Jurnal Rekonstruksi dan Estetik (jre unair): Juni 2024

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.4 NO.1 JUNE 2019

MULTIPLE BURR HOLE AS AN ALTERNATIVE TREATMENT FOR LARGE SCALP DEFECT

Explore our case study on the use of multiple burr holes in addressing large scalp defects post-electrical burns. Discover more about advanced reconstructive techniques in plastic surgery. 🔬

Scalp defects with exposed bones, especially from electrical burns, pose a serious challenge in reconstructive surgery. Traditional methods like local or free flaps often fail or are contraindicated, leading to prolonged morbidity. This paper presents a case of a patient with a large scalp defect after an electrical burn injury, treated with multiple burr holes as an alternative approach.

The patient underwent surgical debridement by a plastic surgeon fourteen days post-burn, followed by the placement of multiple burr holes (15 mm apart) in non-viable bone areas by a neurosurgeon. Routine debridement was performed every three days in the outpatient clinic to maintain wound viability. Treatment spanned 90 days, during which granulation tissue began developing between the burr holes.

This approach facilitated the formation of a suitable vascular bed for subsequent skin graft applications. By avoiding postoperative complications such as infection or osteomyelitis, this technique proved effective in managing extensive skull bone exposure and periosteal trauma.

Explore a detailed case study where surgical debridement and burr hole placement led to granulation tissue formation, paving the way for successful closure strategies. Gain insights into the safety and effectiveness of this technique in avoiding complications like infections and osteomyelitis.

Multiple cranial burr holes offer a viable alternative for treating large scalp defects, ensuring swift and safe wound management while promoting granulation tissue formation. This method demonstrates potential for improving outcomes in cases of severe skull injuries and warrants further exploration in clinical practice.

Our study underscores the potential of multiple cranial burr holes as a rapid and reliable option for managing challenging head injuries. Stay informed about advancements in reconstructive surgery and patient-centered care. Join us in exploring cutting-edge research and advancements in plastic surgery and burn care. Stay tuned for updates on innovative treatments and improved patient outcomes.

More articles: https://e-journal.unair.ac.id/JRE/

#PlasticSurgery #ReconstructiveSurgery #BurnInjury #MedicalInnovation #MedicalResearch #BurnCare #SurgicalInnovation #HealthcareInnovation #PlasticSurgery #MedicalAdvancements #SurgicalAdvancements #BurnTreatment #PatientCare

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.4 NO.1 JUNE 2019

THE EFFECT OF PROPANOLOL ON C-REACTIVE PROTEIN IN PATIENTS WITH SEVERE BURNS AT DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA

🔥Discover groundbreaking research on propranolol's role in managing hypermetabolism in severe burn patients at Dr. Soetomo General Academic Hospital! 🔬

Burn injuries in Indonesia are on the rise due to population growth and industrialization, presenting significant health challenges with a notable mortality rate. Severe burns trigger hypermetabolic states that adversely affect various physiological functions, necessitating effective management strategies. This study investigates the impact of propranolol on hypermetabolism in severe burn patients through clinical and laboratory assessments.

Propranolol administration over 15 days significantly reduced C-reactive protein (CRP) levels, indicating improved metabolic control. An experimental study at Dr. Soetomo General Academic Hospital utilized a pre- and post-test control group design with burn patients covering 25 to 60 percent total body surface area (TBSA). Measurements at baseline, day 7, and day 14 evaluated treatment outcomes.

Sixteen participants were divided into treatment and control groups. Significant reductions in CRP levels were observed in the treatment group on days 7 and 14 (p < 0.05), demonstrating propranolol's effectiveness in mitigating hypermetabolic responses. Other parameters like Mid Arm Circumference and albumin levels showed varied responses, underscoring CRP as a robust indicator of treatment efficacy.

This study marks a significant advancement in burn injury management, showcasing propranolol's potential in alleviating hypermetabolic states. It provides compelling evidence that propranolol administration effectively attenuates hypermetabolic responses in severe burn patients. Such findings highlight propranolol as a promising therapeutic adjunct in managing severe burn injuries.

Explore our latest research uncovering the efficacy of propranolol in mitigating hypermetabolic responses in severe burn patients and reshaping burn care at Dr. Soetomo General Academic Hospital. Join us in exploring cutting-edge research and advancements in burn care, and stay tuned for updates on improving patient outcomes through innovative treatments.

