NEW ISSUE: JURNAL REKONSTRUKSI DAN ESTETIK VOL. 10 NO. 1 JUNE 2025

  Hot Off the Press!

Jurnal Rekonstruksi dan Estetik (JRE) Vol. 10 No. 1 – June 2025 is now LIVE!
 Volume 10, Issue 1 | June 2025
 Open Access | Peer Reviewed

Explore the latest high-impact, peer-reviewed articles in the field of reconstructive and aesthetic surgery, including:

 Chin reconstruction after BCC excision using rhomboid flap
 Pedicled abdominal flap as an alternative to free flap for cancer defects
 Patient characteristics of pressure injuries in Southeast Indonesia
 Keloid patient profile post-surgical procedures
 Maxillofacial trauma assessment using FISS scoring system
 Evidence-based intervention for chronic wound care
 Systematic review on local flap techniques for sacral pressure ulcers

 Featured Articles:

1. RECONSTRUCTION OF CHIN DEFECT POST BASAL CELL CARCINOMA EXCISION USING RHOMBOID FLAP: A CASE REPORT. DOI : 10.20473/jre.v10i1.64457
2. PEDICLED ABDOMINAL FLAP FOR MALIGNANT DEFECT RECONSTRUCTION: A VIABLE ALTERNATIVE TO FREE FLAP. DOI : 10.20473/jre.v10i1.70946
3. PRESSURE INJURY PATIENTS CHARACTERISTIC IN SOUTH EAST INDONESIA WARRANTS IMMEDIATE INITIATION OF PREDICTIVE ASSESSMENT TOOLS: A CHART REVIEW. DOI : 10.20473/jre.v10i1.65076
4. PROFILE OF KELOID PATIENTS IN SURGICAL WOUNDS: A STUDY AT DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY, DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2019-2022). DOI : 10.20473/jre.v10i1.66572
5. ASSESSMENT OF MAXILLOFACIAL TRAUMA IN KANJURUHAN GENERAL HOSPITAL MALANG USING FACIAL INJURY SEVERITY SCALE (FISS) SCORING SYSTEM. DOI : 10.20473/jre.v10i1.70277 
6. CHRONIC WOUNDS : RISK FACTORS AND EVIDENCE-BASED INTERVENTION. DOI : 10.20473/jre.v10i1.66610
7. LOCAL FLAP TECHNIQUES OUTCOME FOR SACRAL PRESSURE ULCERS CLOSURES: A SYSTEMATIC REVIEW. DOI : 10.20473/jre.v10i1.70756

 Read and download the full issue here:
 https://e-journal.unair.ac.id/JRE/issue/view/2881

Let’s support the advancement of clinical knowledge and evidence-based practice.
Share your favorite articles and celebrate the work of our dedicated contributors!

#JurnalRekonstruksiEstetik #ReconstructiveSurgery #PlasticSurgery #ChronicWoundCare #OpenAccessJournal #ClinicalCaseReports #MedicalInnovation #EvidenceBasedMedicine #KeloidTreatment #FISSscore #WoundHealingResearch #BasalCellCarcinoma #FlapSurgery #LocalFlap #FacialInjury #BurnCare #PressureUlcer

LOCAL FLAP TECHNIQUES OUTCOME FOR SACRAL PRESSURE ULCERS CLOSURES: A SYSTEMATIC REVIEW

 🛌 Overcoming the Challenge of Sacral Pressure Ulcers: What Surgeons Need to Know from Recent Evidence

Sacral pressure ulcers (PUs) remain one of the most persistent clinical challenges in reconstructive surgery, particularly in elderly, immobile, or chronically ill patients. These wounds are not only slow to heal but also prone to recurrence, infection, and significant morbidity. So how can we improve outcomes?

In a recent article published in Jurnal Rekonstruksi dan Estetik, titled
LOCAL FLAP TECHNIQUES OUTCOME FOR SACRAL PRESSURE ULCERS CLOSURES: A SYSTEMATIC REVIEW (DOI: 10.20473/jre.v10i1.70756),
Yanuar Ari Pratama and Lakshya Nehal Samineni present a valuable synthesis of local flap techniques used in sacral PU closure offering practical insights and evidence for clinical decision-making.

