Jurnal Plastik Rekonstruksi https://jprjournal.com/index.php/jpr <table style="height: 345px; width: 476px; background-color: #f8f8ff;"> <tbody> <tr style="height: 45px;"> <td style="width: 157px; padding-left: 30px; height: 45px;"><span style="color: #ff9900;"><strong>Journal Summary</strong></span><br /><strong><br />Title</strong><br /><strong>Initials</strong><br /><strong>DOI</strong><br /><strong>e-ISSN</strong><br /><strong>p-ISSN</strong><br /><strong>Editor-in-Chief</strong><br /><strong>Managing Editor</strong><br /><strong>First Published</strong><br /><strong>Frequency</strong><br /><strong>Publisher</strong><br /><strong>City &amp; Country</strong><br /><strong>Contact</strong></td> <td style="width: 308px; height: 45px;"><strong><br /><br />Jurnal Plastik Rekonstruksi</strong><br />JPR<br /><a title="Content Registration" href="https://search.crossref.org/?q=Plastik+rekonstruksi&amp;type-name=Journal+Article&amp;publisher-name=Jurnal+Plastik+Rekonstruksi&amp;container-title=Jurnal+Plastik+Rekonstruksi" target="_blank" rel="noopener">Prefix 10.14228 by </a><img src="https://ijain.org/public/site/images/apranolo/Crossref_Logo_Stacked_RGB_SMALL.png" alt="" width="60" height="14" /><br /><a title="ISSN Online" href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&amp;1440210206&amp;1&amp;&amp;" target="_blank" rel="noopener">2089-9734</a><br /><a title="ISSN Print" href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&amp;1432642827&amp;1&amp;&amp;" target="_blank" rel="noopener">2089-6492</a><br />Narottama Tunjung, MD<br /><br />March 2012 (On Going)<br />Twice a Year (March &amp; September)<br />Lingkar Studi Bedah Plastik Foundation<br />Jakarta, <a title="Wonderful Indonesia" href="https://www.indonesia.travel/gb/en/home" target="_blank" rel="noopener">Indonesia</a> <img src="https://vignette.wikia.nocookie.net/elderscrolls/images/d/d6/Indonesia_flag.png/revision/latest?cb=20140315065152" alt="" width="20" height="13" /> <br />editor@jprjournal.com</td> </tr> </tbody> </table> <p style="text-align: justify;"><strong><br />Jurnal Plastik Rekonstruksi<sup> </sup></strong>is a scientific international journal focusing on plastic, reconstructive and aesthetic surgery. The journal is peer-reviewed and open access, covering articles from all subdisciplines of plastic and reconstructive surgery, including burns, craniomaxillofacial, hand surgery, reconstructive microsurgery, and oncoplastic, wounds and experimental, external genital and aesthetic surgery. Basic science and experimental studies associated with plastic, reconstructive and aesthetic surgery also covered. All scientific article types are welcomed, including clinical case reports and studies, experimental research, ideas and innovations, viewpoints and surgical techniques.</p> <p style="text-align: justify;"><strong>Jurnal Plastik Rekonstruksi</strong> is indexed by the following abstracting and indexing services such as <a title="Google Scholar" href="https://scholar.google.co.id/citations?hl=en&amp;user=Qq3vR48AAAAJ&amp;view_op=list_works&amp;authuser=1&amp;gmla=AJsN-F5m-aAX2csNChV0DHPGNyzPA1eIChonODbs1K7Mkhn9l92SFlzkv1gPnxw3eraBTJyNL9hAyzBZPBoCtwaToB2-gc6j7Q" target="_blank" rel="noopener"><strong>Google Scholar</strong></a>, <a title="Sinta 4 Ristekbrin" href="http://sinta.ristekbrin.go.id/journals/detail?id=2054" target="_blank" rel="noopener"><strong>Sinta Ristekbrin</strong></a>, <a title="Portal Garuda" href="http://garuda.ristekbrin.go.id/journal/view/14768" target="_blank" rel="noopener"><strong>Portal Garuda</strong></a>, <a title="Lens" href="https://www.lens.org/lens/scholar/search/results?q=Jurnal%20plastik%20rekonstruksi&amp;page=0&amp;limit=10&amp;orderBy=%2Bscore&amp;filterMap=%7B%22source.title%22:%7B%22Jurnal%20Plastik%20Rekonstruksi%22:true%7D%7D&amp;dateFilterField=year_published&amp;previewType=SCHOLAR_ANALYSIS&amp;preview=true&amp;regexEnabled=false&amp;useAuthorId=false&amp;stemmed=true&amp;authorField=author" target="_blank" rel="noopener"><strong>Lens,</strong></a> <strong><a href="https://www.wizdom.ai/journal/jurnal_plastik_rekonstruksi/2089-6492" target="_blank" rel="noopener">Wizdom AI,</a></strong> <strong><a href="https://app.dimensions.ai/discover/publication?search_text=Jurnal%20Plastik%20Rekonstruksi&amp;search_type=kws&amp;search_field=full_search&amp;and_facet_source_title=jour.1364612">Dimension</a></strong>, <a