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Contact Name
Iswinarno Doso Saputro
Contact Email
iswinarno.doso@fk.unair.ac.id
Phone
+628155247800
Journal Mail Official
jre@journal.unair.ac.id
Editorial Address
Departemen Bedah Plastik Rekonstruksi dan Estetik Fakultas Kedokteran Universitas Airlangga Jl. Mayjend Prof. Dr. Moestopo No. 6-8, Surabaya, 60285. (031) 5020091 ext 1314
Location
Kota surabaya,
Jawa timur
INDONESIA
Jurnal Rekonstruksi dan Estetik
Published by Universitas Airlangga
ISSN : 23017937     EISSN : 27746062     DOI : http://dx.doi.org/10.20473/jre.v6i2.31832
Core Subject : Health,
Jurnal Rekonstruksi dan Estetik (p-ISSN:2301-7937, e-ISSN: 2774-6062) is a peer-reviewed open access scientific journal published by Universitas Airlangga. The scope for Jurnal Rekonstruksi dan Estetik includes General topic, Hand and microsurgery topic, Craniofacial topic, External genitalia topic and Esthetic topic. Each volume of Jurnal Rekonstruksi dan Estetik is counted in each calendar year that consists of 6 issues. Jurnal Rekonstruksi dan Estetik is published two times per year every June and December. Articles published in Jurnal Rekonstruksi dan Estetik include original articles and literature reviews. The article could be written in either Bahasa Indonesia or English. Contributors for Jurnal Rekonstruksi dan Estetik are researchers, lecturers, plastic surgeons, and students that focus on scientific development in Indonesia and worldwide.
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Articles 41 Documents
Pengaruh Allogenic Freeze-Dried Platelet-Rich Plasma (Prp) Dalam Meningkatkan Jumlah Fibroblas dan Neovaskularisasi pada Penyembuhan Luka Saputro, Iswinarno; Rizaliyana, Sitti; Noverta, Dhitta
Jurnal Rekonstruksi dan Estetik Vol 6, No 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (343.752 KB) | DOI: 10.20473/jre.v6i1.28226

Abstract

Pendahuluan. Masalah luka adalah masalah yang sering dihadapi oleh setiap dokter, terutama di bidang Bedah Plastik Rekonstruksi dan Estetik. Banyak penelitian tentang berbagai produk atau faktor yang dapat mempercepat penyembuhan luka, salah satunya adalah platelet-rich plasma (PRP). Allogenic PRP dapat menjadi alternatif pada kondisi yang tidak memungkinkan diambilnya autologus PRP. Tehnik freeze-dried dilakukan untuk menurunkan reaksi imun pada sediaan allogenic PRP.Tujuan dari penelitian ini adalah mengevaluasi efektivitas penggunaan allogenic freeze-dried platelet-rich plasma (PRP) terhadap proses penyembuhan luka full-thickness pada hewan coba (kelinci).Metode Penelitian. Penelitian ini merupakan penelitian eksperimental dengan rancangan post test only design, simple randomized. Variabel terikatnya adalah jumlah fibroblas dan jumlah neovaskularisasi, sedangkan variabel bebas adalah pemberian Paraffin gauze dan Allogenic freeze-dried platelet-rich plasma (PRP). Lima belas ekor kelinci dirandomisasi ke dalam enam kelompok. Luka full thickness dengan kedalaman 2mm dibuat pada punggung setiap kelinci. Luka pada kelompok kontrol diberikan perawatan menggunakan paraffin gauze dan diberikan allogenic freeze-dried PRP pada kelompok perlakuan, pengamatan dilakukan pada hari ke-3, hari ke-9, dan hari ke-14.Hasil. Didapatkan perbedaan bermakna rerata jumlah fibroblas antara kelompok kontrol hari ke-3 dengan perlakuan hari ke-3 (p<0.05), kelompok kontrol hari ke-9 dengan perlakuan hari ke-9 (p<0.05), dan kelompok kontrol hari ke-14 dengan perlakuan hari ke-14 (p<0.05). Didapatkan juga perbedaan bermakna rerata jumlah neovaskularisasi antara kelompok kontrol hari ke-3 dengan perlakuan hari ke-3 (p<0.05), kelompok kontrol hari ke-9 dengan perlakuan hari ke-9 (p<0.05), dan kelompok kontrol hari ke-14 dengan perlakuan hari ke-14 (p<0.05). Kesimpulan. Penggunaan allogenic freeze-dried platelet-rich plasma (PRP) terbukti dapat meningkatkan jumlah fibroblas dan jumlah neovaskularisasi pada proses penyembuhan luka full thickness di kelinci.
Modified Cleft Lip Evaluation Profile (Mclep) Index For Unilateral Cleft Lip Repair Outcome Assessment In Surabaya Clp Center Datusanantyo, Robertus Arian; Hutagalung, Magda Rosalina; Rizaliyana, Sitti
Jurnal Rekonstruksi dan Estetik Vol 5, No 1 (2020): Jurnal Rekonstruksi dan Estetik, Desember 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (627.182 KB) | DOI: 10.20473/jre.v5i1.24316

