PIT PERAPI 2016 - Abstract PDF

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
SUTURE SUSPENSION BROWPEXY..........................................................................23
ABSTRACT....................................................................................................................09
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
(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
SS 7: CRANIOFACIAL...................................................................................................50
FACIAL TRAUMA OLD FRACTURE MANAGEMENT ...................................................50
TETRAPOD FRACTURE, SURGICAL ANATOMY REVISITED AS A GUIDE FOR 3D
REDUCTION USING CAROLL GIRARD SCREW.........................................................51
TURRICEPHALY RECONSTRUCTION IN SANGLAH GENERAL HOSPITAL
52
SS 8: CLEFT (SMILETRAIN)........................................................................................53
THE USAGE OF EAR CARTILAGE GRAFT TO IMPROVE AESTHETIC PERFORMANCE
OF THE NOSE IN CLEFT CHILDREN...........................................................................53
OUR EXPERIENCE WITH NASOALVCOLAR MOLDING (NAM) IN MORE THAN 80
CLEFT PATIENTS .........................................................................................................54
NOSE REVISION AFTER LABIOPLASTY ....................................................................55
SS 9: MICROSURGERY................................................................................................56
MICROVASCULAR RADIAL FOREARM FASCIOCUTANEOUS FREE FLAP FOR
DEFECT RECONSTRUCTION ON HEAD AND NECK.................................................56
RECONSTRUCTIVE MICROSURGERY IN CRANIOFACIAL TUMOR 57
SS 9: MICROSURGERY................................................................................................58
FINGER REPLANTATION : REPORTED OF TWELVE CASES IN SANGLAH GENERAL
HOSPITAL, BALI-INDONESIA.......................................................................................58
10: HYPOSPADIA TIPS AND TRICKS...........................................................................59
SURGICAL MANAGEMENT OF SHORT URETHRA.....................................................59
MY
EXPERIENCE
USING
STANDOLIS
TECHNIQUE
TO
REPAIR
PENILE
HYPOSPADIA ................................................................................................................60
SS 11: MISCELLANEOUS 1..........................................................................................61
GAMBARAN MORBIDITAS OUTCOME PASIEN BEDAH PLASTIK YANG DIKERJAKAN
DOKTER NON BEDAH PLASTIK DI SUMATERA BARAT 2007- 2015 61
PROFILE SNAKE BITE DIAGNOSTIC AND TREATMENT DR. MUWARDI
HOSPITAL..................................................................................................... 62
THE ROLE OF BLEOMYCIN IN HAEMANGIOMAS .....................................................63
SS 12: MISCELLANEOUS 2..........................................................................................64
CHALLENGE IN GIANT HEMIFACIAL NEUROFIBROMES REDUCTION : A CASE
REPORT AND LITERATURE REVIEW..........................................................................64
ROLE OF EPITHEL GROWTH FACTOR IN TREATING SCAR / KELOID
65
DIABETES MELLITUS TYPE II IMPAIRS ADIPOSE DERIVED STEM CELLS
66
FREE PAPER 1 - 2.........................................................................................................67

FREE PAPER SCHEDULE............................................................................................67
IV
FP 006...........................................................................................................................73
INTRALESIONAL INJECTION WITH 5-FLOUROURACIL VERSUS TRIAMCINOLONE
ACETONIDE FOR KELOID TREATMENT.....................................................................73
ABSTRACT FREE PAPER.............................................................................................73
FP 014............................................................................................................................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............................................................................................................................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 .................................................................................................76
FP 020............................................................................................................................77
PERFORATOR BASED FLAPS IN BURN RECONSTRUCTION: A 2 YEARS
EXPERIENCE................................................................................................................77
FP 022............................................................................................................................79
THROMBOPROPHYLAXIS STRATEGY AND THE RISK OF FREE FLAP THROMBOSIS
IN PATIENTS WITH HYPERCOAGULABILITY: A SYSTEMATIC REVIEW
79
FP 030............................................................................................................................80
FP 036............................................................................................................................81
ANTHROPOMETRIC EVALUATION OF
GENTURS CHEILOPLASTY METHOD IN
UNILATERAL CLEFT LIP...............................................................................................81