📌 Key Takeaways for Reconstructive Surgeons and Clinicians:

🔹 High-impact evidence: The systematic review covers seven clinical studies published between 2019–2024 (case series and case reports), providing a current and concentrated look at real-world outcomes.

🔹 Flap Techniques Reviewed:

1. Clover-Style Fasciocutaneous Perforator Flap
2. Modified Parasacral Bilobed Perforator Flap
3. Standard Bilobed Flap

Each technique was shown to offer excellent flap survival, reduced tension, and lower recurrence, making them highly adaptable options depending on patient anatomy and defect complexity.

🔹 Why Local Flaps Still Matter:
Despite advances in microsurgery, local flaps remain the gold standard in sacral PU closure due to their reliability, minimal donor site morbidity, and suitability for fragile or high-risk patients.

🔹 Multidisciplinary Approach Needed:
The article emphasizes the importance of preoperative imaging, wound care collaboration, and rehabilitation to ensure sustained healing and functionality.

🎯 Why This Study Deserves Citation:

This is one of the few systematic reviews that focuses exclusively on sacral PU local flap techniques, bridging the gap between surgical theory and practical implementation. For anyone conducting research or clinical audits in pressure ulcer management, this paper offers consolidated insights, recent references, and real surgical data worth citing.

🔗 Read the full article here:
DOI: 10.20473/jre.v10i1.70756

📚 Published in: Jurnal Rekonstruksi dan Estetik
✍️ Authors: Yanuar Ari Pratama, Lakshya Nehal Samineni

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💬 “A well-structured review that should be on every reconstructive surgeon’s reference list when planning sacral PU closures.”

CHRONIC WOUNDS : RISK FACTORS AND EVIDENCE-BASED INTERVENTION

 🩹 Why Chronic Wounds Refuse to Heal and What Evidence Says We Should Do

Chronic wounds are more than just persistent injuries they are complex, costly, and deeply impact a patient’s quality of life. But what makes a wound chronic, and more importantly, what truly helps it heal?

A new study titled CHRONIC WOUNDS: RISK FACTORS AND EVIDENCE-BASED INTERVENTION sheds light on this critical issue. Drawing on current evidence and clinical insights, the researchers identify key risk factors and recommend targeted, science-backed interventions to improve healing outcomes.

🔍 What Makes This Study Valuable?

🧠 Beyond the Wound:
The article doesn’t just focus on the wound, it explores the systemic factors that contribute to chronicity: comorbidities, poor vascular supply, nutrition, aging, immune dysfunction, and inappropriate wound care strategies.

📊 Evidence-Based Strategies:
Rather than merely listing treatments, this paper consolidates evidence-backed approaches, including:

1. Advanced wound dressings
2. Pressure offloading
3. Debridement methods
4. Infection control
5. Nutritional interventions
6. Patient education and caregiver support

🔬 Multidisciplinary Emphasis:
Effective chronic wound care goes beyond the surgeon. This paper reinforces the need for collaborative care involving nutritionists, wound nurses, internists, endocrinologists, and physiotherapists for a more successful outcome.

💡 Preventive Insights:
One of the highlights of this work is its emphasis on risk factor screening and early detection. The authors recommend proactive intervention, especially in high-risk populations such as diabetics, elderly patients, and immobile individuals.

🎯 Why You Should Read and Cite This Article:

This review doesn’t just state the problem, it provides a framework for action. Whether you are a clinician managing wound care, a policymaker designing outpatient protocols, or a researcher seeking structured data on chronic wound interventions, this article is a valuable reference grounded in up-to-date literature and clinical realities.

📘 Read the full article in Jurnal Rekonstruksi dan Estetik:
👉 DOI: 10.20473/jre.v10i1.66610
✍️ Veronica Abebia Beginanta Pinem, David Sontani Perdanakusuma, Evy Ervianti, Mikiyas Gifawosen Teferi, Harith Ali Al-Taie

This study is a must-read for clinicians and caregivers dealing with wound care—it offers not just theories, but practical, proven strategies. Because when wounds stop healing, it's time to change the way we treat them.

ASSESSMENT OF MAXILLOFACIAL TRAUMA IN KANJURUHAN GENERAL HOSPITAL MALANG USING FACIAL INJURY SEVERITY SCALE (FISS) SCORING SYSTEM

 

💥 How Bad Is a Broken Face?