Abstract

Background: Cleft lip and/or palate is the most common craniofacial congenital anomaly encountered by the plastic surgeon. Both reconstruction and outcome assessment are challenging. This study aimed to assess the outcome of unilateral cleft lip repair in the Surabaya CLP Center.Methods: All patients who underwent unilateral cleft lip repair in 2017 were included in the study. Those without complete photographs at minimally 52 weeks after surgery were excluded. The photographs of patients taken at least one-year post-surgery were assessed using a modified cleft lip evaluation profile (MCLEP) index. The data were then analyzed using statistical software.Results: There were 38 subjects included in the study. There was no significant difference in the final scores obtained based on completeness of the cleft lip and the presence of alveolar cleft. The total nose score was significantly better in the left side cleft (p = 0.002). When palate cleft was absent, the total lip score (p = 0.038), the total nose score (p = 0.008), and total score (p = 0.000) were also significantly better.Conclusions: The unilateral cleft lip repair in CLP Center Surabaya yielded good and symmetrically acceptable results. The study failed to observe the different outcomes of unilateral cleft lip repair based on completeness of the cleft lip and the presence of alveolar cleft. However, the unilateral cleft lip repair outcome was significantly better in the absence of palate cleft.
Faktor Resiko dan Karakteristik Infantil Hemangioma di RSUD Dr. Soetomo Tahun 2015 - 2019 Ikhsan, Muhammad; Budi, Agus; Handriani, Ira
Jurnal Rekonstruksi dan Estetik Vol 6, No 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.131 KB) | DOI: 10.20473/jre.v6i1.28229

Abstract

Latar belakang: Hemangioma infantil merupakan tumor yang banyak ditemukan pada anak-anak. Di Indonesia sendiri, data mengenai faktor risiko hemangioma infantil ini masih belum terdokumentasikan dengan baik. Namun dengan adanya data demografis, faktor-faktor prenatal dan perinatal pada pasien hemangioma infantil dapat membantu klinisi untuk mendalami patogenesis kelainan ini dengan lebih baik. Diharapkan dalam penelitian ini, adanya data demografis ini dapat membantu peneliti lainnya untuk melakukan analisis lebih lanjut mengenai patogenesis, diagnosis, tatalaksana, maupun luaran pasien dengan hemangioma infantil.Metode Penelitian: Penelitian ini merupakan studi case control. Sebanyak 67 subyek hemangioma infantil dan 134 subyek hemangioma non infantil diambil dari data rekam medis. Kemudian data diolah dan disajikan untuk melihat angka kejadian dan presentase antar faktor resiko terhadap kejadian hemangioma infantil. Data yang diambil yaitu jenis kelamin pasien, berat badan, usia ibu saat hamil, usia kehamilan saat melahirkan, riwayat multipel gestasi, riwayat penggunaan obat-obatan saat kehamilan dan riwayat keluarga dengan hemangioma infantil. Kemudian dianalisis secara univariat, bivariat dan multivariat dengan program spreadsheet Microsoft Excel SPSS 21.Hasil: Faktor resiko ibu yang berusia antara 22-30 tahun untuk melahirkan anak dengan hemangioma infantil 4,257 kali lebih besar dibandingkan dengan usia ibu kurang dari 22 tahun. Faktor resiko ibu yang berusia lebih dari 30 tahun untuk melahirkan anak dengan hemangioma infantil 9,960 kali lebih besar dibandingkan dengan usia ibu kurang dari 22 tahun. Faktor resiko pasien dengan adanya riwayat keluarga dengan hemangioma memiliki resiko 14,175 kali lebih besar dari pada yang tidak memiliki riwayat hemangioma infantil atau kelainan vaskular di keluarga. Faktor resiko penggunaan obat prekonsepsi selama kehamilan memiliki resiko 4,914 kali lipat daripada yang tidak menggunakan obat prekonsepsi selama kehamilan. Kesimpulan. Hemangioma infantil lebih sering terjadi pada perempuan dengan rata-rata berat badan lahir cukup. Paling banyak terjadi pada ras Melayu dibandingkan dengan ras Cina. Tidak adanya hubungan antara riwayat multipel gestasi dengan kejadian hemangioma infantil. Resiko ibu yang berusia 22-30 tahun untuk melahirkan anak dengan hemangioma infantil lebih besar dibandingkan dengan usia ibu kurang dari 22 tahun, dan usia ibu lebih dari 30 tahun memiliki faktor resiko lebih tinggi dibandingkan dengan usia ibu kurang dari 22 tahun. Adanya riwayat keluarga dengan hemangioma infantil memiliki resiko lebih besar daripada yang tidak. Penggunaan obat-obatan selama kehamilan memiliki resiko terjadinya hemangioma infantil daripada yang tidak.
Klebsiella Pneumoniae Necrotizing Fascitis of The Lower Extremity in A 7-Month-Old Male: A Case Report and Literature Review Zakanito, Marelno; saputro, Iswinarno
Jurnal Rekonstruksi dan Estetik Vol 4, No 2 (2019): Jurnal Rekonstruksi dan Estetik, Desember 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5061.981 KB) | DOI: 10.20473/jre.v4i2.28220

