Pub Date : 2023-06-16DOI: 10.14228/jprjournal.v10i1.349
Saktrio D. Subarno, M. I. Ibnu Ikhsan
Introduction : Cleft in the lips and palate is a congenital abnormality in the lip and palate. The incidence of oral cleft in the United States is estimated to be 1 in 700 births. Meanwhile, for Indonesia, especially the Southeast Sulawesi region, it has not been well documented. Method : This is a retrospective study to determine the prevalence of cleft lip and cleft palate or labiopalatosc at Dewi Sartika Hospital in Kendari, Southeast Sulawesi between January and December 2018. Result : Prevalence of Labioschisis, Palatoschisis and Labiopalatochisis on January-December 2018 is 23 patients (33%), 13 patients (19%) and 34 patients (49%). Presentation for each of kind unilateral are : unilateral labioschisis is 38 patients (66,7%) and bilateral labioschisis is 19 patients (33,3%). Presentation according to the place of defect labioschisis : right is 10 patients (17,6%), left 28 patients (49,1%), bilateral 19 patients (33,3%). Distribution kind of palatoschizis : complete palatoschizis is 49 patients (89%) and Incomplete palatoschizis is 6 patients (11%). Presentation labioschizis according to sex : Male 40 patients (57%), and female is 30 patients (43%). Conclusion: The prevalence of cleft lip and palate has many forms, kind of labioschisis that large is unilateral labioschisis and localization defect is often on left edge. Complete labioschizis is large than incomplete palatoschizis. Labioschisis is happen more to male.
{"title":"THE DOCUMENTATION OF CLEFT LIP AND PALATE PATIENTS AT THE DEWI SARTIKA HOSPITAL IN KENDARI","authors":"Saktrio D. Subarno, M. I. Ibnu Ikhsan","doi":"10.14228/jprjournal.v10i1.349","DOIUrl":"https://doi.org/10.14228/jprjournal.v10i1.349","url":null,"abstract":"Introduction : Cleft in the lips and palate is a congenital abnormality in the lip and palate. The incidence of oral cleft in the United States is estimated to be 1 in 700 births. Meanwhile, for Indonesia, especially the Southeast Sulawesi region, it has not been well documented.\u0000Method : This is a retrospective study to determine the prevalence of cleft lip and cleft palate or labiopalatosc at Dewi Sartika Hospital in Kendari, Southeast Sulawesi between January and December 2018.\u0000Result : Prevalence of Labioschisis, Palatoschisis and Labiopalatochisis on January-December 2018 is 23 patients (33%), 13 patients (19%) and 34 patients (49%). Presentation for each of kind unilateral are : unilateral labioschisis is 38 patients (66,7%) and bilateral labioschisis is 19 patients (33,3%). Presentation according to the place of defect labioschisis : right is 10 patients (17,6%), left 28 patients (49,1%), bilateral 19 patients (33,3%). Distribution kind of palatoschizis : complete palatoschizis is 49 patients (89%) and Incomplete palatoschizis is 6 patients (11%). Presentation labioschizis according to sex : Male 40 patients (57%), and female is 30 patients (43%).\u0000Conclusion: The prevalence of cleft lip and palate has many forms, kind of labioschisis that large is unilateral labioschisis and localization defect is often on left edge. Complete labioschizis is large than incomplete palatoschizis. Labioschisis is happen more to male.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123999667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-16DOI: 10.14228/jprjournal.v10i1.345
Wilma Agustina, A. S. Budi, S. Rizaliyana
Introduction : Nicotine was assumed to be the cause of compromised flap. The administration of antioxidants can eliminate such effect, and one of the most promising antioxidants is Coenzyme Q10. The research aims to find the effect of orally administered Coenzyme Q10 on the viability of random skin flaps in nicotine-exposed wistar rats. Method : Twenty-seven white rats (Rattus norvegicus) were assigned in three groups. The first group received no nicotine, while the other two groups were nebulized with nicotine for 4 consecutive weeks, and treated as random skin flaps. In third group, Coenzyme Q10 was administered for 7 days. Then, a standard histopathological staining and vascular endothelial growth factor (VEGF) measurement were performed on flap sample to examine the extent of neovascularization and VEGF cell expression. Result : The average number of capillaries in group I was 5.33 ± 1.323, in group II was 5.89 ± 0.782, and in group III was 7.78 ± 2.587. There was no significant difference (p = 0.317, 95% CI) in groups I and II of VEGF expression. However, significant differences were found in the intensity of VEGF (p = 0.009, 95% CI) in groups I and group III, and in groups II and group III (p = 0.011, 95% CI). Thus, the intensity was stronger on the subject with coenzyme Q10 compared with the other two groups. Conclusion: Coenzyme Q10 increases the viability of random flaps by increasing the number of capillaries and VEGF expression.
