2016

PIT XX
PERAPI

The 20th Annual Scientific Meeting
Indonesian Association of
Plastic Reconstructive and
Aesthetic Surgeons (InaPRAS)
26 – 28 Mei 2016

Clarion Hotel, Makassar, South Sulawesi, Indonesia

Two Decades of
InaPRAS Meeting:
Bridging Scientific
Advances and
Reality in
Daily Practice

Abstract Book

TABLE OF CONTENTS
SCIENTIFIC SCHEDULE...............................................................................................01
MOENADJAT MEMORIAL LECTURE............................................................................09
RHINOPLASTY: AESTHETIC AND RECONSTRUCTION ASPECT �����������������������������09
MEDICAL ETHICS ........................................................................................................10
PATIENT SAFETY .........................................................................................................11
STEPS TO GOOD RESEARCHER: A NOTE TO BEGINNER �������������������������������������12
PLENARY LECTURE 2..................................................................................................13
THE FUTURE OF ADIPOSE DERIVED STEM CELL IN PLASTIC SURGERY

13

PLENARY LECTURE 2..................................................................................................14
VASCULAR STEM CELLS THERAPY FOR TISSUE REGENERATION ���������������������14
LUNCH SYMPOSIUM 1 (BSN)......................................................................................15
EFFICACY AND TOLERABILITY OF CUTICELL FOR BURN CASES �������������������������15
PLENARY LECTURE 3..................................................................................................16
AESTHETIC FACIAL CONTOURING.......................................................................16
AESTHETIC SURGERY OF THE FACIAL SKELETON ................................................17
STEM CELL FACELIF ..................................................................................................18
SS 1: FACIAL AESTHETIC 1.........................................................................................19
THE ART OF MINIFACE LIFT........................................................................................19
THREAD LIFT ...............................................................................................................20
THREAD LIFT FOR FACIAL CONTOURING ................................................................21
SS 2: FACIAL AESTHETIC 2.........................................................................................23
SUTURE SUSPENSION BROWPEXY..........................................................................23
ABSTRACT....................................................................................................................09
SS 2: FACIAL AESTHETIC 2.........................................................................................25
SUTURE SUSPENSION BROWPEXY..........................................................................25
BROWLIFT ENDOSCOPY.............................................................................................26
UPPER LID BLEPHAROPLASTY: FAT TRANSPOSITION ...........................................27
SS 3: BREAST ..............................................................................................................28
BREAST IMPLANT: ROUND OR TEARDROP SHAPE, WHICH ONE BETTER?

28

ENDOSCOPIC ASSISTED BREAST AUGMENTATION...............................................29
LARGE

GYNECOMASTIA

WITH

NIPPLE

REPOSITIONING

UTILIZING

THE

DERMATOGLANDULER FLAP ....................................................................................30
PLENARY LECTURE 4..................................................................................................31
II

TABLE OF CONTENTS
REMOVING THE STIGMA OF THE CLEFT...................................................................31
TRIANGULAR TECHNIQUE FOR BILATERAL CLEFT LIP ..........................................32
MY EXPERIENCES IN CRANIAL VAULT RECONSTRUCTION ����������������������������������33
PLENARY LECTURE 5..................................................................................................34
FREE PERFORATOR FLAP IN LOWER LEG RECONSTRUCTION ��������������������������34
RECONSTRUCTION, LIP VERSATILITY OF ABBE FLAP ...........................................35
CONDILUS MANDIBULA RECONSTRUCTION

WITH K WIRE AND SILICON

BLOCK ...................................................................................................... 36
SPECIAL SYMPOSIUM (DERMOZONE INDONESIA)..................................................37
LUNCH S Y M P O S I U M 2 (PR O H E ALT H IN T ) IN N OVATION FR OM B E N C H
TO BED S I DE ...........................................................................................................39
MAKING PERFECTION OF THE ALVEOLAR BONE GRAFT IN CLEFT PATIENT: THE
ROLE OF BTCP ............................................................................................................39
LUNCH

SYMPOSIUM

2

(PRO

HEALTH

INT)

INNOVATION FROM BENCH TO BED SIDE ................................................................40
EVOLUTION OF BIODEGRADABLE IMPLANT IN CMF: PERSONAL EXPERIENCE IN
FOA PATIENT.................................................................................................................40
SS 4: BURN AND WOUND ...........................................................................................41
HOW TO MANAGE ARDS PATIENTS WITHOUT VENTILATOR IN BURN UNIT?

41

HYPERBARIC OXYGEN THERAPY IN PLASTIC SURGERY CASES: A SYSTEMATIC
REVIEW ........................................................................................................................42
ENDOCRINE AND METABOLIC CHANGES IN SEVERE BURN ��������������������������������43
SS5: A NEW CLINICAL OPTION IN WOUND MANAGEMENT (MUNDIPHARMA)

44

HOW  “SMARTPORE TECHOLOGY”  CAN IMPROVE PATIENTS QUALITY OF
LIVE ?........................................................................................................ 44
DAVID S. PERDANAKUSUMA (INDONESIA)................................................................44
SHARING BETAPLAST EXPERIENCE.........................................................................45
PVP-I : MYTH AND FACTS IN WOUND MANAGEMENT .............................................46
SS 6: FACIAL RECONSTRUCTION .............................................................................47
BLEPHAROPTOSIS: ORBICULARIS PLICATION MODIFIED TARSUS ���������������������47
CONSTRICTED EAR ....................................................................................................48
ALAR NOSE RECONSTRUCTION WITH SEPTOCHONDRAL MUCOSAL FLAP,
CARTILAGE GRAFT AND ISLAND FOREHEAD FLAP ................................................49
III

.............................................................................................53 OUR EXPERIENCE WITH NASOALVCOLAR MOLDING (NAM) IN MORE THAN 80 CLEFT PATIENTS ...................................................................................................................................................61 GAMBARAN MORBIDITAS OUTCOME PASIEN BEDAH PLASTIK YANG DIKERJAKAN DOKTER NON BEDAH PLASTIK DI SUMATERA BARAT 2007......................................................................................................50 TETRAPOD FRACTURE............59 SURGICAL MANAGEMENT OF SHORT URETHRA............................................56 RECONSTRUCTIVE MICROSURGERY IN CRANIOFACIAL TUMOR �����������������������57 SS 9: MICROSURGERY.......51 TURRICEPHALY RECONSTRUCTION IN SANGLAH GENERAL HOSPITAL 52 SS 8: CLEFT (SMILE TRAIN)................................................................................................................................... SURGICAL ANATOMY REVISITED AS A GUIDE FOR 3D REDUCTION USING CAROLL GIRARD SCREW............................................................................................................................................ 62 THE ROLE OF BLEOMYCIN IN HAEMANGIOMAS .....................67 IV ...................................................................................50 FACIAL TRAUMA OLD FRACTURE MANAGEMENT ..............................SS 7: CRANIOFACIAL............................................58 10: HYPOSPADIA TIPS AND TRICKS....................................2...................................... MUWARDI HOSPITAL..................................................................................................... BALI-INDONESIA.......2015 �����������������������61 PROFILE SNAKE BITE DIAGNOSTIC AND TREATMENT DR.........................................58 FINGER REPLANTATION : REPORTED OF TWELVE CASES IN SANGLAH GENERAL HOSPITAL......................55 SS 9: MICROSURGERY.60 SS 11: MISCELLANEOUS 1..............................................................................................63 SS 12: MISCELLANEOUS 2....................................................................................64 CHALLENGE IN GIANT HEMIFACIAL NEUROFIBROME’S REDUCTION : A CASE REPORT AND LITERATURE REVIEW............................................................................................................................56 MICROVASCULAR RADIAL FOREARM FASCIOCUTANEOUS FREE FLAP FOR DEFECT RECONSTRUCTION ON HEAD AND NECK.........................................................................64 ROLE OF EPITHEL GROWTH FACTOR IN TREATING SCAR / KELOID 65 DIABETES MELLITUS TYPE II IMPAIRS ADIPOSE – DERIVED STEM CELLS 66 FREE PAPER 1 ...........................59 MY EXPERIENCE USING STANDOLI’S TECHNIQUE TO REPAIR PENILE HYPOSPADIA ...................67 FREE PAPER SCHEDULE......................................................................................................................................53 THE USAGE OF EAR CARTILAGE GRAFT TO IMPROVE AESTHETIC PERFORMANCE OF THE NOSE IN CLEFT CHILDREN.........................54 NOSE REVISION AFTER LABIOPLASTY ..........................................

..........................................................................80 FP 036..........................................................................................................................................................................85 V .......................................................84 FLAP MODALITY FOR RESURFACING FOLLOWING AGGRESSIVE NECROTOMY DEBRIDEMENT IN SUBMANDIBULAR ABSCESS: CLINICAL EXPERIENCE IN 10 CASES.............................................................................................................77 FP 022..............73 INTRALESIONAL INJECTION WITH 5-FLOUROURACIL VERSUS TRIAMCINOLONE ACETONIDE FOR KELOID TREATMENT............................................................................76 FP 020....................................................77 PERFORATOR BASED FLAPS IN BURN RECONSTRUCTION: A 2 YEARS EXPERIENCE............................................................................................82 COMPARISON OF TOPICAL TREATMENT RESULTS BETWEEN COMBINATION OF HERBAL EXTRACTS AND TULLE ON ACUTE WOUND MODEL ON WISTAR RATS 82 FP 049................................................................................................................................................................79 THROMBOPROPHYLAXIS STRATEGY AND THE RISK OF FREE FLAP THROMBOSIS IN PATIENTS WITH HYPERCOAGULABILITY: A SYSTEMATIC REVIEW 79 FP 030..................................................................................................................................................................................FP 006.......................................................................................................................................................................................................................81 FP 038....................................84 FP 051...............................................83 THE SAFETY OF ONE-PER-MIL TUMESCENT INFILTRATION INTO SKIN FLAP THAT HAS SURVIVED FROM THE PRECEDING ISCHEMIC INSULT ����������������������������������83 FP 050.75 MANDIBULOMAXILLARY FIXATION (MMF) TRAINING PROGRAM EVALUATION AMONG PLASTIC SURGERY RESIDENT: A QUASI-EXPERIMENTAL STUDY 75 FP 019...................................76 EVALUATION OF MAXILLARY GROWTH OF PATIENTS WITH UNILATERAL COMPLETE CLEFT LIP AND PALATE AFTER TWO FLAP PALATOPLASTY WITH HONEY ORAL DROPS ..................................................................................................................................................................................74 COMPARISON OF THE NUMER OF ANGIOGENESIS OF ACUTE WOUND HEALING BETWEEN ALOE VERA AND TULLE ON ACUTE WOUNDS OF WISTAR RATS 74 FP 018......81 ANTHROPOMETRIC EVALUATION OF GENTUR’S CHEILOPLASTY METHOD IN UNILATERAL CLEFT LIP......................................................................................................................................................................................................................................................................................................................73 FP 014.............73 ABSTRACT FREE PAPER................................................................................................................................................................................................................................................................

...........................85 FP 040...............................................................86 FP 042...............................................................................97 THE EFFECT OF HYPERBARIC OXYGEN THERAPY FOR PREVENTING THROMBOSIS IN FREE FLAP : AN ANIMAL STUDY ........................................................................................................................87 FP 045...........................................................................................................................................................................................................89 RELATIVE BODY WEIGHT CHANGES POST PALATE REPAIR IN PATIENTS FED BY LONG NIPPLE NURSING BOTTLE VERSUS CONVENTIONAL FEEDING 89 FP 048....................................................................................................................................................................TABLE OF CONTENTS MORPHOMETRY OF INFANT NOSTRIL IN JAKARTA......................................................................................................................................................................................................88 EFFICACY OF CHLORHEXIDINE-ALCOHOL VERSUS POVIDONE IODINE AS PREOPERATIVE SKIN PREPARATION TO PREVENT SURGICAL SITE INFECTION: A META-ANALYSIS............................................................................................................................................91 EFFECTIVITY OF PLATELET RICH PLASMA IN WOUND HEALING OF DEEP SECOND DEGREE BURN INJURIES IN DR......................93 DIFFERENT APPROACH ON RECURRENT TEMPOROMANDIBULAR JOINT ANKYLOSIS WITH INTERPOSITIONAL ARTHROPLASTY USING SILICONE BLOCK AND BILATERAL CORONOIDECTOMIES: A CASE REPORT �������������������������������������93 FP 013.86 EFFECTIVENESS OF EARLY EXCISIONAL DEBRIDEMENT IN BURN INJURIES TO SEPSIS INCIDENCE AND MORTALITY RATE AT BURN UNIT OF HASAN SADIKIN HOSPITAL........................ SOETOMO GENERAL HOSPITAL ����������������������91 FP 001............................................................................................................................90 THE EFFECTIVENESS BOVINE AMNIOTIC MEMBRANE TO SUBSTITUTE HUMAN AMNIOTIC MEMBRANE IN PARTIAL THICKNESS WOUND CARE IN RATS 90 FP 044.........................................................................................................................................................................................97 FP 062...............................................................................................92 FACIAL CLEFT OF TESSIER NO.........87 NEW STRATEGY USING BETA BLOCKER AND NEGATIVE FLUID BALANCE THERAPY TO REDUCE MORTALITY RATE IN MANAGING PATIENT WITH SEVERE BURN INJURY: HASAN SADIKIN PROTOCOL.. 30: ENCOUNTERED IN ADULT ����������������������������92 FP 010....99 SUBJECTIVE ASSESSMENT OF THE SCAR FORMATION AT FACE AFTER VI .........88 FP 046...............................................................................................................................................................

........... AMPUTATION IS NOT AN OPTION...................................................................105 PO 004............................ GEL FIBROBLAST ON EPITHELIALIZATION PROLIFERATION...........................DECEMBER 2015............................................................................................................................................................................................................................................................103 CARTILAGE REGENERATION ON DONOR SITE DEFECT WITH ONE SIDED PERICHONDRIAL AURICULAR CARTILAGE GRAFT : AN EXPERIMENTAL RABBIT MODEL ........................................................................................................................115 HEMOSTATIC PERFORMANCE OF HONEY SOAKED OXYDIZED REGENERATED VII .......................................................................................106 E-POSTER SCHEDULE..........................TENNISON TRIANGULAR................................................................................................................................................................. AND NEOVASCULARIZATION OF FULL-THICKNESS WOUND ON WISTAR-STRAIN RAT (RATTUS NORVEGICUS)...............................100 THE EFFECT OF PLATELET-RICH PLASMA (PRP) FOR PROMOTING EPITHELIALIZATION SPEED IN RAT SKIN’S THIRD DEGREE BURN WOUND 100 FP 037........113 TOTAL NASAL RECONSTRUCTION...............................................................103 FP 041.......................114 COMPARATIVE AESTHETICS POST LABIOPLASTY UNILATERAL WITH MILLARD TECHNIQUE AND RANDALL ..........................................................................................................105 TOTAL NASAL RECONSTRUCTION.................................................................113 PO 004................101 CASE REPORT : HAND FINGER DEGLOVING INJURY.......................102 FP 032.................................................................................................................................................................................................................................TABLE OF CONTENTS MICROPOROUS PAPER TAPE APPLICATION.....................99 FP 019....................................................................................................102 THE EFFECT PROCESS.................................107 PO 001......................... 104 PO 001....................114 PO 005......................106 COMPARATIVE AESTHETICS POST LABIOPLASTY UNILATERAL WITH MILLARD TECHNIQUE AND RANDALL ....................................................................................... OF TOPICAL COLLAGEN SIMVASTATIN SYNTHESIS.....................................................104 BACTERIAL PATHOGENS AND ANTIBIOTIC SENSITIVITY PATTERN IN BURN UNIT OF HASAN SADIKIN HOSPITAL (RSHS) FROM JANUARY 2012 ....................................................TENNISON TRIANGULAR......................................................................................................................................................................................................................................................................................................101 FP 031.

................................................................. 121 PO 013............................118 FACIAL ATROPHY LESION TREATMENT WITH MODIFIED DERMAL-FAT GRAFT: A TECHNIQUE TO IMPROVE GRAFT SURVIVAL (CASE REPORT) ���������������������������118 PO 010............................................................................................120 INTRA-LESIONAL ALCOHOL INJECTION FOR FACIAL VASCULAR MALFORMATION........................................115 FP 007.....116 AN ALTERNATIVE TREATMENT AFTER TUMOR ABLATION AT MAXILLOFACIAL REGION FOR GERIATRIC PATIENT : CASE SERIES .. TREATMENT AND CHALLENGES.................... AND FIBROBLAST PROLIFERATION......................................................................................................................................................................................................................................................................................................123 PO 016.......................................... ..123 BUNIONPLASTY IN PLASTIC SURGERY POINT OF VIEW...........................................................................................125 THE EFFECT OF TOPICAL SIMVASTATIN GEL TO EPITHELIALIZATION PROCESS....................................................................................................................... AN AIDS PATIENT : A CASE REPORT..................................122 LONG TERM MAXILLARY GROWTH EVALUATION AFTER THE NON DENUDED MUCOPERIOSTEAL PALATOPLASTY TECHNIQUE ....122 PO 014.........................................................................................116 PO 008.......................................117 FP 009............................................................................119 NON-SURGICAL MANAGEMENT OF METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS PRESSURE ULCERS: A CASE REPORT..............120 PO 012.......126 THE OBJECTIVE MEASUREMENT OF MARGINAL EPITHELIAL CREEPING OF SPLIT-THICKNESS SKIN GRAFT USING TRANSPARENT PLASTIC PAPER: AN IDEA VIII ....................119 PO 011............. COLLAGEN SYNTHESIS............................................................121 MESENCHYMAL STEM CELLS THE NEXT GENERATION OF BURN TREATMENT............................................................................. AN ANIMAL STUDY...........................................TABLE OF CONTENTS CELLULOSE (SURGICEL MADU).................................................................................................................... .......................................................................................................................... OF FULL THICKNESS WOUND ON WISTAR STRAIN RAT (RATTUS NORVEGICUS) ���������������������������������125 PO 019..........................................................................................124 DEGLOVING HAND INJURY : IS “SANDWICH FLAP” STILL AN OPTION? 124 PO 017..............................117 SUCCESFUL SURGICAL MANAGEMENT OF GIANT CONDYLOMA ACUMINATUM...................................................................................................................................................................................

....................................................................................................132 CORRELATION BETWEEN BLOOD GLUCOSE VARIABILITY AND MORTALITY AMONG SEVERE BURN INJURY PATIENTS AT RUMAH SAKIT HASAN SADIKIN BURN UNIT .............................................131 MACROPHAGES BEHAVIOR..........135 SUCCESSFUL SURGICAL REPAIR OF PENILE SILICONE GRANULOMA WITH SPLIT-THICKNESS SKIN GRAFT AND SKIN FLAP: REPORT OF TWO CASES 135 IX .....................................................................................................128 PO 023......................................................................................................................................................................................................................TABLE OF CONTENTS AND INNOVATION METHOD..............................................................................129 PO 024....................................130 PO 025........................129 CLEFT CRANIOFACIAL CENTER JAKARTA: PROFILE OF PALATAL INDEX AND FISTULA FORMATION .............................133 PO 028...................................132 PO 027..................................................133 EVALUATION OF PRE-REFERRAL MANAGEMENT OF ACUTE BURN PATIENTS IN RUMAH SAKIT HASAN SADIKIN......................................................................................................................................................................................................................................................................................................................................................................134 EXPERIENCE WITH NEOVAGINAL CONSTRUCTION IN MALE TO FEMALE RECONSTRUCTION IN HASAN SADIKIN HOSPITAL............................................................................ AMNION AND MNICROBIAL CELLULOSE IN RAT’S FULL THICKNESS WOUND.............................................................................................................................................................................................126 PO 022.............................................................................................................................................................................................134 PO 029........................131 PO 026...............128 SURVIVAL OF COSTOCHONDRAL VERSUS CALVARIAL BONE GRAFT AS BIOMATERIALS FOR ORBITAL VOLUME RESTORATION SURGERY : A SYSTEMATIC REVIEW............................................................................................130 EMBOLIZATION AND REDUCTION IN GIANT HAEMANGIOMA GLOSSUS ET LABIALIS INFERIOR : A CASE REPORT ..

40 OPENING CEREMONY Sandeq B Room 08.00 Plenary Lecture 1 Moderator: Moch.40 – 09.30 – 11. 26 May 2016 07.00 – 10. Rieuwpassa (Indonesia) Sandeq B Room Rhinoplasty: Aesthetic and Reconstruction Aspect Sidik Setiamihardja (Indonesia) 09.J.20 Medical Ethics – Djohansyah Marzoeki (Indonesia) 09.50 The Future of Adipose Derived Stem Cell in Plastic Surgery Hiroshi Mizuno (Japan) 10.30 – 13.00 Re – registration 08.30 Plenary Lecture 2 Moderator: Fonny Josh (Indonesia) Sandeq B Room 10.40 Patient Safety – Idrus Paturusi (Indonesia) 09.00 – 10. Sjaifuddin Noer (Indonesia) 09.30 Exhibition Opening and Coffee Break 10.30 LUNCH 01 .00 Steps to Good Researcher: A Note to Beginner Din Syafruddin (Indonesia) 10.30 – 12.20 – 09.00 – 08.10 Vascular Stem Cells Therapy for Tissue Regeneration – Rica Tanaka (Japan) 11.00 – 08.30 Discussion 11.50 – 11.SCIENTIFIC SCHEDULE SYMPOSIUM (Aesthetic) Thursday.30 Lunch Symposium 1 (BSN) Moderator: Ishandono Dachlan (Indonesia) Sandeq B Room Efficacy and Tolerability of Cuticell for Burn Cases Iswinarno Doso Saputro (Indonesia) 12.00 – 09.30 – 10.40 – 10.10 – 11.00 Moenadjat Memorial Lecture Moderator: A.

00 Endoscopic Assisted Breast Augmentation Dharma P.45 Face Lift – Irena Sakura Rini (Indonesia) 14. Maluegha (Indonesia) 15.30 Upper Lid Blepharoplasty: Fat Transposition Ferdinand (Indonesia) 16.30 – 14.45 Discussion 14.45 – 16.30 – 15.45 – 15.30 Free Paper 1 – 2 Moderator: Elida Sari Siburian (Indonesia) Azalea Room 15.00 Brow Lift – Tomie Hermawan Soekamto (Indonesia) 16. David (Australia) 13.15 Aesthetic Surgery of the Facial Skeleton Rong-Min Baek (South Korea) 14.45 – 16.30 – 16.45 – 15.45 Breast Implant: Round or Teardrop Shape.45 – 14.Hardisiswo Soedjana (Indonesia) 15.30 -15.15 Large Gynecomastia with Nipple Repositioning Utilizing the Dermatoglanduler Flap .30 Stemcell Facelif – Natalie Brenner (Germany) 14.30 – 14.15 – 14.30 – 14. T.00 – 16.45 Discussion 14. Which one Better? Hendri Andreas (Indonesia) 14.15 – 15.45 SS 2: Facial Aesthetic 2 Moderator: Sachraswaty (Indonesia) Sandeq A Room 15.00 – 15.00 Thread Lift – Enrina Diah Nurmeirini (Indonesia) 15.45 Esthetic Face Contouring – David J.15 Endoscopic Forehead Lift – Hendri Andreas (Indonesia) 16.45 Discussion 02 .30 Plenary Lecture 3 Moderator: Djohan Wirawan (Indonesia) Sandeq B Room 13.30 – 16.15 Thread Lift for Facial Contouring Bambang Wicaksono (Indonesia) 15.30 – 15.30 – 13.15 – 15.30 Nose Contouring – Sumantri Sarimin (Indonesia) 15. R.SCIENTIFIC SCHEDULE 13.45 SS 3: Breast Moderator: Mendy Juniaty Hatibie (Indonesia) Sandeq B Room 14.15 – 16.00 – 15.45 SS 1: Facial Aesthetic 1 Moderator: Donna Savitry (Indonesia) Sandeq A Room 14.

