Jurnal Plastik Rekonstruksi
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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<![CDATA[Sole Reconstruction Using Anterolateral Thigh Free Flap: A Review of 4 Cases ]]>
<![CDATA[Atmodiwirjo, Parintosa]]>;
<![CDATA[Sandhi, Afriyanti]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): July Issue ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
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DOI: 10.14228/jpr.v2i3.165
<![CDATA[Background: The ideal technique for sole reconstruction should meet such requisite as a durable and comfortable weight-bearing surface, solid anchoring to deep tissue for resistance to shear force and adequate protective sensation. The anterolateral thigh (ALT) perforator free flap provides a large, pliable skin island and sufficient bulk, allowing three-dimensional tailoring to complex defects. The present article is about our experience of sole reconstruction ALT perforator free flap. Patient and Method: Total of 4 flaps in the foot defects was performed in February 2009 to December 2012. We reconstructed soft tissue defects in the sole using ALT free flaps, the complications, aesthetic and function results were monitored. Result: ALT perforator free flap provided stable and durable long-term wound cover in all patients, resulting in early rehabilitation and function outcomes were completely achieved. Complications were few and manageable in all cases. Summary: ALT perforator free flap has become common procedure in many centers around the world. The numerous advantages include stable wound coverage; improve aesthetic and functional outcomes, and minimal donor site morbidity. In our experiences, we found that the use of ALT perforator free flap in sole defect reconstruction, to be technically affordable, reliable and have resulted in excellent outcomes.]]>
<![CDATA[Long Term Follow Up of Hemangioma on Bilateral Cleft Lip ]]>
<![CDATA[Atmodiwirjo, Parintosa]]>;
<![CDATA[Lestari, Puri Ambar]]>;
<![CDATA[Kesuma, Ayu Diah]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): July Issue ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
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DOI: 10.14228/jpr.v2i3.166
<![CDATA[Background: Hemangioma is a common tumor of infancy that exhibits rapid postnatal growth and slow regression during childhood. Cleft lip is a common anomaly found in Indonesia. These entities are twice in common in the Asian population. However, simultaneous occurance of these two abnormalities is rare to be found. Patient and Method: A case of bilateral cleft lip complicated with hemangioma on the left side of lip and the surrounding skin through the mucosa, and the prolabium, which had been performed cheiloplasty procedure at age 9 months old. Cheiloplasty design was made through the hemangioma area with a careful hemostasis to avoid massive bleeding. Result: Hemangioma was partially left behind at the cheiloplasty procedure. There was no bleeding during and after the surgery. Two years following the surgery, there was a fine scar with good shape of the lip and no further growth of the hemangioma. Summary: Hemangioma and cleft lip are very rare to be found in the same location. Because of the involution potential of hemangioma, timing of surgery is very important. Considering the psychosocial aspect, the surgery was performed at the age of 9 months. Two years after surgery, we didn’t find any growth of hemangioma or deformity of the bone and lip. The scar growth is in good esthetic result, no difference with left lip child without hemangioma.]]>
<![CDATA[Reconstructive Rhinoplasty: New Technique of Central Cartilaginous Support ]]>
<![CDATA[Sajid, Muhammad]]>;
<![CDATA[Bhatti, Zahid]]>;
<![CDATA[Nazeer, Aisha]]>;
<![CDATA[Mughese, Sadia]]>;
<![CDATA[Tayyaba, Tayyaba]]>;
<![CDATA[Amin, Mohammad Mughese]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): July Issue ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
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DOI: 10.14228/jpr.v2i3.167
<![CDATA[Background: Honour amputation is a common cause of nose amputation in Pakistan, especially in dahawalpur region. Skeletal support is always a problem in major nasal amputations. It needs multiple delays and extra support later on, with all traditional techniques. Patient and Method: We reported three cases of amputation of the nose. We used sliding septal technique to reconstruct the central cartilaginous support of the nose. In this technique we used the remaining septum as a free graft. Ten patients were treated with this technique with excellent results. Nasal lining was provided either with septal artery mucosal flap or with nasolabial flap. Forehead flap was the only flap to provide external cover. Nostril rim were grafted with trimmed choncial cartilage primarily. In three patients debulking procedures were done later on , but no skeletal procedures. Result: This technique has given an excellent skeletal support and a nice tip projection with no delays or extra support later on. Patient satisfaction rate was 100%. Summary: Sliding septal technique is a very reliables, cost effective technique. It provides an excellent tip support in a single procedure, without sacrificing other precious material like rib or bone.]]>
<![CDATA[Frontal Suspension Procedure using Frontalis Muscle for Management of Ptosis ]]>
<![CDATA[Soedjana, Hardisiswo]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): July Issue ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
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DOI: 10.14228/jpr.v2i3.168
<![CDATA[Background : Ptosis has a reputation as a cosmetic problem, but it is more often as a functional deficit that can have real impact on patients’ lives. Ptosis results from the dysfunction of one or both of the upper eyelid retractors and often blocks peripheral vision. Ptosis can be congenital or caused by aging. Frontal suspension is one of few techniques for correction of ptosis especially for severe ptosis. Patient and Method : We reported one case of severe ptosis. The patient had bilateral congenital ptosis at both of upper eyelids. The upperlid excursion was 4 mm and marginal reflex distance (MRD) was 2 mm. A frontal suspension procedure using frontalis muscle was done for correction. Result : After frontal suspension procedure, MRDare 5 mm for both eyes. There wee no difficulty for closing the eyes. The cosmetic appearance was good. Patient was satisfied with the result. Conclusion : Frontal suspension procedure using frontalis muscle gives a good function and cosmetic result for severe ptosis.]]>