Abstract

Introduction: Klebsiella pneumoniae necrotizing fasciitis is an uncommon soft tissue infection characterized by rapidly progressing necrosis involving the skin, subcutaneous tissue, and fascia. This condition may result in gross morbidity and mortality if not treated in its early stages. In fact, the mortality rate of this condition is high, ranging from 25 to 35%. We present a case of 7-month-old male with K. pneumoniae necrotizing fasciitis of the lower extremity. Materials and Methods: A 7-month-old male presented with large areas over both left and right inferior side of the lower limbs to the emergency department of Dr. Soetomo Academic Medical Center Hospital, Surabaya, Indonesia. Physical examination revealed elevated heart rate of 136 times per minute and increased body temperature of 38oC. The large areas on both lower limbs were darkened, sloughed off, and very tender to palpation. A small area over the right hand was erythematous and sloughed off. Laboratory evaluation demonstrated decreased hemoglobin of 6.2 g/dL and elevated leukocyte of 28,850 g/dL. Blood cultures demonstrated that K. pneumoniae was present. Discussion: NF is usually hard to diagnose during the initial period. The findings of NF can overlap with other soft tissue infections including cellulitis, abscess or even compartment syndrome. However, pain out of proportion to the degree of skin involvement and signs of systemic shock should alert the clinical to the possibility of NF. The clinical manifestations of NF start around a week after the initiating event, with induration and edema, followed by 24 to 48 hours later by erythema or purple discoloration and increasing local fever In the next 48 to 72 hours, the skin turns smooth, bright, and serous, or hemorrhagic blisters develop. If unproperly treated, necrosis develops, and by the fifth or sixth day, the lesion turns black with a necrotic crust. Conclusions: K. pneumoniae necrotizing fasciitis is a rare but lifethreatening disease. A high index of suspicion is required for early diagnosis and treatment of this condition
Multiple Burr Hole as an Alternative Treatment for Large Scalp Defect N, Priscilla Valentin; Saputro, Iswinarno Doso
Jurnal Rekonstruksi dan Estetik Vol 4, No 1 (2019): Jurnal Rekonstruksi dan Estetik, Juni 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.034 KB) | DOI: 10.20473/jre.v4i1.24353

Abstract

Background: Scalp defect with exposed bones is a serious injury that is often occurred after electrical burn injury. The coverage treatment may vary from local flap to free flap. Coverage becomes a major problem when flaps fails or is contraindicated and resulting in further morbidity. In this paper we report 1 patient with large scalp defect after electrical burn injury.Methods : In this study, we report 1 patient with large scalp defect after electrical burn, which treated in our department. Fourteen days after the electrical burn injury, surgical debridement was done by the plastic surgeon, and multiple burr holes were made by the neurosurgeon in the nonviable bone. The distance between each burr holes was 15 mm. The defect was keep moist with absorbent. The scalp defects were treated with soft tissue debridement every 3 days in the policlinics to keep the wound presented viable. To date, the wound already treated for 90 days.Results : The granulation tissue appears in between the burr holes within 14 days. After the defect was covered with granulation tissues, a further closure such as skin graft application was necessary. No postoperative infection, osteomyelitis, or cranial bone sequestration was reported in this case.Conclusions: Multiple cranial burr holes can be chosen as an alternative treatment for large scalp defect. These technique, allow the formation of a vascular bed suitable for skin grafting. This technique is safe, swift and effective for cases of extensive exposure for the skull bone expose of the periosteum following trauma.
Mandibular Condyle Fracture Management Outcome in Department of Plastic Reconstructive and Aesthetic Surgery, Dr. Soetomo Hospital on Period 2015- 2018 Zarasade, Lobredia; Saputro, Iswinarno Doso; Putri, Nadia Tamara
Jurnal Rekonstruksi dan Estetik Vol 5, No 1 (2020): Jurnal Rekonstruksi dan Estetik, Desember 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (718.729 KB) | DOI: 10.20473/jre.v5i1.24323