30 . Conclusion Giving Credit: Citations and References Top 10 Tips for Responding to Reviewer and Editor Comment 18. Where.50 – 21.50 Ferry Sandra (Indonesia) Preparation of Manuscript for Publication: A short Message for Indonesian Authors 20.10 Discussion 18.10 – 21. and Why: The Ingredients in the Recipe for a Successful Methods Section 17.10 – 20.00 Discussion 03 .18.00 Session 2 Moderator: Irra Rubianti Widarda (Indonesia) 19.SCIENTIFIC SCHEDULE WORKSHOP MEDICAL WRITING Thursday.10 – 19.00 – 17.10 Session 1 Moderator: Magda Rosalina Hutagalung (Indonesia) 16.30 Rica Tanaka (Japan) The Results Section What Journal You Choose.10 Break & Dinner 19. Bars and Pies Bring Your Best to the Table 17.00 – 20.00 – 18.00 Din Syafruddin (Indonesia) The Discussion Section: Your Closing Argument. 26 May 2016 Sandeq B Room 16. Scatter Grams. Then Sequential Results Are What You Use Put Your Best Figure Forward: Line Graphs.30 – 17.00 Irawan Yusuf (Indonesia) How to Write a Case Report 20. When. 00 Hiroshi Mizuno (Japan) The title: Says It All The Abstract: A Tale of Two Summaries Set the Scene with a Good Introduction Who. What. How.30 – 18.

50 Free Perforator Flap in Lower Leg Reconstruction Baek-Kyu Kim ( South Korea) 08.00 TBA .00 – 11.30 Introduction To Revolution In Wound Care: Several Case Reports Donna Savitry (Indonesia) 10.50 – 08.10 Reconstruction.30 Condilus Mandibula Reconstruction with K wire and Silicon Block Djohan Wirawan (Indonesia) 09.50 – 09.30 – 11. David (Australia) 07.30 -09.00 – 08.30 – 07.00 – 11.30 My Experiences in Cranial Vault Reconstruction Andi Asadul Islam (Indonesia) 08.30 – 10.00 Special Symposium (DERMOZONE INDONESIA) Moderator: Sigit Wahyu Jatmiko (Indonesia) The Revolution in Wound Care Sandeq B Room 10.J Rieuwpassa (Indonesia) 08.Ratna Javita SRG (Indonesia) 11.00 Re – Registration 07.10 – 08.00 Lunch Symposium 2 (PRO HEALTH INT) Innovation from Bench to Bed Side Moderator: Donna Savitry (Indonesia) Sandeq B Room 11. Lip Versatility of Abbe Flap – Bisono (Indonesia) 09.00 – 12.30 Plenary Lecture 5 Moderator: David S.50 Removing the Stigma of the Cleft – David J.10 – 09.30 – 08.20 Making Perfection of the Alveolar Bone Graft in Cleft Patient: The Role of BTCP Herman Yosef Limpat (Indonesia) 04 .10 Triangular Technique for Bilateral Cleft Lip A. 27 May 2016 07.30 Plenary Lecture 4 Moderator: Magda Rosalina Hutagalung (Indonesia) Sandeq B Room 07.00 Coffee Break 10.30 – 08. Perdanakusuma (Indonesia) Sandeq B Room 08.SCIENTIFIC SCHEDULE SYMPOSIUM (Reconstructive) Friday.00 – 10.

N.30 SS 4: Burn and Wound Moderator: A. Asmarajaya (Indonesia) Sandeq A Room 13.45 – 14.30 – 14.30 Discussion 13.30 – 13.40 – 12.40 11.15 Endocrine and Metabolic Changes in Severe Burn I Nyoman P.15 Alar Nose Reconstruction with Septochondral Mucosal Flap.00 – 14.00 Sharing Betaplast Experience Brevitra Janesa Bismedi (Indonesia) 14.15 – 14.30 – 14.00 Evolution of Biodegradable Implant in CMF: Personal Experience in FOA Patient Magda Rosalina Hutagalung (Indonesia) Discussion 12.45 – 14.30 – 14.30 SS5: A New Clinical Option in Wound Management (MUNDIPHARMA) Moderator: Hardisiswo Soedjana (Indonesia) Sandeq B Room 13. G.45 Blepharoptosis: Orbicularis Plication Modified Tarsus Ferdinand (Indonesia) 13.30 Friday Pray & Lunch 13.00 Constricted Ear – Kristaninta Bangun (Indonesia) 14. Cartilage Graft and Island Forehead Flap Djohan Wirawan (Indonesia) 14.45 How to Manage ARDS patients without Ventilator in Burn Unit? Lisa Hasibuan (Indonesia) 13. Perdanakusuma (Indonesia) 13.30 – 13.30 SS 6: Facial Reconstruction Moderator: Najatulah (Indonesia) Acacia Room 13.SCIENTIFIC SCHEDULE 11.30 Discussion 13.45 – 14.00 – 13. A.00 Hyperbaric Oxygen Therapy in Plastic Surgery Cases: A Systematic Review .15 PVP-I : Myth and Facts in Wound Management Iswinarno Doso Saputro (Indonesia) 14.30 Discussion 05 .20 – 11.15 – 14.15 – 14. Riasa (Indonesia) 14.Afriyanti Sandhi (Indonesia) 14.00 – 14.30 – 13.45 How  “Smartpore Techology”  can improve Patients Quality of Live ?   David S.00 – 14.

30 – 15. Surgical Anatomy Revisited as a Guide for 3D Reduction using Caroll Girard Screw RR. Moegni (Indonesia) 15.45 – 15.45 Discussion 14.00 – 15.SCIENTIFIC SCHEDULE 13.00 Reconstructive Microsurgery in Craniofacial Tumor Hendra Sanjaya (Indonesia) 15.45 SS 7: Craniofacial Moderator: Magda Rosalina Hutagalung (Indonesia) Sandeq A Room 14.45 – 15.30 – 16.20 Free Paper 5 Moderator: Irra Rubianti Widarda (Indonesia) Azalea Room 06 .30 – 14.15 Finger Replantation : Reported of Twelve Cases in Sanglah General Hospital.15 – 15. Prasetyanugraheni Kreshanti (Indonesia) 15.45 – 15.15 Turricephaly Reconstruction in Sanglah General Hospital Made Suka Adnyana (Indonesia) 15.00 – 15.45 Discussion 14. Bali-Indonesia .30 – 15.15 – 15.45 Facial Trauma Old Fracture Management Siti Handayani (Indonesia) 14.30 – 15.45 Microvascular Radial Forearm Fasciocutaneous Free Flap for Defect Reconstruction on Head and Neck Agus Roy Rusli Hamid (Indonesia) 14.30 – 14.Karina F.15 – 15.15 Nose Revision after Labioplasty – Muhammad Jailani (Indonesia) 15.30 – 15.45 The Usage of Ear Cartilage Graft to Improve Aesthetic Performance of the Nose in Cleft Children – Donna Savitry (Indonesia) 14.00 Our Experience with Nasoalvcolar Molding (NAM) in More Than 80 Cleft Patients .00 – 15.00 Tetrapod Fracture.30 Free Paper 3 – 4 Moderator: Erythrina Permata Sari (Indonesia) Azalea Room 14.Agus Roy Rusli Hamid (Indonesia) 15.45 Discussion 15.45 SS 9: Microsurgery Moderator: Irena Sakura Rini ( Indonesia) Acacia Room 14.45 SS 8: Cleft (SMILE TRAIN) Moderator: Asrofi S.30 – 14. Surachman (Indonesia) Sandeq B Room 14.

00 Session 1 Moderator: Elida Sari Siburian (Indonesia) 07 . Sukasah (Indonesia) 16.00 SS 12: Miscellaneous 2 Moderator: Dharma P. Moegni (Indonesia) 16.T.30 – 17.45 My Experience Using Standoli’s Technique to Repair Penile Hypospadia .00 Discussion 18.30 – 17.00 – 08.30 Diabetes Mellitus type II Impairs Adipose – Derived Stem Cells Karina F.00 Discussion 15. Muwardi Hospital . 28 May 2016 Sandeq B Room 07.15 – 16.00 Gambaran Morbiditas Outcome Pasien Bedah Plastik yang Dikerjakan Dokter Non Bedah Plastik di Sumatera Barat 2007-2015 Deddy Saputra (Indonesia) 16.30 PERAPI NIGHT (Phinisi 1 Room) Instructional Course on Stem-Cell Saturday.30 The Role of Bleomycin in Haemangiomas Herman Yosef Limpat (Indonesia) 16.45 – 16.00 SS 11: Miscellaneous 1 Moderator: Parintosa Atmodiwirjo (Indonesia) Sandeq B Room 15.30 – 21.00 – 16.15 Profile Snake bite Diagnostic and Treatment dr.45 – 17.15 Role of Epithel Growth Factor in Treating Scar / Keloid Poengki Dwi Poerwantoro (Indonesia) 16. Amru Sungkar (Indonesia) 16.45 – 16.45 – 16.45 – 17.00 Challenge in Giant Hemifacial Neurofibrome’s Reduction Ruby Riana Asparini (Indonesia) 16.00 Discussion 15.45 – 17.R Maluegha (Indonesia) Acacia Room 15.SCIENTIFIC SCHEDULE 15.00 – 16.15 Surgical Management of Short Urethra Chaula L.00 SS 10: Hypospadia Tips and Tricks Moderator: Sachraswaty (Indonesia) Sandeq A Room 15.15 – 16.15 – 16.00 Re-Registration 08.45 – 17.00 – 10.Sumantri Sarimin (Indonesia) 16.

40 – 10.40 Introduction to Bone Marrow Derived Stem Cells Rica Tanaka (Japan) 08.40 – 09.30 Coffee Break 10.50 – 11.00 – 21.00 – 09.10 – 12.30 Harvesting and Isolation of Bone Marrow Stem Cells Rica Tanaka (Japan) 11.00 Coffee Break and Closing 15.Hiroshi Mizuno (Japan) 08.20 – 14.00 KONKER PERAPI 08 .00 – 10.10 Clinical application of Adipose derived stem cells in Plastic surgery Hiroshi Mizuno (Japan) 11.40 Session 3 Moderator: Donna Savitry (Indonesia) 13.50 An overview of PRP – Natalie Brenner (Germany) 11.30 Discussion 12.00 – 13.30 – 11.20 What’s Stem Cell? .30 Session 2 Moderator: Irena Sakura Rini (Indonesia) 10.20 Harvesting and isolation of hematopoietic stem cells Ferry Sandra (Indonesia) 13.30 – 12.50 – 12.50 Adipose Derived Stem Cells in Regenerative Medicine Hiroshi Mizuno (Japan) 10.00 – 08.20 – 13.20 – 08.10 – 11.00 LUNCH 13.00 – 14.10 Harvesting PRP – Natalie Brenner (Germany) 12.20 – 09.Fonny Josh (Indonesia) 09.SCIENTIFIC SCHEDULE 08.20 Harvesting and isolation of adipose derived stem cells Fonny Josh (Indonesia) 09.40 – 15.00 Discussion 10.40 Clinical Application of Bone Derived Marrow Stem Cells Rica Tanaka (Japan) 13.40 Discussion 14.20 Skin Rejuvenation and Associated Application of PRP Natalie Brenner (Germany) 14.30 – 13.30 – 10.00 Introduction to ASCs .40 Introduction to Hematopoietic Stem Cells Ferry Sandra (Indonesia) 09.40 – 14.

ABSTRACT Moenadjat Memorial Lecture RHINOPLASTY: AESTHETIC AND RECONSTRUCTION ASPECT Sidik Setiamihardja (Indonesia) 09 .

ABSTRACT Plenary Lecture 1 MEDICAL ETHICS Djohansyah Marzoeki (Indonesia) 10 .

ABSTRACT Plenary Lecture 1 PATIENT SAFETY Idrus Paturusi (Indonesia) 11 .

12 . Tamalanrea 90245. The basic qualities of a good researcher including clinical researcher in general are intelligence. Jalan Diponegoro 69.ABSTRACT Plenary Lecture 1 STEPS TO GOOD RESEARCHER: A NOTE TO BEGINNER Din Syafruddin (Indonesia) Senior Research Fellow and Professor Malaria and Vector resistance Laboratory. Eijkman Institute for Molecular Biology. The detail of each step will be discussed during presentation. Investigation step includes: pretest and pilot study. This Includes study of disease mechanisms. Makassar. Jakarta 10430 Department of Parasitology. interprets the results. Indonesia Research in basic human biology and the biomedical sciences is entering the most exciting phase of its development within the last few two decades.thus underlines the importance of clinical research at hospital and community levels. Hasanuddin University. scrutinize the data. Clinical research pertains research conducted on humans or human tissues that makes use of patient data. enough knowledge. it is difficult to anticipate when the gains of this explosion in scientific knowledge will become available for the prevention and treatment of the major killers of mankind. curiosity and initiative. treatment and prevention of diseases. think of the study design. epidemiology.  Steps in clinical research includes: pre-investigation step: identify the problem. Therefore. write and disseminate the reports and monitor the reaction. formulate research objective and hypotheses. therapeutic interventions. and develop the tool. Post-investigation step includes: analyse the data. write the study protocol. This talk focuses on how to create a good clinical researcher among the Indonesian medical professionals. and clinical trials. Jalan Perintis Kemerdekaan Km 10. particularly in developing countries where infectious diseases are still dominant . However. Faculty of Medicine. efforts are now focused to translate the major discoveries in basic science into tool (s) that may facilitate diagnosis. and good in oral and written communication. collect and evaluate existing information (state-of-the-art). collect the data. honesty. aimed at understanding human disease and improving human health. Interaction between researchers and patient data is a key feature. handle the non-response and ethical issues. identify the study subjects.

ABSTRACT Plenary Lecture 2 THE FUTURE OF ADIPOSE DERIVED STEM CELL IN PLASTIC SURGERY Hiroshi Mizuno (Japan) 13 .

ABSTRACT Plenary Lecture 2 VASCULAR STEM CELLS THERAPY FOR TISSUE REGENERATION Rica Tanaka (Japan) 14 .

ABSTRACT Lunch Symposium 1 (BSN) EFFICACY AND TOLERABILITY OF CUTICELL FOR BURN CASES Iswinarno Doso Saputro (Indonesia) 15 .

Understanding of anthropon1etrics and cephalometries becomes essential for the surgeon. The treatment 1nodalities consist of osteotomies. onlay procedures.ABSTRACT Plenary Lecture 3 AESTHETIC FACIAL CONTOURING David J. Many of the mainstream aesthetic manoeuvres have taken their inspiration from repair of severe craniofacial defonnities. 16 . This presentation deals with the techniques. The basis of facial contouring is the rule outlined by Pichler “first the bone then the soft tissue”. of reshaping the face in patients with “deformity” and in purely aesthetic cases. soft tissue sculpturing and soft tissue augmentation. Such surgery presupposes knowledge of the aesthetic norms for the society and the wishes of the patient. Conversely the need for craniofacial surgeons to remove the ultimate stigmata of the diseases that they treat relies heavily on their ability in and knowledge of aesthetic surgical techniques. David (Australia) The relationship between aesthetic surgery of the head and neck and craniomaxillofacial surgery is a close one. Somme common complications are addressed.

With one or combination of these aesthetic surgeries of the facial skeleton. The Asians have their own view of beauty and it is fairly different from that of other ethnic populations. balance. and prominent mandibular angles. there are certain facial skeletal features that. and mandibular contouring surgery added important armory to correct these aesthetic weakness. Also. However.ABSTRACT Plenary Lecture 3 AESTHETIC SURGERY OF THE FACIAL SKELETON Rong-Min Baek (South Korea) Department of Plastic Surgery Seoul National University College of Medicine Seoul. a convex lower facial profile. prominent malar eminences. malaplasty. forehead plasty. and proportion to the facial profile to make aesthetically pleasing appearance of the face. are regarded as poor facial aesthetics: a narrow and flat forehead. aesthetic orthognathic surgery. Korea The standard of beauty is a matter of individual or cultural opinion. With advancement of the knowledge and technique of the craniomaxillofacial surgery. most Asians do not want to lose their ethnic identity after aesthetic surgery. although frequently seen among the Asian population. 17 . hypoplastic paranasal areas. the plastic surgeon gives harmony.

Must be done by experienced stem cell doctors with the use of certified laboratory. Technologies for Fat Processing. Mesnchymal Stem Cells can be separated from SVF. The Stem Cell Facelift is different from a conventional Fat Grafting and Lipo transfer. Another goal is to improve the skin quality and color irregularities caused by both the aging process and exposure to the sun and environment. ADSCs are regarded as a potent tool for cell-­‐base therapies. but the stem cells are “locked” inside the tissue stroma. Fat grafting or Lipo Transfer is the process of transferring the fat to an area. Applications of ADSCs in plastic and reconstructive surgery shows a great promise in repair of skin lesions. (Germany) The stem cell facelift is a complete facial rejuvenation procedure. Liposuction aspirates are composed of two parts-­‐ fat tissue and SVF. Our study identifired freshly isolated ASCs as CD31-­‐CD34+CD45-­‐CD90+ cells. In summary is to determine that the StemCell Facelift is a good Complement to conventional Facelift operations. comparable to bone marrow-­‐derived mesenchymal SC. Adipose tissue has been considerred an organ of energy storage and the lagest endocrine organ . Natalia. Real Stem Cell Facelifts isolate the stem cells from the fat itself and then reintroduce the stem cells into the desired area. Harvesting and Application must be standardized to achieve better results in ASC-­‐Usage 18 . It was found that the adipose cell population contains not only monopotent progenitor cells but also multipotent mesenchymal Stem Cells (Adipose Derived StemCells – ADSCs).ABSTRACT Plenary Lecture 3 STEM CELL FACELIF Dr. Bonn. because they can be obtained in a large amount throught a less invasive approach.Brenner. It Must be performed more than once to achieve good results . The main function is to restore both the youthful contour and shape of the face. liposuction.

ABSTRACT SS 1: Facial Aesthetic 1 THE ART of MINIFACE LIFT Irena Sakura Rini (Indonesia) 19 .

ABSTRACT SS 1: Facial Aesthetic 1 THREAD LIFT Enrina Diah Nurmeirini (Indonesia) 20 .

ABSTRACT SS 1: Facial Aesthetic 1 THREAD LIFT FOR FACIAL CONTOURING Bambang Wicaksono (Indonesia) 21 .

ABSTRACT SS 1: Facial Aesthetic 1 NOSE CONTOURING Sumantri Sarimin (Indonesia) 22 .

lesser procedures SS 2: Facial Aesthetic 2 23 . The surgical result of brow rejuvenation depends on the type of deformity. Keyword: brow rejuvenation. The closed transcutaneous thread brow lift is not a new approach. This technique has not had widespread acceptance.ABSTRACT SS 2: Facial Aesthetic 2 SUTURE SUSPENSION BROWPEXY Tomie Hermawan Soekamto (Indonesia) Current aesthetic literature reflects a renewed interest in the subcutaneous brow lift. the procedure done and the quality of its execution. Management of eyebrow ptosis remains a most challenging problem. encompass the principle concept of stable suturing and fixation of mobile fascias to immobile periosteum resulting in suture suspension and/or repositioning. Lesser procedures generally produce lesser results but for patient’s appropriate expectations may be adequate. suture suspension. No single superior solution for brow ptosis currently available.

ABSTRACT SS 1: Facial Aesthetic 1 NOSE CONTOURING Sumantri Sarimin (Indonesia) 24 .

Management of eyebrow ptosis remains a most challenging problem. encompass the principle concept of stable suturing and fixation of mobile fascias to immobile periosteum resulting in suture suspension and/or repositioning. This technique has not had widespread acceptance. Lesser procedures generally produce lesser results but for patient’s appropriate expectations may be adequate. Keyword: brow rejuvenation. The closed transcutaneous thread brow lift is not a new approach. No single superior solution for brow ptosis currently available. the procedure done and the quality of its execution.ABSTRACT SS 2: Facial Aesthetic 2 SUTURE SUSPENSION BROWPEXY Tomie Hermawan Soekamto (Indonesia) Current aesthetic literature reflects a renewed interest in the subcutaneous brow lift. lesser procedures 25 . suture suspension. The surgical result of brow rejuvenation depends on the type of deformity.

If it is necessary. Doing so without any examination could lead to strong appearance. Lots of patients thought that the problem is the sagging of eyelid(s). 26 . They remove any excessfat from the upper lid that leads to sunken eyelid. And the thickening eyelid will give unnatural look. Brow lift surgery is curicial before the upper lid procedure. can do double eyelid surgery only. Sometimes it is not the real sagging of eyelids. Especially on older patients. but to determine the problem we have to thoroughly do the physical examination of the patient’s periorbital area. Sometimes Patients tend to ask doctor about their thick eyelid. could hide scars and heals faster than open procedure. if people want to do the eyelid surgery. the problem should be diagnosed first. If young people with have no sagging brow. if middle age woman have upper blepharoplasty because they think their eyelids sag. endobrowlift can do with double eyelid surgery simultaneously.Therefore they must have forehead eyebrow lift.ABSTRACT SS 2: Facial Aesthetic 2 BROWLIFT ENDOSCOPY Hendri Andreas (Indonesia) Eyelid sagging with aging. The problem is brow. So. but eyelids look sag because of eyebrow sagging. eyelid surgery must be prohibited. In that case. facial image will turn strong and rough. eyelid or both. Endoscopic browlift have advantages.

ABSTRACT SS 2: Facial Aesthetic 2 UPPER LID BLEPHAROPLASTY: FAT TRANSPOSITION Ferdinand (Indonesia) 27 .

The right breast implant should improve the condition of the breast. These areas are inframammary fold. For high and normal breast position. saline-filled implant and silicone-filled implant. there is a risk of visible if the breasts are exposed. there are round and teardrop shape. because it can give volume to upper part of breast to make the appearance less hollow. we can use round shape. Polyurethane-based implant that could prevent the risk of Capsular Contracture There are 2 types of filling. we have to be careful on the place of the scars so it can be hidden scars on infraareola could fade along the changes of skin and areola’s colour. The thickness of breasts is also something to consider. In choosing the right breast implant. The breast implant is chosen by based on size and customer’s needs/taste. There are several types of breasts implant. while for low breast is teardrop shape. especially on flat-chested that make it more difficult to hide. Saline would feel firmer compared to softer silicone. Scars on inframammary could be closed if glandular ptosis present. width of the breasts. Incision area to facilitate implant is also important to discuss. in connection with the post-surgical scars. Two different textures: textured or smooth. To prevent the forming of keloid. Based on their looks. Base on the measurements. we have to find one which is suitable. Every breast implant is unique in itself with their own pros and cons that makes it customizable to patients’ condition.ABSTRACT SS 3: Breast BREAST IMPLANT: ROUND OR TEARDROP SHAPE. auxiliary and infra-areola. normal breasts or lower breasts. WHICH ONE BETTER? Hendri Andreas (Indonesia) Choosing a right breast implant is very important before breast augmentation operation. to figure out whether they have higher breasts. height of the breasts and ratio between width and height. Scars on these areas have to be extremely thought because Asian skins tend to have darker shades. 28 . Lastly. because thin breasts tend to show rippling especially when using round cohesive 1 or saline.