<![CDATA[Scars, The Surgeons’ Overlooked Threat From Hero to Zero ]]>
<![CDATA[David S Perdanakusuma]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): July Issue ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
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DOI: 10.14228/jpr.v2i3.242
<![CDATA[Scar is a reminding mark left by surgeons on patients who presented with wounds or required surgery. In healing process, due to some circumstances and individual traits, wounds could become bad scars that would definitely affect the patient’s appearance and cause many complaints. In the first years after treatment, surgeons will be commemorated as heroes who once helped the patients to overcome and cure the disease. After a few years, the memory of the surgeon’s heroic action will gradually dissipate with the formation of a bad scar. Such good memory will be replaced with persistent complaints arising from the scar such as deformity, pain, itchiness and enlargement of the lesion. Several efforts have been made to manage disturbing scars however they often do not yield satisfactory result and moreover sometimes the scars will enlarge, become unpleasant and more disturbing. This will frustrate the patient as well as the surgeon. The good memory of the surgeon as a hero has shifted into one whose surgical procedure was regretted. Presently, there are about 25 modalities using various approaches for scar treatment. These manifold choices indicate that the available modalities have been generally inadequate and the therapeutic response very variable. Furthermore, treatment selection is also based on recurrence. Most of the available therapeutic modalities in this stage are nonsurgical. There is also topical treatment mostly containing herbal extract, which is considered inadequate and lacking of evidence base. Corticosteroid injection and silicone gel is a nonsurgical method recommended and supported by evidence based. This technique is largely chosen by doctors. Combined therapy is the method of choice believed to yield optimal result. Let us remain heroes by paying attention to scars.]]>
<![CDATA[Use of Resorbable Plate and Screws in Pediatric Craniofacial Reconstructive Surgery ]]>
<![CDATA[Prasetyanugraheni Kreshanti]]>;
<![CDATA[Siti Handayani]]>;
<![CDATA[Kristaninta Bangun]]>;
<![CDATA[Melina Tiza]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): July Issue ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
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DOI: 10.14228/jpr.v2i3.243
<![CDATA[Background: To evaluate two pediatric patients with syndromic craniofacial anomaly that underwent craniofacial reconstructive surgery using resorbable plate-screw systems which have been claimed as biodegradable fixation materials and used in craniofacial reconstructive procedures owing to their advantages such as adequate biomechanical resistance, longer dwelling time, elimination through physiological routes without causing any foreign body reaction and/or significant sequale. Patient and Method: Resorbable plate-screw systems used in 2 patiens for craniofacial reconstructive procedures such as bilateral fronto-orbital advancement and segmental right orbita (four wall box) osteotomy were evaluated as for their efficacy. Result: Adequate fixation was obtained in both patient, but Infection complication was seen in segmental right orbita osteotomy patient that appear localized abcess formation on subciliary incision and fronto medial insicion. After drainage insicion and antibiotic administration for 1 week, the infection was relieved. Summary: Owing to resorbable copolymer which contain a polyester derivate of L- lactidc and glycolic acid are ideal fixation materials used favourably in pediatric craniofacial reconstructive surgery and have further advantages such as adequate biomechanical resistance against distraction and compression forces in the early postoperative period, longer dwelling time and elimination from the body through physiological routes without causing any foreign body reaction.]]>
<![CDATA[Managing Neglected Burn Wound with Exposed Upper Tibia Using Multiple Modalities ]]>
<![CDATA[Cherry G Kalangi]]>;
<![CDATA[Agus Hariyanto]]>;
<![CDATA[Mendy Hatibie Oley]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): July Issue ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
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DOI: 10.14228/jpr.v2i3.244
<![CDATA[Background: Deep burn wound with exposed underlying structures such as muscle or moreover in this case, bone, may increase morbidity in the terms of infection. Therefore careful planning of reconstruction is needed. Patient and Method: We report one case of neglected burn wound with exposed tibia and muscle contracture on bilateral knee joint that was reconstructed in our Plastic Surgery Division of Prof RD Kandou Hospital. Data was taken from medical and surgery record. Result: We managed the muscle contracture of the left knee joint by sedated gradual stretching and splinting. We also utilized hyperbaric treatment in order to maximize granulation process. A medial gastrocnemius muscle flap followed by split thickness skin graft is used to reconstruct the missing tissue at upper tibia, and another split thickness skin graft to cover another wound at opposite upper leg. The result was satisfying without any complication. Conclusion: In managing a neglected burn wound with bone exposed and muscle contracture, it is compulsory to have a careful reconstruction planning. Our objectives are to release the muscle contracture and to provide an adequate coverage to the bone-exposed wound by using many modalities we have.]]>
<![CDATA[Microsurgery : From Basic Skill of Plastic Surgery to The Top of Reconstruction Ladder ]]>
<![CDATA[Parintosa Atmodiwirjo]]>
<![CDATA[ Jurnal Plastik Rekonstruksi Vol. 2 No. 3 (2013): July Issue ]]>
Publisher : <![CDATA[Lingkar Studi Bedah Plastik Foundation ]]>
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DOI: 10.14228/jpr.v2i3.245
<![CDATA[For more than 5 decades, microvascular surgery has been growing and found its place in reconstructive surgery. In Indonesia, microsurgery became popular since 30 years ago. In the past, this subspecialty was developed for soft tissue transfer and replantation of amputated extremities.]]>