{"title":"THE EFFECT OF ORALLY ADMINISTERED COENZYME Q10 ON THE VIABILITY OF RANDOM SKIN FLAP IN NICOTINE EXPOSED WISTAR RATS","authors":"Wilma Agustina, A. S. Budi, S. Rizaliyana","doi":"10.14228/jprjournal.v10i1.345","DOIUrl":"https://doi.org/10.14228/jprjournal.v10i1.345","url":null,"abstract":"Introduction : Nicotine was assumed to be the cause of compromised flap. The administration of antioxidants can eliminate such effect, and one of the most promising antioxidants is Coenzyme Q10. The research aims to find the effect of orally administered Coenzyme Q10 on the viability of random skin flaps in nicotine-exposed wistar rats.\u0000Method : Twenty-seven white rats (Rattus norvegicus) were assigned in three groups. The first group received no nicotine, while the other two groups were nebulized with nicotine for 4 consecutive weeks, and treated as random skin flaps. In third group, Coenzyme Q10 was administered for 7 days. Then, a standard histopathological staining and vascular endothelial growth factor (VEGF) measurement were performed on flap sample to examine the extent of neovascularization and VEGF cell expression.\u0000Result : The average number of capillaries in group I was 5.33 ± 1.323, in group II was 5.89 ± 0.782, and in group III was 7.78 ± 2.587. There was no significant difference (p = 0.317, 95% CI) in groups I and II of VEGF expression. However, significant differences were found in the intensity of VEGF (p = 0.009, 95% CI) in groups I and group III, and in groups II and group III (p = 0.011, 95% CI). Thus, the intensity was stronger on the subject with coenzyme Q10 compared with the other two groups.\u0000Conclusion: Coenzyme Q10 increases the viability of random flaps by increasing the number of capillaries and VEGF expression.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128683906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-16DOI: 10.14228/jprjournal.v10i1.348
Indri Aulia, M. Valeria, N. Zacharia, Bagus R. Amangku, M. L. Prasetyo
Introduction: Charity circumcision is common in Indonesia. It is usually done by general practitioners or medical students under supervision. Procedures are often held on a mass scale and rarely followed with post-monitoring. We developed a telemedicine follow-up protocol to educate and address post-procedure complications. This pilot study evaluates the acceptability of telemedicine follow-up protocol for charity circumcision in Indonesia. Method: Data were collected from operators and caregivers of children attending charity circumcision. The protocol consisted of text interviews (pain, urinary retention) and surgical sites' four-angle photographs (epithelialization, bleeding, infection, edema, and glans excoriation). The protocol was conducted two-way between caregivers and operators on days 1, 3, 7, and 30 after circumcision. The Ethics Committee of the Faculty of Medicine, Universitas Indonesia, has approved this study. Result: Twenty-five boys with a mean age of 8.02±1.53 years old have similar pre-operative, operative, and postoperative protocols. Twenty-one caregivers completed four times follow-ups, one missed two times follow-ups, and three missed the last follow-up. Mild pain was the most reported complication, with 32% (8/25), 12% (3/25), 8% (2/24) incidence on days 1, 3, and 7, respectively. By the end of the follow-up, there were no persisting complications, and 80% (20/25) of boys showed complete epithelialization. All caregivers and most operators were satisfied with telemedicine for post-mass circumcision monitoring. Conclusion: The telemedicine-based follow-up is acceptable and feasible to be applied in mass charity circumcision. This protocol is beneficial for monitoring the results and adverse events, therefore, should be routinely adopted in mass charity circumcision programs.