T. R.ABSTRACT SS 3: Breast ENDOSCOPIC ASSISTED BREAST AUGMENTATION Dharma P. Maluegha (Indonesia) 29 .

ABSTRACT SS 3: Breast LARGE GYNECOMASTIA WITH NIPPLE REPOSITIONING UTILIZING THE DERMATOGLANDULER FLAP Hardisiswo Soedjana (Indonesia) 30 .

lip and nose deformities but dental malalignment and deft speech Each of these is dealt with as part of the modern protocol.ABSTRACT Plenary Lecture 4 REMOVING THE STIGMA OF THE CLEFT David J. Greater understanding of the condition. 31 . a more affluent society and the introduction of protocol management from birth to maturity has opened the way to a more demanding patient body . David (Australia) The outcome of treatn1ent for deft lip and palate was once confined to repairing the lip first and later the palate. however there are additional subtle deformities that need to be addressed to get as good a result as possible and these draw on the techniques shares with general plastic surgery and aesthetic surgery of the face. The stigmata are not only the facial shape .

ABSTRACT
Plenary Lecture 4
TRIANGULAR TECHNIQUE FOR BILATERAL CLEFT LIP
A.J Rieuwpassa (Indonesia)

32

ABSTRACT
Plenary Lecture 4
MY EXPERIENCES IN CRANIAL VAULT RECONSTRUCTION
Andi Asadul Islam (Indonesia)

33

ABSTRACT
Plenary Lecture 5
FREE PERFORATOR FLAP IN LOWER LEG RECONSTRUCTION
Baek-Kyu Kim ( South Korea)
Free perforator flaps are very useful options in lower extremity reconstruction. The
relatively constant anatomical structures of lower leg vessels make it possible to apply
to all the different location. But the approach to reconstructions of lower extremity should
be cautious in the aspects of the difference in the features of lower leg vessels. ASO,
calcification, traumatic injury are more common in lower extremity and the selection of
the recipient vessel is a hard task because of the relationship between the soft tissue
and skeletal framework.
The reconstruction site and the operating position of patients are important factors in the
selection of the recipient vessel. All of the main vessels in lower extremity can be used
as a recipient vessel, but also the pedicle of common donor flap site could be used as
a recipient vessel. The most important thing is to avoid injury zone. Lateral circumflex
femoral a (especially descending branch) can be useful in anterior portion defect of
thigh and on knee level, geniculate artery can be a candidate. At posterior thigh, we can
choose the perforating branch from superficial or deep femoral artery. Popliteal artery
can be used on knee level. In anterior lower leg, the anterior tibia artery can be selected
with knee extension, and the posterior tibia artery with knee flexion. The peroneal artery
is difficult to use because it is hidden by fibular bone.
After selecting the recipient vessel, the anastomosis area should be considerately
chosen. If the patients have peripheral arterial diseases like diabetes, surgeons must
evaluate the status of recipient vessels. Percutaneous transluminal angioplasty or
bypass surgery is the mandatory step for overcoming the hurdle of diseased vessels. In
the cases of traumatic defect, the zone of injury is not recommended for anastomosis
because the thrombosis rate is very high in there.

34

the best donor to reconstruct lip deffect is the still existing lip tissue. Abbe flap is very versatile to reconstruct congenital deffect. Understanding of flap construction technique should be have in adult cases. 35 .so that we can try to do Total Reconstruction. Abbe found a technique of sharing. where as in babies we should remember / be warned by the principle of Functional Matrix. we have to familiarize with normal lip look and shape which also depends on the position of alveolus and teeth behind the lip that support lip position. Minute structures could catch up growth in time to normal affer being united with the surrounding structure.ABSTRACT Plenary Lecture 5 RECONSTRUCTION. Many special techniques have been found to reconstruct Congenital Deffect. LIP VERSATILITY OF ABBE FLAP Bisono (Indonesia) Due to its very unique characters. closing the deffect using opposite lip tissue as a flap. deflect due to trauma / infection / tumor removal / or imperfect result of previous reconstruction. It can close almost 80% loss of lip beautifully. rearrange and re unite using flap technique if necessary. based on labial artery on the rich vascularization of lip tissue as pedide To reconstruct lip.

ABSTRACT Plenary Lecture 5 CONDILUS MANDIBULA RECONSTRUCTION WITH K WIRE AND SILICON BLOCK Djohan Wirawan (Indonesia) 36 .

37 . observed and noted to see the efficacy of the ointment. Method: We reported several cases with various wound. Some reason are the lack of money and knowledge about the wound. the prominent thing is the bad odor reduce very quick that indicate the aseptic environment and also the rapid growth of granulation tissue that can even cover the exposed bone or plate. the expensiveness of the cost of the medicine.ABSTRACT Special Symposium (DERMOZONE INDONESIA) Donna Savitry (Indonesia) Introduction To Revolution In Wound Care: Several Case Reports Background: In Indonesia those who suffered from diabetes mellitus type II or other chronic wounds is like an iceberg phenomenon. Result/Conclusion: In the average the wounds healed quickly. the long period of time to heal the wound. only a few that can be detected on the surface. Medcare dermozone has already used in United Kingdom for 6 years as an alternative choice to heal the chronic wound. etc.

ABSTRACT Special Symposium (DERMOZONE INDONESIA) Javita SRG (Indonesia) 38 .

ABSTRACT Lunch Symposium 2 (PRO HEALTH INT) Innovation from Bench to Bed Side MAKING PERFECTION OF THE ALVEOLAR BONE GRAFT IN CLEFT PATIENT: THE ROLE OF BTCP Herman Yosef Limpat (Indonesia) 39 .

ABSTRACT Lunch Symposium 2 (PRO HEALTH INT) Innovation from Bench to Bed Side EVOLUTION OF BIODEGRADABLE IMPLANT IN CMF: PERSONAL EXPERIENCE IN FOA PATIENT Magda Rosalina Hutagalung (Indonesia) 40 .

while maintaining low central venous pressure. spontaneous fluid back flow from interstitial to circulation occurs. Bandung. or albumin to augment the back flow process then administer furosemide drip to make it relatively “dry” and hence reducing cardiac preload and preventing pulmonary edema. there is a pattern occuring in most burn patients. the burn unit is not equipped with ventilator. The question in my mind: can we do something to help ARDS patients survive without ventilator? To date. In the third to fifth day. Other setback. culminated in death. Furthermore. Patients with confirmed inhalation injury will be intubated and admitted to Burn Unit. we always had difficulties in admitting patients with inhalation injury to intensive care unit due to the limited number of ventilators. such as in sepsis and inhalation injury cases. fluid resuscitation is administered to all burn patients. In our facility. if burn patients are admitted to the General ICU. we attempt to control hypermetabolic response using beta-blocker and dobutamine when necessary. Now we have nine survivors out of eighteen 41 .ABSTRACT SS 4: Burn and Wound HOW TO MANAGE ARDS PATIENTS WITHOUT VENTILATOR IN BURN UNIT? Lisa Hasibuan Hasan Sadikin General Hospital . we have learned from our inhalation injury cases to develop a detailed protocol in our burn unit.University of Padjadjaran. Reaching third to fifth day. but particularly in more severe presentations. The endotracheal tube is connected to T-piece and the patient breathes spontaneously. in fifth to seventh day postburn. We administer either colloid. Indonesia Lesson learned by the author for more than 15 years treating burn patients. In the third day. fresh frozen plasma. the wound management for patients with larger burn areas is challenging for the ICU personnels. In acute phases. tachycardia and dyspnea begin to present. unlike in our burn unit and its trained personnels. increasing cardiac preload profoundly. and without proper interventions. Fluid resuscitation is continued until reaching adequate urine output in the first two days.

chronic wounds. Indonesia BACKGROUNDS: Diabetic Wounds. including poor blood supply resulting in inadequate oxygenation of the wound bed. One trial (16 subjects) considered for venous ulcers suggested a significant benefit of HBOT in terms of wound size reduction at six week (MD 33%. The preferred level of evidence is the randomized controlled trial. burns.00001).11 – 1.20. Two trials (141 subjects) for burns. METHODS: This paper provides a systematic review of the literature reporting the results of HBOT in the treatment and prophylaxis.ABSTRACT SS 4: Burn and Wound HYPERBARIC OXYGEN THERAPY IN PLASTIC SURGERY CASES: A SYSTEMATIC REVIEW Afriyanti Sandhi (Indonesia) Plastic Reconstructive and Aesthetic Surgeon Dr. p<0. HBOT may reduce the size of the wounds in venous ulcer.03. Further research is needed to better define the role of HBOT in the treatment of chronic wounds and burns. 95%CI 0.02). systematic review. other evidence has merit as well. however. 95% CI 1. but there was no evident for long term follow up at one year and pooled data of five trials (312 subjects) showed no statistically significant difference in major amputation rate (RR 0. 95% CI 18.25 – 21. Various pathologies may cause tissue breakdown.36. but those two trials were poor of methodological quality and it was difficult to have confidence in the individual results and was not appropriate to pool the data. Keywords: Hyperbaric oxygen therapy. 42 . And as adjunctive therapy.97 – 47. Jakarta. pooled data of three trials (140 subjects) revealed an increase in the rate of ulcer healing with HBOT at six weeks (RR 5. we found no sufficient evidence to support or refuse HBOT for the management of burns injury.66. Evidence Based Medicine (EBM) is designed to discover the best evidence available and apply it in daily practice for treatment of individual patient. HBOT has been suggested to improve oxygen supply to wounds and therefore improve the healing process. Venous Ulcers and Chronic Burn Wounds are the most challenging chronic wound cases in Plastic Surgery. RESULTS: We included eleven trials in this study. Eight trials for diabetic foot ulcer (total 452 subjects). CONCLUSIONS: This review found that HBOT seems to improve the chance of healing in diabetic foot ulcer and may reduce the major amputation. and has been accepted by Hyperbaric Oxygen Therapy Committee of The Undersea and Hyperbaric Medical Society as the appropriate indication for Hyperbaric Oxygen Therapy (HBOT). In terms of burns therapy. p 0. Suyoto Pusrehab Kemhan Hospital.18).

Metformin.ABSTRACT SS 4: Burn and Wound ENDOCRINE AND METABOLIC CHANGES IN SEVERE BURN I Nyoman P. supplied by breakdown of skeletal muscle. Insulin. endocrine and metabolic dysfunction still remains a significant cause of morbidity and mortality in burn patients. Hendra Sanjaya (Indonesia). Riasa (Indonesia). continuous high carbohydrate and protein diet (enteral route) and early institution of vigorous excercise program. other complication and death. Increase Rate of protein catabolism lead to loss of LBM and protein wasting. and its surgical treatment. Healing of burn wounds is an anabolic process which consumes massive amounts of amino acids. Simple and effective anabolic strategies are early burn wound excision and skin grafting. Severe burns have the most intense and prolonged catabolic response of all ‘surgical’ ICU patients. Further anabolic strategies aimed on reducing erosion of LBM at minimum level. prompt environment temperature (30 – 32° C). Oxandrolone and anti-catabolic drugs (propanolol). Muscles proteolysis continues until 6 months. sepsis elimination. The hypermetabolic response is associated with high REE and release of substrate from protein and fat stores. 43 . administration of anabolic agents such as recombinant human growth hormone. Severe burn injury is characterized by hypermetabolism and catabolism proportional to burn surface area. Despite advances in major burn resuscitation. Insulin resistance is a critical part of the etiology of hyperglycemia after burn and its etiology is poorly understood. Hyperglycemia and loss of muscle mass that are attendant with catabolism have a central role in determining the prognosis of burn patients. This metabolic profile includes changes in glucose homeostasis and muscle protein metabolism that persist from the first few days following injury to as long as three years later. and resulted in increasing delay in rehabilitation.

ABSTRACT SS5: A New Clinical Option in Wound Management (MUNDIPHARMA) HOW  “SMARTPORE TECHOLOGY”  CAN IMPROVE PATIENTS QUALITY OF LIVE ? David S. Perdanakusuma (Indonesia) 44 .

ABSTRACT SS5: A New Clinical Option in Wound Management (MUNDIPHARMA) SHARING BETAPLAST EXPERIENCE Brevitra Janesa Bismedi (Indonesia) 45 .

ABSTRACT SS5: A New Clinical Option in Wound Management (MUNDIPHARMA) PVP-I : MYTH AND FACTS IN WOUND MANAGEMENT Iswinarno Doso Saputro (Indonesia) 46 .

ABSTRACT SS 6: Facial Reconstruction BLEPHAROPTOSIS: ORBICULARIS PLICATION MODIFIED TARSUS Ferdinand (Indonesia) 47 .

ABSTRACT SS 6: Facial Reconstruction CONSTRICTED EAR Kristaninta Bangun (Indonesia) 48 .

CARTILAGE GRAFT AND ISLAND FOREHEAD FLAP Djohan Wirawan (Indonesia) 49 .ABSTRACT SS 6: Facial Reconstruction ALAR NOSE RECONSTRUCTION WITH SEPTOCHONDRAL MUCOSAL FLAP.

ABSTRACT SS 7: Craniofacial FACIAL TRAUMA OLD FRACTURE MANAGEMENT Siti Handayani (Indonesia) 50 .

Prasetyanugraheni Kreshanti (Indonesia) 51 .ABSTRACT SS 7: Craniofacial TETRAPOD FRACTURE. SURGICAL ANATOMY REVISITED AS A GUIDE FOR 3D REDUCTION USING CAROLL GIRARD SCREW RR.

proptosis.normal maxilla and occlusion. The head CT shows bicoronal synostosis. and Pfeiffer. delay speaking. forehead slopes backward. Denpasar. Apert. 52 . This article describes a case of 5 year old boy present with tall head. This abnormality commonly related to craniofacial syndromes such as Crauzon.ABSTRACT SS 7: Craniofacial TURRICEPHALY RECONSTRUCTION IN SANGLAH GENERAL HOSPITAL I Made Suka Adnyana (Indonesia) Division of Plastic Reconstruction and Aesthetic Surgery. though others suture may also be involved. A fronto orbita advacemen and anterior cranial vault reshaping was performed to correct the deformity.Bali Turrycephaly characterized by abnormal tall head caused by premature fusion of both coronal suture. Udayana University-Sanglah Hospital. papill athropy. Department of Surgery. Significant cosmetic improvement was achieved after surgery.

ABSTRACT SS 8: Cleft (SMILE TRAIN) THE USAGE OF EAR CARTILAGE GRAFT TO IMPROVE AESTHETIC PERFORMANCE OF THE NOSE IN CLEFT CHILDREN Donna Savitry (Indonesia) Background: As a plastic surgeon I know that nose repair in cleft patients is not easy. usually takes some surgeries to make it good. so why not using this method to improve the aesthetic performance of the nose in cleft children? Method: Twelve cleft patients age 4-12 years old had rhinoplasty using ear cartilage graft in the sun-shield method. The results were observed by comparing the photographs before and after surgeries in 1-2 weeks post op. The sun-shield method of using ear cartilage graft works really well in adult for aesthetic result. And in school age the pateints usually have low self confidence in thei school because of the nose. Result/Conclusion: The aesthetic performance of the repaired nose looks better and both parents and children are happy with the result. 53 .

ABSTRACT SS 8: Cleft (SMILE TRAIN) OUR EXPERIENCE WITH NASOALVCOLAR MOLDING (NAM) IN MORE THAN 80 CLEFT PATIENTS Karina F. Moegni (Indonesia) 54 .

ABSTRACT SS 8: Cleft (SMILE TRAIN) NOSE REVISION AFTER LABIOPLASTY Muhammad Jailani (Indonesia) 55 .

following palmaris longus tendon for ptosis correction immediately. Reconstructive and Aesthetic Surgery. Denpasar-Bali Indonesia Purpose: The aim of this study is to report 3 cases facial defects reconstruction by microvascular radial forearm fasciocutaneous free flap (RFFF). It is thin.ABSTRACT SS 9: Microsurgery MICROVASCULAR RADIAL FOREARM FASCIOCUTANEOUS FREE FLAP FOR DEFECT RECONSTRUCTION ON HEAD AND NECK Agus Roy Rusli Hamid (Indonesia) Sub Division of Hand Surgery. haematoma occure in patient with NOMA and perfomed hematoma evacuation. Patient with large haemangioma. Division of Plastic. Department of Surgery. pliable skin flap and Acceptable functional morbidity at donor site. Results: Flap survival was successful in all cases.radial forearm fasciocutaneous free flap (RFFF). 56 . Material and Methods: Reported 3 patients who had facial defects. Key Words : Facial Defect. All donor site were healing good. no hand functional loss. School of Medicine Udayana University Sanglah General Hospital. Outcome measurements included postoperative assessment of flap survival and healing. 1 patient with large haemangiomas on upper eyelid and 1 patient with defect of palatal after palatoplasty. Complication include. 1 patient with post NOMA Infection. Vascular anastomoses were done with the facial vessels in the neck. All the patients were immediately reconstructed using RFFF after resection and excision. Conclusion: RFFF for soft tissue reconstruction for facial defect is a reliable technique. All the patients underwent a lateral thigh splitthickness skin graft for closure of the donor site.

ABSTRACT SS 9: Microsurgery RECONSTRUCTIVE MICROSURGERY IN CRANIOFACIAL TUMOR Hendra Sanjaya (Indonesia) 57 .

Other nine patients with the age of 20-30 years old. Reconstructive and Aesthetic Surgery Department of Surgery. Udayana University/ Sanglah General Hospital. Case Report: This study reports twelve cases of finger replantation were received in hand and microsurgery sub division during the period of 2014-2015.ABSTRACT SS 9: Microsurgery FINGER REPLANTATION : REPORTED OF TWELVE CASES IN SANGLAH GENERAL HOSPITAL. Conclusion: Functional outcome of replanted fingers will never equal that of the normal healthy counterpart. 84% replant survivals were achieved. The absolute indications for replantation are thumb. Indonesia Background: Replantation should be the prime indications for treatment of amputated hands and fingers. Keywords : Amputation. Eleven patients were male and one was female. Denpasar-Bali. One patient got vein problem. cut by knife. which have helped them to return to a better quality of life. finger replantation 58 . With proper management of the amputated finger. and motorbike accident. after a period of follow up with occupational therapy the patients regain good functional and cosmetic results. multiple fingers. Our patients were very satisfied with their replanted fingers. and any upper extremity amputation in a child whatever the level. Three patients were child. School of Medicine. and we using letches for remove the clot. and psychological benefits. sharp amputation is a good indication. but replantation has major functional. who accidentally cut their finger while playing. Two patients were failed due to arterial problem. Type of injury. the mechanism of amputation due to machine injury. due to functional and aesthetic advantages. replantation can be attempted even after 24 hours. cosmetic. while blunt amputations are less likely to be regarded as indications for replantation. BALI-INDONESIA Agus Roy Rusli Hamid (Indonesia) Sub Division of Hand & Microsurgery Division of Plastic. transmetacarpal or hand.

Sukasah (Indonesia) 59 .ABSTRACT 10: Hypospadia Tips and Tricks SURGICAL MANAGEMENT OF SHORT URETHRA Chaula L.

ABSTRACT 10: Hypospadia Tips and Tricks MY EXPERIENCE USING STANDOLI’S TECHNIQUE TO REPAIR PENILE HYPOSPADIA Sumantri Sarimin (Indonesia) 60 .

2015 Deddy Saputra (Indonesia) 61 .ABSTRACT SS 11: Miscellaneous 1 GAMBARAN MORBIDITAS OUTCOME PASIEN BEDAH PLASTIK YANG DIKERJAKAN DOKTER NON BEDAH PLASTIK DI SUMATERA BARAT 2007.

and swollen.Department of Surgery . Clinical presentation such as hematotoxin. abnormal PT/APTT. One patient died due to cardiac failure from neurotoxin venom. hundreds of thousands of people are known to be envenomed and tens of thousands are killed or maimed by snakes every year. the majority without envenomiation. Although the full burden of human suffering attributable to snake bite remains obscure. especially for drug design. Medical Faculty of 11 March University -Dr Moewardi General Hospital Surakarta Backgrounds: Snake bite is a common and frequently devastating environmental and occupational disease.compartment syndrome. We presented a descriptive retrospective study at Dr. fasciotomy. There are view of complications that may arise from snake bite. snake venoms. age. MUWARDI HOSPITAL Amru Sungkar (Indonesia) Plastic and Reconstructive Surgery Division. Snake venoms are rich in protein and peptide toxins that have specificity for a wide range of tissue receptors. the clinical manifestation is haematotoxin. especially in rural areas of tropical developing countries. Moewardi General Hospital Surakarta between January 2013 – Maret 2016. bulla. medical treatment. types of snakeclinical presentation. time arrived at hospital. necrotomy and skingrafting Result: The most victim is male at age 21-50 . intervention treatment usually due to compartment syndrome with fasciotomies and delayed skingrafting . skingrafting 62 . laboratory finding. debridement .ABSTRACT SS 11: Miscellaneous 1 PROFILE SNAKE BITE DIAGNOSTIC AND TREATMENT DR. making them clinically challenging and scientifically fascinating. one of them is compartment syndrome. venom serum is given 1-2 vial according clinical examination. and length stay at hospital. neurotoxin. anti venoms . compartment syndrome. Keyword: snake bite. amounts SABU injection. we found 91 patients and evalute including gender. trombositopenia.

dan lesi berkurang penonjolannya Prognosis: Pada umumnya prognosis hemangioma dan malformasi vaskuler baik. Selain tindakan bedah. Tumor vaskuler merupakan neoplasma endotel yang ditandai dengan hyperplasia sel vaskuler berselubung kapiler dengan sel endotel dan perisit yang meluas membentuk lobular. Kata kunci Bleomisin pada hemangioma. pemeriksaan fisik dan pemeriksaan penunjang. Dari anamnesis dan pemeriksaan fisik. Sekitar 30% sampai 40% dari hemangioma baru terbentuk pada saat muncul sebagai tanda awal pada kulit yaitu daerah pucat nyaris tak terlihat. yaitu jaringan ireguler pembuluh-pembuluh darah. mungkin tidak bermanifestasi sampai 2 hingga 3 bulan kehidupan. Hemangioma viseral atau tumor subkutan dalam. atau bercak makula merah atau bercak ekimosis. telangiektasi. serta penanganan yang baik. komplikasi. sehingga lesi akan mengecil ukurannya. Bleomycin A5 akan mempengaruhi sel lapisan pembuluh dan menyebabkan sel tersebut menghilang dan terkurangi jumlahnya. namun efektivitas dan keamanan obat telah dipelajari secara luas dan pengobatan telah terbukti memiliki tingkat keberhasilan yang tinggi. non operatif terapi pada hemangioma 63 . Bleomycin A5 digunakan sebagai terapi hemangioma dan malformasi vaskuler dengan cara injeksi bleomycin intralesi. Hemangioma kongenital adalah varian langka yang tumbuh sejak dalam kandungan dan telah terbentuk sepenuhnya pada saat lahir Penatalaksanaan: Hemangioma yang tumbuh biasanya diiringi penonjolan dan terdapat kulis ekstra. biasanya dalam 2 minggu pertama.ABSTRACT SS 11: Miscellaneous 1 THE ROLE OF BLEOMYCIN IN HAEMANGIOMAS Herman Yosef Limpat (Indonesia) Latar Belakang: Anomali vaskuler adalah sekelompok kelainan kongenital pada pembuluh darah. Ditentukan tindakan misalnya dengan eksisi sirkular dan purse-string closure sebagai prosedur primer yang menghasilkan bekas luka minimal. bergantung pada letak lesi. seperti observasi. Mulliken dan Glowacki mengklasifikasikan anomali vaskuler dalam dua tipe yaitu tumor vaskuler dan malformasi vaskuler. Bleomycin telah berhasil digunakan dalam pengobatan hemangioma dan semua jenis malformasi vaskuler kecuali port wine stain (malformasi kapiler). Tindakan bedah yang dilakukan disesuaikan dengan umur penderita dan fase dari hemangioma. Hemangioma merupakan tipe tumor vaskuler yang paling sering muncul. terdapat juga beberapa pilihan tindakan. warna lebih pudar. Meskipun merupakan pengobatan yang cukup baru. Diagnosis: Diagnosis hemangioma didapat dari anamnesis. pemberian obat obatan atau injeksi bleomycin. dimana terapi laser lebih baik karena sulit untuk menyuntikkan ke dalam pembuluh yang halus. hemangioma muncul pada pada masa neonatal. malformasi vaskular. Tahun 1982. Kategori kedua dari anomali vaskuler adalah malformasi vaskuler.

