mangunkusumo Hospital Susanto, Imam; Bangun, Kristaninta; Handayani, Siti; Kreshanti, Prasetyanugrahni; Hapsari, Nathania Pudya
Jurnal Plastik Rekonstruksi Vol. 1 No. 6 (2012): November Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Management of condylar fracture draws controversy for over three decades. Previously, closed reduction with intermaxillary !xation (IMF) had been predominant for many surgeons, considering shorter length of procedure, ability to achieve preinjury occlusion with acceptable adjustment, and low cost of procedure. Introduction of osteosynthesis material rigid internal !xation (RIF) and adaptive miniplate !xation marked technology development in condylar fracture management and became popular in term of the applicability and outcome results. Over period time, several studies proposed vary classi!cation system and selection patient criteria for surgical treatment on the basis of age, location of fracture, degree of communition, direction of proximal fragment displacement, location of condylar head, concomitant medical illness or associated trauma, and patient’s preferences to achieve optimum goal. This review focuses on the shifting of condylar fracture management at Cipto Mangunkusumo Hospital from 2004-2012.

Pitfalls in Rhinoplasty: Avoiding Mismatch Between Anatomy, Patient Expectation and Mastery of The Surgeon Susanto, Imam
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Aesthetic surgery is a component of Plastic Surgery which deals with a “normal” person with neither disease nor disfigurement. They seek surgery to enhance appearance, which is expected to boost confidence level and performance. Because aesthetic patient come with no physical deformity, their expectation for perfection is high. As plastic surgeons, we must be aware of the pitfalls in our works, how much can we deliver the expectations of patients as suited to our knowledge and our capability in mastering surgical technique including the implementation of new techniques combined with technology. Our awareness throughout each surgery, and the obsession for perfection must measure up to what the patient desire. Patients and Method: A review of 3 augmentation rhinoplasty patient cases who come to my private practice between 2006-2012 with concern of postoperative results is presented, prior previous surgeries were done either by author or other surgeons. Result: All patients received surgical counseling and scheduled correctional surgeries, nearly all patient accepted the final results and were satisfied. Summary: Pitfalls are common in aesthetic surgeries. To prevent this, we must be aware all aspects involved starting from the first consultation with patient, carefully assess the anatomy and anomaly of each case, master the surgical techniques used, and careful when implementing new techniques. Finally, have the wisdom to say ‘no’ to patients who are not good candidates for aesthetic surgery.

Abdominoplasty: A Proposal of Results by Measurement Susanto, Imam
Jurnal Plastik Rekonstruksi Vol. 2 No. 1 (2013): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Among body contouring procedures, abdominoplasty is a procedure, which cosmetic surgery patients seek most frequently. The aim of abdominoplasty is to fulfill the ideal appearance of the abdomen without complication. Optimal results and proposed best accuracy measurement tool for abdominal dimension will be presented.Patients and Methods: Two female patients with abdomen type III and IV, underwent surgical correction with choice of total abdominolipectomy. Pre-operative and post-operative evaluations and photographs of patients were documented. Appearance of abdomen, quality of the scar, and navel were evaluated.Results: Total abdominolipectomy was performed in two cases of woman with abdomen type III and IV. All of the patients have shown abdominal dimension reduction and the result was good and satisfying. Author proposed a measurement including abdominal dimension in three different levels of circumference : midline point circumference between navel to xyphoid, navel level circumference, and anterior superior spina illiac level circumference, quality of scar, navel, and abdominal appearance, which are documented before surgery, three weeks after surgery and three months post surgery.Summary: Optimal outcome in abdominoplasty is determined not only by appropriate surgical technique, but also by the selection design, how the dissection is done, the excision, suturing technique, and post-surgical care treatment. Author proposed a measurement form evaluated by the surgeon, patient, and observer to collect more precise objective and subjective results.

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