{"title":"THE ACCEPTABILITY OF TELEMEDICINE IN POST-MASS CHARITY CIRCUMCISION IN INDONESIA: A PILOT STUDY","authors":"Indri Aulia, M. Valeria, N. Zacharia, Bagus R. Amangku, M. L. Prasetyo","doi":"10.14228/jprjournal.v10i1.348","DOIUrl":"https://doi.org/10.14228/jprjournal.v10i1.348","url":null,"abstract":"Introduction: Charity circumcision is common in Indonesia. It is usually done by general practitioners or medical students under supervision. Procedures are often held on a mass scale and rarely followed with post-monitoring. We developed a telemedicine follow-up protocol to educate and address post-procedure complications. This pilot study evaluates the acceptability of telemedicine follow-up protocol for charity circumcision in Indonesia.\u0000Method: Data were collected from operators and caregivers of children attending charity circumcision. The protocol consisted of text interviews (pain, urinary retention) and surgical sites' four-angle photographs (epithelialization, bleeding, infection, edema, and glans excoriation). The protocol was conducted two-way between caregivers and operators on days 1, 3, 7, and 30 after circumcision. The Ethics Committee of the Faculty of Medicine, Universitas Indonesia, has approved this study.\u0000Result: Twenty-five boys with a mean age of 8.02±1.53 years old have similar pre-operative, operative, and postoperative protocols. Twenty-one caregivers completed four times follow-ups, one missed two times follow-ups, and three missed the last follow-up. Mild pain was the most reported complication, with 32% (8/25), 12% (3/25), 8% (2/24) incidence on days 1, 3, and 7, respectively. By the end of the follow-up, there were no persisting complications, and 80% (20/25) of boys showed complete epithelialization. All caregivers and most operators were satisfied with telemedicine for post-mass circumcision monitoring.\u0000Conclusion: The telemedicine-based follow-up is acceptable and feasible to be applied in mass charity circumcision. This protocol is beneficial for monitoring the results and adverse events, therefore, should be routinely adopted in mass charity circumcision programs.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125500324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-16DOI: 10.14228/jprjournal.v10i1.353
Darryl Samuel Salim, Dona Christin Victe, Sylvina Sylvina, Muhammad Rizqy Setyarto
Introduction: Post operative palatoplasty is one of the important things, because many complications that may occur post operatively such as bleeding, dehiscence, to velopharyngeal insufficiency. One of the factors that determine postoperative palatoplasty wound healing is feeding problem which is still controversial, both in terms of the type of food and the time of feeding. There are no guidelines for handling postoperative palatoplasty in Indonesia. For this reason, the author tries to make a feeding guides post palatoplasty by compiling existing literature, to be used as a reference in making guidelines. Method: Data collected from journal search engine with limited keyword. All article were analysed by authors to find focused data post palatoplasty feeding. All data is presented in a table, then compared and analysed. Result: There are nine articles that met the inclusion and exclusion criteria were obtained which were presented in the table and compared. Conclusion: Guidelines for post palatoplasty surgery must be made to provide the best results. Based on existing research and literature, the authors suggest including: a liquid diet after surgery, a soft diet as soon as possible, a solid diet after one month of surgery, and most importantly all diets must have good nutrition for Indonesia post palatoplasty feeding guidelines.