Airlangga University School of Medicine/ Dr. preservation of vital structure. The pathogenesis of these tumours is not known. There were some challenges during the procedure. Excision was performed with preservation of parotid duct.9 kg. The mass weight was about 4. such as bleeding. Indonesia (2) Department of Plastic Reconstructive and Aesthetic Surgery. Indonesia Neurofibromatosis type 1 (NF-1). hypovolemia. first described by Von Recklinghausen (1882). We report a case of giant facial neurofibroma in 26 years old male patient without family history of neurofibromatosis type 1. were identified. Soetomo General Hospital.ABSTRACT SS 12: Miscellaneous 2 CHALLENGE IN GIANT HEMIFACIAL NEUROFIBROME’S REDUCTION : A CASE REPORT AND LITERATURE REVIEW Ruby Riana Asparini (Indonesia) Ruby Riana Asparini(1). Sitti Rizaliyana(2). A hallmark clinical feature of NF1 is multiple dermal neurofibromas. including an enlarged nerve fascicle composed of elongated nuclei and scant cytoplasmic cells. Indonesia (3)Bhakti Dharma Husada Hospital. Facial nerve neurofibromas (FNN) are most commonly located in the parotid gland. Malang. Surabaya. Radias Dwi Padmani(3) (1)Surgery Department of Medical Faculty of Malang Muhammadiyah University. benign tumours that typically appear in early adolescence and increase in numbers throughout life. is an autosomal dominant disease caused by a spectrum of mutations in the NF-1 gene. 64 . Prevalence in the general population is approximately 1/3000 births. Features typical of neurofibroma. Surabaya.

ABSTRACT SS 12: Miscellaneous 2 ROLE OF EPITHEL GROWTH FACTOR IN TREATING SCAR / KELOID Poengki Dwi Poerwantoro (Indonesia) 65 .

ABSTRACT SS 12: Miscellaneous 2 DIABETES MELLITUS TYPE II IMPAIRS ADIPOSE – DERIVED STEM CELLS Karina F. Moegni (Indonesia) 66 .

2 INSTITUTION Division of Plastic.20 . Department of Surgery Cipto Mangunkusumo Hospital .16. Indonesia Div. Makassar. Makassar.14 50 14.20 15.Universitas Indonesia Div.30 . Faculty of Medicine Hasanuddin University.Universitas Indonesia Dep/SMF of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine / Dr.KODE FP 006 FP 014 FP 018 FP 019 FP 020 FP 022 14. of Surgery. of Plastic.15.15.10 .15. Indonesia JUDUL Thromboprophylaxis Strategy and the Risk of Free Flap Thrombosis in Patients with Hypercoagulability: A Systematic Review. Reconstructive and Aesthetic Surgery.Soetomo General Hospital Surabaya Division of Plastic.30 Johannes Albert Biben Hastika Saraswati Fory Fortuna Fernita Leo Edwin Ardiansyah Astrinita Lestari Suyata NAME : 26 May 2016 : 14.15. of Surgery.Universitas Indonesia Division of Plastic. Dept.40 14.30 .50 . Faculty of Medicine Hasanuddin University. Dept. Reconstructive and Aesthetic Surgery. Perforator Based Flaps in Burn Reconstruction:A 2 Years Experience Intralesional Injection With 5-Flourouracil Versus Triamcinolone Acetonide For Keloid Treatment Comparison of the Numer of Angiogenesis of Acute Wound Healing between Aloe Vera and Tulle on Acute Wounds of Wistar Rats Mandibulomaxillary Fixation (Mmf) Training Program Evaluation Among Plastic Surgery Resident: A QuasiExperimental Study Evaluation of Maxillary Growth of Patients with Unilateral Complete Cleft Lip and Palate after Two Flap Palatoplasty with Honey Oral Drops FREE PAPER SCHEDULE 67 . Department of Surgery Cipto Mangunkusumo Hospital .4.40 .00 15. Reconstructive and Aesthetic Surgery.30 : Elida Sari Siburian (Indonesia) : Azalea TIME DATE TIME MODERATOR Room Free Paper 1 .00 . of Plastic. Department of Surgery Cipto Mangunkusumo Hospital .10 15.

Makassar.Universitas Indonesia Div.15. Makassar. Dept.10 . of Surgery.00 .30 Melina Tiza Mufida Muzakkie Eliza Nindita Robin Kurnia Wijaya Rani Septrina Muhammad Nawir Division of Plastic.20 16.16.50 . of Plastic. Indonesia Division of Plastic.40 .Universitas Indonesia Division of Plastic. Department of Surgery Cipto Mangunkusumo Hospital . Faculty of Medicine Hasanuddin University. of Plastic.50 15.00 16. of Surgery. Department of Surgery Cipto Mangunkusumo Hospital . Reconstructive and Aesthetic Surgery.10 16. Reconstructive and Aesthetic Surgery.16. Department of Surgery Cipto Mangunkusumo Hospital . Faculty of Medicine Hasanuddin University. Reconstructive and Aesthetic Surgery.30 .20 -16. Dept.Universitas Indonesia Div.15.Universitas Indonesia Division of Plastic. Department of Surgery Cipto Mangunkusumo Hospital . Indonesia Morphometry of Infant Nostril in Jakarta Comparison of Topical Treatment Results between Combination of Herbal Extracts and Tulle on Acute Wound Model on Wistar Rats The Safety of One-Per-Mil Tumescent Infiltration into Skin Flap that has Survived from The Preceding Ischemic Insult Flap Modality for Resurfacing Following Aggressive Necrotomy Debridement in Submandibular Abscess: Clinical Experience in 10 Cases Anthropometric Evaluation of Gentur’s Cheiloplasty Method in Unilateral Cleft Lip Comparison of Total Fibroblast in Acute Wound Bed on Wistar Rats between The Applications of Aloe Vera Gel Extract and Tulle FREE PAPER SCHEDULE .40 15. Reconstructive and Aesthetic Surgery.16.68 FP 030 FP 036 FP 038 FP 049 FP 050 FP 051 15.

15. versus Povidone Iodine as PreDepartment of Surgery Cipto Operative Skin Preparation to Mangunkusumo Hospital Prevent Surgical Site Infection: a Universitas Indonesia Meta-analysis Division of Plastic.30 : Erythrina Permata Sari (Indonesia) : Azalea 13.50-14.00-14. Reconstructive Efficacy of Chlorhexidine-alcohol and Aesthetic Surgery. Bandung Hasan Sadikin Protocol Division of Plastic.50 13.40-13. Reconstructive and Aesthetic Surgery.10 NAME FP 040 Setiagung Ambari Bowo KODE JUDUL Effectiveness Of Early Excisional Debridement In Burn Injuries To Sepsis Incidence And Mortality Rate At Burn Unit Of Hasan Sadikin Hospital New Strategies Using Beta Division of Plastic. Post Palate Repair in Patients Department of Surgery Cipto Fed by Long Nipple Nursing Bottle Mangunkusumo Hospital Versus Conventional Feeding Universitas Indonesia INSTITUTION Division of Plastic.FP 042 Steven Narmada FP 045 Tasya Anggrahita FP 046 Tessa Puspita Sari 13.40 TIME Free Paper 3-4 DATE TIME MODERATOR Room FREE PAPER SCHEDULE 69 . Reconstructive Blocker and Negative Fluid and Aesthetic Surgery Balance Therapy to Reduce Department of Surgery Mortality Rate in Managing Padjajaran University Hasan Patient with Severe Burn Injury: Sadikin Hospital.30 . Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia : 27 May 2016 : 13. Reconstructive Relative Body Weight Changes and Aesthetic Surgery.30-13.00 14.

Hasan Sadikin Hospital/ University of Padjadjaran Bandung The Effect Of Allogenic Freeze Dried Platelet Rich Plasma On Ephithelialization Of Full Thickness Wound In Rabbit Free Flap Reconstruction of Scalp Defects Caused by High Voltage Electric Injury Different Approach On Recurrent Temporomandibular Joint Ankylosis With Interpositional Arthroplasty Using Silicone Block And Bilateral Coronoidectomies: A Case Report Facial Cleft of Tessier no. Soetomo General Hospital Surabaya Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr. Soetomo General Hospital Surabaya Division of Plastic Surgery.Soetomo General Hospital Surabaya Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr.00-15.20-14.30-14.40-14. 30: Encountered in Adult Effectivity of Platelet Rich Plasma in Wound Healing of Deep Second Degree Burn Injuries in Dr.50 14.40 14.30 14.10 Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr.10-14. Department of Surgery. Soetomo General Hospital Surabaya Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr.70 FP 048 Yugos Juli Fitri FP 044 Trisna Utami FP 001 Ade Sari Nauli Sitorus FP 010 Betha E Riestiano FP 011 Doni Setiawan FP 005 Andi Mohammad Ardan 14.00 15. Soetomo General Hospital The Effectiveness Bovine Amniotic Membrane to Substitute Human Amniotic Membrane in Partial Thickness Wound Care in Rats FREE PAPER SCHEDULE .20 14. Soetomo General Hospital Surabaya Dep/SMF of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine / Dr.50-15.

30 .50 NAME FP 019 Santi Devina KODE 15. Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia Case Report : Hand finger Degloving Injury.20 Gatot Soebroto Central Army Hospital INSTITUTION Division of Plastic. Reconstructive and Aesthetic Surgery.15.16.10-15.FP 037 Ribka Theodora 15.30 Free Paper 5 DATE TIME MODERATOR Room FP 013 Doni Setiawan 15.40 . Reconstructive and Aesthetic Surgery. Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr.30 . Soetomo General Hospital Surabaya Division of Plastic.15.20-15.20  : Djohan Wirawan (Indonesia) : Azalea FP 052 Beni Herlambang 15.40 TIME : 27 May 2016 : 15. Amputation is Not an Option The Effect of Platelet-rich Plasma (PRP) for Promoting Epithelialization Speed in Rat Skin’s Third Degree Burn Wound JUDUL Subjective Assessment Of The Scar Formation At Face After Microporous Paper Tape Application The Effect of Hyperbaric Oxygen Therapy for Preventing Thrombosis in Free Flap : an Animal Study FREE PAPER SCHEDULE 71 .

16. Soetomo General Hospital Surabaya FREE PAPER SCHEDULE . Fibroblast Proliferation. Antibiotic Sensitivity Pattern Department of Surgery Cipto In Burn Unit Of Hasan Sadikin Mangunkusumo Hospital Hospital (RSHS) From January Universitas Indonesia 2012 .72 FP 031 Nanda Febry Setiawati FP 032 Nurardhilah Vityadewi FP 041 Setiagung Ambari Bowo 15.50 .10 16. Reconstructive Cartilage Regeneration on Donor and Aesthetic Surgery.16.00 16.16. Site Defect with One Sided Department of Surgery Cipto Perichondrial Auricular Cartilage Mangunkusumo Hospital Graft : an Experimental Rabbit Universitas Indonesia Model Division of Plastic.10 .20 The Effect of Topical Insulin Gel on Epithelialization Process.December 2015 Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr. Reconstructive Bacterial Pathogens And and Aesthetic Surgery. and Neovascularization of FullThickness Wound on WistarStrain rat (Rattus norvegicus) Division of Plastic. Collagen Synthesis.00 .

291). Injections were given for 12 times with 1 week interval. Result: Based on Chi Square Test. but there was difference in pigmentation (p=0. Makassar.001). there were no differences in thickness (p=0. Patients were taken from RS. Samples were being tested by Mann Whitney U-Test. Antimetabolite 5-Flourouracil also redeems fibroblast proliferation to reduce scar. Itchness was gone in the 4th week for 5-Flourouracil that 1 sample left for Triamcinolone Acetonide.315). Conclusions: Based on Vancouver Scar Scale. of Plastic. Dept. color (p=0.221) and consistency (p=0. of Surgery. A. This study compares efectivity of intralesional injection with 5-Flourouracil and Triamcinolone acetonide for keloid treatment. there were no much difference between 5-Flourouracil and Triamcinolone Acetonide for keloid treatment except that Triamcinolone Acetonide gave better result in lession pigmentation. Nowadays Triamcinolone Acetonide injection is the first choice but gives side effect to body imunity if used for long time. Indonesia Background: Keloids are a burden for patients due to aesthetic. Methods This was an experimental study with 10 samples are treated with Triamcinolone Acetonide and 10 samples with 5-Flourouracil. Pain was gone in the 5th week for Triamcinolone Acetonide that 1 sample left for 5-Flourouracil. Indra Dewa. 73 . who passed inclusion criteria from April 2010 until fullfilled the sample number. Wahidin Sudirohusodo and other partnership hospital in Makassar. Fonny Josh Div. physical and social complaints and treatment remains a challenge since none of the them give satisfied result.ABSTRACT FREE PAPER FP 006 INTRALESIONAL INJECTION WITH 5-FLOUROURACIL VERSUS TRIAMCINOLONE ACETONIDE FOR KELOID TREATMENT Astrinita Lestari Suyata. Faculty of Medicine Hasanuddin University. Vancouver Scar Scale Score was administered to measure changes in lession and the comparisons are being test with Chi Square Test.

each of 5 mice for group 1 and labeled P1 and 5 mice for group 2.4) compared with the group of Tulle (6. Did the tally of angiogenesis in each preparation using a counting chamber system per ten field of view and compared between the two treatments. Many herbs are known to have an important role in the wound healing process. The wound was cleaned and each wound on one group of mice was given tulle applications and each wound in mice group 2 by application of aloe vera gel. It was in line with the theory which states that aloe vera can stimulate angiogenesis. Faculty of Medicine Hasanuddin University. Aloe vera has been known to act as anti-inflammatory. the obtained data is: There is a significant difference between the number angiogensis Aloe Vera with Tulle group (p <0. changes in temperature.ABSTRACT FREE PAPER FP 014 COMPARISON OF THE NUMER OF ANGIOGENESIS OF ACUTE WOUND HEALING BETWEEN ALOE VERA AND TULLE ON ACUTE WOUNDS OF WISTAR RATS Edwin Ardiansyah. increases cell proliferation and collagen. Preparations were examined under a microscope. Sumantri Sarimin Div. Then transferred into a single enclosure. wound healing 74 . as well as protecting the environment in a moist condition. Arifin Seweng. of Plastic. Materials and Methods: 10 Male Wistar mice at the age of 2-3 months and weighing 100-200 grams in the laboratory with a single enclosure and fed a standard sufficient food for 7 days. made 1 piece of split thickness excision wound with a diameter of 1 cm on the back of Wistar mice. Keywords: Aloe vera. where the number of angiogenesis significantly more in the group of Aloe Vera (12. Wistar. Aim of study: Knowing the comparison of angiogenesis in acute wounds on Wistar mice between the use of aloe vera gel and tulle. Results: After counting the number of angiogenesis four large field of view on a microscope with Hematoxyline-eosin staining. electric shock or an animal bite.4). using a biopsy punch. Dept. the average number of angiogenesis in the group of aloe extract were more visible than in group tulle. explosion.01). Djumadi Achmad. a stratified random grouping of mice. Indonesia Background: Wound is a partial loss of or damage to body tissues that can be caused by sharp objects or blunt trauma. Makassar. Conclusion: In this study. angiogenesis. All mice given intraperitoneal ketamine anesthesia treatment. After 7-day adaptation period is over. and then labeled P2. chemicals. Made a paraffin block and made preparations histochemical staining Haematoccylin-eosin (HE). of Surgery.

total ABPAS score [33. CONCLUSION: The MandibulloMaxillary Fixation training program have proven to help plastic surgery residents in training to increase their craniofacial skills. although the difference was not statistically significant [57 min 24 s vs 47 min 17 s. P = 0. P = 0. and also for IMFscrew placement global rating scale [14. KEYWORDS: mandibulomaxillary fixation (MMF) training.19]. University of Indonesia BACKGROUND: Mandibulomaxillary fixation (MMF) is one of the surgery skill a plastic surgery resident have to master to become a plastic surgeon. They performed a set of training consisting of one knowledge-based session.76) vs 37. RESULTS: The ABPAS and IMFscrew placement Global Rating Scale demonstrated an increase of performance score in the more experienced study population (group 2) in all aspect including the task-specific work list [16. P = 0. By doing training on a non-living model.23].ABSTRACT FREE PAPER FP 018 MANDIBULOMAXILLARY FIXATION (MMF) TRAINING PROGRAM EVALUATION AMONG PLASTIC SURGERY RESIDENT: A QUASI-EXPERIMENTAL STUDY Fernita Leo Soetjipto Soepodo*.53) vs 15.38].9 (4. learning curve for craniofacial. Faculty of Medicine.31).23]. Time needed for arch bar completion [48 min 17 s vs 41 min 8 s. global rating scale [17. the first group consists of residents who never perform this skill before.34]. Total time to task completion was shorter in group 2. Kristaninta Bangun** Division of Plastic Reconstructive and Aesthetic Surgery.4 (3. METHODS: Twenty two plastic surgery residents were enrolled in this study.9 (1.82).9 (0. P = 0.43].5 (2. P = 0. This study implement a training program using cranial model to evaluate the increasing learning curve in craniofacial cases among residents in training. P = 0.44) vs 18 (1. P = 0. which assessed by two senior craniofacial surgeons using video recording. arch bar 75 . one will be competent to do the skill prior to face the real patient. as craniofacial cases increase rapidly.5 (2. followed by one skill-based session. Afterwards they were evaluated in terms of maxillomandibular fixation skills ability using ABPAS and IMFscrew placement Global Rating Scale.4 (2. Time needed for IMFscrew placement completion [9 min 25 s vs 6 min 32 s.57).23].95). and the second group were the ones who have performed this skill previously. give an increase in ABPAS and IMFscrew placement Global Rating Scale performance score and shorter time to task completion. although the measurement did not show statistically significant results.63) vs 19. they were divided into two groups. plastic surgery testing.

Honey given as oral drops significantly precipitates the epithelialization process of the lateral palatal defects post two flap palatoplasty 2.1 times faster. Amilia Jeni Susanto**. The data will be analysed using SPSS version 22. Comparing maxillary growth of the unilateral complete cleft lip and palate (UCCLP) patients who were given honey as oral drops and without oral drops after their two-flap palatoplasty in 2011-2012. Grace Wangge*** *Plastic Reconstructive and Aesthetic Surgery Division. 76 . Universitas Indonesia ***Department of Community Medicine.ABSTRACT FREE PAPER FP 019 EVALUATION OF MAXILLARY GROWTH OF PATIENTS WITH UNILATERAL COMPLETE CLEFT LIP AND PALATE AFTER TWO FLAP PALATOPLASTY WITH HONEY ORAL DROPS Fory Fortuna*. Cipto Mangunkusumo Hospital Faculty of Medicine. Methods: This is a case control study consist of 2 groups. Department of Dentistry. Long-term result has not yet evaluated. Faculty of Medicine. For long term. Prasetyanugraheni Kreshanti*. Julieata Pancawati**. Aim of Study: To evaluate maxillary growth as long term effect of fast epithelialization of the palates those given honey as oral drops after two flap palatoplasty. Department of Surgery.Faculty of Medicine. Siti Handayani*. Cipto Mangunkusumo Hospital . Universitas Indonesia Background: It is expected that faster epithelialization decrease wound contraction and then reducing scar formation. The cephalometric measurement will be recorded and the dental cast for each patient will be made to be categorized using GOSLON YARDSTICK method. Universitas Indonesia ** Orthodontic Division. it will be an important factor that will results in good maxillary growth.

medial thigh perforator. Local flap seldom be able to fulfill this required task. anterolateral thigh. thoracodorsal. Conclusion: Perforator based flaps are considered to be an appealing option for burn reconstruction due to its benefits compared to other available modalities. 77 . lateral genu perforator. Other cases were viable through healing process and perform well for resurfacing these defects. We always mapped perforator using handheld Doppler and marked them with permanent ink marker 1 day before operation. techniques. Perforator based flap doesn’t need specialized instrument and can be learned through a flatter learning curved compared to free tissue transfer. We did anterolateral thigh perforator flap. and full thickness ones are the most challenging to manage. radial artery.Soetomo General Hospital Surabaya Background: Burn trauma manifests in wide array of wound. Result: e performed 21 operations. and after healed and matured contracture will posses another major threat. It has advantages in such for utilizing adjacent tissue that relatively have similar character. dorsal metacarpal. and dorsal metacarpal artery perforator flap four times. supraclavicular artery perforator flap and thoracodorsalis artery perforator flap twice. There were 4 cases with partial necrosis. Since its introduction by Koshima in 1989. Patient and method: We collect data from our medical record from 1 January 2014-15 March 2016. and applications. reversed radial artery perforator flap. and also able to cover larger defect compared to local flap.ABSTRACT FREE PAPER FP 020 PERFORATOR BASED FLAPS IN BURN RECONSTRUCTION: A 2 YEARS EXPERIENCE Hastika Saraswati*. Defects like these will excel in function and cosmesis with flap covarage. And not to forget preparing another secondary life boat flap in case of inadequate predicted perforator vessel or else. lateral arm flap. reversed anterolateral thigh perforator flap. posterior interosseus. and medial thigh perforator flap once. these defects usually caused by third degree burns. In this article we would like to report our 2 years experience in utilizing perforator based flap for burn reconstruction. so free tissue transfer. In early burn. ulnar artery. Beta Subakti N** Dep/SMF of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine / Dr. ulnar artery perforator flap. perforator flap has been developed in variety. Keywords: burn reconstruction. pedicled and perforator based flap will come in handy. radial artery peforator flap and lateral genu perforator flap three times. All operations were performed by the same operator.

Jl.ABSTRACT FREE PAPER Correspondence Hastika Saraswati.Mayjend Moestopo 6-8 Surabaya. Airlangga University School of Medicine. 78 .Soetomo General Hospital Surabaya. phone : 031-5501316. Resident Plastic Reconstructive and Aesthetic Surgery. Dr.

