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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.
Arjuna Subject : -
Articles 151 Documents
The Results Of Two Conjoined Twin Separations From January To June 2010 : Case Series Handayani, Siti; Bangun, Kristaninta; Rayeni, Natasha Ratna
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (644.199 KB) | DOI: 10.14228/jpr.v1i1.2

Abstract

Conjoined twins are a rare resulting from late and incomplete division of monozygotic embryonic disk generally after 13th day of fertilization. Most cases of separation are extremely risky and life threatening. We present two successful cases of conjoined twins separations, who were admitted to Cipto Mangunkusumo Hospital, both in early 2010. Lulu-Lala, the abdominophagus conjoined twins and NaylaNabila the Abdominothorakophagus conjoined twins. The successions of this conjoined twins separation depends on the techniques, precautions and the team that works together to treat the patients. One of the separation techniques is the utilization of tissue expander to loosen the skin and so can be close primarily by primary closure. The foremost precaution is the infection control, including preparation and sterilization. Conjoined twins have a particular structural defect. Forty percent of them are stillborn and 35% survive only for one day. The mortality is increased by many causes and the most common cause is infection after surgery. All aspects in the team have to give priority to the sterility to avoid infection of those babies. The efforts to avoid the infections must have been done start from pre-surgery managements until the post-surgery.
Efficacy of Intralesional Alcohol Injection as Preoperative Treatment of Upper Lip Arteriovenous Malformation Kreshanti, Prasetyanugraheni; Sudjatmiko, Gentur; Anindhawati, Nur
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (455.967 KB) | DOI: 10.14228/jpr.v1i1.3

Abstract

Management of vascular malformation remains a major challenge because treatment carries a substantial risk of morbidity and recurrence of the fundamental problem. Intra-lesional 96% alcohol injection as a combination with other treatment modalities has good-to-excellent results. Six-year old female with a 5-year history of arteriovenous malformation on her upper lip underwent intralesional alcohol injection under general anesthesia. Afterward we performed excision of the lesion. During the surgery we used Satinsky intestinal clamp to control the bleeding by compressing the artery. The follow up period was 9 months; there were no complications and no signs of relapse. Aesthetically, the result perceived as acceptable to the parents and other viewers. In cases of arteriovenous malformation involving the lip the technique of injecting alcohol 96% intralesional in conjuct with reducing blood loss by using Satinsky intestinal clamps had an acceptable result aesthetically.
Surgical Intervention in Upper Lid Haemangioma To Prevent Amblyopia: Two Cases Report Sudjatmiko, Gentur; Marita, Adinda
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (426.764 KB) | DOI: 10.14228/jpr.v1i1.24

Abstract

Non-operative treatment for Hemangioma involving deeper skin structures extending into the mucosa is usually unsuccessful, since usually no involution will develop. Early surgical planning is important to prevent amblyopia and for the child’s self confidence of their cosmetic appearance later in life. We present two cases of superior palpebra hemangioma who underwent early surgical treatment. The first case involves a large hemangioma of the left superior palpebra with severe vision restriction; although later examination was proven that the visual function was still preserved. The second case involves a smaller perioccular lesion. Surgery was performed on both cases. In the larger hemangioma, only partial of tumor was removed by incision at the lid crease and intra-lesion injection of corticosteroids was administered to the remaining tumor.Advantages of surgical procedure in early rapidly growing stage and in very large hemangioma of upper eyelid; firstly, provides a definitive early treatment; secondly, safe because bleeding was manageable, and third prevent occlusion-related amblyopia. Besides these bene!ts surgery promises added esthetic outcome.
Lesson From Other Discipline’s Decision in Managing Giant Haemangioma Of The Hemithorax : Case Report Djaprie, Shelly M; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (402.439 KB) | DOI: 10.14228/jpr.v1i1.25

Abstract

The management of the giant and moderate size infantile haemangiomas are challenging problems, especially in health systems with limited resources in developing countries. The aim of presenting this case is to take a lesson from another discipline’s decision in managing haemangioma.The author provide information based on clinical examination and surgical records of the patient with giant hemangioma which was consulted to plastic surgery team. A four month year old boy was consulted by pediatric surgery team with a giant size haemangioma on the right hemithorax.The treatment option for each haemangioma are different based on the case itself. Especially for this case, it seems better to be treated conservatively due to several reason, such as the phase of hemangioma, the location of the mass, the size, the donor morbidity. Early surgical excision of a moderate size infantile haemangioma may be justified especially when there is dificulty of follow-up. This approach will prevent growth deformation, impact on nearby vital organs and psychological problems.
The Role Of Purse String Closure As The Primary Treatment Of Hemangioma Wardhana, Aditya; Atmaja, Tessa M.
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (499.253 KB) | DOI: 10.14228/jpr.v1i1.26

Abstract

Hemangioma is a common congenital disorder which happens in neonates or infant, with predilection sites in the face and neck. Not every case of hemangioma requires a surgical treatment. Some will regress spontaneously. In some cases which requires resection, the aesthetic aspects of the repair must be considered as the sites of the lesion involved the face and neck areas, which is greatly exposed.Two patients with hemangioma of the left cheek were admitted to Plastic Surgery Department of Cipto Mangunkusumo Hospital. The patients underwent excision and primary closure with purse string technique. Patients were evaluated at one week after surgery and a month after to assess scar appearance. Follow up evaluation revealed less visible scar compared to the immediate result. A well-known technique used by many plastic surgeons is the circular incision followed by purse-string closure. The use of this technique was known to produce less visible scar. Hemangiomas acts as a tissue expander, which make it applicable to close the defect using purse string closure.
Treatment of Buccal Lymph-hemangioma by Suction and Intralesional Steroid Injection Wardhana, Aditya; Sudjatmiko, Gentur; Tiza, Melina
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (474.26 KB) | DOI: 10.14228/jpr.v1i1.27