{"title":"POST OPERATIVE PALATOPLASTY FEEDING GUIDELINES: A LITERATURE REVIEW","authors":"Darryl Samuel Salim, Dona Christin Victe, Sylvina Sylvina, Muhammad Rizqy Setyarto","doi":"10.14228/jprjournal.v10i1.353","DOIUrl":"https://doi.org/10.14228/jprjournal.v10i1.353","url":null,"abstract":"Introduction: Post operative palatoplasty is one of the important things, because many complications that may occur post operatively such as bleeding, dehiscence, to velopharyngeal insufficiency. One of the factors that determine postoperative palatoplasty wound healing is feeding problem which is still controversial, both in terms of the type of food and the time of feeding. There are no guidelines for handling postoperative palatoplasty in Indonesia. For this reason, the author tries to make a feeding guides post palatoplasty by compiling existing literature, to be used as a reference in making guidelines.\u0000Method: Data collected from journal search engine with limited keyword. All article were analysed by authors to find focused data post palatoplasty feeding. All data is presented in a table, then compared and analysed.\u0000Result: There are nine articles that met the inclusion and exclusion criteria were obtained which were presented in the table and compared.\u0000Conclusion: Guidelines for post palatoplasty surgery must be made to provide the best results. Based on existing research and literature, the authors suggest including: a liquid diet after surgery, a soft diet as soon as possible, a solid diet after one month of surgery, and most importantly all diets must have good nutrition for Indonesia post palatoplasty feeding guidelines.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129261346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-16DOI: 10.14228/jprjournal.v10i1.358
Mufida Muzakkie, Annisaa Nabila Amatullah Sakinah
Introduction : External genitalia defect may result from various cases such as vulvar cancer, cervical cancer, tumor metastases, etc. Female genitalia is challenging for reconstruction due to many complex anatomical structure like urethra, vagina, anus, and its a highly mobile region. It is need to reconstruct with high successful rate and low morbidity procedure. The aim of this paper is to report various flaps for resurfacing following external genitalia defect. Method : From September 2017 - April 2022, 7 patients referred by Obstetric Gynecology Department to Plastic Surgery Division at Muhammad Hoesin Central General Hospital. The data was reviewed retrospectively to evaluate demographic, diagnosis, choice of flap reconstruction, functional and anatomical long term evaluation. Result : The ages of the patients ranged from 29 - 67 year-old, diagnosed with cervical cancer with tumor metastases to vulva in 16% (n=1) and vulvar carcinoma 84% (n=5). Flaps performed: Antero-lateral Thigh (ALT) flap in 14,5% (n=1), gracilis flap in 28,5% (n= 2), rotation flap in 28,5% (n= 2), keystone flap in 28,5% (n=1). A major dehiscence and need required reoperation for abscess in 16% (n=1). Flap selection based on size, region, and anatomical structure defect. ALT was chosen for wide and bilateral vulvar and perineal defect, gracilis for unilateral vulvar and perineal defect, Keystone flap for half of vulvar and perineal defect, rotation flap for defect on mons region. Conclusion: Flap selection in genitalia external reconstruction must be consider on the anatomical loss structure and defect size to achive durable tissue for acceptable functional and mobilisation. The algorithm may help to choose for flap based on loss area.