75 times more likely to experience thrombosis after free flap procedure.ABSTRACT FREE PAPER FP 022 THROMBOPROPHYLAXIS STRATEGY AND THE RISK OF FREE FLAP THROMBOSIS IN PATIENTS WITH HYPERCOAGULABILITY: A SYSTEMATIC REVIEW dr. “hypercoagulable state”. Indonesia Background: Anastomosis technique and surgeon’s experience are two important factors contributing to the success of free flap procedures. dr. duration. strong evidence to support this conclusion is lacking. hereditary or acquired abnormality of coagulation mechanism. Despite adequate anastomosis and surgical experience. The overall incidence of thrombosis in hypercoagulable subjects was 14%. met the inclusion and exclusion criteria. “microsurgery”. Four articles. This study reviewed the available evidence to evaluate whether these patients are more prone to thrombosis complication following a free flap procedure and the effective thromboprophylaxis regimen. 79 . and Cochrane Library databases using “free flap”. SpBP-RE(K)1. Good quality studies needs to be conducted in the future to formulate a suitable perioperative strategy to prevent thrombosis complication in patients with hypercoagulable state. Methods: We searched relevant studies in PubMed. and drug combination. Jakarta. Johannes Albert Biben1 1 Division of Plastic Surgery. Faculty of Medicine Universitas Indonesia/Cipto Mangunkusumo Hospital. and “thrombophilia” as the search terms. Parintosa Atmodiwirjo. interval. Results: The etiologies of hypercoagulability in these 4 studies were varying from collagen vascular disorder. abstract. Title. The most common thromboprophylaxis regimen used was heparin with various dose. The most effective thromboprophylaxis regimen to prevent the occurrence of thrombosis cannot be determine based on the current evidence due to the exceptionally varying regimen. Patients with hypercoagulable state such as those with malignancy. Patients with hypercoagulable state were18. Embase. were included in the review. hereditary. flap loss due to thrombosis could still occur as a result of patient related factors. However. and acquired thrombophilia are among those who may need free tissue transfer procedure. while the subsequent flap loss incidence in this group was 8%. to malignancy related hypercoagulability. Conclusion: Hypercoagulable state seems to increase the risk of thrombosis in free tissue transfer procedures. Department of Surgery. and full text screening were applied to 56 articles found in the databases.

This study was an experimental research conducted on 10 wistar rats. of Plastic. Rieuwpassa Div. Statistically there was a significant correlation with p value of 0. Data were analyzed with SPSS version 22. Faculty of Medicine Hasanuddin University. Makassar. 80 . Sumantri Sarimin. The aim of this study was to compare the effect of Aloe vera gel extract and tulle on the number of fibroblast in the wound bed acute. A. Indonesia Aloe vera gel extract can be used as a new candidat for acute wound care which can accelerate the wound healing process. Keywords: fibroblasts. Number of fibroblast in the treatment group. aloe vera. The result indicated that the number of fibroblast in the application of aloe vera gel extract ranged between 828-992 with an average of 920 per 4 large field of views. tulle.J.0 with Mann-Whitney statistical test. tulle ranged between 788-884 per 4 large field of views. This research was done at the University Teaching Hospital Hasanuddin Makassar in October 2015. of Surgery.ABSTRACT FREE PAPER FP 030 Comparison of Total Fibroblast in Acute Wound Bed on Wistar Rats between The Applications of Aloe Vera Gel Extract and Tulle Muhammad Nawir. Dept. wound healing.032.

This procedure has impact on functional and aesthetical appearance1.3%) are mostly female (64.ABSTRACT FREE PAPER FP 036 ANTHROPOMETRIC EVALUATION OF GENTUR’S CHEILOPLASTY METHOD IN UNILATERAL CLEFT LIP Septrina R. Thus gives us hypothesis. horizontal height. Sujatmiko G Division of Plastic Surgery Reconstructive and Aesthetic.3%) and collapse palate (57. By doing this technique.57%) even in wide defect (64. cheiloplasty. horizontal height. complete defect (85. This technique is able to produce significant lip and nose symmetry (CI 95%.3%). preventing notching with some other details to overcome the wide cleft. Departement of Surgery Cipto Mangunkusumo Hospital Faculty of Medicine University of Indonesia Background: Cheiloplasty is the earliest surgical procedure in cleft lip and palate patient. vertical height. Keywords: unilateral cleft lip.1%).1%). vermillion and nostril. anthropometric measurement 81 .005) in cupid’s bow. Methods: Cross sectional analytic study will be taken from medical record in 14 unilateral cleft lip patients undergo cheiloplasty procedure. Direct anthropometric data before and after procedure is analyzed using SPSS17. small triangular. does the Gentur’s technique give symmetrical result in anthropometric measurement. pvalue <0. It uses the rotation-advancement. The Gentur’s technique is method of cleft lip surgery that has been developed by him and has been used in Cipto Mangunkusumo Hospital/Faculty of Medicine University of Indonesia. we found that most patient whose undergone surgery in 3 month (64. Result: From 14 patients. Datas were classified in cupid’s bow. Conclusion: The Gentur’s technique is able to use tissue deficiency in creating ideal lip and nose in the repair of unilateral cleft lip even in patient with wide gap. thickness of vermillion and nose. vertical height. the author able to create good lip and nose symmetry (78.8%) and in left side (57.

Subchan Aga Bachtiar. A combination of herbal extracts (allium cepa. 7. topical extract herbal group and tulle group. these herbal extracts can accelerate wound healing process as well as prevent hypertrophic scar formation. South Sulawesi INTRODUCTION: Recently. Theoritically. hydroxyprolisilane C. tamarind. tamarind. kazinol F paper mulberry. vitamin E) and silicone derivate (nano hydroxyprolisilane C) has been formulated to make a better scar. and 21. kazinol F paper mulberry. METHOD: Two rounds full thickness skin wound was made on the back of wistar rats. Medical Faculty of Hassanuddin University/ Dr.ABSTRACT FREE PAPER FP 038 COMPARISON OF TOPICAL TREATMENT RESULTS BETWEEN COMBINATION OF HERBAL EXTRACTS AND TULLE ON ACUTE WOUND MODEL ON WISTAR RATS Robin Kurnia Wijaya. allantoin. vitamin E. hypertrophic scar. “back to nature” trend has affect many fields including wound healing process. All data was analized statistically. allium cepa. Wahidin Sudirohusodo Hospital Makassar. RESULT: The wounds that applied with an extract herbal showed faster healing than wounds that applied with tulle. KEYWORDS: erbal extract. the rats was terminated. The samples were categorized into two groups. asiaticoside aloe vera. allantoin. 14. After examination. Angiogenesis. Clinical and Histopathological examination started at day 3. asiaticoside aloe vera. the presence of fibroblast and collagen formation to observed the histology changes during wound healing process was evaluated. 82 . Fonny Josh Plastic Surgery Subdivision. The purpose of this study was to prove the potential benefit of topical herbal extracts combination on accelerating wound healing process. wound healing.

Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia INTRODUCTION: The study is aimed to observe the safety of one-per-mil tumescent injection into skin flap that has survived from the preceding acute ischemic insult. TcpO2 is also measured pre and post injection. Keywords: tumescent. Acute tissue ischemia is employed by 15 minutes clamping application to the pedicle (both artery and vein) to represent the clinical scenario of a primary ischemic insult. Statistical analysis will be conducted with ANOVA. Reconstructive and Aesthetic Surgery.ABSTRACT FREE PAPER FP 049 THE SAFETY OF ONE-PER-MIL TUMESCENT INFILTRATION INTO SKIN FLAP THAT HAS SURVIVED FROM THE PRECEDING ISCHEMIC INSULT E Nindita.05. The flap survival is then re-assessed on the day-7 after the second surgery using the same method of photo analysis. Theddeus OH Prasetyono Division of Plastic. the flaps are inset back to its wound bed and flap survival will be assessed with Analyzing Digital Images® on postoperative day (POD)-7. the flaps will be grouped randomly into 3 groups i. On this POD-7. Statistical significance is stated as p<0.e. Following the clamp released. one-per-mil tumescent (A). normal saline (B). The outcome could be used for secondary procedures in replantation as well as free flap surgery.   SUMMARY: Ascertaining the safety of one-per-mil tumescent injection into tissues that have survived from the preceding ischemic condition may weigh up its usage for assisting the needed secondary reconstructive procedures. MATERIAL AND METHODS: An experimental study will be conducted on bilateral groin flaps of 20 healthy Wistar strained-Rattus novergicus weighing 220-270 grams. skin flap. and control (C) groups. and ischemic 83 .  Re-harvesting the flaps will be conducted on the same POD-7 following the injection group protocol.

9 patients perform anterolateral thigh free flap. The largest defect size was 33x12x2 cm.Februari 2016. It took 14 days approximately before the definitive defect closure procedure. Neck has preferential contour and tissue. 1 patient perform supraclavicular propeller flap. Indonesia Background: Submandibular abscess is one of the most common case in our center due to dental radix gangrene.ABSTRACT FREE PAPER FP 050 FLAP MODALITY FOR RESURFACING FOLLOWING AGGRESSIVE NECROTOMY DEBRIDEMENT IN SUBMANDIBULAR ABSCESS: CLINICAL EXPERIENCE IN 10 CASES Mufida Muzakkie. the smallest size was 8x4x1 cm. the choices of resurfacing should use the best modality. Parintosa Atmodiwirjo Plastic Reconstructive and Aesthetic Surgery Division Faculty of Medicine Universitas Indonesia. has been performed free flap and propeller supraclavicular flap for defect closure. cervicomental angel contour and range of movement. flap 84 . Cipto Mangunkusumo Hospital. for instance: thin skin and soft tissue. Results: 10 cases with submandibular defect due to abscess following aggressive debridement from Januari 2014 . Jakarta. Conclusions: Submandibular defect is typically constitutes an indication for reconstruction using flap due to large defect and regarding neck has preferential contour and tissue. After aggressive necrotomy debridement. which give the best functional and aesthetic outcome. with prevalence 11 cases per year. Material and Method: Patients referred from Cardiothoracic Surgery Division to Plastic Surgery Division at Cipto Mangunkusumo Hospital who diagnosed with submandibular abscess underwent aggressive necrotomy debridement. regarding to those importance. wound was managed with honey-packed gauze twice a day until the wound bed clear from necrotic tissue and ready to close. important structure. abscess. Aggressive debridement was performed until open thoracotomy if the abscess spreading into the mediastinum. Keywords: Submandibular.

7-9) were increase their sill width value 0. Results: 156 infants were included (median age.05). it can guuide the cleft treatment or reconstruction of the Indonesian infant.54 mm. Department of Surgery Cipto Mangunkusumo Hospital . Basal aspect images taken from screen capture of the video. sub alar width. everyage group (0-3. anatomical width andmorphological width of nose were significantly longer in Deutero Malay race than in other race (p<0. Deutero Malay race. Siti Handayani. included nasal tip protrusion. especially for cleft lip and nose repair. n:127 and other race. Results were compared statistically using the two-tailed t test and correlation coefficients were calculated. The notion of an ideal nose is critical to reconstruction. Keywords: Infant. girls. Conclusion: Normal nostril morphology is described in a population of Indonesian infants.1. morphometry 85 . alar length. In under 9 months old Deutero Malay infant. sill width. Measurements of Deutero Malay race were correlated positively with age and weight (p < 0. Grace Wangge Division of Plastic.4-0. By providing reference data of normal nostril morphometric in Indonesian infants.05) in Deutero Malay races and other races.04 mm and nostril height value 0.5 months. Measurements were similar (p>0. collumella width and length. ala thickness. Methods: A cross sectional study was performed.Alar base width.Universitas Indonesia Introduction: Indonesian normal nostril anatomy has received little attention in infants younger than 2 year. n:72 and boys. n: 84. 9.77. Ten anthropometric measurements of the nostril were measured and analyzed with Image J software. Reconstructive and Aesthetic Surgery. 4-6.ABSTRACT FREE PAPER FP 051 MORPHOMETRY OF INFANT NOSTRIL IN JAKARTA Melina Tiza. n: 29).05).

Sex as confounding factor wasn’t significantly different (p=0. It was intended to prevent sepsis and improve mortality. 86 . The extent of TBSA and age were significant factors causing mortality rate (p < 0.05). 20 patients had early excision (< 3 days) and 19 patients had late excision (> 3 days).0 for windows. without inhalation injury and co morbid disease.855). Result: Mortality rateof all patients was 43.774). Mortality and incidence of sepsis wasn’t significantly different in this group (p=0.252 and p=0. Early excision debridement as source control treatment has been done routinely in our center. The mortality and incidence of sepsis were analyzed by simple regression linier statistics using SPSS 16.3% of it was directly caused by sepsis. although many factors influence it.ABSTRACT FREE PAPER FP 040 EFFECTIVENESS OF EARLY EXCISIONAL DEBRIDEMENT IN BURN INJURIES TO SEPSIS INCIDENCE AND MORTALITY RATE AT BURN UNIT OF HASAN SADIKIN HOSPITAL Setiagung A Bowo*. with full thickness burn. The criteria of patients were adult. Hasan Sadikin Hospital who underwent early excisional debridement. Conclusion: There are many factors that contribute to the success of treating burn patient. Method: We performed a retrospective. In early excision group. Thirty nine patients matched with the criteria . Hardisiswo Soedjana** Division of Plastic. Excision debridement was proven by this study not a major factor and ineffective to decrease sepsis and mortality in burned patients. 75% got sepsis and 55% died. Reconstructive and Aesthetic Surgery *Department of Surgery University of Indonesia-Cipto Mangunkusumo Hospital **Department of Surgery Padjadjaran University-Hasan Sadikin Hospital Background: Sepsis is an important cause mortality in patients with burn. cross sectional study over 4 years (2012-2014) among patients with flame burns in Burn Unit Dr.3% and 42.1 and p=0.236). Both of groups have same length of stay (mean : 13.

ARDS remains a major cause of death in cases of severe burns.7% of it was caused by ARDS. Reconstructive and Aesthetic Surgery.3% and 66.3% of it caused by ARDS. especially ARDS resulting in death. and burns with comorbid (trauma). We started using Hasan Sadikin Protocol since January 2015. Dobutamine were given to the patients who already experienced ARDS to reduce extravascular lung water index and improvement of pulmonary ventilation function. negative fluid balance. inhalation injury. Bandung Background: he incidence of burns in Indonesia is still quite high. Department of Surgery Padjajaran University Hasan Sadikin Hospital. Result: There were 26 patients with severe burn injury in 2013. Keywords: evere burn injury. ARDS. betablockers. Further research is needed to develop this strategy. the mortality rate were 45 % and 66. high-voltage electrical burns.6% of it was caused by ARDS. betabloker was used to reduce complications of SIRS and sepsis. Hasibuan Division of Plastic. Patients with severe burns are most likely to fall into severe sepsis and multiple organ failure complications. Hasan Sadikin protocols.8% and 78. In 2014 there were 40 patients with severe burn.ABSTRACT FREE PAPER FP 042 NEW STRATEGY USING BETA BLOCKER AND NEGATIVE FLUID BALANCE THERAPY TO REDUCE MORTALITY RATE IN MANAGING PATIENT WITH SEVERE BURN INJURY: HASAN SADIKIN PROTOCOL Steven Narmada. Conclusion: Using new strategy. the mortality rate from 33 patients of severe burn was 33. some of which are severe burns included patients with extensive burns 30 percent or more of body surface area. mortality rate 87 . Lisa Y. Methods: We present data of severe burn patients treated in Burn Unit Hasan Sadikin Hospital period 2013-2015. the mortality rate were 53. The strategy was negative fluids balance therapy as using albumin or FFP to correct oncotic pressure and forced diuresis with furosemide to prevent pulmonary edema and ARDS complications on day three to five days after the incident. After using Hasan Sadikin Protokol since 2015. on handling severe burn patients in our burn unit reduced the mortality rate.

mortality. 0. This study aim is to compare the use of chlorhexidinealcohol versus povidone-iodine for preoperative skin preparation to prevent surgical site infection.60 (95% CI. rate of readmission and rate of re-surgery. Reconstructive and Aesthetic Surgery.080 patients were included in meta-analysis. 0. Metaanalysis showed the use of chlorhexidine-alcohol was associated with significantly fewer SSIs (pooled risk ratio.28-0.ABSTRACT FREE PAPER FP 045 EFFICACY OF CHLORHEXIDINE-ALCOHOL VERSUS POVIDONE IODINE AS PREOPERATIVE SKIN PREPARATION TO PREVENT SURGICAL SITE INFECTION: A META-ANALYSIS Tasya Anggrahita.38(95% CI. Keywords: chlorhexidine-alcohol. Meta-analysis was conducted in the included study to obtain a pooled estimate of effect size. Aditya Wardhana. Gentur Sudjatmiko Division of Plastic.79)) and fewer positive skin culture results (pooled risk ratio. Conclusion: Pre-operative skin antisepsis with chlorhexidine is more effective than povidone iodine in preventing surgical site infection. University of Indonesia . 0. hospital cost.Cipto Mangunkusumo Hospital Background: urgical site infections remain substantial problems to surgeons and patients as it increase the morbidity. Included studies were RCTs with the year of publication between 2005-2015 comparing the use of chlorhexidine-alcohol versus povidone-iodine in the effectiveness in reducing surgical site infection in adult patients.45-0.51)) compared with povidone iodine. Method: The literature search was conducted through the Pubmed database in November 2015. povidone-iodine. Department of Surgery. length of stay. Quality of the study was assessed using Jadad Score. RR 0. skin antisepsis. Evidence of heterogeneity and publication bias was also assessed. surgical site infection 88 . Results: 6 RCTs with a total of 2.

While some craniofacial center worldwide already allow unrestricted feeding post palate repair and comes with no significant adverse effects on operative outcomes or complications. Calories of daily intake at week one. two and three did not differ significantly between the two groups. Prasetyanugraheni Kreshanti University of Indonesia. The body weight of patients in group 1 was reduced 8. Jakarta. This randomized prospective study was aim to objectively compare the effect of immediate long nipple feeding with conventional feeding on patients’ body weight after post palate repair. The body weight of each subjects was measured preoperative and first week post operative.3% (mean 201 g). while study grup was using bottle with long nipple. Results: Relative weight changes after one week was significantly different between two groups. It also significantly prevent greater weight loss after surgery that may disrupt the wound healing process Keywords: cleft palate. The amount of oral intake. Indonesia Introduction: Until today the feeding regiment after palate repair is still debatable. Conclusion: This preliminary study demonstrates that early unrestricted feeding using bottle with long nipple after cleft palate repair does not adversly affect final outcome. and can be safely implemented. there is no significant differences of relative body weight between two groups at third week postoperative. feeding management 89 . does not increase risk of complications. However. Methods: This study randomized patients who will undergo cleft palate repair at Cleft and Craniofacial Center (CCC) into control and study group who will treated with different feeding method postoperatively. our craniofacial center still forbid the immediate use of nipple feeding postoperative and allow only spoon or cup feeding. Control group was using conventional feeding method with spoon or cup feeding. insidences of complications and relative body weight changes was recorded and evaluated. There were no significant betweengroup differences in the mean amount of daily oral intake for sixth days after surgery.ABSTRACT FREE PAPER FP 046 RELATIVE BODY WEIGHT CHANGES POST PALATE REPAIR IN PATIENTS FED BY LONG NIPPLE NURSING BOTTLE VERSUS CONVENTIONAL FEEDING Tessa Puspita Sari.4% (mean 883 g) while patients in group 2 only reduced 2. At second week postoperative. the relative body weight changes from baseline weight was still significantly difference between two groups. body weight. There is also zero incidence of wound dehiscence or fistula developed in either group.

**Sitti Rizaliyana. phone : 031. Dr. Dr.5501316. **M. Soetomo General Hospital Surabaya Background: The use of human amniotic membrane is widely known. Airlangga University School of Medicine. Soetomo General Hospital. phone : 031. phone : 031. partial-thickness wound Correspondence: *Yugos Juli Fitra. Plastic Reconstructive and Aesthetic Surgeon. S. Airlangga University School of Medicine.Fitra.J. email: danauranukumbolo1@yahoo.com. Plastic Reconstructive and Aesthetic Surgeon. Airlangga University School of Medicine. M. Rizaliyana. Its use led to the imbalance of production and demand. Mayjen Moestopo 6-8 Surabaya. Dr. Soetomo General Hospital..ABSTRACT FREE PAPER FP 048 THE EFFECTIVENESS BOVINE AMNIOTIC MEMBRANE TO SUBSTITUTE HUMAN AMNIOTIC MEMBRANE IN PARTIAL THICKNESS WOUND CARE IN RATS Y. Methods: A randomized clinical trial post-test control group design in male rats which harmed partial-thickness wound. Keywords: bovine amniotic membrane. Objective: This research to prove the use of bovine amniotic membrane as a substitute for human amniotic membrane in the case of partial-thickness wound care. the wound is closed with human and bovine amniotic membrane. then observed the local response in the wound bed and the speed of epithelialization in wound healing. bovine amniotic membrane is said to have similar efficacy in terms of wound closure but with the source of production far more plentiful and cheaper.S.5501316.5501316 90 . Staffs of Department Plastic Reconstructive and Aesthetic Surgery. Resident of Plastic Reconstructive and Aesthetic Surgery Programme. Mayjen Moestopo 6-8 Surabaya. Dr. Soetomo General Hospital. Sjaifuddin Noer.Noer Department of Plastic Reconstructive and Aesthetic Surgery. On the other hand. Mayjen Moestopo 6-8 Surabaya. Airlangga University School of Medicine. Staffs of Department Plastic Reconstructive and Aesthetic Surgery.

14. and 21. Methods: randomized clinical trial post-test control group designs. S. in deep 2nd degree burn care in Dr. Topical antibiotic such as silversulfadiazine was common used in burn care. and can be considered for the burn wound dressing. Data was analyzed statistically with one-way Annova’s multivariate. Noer Department of Plastic Reconstructive and Aesthetic Surgery.009). Rizaliyana. Utami*. Results: PRP was superior significantly to amnion itself and silversulfadiazine in percentage of epithelium (P = 0. Soetomo General Hospital. Keypoint: deep 2nd degree of burn. but not significantly different in 14 days and 21 days Conclusion: PRP itself may enhance the rate of epithelial process in deep 2nd degree of burn wound.001). T. but not so effective in promotes epithelial process. S. M. Soetomo Teaching Hospital Surabaya Background: A wide damage of skin caused by burn injuries leads to high morbidity and mortality. Amnion and platelet rich plasma (PRP) solely contain a lot of growth factor that promote epithelial process. and superior significantly in the rate of epithelial process in first 7 days (P = 0. platelet rich plasma.ABSTRACT FREE PAPER FP 044 EFFECTIVITY OF PLATELET RICH PLASMA IN WOUND HEALING OF DEEP SECOND DEGREE BURN INJURIES IN DR. amnion. 7. silversulfadiazine 91 . Data was collected at the day 0. Growth factors in PRP may works more effective in first phase of wound healing. to compare platelet rich plasma to amnion itself and topical silversulfadiazine. Airlangga University School of Medicine Dr. SOETOMO GENERAL HOSPITAL P. evaluated the wide of burn wound to get the percentage of epithelium and the rate of epithelial process among this three group. was done from December 2015 until February 2016.

