JURNAL REKONSTRUKSI DAN ESTETIK: VOL.9 NO.1 JUNE 2024

 

A CASE REPORT: EARLOBE RECONSTRUCTION ON CONGENITAL AURICULAR LOBE DEFECT USING Z-PLASTY

"Uncover the Power of Z-Plasty: Earlobe Reconstruction Case Study! 🌟

Dive into our latest case report detailing the transformative journey of earlobe reconstruction for congenital auricular lobe defects using the innovative Z-plasty technique. Discover firsthand how this revolutionary approach delivers seamless results, restoring confidence with minimal scarring.

Earlobe defects, often due to embryonal growth failure or injury, can affect aesthetics and social interactions despite not impacting hearing. Earlobe defect  can be formed either from birth as congenital defect or secondary manifestation of other causes such as tumor and external factor such as earring usage or trauma. This study aimed to address these issues by performing auricular lobuloplasty using a Z-plasty flap technique. The procedure, crucial for protecting the auditory canal and facilitating eyeglass use, was successful in achieving the desired aesthetic outcome. Data on microtia prevalence, particularly in Indonesia, highlights the need for such reconstructive surgeries.

A 9-year-old boy underwent auricular lobuloplasty to correct a cleft earlobe deformity, which caused social discomfort. The surgery, performed under general anesthesia, utilized a Z-plasty technique to lengthen and reorient the scar. Postoperative care included wound dressing changes and oral pain medication. After two weeks, satisfactory results were observed with no reported complications.

The study on congenital ear deformities focuses on Z-plasty for earlobe reconstruction, detailing classifications, surgical techniques, and case results. The surgery was successful with minimal scarring and no keloid formation. Using Weerda's classification, the technique showed minimal scarring and no keloid formation. The approach, emphasizing proper skin envelope and alignment with Langer lines, offers effective aesthetic restoration, making it a valuable reference for future earlobe reconstruction cases.

Utilizing Z-plasty for earlobe defect reconstruction aids in improving the earlobe's appearance with minimal to no complications.

Ready to delve into the world of earlobe reconstruction? Read the full case report now!

 https://doi.org/10.20473/jre.v9i1.54622

 #ZPlastySuccess #EarlobeRestoration #MedicalInnovation #jreunair

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.9 NO.1 JUNE 2024

 A CASE SERIES AND LITERATURE REVIEW: MANAGEMENT STRATEGIES FOR RADIATION-INDUCED ULCERS OF THE CHEST

🔬 Delve into the realm of radiation-induced ulcers of the chest with our latest case series and literature review! 

📚 Explore the challenges in treating skin alterations caused by radiotherapy and discover effective management strategies. 💡

Radiotherapy as an adjunct to cancer treatment causes a high incidence of radiation-induced tissue injury, ranging from radiation dermatitis to severe osteoradionecrosis. Currently, no gold standard exists in the management of radiation injury. Various strategies ranging from modern wound treatment to surgical management have been studied.

Three women presented with varying degrees of ulceration in the chest during or shortly following radiotherapy. Each case followed different approaches to management. One case solely received wound treatment, another received wound treatment and a sequestrectomy, and the third required surgical reconstruction of the chest wall and defect.

Methods of wound treatment range from topical agents, barrier films and dressings, hydrogel and hydrocolloid dressings, miscellaneous treatments, and biodressings. Surgery is required in severe cases, particularly with osteoradionecrosis. This may include wound debridement, biopsy, chest wall stabilization, closure using various flaps, and potential breast reconstruction.

Radiation-induced ulcers of the chest pose a complex issue. Understanding effective treatment methods and key surgical principles is important for ensuring better outcomes. Further studies are needed to provide a complete guide to treatment.

Don't miss out on this enlightening journey through innovative medical approaches! 

Read more: https://doi.org/10.20473/jre.v9i1.53650

#RadiationUlcers #WoundManagement #SurgicalIntervention #MedicalAdvancements #jreunair

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.9 NO.1 JUNE 2024

 

USING OF NEGATIVE WOUND PRESSURE THERAPY (NPWT): A CASE SERIES OF WOUND DISRUPTION AS A COMPLICATION OF A CAESAREAN SECTION

🌟 Dive into the innovative world of Negative Pressure Wound Therapy (NPWT) with our latest case series! 

🩺 Explore how NPWT effectively addresses wound disruption, a complication of Caesarean sections. 

💡 Learn how this advanced therapy stimulates granulation tissue formation, promoting primary wound closure and reducing the risk of surgical site infections. ⏳

Wound disruption following caesarean sections is a common issue that can increase maternal mortality and morbidity. Several factors have been identified, including maternal, procedural, and antibiotic factors. The re-suturing method,  primer, and secondary suture often fail, causing recurrent and delayed healing.

CASE 1: A 26-year-old woman, 7 days post-caesarean section, presented with a wet wound and yellowish serous fluid. Three weeks later, wound dehiscence occurred despite re-debridement and re-suturing. Subsequent installation of VAC resulted in granulation tissue and re-epithelialization. CASE 2: A 32-year-old woman, 14 days post-caesarean section, complained of weakness and pus in the surgical wound. Upon examination, a red-yellowish fluid was found, indicating wound dehiscence. Re-debridement and VAC installation led to the formation of granulation tissue and re-epithelialization.