FP 038............................................................................................................................82
COMPARISON OF TOPICAL TREATMENT RESULTS BETWEEN COMBINATION OF
HERBAL EXTRACTS AND TULLE ON ACUTE WOUND MODEL ON WISTAR RATS 82
FP 049............................................................................................................................83
THE SAFETY OF ONE-PER-MIL TUMESCENT INFILTRATION INTO SKIN FLAP THAT
HAS SURVIVED FROM THE PRECEDING ISCHEMIC INSULT 83
FP 050............................................................................................................................84
FLAP MODALITY FOR RESURFACING FOLLOWING AGGRESSIVE NECROTOMY
DEBRIDEMENT IN SUBMANDIBULAR ABSCESS: CLINICAL EXPERIENCE IN 10
CASES...........................................................................................................................84
FP 051............................................................................................................................85
V
TABLE OF CONTENTS
MORPHOMETRY OF INFANT NOSTRIL IN JAKARTA.................................................85
FP 040............................................................................................................................86
EFFECTIVENESS OF EARLY EXCISIONAL DEBRIDEMENT IN BURN INJURIES TO
SEPSIS INCIDENCE AND MORTALITY RATE AT BURN UNIT OF HASAN SADIKIN
HOSPITAL......................................................................................................................86
FP 042............................................................................................................................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.............................................................87
FP 045............................................................................................................................88
EFFICACY OF CHLORHEXIDINE-ALCOHOL VERSUS POVIDONE IODINE AS PREOPERATIVE SKIN PREPARATION TO PREVENT SURGICAL SITE INFECTION: A
META-ANALYSIS...........................................................................................................88
FP 046............................................................................................................................89
RELATIVE BODY WEIGHT CHANGES POST PALATE REPAIR IN PATIENTS FED BY
LONG NIPPLE NURSING BOTTLE VERSUS CONVENTIONAL FEEDING
89
FP 048............................................................................................................................90
THE EFFECTIVENESS BOVINE AMNIOTIC MEMBRANE TO SUBSTITUTE HUMAN
AMNIOTIC MEMBRANE IN PARTIAL THICKNESS WOUND CARE IN RATS
90
FP 044............................................................................................................................91
EFFECTIVITY OF PLATELET RICH PLASMA IN WOUND HEALING OF DEEP SECOND
DEGREE BURN INJURIES IN DR. SOETOMO GENERAL HOSPITAL 91
FP 001............................................................................................................................92
FACIAL CLEFT OF TESSIER NO. 30: ENCOUNTERED IN ADULT 92
FP 010............................................................................................................................93
DIFFERENT APPROACH
ON
RECURRENT
TEMPOROMANDIBULAR
JOINT
ANKYLOSIS WITH INTERPOSITIONAL ARTHROPLASTY USING SILICONE BLOCK

AND BILATERAL CORONOIDECTOMIES: A CASE REPORT 93
FP 013............................................................................................................................97
THE EFFECT OF HYPERBARIC OXYGEN THERAPY
FOR PREVENTING
THROMBOSIS IN FREE FLAP : AN ANIMAL STUDY ..................................................97

FP 062............................................................................................................................99
SUBJECTIVE ASSESSMENT OF THE SCAR FORMATION AT FACE AFTER
VI
TABLE OF CONTENTS
MICROPOROUS PAPER TAPE APPLICATION.............................................................99
FP 019..........................................................................................................................100
THE
EFFECT
OF
PLATELET-RICH
PLASMA
(PRP)
FOR
PROMOTING
EPITHELIALIZATION SPEED IN RAT SKINS THIRD DEGREE BURN WOUND
100
FP 037..........................................................................................................................101
CASE REPORT : HAND FINGER DEGLOVING INJURY, AMPUTATION IS NOT AN
OPTION........................................................................................................................101
FP 031..........................................................................................................................102
THE
EFFECT
PROCESS,
OF
TOPICAL
COLLAGEN
SIMVASTATIN
SYNTHESIS,
GEL
FIBROBLAST
ON
EPITHELIALIZATION
PROLIFERATION,
AND
NEOVASCULARIZATION OF FULL-THICKNESS WOUND ON WISTAR-STRAIN RAT