On the investigation of skull and panoramic x-ray examination both showed there were complete separations of mandibular symphisis. Hasan Sadikin Hospital/ University of Padjadjaran Bandung Background: Facial cleft Tessier no. We consult the patient to speech therapist to optimize patient’s speech. We found ankyloglossia with small notch on the upper side of the tongue. rigid fixation on separated mandibular segment continued with maxillo-mandibullar fixation.1 and Ade Sari N. Case presentation: A teenager female was present to our out-patient clinic hospital with chief complain of a cleft on her lower lip that appear since birth. 30. MD. Department of Surgery. To date. 30 considered as a rare deformity. therefore presentation and management are valuable to our interest. facial cleft. She only wanted her lower lip to be repaired. Conclusion: Facial cleft Tessier no. MD. Patient was discharged after maxillo-mandibular fixation release and performed postoperative skull and panoramic x-ray examination. 30: ENCOUNTERED IN ADULT Hardisiswo Soedjana.1 Affiliation: 1 Division of Plastic Surgery. The mandibular segments were mobile. Keywords: Tessier cleft 30.ABSTRACT FREE PAPER FP 001 FACIAL CLEFT OF TESSIER NO. Patient was not able to perform soundings of particular letter such as letter “K”. Since this deformity is rare and presents in widely variations. also known as lower midline facial cleft. there were about 100 cases of median facial clefts reported since its first encountered by Couronne in 1819. On physical examination there were cleft on lower lip with scar that extend from chin to the neck. Patient were performed a tongue-tie release. There were no complain on feeding nor speech performance. Sitorus. Management on this case is vary and valuable since there were lots of variant of presentation on each case. and the last is lower lip reconstruction. is an extremely rare case. making appearance of web-like along the neck. midline mandible cleft 92 .

disc. We report a debilitating recurrent case of left TMJ ankylosis in a 16-year-old male with history of trismus since 4 years old. Condylar fracture of mandible leading to TMJ ankylosis at an early age can be disastrous causing disturbances in facial growth. Surabaya Ankylosis of temporomandibular joint (TMJ) is an intracapsular union of the disc-condyle complex to temporal articular surface that restricts mandibular movement. Airlangga University. Soetomo Hospital 2 Senior Staff of Department of Plastic Reconstructive and Estethic Surgery. 93 . such as ankylosing spondylitis. Soetomo Hospital. glenoid fossa. Recurring ankylosis was managed by osteotomy and interpositional silicone block with bilateral coronoidectomies. and articular eminence (1). Dr. Dr. We describe a step-wise procedure involving a patient at an early age which has not been previously described in Indonesian patients. He healed uneventfully and showed favorable results in terms of function with mouth opening restored to 3.5 cm. rheumatoid arthritis. TMJ ankylosis is more commonly associated with trauma (13–100%). A vigorous and multidisciplinary approach should be executed to obtain an optimal outcome for TMJ ankylosis. or systemic diseases (100%). Airlangga University.ABSTRACT FREE PAPER FP 010 DIFFERENT APPROACH ON RECURRENT TEMPOROMANDIBULAR JOINT ANKYLOSIS WITH INTERPOSITIONAL ARTHROPLASTY USING SILICONE BLOCK AND BILATERAL CORONOIDECTOMIES: A CASE REPORT Betha E Riestiano1 dan Magda R Hutagalung2 1 Resident of Department of Plastic Reconstructive and Estethic Surgery. patient followed aggressive regimen of physiotherapy. and psoriasis. local or systemic infection (10–49%). an osteotomy of the ankylosis and interpositional temporofacial flap were performed. with fibrous adhesions or bony fusion between condyle. function and aesthetics. Postoperatively. In the first surgery.

High Voltage Electric Injury. They are also indicated in repairing areas which have undergone radical debridements. as in the case of electric trauma. Methods During the period of January 2010 to 2015. Soetomo General Hospital Surabaya Background Defects in the scalp may be partial or full thickness. Correspondence: *Doni Setiawan. Mostly.5501316. Airlangga University School of Medicine. cutaneous. All patients underwent immediate debridement. the preferred time frame within which free flaps should be performed. Scalp. Reconstruction of the scalp is determined by the size and depth of the defect.ABSTRACT FREE PAPER FP 011 Free Flap Reconstruction of Scalp Defects Caused by High Voltage Electric Injury Doni Setiawan*. Dr. Conclusion We highlighted the indications for free flap technique in primary reconstructions.MayjenMoestopo 6-8 Surabaya. phone and fax : 031. they result from burn injuries which have been managed using various methods including free flap surgery. muscular. 94 . email: setiawan. the scalp defects could be successfully reconstructed by a one-stage surgery with acceptable complications and good long-term outcomes. resident of Plastic Reconstructive and Aesthetic Surgery. Result Surgeries were successfully performed on 5 patients with scalp defects using free flap reconstruction. Jl. Myocutaneous and muscular flaps are mainly used to fill cavities and to provide better control of infection.Soetomo General Hospital Surabaya. ddr@gmail. Therefore. Scalp has its own specificity.com. After proper wound treatment. Keywords Free flap. aged between 19 and 55 years old. Sitti Rizaliyana** Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr. and methods which may be employed to reduce complications and ensure flaps success. free flap reconstruction was performed on 5 male patients (6 surgeries) who had sustained electrical burn injuries. Free flaps used in burn reconstructions can be divided into myocutaneous. and fasciocutaneous. extensive defect closure requires special attention due to its limited elasticity.

5501316. staffs of Departement Plastic Reconstructive and Aesthetic Surgery. Plastic surgeon.MayjenMoestopo 6-8 Surabaya. Jl.Soetomo General Hospital Surabaya. phone and fax : 031.ABSTRACT FREE PAPER **Sitti Rizaliyana. Airlangga University School of Medicine. Dr. 95 .

I.  Methods: Nine New Zealand white male rabbits were studied. Soetomo Hospital Surabaya Introduction: Wound care is constantly evolving with the advances in medicine. Sjaifuddin Noer Plastic Surgery Department of Airlangga University School of Medicine Dr. dressed intermittently. Alternatively. Wounds were bandaged. and a collection of samples at 7 days to evaluate epithelization using digital visitrac Hypothesis: Allogenic freeze dried PRP accelerate epithelialization in full thickness wound Keyword: Allogenic.Ardan. an additional health burdens to patients. full thickness wound. M. ephitelialization 96 . but its clinical application is harassed by controversial outcome. Autologous platelet-rich plasma (PRP) has been extensively investigated for wound care.Dososaputro. Two 4 cm2 full-thickness wounds were created using a template and treatments divided in two groups. The use of platelet-rich plasma (PRP) in tissue regeneration has developed as the more number of research and application in the clinical because it has a strong supply of low-cost raw material.  Here. We need to improve outcomes while reducing the costs. M.ABSTRACT FREE PAPER FP 005 THE EFFECT OF ALLOGENIC FREEZE DRIED PLATELET RICH PLASMA ON EPHITHELIALIZATION OF FULL THICKNESS WOUND IN RABBIT A. we meticulously evaluated its healing efficacy for critical-sized defect treatment. first group treated with tulle and second groups treated using allogenic freeze dried PRP. freeze dried PRP. Search for the ideal dressing material which low cost but excellent outcome still continues especially in the developing country like in Indonesia. due to highly variable PRP quality among patients. allogeneic PRP from well-characterized donors cannot only generate more consistent and reliable therapeutic effect but also avoid harvesting large quantities of blood.

The use of pharmacologic anticoagulation has been shown to improve outcomes and patency rates free flaps. Iswinarno Doso Saputro** Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr. the vascular intima has been injured as a result of the microsurgical anastomosis. Objectives: Effectiveness of Hyperbaric Oxygen Therapy for Preventing thrombosis in free flap was significantly different in reducing thrombus size. Sitti Rizaliyana**. ten others receive Hyperbaric Oxygen Therapy (HBO). phone and fax : 031. 24 hours before procedure. The percentage of thrombus size to arterial size will be collected and data analysis used ANOVA method (Analysis of Variants). The specimens will be stained with hematoxylin-eosin. email: setiawan. Thrombosis is the body’s natural defense mechanism to prevent blood loss. Thrombosis Correspondence: *Doni Setiawan.com. Oxygen is the most critical of the nutritive needs of tissue being transferred. Airlangga University School of Medicine. Dr.ABSTRACT FREE PAPER FP 013 THE EFFECT OF HYPERBARIC OXYGEN THERAPY FOR PREVENTING THROMBOSIS IN FREE FLAP : AN ANIMAL STUDY Doni Setiawan*. Keywords: Free flap. eventually leading to the activation of fibrinogen. This results in the extrinsic pathway of the coagulation cascade to begin. the body employs platelets and fibrin to seal the defect. resident of Plastic Reconstructive and Aesthetic Surgery.Soetomo General Hospital.MayjenMoestopo 6-8 Surabaya. Jl. Hyperbaric Oxygen Therapy can also increase the effectiveness of angiogenic factors. It is imperative that the inherent process of coagulation be prevented. Methods: A Tuck model anastomosis will be created in the 20 arteries. The amount of oxygen carried by reversible binding to each molecule of haemoglobin is fixed. Soetomo General Hospital Surabaya Background: The most common and feared complication of microvascular anastomosis is arterial or venous thrombosis. The amount of oxygen dissolved in plasma is proportional to the partial pressure of oxygen over the plasma. 97 .Hyperbaric Oxygen Therapy. ten arteries receive Dextran. Tissue factor activates factor X. which in turn activates thrombin. Sites of repair will be resected 3 hours after the procedure and prepared for histopathology assessment. This can be increased many fold by the use of hyperbaric oxygen therapy (HBOT). When a vascular insult occurs. When discussing free tissue transfer. particularly vascular endotel growth factor (VEGF) in angiogenesis in the flap. The physiologic process is initiated by the presence of tissue factor when injury to the vascular intima occurs.ddr@ gmail. so that the flap survival can be improved.5501316.

Plastic surgeon. phone and fax : 031.5501316.Soetomo General Hospital. Airlangga University School of Medicine. staffs of Departement Plastic Reconstructive and Aesthetic Surgery. Dr.MayjenMoestopo 6-8 Surabaya.Soetomo General Hospital. staffs of Departement Plastic Reconstructive and Aesthetic Surgery. Airlangga University School of Medicine. 98 .MayjenMoestopo 6-8 Surabaya.ABSTRACT FREE PAPER **Sitti Rizaliyana. phone and fax : 031. Jl.5501316. Plastic surgeon. **Iswinarno Doso saputro. Dr. Jl.

The sample will be taken from patient in emergency room. Sampling technique will be done with consecutive technique. Chaula L Sukasah. Visual Analog Score(VAS). central Jakarta. Patients with the lacerated wound site at face (60 sample) who achieve primary suture procedure and will be follow up after six months microporous paper tape application. occlusive dressing . After application of microporous could make better quality of mature scar. skin tension between the edges of the wound will promote hypertrophic scar. Nandita Melati Putri. continuous pressure effect. Evaluation scar method using clinical pictures by simple blinded and simple randomized technique. 99 . Grace Wangge Plastic surgeon division.ABSTRACT FREE PAPER FP 062 SUBJECTIVE ASSESSMENT OF THE SCAR FORMATION AT FACE AFTER MICROPOROUS PAPER TAPE APPLICATION Beni Herlambang. Microporous paper tape mechanism could support the scar with reduce tension force from edges of the skin. The result of this study are mean. mean difference standard deviation and P-value in VAS score that analyzed by one evaluator between intervention and control group. After suture removal. Surgery Department. Diponegoro No.Cipto Mangunkusumo Hospital from April to Mei 2016. microporous paper tape. cheap and can be used easily by the patient themselves. The results of this study will help clinicians to choose therapy after a surgical procedure to make good mature scar. 71. Key Word: hypertrophic scar. Faculty of Medicine University of Indonesia Jl.Indonesia. Background: Management of scar after surgical procedure is important to make good mature scar for long-term results. Material and Methods: Experimental study to compare the differences Visual Analog Score (VAS) subjective scar scoring between the intervention group (“Chaula method“ microporous paper tape application) and control group. Data primary source obtained directly from subjects which meet the inclusion and exclusion criteria.

is proven for promoting speed of epithelialization of seconddegree burn in recent researchs. The defect including full thickness skin loss. vaskulars. PRP also stimulates fibroblast proliferation and angiogenesis. Department of Plastic Reconstruction and Aesthetic Surgery. Research Hypothesis: The use of Platelet-rich Plasma can promote the speed of epithelialization on third-degree burn wound. dr. Hutagalung M. Address : Prof. 100 . will require skin graft or flap. since the growth factor is contained in PRP. wound treated with silver sulfadiazine. In our research. and 21. A total 48 male Wistar rat will divided into 2 groups as follows . The animals will subdivided in 4 groups for the study of epithelialization in day 7. Correspondence : Santi Devina.ABSTRACT FREE PAPER FP 019 THE EFFECT OF PLATELET-RICH PLASMA (PRP) FOR PROMOTING EPITHELIALIZATION SPEED IN RAT SKIN’S THIRD DEGREE BURN WOUND Devina S. and those treated with PRP. 14. Keyword: Third-degree burn wound. the main problem facing burn surgeon is defect closure itself. Platelet-rich plasma (PRP) as a new. and bones. nerves. Platelet-rich plasma.R. This method could be achieved in stable and non septic-prone patient. Department of Plastic Reconstruction and Aesthetic Surgery. the main aim is to proof that PRP could reduce the defect size by promoting the speed of epithelialization of third-degree burn. or other vital structure. compared with the use of silver sulfadiazine. Dr. adjunctive therapy. full-thickness burn wound. Airlangga University School of Medicine. Growth factor. Moestopo 6-8. tendons. Dr.. Airlangga University School of Medicine. Surabaya. Material and Method: This research is a clinical trial post test control group design. Rizaliyana S. Soetomo General Hospital.. simple randomized dan single blind experiment. Soetomo General Hospital Surabaya Background: In third degree burn wound. ie.

ABSTRACT FREE PAPER
FP 037
CASE REPORT : HAND FINGER DEGLOVING INJURY, AMPUTATION IS NOT AN
OPTION.
Ribka Theodora, MD
Gatot Soebroto Central Army Hospital
Hand injuries send more than one million workers to the emergency room each year,
in Hong Kong 66% of the treated hand injuries are crush type injuries. Replantation of
the skin in a degloving injury of the hand can be considered as the first reconstructive
choice. Nevertheless, after arterial revascularization, insufficient perfusion of more than
half of the avulsed tissue was observed. All distal phalanges are usually amputated to
avoid avascular necrosis of the bone and facilitate wound coverage.
Our case is a fore-finger degloving injury caused by a roller machine. A direct vascular
anastomosis or arteriovenous shunting was impossible due to the extension vascular
damage. One of the oldest consistently safe practical technique of providing soft tissue
coverage is the use of a groin flap.
The groin flap, being an axial flap, has a length-to-base ratio that is about three times
greater than the classic abdominal flap makes it more mobile. Unused portion of the
flap can be tubed to create a closed wound, reduces the chance of infection. Rather
than deltopectoral flap, there is no unfavorable scars on upper anterior chest wall as
the donor site. Also, the reliability of blood supply allows the surgeon to take a longer
flap than usual without fear of vascular embarrassment. For the result in our patient,
there is not much of unsightly bulk that is often associated with the fat thickness from
abdominal flaps, and because of the excellent venous drainage at its base there is no
sign of edema. The length of injured digit completely preserved. And the patient can
do his work and daily activities normal again. So, in hand fingers degloving injury,
amputation is not an option.

101

ABSTRACT FREE PAPER
FP 031
THE EFFECT OF TOPICAL SIMVASTATIN GEL ON EPITHELIALIZATION
PROCESS, COLLAGEN SYNTHESIS, FIBROBLAST PROLIFERATION, AND
NEOVASCULARIZATION OF FULL-THICKNESS WOUND ON WISTAR-STRAIN RAT
(RATTUS NORVEGICUS)
N. Febry*, A. Santoso Budi**, M. R. Hutagalung**
Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University
School of Medicine Dr.Soetomo General Hospital Surabaya
Wounds and wound healing have always been one of the most important subjects that
experimental researches were dedicated to. Simvastatin has been used for long as
a common lipid lowering agent which was reported to have some pleiotropic effects
such as antioxidation, anti-inflammation and immunomodulation. In this study we aimed
to determine the effect of simvastatin on wound healing process in laboratory rats by
means of stereological and histopathological analyses.
18 male Rattus novergicus rats each with a 2 cm2 full thickness wound on their backs
were divided into two groups, first group that received 2% concentration of simvastatin,
second group treated with only gel base. Duration of the study was 5 days. Wound
closure rate, epithelialization, fibroblast proliferation, collagen bundles synthesis and
vascularization were determined.
Keywords: Simvastatin, Wound healing, Epithelialization, Fibroblast proliferation,
Collagen bundles
Correspondence: Nanda Febry, Department of Plastic Reconstructive and Aesthetic
Surgery, Airlangga University School of Medicine, Dr.Soetomo General Hospital
Surabaya, Mayjen Moestopo rd. 6-8 Surabaya, phone : 031-5501316.
* Plastic surgery resident at Medical School of Airlangga University / Dr.Soetomo
Hospital Surabaya Indonesia.
** Plastic surgeons, staff at Medical School of Airlangga University / Dr.Soetomo
Hospital Surabaya Indonesia

102

ABSTRACT FREE PAPER
FP 032
CARTILAGE REGENERATION ON DONOR SITE DEFECT WITH ONE SIDED
PERICHONDRIAL AURICULAR CARTILAGE GRAFT : AN EXPERIMENTAL RABBIT
MODEL
Nurardhilah Vityadewi*, Kristaninta Bangun*, Budiman**, Ahmad Aulia Jusuf***
*Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery
Faculty of Medicine, Universitas Indonesia, Ciptomangunkusumo Hospital, Jakarta,
Indonesia
** Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery
Gatot Soebroto Army Central Hospital, Jakarta, Indonesia
***Department of Histology, Faculty of Medicine, Universitas Indonesia,
Ciptomangunkusumo Hospital, Jakarta, Indonesia
Background: Auricular cartilage considered a source for cartilage graft with favorable
aesthetic result and most frequently used in augmented rhinoplasty. Rhinoplasty
becomes an increasingly popular procedure and also the number of revision increases.
Most revision procedures require grafting and auricular cartilage is typically precious
site for secondary rhinoplasty. Since the donor site is limited, search for the source
and optimization of the donor site of graft material is necessary. The availability of the
cartilage amount after harvesting very limited to be a structural support of the ear. It is
our goal to investigate the possibility of reharvesting cartilage from the utilized donor site
without any risk of distorting the ear morphology. The aim of this study was to evaluate
the healing process of the donor site, include the cartilage regeneration of the donor site
in experimental animal model.
Material and Methods: We conducted an experimental study in 32 white, healthy, New
Zealand rabbits for the investigation of the cartilage regeneration from donor defect
with one side perichondrium. Cartilage defects size 0,5 x 3 cm2 were created on the
elastic ear cartilage of rabbits. Two experimental groups with 16 ears in each group were
created: Group 1 (with one side perichondrium) and group 2 (without perichondrium).
Macroscopic and microscopic evaluations were done on the 4th and 10th weeks.
Statistical analysis will be conducted with Kruskall Wallis test.
Summary: The regeneration of cartilage after harvesting at the donor site defect with
one side perichondrium will give the possibility of reharvesting the limited donor cartilage.
The result of this study would enrich data to be used in clinical setting in cartilage
regeneration for reconstructive and aesthetic surgery.
Key word: auricular cartilage graft, rhinoplasty, donor defect, cartilage regeneration,
cartilage healing

103

amikasin. coli (4%).3%). pneumonia. baumanii (19.5%) patients were male and the most commonly affected age groups were young adults 15-40 years old. Conclusion: Dominant bacteria isolated was P. piperacillin-tazobactam and cotrimoxazole. baumanii. ceftriaxone and ceftazidime showed very low sensitivity(0-14.3%) and Acute Respiratory Distress Syndrome (ARDS) was commonly the primary cause of death (53. stuartii (2.ABSTRACT FREE PAPER FP 041 BACTERIAL PATHOGENS AND ANTIBIOTIC SENSITIVITY PATTERN IN BURN UNIT OF HASAN SADIKIN HOSPITAL (RSHS) FROM JANUARY 2012 .3%). Cefoperazon. aeruginosa (30. The mortality rate in burn unit was 71 patients ( 43. K. coli . Method: A retrospective descriptive study has been done in Burn Unit RSHS over 4 years (2012-2014) by collecting data through medical records of patients treated at burns unit. We evaluated the pattern of bacterial pathogens isolated from burn wound and sensitivity of antibiotics in burn unit of RSHS.DECEMBER 2015 Setiagung A Bowo*. Result: A total 205 patients were admitted to burn unit of RSHS and 164 patients can be analyzed. aeruginosa sensitive to meropenem and commonly resistant to the third generation of cephalosporins antibiotic.9%).8%). stuartii was 100% sensitive to meropenem. pneumonia (19. wound isolates bacteria and sensitivity was collected. Reconstructive and Aesthetic Surgery *Department of Surgery University of Indonesia-Cipto Mangunkusumo Hospital **Department of Surgery Padjadjaran University-Hasan Sadikin Hospital Background: Infection is the common cause of death following burn injury.5%) and followed by sepsis (42. It was became multi drug resistance bacteria. characteristic of patients. E. which 114 (69. A. aeruginosa and K. Almahitta C Putri** Division of Plastic. E. Meropenem was the most sensitive antibiotic against to P.1%).3%). Antibiotic resistance is a major wide problem in burn unit. Amikasin was very sensitive to A. P.1%). Microorganism from burn wound isolates showed P. Data of demography. E. cloacae (9. cloacae and E. 104 . P.

Keywords: radial forearm free flap prefabricated. curves.Soetomo General Hospital Surabaya. unfortunately failed. Total nasal reconstruction is done using a radial forearm free flap prefabricated. Methods: A patient requiring total nasal reconstruction after undergoing extensive excision due basal cell carcinoma. and full-thickness skin graft is used for inner lining. Although it will requireing some flap debulking and separation of esthetic subunits. the patient is very pleased with the result and functional outcome.Soetomo General Hospital Surabaya Background: Total nasal defects present daunting challenges to the reconstructive surgeon. The nasal skeleton can be fabricated with bone and cartilage. Silastic tubes are inserted to maintain proper shape and caliber of the nostrils. Results: A radial forearm free flap prefabricated is used to close the defect due to forehead flap failure. 105 . A nonvascularized costal bone grafts is used to substitutes for the nasal bones. Airlangga University School of Medicine / Dr. Moestopo 6-8 Surabaya. Dr. The topography of the external nose is a graceful blend of convexities. Prefabricate the replacement structures performed 3 weeks before flap transfer. Conclusions: A total nasal defect can be successfully reconstructed with a radial forearm free flap prefabricated. Resident of Plastic Reconstructive and Aesthetic Surgery Programme. Sitti Rizaliyana** Department of Plastic Reconstructive and Aesthetic Surgery.ABSTRACT FREE PAPER PO 001 TOTAL NASAL RECONSTRUCTION Affandi Wiramur*. Correspondence: Affandi Wiramur. These patient has been done forehead flap to coverage the defect post-excision by head and neck surgeon. Mayjend. and depressions that reflect the underlying shape of the nasal skeleton. total nasal reconstruction. Airlangga University School of Medicine. The nose is a composite tissue structure composed of the nasal skeleton. an internal lining of mucosa. phone : 031-5501316. and an external layer of skin.