{"title":"FLAP MODALITY FOR RESURFACING FOLLOWING EXTERNAL GENITALIA TUMOR ABLATION: A CONSECUTIVE CASE SERIES","authors":"Mufida Muzakkie, Annisaa Nabila Amatullah Sakinah","doi":"10.14228/jprjournal.v10i1.358","DOIUrl":"https://doi.org/10.14228/jprjournal.v10i1.358","url":null,"abstract":"Introduction : External genitalia defect may result from various cases such as vulvar cancer, cervical cancer, tumor metastases, etc. Female genitalia is challenging for reconstruction due to many complex anatomical structure like urethra, vagina, anus, and its a highly mobile region. It is need to reconstruct with high successful rate and low morbidity procedure. The aim of this paper is to report various flaps for resurfacing following external genitalia defect.\u0000Method : From September 2017 - April 2022, 7 patients referred by Obstetric Gynecology Department to Plastic Surgery Division at Muhammad Hoesin Central General Hospital. The data was reviewed retrospectively to evaluate demographic, diagnosis, choice of flap reconstruction, functional and anatomical long term evaluation.\u0000Result : The ages of the patients ranged from 29 - 67 year-old, diagnosed with cervical cancer with tumor metastases to vulva in 16% (n=1) and vulvar carcinoma 84% (n=5). Flaps performed: Antero-lateral Thigh (ALT) flap in 14,5% (n=1), gracilis flap in 28,5% (n= 2), rotation flap in 28,5% (n= 2), keystone flap in 28,5% (n=1). A major dehiscence and need required reoperation for abscess in 16% (n=1). Flap selection based on size, region, and anatomical structure defect. ALT was chosen for wide and bilateral vulvar and perineal defect, gracilis for unilateral vulvar and perineal defect, Keystone flap for half of vulvar and perineal defect, rotation flap for defect on mons region.\u0000Conclusion: Flap selection in genitalia external reconstruction must be consider on the anatomical loss structure and defect size to achive durable tissue for acceptable functional and mobilisation. The algorithm may help to choose for flap based on loss area.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"3 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132625523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-30DOI: 10.14228/jprjournal.v9i2.344
P. Atmodiwirjo, Reinhart Jonathan, Mohamad Rachadian Ramadan, Sara Ester Triatmoko, Maryam Nur Erina, N. A. Ralena
Nasal reconstruction has continued to advance in accordance with Menick's vision as it was first conceived. His combination of radial forearm free flaps with the gold standard of paramedian forehead flaps is highly regarded for producing superior outcomes, and it has received widespread praise as a consequence. In this study, we present nine patients who had nose reconstruction using free flaps. All of the patients had successful outcomes. Using the FACE-Q questionnaire, we assessed the degree to which patients were satisfied with both the functional and aesthetic aspects of their appearance. The outcomes were positive for nine of the patients.
{"title":"Aesthetic Evaluation After Three-Dimensional Shaping of Free Flap for Nasal Reconstruction without Additional Paramedian Forehead Flap","authors":"P. Atmodiwirjo, Reinhart Jonathan, Mohamad Rachadian Ramadan, Sara Ester Triatmoko, Maryam Nur Erina, N. A. Ralena","doi":"10.14228/jprjournal.v9i2.344","DOIUrl":"https://doi.org/10.14228/jprjournal.v9i2.344","url":null,"abstract":"Nasal reconstruction has continued to advance in accordance with Menick's vision as it was first conceived. His combination of radial forearm free flaps with the gold standard of paramedian forehead flaps is highly regarded for producing superior outcomes, and it has received widespread praise as a consequence. In this study, we present nine patients who had nose reconstruction using free flaps. All of the patients had successful outcomes. Using the FACE-Q questionnaire, we assessed the degree to which patients were satisfied with both the functional and aesthetic aspects of their appearance. The outcomes were positive for nine of the patients.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127694387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-30DOI: 10.14228/jprjournal.v9i2.341
Felicia Puspita Sari, G. Samsarga, Kenny Satrio, Theodorus Kevin Putra Johansyah, Jeremy Jonathan, Made Dwi Andhika Yogiswara
Introduction : Nasal reconstruction presents a challenge in case of patients with unilateral cleft lip and palate (UCLP). Correction of the nasal deformity to achieve a symmetrical nose from the deficient columella and malformed nasal cartilage in cleft patients presents a great challenge. Nasoalveolar molding (NAM) was developed as a neoadjuvant therapy for patients with cleft lip and palate to improve nasal deformity before surgical intervention. The aim of this systematic review was to understand more about the effect of NAM on nasal symmetry and proportions in patients with UCLP. Method : We searched for manuscripts involving patients with UCLP who received NAM prior to cleft lip repair. Electronic literature searching of the PubMed, Scopus, Cochrane and Google scholar databases was conducted for the studies that had been published up to December 2021. Result : Presurgical NAM demonstrated benefits in nasolabial form when compared with patients who did not receive any presurgical infant orthopaedic appliances (PSIO). The use of presurgical NAM helps to achieve favourable reshaping of the nose and decrease the severity of the initial cleft deformity, resulting in improvement on nasolabial form. These changes lead to improved nasal symmetry and proportions in UCLP patients. Conclusion: The preponderance of evidence in this review suggests that presurgical NAM is a beneficial adjuvant therapy for nasal deformity correction and helps achieve nasal symmetry in patients with UCLP. However, there is insufficient evidence to conclude whether presurgical NAM produces these benefits at the time of nasal maturity.