Abstract

Background : The high incidence of condyle mandible fractures is due to the role of the mandibular ramus which has stronger resistance compared to head condyle mandibular. The management of condyle fractures is still controversial because of the prognosis. Management of condyle fractures of the mandible should aim at maximally reducing morbidity, postoperative complications, and aesthetic and / or functional impairment.Methods: The medical records of 56 patients with condyle mandible fractures who presented at the Dr. Soetomo Hospital Surabaya from January 2015 to December 2018 were reviewed retrospectively. We analyzed characteristics of the patients (age), type of fractures, management of fractures, and outcome from management.Results : This study shows that a total of 56 patients, 22 were patients with mandibular condyle fractures only and 34 patients with mandibular condyle fractures with other maxillofacial fractures. The studied showed that male patients (84%) is more than female patients (16%). The mean age of the patients involved in this study was 28.25 ± 1.78 years, with the youngest being 12 years old and the oldest being 67 years old. The results of the overall study with good occlusion results in 48 patients, it was found that 22 patients were treated with closed reduction and 26 patients with open reduction were performed.Conclusions: The results of condyle mandibula fracture management in Dr. Soetomo Hospital has been according to the indication with the treatment indication along with the result of good management.
Evaluasi Kasus Karsinoma Sel Basal di Makassar Periode Januari 2017 sampai Desember 201 Josh, Fonny; Mappiwali, Asrul; Sukamto, Tommy Hermawan
Jurnal Rekonstruksi dan Estetik Vol 6, No 2 (2021): Jurnal Rekonstruksi dan Estetik, Desember 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (870.935 KB) | DOI: 10.20473/jre.v6i2.31834

Abstract

Latar belakang : Karsinoma Sel Basal atau Basal Cell Carcinoma (BCC) merupakan keganasan kulit yang paling sering pada manusia. Keganasan ini menyumbang sekitar 75% dari semua kanker kulit non melanoma (NMSCs). Terdapat sekitar satu juta kasus baru terdiagnosis setiap tahun dengan lebih dari 10.000 kematian. Penelitian ini bertujuan untuk mengevaluasis kasus karsinoma sel basal di Makassar. Methode : Penelitian bersifat deskriptif retrospektif dengan mengevaluasi kasus karsinoma sel basal dari Januari 2017 sampai Desember 2019. Data diperoleh dari rekam medis pasien di RS Wahidin sudirohusodo, Universitas Hasanuddin dan Ibnu Sina, Makassar. Digunakan metode total sampling. Data kemudian dibandingkan dengan penelitian sebelumnya. Hasil : Dari 49 kasus karsinoma sel basal (BCC) mayoritas terjadi pada perempuan (67,3%). Rata-rata usia pasien adalah 60 tahun. Insiden terbanyak pada kelompok usia 41 - 60 tahun (51%). Predileksi tersering di daerah nasal (30,6%) dan tipe histopatologi terbanyak adalah tipe nodular (53,1%) dan yang paling sedikit adalah tipe morpheaform (2,4%). Mayoritas pasien menjalani bedah eksisi (85,7%). Kasus metastasis jarang terjadi, hanya diamati pada lima kasus. Dua kasus (4,1%) bermetastasis ke paru dan satu kasus (2%) bermetastasi ke hepar. Kebanyakan kasus karsinoma sel basal tidak rekuren (81,6%). Kesimpulan : Predileksi karsinoma sel basal tersering adalah di daerah nasal dengan tipe histopatologi terbanyak adalah tipe nodular. Mayoritas pasien menjalani bedah eksisi. Kasus metastasis jarang terjadi dan kebanyakan kasus karsinoma sel basal tidak rekuren.
Deteksi Kadar Transforming Growth Factor (Tgf-Î’) Pada Luka Akut Wulandari, Pratidina; Hutagalung, Magda; Perdanakusuma, David
Jurnal Rekonstruksi dan Estetik Vol 6, No 1 (2021): Jurnal Rekonstruksi dan Estetik, Juni 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.088 KB) | DOI: 10.20473/jre.v6i1.28225

