Harsono, Anastasia Dessy
Yayasan Lingkar Studi Bedah Plastik

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Penile Reconstruction of Congenital Urogenital Malformation: Penile Duplication, Bifid Scrotum, Symphisiolysis, and Remnant Urachus Harsono, Anastasia Dessy; Budiman, Budiman; Sukasah, Chaula Luthfia
Jurnal Plastik Rekonstruksi Vol 1 No 3 (2012): May-June Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jpr.v1i3.71

Abstract

Background: This report describes the penile reconstruction of a congenital urogenital malformation.Patient and Method: A 12 year-old boy came to our hospital with ‘penile duplication’, bifid scrotum, symphisiolysis, and remnant urachus. The procedures were done by the urologist, pediatric surgeon, and plastic surgeon. Urethral evaluation done by the urologist determined which penis was tenable, pediatric surgeon then excised the remnant urachus, and we performed urethroplasty onto the chosen urethra. The medial side of the penis was deepithelialized and both penis were put within one skin covering.Results: Patient was able to control micturition, and has normal erectile function. In the future, we plan to do further reconstruction of the pubic symphisiolysis at pubertal age.Summary: Surgery was performed by a team dedicated to their specialties. There is no single standard procedure for urogenital malformation, and we must emphasize the functional and aesthetic results in reconstruction surgery. It is important to master the basic principles of plastic surgery.
The Effect of Honey on Granulating Tissue of The Mandibular Bone Harsono, Anastasia Dessy; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol 1 No 3 (2012): May-June Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jpr.v1i3.75

Abstract

Background: For many years, ancient civilizations used honey to heal wounds. Rediscovery of honey by modern physicians its use in conventional medicine. Few detailed descriptions of honey in healing difficult surgical wounds have been previously published.Methods: We report patient, male, 16 years old, who suffered acute lymphocytic leukemia and extensive mandibular eschar and had presented half of mandible bone exposed after escharectomy. Given the of closing the defect due to poor general condition of the patient, we advocated to applicate honey dressing on mandible bone to promote granulation tissue, to prevent infection and to promote epithelialization.Results: Due to honey’s effect are anti inflammatory and antimicrobial activity, promotes debridement, reduces malodor, maintains moist wound environment, and stimulates healing, in a month, all mandible exposed had been covered by granulation tissue, followed by skin grafting.Conclusion: In this case, honey had been proven effectively to stimulate granulation tissue growth on mandible bone both before and after surgery.
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 - March Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | 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. 
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 - March Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | 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.