White Lip and Scars.50 to 1. Methods: This study used a descriptive observational design with a sample of 24 people with 12 people each operation Millard and 12 people Randall . Conclusion: Aesthetics post labioplasty unilateral Millard technique better than Tennison Keywords: Labioplasty unilateral. the surgical technique is most often used in the Plastic Surgery Department of Hasanuddin. Fonny Josh Background: Quality of life of patients is determined by the effectiveness and aesthetic results of operations labioplasti.43 to 1. namely engineering and technical Millard Randall-Tenison Triangular Flap Repair.47 Tennison. However. There are several techniques that can be used labioplasty the lower lip Z-plasty (Bauer. Trusler. Millard technique. Wynn. Results: The average ratings Red Lip Aesthetics (Vermillion) Mechanical Millard 1. The average ratings White Lip Aesthetics Mechanical Millard 1.Triangular Tennison in 2012-2014 at Hikmah Hospital.38 while Tennison. Mulliken) and a combination of upper and lower Z-plasty (Skoog).72 while 1. Mortier Modified Score to assess Red Lip.47 while Tennison.TENNISON TRIANGULAR Azis Beru Gani. technique Tennison 106 . Average ratings Esthetic Scars Mechanical Millard 1.ABSTRACT FREE PAPER PO 004 COMPARATIVE AESTHETICS POST LABIOPLASTY UNILATERAL WITH MILLARD TECHNIQUE AND RANDALL . Tondra and Tennison) and upper lip Z-plasty (Millard.

Reconstructive and Aesthetic Surgery.05 E-POSTER 1 DATE TIME Room TIME Division of Plastic.Tennison Triangular Total Nasal Reconstruction JUDUL E-POSTER SCHEDULE 107 .00 . Dept. Makassar. Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia Div. An Animal Study Comparative Aesthetics Post Labioplasty Unilateral with Millard technique and Randall .10. of Plastic. Soetomo General Hospital Surabaya An Alternative Treatment After Tumor Ablation At Maxillofacial Region For Geriatric Patient : Case Series Hemostatic Performance Of Honey Soaked Oxydized Regenerated Cellulose (Surgicel Madu).PO 001 Affandi Wiramur PO 004 Azis Beru Gani PO 005 Bayu Suhartadi PO 007 Beni Herlambang 10.55 : Foyer Sandeq A KODE NAME 10. Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia Division of Plastic.10.10.00 . of Surgery.15 .10 10. Reconstructive and Aesthetic Surgery.10 .15 10.05 . Faculty of Medicine Hasanuddin University.10. Indonesia INSTITUTION Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr.10.20 : 26 May 2016 : 10.

50 Division of Plastic. Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia Gatot Soebroto Central Army Hospital Div.30 10.10.45 . Reconstructive and Aesthetic Surgery.25 10. Makassar. Soetomo General Hospital Surabaya Long Term Maxillary Growth Evaluation After The Non Denuded Mucoperiosteal Palatoplasty Technique Mesenchymal Stem Cells The Next Generation Of Burn Treatment Intra-Lesional Alcohol Injection For Facial Vascular Malformation. Treatment And Challenges Facial Atrophy Lesion Treatment with Modified Dermal-fat Graft: A Technique to improve Graft survival (Case report) Non-Surgical Management of Methicillin-Resistant Staphylococcus Aureus Pressure Ulcers: A Case Report Succesful Surgical Management of Giant Condyloma Acuminatum.45 10.30 .10. Reconstructive and Aesthetic Surgery.10.20 .25 .108 PO 008 Doni Setiawan PO 009 Eko Krahmadi Fanny Evasari Lesmanawati PO 010 PO 011 Krista Ekaputri PO 012 Maulina Rachmasari PO 013 Maulina Rachmasari 10. an AIDS patient : A Case Report E-POSTER SCHEDULE .35 . of Plastic. Dept.10. Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia Division of Plastic. of Surgery.10.10. Reconstructive and Aesthetic Surgery. Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia Division of Plastic.35 10. Indonesia Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr. Faculty of Medicine Hasanuddin University.40 10.40 .

10.10.55 PO 014 Maria Valentine Division of Plastic. Department of Surgery Cipto Mangunkusumo Hospital Universitas Indonesia Bunionplasty In Plastic Surgery Point Of View E-POSTER SCHEDULE 109 .50 . Reconstructive and Aesthetic Surgery.

and Fibroblast Proliferation.40 .Soetomo General Hospital Surabaya The Effect of Topical Simvastatin Gel to Epithelialization Process.110 KODE PO 016 PO 017 PO 019 09.10.09. of Full Thickness Wound on Wistar Strain rat (Rattus norvegicus) The Objective Measurement of Division of Plastic. Reconstructive Marginal Epithelial Creeping of and Aesthetic Surgery.35 .Universitas Indonesia Idea and Innovation Method Gatot Soebroto Central Army Hospital INSTITUTION E-POSTER SCHEDULE .30 .30 . Collagen Synthesis.30 : Foyer Sandeq A TIME E-POSTER 2 DATE TIME Room Degloving Hand Injury : Is “Sandwich Flap” Still An Option? JUDUL Dep/SMF of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine / Dr.45 Mufida Muzakkie Mirnasari Amirsyah Michelle Athina NAME : 27 May 2016 : 09.09.40 09.09.35 09. Department of Split-Thickness Skin Graft Using Surgery Cipto Mangunkusumo Hospital Transparent Plastic Paper: An .

00 10.05 10.45 .10.50 . Soetomo General Hospital Surabaya Pritha Dep/SMF of Plastic Reconstructive and Macrophages Behavior.09.Universitas Indonesia Nurliati Sari Handini Explosive Major Burn: Case Report and Literature Review Survival Of Costochondral Division of Plastic. Department of As Biomaterials For Orbital Surgery Cipto Mangunkusumo Hospital Volume Restoration Surgery : A .10.PO 021 PO 022 PO 023 PO 024 PO 025 09.50 09.00 .55 09.10 Rachmaniar Pramanasari Saktrio Darmono Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University School of Medicine Dr.05 .Soetomo Full Thickness Wound General Hospital Surabaya Embolization And Reduction In Giant Haemangioma Glossus Et Labialis Inferior : A Case Report Division of Plastic.10. Amnion Aesthetic Surgery Airlangga University And Mnicrobial Cellulose In Rat’s School of Medicine / Dr. Reconstructive Versus Calvarial Bone Graft and Aesthetic Surgery.Universitas Indonesia Systematic Review General Practioner and staff on Noi Maya Anggrita General Hospital Of Manggar City. Indonesia E-POSTER SCHEDULE 111 . Sari East Belitung.55 .09. Reconstructive Cleft Craniofacial Center Jakarta: and Aesthetic Surgery. Department of Profile Of Palatal Index And Surgery Cipto Mangunkusumo Hospital Fistula Formation .

20 10. Department of Surgery.10. Sandy S. Sopandi Hasan Sadikin Hospital/ University of Padjadjaran Bandung Correlation Between Blood Division of Plastic Surgery. Department of Surgery Cipto Mangunkusumo Hospital . Sandy S.25 10.10 . Department Glucose Variability And Mortality of Surgery.10. Reconstructive and Aesthetic Surgery.10 .15 10. Sopandi Among Severe Burn Injury Hasan Sadikin Hospital/ University of Patients At Rumah Sakit Hasan Padjadjaran Bandung Sadikin Burn Unit E-POSTER SCHEDULE .10.10.15 .25 .30 Experience With Neovaginal Construction In Male To Female Reconstruction In Hasan Sadikin Hospital Successful Surgical Repair of Penile Silicone Granuloma with Split-Thickness Skin Graft and Skin Flap: Report of Two Cases Division of Plastic.112 PO 026 PO 027 PO 028 PO 29 10.Universitas Indonesia Galuh Septian Amila Tikyayala Purnomo Evaluation Of Pre-Referral Management Of Acute Burn Patients In Rumah Sakit Hasan Sadikin Faculty of Medicine Padjadjaran University/ Hasan Sadikin General Hospital Bandung Division of Plastic Surgery.

Airlangga University School of Medicine. Silastic tubes are inserted to maintain proper shape and caliber of the nostrils. total nasal reconstruction. and an external layer of skin. The nose is a composite tissue structure composed of the nasal skeleton. and full-thickness skin graft is used for inner lining. Conclusions: A total nasal defect can be successfully reconstructed with a radial forearm free flap prefabricated. Correspondence: Affandi Wiramur. Results: A radial forearm free flap prefabricated is used to close the defect due to forehead flap failure. unfortunately failed. Dr. curves. The nasal skeleton can be fabricated with bone and cartilage. The topography of the external nose is a graceful blend of convexities. Total nasal reconstruction is done using a radial forearm free flap prefabricated. and depressions that reflect the underlying shape of the nasal skeleton. A nonvascularized costal bone grafts is used to substitutes for the nasal bones. These patient has been done forehead flap to coverage the defect post-excision by head and neck surgeon. Sitti Rizaliyana** Department of Plastic Reconstructive and Aesthetic Surgery. Keywords: radial forearm free flap prefabricated.Soetomo General Hospital Surabaya. the patient is very pleased with the result and functional outcome. phone : 031-5501316. 113 .ABSTRACT E-POSTER PO 001 TOTAL NASAL RECONSTRUCTION Affandi Wiramur*. Moestopo 6-8 Surabaya. Mayjend. Although it will requireing some flap debulking and separation of esthetic subunits. Resident of Plastic Reconstructive and Aesthetic Surgery Programme.Soetomo General Hospital Surabaya Background:Total nasal defects present daunting challenges to the reconstructive surgeon. Prefabricate the replacement structures performed 3 weeks before flap transfer. an internal lining of mucosa. Airlangga University School of Medicine / Dr. Methods: A patient requiring total nasal reconstruction after undergoing extensive excision due basal cell carcinoma.

White Lip and Scars. Methods: This study used a descriptive observational design with a sample of 24 people with 12 people each operation Millard and 12 people Randall .72 while 1. Average ratings Esthetic Scars Mechanical Millard 1. Conclusion: Aesthetics post labioplasty unilateral Millard technique better than Tennison Keywords: Labioplasty unilateral.43 to 1. the surgical technique is most often used in the Plastic Surgery Department of Hasanuddin. Mortier Modified Score to assess Red Lip. Wynn.Triangular Tennison in 2012-2014 at Hikmah Hospital. Mulliken) and a combination of upper and lower Z-plasty (Skoog). There are several techniques that can be used labioplasty the lower lip Z-plasty (Bauer. However.47 while Tennison. Fonny Josh Background: Quality of life of patients is determined by the effectiveness and aesthetic results of operations labioplasti.50 to 1.38 while Tennison.TENNISON TRIANGULAR Azis Beru Gani. Millard technique.47 Tennison.ABSTRACT E-POSTER PO 004 COMPARATIVE AESTHETICS POST LABIOPLASTY UNILATERAL WITH MILLARD TECHNIQUE AND RANDALL . namely engineering and technical Millard Randall-Tenison Triangular Flap Repair. Trusler. The average ratings White Lip Aesthetics Mechanical Millard 1. Tondra and Tennison) and upper lip Z-plasty (Millard. technique Tennison 114 . Results: The average ratings Red Lip Aesthetics (Vermillion) Mechanical Millard 1.

some of our senior consultant soak local hemostatic agent (ORC) with honey. AN ANIMAL STUDY P Admodiwirjo. Kolmogorov smirnov test use for assesing sample normality. If we found p> 0. B Suhartadi. Statistical significance was defined as p<0. Analysis will be performed using the statistical software SPSS 17. Methods: An animal study design to asses hemostatic performance of ORC after been soaked with honey.05 it will considered as normal distribution. where each group of lacerated liver will be treated with ORC alone. But there isn’t any information regarding interaction between honey and ORC. Universitas Indonesia Background: Surgicel (oxidized regenerated cellulose/ ORC) widely use as local hemostatic agent to minimise surgical bleeding in plastic surgery. If we found the data is normally distributed then we do an One-Way ANOVA test for the hypothesis. Departement of Surgery.05. Statistical analysis: Subjects’ characteristic will be shown descriptively in table with mean and standard deviation. Plastic and Reconstructive Surgery. 27 rats will be divided into 3 groups. honey soaked ORC and control. 115 . Honey has numerous advantage in wound healing. If data distribution is not normal. It has been proven to accelerate epithelialisation and promote wound healing. Amount of blood exanguinated from liver laceration and the bleeding time will be recorded. In order to adopt this numerous advantages of honey while control surgical bleeding.ABSTRACT E-POSTER PO 005 HEMOSTATIC PERFORMANCE OF HONEY SOAKED OXYDIZED REGENERATED CELLULOSE (SURGICEL MADU). Kruskal-Wallis test will be used. This research aimed to asses this interaction. S Handayani. Before apply a hypothesis test.

such as local flap or microsurgical tissue free flap. underlying disease for local recurrence of malignant tumor and geriatric problem. Kristaninta Bangun Plastic Surgeon Division.ABSTRACT E-POSTER FP 007 AN ALTERNATIVE TREATMENT AFTER TUMOR ABLATION AT MAXILLOFACIAL REGION FOR GERIATRIC PATIENT : CASE SERIES Beni Herlambang. Material and methods: Study case series at three patient with malignant tumor at maxillofacial region. Diponegoro No. Faculty of Medicine University of Indonesia Jl. Result: After wide exicion operation for tumor ablation maxillofacial region. and also some of patients not want to take several operation procedure.the patient have used the prostethic maxillofacial. cost. 71. Key Word: maxillofacial reconstruction. There are an an alternative treatment if reconstructions can not be done such as prostethic maxillofacial for replacing the reconstruction methods. Conclution: There are many reconstructruction methods after wide exicion operation for tumour ablation maxillofacial region. prostethic maxillofacial 116 . The patient had satisfied for this method. The patient with older patient and geriatric problem. The patient refuse to perform undergo staged operation reconstruction. The patients had been done wide excision operation for tumor ablation and there are defect after the procedure.Indonesia Background: Reconstruction at maxillofacial region for closed defect can be applied many reconstructions method. And we performed the alternative treatment for closed the defect because the ideal reconstruction can not be done. In geriatric patient with tumour in maxillofacial region for ideal reconstruction with several stages that must be allowed for patient. Central Jakarta. there still a alternative treatment for closed the defect with prostethic maxillofacial. and also there are still risk of local recurrence of malignant tumour. In geriatric patient there are problem for complien patient. If the ideal reconstruction can not be done. Surgery Department.

phone and fax : 031.Soetomo General Hospital Surabaya. He was found to have a giant condyloma acuminatum of the scrotum.MayjenMoestopo 6-8 Surabaya. Correspondence: *Doni Setiawan. Jl.Soetomo General Hospital Surabaya.ABSTRACT E-POSTER PO 008 SUCCESFUL SURGICAL MANAGEMENT OF GIANT CONDYLOMA ACUMINATUM. is a slow-growing. Conclusion: Decision making regarding the goals of surgical intervention in the terminally ill is a complex process. Giant condyloma acuminatum.MayjenMoestopo 6-8 Surabaya. destructive tumor of the ano-genital region. Airlangga University School of Medicine. locally aggressive. email: setiawan. also called a Buschke-Löwenstein tumor. first described in 1925. Dr. Keywords: Scrotal reconstruction. Case presentation: In this report. Beta Subakti Nata’atmaja** Introduction: Giant condyloma acuminatum. significantly improving his quality of life. **Beta Subakti Nata’atmaja. resident of Plastic Reconstructive and Aesthetic Surgery. Plastic surgeon. that causing to be restrictied immobilization. Wide surgical excision and scrotal reconstruction with pedicled bilateral medial thigh flap was performed. Airlangga University School of Medicine. Scrotal tumors are rare. staffs of Departement Plastic Reconstructive and Aesthetic Surgery. we present a case of 34-year-old man with AIDS who was undergoing anti-retroviral therapy started two years prior to the development of the scrotal mass. The options include conservative medical palliation or palliative excision versus a curative excision that has the potential for significant morbidity. Wide surgical excision with local flap reconstruction significantly improved the quality of life of the patient described herein. The challenges presented by emerging or unusual presentations of surgical pathology secondary to HIV and AIDS in patients who are on anti-retroviral therapy provide an opportunity for research and the establishment of guidelines for the use of adjuvant chemotherapy in these patients. 117 . Bilateral medial thigh flap. Jl.com.5501316.1% in the general population. Reports on giant condyloma acuminatum lesions in patients with HIV and AIDS are surprisingly even rarer. The incidence is estimated to be 0.ddr@gmail.5501316. HIV/AIDS. phone and fax : 031. Dr. AN AIDS PATIENT : A CASE REPORT Doni Setiawan*.

ABSTRACT E-POSTER
FP 009
FACIAL ATROPHY LESION TREATMENT WITH MODIFIED DERMAL-FAT GRAFT:
A TECHNIQUE TO IMPROVE GRAFT SURVIVAL (CASE REPORT)
Krahmadi E, Josh F, Rieuwpassa AJ
Div. of Plastic, Dept. of Surgery, Faculty of Medicine Hasanuddin University, Makassar,
Indonesia
Introduction and Objectives: Many procedures were used to manage facial tissue
atrophy such as dermal-fat graft, fat injections, galeal flap, free flaps, or cartilage and
bone graft. Ideal soft tissue filler should be safe with low immunogenicity, efficient with
stable long term results and practical with low cost and ease of use. Dermal-fat graft
is one of simple and safe method for management of facial atrophy. In this paper, the
authors introduce modified dermo-fat graft technique to decrease the resorption rates of
the graft.
Case Description: Reported female, 26 years old with facial atrophy after submandibular
abcess when she was 6 months old. Modified dermal-fat graft was performed to fill the
soft tissue countour deformity at left mandible region. The outcome show that modified
dermal-fat graft is successfully fill the defect and the graft still last till 1 years post
surgery without any reduction.
Conclusions: Case with facial tissue atrophy can be managed with modified dermal-fat
grafting technique to decrease the resorption rates of the graft.
Key Words: Facial Atrophy, Dermal-fat graft

118

ABSTRACT E-POSTER
PO 010
NON-SURGICAL MANAGEMENT OF METHICILLIN-RESISTANT
STAPHYLOCOCCUS AUREUS PRESSURE ULCERS: A CASE REPORT
Over the period of 20 to 30 years, Methicillin-resistant S. aureus (MRSA) strains have
been present in hospitals as hospital-acquired MRSA. They have become a major cause
of nosocomial infection. Pressure ulcers, as the most common condition encountered in
long-term hospitalized patients, are reservoirs for S. aureus and the phenotype MRSA
that may impact nosocomial infections. Methicillin-resistant S. aureus bacteria colonize
the skin and open wounds and may interfere with wound healing. These microorganisms
existence in pressure ulcers exaggerate not only the length of stay, paramedics’
workload, healthcare cost, but also patient and his family emotional burden.
In special condition, for example, patient with pressure ulcers and other comorbids
that contraindicated for surgical management, there’s still a choice for non-surgical
management. We reported the case of a 57-year-old Asian bed-ridden man with history
of MCI for which PCI was performed, multiple cardiac dysrhythmia of VT/VF with DC
shocked was performed, lung edema, hypertension, diabetes mellitus and pressure
ulcers grade III at region sacrum and perineum with MRSA.
Initially, the pressure ulcers cleansed with antiseptic and coated with honey-filled gauze.
One of the protocol in diminishing MRSA is decolonization procedure. We did this
procedure by treating the wounds with mupirocin zalf. After MRSA declared negative,
the wound treated with honey-filled gauze mixed betaine+polyhexanide liquid and gel.
During 7 weeks of wound care management, granulation tissues were appeared at the
pressure ulcers, especially at sacrum region, with more than 80% reepitelization.
As conclusion, in a complex pressure ulcer patient with comorbids, we may consider
the non-surgical management as an option considering the patient needs and consent.

119

ABSTRACT E-POSTER
PO 011
INTRA-LESIONAL ALCOHOL INJECTION FOR FACIAL VASCULAR
MALFORMATION; TREATMENT AND CHALLENGES
Prasetyanugraheni Kreshanti, MD, Krista Ekaputri, MD
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery Cipto
Mangunkusumo Hospital - Universitas Indonesia
Background: Intra-lesional alcohol injection is an effective treatment modality in the
management of vascular malformation. It is relatively safe with skin necrosis as the most
common complication. The author reported 3 cases of alcohol injection under general
anesthesia to treat vascular malformation. Unfortunately, there are 2 cases that suffered
from skin necrosis after the injection. This condition was overcome by application of
honey dressing and surgery. The surgeon and the patients are satisfied with the result
and no recurrences in long term follow up. However, we still have difficulty determining
the right dose of alcohol that can develop the fibrosis of the vascular malformation
without producing skin necrosis.
Aim: To find optimal dose of intra-lesional alcohol injection, which does not cause skin
necrosis.
Methods: This is an EBCR. We use Pubmed to conduct the search using keywords
“vascular malformation”; “ethanol sclerotherapy or alcohol injection”; and “skin necrosis”.
We found 7 related articles.
Results: In those articles, we were unable to find the right dose of ethanol that can
develop the fibrosis of the vascular malformation without producing skin necrosis.
Conclusion: Skin necrosis complication in intra-lesional alcohol injection may be
avoided. Even necrosis seems terrible; it still can be managed with surgery. Intra-lesional
alcohol injection combined with surgery is quite reliable in the management of vascular
malformation and preventing recurrences.
Keywords: vascular malformation; intra-lesional alcohol injection; ethanol; skin necrosis

120

Both patients showed an advancing epithelialization from the edge around 0. These MSCs was assessed at day 3. because of the very high harvesting and culturing expenses. there is still need for further developments in MSCs research and gradually decreasing costs so the use of MSCs will become a potential alternative to improve burn healing. Conclusion: This study aims to highlight the beneficial therapeutic effect of stem cells in burn wound healing. Results: We put the MSCs in 5 different sites for these patients. Keywords: Mesenchymal stem cell. The source for MSCs used in this study is adipose tissue. which provides a rich source of MSCs.5 cm. Stem cells have been introduced as a new prospects modality of wound covering. Recent research has shown the great potential of stem cells in improving the rate and quality of wound healing. The stem cell therapy were administered locally at the site of the burn wound for two patients.ABSTRACT E-POSTER PO 012 MESENCHYMAL STEM CELLS THE NEXT GENERATION OF BURN TREATMENT Maulina Rachmasari. 7 and 11 for rate of wound healing. Then we mark the area that already epithelized. Methods: Mesenchymal stem cells (MSCs) is the most common type of stem cell used in burn wound. Sel Punca Laboratory. Although survival rates are increasing. Division of Plastic Surgery Faculty of Medicine Universitas Indonesia. These cells had been conducted by PT. Then we assessed whether there are progression in epithelialization. and also insufficient data on the safety of MSCs for human use. Aditya Wardhana Department of Surgery. burn trauma usually involves a large body surface area that needs a better skin substitutes that can cover and retain normal skin durability with minimal donor requirements.5 – 1. However. Cipto Mangunkusumo Hospital Jakarta Background: Burn trauma is still one of cause of morbidity and mortality. burn 121 .

