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INDONESIA
Jurnal Plastik Rekonstruksi
ISSN : 20896492     EISSN : 20899734     DOI : -
Jurnal Plastik Rekonstruksi is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery. JPR publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types.
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Articles 7 Documents
Search results for , issue "Vol. 2 No. 1 (2013): January Issue" : 7 Documents clear
Reconstruction of Traumatic Partial Ear Amputations Using Two-Stage Skin Flap Pocket Technique Hakim, Intan Friscilla; Kreshanti, Prasetyanugraheni; Handayani, Siti; Bangun, Kristaninta
Jurnal Plastik Rekonstruksi Vol. 2 No. 1 (2013): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (606.446 KB) | DOI: 10.14228/jpr.v2i1.123

Abstract

Background: Various reconstructive techniques for partial traumatic ear amputations have been reported. The choice of technique is based on the missing ear components and the availability of tissue for defect coverage. The goal is to obtain an aesthetically acceptable ear. The authors report a two-stage skin flap pocket technique for the reconstruction of traumatic ear amputations. Patient and Method: Three cases of partial traumatic ear amputation due to bite is reported. After sufficient debridement, skin flap pocket was created on the retroauriculomastoid area. Conchal cartilage graft was used to replace cartilage defect in one case. The other 2 cases utilized their amputated cartilage graft, deepithelialized and then resutured to the remaining cartilage. All three cases underwent second stage surgeries for flap division, three weeks after the pocketing. Result: In 2 months follow-up, all of 3 cases showed no signs of infection. Normal dimension of the ears were achieved and aesthetic appearances were perceived as acceptable to the patients and other viewers. One case was able to be followed one year post surgery with acceptable aesthetics, and no sign of cartilage resorption. Summary: The technique used in these cases provided acceptable results in reconstructing the size and shape of the partially amputated ears. Cartilage grafts implanted in the pockets retained their shape with no infection or resorption.
Pericranial Hinged Flap for Congenital Posterior Meningoencephalocele Closure Atmaja, Tessa Miranda; Kreshanti, Prasetyanugraheni; Handayani, Siti; Bangun, Kristaninta
Jurnal Plastik Rekonstruksi Vol. 2 No. 1 (2013): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (423.775 KB) | DOI: 10.14228/jpr.v2i1.124

Abstract

Background: Posterior meningoencephalocele is a complicated case that requires adequate method for closure of the defect. Congenital meningoencephalocele is a rare incidence estimated at 1:3000 to 10000 live births; with occipital encephaloceles are the most common. The method for closure should prevent leakage of cerebrospinal fluid (CSF) and coverage for the calvarial bone. Meningoencephalocele are treated by excising the non-functional brain tissue and closed the defect using thick connective tissue graft, alloplastic material and local flaps. The problems with closure are continuous leakage of cerebrospinal fluid and infection, especially when alloplastic material is used. In this case report, a pericranial flap is used to close the dura. Patient and Method: A neonate with occipital meningoencephalocele was consulted to the Plastic Surgery Department with wound dehiscence and recurrent herniation of brain tissue after undergoing first surgery by the neurosurgery team. On the second operation, a premilene mesh was placed which was later infected and causing wound dehiscence. We then close the defect using pericranial hinged flap and primary closure of the skin and subcutaneous tissue. Result: After the closure using pericranial hinged flap, there were no signs of infection and no CSF leakage. In 4 month follow up, the defect has completely healed. Summary: Closure of calvarial bone defect with pericranial-hinged flap provides a tight closure of the intracranial space, without increased risk of infection. Pericranial hinged flap should be considered as a method of choice for closure of intracranial defect, preventing leakage of cerebrospinal fluid and reducing risk of infection.
The Versatility of Temporalis Muscle Flap in Reconstruction of Maxillofacial Region Harsono, Anastasia Dessy; Kreshanti, Prasetyanugraheni; Handayani, Siti; Bangun, Kristaninta
Jurnal Plastik Rekonstruksi Vol. 2 No. 1 (2013): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.031 KB) | DOI: 10.14228/jpr.v2i1.125

Abstract

Background: The temporalis muscle !ap (TMF) is a very versatile and valuable axial flap, which could be used in various reconstructive procedures in and around the maxillofacial region. The surgical anatomy, vascular pattern and technique of elevation of the flap are described, associated with our experience in different reconstructive situations. Patient and Method: There were two patients, one case of TMJ ankylosis and one case of facial paralysis. The TMF was used as an interpositional arthroplasty for TMJ ankylosis, as a dynamic facial reanimation for facial paralysis. Result: In the first patient, he was able to open his mouth 4 cm in 2 weeks following the surgery. There was no pain or other complication complained. In second patient, in two weeks follow up after the surgery, we found the edema was decrease gradually. The contraction on the right nasolabial sulcus was slightly seen. Summary: These report described the reliability, versatility and reproducibility of temporalis muscle flap. The rich vascularized tissue and its proximity to the reconstruction site make this flap reliable. TMF should be taken into consideration before deciding on more extensive reconstructive procedures.
Incomplete Cleft Palate in Cornelia de Lange Syndrome Fortuna, Fory; Kreshanti, Prasetyanugraheni; Handayani, Siti; Bangun, Kristaninta
Jurnal Plastik Rekonstruksi Vol. 2 No. 1 (2013): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.247 KB) | DOI: 10.14228/jpr.v2i1.126