More article: https://e-journal.unair.ac.id/JRE/

#BurnInjuries #MedicalResearch #Propranolol #Healthcare #MedicalScience #BurnTreatment #Propranolol #HealthResearch #HealthcareInnovation #BurnInjuries #MedicalStudies

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.4 NO.1 JUNE 2019

PALATE FRACTURE PROFILE IN PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY OF DR. SOETOMO GENERAL ACADEMIC HOSPITAL: JANUARY 2012- DECEMBER 2017

Discover the intricate world of palatal fractures and their impact on maxillofacial health in our latest blog post. We delve into key findings from our comprehensive study at Dr. Soetomo General Academic Hospital, shedding light on diagnostic approaches, treatment modalities, and patient outcomes.

Explore demographic trends and injury patterns among 82 patients, highlighting the prevalence of traffic-related accidents and common fracture types such as parasagittal and Sagittal. Learn how varied treatment methods influence hospitalization durations and patient recovery.

Our study underscores the critical role of meticulous medical records in optimizing treatment strategies for palatal fractures. Stay informed with the latest advancements in reconstructive surgery and healthcare innovation.

Join us on a journey of medical discovery and patient care excellence at Dr. Soetomo General Academic Hospital. Follow our blog for more updates on groundbreaking research and advancements in maxillofacial surgery.

More Articles: https://e-journal.unair.ac.id/JRE/

#MedicalStudies #HealthResearch #JREunair #MedicalScience #MaxillofacialInjuries

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.4 NO.1 JUNE 2019

SUCCESSFUL PHARYNGOPLASTY AFTER LE FORT I ADVANCEMENT IN A SEVERELY NEGLECTED CLEFT LIP AND PALATE PATIENT

Explore how advanced surgical techniques can address velopharyngeal insufficiency (VPI) in older patients with neglected cleft lip and palate conditions. This blog dives into a compelling case study that showcases the efficacy of pharyngoplasty in restoring speech clarity and quality.

Discover the journey of a 24-year-old female patient who underwent corrective surgery after years of untreated hypernasality and facial profile issues worsened by delayed treatments and orthognathic surgery.

Learn about the decision-making process behind choosing a superiorly-based pharyngeal flap and the subsequent improvement in speech observed post-operatively.

Pharyngoplasty emerges as a reliable option for addressing VPI, offering significant speech recovery potential even in complex cases of neglect. Explore how this innovative procedure can transform patient outcomes and pave the way for improved quality of life.

Join us in exploring the intersection of medical expertise and compassionate care in treating complex conditions like cleft lip and palate. Follow our journey to learn more about groundbreaking advancements in healthcare.

#MedicalScience #HealthCareInnovation #PatientStories #SurgicalAdvancements #CleftLip #PalateRepair #Pharyngoplasty #HealthAndWellness #JREunair

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.4 NO.1 JUNE 2019

COMPARATION OF EFFECTIVENESS OF SILVER SULFADIAZINE AND GENTAMICIN ON ABRASION WOUND HEALING

Explore the Comparative Effectiveness of Silver Sulfadiazine and Gentamicin in Abrasion Wound Healing

Abrasion wounds, caused by trauma affecting the skin's surface and superficial epithelium, often result from friction injuries. Effective treatment involves maintaining a moist wound environment. This study aims to compare the healing efficacy of silver sulfadiazine (SSD) and gentamicin cream on abrasions.

Using a post-test only control group design, 30 abrasion patients treated at the ED were divided into three groups: SSD, gentamicin, and tulle dressing. Wound dimensions were measured on days 1, 5, and 10 to assess healing progress.

By day 10, SSD demonstrated superior effectiveness in promoting abrasion healing compared to the other treatments. Its synergistic effect as a sulfonamide antibiotic combined with silver aids in exudate absorption and bacterial control, facilitating wound closure.

The findings underscore SSD's potential benefits in the proliferation phase of wound healing. Its ability to interact with chloride tissue and various proteins enhances the overall healing process.

Discover groundbreaking insights into abrasion wound management with our latest research comparing SSD and gentamicin. Learn how SSD's unique properties accelerate healing and reduce infection risk. Dive into the study's compelling results to optimize your wound care protocols and enhance patient outcomes.

Read our full article to delve deeper into the impactful findings and revolutionize your approach to treating abrasion wounds. Stay informed, stay ahead in wound care innovation!