(RATTUS NORVEGICUS)............................................................................................102
FP 032..........................................................................................................................103
CARTILAGE REGENERATION ON DONOR SITE DEFECT WITH ONE SIDED
PERICHONDRIAL AURICULAR CARTILAGE GRAFT : AN EXPERIMENTAL RABBIT
MODEL ........................................................................................................................103
FP 041..........................................................................................................................104
BACTERIAL PATHOGENS AND ANTIBIOTIC SENSITIVITY PATTERN IN BURN UNIT
OF HASAN SADIKIN HOSPITAL (RSHS) FROM JANUARY 2012 - DECEMBER
2015......................................................................................................... 104
PO 001.........................................................................................................................105
TOTAL NASAL RECONSTRUCTION...........................................................................105
PO 004.........................................................................................................................106
COMPARATIVE AESTHETICS POST LABIOPLASTY UNILATERAL WITH MILLARD
TECHNIQUE AND RANDALL - TENNISON TRIANGULAR.........................................106
E-POSTER SCHEDULE..............................................................................................107
PO 001.........................................................................................................................113
TOTAL NASAL RECONSTRUCTION...........................................................................113
PO 004.........................................................................................................................114
TECHNIQUE AND RANDALL - TENNISON TRIANGULAR.........................................114
PO 005.........................................................................................................................115
HEMOSTATIC PERFORMANCE OF HONEY SOAKED OXYDIZED REGENERATED
VII
TABLE OF CONTENTS
CELLULOSE (SURGICEL MADU); AN ANIMAL STUDY.............................................115
FP 007..........................................................................................................................116
AN ALTERNATIVE TREATMENT AFTER TUMOR ABLATION AT MAXILLOFACIAL
REGION FOR GERIATRIC PATIENT : CASE SERIES ...............................................116
PO 008.........................................................................................................................117
SUCCESFUL SURGICAL MANAGEMENT OF GIANT CONDYLOMA ACUMINATUM,
AN AIDS PATIENT : A CASE REPORT.......................................................................117
FP 009..........................................................................................................................118
FACIAL ATROPHY LESION TREATMENT WITH MODIFIED DERMAL-FAT GRAFT: A
TECHNIQUE TO IMPROVE GRAFT SURVIVAL (CASE REPORT) 118
PO 010.........................................................................................................................119
NON-SURGICAL MANAGEMENT OF METHICILLIN-RESISTANT STAPHYLOCOCCUS
AUREUS PRESSURE ULCERS: A CASE REPORT...................................................119
PO 011..........................................................................................................................120
INTRA-LESIONAL ALCOHOL INJECTION FOR FACIAL VASCULAR MALFORMATION;
TREATMENT AND CHALLENGES..............................................................................120
PO 012.........................................................................................................................121
MESENCHYMAL
STEM
CELLS
THE
NEXT
GENERATION
OF
BURN
TREATMENT. . ........................................................................................... 121