href="https://www.worldcat.org/search?q=Jurnal+Plastik+Rekonstruksi&amp;fq=&amp;dblist=638&amp;fc=yr:_25&amp;qt=show_more_yr%3A&amp;cookie#%2528x0%253Aartchap%2Bx4%253Aartcl%2529%2C%2528x0%253Aartchap%2Bx4%253Adigital%2529format"><strong>WorldCat</strong></a>, and <a title="Scilit" href="https://www.scilit.net/journal/4172400" target="_blank" rel="noopener"><strong>Scilit</strong></a>. Since 2020, <strong>Lingkar Studi Bedah Plastik Foundation</strong> as the publisher of <strong>Jurnal Plastik Rekonstruksi </strong>has signed and implemented the <a title="Dora Declaration" href="https://sfdora.org/signers/" target="_blank" rel="noopener"><strong>DORA declaration</strong></a>. Currently, Jurnal Plastik Rekonstruksi is the official journal of <strong>Plastic, Reconstructive, and Aesthetic Surgery Training Program, Faculty of Medicine, Universitas Indonesia.</strong><br /><br />The plastic surgery community and researchers from any part of the world, from any socioeconomic level, are welcome to submit their study to JPR. The journals will always strive to be the open platform for plastic surgery research without any social, and politic barriers. The editorial boards sincerely hoped that the journals will serve as the catalyst to spread the science of plastic surgery to the world, improve patient safety, and increase surgical outcomes. JPR follows the overall purpose of the Lingkar Studi Bedah Plastik Foundation®, the supporting organization behind the journal, to teaches and sustain international plastic surgeons, to afford essential patient care, professional attitude and good ethical standards through education and research.<br /><br /></p> <h4><span style="text-decoration: underline; color: #3366ff;"><strong>Top 5 Most Downloaded Articles:</strong></span></h4> <p>1. <a href="https://www.jprjournal.com/index.php/jpr/article/view/29">Raymond et al. Medial Plantar Flap for Reconstruction of Heel Defect</a></p> <p>2. <a href="https://www.jprjournal.com/index.php/jpr/article/view/130">Ibadurahman et al. Is The ‘Rule of Tens’ a Necessary Screening Criteria in Cleft Lip Surgeries</a></p> <p>3. <a href="https://www.jprjournal.com/index.php/jpr/article/view/155">Martina et al. Mortality Analysis of Adult Burn Patients</a></p> <p>4. <a href="https://www.jprjournal.com/index.php/jpr/article/view/53">Samiadji et al. Synechia of Major Labia and It’s Operative Technique: A Case Report</a></p> <p>5. <a href="https://www.jprjournal.com/index.php/jpr/article/view/149">Utama et al. The Incidence of Palatal Fistula Postpalatoplasty in Children with Dental Caries: A Multi Centre Study</a></p> <h4> </h4> <h4><span style="text-decoration: underline; color: #3366ff;"><strong>Top 5 Most Viewed Articles:</strong></span></h4> <p>1. <a href="https://www.jprjournal.com/index.php/jpr/article/view/155">Martina et al. Mortality Analysis of Adult Burn Patients</a></p> <p>2. <a href="https://www.jprjournal.com/index.php/jpr/article/view/37">Mahandaru et al. The Effect Of Aloe Vera On Healing Process Of Incision Wound</a></p> <p>3. <a class="pkpStatistics__itemLink" href="https://www.jprjournal.com/index.php/jpr/article/view/178" target="_blank" rel="noopener"><span class="pkpStatistics__itemAuthors">Prasetya et al.</span> <span class="pkpStatistics__itemTitle">The Application of Moist Exposed Burn Ointment (MEBO) and Binahong Leaves in Treating Partial Thickness Burn : A Case Report</span></a></p> <p>4. <a class="pkpStatistics__itemLink" href="https://www.jprjournal.com/index.php/jpr/article/view/219" target="_blank" rel="noopener"><span class="pkpStatistics__itemTitle">Tetrapod Fracture: Surgical Anatomy Revisited As A Guide For 3D Reduction Using Carroll Girard T-Bar Screw</span></a></p> <p>5. <a href="https://www.jprjournal.com/index.php/jpr/article/view/35">Sukasah et al. Sidik-Chaula Urethroplasty and the Manset Flap for Non-Glanular Hypospadias Repair</a></p> Lingkar Studi Bedah Plastik Foundation en-US Jurnal Plastik Rekonstruksi 2089-6492 <p>Authors retain the copyright of the article and grant Jurnal Plastik Rekonstruksi the right of first publication with the work simultaneously licensed under a <em>Creative Commons Attribution License</em>. Articles opting for open access will be immediately available&nbsp;and permanently&nbsp;free for everyone to read, download and share from the time of publication. All open access articles are published under the terms of the <a href="https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode" target="_blank" rel="noopener">Creative Commons Attribution-Non-commercial-NoDerivatives (CC BY-NC-ND)</a> which allows readers to disseminate and reuse the article, as well as share and reuse of the scientific material. It does not permit commercial exploitation or the creation of derivative works without specific permission.