Abstract

Latar Belakang. TGF-β merupakan growth factor yang paling dominan dalam peningkatan sintesis kolagen, memiliki peran utama pada penyembuhan luka dengan menstimulasi fibroblas sehingga menimbulkan penyembuhan dan berperan serta dalam pembentukan parut, baik itu parut normal maupun abnormal seperti parut hipertrofik dan keloid. Penelitian ini bertujuan untuk mengukur kadar TGF-β pada fase penyembuhan luka.Metode. Penelitian eksperimental ini menggunakan randomized post test only control group design. Dua belas luka akut kulit tikus dirandomisasi menjadi dua kelompok, dimana kelompok 1 diambil spesimen pada hari ke-5 dan kelompok 2 pada hari ke-21 dan dilakukan pemeriksaan ELISA untuk mengukur kadar TGF-.Hasil. Pengukuran kadar TGF-β pada luka akut kulit tikus didapatkan jumlah yang meningkat secara signifikan dari hari ke-5 (fase inflamasi) ke hari ke-21 (fase proliferasi) dengan nilai p = 0,003. Kesimpulan. Terjadi peningkatan kadar TGF- pada akhir fase proliferasi atau awal fase remodelling. Hal ini menyebabkan peningkatan proliferasi fibroblas untuk mensintesis kolagen yang nantinya dapat menjadi parut hipertrofik dan keloid.
Palatal Fracture Fixation on Severe Panfacial Fracture: Is There Any Clinical Significance? Prasetyo, Arif Tri; Hutagalung, Magda Rosalina; Zarasade, Lobredia
Jurnal Rekonstruksi dan Estetik Vol 3, No 1 (2018): Jurnal Rekonstruksi dan Estetik, Juni 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1354.774 KB) | DOI: 10.20473/jre.v3i1.24369

Abstract

Background: Fractures of the hard palate are infrequent. They are found in less then 10% of patients with midfacial fractures. They practically never occur in isolation and are usually part of alveolar process fractures or more complex midfacial fractures of the Le Fort type. Treatment of palatal fractures is planned and performed with the goal of restoring the transverse width of the palate, the anteroposterior projection of the maxillary arch, and the patient’s pretraumatic occlusal plane, as well as maintaining horizontal stability of the midface.Case Presentation: Reporting patient female 17 years old with panfacial fracture due to traffic accident. There was slight epidural haemorrhage on frontal area. The fractures are on upper face, midface, and lower face including the hard palate. We performed open reduction internal fixation on palate to correct the arch of the upper jaw. The other fracture site can be corrected easier. The approaches that we done are bicoronal, subsilier, and intraoral. The patient was successfully treated using bottom-up and outside-in sequence by accessing all facial injuries. Postoperatively, radiograph examination revealed good reduction and fixation of titanium plates, and physical examination revealed good functional and aesthetic outcomes.Conclusion: Palate fractures are relatively uncommon and are associated with significant rates of malocclusion and wound complications. These injuries are typically managed with plate fixation of the alveolar ridge with variable approaches to the palatal vault
Case Report: Risk of Electric Injury on Delayed Initial Treatment Elfiah, Ulfa; Suryani, Dissa Yulianita
Jurnal Rekonstruksi dan Estetik Vol 4, No 1 (2019): Jurnal Rekonstruksi dan Estetik, Juni 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.597 KB) | DOI: 10.20473/jre.v4i1.24349

Abstract

Electric Injury is a very aggressive burn injury with severe functional and aesthetic consequences caused by progressive and prolonged tissue necrosis. Necrosis that attacks the skeletal muscle can lead to rhabdomyolysis which results in complications if not treated properly. A complicated case of electric injury in Dr. Soebandi Jember General Hospital, a 26 years old man came to the emergency room with complaints of severe shortness of breath and urinary disorders. The patient had a history of having an electric shock in his right hand when turning on the fan a week prior of admission. The examination showed that the patient had bilateral pulmonary effusion, generalized edema and acute tubular necrosis (ATN) which was characterized by oliguria and even anuria accompanied by hematuria. Other symptoms experienced by patients are anterior uveitis, subconjunctival hemorrhage, and hematemesis.