{"title":"Effect of NAM on Nasal Symmetry and Proportions in Patients with UCLP: A Systematic Review","authors":"Felicia Puspita Sari, G. Samsarga, Kenny Satrio, Theodorus Kevin Putra Johansyah, Jeremy Jonathan, Made Dwi Andhika Yogiswara","doi":"10.14228/jprjournal.v9i2.341","DOIUrl":"https://doi.org/10.14228/jprjournal.v9i2.341","url":null,"abstract":"Introduction : Nasal reconstruction presents a challenge in case of patients with unilateral cleft lip and palate (UCLP). Correction of the nasal deformity to achieve a symmetrical nose from the deficient columella and malformed nasal cartilage in cleft patients presents a great challenge. Nasoalveolar molding (NAM) was developed as a neoadjuvant therapy for patients with cleft lip and palate to improve nasal deformity before surgical intervention. The aim of this systematic review was to understand more about the effect of NAM on nasal symmetry and proportions in patients with UCLP.\u0000Method : We searched for manuscripts involving patients with UCLP who received NAM prior to cleft lip repair. Electronic literature searching of the PubMed, Scopus, Cochrane and Google scholar databases was conducted for the studies that had been published up to December 2021.\u0000Result : Presurgical NAM demonstrated benefits in nasolabial form when compared with patients who did not receive any presurgical infant orthopaedic appliances (PSIO). The use of presurgical NAM helps to achieve favourable reshaping of the nose and decrease the severity of the initial cleft deformity, resulting in improvement on nasolabial form. These changes lead to improved nasal symmetry and proportions in UCLP patients.\u0000Conclusion: The preponderance of evidence in this review suggests that presurgical NAM is a beneficial adjuvant therapy for nasal deformity correction and helps achieve nasal symmetry in patients with UCLP. However, there is insufficient evidence to conclude whether presurgical NAM produces these benefits at the time of nasal maturity.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121190566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-30DOI: 10.14228/jprjournal.v9i2.340
YunitaDwi Ariani, T. Aliyatur, S. W. Jatmiko
Introduction:. Infantile hemangioma is a prevalent tumor in children Method: This research is a case control study. The data from January 1, 2019 to December 31, 2021 were processed and presented to assess the incidence and percentage of risk factors for infantile hemangioma. Univariate, bivariate and multivariate analysis was performed using Microsoft Excel SPSS 21 spreadsheet program. Result : Total sample in this research is 201. The risk factor for mothers aged between 22-30 years to give birth to a child with infantile hemangioma is 4.257 times greater than that of mothers aged less than 22 years. The risk factor for mothers aged more than 30 years to give birth to a child with infantile hemangioma is 9.960 times greater than that of mothers aged less than 22 years. The risk factor for patients with a family history of hemangioma was 14.175 times greater than those without a family history of infantile hemangioma or vascular abnormalities. The risk factor of using preconception drugs during pregnancy had a 4.914 times risk than those who did not use preconception drugs during pregnancy. Conclusion: Infantile hemangioma is more common in women with average birth weight. Mothers aged 22-30 years are at greater risk of giving birth to a child with infantile hemangioma. Family history of infantile hemangioma carries a greater risk than those without. The use of medications during pregnancy is associated with a greater risk of infantile hemangioma than not.