PO 013.........................................................................................................................122
LONG TERM MAXILLARY GROWTH EVALUATION AFTER THE NON DENUDED
MUCOPERIOSTEAL PALATOPLASTY TECHNIQUE .................................................122
PO 014.........................................................................................................................123
BUNIONPLASTY IN PLASTIC SURGERY POINT OF VIEW......................................123
PO 016.........................................................................................................................124
DEGLOVING HAND INJURY : IS SANDWICH FLAP STILL AN OPTION?
124
PO 017.........................................................................................................................125
THE EFFECT OF TOPICAL SIMVASTATIN GEL TO EPITHELIALIZATION PROCESS,
COLLAGEN SYNTHESIS, AND FIBROBLAST PROLIFERATION, OF FULL THICKNESS
WOUND ON WISTAR STRAIN RAT (RATTUS NORVEGICUS) 125
PO 019.........................................................................................................................126
THE OBJECTIVE MEASUREMENT OF MARGINAL EPITHELIAL CREEPING OF
SPLIT-THICKNESS SKIN GRAFT USING TRANSPARENT PLASTIC PAPER: AN IDEA
VIII
TABLE OF CONTENTS
AND INNOVATION METHOD......................................................................................126
PO 022.........................................................................................................................128
SURVIVAL OF COSTOCHONDRAL VERSUS CALVARIAL BONE GRAFT AS
BIOMATERIALS FOR ORBITAL VOLUME RESTORATION SURGERY : A SYSTEMATIC
REVIEW.......................................................................................................................128
PO 023.........................................................................................................................129
CLEFT CRANIOFACIAL CENTER JAKARTA: PROFILE OF PALATAL INDEX AND
FISTULA FORMATION ................................................................................................129
PO 024.........................................................................................................................130
EMBOLIZATION AND REDUCTION IN GIANT HAEMANGIOMA GLOSSUS ET
LABIALIS INFERIOR : A CASE REPORT ...................................................................130
PO 025.........................................................................................................................131
MACROPHAGES BEHAVIOR; AMNION AND MNICROBIAL CELLULOSE IN RATS
FULL THICKNESS WOUND........................................................................................131
PO 026.........................................................................................................................132
CORRELATION BETWEEN BLOOD GLUCOSE VARIABILITY AND MORTALITY
AMONG SEVERE BURN INJURY PATIENTS AT RUMAH SAKIT HASAN SADIKIN
BURN UNIT .................................................................................................................132
PO 027.........................................................................................................................133
EVALUATION OF PRE-REFERRAL MANAGEMENT OF ACUTE BURN PATIENTS IN
RUMAH SAKIT HASAN SADIKIN................................................................................133
PO 028.........................................................................................................................134
EXPERIENCE WITH NEOVAGINAL CONSTRUCTION IN MALE TO FEMALE
RECONSTRUCTION IN HASAN SADIKIN HOSPITAL................................................134
PO 029.........................................................................................................................135
SUCCESSFUL SURGICAL REPAIR OF PENILE SILICONE GRANULOMA WITH
SPLIT-THICKNESS SKIN GRAFT AND SKIN FLAP: REPORT OF TWO CASES
135
IX
SCIENTIFIC SCHEDULE
SYMPOSIUM (Aesthetic)
Thursday, 26 May 2016
07.00 08.00
Re registration
08.00 08.40

OPENING CEREMONY
Sandeq B Room
08.40 09.00
Moenadjat Memorial Lecture
Moderator: A.J. Rieuwpassa (Indonesia)

Sandeq B Room
Rhinoplasty: Aesthetic and Reconstruction Aspect

Sidik Setiamihardja (Indonesia)
09.00 10.00
Plenary Lecture 1
Moderator: Moch. Sjaifuddin Noer (Indonesia)
09.00 09.20
Medical Ethics Djohansyah Marzoeki (Indonesia)
09.20 09.40
Patient Safety Idrus Paturusi (Indonesia)
09.40 10.00
Steps to Good Researcher: A Note to Beginner
Din Syafruddin (Indonesia)
10.00 10.30
Exhibition Opening and Coffee Break
10.30 11.30 Plenary Lecture 2

Moderator: Fonny Josh (Indonesia)

Sandeq B Room
10.30 10.50 The Future of Adipose Derived Stem Cell in Plastic Surgery
Hiroshi Mizuno (Japan)
10.50 11.10 Vascular Stem Cells Therapy for Tissue Regeneration
Rica Tanaka (Japan)
11.10 11.30 Discussion
11.30 12.30
Lunch Symposium 1 (BSN)
Moderator: Ishandono Dachlan (Indonesia)

Sandeq B Room

Efficacy and Tolerability of Cuticell for Burn Cases

Iswinarno Doso Saputro (Indonesia)
12.30 13.30
LUNCH
01
SCIENTIFIC SCHEDULE
Moderator: Djohan Wirawan (Indonesia)

Sandeq B Room
13.30 13.45 Esthetic Face Contouring David J. David (Australia)
13.45 14.15 Aesthetic Surgery of the Facial Skeleton
Rong-Min Baek (South Korea)
14.15 14.30 Stemcell Facelif Natalie Brenner (Germany)
14.30 15.45
SS 1: Facial Aesthetic 1
Moderator: Donna Savitry (Indonesia)
Sandeq A Room
14.30 14.45
Face Lift Irena Sakura Rini (Indonesia)
14.45 15.00 Thread Lift Enrina Diah Nurmeirini (Indonesia)
15.00 15.15 Thread Lift for Facial Contouring
Bambang Wicaksono (Indonesia)
15.15 15.30
Nose Contouring Sumantri Sarimin (Indonesia)
15.30 -15.45
Discussion
14.30 15.45
SS 3: Breast
Moderator: Mendy Juniaty Hatibie (Indonesia)

Sandeq B Room
14.30 14.45
Breast Implant: Round or Teardrop Shape, Which one Better?
Hendri Andreas (Indonesia)
14.45 15.00 Endoscopic Assisted Breast Augmentation