New Study from Malang Uses FISS to Grade Maxillofacial Trauma

When it comes to facial trauma, not all injuries are created equal. From minor fractures to life-altering disfigurements, clinicians need a way to objectively assess how severe a facial injury really is. 

Maxillofacial trauma is more than skin deep, it can disrupt essential functions such as breathing, chewing, and speaking, and leave long-term physical and psychological impacts. But how severe are these injuries, and how can clinicians objectively assess and prioritize treatment?

A recent study conducted at RSUD Kanjuruhan, Malang, takes on this challenge using the Facial Injury Severity Scale (FISS) a tool that scores maxillofacial injuries based on location and complexity. The results? Surprisingly reassuring.

🔍 Key Highlights

1. Most cases were mild, with the average FISS score of 3.37
2. 24.7% of patients scored just 2 points on the scale
3. Participants ranged from toddlers to seniors (age 2 to 76)
4. Most injuries were related to traffic accidents, with helmet use as a key variable

🔍 Why Is This Study Important?

✅ Objective Grading: The FISS scoring system provides a standardized way to grade injury severity allowing surgeons, emergency physicians, and even trauma registries to speak a common language.

✅ Real-World Data: Unlike theoretical reviews, this study is grounded in real cases over a two-year period from an Indonesian regional hospital, adding critical local insights to the global body of trauma research.

✅ Call for Expansion: The authors advocate for larger-scale studies and broader databases to validate FISS as a prognostic and triaging tool, especially in resource-limited settings.

🚑 The study, conducted between January 2022 – December 2023, suggests that while facial trauma is a serious concern, many cases in this setting were not severe. However, it also notes the need for larger studies to validate the FISS as a reliable prognostic tool.

📖 Read the full study here:
ASSESSMENT OF MAXILLOFACIAL TRAUMA IN KANJURUHAN GENERAL HOSPITAL MALANG USING FACIAL INJURY SEVERITY SCALE (FISS) SCORING SYSTEM
👉 DOI: 10.20473/jre.v10i1.70277
✍️ Kunthi Kencana Makayasa Putri, Deddy Setyo Nugroho
Published in Jurnal Rekonstruksi dan Estetik

This study is a step toward standardized trauma assessment vital in emergency settings where seconds count and faces matter

PROFILE OF KELOID PATIENTS IN SURGICAL WOUNDS: A STUDY AT DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY, DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2019-2022)

 

✂️ Why Surgical Scars Turn Into Keloids and What We’re Doing About It

For many patients, surgery is just the beginning. Long after the wound heals, some are left with a relentless, itchy, and expanding scar a keloid. But what if the very treatment meant to remove it ends up bringing it back?

A recent study published in Jurnal Rekonstruksi dan Estetik reveals a surprising truth:
➡️ Previous keloid surgery is the leading cause of keloid recurrence in surgical wounds.

🧪 Conducted at the Department of Plastic and Reconstructive Surgery, Dr. Soetomo General Academic Hospital (Surabaya, Indonesia), the study reviewed 58 keloid patients, 23 of whom developed keloids following surgical procedures. Most were young women (17–25 years), with no family history of keloids, and were students by occupation. The chest was the most commonly affected area, with itching as the dominant symptom.

So, what works best?
💉 Surgical excision combined with adjuvant therapies remains the most common and effective management option, despite the high risk of recurrence.

For Researchers & Clinical Practitioners:
Consider this article a key reference to:

1. Develop protocols for postoperative keloid prevention.
2. Design multimodal therapies that are personalized and evidence-based.
3. Emphasize patient education as an essential component of treatment.

Ready to gain deeper insights into postoperative keloids and how to manage them effectively?
Click the link above and learn directly from the latest field study!

🔗 Dive deeper into this essential study:
📄 PROFILE OF KELOID PATIENTS IN SURGICAL WOUNDS: A STUDY AT DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY, DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA (2019-2022)
👉 DOI:10.20473/jre.v10i1.66572
✍️ Diandra Yasmin Nurfaiza, Iswinarno Doso Saputro, Diah Mira Indramaya, Aruja Dhar, Saleh Ashafi, Milan Muhammed

✨ This study is a reminder: not all scars are just skin deep, and understanding patient profiles can help us better prevent and treat keloids, especially in post-surgical cases.