{"title":"The Role of Risk Factors and Characteristic for Infantile Hemangioma at Wava Husada Hospital, Malang: Two Years of Retrospective Study","authors":"YunitaDwi Ariani, T. Aliyatur, S. W. Jatmiko","doi":"10.14228/jprjournal.v9i2.340","DOIUrl":"https://doi.org/10.14228/jprjournal.v9i2.340","url":null,"abstract":"Introduction:. Infantile hemangioma is a prevalent tumor in children\u0000Method: This research is a case control study. The data from January 1, 2019 to December 31, 2021 were processed and presented to assess the incidence and percentage of risk factors for infantile hemangioma. Univariate, bivariate and multivariate analysis was performed using Microsoft Excel SPSS 21 spreadsheet program.\u0000Result : Total sample in this research is 201. The risk factor for mothers aged between 22-30 years to give birth to a child with infantile hemangioma is 4.257 times greater than that of mothers aged less than 22 years. The risk factor for mothers aged more than 30 years to give birth to a child with infantile hemangioma is 9.960 times greater than that of mothers aged less than 22 years. The risk factor for patients with a family history of hemangioma was 14.175 times greater than those without a family history of infantile hemangioma or vascular abnormalities. The risk factor of using preconception drugs during pregnancy had a 4.914 times risk than those who did not use preconception drugs during pregnancy.\u0000Conclusion: Infantile hemangioma is more common in women with average birth weight. Mothers aged 22-30 years are at greater risk of giving birth to a child with infantile hemangioma. Family history of infantile hemangioma carries a greater risk than those without. The use of medications during pregnancy is associated with a greater risk of infantile hemangioma than not.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"377 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124346879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-30DOI: 10.14228/jprjournal.v9i2.343
Alya Mutiara Azzahra, D. S. Perdanakusuma, D. Indramaya, I. Saputro
Introduction : Abnormal scar recurrence can occur and often be greater than pre-excision because the recurrence rate is giving a high percentage. Data about keloid and hypertrophic scar recurrence are rarely found in Indonesia. Therefore, it is necessary to conduct research related to abnormal scar, aims to determine the incidence of abnormal scar recurrence to support future research by giving valuable data. Method : A retrospective descriptive study that evaluated post-excision abnormal scar patients from 2018 to 2020 using medical records. Result : The sixteen cases had varied by age with the highest number of presentations in the late adolescence (17-25 years) (31%). Comparison of male (56%) and female (44%) patients were 1.28:1. The distribution of patients with recurrence of abnormal scars based on the type of abnormal scar found that 11 patients (69%) had keloids and the rest had hypertrophic scars with a total of 5 patients (31%) with predominantly ear (38%). Strategies of therapy most commonly excision only (50%), followed by excision with steroid injection combination (31%). Conclusion: This exemplifies recurrence case in post-excision abnormal scar. Our findings indicate that there are differences in surgical strategy, such as wound closure techniques. Most of them were found with keloid scars and the incidence of recurrence was 11 cases and 5 cases experienced more than 1 recurrence. Furthermore, combination therapy, such as steroid injection, which is the most commonly used therapy after excision in this case, did not appear to prevent recurrence.