Abstract

Lymphangioma is a tumor-like lesion of lymphatics that most often located in the head and neck area, usually causing marked cosmetic and functional problems. Challenge continues to find a safe and effective modality of treatment for anatomical and functional purposes. Until now, no satisfactory methods in lymphangioma elimination. A 12 years old boy with lymphangioma of the left buccal was referred to the division of Plastic and Reconstructive Surgery in Cipto Mangunkusumo hospital. Suction and intralesional steroid injection was decided as a treatment in this patient. Pressure garment customized the size was made and applied to maintain and prevent healing in sagging position.Long term result should be evaluated, in this patient since the repair just only for 5 months. At follow up, 5 months post operatively after Suction and intralesional steroid injection, the buccal had improved significantly with normal anatomical and functional result. In our experience, the correction of the buccal lymph-hemangioma with suction and intralesional steroid injection was achieved a satisfactory result.
Innervated Bilobed Radial Forearm Free Flap For Tongue Reconstruction Atmodiwirjo, Parintosa; Bangun, Kristaninta; Handayani, Siti; Djamaloeddin, Chaula; Nindita, Eliza
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (606.737 KB) | DOI: 10.14228/jpr.v1i1.28

Abstract

Hemiglossectomy defects need reconstructions to restore normal functions and aesthetic outcomes. It is therefore prudent that well-planned reconstructive technique is needed for a good functional substitution for the defect.This case report describes a 30 years old male who developed T2N1M0 squamous cell carcinoma of the left tongue. The patient underwent a tongue reconstruction following his hemiglossectomy involving floor of the mouth without mandibular resection.The optimum method of reconstructing a major defect such as hemiglossectomy with floor of the mouth resection is best carried out by using microvascular free tissue transfer. We conclude that the radial forearm free flap is good method for reconstructing major defects of the tongue. The radial forearm free flap is thin, can be raised without patient position change, has constant vascular anatomy, and provides an advantage in the aesthetic aspect at the donor site.
Medial Plantar Flap for Reconstruction of Heel Defect Raymond, Benny; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (495.561 KB) | DOI: 10.14228/jpr.v1i1.29

Abstract

Heel is subjected to exceed weight bearing and shearing forces. Full-thickness defects to the plantar surface of the foot present a challenge. Variety of procedures have been described for resurfacing this site, but not all achieve normal foot function. Reporting two cases, defects of the plantar surface of the heel resurfaced with medial plantar flap, an island fasciocutaneus flap and innervated, thus provide a good replacement.One patient show good result within 4 weeks, with minimal raw surface on secondary defect. While other patient didn’t show up after 2 weeks. Medial plantar flap was successfully used for heel defect reconstruction. Donor site morbidity was minimal, and patient could walk post-operatively without special devices for the heel.
Microsurgery Technique in the Foot Reconstruction of Soft Tissue Defects: A Review of 4 Cases Atmodiwirjo, Parintosa; Sandhi, Afriyanti
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (575.562 KB) | DOI: 10.14228/jpr.v1i1.30

Abstract

The restoration of an intact covering is the primary surgical requisite following soft tissue defects in the foot because deep healing can be no better than the surface covering. Soft tissue defects that expose underlying bones, joints, and tendons pose challenging problems and require a free tissue transfer for a successful reconstruction.Total of 4 flaps in the foot was performed between February 2009 to February 2010. We reconstructed soft tissue defects in the foot in 4 patients using 3 free anterolateral thigh (ALT) flaps and 1 free radial forearm (RF) flap. Trauma was the commonest cause in our patients.Free ALT and RF flaps provided stable and durable long-term wound cover in all patients. Complications were few and manageable.Free tissue transfer has become commonplace 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 experience, we found that the using of free ALT and RF flaps in foot defects reconstruction, to be technically affordable, reliable and have resulted in excellent outcomes.
The Advantages of Vascularized Fibular Bone Graft For Mandibular Tumor Reconstruction Atmodiwirjo, Parintosa; Putri, Nandita Melati
Jurnal Plastik Rekonstruksi Vol 1 No 1 (2012): January - February Issue
Publisher : Yayasan Lingkar Studi Bedah Plastik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1092.48 KB) | DOI: 10.14228/jpr.v1i1.31

Abstract

Mandibular reconstruction are often indicated in patient who underwent ablation or excision of the mandible due to malignancy of the oral cavity.In this paper we will discuss about the mandibular reconstruction with use of alloplastic implant, and vascularized bone graft. Four cases of oral cavity tumor which were referred to the plastic surgery division at Cipto Mangunkusumo hospital during 2005-2011, after being diagnosed with oral cavity tumor were re-viewed. Mandibular reconstruction can be done using alloplastic implant, non-vascularized bone graft or vascularized bone graft. In this paper we studied four patients who needed mandibular reconstruction after ablation of oral cavity tumors. Patients who underwent reconstruction with alloplastic implants all had complications such as broken hardware. Where as in patient who underwent free fibular tissue transfer there were no complications at all. We can conclude that in less vascularized surrounding tissue as in cases that received or will receive other treatment such as chemotherapy or radiation that vascularized bone graft are superior. The bone healing in vascularized bone graft also does not depend on creeping substitution like in non vascularized bone graft.

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