S Handayani. These will result in wound contraction. two flap palatoplasty 122 . conventional two flap palatoplasty and normal population. AJ Susanto. Faster epithelialization is expected to decrease wound contraction and in the long run will result in good maxillary growth. we studied the non denuded mucoperiosteal palatoplasty technique. Cipto Mangunkusumo Hospital Jakarta Background: Conventional two flap palatoplasty technique will made lateral defects without any periosteal coverage. Keywords: maxillary growth evaluation. The outcome will be evaluated from cephalometry and GOSLON YARDSTICK method from dental casts. In 2011. Goslon Yardstick. This technique precipitated the epithelialization process of the lateral defects. Aim of study: To evaluate long term maxillary growth in unilateral cleft lip and palate patients repaired with the non denuded mucoperiosteal palatoplasty technique.ABSTRACT E-POSTER PO 013 LONG TERM MAXILLARY GROWTH EVALUATION AFTER THE NON DENUDED MUCOPERIOSTEAL PALATOPLASTY TECHNIQUE M Rachmasari. P Kreshanti. Data will be analysed using SPSS version 22. scar formation and maxilary growth impairment. G Wangge Department of Surgery. cephalometry. Methods: This is a case control study to compare the maxillary growth of 3 groups consists of unilateral cleft lip and palate patients repaired with the non denuded mucoperiosteal palatoplasty technique. J Pancawati. Division of Plastic Surgery Faculty of Medicine Universitas Indonesia. These denuded lateral defects are prone to contamination and infection.

we can see deformity of first toe in both feet. Discussion: Concomitant foot deformity may have interfered in process of bunion. with more than 150 different surgical procedures to correct the condition have been described. Osteotomy and plating may offer the fastest mobilization post procedure with comparable result with other procedure. avoiding recurrence. hallux valgus.0 plating system and also buniectomy. particularly in women with inappropriate footwear. with most of surgery intervention were done by orthopedics and podiatry Case Report: We presented one case of female. varus deformity. We performed proximal phalangeal osteotomy and plating with 2. Keywords: bunion. Summary: Correcting pain and deformity. which can be classified to grade 3 Manchester scale. and patient was satisfied with the result. other than the use of tight and pointed shoes. establishing normal foot function. 28 years old. Indication for surgery is common. Department of Surgery Gatot Soebroto Central Army Hospital Jakarta Indonesia Background: Bunionplasty can be considered as an aesthetic procedure for foot surgery on behalf of treating bunion. and early mobilization are the ultimate goals of bunion surgery. Plastic Surgery Division. The use of pointed toe and high heels shoes was undeniable. such as shoes that overly tight in toes and high heels. Early mobilization was achieved. From the clinical appearance.ABSTRACT E-POSTER PO 014 BUNIONPLASTY IN PLASTIC SURGERY POINT OF VIEW Maria Valentine. it also reduces risk of infection and twisting of the osteotomy part compare to the use of K-wire for fixation. no complication found post surgery. hallux abducto valgus. bunionplasty is one of many procedures that plastic surgery should be conquered at. Most procedures offered in the literature for correction of hallux valgus do work if properly performed in the right indications. Budiman Plastic Surgery Division. with chief complain deformity and pain on her first toe of both feet since 2 years ago. It is a common condition. 123 . Although many fields have been done invention in bunion surgery. Faculty of Medicine University of Indonesia – Ciptomangunkusumo Hospital. Department of Surgery. which can be met with this procedure.

thereby impeding patient’s ability to work or cope with their social obligations To reduce this risk even the smallest hand injuries require proper medical evaluation. Therefore any injury to the underlying structures of the hand carries a potential risk of serious handicap. Therefore we considered that salvaging degloved hand can be done using this old fashioned hand sandwich flap technique when urgent need arises. One year after the first operation the patient had an aesthetically acceptable hand with limited function. The flap was designated to cover the entire circumference of metacarpal-phalanxes sustaining degloving injury and to form mittenhand. he can do his daily activities and back to work again. And many of these injuries affect the dominant hand. used an anterolateral chest and medial upper arm – sandwich flap to treat a 23-year-old. The fourth operation was performed to separate the middle finger and ring finger. right-handed male worker with degloving injuries of 1/3 part of metacarpal region until distal of fingers. The donor defect was covered with split-thickness skin graft. 124 . The total lengths of the distal phalanxes of four fingers were almost completely retained. the third operation was done to separate the index finger and middle finger and also to shortened the tip of the finger. the second operation performed aiming to detach the flap. The degloving injuries of hand remain a persistent challenge. As final result.ABSTRACT E-POSTER PO 016 DEGLOVING HAND INJURY : IS “SANDWICH FLAP” STILL AN OPTION? Michelle Athina Gatot Soebroto Central Army Hospital Design and function of the hand is an amazing work of anatomic engineering for the effective functions of the hand. Eighteen days after the initial operation. In case of hand degloving injury. The goal with injuries of the hand is rapid and accurate entail evaluation and treatment. Six months later. A case that we found in RSPAD Gatot Soebroto. then sandwich flap is still an option. after debrided.

Dr. Department of Plastic Reconstructive and Aesthetic Surgery. Insulin has been used for long as a anti diabetic agent which was reported to have some pleiotropic effects such as induced growth factor. AND FIBROBLAST PROLIFERATION. Wound healing. L. Mayjen Moestopo rd. Collagen bundles Correspondence: Mirnasari Amirsyah. 6-8 Surabaya. phone : 031-5501316. A. epithelization. Epithelization. In this study we aimed to determine the effect of insulin on wound healing process in laboratory rats by means of stereological and histopathological analyses. Wound closure rate. 18 male Rattus novergicus rats with a 2 cm2 full thickness wound on their back were divided into three groups. Amirsyah*. OF FULL THICKNESS WOUND ON WISTAR STRAIN RAT (RATTUS NORVEGICUS) M. collagen bundles synthesis and thick of epitel were determined. Duration of the study was 5 days. Santoso Budi. Airlangga University School of Medicine. Fibroblast proliferation. COLLAGEN SYNTHESIS. base of gel group that treated only with gel base and NaCl group that received no treatment but daily irrigation with normal saline. Insulin group that received 0. 125 . fibroblast proliferation. Zarasade** Department of Plastic Reconstructive and Aesthetic Surgery. Keywords: Insulin.Soetomo General Hospital Surabaya.5 Unit/100 gram gel. Airlangga University School of Medicine. Dr.ABSTRACT E-POSTER PO 017 THE EFFECT OF TOPICAL SIMVASTATIN GEL TO EPITHELIALIZATION PROCESS.Soetomo General Hospital Surabaya Abstract: Wounds have always been one of the most important subjects that experimental researches were dedicated to.

Conclusions: Using drawn transparent plastic paper as measurement tool of marginal epithelial creeping of split thickness skin graft given an objective interpretation. There was increasing of epithelial on day-10 rather than day-5 that we can measure objectively and given the actual size. STSG 126 .ABSTRACT E-POSTER PO 019 THE OBJECTIVE MEASUREMENT OF MARGINAL EPITHELIAL CREEPING OF SPLIT-THICKNESS SKIN GRAFT USING TRANSPARENT PLASTIC PAPER: AN IDEA AND INNOVATION METHOD Mufida Muzakkie. Aditya Wardhana Plastic Reconstructive and Aesthetic Surgery Division. STSG were drawn on transparent plastic paper as the pattern. In this study. The day-5 and day-10 of marginal epithelial creeping were evaluated and measured in percentage. Keywords: objective measurement. Results: At the day of STSG insetting. 1:3 ratio of meshed STSG and 1:4 ratio of postage-stamp STSG were applied to 8x8 cm2 recipient site. Marginal epithelial creeping on transparent plastic paper were measured and analyzed with digital image analyses. Evaluating and measure marginal epithelial creeping of meshed and postage-stamp skin graft with photograph has some limitation: subjective interpretation. and on Day-10 with blue ink. Indonesia Background: Split thickness skin graft (STSG) is common and ideal wound coverage in extensive burn. we made an innovation of objective method to measure epithelial creeping of STSG using transparent plastic paper. Faculty of Medicine Universitas Indonesia. easy to apply and low price. epithelial creeping. Jakarta. Meshed and postage-stamp skin graft are allowed for expansion and wide coverage. pixel and saturation difference in every sequel and not given an actual size. Cipto Mangunkusumo Hospital. Materials and Methods: Subjects are extensive burn patients in Burn Unit. Immediate skin graft was drawn on sterilized transparent plastic paper with black ink. with the day-0 pattern as the reference. Cipto Mangunkusumo Hospital that need STSG as wound coverage. STSG and marginal epithelial creeping were drawn on another sterilized transparent plastic paper on Day-5 with red ink.

A 20-yr-old male patient was admitted to our hospital after gas explosion accident at work. burning nose hairs. and both legs. Liliyanto MD2 1 General Practioner and staff on General Hospital Of Manggar City. Circumferential burn injury 127 . and hair. was observed. Surgical management was performed every 3-5 days. The laboratory’s result showed leukocystosis. During emergency. The speed of resuscitation was monitored in relation to urine output. burn prognosis based on studies and recent research reports. carbonaceous sputum. and taken to the icu and fully monitored. The burned areas were scrubbed with normal saline and closed with silver sulfadiazine and gauze. fluid resuscitation was administered according to Parkland formula. Dressing was changed daily with silversulfadiazine and honey. with history of trapped in room during incident. right buttock. Inhalation injury leads to pulmonary injury and increases burn mortality. He had little breathing difficulty. particularly on head. Extensive burn on young adult patient not only affect physical. and circumferential pattern burns on both lower arms. East Belitung. Positioning management was performed to prevent contracture on the extremities. other parts had blisters and painful to the touch. The regions affected were face. Altogether 56% TBSA was burned by flame (2nd3rd degree). This article is a case report and review of an overview of burn injury not only treatment strategies but also discussion on etiology. Wounds were presented as red. crystalloid was preferred. The patient was hospitalized and discharged after 40 days. psychological. and charred in appearance. social and spiritual aspect but also changes in health-related quality of life with the possibility of scarring and contracture. capillary refill >3sec. red white. Keywords: Major burn. East Belitung. clinical presentation. He showed few signs of inhalation injury such as facial burn. eyebrows. The patient had a distressed facial expression and was cooperative. Indonesia Major burn is one of the most serious and life-threatening form of trauma. although obvious swelling. parts were dry with diminished sensation. Indonesia 2 Practical General Surgeon and staff on General Hospital Of Manggar City. airway was secured. both thighs. hoarseness.ABSTRACT E-POSTER PO 021 EXPLOSIVE MAJOR BURN: Case Report and Literature Review Noi Maya Anggrita Sari MD1. Inhalation injuy.

Rates of infection. The choices may include costochondral graft or calvarial bone graft. diplopia. The two biomaterials may have equal stand in orbital volume restoration surgery. Department of Surgery. and enophthalmus are compared between the two biomaterials. 128 . Universitas Indonesia Background: Biomaterials are known to be used in orbital volume restoration surgery following blow out fracture. Methods: A systematic literature review is performed to include publications based on set inclusion and exclusion criteria. hence ending the controversies.ABSTRACT E-POSTER PO 022 SURVIVAL OF COSTOCHONDRAL VERSUS CALVARIAL BONE GRAFT AS BIOMATERIALS FOR ORBITAL VOLUME RESTORATION SURGERY : A SYSTEMATIC REVIEW Nurliati Sari Handini. Certain parameters may be included to propose an algorithm and help in decisionmaking process case-by-case. benefit. Kristaninta Bangun Division of Plastic Reconstructive & Aesthetic Surgery. Strategies of literature search are used with search terms combined as appropriate in PubMed Medical Subject Headings (MeSH) terms. and survival of costochondral graft and calvarial bone graft in relation to orbital volume restoration are noted. This study aims to analyze published evidence regarding those two options for orbital volume restoration surgery for its survival in maintaining orbital volume. Risk. Results: We hypothesize that there may be inadequate evidence to determine which one is superior between the two biomaterials for orbital volume restoration surgery. Conclusion: Surgeon preferences may play the role in resulting inconsistent inconclusive data.

Methods: A retrospective study of 52 cases underwent cleft palate repair in Cleft Craniofacial Center between 2013 and 2015. Thus it encourage us to study about the ratio of cleft width to the sum of the palatal shelves width that is define as the palatal index.8%). and fistula formation.8%).ABSTRACT E-POSTER PO 023 CLEFT CRANIOFACIAL CENTER JAKARTA: PROFILE OF PALATAL INDEX AND FISTULA FORMATION Pritha Division of Plastic.2%) cases respectively. and 43 (83. moderate. Its formation proposed to be affected upon a number of factors such as the width of the cleft.5%). Reconstructive and Aesthetic Surgery. 28 (53. Two-flap palatoplasty performed in 39 (75%) and Veau-Wardill-Kilner in 13 (25%). The severity is classified into 3 degrees: mild (0-0. and severe (>0. 8(15. surgical technique.2-0. 129 . Results: A total of 52 consecutive patients. palatal index. and 11 (21.Universitas Indonesia Background: Fistula formation has been the main complication of palate repair. type of cleft palate.3%). moderate (0. without any fistel formation in mild and moderate group and 10 (19%) in severe group. and severe cleft respectively. Cleft type include incomplete. Department of Surgery Cipto Mangunkusumo Hospital . aged 10 months to 21 years old with 32 boys (61.4). Performing integrated cleft treatment over 4 years we observed that most of our patients came with a wide gap of cleft palate. The severity based on palatal index are 2 (3. and other extrinsic variables such timing of the repair.9%) cases for mild. the amount of deficiency of the palate segments.5%) and 20 girls (38. Fistulas formation was determined from physical examination on third week. Data collected include age. complete and bilateral cleft in 13 (25%). surgical procedures and the performing surgeon.2). gender. but nasal-alveolar fistulas and intentionally unrepaired anterior palatal fistulas were excluded. gender.4).

but also may cause speaking difficulty or swallowing problems. There’s no decreasing size of the mass after this combination treatments. Dr. phone : 031-5501316 130 . comprehensive treatment should be done for a better outcome. Airlangga University School of Medicine. Department of Plastic Reconstructive and Plastic Surgery. In premature infants the prevalence is higher as 30%. Surabaya. Giant. referred from Pediatric Department. Case Report: In this paper.ABSTRACT E-POSTER PO 024 EMBOLIZATION AND REDUCTION IN GIANT HAEMANGIOMA GLOSSUS ET LABIALIS INFERIOR : A CASE REPORT Rachmaniar Pramanasari*. Head and Neck. The caused is unknown and the prevalence in male : female is 1 : 3. Among the different localizations of vascular malformations in the head and neck region. Head and neck is a common region for vascular malformation. She has been treated in Pediatric Department with combination therapy using chemotherapy of Vincristin and Kenacort and oral therapy of Propanolol. Airlangga University School of Medicine. From Plastic Surgery Department. Jl Mayjen Moestopo 6-8. because it’s not only is susceptible to trauma. the tongue has specific characteristics. Giant hemangioma in head and neck can causes a lot of problems. in order to preserve the function of the tongue and maintain the size after reduction. but also to maintain post operation growth of hemangioma. Keywords: Hemangioma. authors reports a rare case of giant hemangioma of the tongue and lower lip in 8 months old infant. we combined therapy using embolization and reduction. Vascular Malformations. Soetomo General Hospital Surabaya. Therefore. Infant Correspondence: Rachmaniar Pramanasari. Result: Giant hemangioma treatment combining embolization and reduction is not only to reduce the bleeding during the operation. Sitti Rizaliyana ** Department of Plastic Reconstructive and Aesthetic Surgery. Dr. Tongue. Soetomo General Hospital Surabaya Background: Infantile Hemangioma is the most common benign tumor in infants and childhood that affected 10% of the populations.

ABSTRACT E-POSTER PO 025 MACROPHAGES BEHAVIOR. Airlangga University School of Medicine. there are variety of wound dressing available. mucosa. amnion and microbial cellulose. David S. A wound is a break or discontinuity of the integrity of the skin. Nata’atmadja**.Soetomo Hospital Surabaya Indonesia ***Plastic surgeons. Mayjen Moestopo Street No. phone 550131 *Plastic surgery resident at Medical School of Airlangga University/Dr. Perdanakusuma*** Department of Plastic Reconstructive and Aesthetic Surgery. Samples wounds were fixed with 10% formalin solution. Airlangga University School of Medicine. Full thickness wounds were made on the backs of mice. amnion and microbial cellulose.Soetomo Hospital Surabaya Indonesia 131 .Soetomo Hospital Surabaya Indonesia **Plastic surgeons. Soetomo Teaching Hospital Surabaya Indonesia Background: Wound is the most frequent problems faced by a plastic surgeon. Hypothesis: There are differences in the increase in the number of macrophages in the wound bed by the use of tulle. Study design: Experimental. junior staff at Medical School of Airlangga University/Dr. senior staff at Medical School of Airlangga University/Dr. Beta S. 6-8. Dr Soetomo Teaching Hospital. Examination of samples was done by Wright-Giemsa staining routine / Hemato-eosin under a microscope. or tissue. tulle. The wound was evaluated on the second day. Objective: Comparing the total amount of macrophages on full thickness wound bed in the use of tulle. post test only group design. Study method: Using 21 male rats Rattus norvegicus. microbial cellulose Correspondence: Saktrio Darmono S. Keyword: macrophage. which according to research can increase the levels of macrophages in the wound healing process. amnion. Dr. Many factors can affect the wound healing process. Surabaya. Currently. AMNION AND MNICROBIAL CELLULOSE IN RAT’S FULL THICKNESS WOUND Saktrio Darmono S.*. Macrophages as one indicator of wound healing which produces the majority of growth factor. Macrophages present in the wound within 24-48 hours after injury and peaked at 48-72 hours. amnion and microbial cellulose. The wound was closed with tulle. Department of Plastic Reconstructive and Aesthetic Surgery..

including insulin resistance and hyperglycemia. Irra R. RESULTS: A total of 106 patients fulfilled inclusion criteria. KEYWORDS: blood glucose. Blood glucose variability was higher in the non-surviving group (23. Widarda Division of Plastic Surgery Reconstruction and Esthetic. Department of Surgery Fakultas Kedokteran Universitas Padjadjaran – Rumah Sakit Hasan Sadikin. burns. Sopandi. we calculated blood glucose variability to be correlated to patients’ mortality outcome. Although to evaluate association between blood glucose and mortality.58 compared to 19. Mann-Whitney test showed p-value 0.ABSTRACT E-POSTER PO 026 CORRELATION BETWEEN BLOOD GLUCOSE VARIABILITY AND MORTALITY AMONG SEVERE BURN INJURY PATIENTS AT RUMAH SAKIT HASAN SADIKIN BURN UNIT Sandy S. blood glucose is a parameter which needs to be regulated in managing burn patients.074. Bandung INTRODUCTION: Severe burn injury incites hypermetabolic response in burn patients. Hyperglycemia and blood glucose fluctuation are associated with the increase of morbidity and mortality risk. Patients were classified into two groups based on final outcome (66 patients survived in the first group and 40 patients died in the second). mortality.93). hence there was no significant difference between blood glucose variability between both groups. CONCLUSION: Blood glucose variability of severe burn patients was higher in the nonsurviving group. Therefore. we need another study with a more uniform patient characteristics and routine examination of blood glucose during patient care. From blood glucose examination during care. METHODS: We evaluated severe burn patients cared in RSHS Burn Unit between 2012-2015. variability 132 .

ABSTRACT E-POSTER PO 027 EVALUATION OF PRE-REFERRAL MANAGEMENT OF ACUTE BURN PATIENTS IN RUMAH SAKIT HASAN SADIKIN Sandy S. especially for those working in primary and secondary healthcare facilities. Bandung INTRODUCTION: Due to the high incidence of burn injury in Indonesia.2%) did not receive enough fluid. This management is an important initial step in the comprehensive management of burn injury. Sixty one patients (82. We evaluated the diagnosis and management performed including the practice of irrigation. Therefore we need efforts to increase health staff’s prowess in acute burn management. Data regarding previous fluid therapy was not available in 5 (6. management. fluid resuscitation. primary healthcare staff as the frontline of health service should master acute burn management before referring patients to another facility.2%) patients fulfilled referral criteria according to ANZBA. Sixty six (89.4%) patients did not receive adequate fluid. such as routine training and continuous education. availability of referral letter. Referrer’s diagnosis was deemed accurate on two (2. Irra R.5%) patients. Sopandi. decision to refer. KEYWORDS: burns. CONCLUSION: Pre-referral management of acute burn injury is far from perfect.7%) patients. Thirty eight (51. RESULTS: From the total of 74 patients.1%) were referred from healthcare facilities inside Bandung. diagnosis. METHODS: We collected medical record of patients referred from another health center to RSHS ER during 2015. Urinary catheter insertion was justified in 44 (59. Correct first aid water irrigation was performed only on one patient. and urinary catheter insertion. Widarda Division of Plastic Surgery Reconstruction and Esthetic Department of Surgery Fakultas Kedokteran Universitas Padjadjaran – Rumah Sakit Hasan Sadikin. while the rest were from out of town. evaluation of depth and total burn area. Nine (12. Duration median from burn onset until arrival at ER was 6 hours.4%) had a referral letter with them. referral and consultation 133 .2%) received fluid exceeding the required amount while 29 (39.8%) patients. 43 patients (58.

Inverted-V flap procedure and its modification was tailored to epithelize the neovaginal construction.. two girl with Androgen resistance syndrome and one male). MRKH syndrome. Total of 7 patients underwent neovaginal construction using this method and its modification ( Four girls with MRKH syndrome. Key Words vaginal agenesis. androgen insensitive syndrome. male to female reconstruction.S. Hardisiswo Soedjana* Faculty of Medicine Padjadjaran University/ Hasan Sadikin General Hospital Bandung *Department of Plastic Surgery Faculty of Medicine Padjadjaran University /Hasan Sadikin General Hospital Bandung Incident of male to female reconstruction stereotypically typically found in patients with Mayer-Rokitansky-Hauser (MRKH) syndrome or androgen insensitive (AIS) syndrome. neovaginal construction 134 . although several cases was observed from typical average male with no congenital disfigurement.ABSTRACT E-POSTER PO 028 EXPERIENCE WITH NEOVAGINAL CONSTRUCTION IN MALE TO FEMALE RECONSTRUCTION IN HASAN SADIKIN HOSPITAL Galuh A. Postoperative stricture or contracture of the neovagina were not found in all patients with follow up period ranged from ½ to 1 months. The dissected length of the neovaginal cavity was estimated about 8. As a result. Inverted-V flap procedure and/or its modification is an efficient method for vaginal construction in patients with vaginal agenesis or deficiency. Creating neovaginal cavity between the bladder and the rectum had been the main goal of this reconstruction.9 cm. In our hospital.

Conclusion: Proper surgical management of penile silicone granuloma with complete excision of the granulomatous skin followed by replacement with skin graft or flap can restore the appearance and functions of the phallus. Faculty of Medicine Universitas Indonesia. Chaula L Sukasah Division of Plastic Reconstructive and Aesthetic Surgery. Public education is required to increase the public awareness of the dangers of liquid silicone injection and curb the unlicensed use of injectable silicone by non-medical and unqualified professionals. Cipto Mangunkusumo Hospital Background: The embodiment of masculinity in the physical appearance and size of penis has led many men to undergo penile enhancement therapy with the aims of improving self-esteem and satisfying their sexual partner. Department of Surgery. penile enhancement therapy. Both patients suffered from debilitating siliconoma formation.ABSTRACT E-POSTER PO 029 SUCCESSFUL SURGICAL REPAIR OF PENILE SILICONE GRANULOMA WITH SPLIT-THICKNESS SKIN GRAFT AND SKIN FLAP: REPORT OF TWO CASES Amila Tikyayala Purnomo*. Case Summary: A 46-year-old male and a 50-year-old male had silicone injection for penile augmentation two years and six months prior to their presentation. Liquid silicone injection is a popular penile augmentation technique which has been used extensively over the last 40 years and is often performed by non-medical and unqualified professionals. case report 135 . penile augmentation. which led to physical deformities and disturbance in sexual activities. Both patients recovered satisfactorily after the operation. One of the well-documented severe complications of silicone injection is penile granuloma (siliconoma) formation. Surgical treatment consisted of extensive removal of the fibrotic tissue followed by penile resurfacing using either split-thickness skin graft or skin flap. Key Words: Penile silicone granuloma. The aim of this study is to report two cases of silicone-induced penile granuloma and the respective surgical management in each case. injectable silicone. respectively.

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