&nbsp;</p> Teamwork Approach in Management of Zygomaticomaxillary Complex (ZMC) Fracture with Globe Rupture: A Case Report https://jprjournal.com/index.php/jpr/article/view/326 <p><strong>Introduction :</strong> Zygomaticomaxillary complex (ZMC) fractures are one of the most common fractures of the facial skeleton. Zygomatic fractures can cause ocular and mandibular functional impairment, along with cosmetic defects. The characteristic clinical signs of zygomatic bone fracture include diplopia, infraorbital nerve paraesthesia, flattening of the cheek, and trismus, whereas maxillary fracture may typically cause flattening of the midface and malocclusion. Therefore, surgical reconstruction is required to restore the function and appearance.<br /><strong>Case Report :</strong> A 31-year-old man with ZMC fracture and globe rupture underwent open reduction and internal fixation using plate and orbital mesh. We collaborated with an ophthalmologist who performed enucleation and tarsorrhaphy.<br /><strong>Discussion :</strong> The reconstruction improved functional and physical aspects and therefore psychological wellbeing. The main goal of the ZMC fracture treatment is to reconstruct the face in terms of functions and aesthetic. Furthermore, reconstruction of the left orbit (orbital rims and walls) as a secondary objective despite the blind eye, improved his appearance enabling formation of a pocket into which an eye implant was inserted. Satisfying functional and aesthetic outcome was achieved in this patient.<br /><strong>Conclusion:</strong> A teamwork approach in surgical reconstruction for this case with ZMC fracture which always has an orbital component, was recommended to obtain an effective and optimal result. Both plastic surgeon and ophthalmologist can elaborate patient needs for facial reconstruction especially orbital region with good result. </p> Nungki Ratna Martina Ester P Andyni Manalu Adilla Ramadhania Bony P Simbolon Copyright (c) 2022 Nungki Ratna Martina, Ester P Andyni Manalu, Adilla Ramadhania, Bony P Simbolon https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-07 2022-06-07 9 1 1 6 10.14228/jprjournal.v9i1.326 Paramedian Forehead Flap for Nasal Tip Reconstruction Related to Barbed Suture Infection https://jprjournal.com/index.php/jpr/article/view/336 <p><strong>Introduction :</strong> The nasal tip abscess is a rare pathology that affects the soft tissue of the nasal tip, with risk of damaging the cartilaginous framework with the resulting alteration of the anatomy and function of the nose, if not treated properly.<br /><strong>Case Presentation :</strong> A 22-year old female patient developed progressive defect with pain sensation at her nasal tip after bumping her nose 2 months ago and she admitted that she underwent a thread rhinoplasty 1 year ago. The reconstructive surgery was performed by excision of the ulcer, threads evacuation, and closing the defect with paramedian forehead flap procedure.<br /><strong>Summary:</strong> In this case, the problem can be treated very well with the paramedian forehead flap procedure which is an excellent option for nose reconstruction.