More Articles: https://e-journal.unair.ac.id/JRE/

#WoundCare #MedicalResearch #SilverSulfadiazine #Gentamicin #Abrasions #HealthScience #InjuryManagement #HealthCareInnovation #PatientOutcomes #ResearchFindings #jreunair

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.4 NO.1 JUNE 2019

A CASE REPORT: RISK OF ELECTRIC INJURY ON DELAYED INITIAL TREATMENT

In the realm of medical emergencies, electric injuries stand out for their complexity and potentially devastating consequences. Join us as we delve into a gripping case from Dr. Soebandi Jember General Hospital, where a routine household activity turned into a life-altering event for a young man.

A 26-year-old rushes into the ER, gasping for breath and battling severe urinary issues. His ordeal began with a simple act: flipping on a fan. Little did he know, that innocent gesture would lead to bilateral pulmonary effusion, systemic edema, and acute tubular necrosis (ATN). This cascade of symptoms, including uveitis, hemorrhage, and even hematemesis, painted a grim picture of the havoc wrought by electric shock.

At Dr. Soebandi Jember, we specialize in the intricate dance of emergency medicine, intensive care, and surgical prowess. Our approach was swift and comprehensive—stabilizing the patient, addressing systemic complications, and considering surgical interventions like skin grafts to salvage damaged tissue.

Beyond the immediate chaos, this case taught us invaluable lessons in early detection and proactive management of electric injuries. Vigilance can mean the difference between recovery and irreversible damage, particularly in mitigating acute kidney injury (AKI) risks.

Our commitment extends beyond treatment—it's about empowerment through knowledge. Follow our journey as we unravel the complexities of electric injuries, sharing insights that elevate understanding and inspire better healthcare practices.

Explore more about our ongoing mission to transform challenges into triumphs at Dr. Soebandi Jember General Hospital. Together, let's champion awareness and resilience in the face of medical emergencies.

#MedicalCaseStudy #ElectricInjury #AKI #jreunair #HealthcareHeroes

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.4 NO.1 JUNE 2019

CLINICAL PROFILES OF FROSTBITE IN DR. SOETOMO GENERAL ACADEMIC HOSPITAL: A CASE SERIES

Frostbite poses unique challenges for mountaineers, especially at extreme altitudes. Our research at Dr. Soetomo General Academic Hospital sheds light on effective treatment strategies and long-term management. Discover the journey from initial injury to recovery and the importance of prevention in cold-weather activities.

Frostbite is a chilling reality for climbers tackling the heights of Mount Denali. At Dr. Soetomo General Academic Hospital, our recent study dives deep into the clinical profiles and treatment strategies for frostbite cases among mountaineers.

Frostbite occurs when skin and underlying tissues freeze due to prolonged exposure to cold temperatures. This condition can lead to serious tissue damage and, in severe cases, necessitate amputation. Our study focuses on understanding the progression of frostbite from initial injury to long-term recovery.

Our approach emphasizes immediate rewarming and pain relief followed by meticulous wound care and rehabilitation. We highlight the importance of close monitoring for signs of tissue necrosis and the potential need for surgical intervention.

Beyond initial treatment, we underscore the significance of ongoing follow-up care to ensure optimal healing and functional outcomes. Rehabilitation plays a crucial role in restoring mobility and preventing complications like joint stiffness.

Prevention remains the cornerstone of managing frostbite. Our findings underscore the importance of proper clothing, equipment, and acclimatization techniques for climbers and outdoor enthusiasts in cold environments.

Through our research, we aim to raise awareness about the risks associated with frostbite and empower individuals with knowledge on effective prevention and treatment strategies. Join us in exploring the complexities of frostbite management and the resilience of patients on their journey to recovery.

Stay tuned as we continue to share insights and updates from our ongoing research as We uncover new frontiers in frostbite management. The adventure continues, and we invite you to be part of it.

#MountaineeringHealth #FrostbiteAwareness #ColdWeatherInjuries #MedicalResearch #jreunair

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.4 NO.1 JUNE 2019

ANALYSIS OF RAT PLATELET COUNT AFTER ELECTRICAL EXPOSURE IN ACUTE AND SUBACUTE PHASE OF BURN INJURY

In the aftermath of an electrical burn, the human body undergoes a complex interplay of responses, particularly within its clotting mechanisms. Our latest study delves into this intricate realm, examining how electrical burns affect platelet counts during critical phases of recovery. Using a rigorous experimental design, we exposed rat models to controlled electrical voltage, simulating real-world burn scenarios. We meticulously monitored platelet counts immediately post-exposure and throughout the acute and subacute phases of recovery. What we discovered was remarkable: in the acute phase, platelets mobilized rapidly to the injury site, reflecting an immediate response to trauma. However, as recovery progressed into the subacute phase, platelet levels stabilized, suggesting a restoration of balance within the body's healing processes. These findings hold profound implications for clinical practice, offering insights into tailored treatments that could optimize healing outcomes and mitigate complications in burn injury management. By understanding these dynamic platelet responses, we aim to pave the way for future innovations in care, ensuring better patient outcomes and enhanced recovery strategies.