{"title":"Keloid and Hypertrophic Scar Post-Excision Recurrence: A Retrospective Study","authors":"Alya Mutiara Azzahra, D. S. Perdanakusuma, D. Indramaya, I. Saputro","doi":"10.14228/jprjournal.v9i2.343","DOIUrl":"https://doi.org/10.14228/jprjournal.v9i2.343","url":null,"abstract":"Introduction : Abnormal scar recurrence can occur and often be greater than pre-excision because the recurrence rate is giving a high percentage. Data about keloid and hypertrophic scar recurrence are rarely found in Indonesia. Therefore, it is necessary to conduct research related to abnormal scar, aims to determine the incidence of abnormal scar recurrence to support future research by giving valuable data.\u0000Method : A retrospective descriptive study that evaluated post-excision abnormal scar patients from 2018 to 2020 using medical records.\u0000Result : The sixteen cases had varied by age with the highest number of presentations in the late adolescence (17-25 years) (31%). Comparison of male (56%) and female (44%) patients were 1.28:1. The distribution of patients with recurrence of abnormal scars based on the type of abnormal scar found that 11 patients (69%) had keloids and the rest had hypertrophic scars with a total of 5 patients (31%) with predominantly ear (38%). Strategies of therapy most commonly excision only (50%), followed by excision with steroid injection combination (31%).\u0000Conclusion: This exemplifies recurrence case in post-excision abnormal scar. Our findings indicate that there are differences in surgical strategy, such as wound closure techniques. Most of them were found with keloid scars and the incidence of recurrence was 11 cases and 5 cases experienced more than 1 recurrence. Furthermore, combination therapy, such as steroid injection, which is the most commonly used therapy after excision in this case, did not appear to prevent recurrence.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130994058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-30DOI: 10.14228/jprjournal.v9i2.339
W. Sinaga, N. Ratna, Mutu Manikam, A. Wardhana, Nandita Melati Putri, L. I. Octovia, Akhmad, Noviandi Syarif
Introduction : Burn patients as well as the critically ill experience strong oxidative stress, an intense inflammatory response, and a prolonged months-long hypermetabolic and catabolic response that affect nutritional requirements. This study aimed to investigate the nutrition intake in the acute phase from day 1 to day 7 and the correlation with length of stay (LOS) in burn patients in Dr. Cipto Mangunkusumo General Hospital.Method : This cross-sectional study was conducted from January to December 2020 in the Burn Unit of Dr. Cipto Mangunkusumo General Hospital. Research subjects were burns patients who were willing to take part in this research and met the research criteria. The characteristics data included gender, age, burn area, cause of burns, body mass index, and intake analysis were obtained from medical records and were analyzed using Spearman’s correlation and linear regression.Result : A total of 68 subjects were included in this study. There was an increase in energy intake from day 1 to day 7 of 10.81 + 12.73 Kcal/kgBW. There was a significant negative weak correlation between energy changes from day-1 to day-7 and length of stay (r = -0.25, p = 0.03).Conclusion: The higher energy increases within 7 days of treatment, the shorter the LOS of burn patients. Further research is still needed to assess the components that influence nutrition intake and how they impact the clinical outcome of burn patients.
{"title":"Increased Nutrition Intake from Day 1 to Day 7 and Its Correlation with LOS in The Burn Unit of Dr. Cipto Mangunkusumo Hospital Jakarta","authors":"W. Sinaga, N. Ratna, Mutu Manikam, A. Wardhana, Nandita Melati Putri, L. I. Octovia, Akhmad, Noviandi Syarif","doi":"10.14228/jprjournal.v9i2.339","DOIUrl":"https://doi.org/10.14228/jprjournal.v9i2.339","url":null,"abstract":"Introduction : Burn patients as well as the critically ill experience strong oxidative stress, an intense inflammatory response, and a prolonged months-long hypermetabolic and catabolic response that affect nutritional requirements. This study aimed to investigate the nutrition intake in the acute phase from day 1 to day 7 and the correlation with length of stay (LOS) in burn patients in Dr. Cipto Mangunkusumo General Hospital.Method : This cross-sectional study was conducted from January to December 2020 in the Burn Unit of Dr. Cipto Mangunkusumo General Hospital. Research subjects were burns patients who were willing to take part in this research and met the research criteria. The characteristics data included gender, age, burn area, cause of burns, body mass index, and intake analysis were obtained from medical records and were analyzed using Spearman’s correlation and linear regression.Result : A total of 68 subjects were included in this study. There was an increase in energy intake from day 1 to day 7 of 10.81 + 12.73 Kcal/kgBW. There was a significant negative weak correlation between energy changes from day-1 to day-7 and length of stay (r = -0.25, p = 0.03).Conclusion: The higher energy increases within 7 days of treatment, the shorter the LOS of burn patients. Further research is still needed to assess the components that influence nutrition intake and how they impact the clinical outcome of burn patients.","PeriodicalId":364477,"journal":{"name":"Jurnal Plastik Rekonstruksi","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129878477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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