</p> Yuni Ariani Bambang Wicaksono Copyright (c) 2022 Yuni Ariani, Bambang Wicaksono https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-07 2022-06-07 9 1 13 17 10.14228/jprjournal.v9i1.336 Lima Protocol for Cleft Palate Repair in Cleft and Craniofacial Centre Cipto Mangunkusumo Hospital Indonesia: A Preliminary Study https://jprjournal.com/index.php/jpr/article/view/337 <p><strong>Background :</strong> The techniques of cleft palate repair has faced significant evolutions. More importantly, no surgical protocol has been significantly associated with lower incidence of post-operative complications such as fistula formation, velopharyngeal insufficiency, or speech hypernasality. As cleft width is a strong predictor of outcomes, The Lima Protocol was introduced to select suitable surgical technique based on the degree of severity measured by palatal index. This article aimed to evaluate the efficacy of the newly established Lima Protocol in lowering post-operative complications in primary cleft palate repair surgery in Cleft and Craniofacial Center, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.<br /><strong>Case Presentation :</strong> This study is a case series featuring 6 patients with cleft palate treated with primary palatoplasty. Surgical techniques were selected based on the degree of severity measured by Palatal Index. The average age of performing primary palatoplasty was 14 months. 50% of the cases was classified as Veau 2 and the rest was Veau 3. Half of the patients fell into severe category based on Palatal Index and the other half was in moderate group. None of the patients developed fistula formation 3 months post-palatoplasty.<br /><strong>Discussion &amp; Conclusion:</strong> We confirmed that the 1-flap technique provided adequate closure comparable with the 2-flap technique without risking mucoperiosteal flap necrosis and fistula formation. Using the strengths of different surgical techniques individualized for each case based on the palatal index and grade of severity is indisputably a practical strategy. Trials with longer follow-ups are required to widely implement The Lima Protocol.</p> Kristaninta Bangun Jessica Halim Vika Tania Copyright (c) 2022 Kristaninta Bangun, Jessica Halim, Vika Tania https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-07 2022-06-07 9 1 7 12 10.14228/jprjournal.v9i1.337 Repair of Enophthalmus in Neglected Tetrapod Zygoma Fracture with Diced Cartilage Graft and Fascia Lata Sling Graft: A Case Report https://jprjournal.com/index.php/jpr/article/view/332 <p><strong>Introduction:</strong> Zygoma fractures with orbital involvement, are the most common midfacial traumas, which cause severe aesthetic and functional sequelae. Late reduction of orbital floor fracture may result in entrapment of orbital soft tissue, predisposing the occurrence of enophthalmos. This article aimed to report enopthalmus correction in neglected tetrapod zygoma fracture case with autologous diced cartilage graft and fascia lata graft.<br /><strong>Case Presentation:</strong> A 42-year-old female was injured in a traffic accident 8 years ago. Facial fracture was not repaired surgically, resulting in facial asymmetry and diplopia. Physical examination revealed right-sided zygoma deformity, 5mm dystopia, depressed malar eminence, gaze restriction and enophthalmus on the right eye. 3D CT scan confirmed a malunited neglected tetrapod zygoma fracture.<br /><strong>Result:</strong> Corrective osteotomy was performed to reconstruct the tetrapod zygoma fracture using combination of bicoronal, infracilliary, and maxillary vestibular approach. 4-point fixation and stepladder modification was used. 1.6 cc of cartilage-derived diced bone graft was inserted on the posterior orbital floor to repair enophthalmos. Six months follow-up revealed improved dystopia and malar prominence. Additional surgery was done to repair scleral show and smoothen and augment lower lid volume using 4.5x0.6 cm fascia lata graft hammocked from the medial canthus to lateral orbital bone.<br /><strong>Discussion &amp; Conclusion:</strong> Long neglected zygoma fracture possessed a difficulty in reconstructing malunited zygoma articulation. Good aesthetic and functional outcome are achievable following use of diced cartilage and fascia lata graft for enophthalmus correction in neglected zygoma-orbital fracture, suggesting the role of fascia lata sling graft for treatment of scleral show and lower lid volume replacement.