For a deeper exploration of our study and its implications, dive into the full findings https://e-journal.unair.ac.id/JRE/article/view/24347

Join us on this journey as we uncover the mysteries of how the body responds to traumatic injury and strive to improve medical interventions for those in need.

More Articles: https://e-journal.unair.ac.id/JRE/

#ElectricBurns #PlateletResearch #MedicalInnovation #BurnInjuryCare #ResearchFindings #jreunair

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.3 NO.1 JUNE 2018

PALATAL FRACTURE FIXATION ON SEVERE PANFACIAL FRACTURE: IS THERE ANY CLINICAL SIGNIFICANCE?

Unlocking the complexities of palatal fracture fixation in severe panfacial fractures: Is there clinical significance? 💥

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.

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.

In a case of severe panfacial fracture with upper jaw misalignment and an existing laceration, we opted to use miniplates for palatal fixation without making new incisions. 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.

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. However, it's important to note that there's a risk of osteosynthesis material exposure in the future.

Explore our groundbreaking study where we delve into the intricacies of surgical intervention for a panfacial fracture patient, with particular emphasis on aligning the upper jaw arch through innovative surgical techniques targeting the hard palate.

Join us as we uncover the challenges and solutions surrounding palate fractures, shedding light on plate stabilization methods and potential complications like teeth misalignment and wound issues. Don't miss out on this enlightening discussion!

Read More: https://doi.org/10.20473/jre.v3i1.24369
More Articles: https://e-journal.unair.ac.id/JRE/

#PalatalFracture #PanfacialFracture #SurgicalInnovation #ClinicalSignificance #jreunair

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.3 NO.1 JUNE 2018

MARJOLIN’S ULCER: MALIGNANT TRANSFORMATION FROM BURN SCAR

Unveiling the sinister transformation: Marjolin's ulcer emerges from burn scars with a vengeance! 🔥

Marjolin’s ulcer is a malignant lesion from a scar due to burn trauma, chronic osteomyelitis, chronic inflammation, or chronic fistulae. This type of ulcer is rare, usually progressively growing on unhealed wound, accompanied by chronic trauma especially burn scar. Marjolin’s ulcer can form different types of pathologies`. Squamous cell carcinoma is the most type of histology. Previously, there was 3 Marjolin’s ulcer reported in Indonesia.

Reporting 3 Marjolin’s ulcer case on Dr. Soetomo General Academic Hospital since 2008 to 2016. Two patients have history of unhealed chronic wound and one patient has history of burn injury 27 years ago. From the histopathology examination, all the results are squamous cell carcinoma. All patient undergo wide excision surgery done by surgical oncologist. All the defect is closed by flap modality. One patient’s defect is closed by latissimus dorsi flap, the other with anterolateral thigh free flap, and the latter is closed by latissimus dorsi free flap. Remain raw surface close by split thickness skin graft.

Marjolin’s ulcer is malignant lesion from scar due to burn trauma, chronic osteomyelitis, chronic inflammation, or chronic fistulae. Marjolin’s ulcer sometimes grow become squamous cell carcinoma although require a long time. Treatment this case is same the other malignancy. Diagnosis should be confirmed by clinical, radiological, and pathological. Staging can use the classification of UICC (Union for International Cancer Control) in accordance with the histopathological results.

Surgery serves as the primary approach for achieving local control, and radiotherapy plays a supplementary role, which must be supported by vigilant oncological monitoring.

Our latest insights delve into the ominous journey from chronic scar tissue to squamous cell carcinoma. Discover how early diagnosis and adherence to standard malignant lesion protocols are paramount in combatting this formidable foe.

Join us as we navigate through the intricacies of staging based on UICC classification, utilizing histopathological findings to guide treatment strategies. Stay vigilant, stay informed!

Read More: https://doi.org/10.20473/jre.v3i1.24368
More Articles: https://e-journal.unair.ac.id/JRE/

#MarjolinsUlcer #SquamousCellCarcinoma #BurnScarComplications #MedicalResearch
#jreunair