VAC is the new wound care technique that suctions or collects excess exudate that absorbent gauze cannot accommodate. In comparison, absorbent gauze is limited in its capacity to absorb the fluid that produced in wounds. An innovation where the use of VAC, which has a negative pressure function, can stimulate granulation tissue to form and can bind the edges of the  wound so that it can close naturally.

In instances of wound disruption following surgery, such as in the case of a caesarean section, it may be prudent to contemplate re-debridement followed by re-suturing. VAC presents itself as a viable alternative for managing wound dehiscence until the formation of granulation tissue.

Don't miss out on this vital knowledge to improve maternal health outcomes! 

Read more: https://doi.org/10.20473/jre.v9i1.53349

#NPWT #WoundCare #CaesareanSection #MaternalHealth #MedicalInnovation #jreunair

JURNAL REKONSTRUKSI DAN ESTETIK: VOL.9 NO.1 JUNE 2024

 

PEDIATRIC OCULAR TRAUMA MANAGEMENT: A CASE STUDY OF EFFECTIVE INTRA-ORBITAL FOREIGN BODY IOFB EXTRACTION

🚨 Dive into the world of pediatric ocular trauma management with our latest case study! 👁️ 

Learn how we successfully extracted an intra-orbital foreign body (IOFB) from a 5-year-old patient's craniofacial injury. 🏥 

Penetrating intraorbital foreign body (IOFB) injuries are a rare form of traumatic injury. Recognized as a surgical emergency, meticulous history-taking and a thorough examination are essential for determining the trauma's mechanism and cause, facilitating accurate diagnosis and effective disease management.

In the emergency room, a 5-year-old female patient was presented with a craniofacial injury resulting from an IOFB. An evacuation procedure, conducted through a subsidiary incision, was performed to extract the foreign body. Interestingly, the object removed from the orbital cavity was a plastic foreign body, initially suspected to be a fractured orbital bone.

The clinical presentation, management, and outcomes of orbital foreign body injuries can differ based on the material composition of the foreign body. In cases of intraorbital foreign body trauma, the primary treatment goal is foreign body removal.

Precise and accurate initial management in the emergency department is crucial. Early diagnosis, aided by a 3D head CT scan, is instrumental in locating the IOFB and identifying the involved anatomical structures. This, in turn, enables timely treatment decisions to minimize the risk of complications.

Don't miss out on this real-life insight into emergency medicine! 

Read more:  https://doi.org/10.20473/jre.v9i1.49570

#PediatricOcularTrauma #IOFBExtraction #EmergencyMedicine #MedicalCaseStudy #jreunair

 

JURNAL REKONSTRUKSI DAN ESTETIK 
 VOL.9 NO.1 (2024)

🎉📚 Exciting News! 📚🎉

We are thrilled to announce that a collection of compelling research papers has been published in the esteemed Jurnal Rekonstruksi dan Estetik. Congratulations to the dedicated authors and researchers for their valuable contributions to the field of reconstructive surgery! 🌟✨

Here's a glimpse of the captivating topics covered in this latest issue:

1. PEDIATRIC OCULAR TRAUMA MANAGEMENT: A CASE STUDY OF EFFECTIVE INTRA-ORBITAL FOREIGN BODY IOFB EXTRACTION. DOI : 10.20473/jre.v9i1.49570

2. USING OF NEGATIVE WOUND PRESSURE THERAPY (NPWT): A CASE SERIES OF WOUND DISRUPTION AS A COMPLICATION OF A CAESAREAN SECTION DOI : 10.20473/jre.v9i1.53349

3. A CASE SERIES AND LITERATURE REVIEW: MANAGEMENT STRATEGIES FOR RADIATION-INDUCED ULCERS OF THE CHEST DOI : 10.20473/jre.v9i1.53650

4. A CASE REPORT: EARLOBE RECONSTRUCTION ON CONGENITAL AURICULAR LOBE DEFECT USING Z-PLASTY DOI : 10.20473/jre.v9i1.54622

5. PROGNOSIS OF INHALATION INJURY MORTALITY RATE WITH REVISED BAUX SCORE AT DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2019-2021) DOI : 10.20473/jre.v9i1.51118 

6. THE OCCURRENCE OF CONTRACTURE AND THE SEVERITY OF BURN INJURIES AMONG BURN PATIENTS TREATED AT DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2020-20220) DOI : 10.20473/jre.v9i1.52160

7. REGENERATIVE MEDICINE IN BURN INJURY: A BIBLIOMETRIC ANALYSIS AND LITERATURE REVIEW DOI : 10.20473/jre.v9i1.56491

We invite fellow researchers, clinicians, and enthusiasts to explore these thought-provoking articles, offering valuable insights and innovations in the realm of reconstructive surgery. Don't miss out on the opportunity to broaden your knowledge and stay updated with the latest developments in the field!

Read the full articles and explore the wealth of knowledge in the latest issue of Jurnal Rekonstruksi dan Estetik. Happy reading! 📖🔬

Full Issue : https://e-journal.unair.ac.id/JRE/issue/view/2565

#ReconstructiveSurgery #MedicalResearch #JournalPublication #InnovativeTechniques #ClinicalInsights #jreunair #Jurnalrekonstruksidanestetik