</p> Kristaninta Bangun Jessica Halim Siti Handayani Copyright (c) 2022 Kristaninta Bangun, Jessica Halim, Siti Handayani https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-07 2022-06-07 9 1 18 23 10.14228/jprjournal.v9i1.332 The Effectiveness of Intradermal Suture Technique on Hypertrophic Scar Prevention in Rats https://jprjournal.com/index.php/jpr/article/view/335 <p><strong>Introduction :</strong> Hypertrophic scarring is a complication that occurs in post-surgical wounds. There are many ways to prevent scarring, but there have been no satisfactory methods yet. Moreover, no studies investigated the effectiveness of intradermal sutures. Polypropylene thread can be used to repair a scar after surgery. This study aimed to prove the effectiveness of intradermal sutures using polypropylene thread on surgical scar quality.<br /><strong>Method :</strong> The study was conducted using a randomized, controlled trial, and post-test only with 20 rats (Rattus norvegicus) as animal subjects. The wounds were made on the back, approximately 6 mm x 2 cm. Then, the rats were divided into two groups: a control group without intradermal sutures (K) and treatment group with intradermal sutures (I). Histopathological examination using Hematoxylin and Eosin (H&amp;E) staining was used to identify the fibroblast number on the 21st day. The fibrocytes number were also observed on the 12th week and the Vancouver Scar Scale (VSS) was used to assess the scar quality.<br /><strong>Result :</strong> The number of fibroblasts and fibrocytes in the control group (K) was significantly smaller (53.60 ± 14.571; 3.20 ± 0.447) than the treatment (I) (243.20 ± 75.334; 171.40 ± 13.221). The VSS value was significantly greater in the control than the treatment.<br /><strong>Conclusion:</strong> The intradermal sutures using polypropylene thread produced a better-quality scar after surgery compared to wounds without intradermal sutures. </p> Herman Yosef Limpat Wihastyoko Wicaksono Patria Wuryanjono Copyright (c) 2022 Herman Yosef Limpat Wihastyoko, Wicaksono Patria Wuryanjono https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-07 2022-06-07 9 1 24 29 10.14228/jprjournal.v9i1.335 Comparison Study of Bacterial Profile, Wound Healing, and Cost Effectiveness in Pressure Injury Patients Using Treatment Honey Dressing and Hydrogel https://jprjournal.com/index.php/jpr/article/view/334 <p><strong>Background :</strong> Pressure injury is a localized soft tissue injury caused by prolonged pressure over bony prominence. Most published papers used Manuka honey as dressing, while this product is expensive. As this reason, this study will use local product honey called Nusantara honey, to prove the use of local honey has better healing process, bacterial profile, and cost effectiveness, compared to the standard dressing, hydrogel.<br /><strong>Method :</strong> This is a one-month experimental study conducted in patients with pressure injury that referred to our division. Parameter of the bacterial profile was taken from deep-tissue specimen. The healing process was examined with Pressure Ulcer Scale for Healing (PUSH) Tool. Cost was accumulated after all the treatment. Data was analysed with t-Test or Mann Whitney (if the distribution is not normal), with statistical significance was define as p&lt;0.05..<br /><strong>Result :</strong> Of 26 wounds, 12 were randomized to hydrogel and 14 to honey dressing. Characteristics were determined by sex, age, body mass index, level of consciousness, mobilization status, immobilization etiology, comorbidities, grade and location of ulcer, hemoglobin, leukocytes, and albumin level. There was clinically significant wound size reduction in honey dressing according to PUSH Tool (p=0.118). The bacterial profile and reduction were similar. Honey dressing appeared to be more cost effective in terms of dressing cost (p&lt;0.001) and lower total cost.<br /><strong>Conclusion:</strong> The local honey dressing has better wound healing outcome, although it is not statistically significant. Its capability of decreasing pathogens is similar with hydrogel, with lower cost, particularly the dressing cost. This local honey dressing could be a good choice as wound dressing in areas where the modern dressings are not available.</p> Nandita Melati Putri Ruth Fitri Margareta Lumbuun Prasetyanugraheni Kreshanti Yulia Rosa Saharman Narottama Tunjung Copyright (c) 2022 Nandita Melati Putri, Ruth Fitri Margareta Lumbuun, Prasetyanugraheni Kreshanti, Yulia Rosa Saharman, Narrotama Tunjung Hariwangsa https://creativecommons.org/licenses/by-nc-nd/4.0 2022-06-07 2022-06-07 9 1 30 41 10.14228/jprjournal.v9i1.334