Abstract

Background: Cornelia de Lange Syndrome (CdLS) is a rare congenital anomaly inheritance syndrome. The prevalence is 1.6-2.2/100.000 of 8,558,346 births in Europe. Cleft palate is less frequent malformation of this syndrome (21,7%) than other associated malformations. The diagnosis can be obtained clinically based on CdLS diagnostic criteria by USA CdLS Foundation. This is the first case in our hospital. Patient and Method: A case of a 4-year-old girl who came to our attention at Cleft and Craniofacial Center Cipto Mangunkusumo National General Hospital for incomplete cleft palate. Parents’ major concerns was feeding problem. The clinical investigations showed that the child met diagnostic criteria for CdLS as described in literatures. We manage this case in collaboration with paediatric department and other related specialists, including radiologist and craniofacial orthodontist. We performed Veau-Wardill-Kilner’s palataoplasty for the incomplete cleft palate. Paediatric department arranged provision of dietary. Result: This patient with incomplete cleft palate whom we treated by palatoplasty was moderately involved by CdLS (severity score 17). After 3 weeks follow-up, we have overcome feeding problem and body weight gained. Summary: Patient with CdLS needs early multidisciplinary team approach management for maximum outcome, because variety of associated malformations may present and life-threatening. Diagnostic criteria by USA CdLS Foundation assist health care personnel recognize this syndrome early.
Distraction Osteogenesis for Micrognathia in Cipto Mangunkusumo Hospital : A Case Series Boaz, Grace; Kreshanti, Prasetyanugraheni; Handayani, Siti; Bangun, kristaninta
Jurnal Plastik Rekonstruksi Vol. 2 No. 1 (2013): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (436.991 KB) | DOI: 10.14228/jpr.v2i1.127

Abstract

Background: Micrognathia is usually associated with genetic syndromes, characterized by mandibular hypoplasia causing a receding chin. The overall incidence of micrognathia was 1 per 1600 births, makes it a rare case. Severe micrognathia can be a neonatal emergency due to airway obstruction by the tongue in the small oral cavity. One method for correcting micrognathia is distraction osteogenesis. Lack of experience due to rare incidence of case, expensive cost of distraction device and technical complexity of the operation can be obstacles to this management. Patient and Method: We report two cases of micrognathia corrected with distraction osteogenesis conducted in Cipto Mangunkusumo Hospital from 2011-2012. The method consists of implantation of bilateral distraction device to the inferior border of the mandibular body. The patients then followed postoperatively. Result: Mandibular lengthening by gradual distraction is a proper method for young patients with micrognathia. Despite our minimal experience and intricate kind of method, we are trying to improve our skill in the future. Summary: Distraction osteogenesis is one method for correcting congenital mandibular hypoplasia.
Randomized Control Trial Comparing Moist Exposed Burn Ointment and Honey as Dressings Agents in Patients with Second -Degree Burns Harsono, Anastasia Dessy; Wardhana, Aditya
Jurnal Plastik Rekonstruksi Vol. 2 No. 1 (2013): January Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (414.423 KB) | DOI: 10.14228/jpr.v2i1.128

Abstract

Background: Many topical agents are available for the treatment of partial thickness burns. We examined Moist Exposed Burn Ointment (MEBO) and honey as dressing agents; regarding their natural antibacterial, anti-inflammatory, and wound healing properties. They have also been proven to be superior than silver sulphadiazine in treating burn wound.Methods: A total of 34 patients were randomly allocated into MEBO group and Indonesian local honey group. The dressings are changed daily, with corresponding interventions applied. The depth and extent of burn wounds were assessed upon patient’s admission and once a week for two weeks. Pain level was evaluated using the Numeric Rating Scale (NRS). The wound swabs were cultured weekly to obtain microorganisms profile. The cost-per-day of each group were counted.Result: Acute partial thickness burn in MEBO group showed faster healing compared to honey group. NRS scores for pain were also lower in MEBO group. MEBO was found to be more effective in decreasing bacterial colonization. Cost of treating wound using MEBO until complete healing was also lesser than local honey.Conclusions: As topical agent to treat partial thickness burns, MEBO is superior compared to local honey due to faster healing, better pain relief, fewer bacterial colonization and the more cost-effective usage.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (701.283 KB) | DOI: 10.14228/jpr.v2i1.129

Abstract

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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