Dharma P. T. R. Maluegha (Indonesia)
15.00 15.15 Large Gynecomastia with Nipple Repositioning Utilizing the
Dermatoglanduler Flap - Hardisiswo Soedjana (Indonesia)
15.15 15.45
Discussion

14.30 16.30
Free Paper 1 2
Moderator: Elida Sari Siburian (Indonesia)
Azalea Room
15.45 16.45 SS 2: Facial Aesthetic 2
Moderator: Sachraswaty (Indonesia)
Sandeq A Room
15.45 16.00 Brow Lift Tomie Hermawan Soekamto (Indonesia)
16.00 16.15 Endoscopic Forehead Lift Hendri Andreas (Indonesia)
16.15 16.30 Upper Lid Blepharoplasty: Fat Transposition
Ferdinand (Indonesia)
02
SCIENTIFIC SCHEDULE
WORKSHOP MEDICAL WRITING
Thursday, 26 May 2016
Sandeq B Room
16.30 18.10 Session 1
Moderator: Magda Rosalina Hutagalung (Indonesia)
16.30 17. 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, When, Where, How, and Why: The

Ingredients in the Recipe for a Successful Methods Section
17.00 17.30 Rica Tanaka (Japan)

The Results Section

What Journal You Choose, Then Sequential Results Are What You
Use Put Your Best Figure Forward: Line Graphs, Scatter Grams,

Bars and Pies Bring Your Best to the Table
17.30 - 18.00


The Discussion Section: Your Closing Argument,
Conclusion Giving Credit: Citations and References Top 10
Tips for Responding to Reviewer and Editor Comment
18.00 18.10
Discussion
18.10 19.10
Break & Dinner
19.10 21.00 Session 2

Moderator: Irra Rubianti Widarda (Indonesia)
19.10 20.00 Irawan Yusuf (Indonesia)

How to Write a Case Report
20.00 20.50 Ferry Sandra (Indonesia)

Preparation of Manuscript for Publication: A short Message
for Indonesian Authors
03
SCIENTIFIC SCHEDULE
SYMPOSIUM (Reconstructive)
Friday, 27 May 2016
07.00 08.00
Re Registration


Sandeq B Room
07.30 07.50 Removing the Stigma of the Cleft David J. David
(Australia)
07.50 08.10 Triangular Technique for Bilateral Cleft Lip
A.J Rieuwpassa (Indonesia)
08.10 08.30 My Experiences in Cranial Vault Reconstruction
Andi Asadul Islam (Indonesia)
08.30 -09.30
Plenary Lecture 5
Moderator: David S. Perdanakusuma (Indonesia)

Sandeq B Room
08.30 08.50 Free Perforator Flap in Lower Leg Reconstruction
Baek-Kyu Kim ( South Korea)
08.50 09.10 Reconstruction, Lip Versatility of Abbe Flap Bisono (Indonesia)
09.10 09.30 Condilus Mandibula Reconstruction with K wire and Silicon Block
Djohan Wirawan (Indonesia)
09.30 10.00
Coffee Break
10.00 11.00 Special Symposium (DERMOZONE INDONESIA)

Moderator: Sigit Wahyu Jatmiko (Indonesia)

The Revolution in Wound Care

Sandeq B Room
10.00 10.30 Introduction To Revolution In Wound Care: Several Case Reports

Donna Savitry (Indonesia)
10.30 11.00
TBA - Ratna Javita SRG (Indonesia)
11.00 12.00 Lunch Symposium 2 (PRO HEALTH INT)

Innovation from Bench to Bed Side

Sandeq B Room
11.00 11.20 Making Perfection of the Alveolar Bone Graft in Cleft Patient: The

Role of BTCP Herman Yosef Limpat (Indonesia)
04
SCIENTIFIC SCHEDULE
11.20 11.40

11.40 12.00
Evolution of Biodegradable Implant in CMF: Personal Experience in

FOA Patient Magda Rosalina Hutagalung (Indonesia)
Discussion
12.00 13.30 Friday Pray & Lunch

13.30 14.30 SS 4: Burn and Wound
Moderator: A. A. G. N. Asmarajaya (Indonesia)
Sandeq A Room
13.30 13.45 How to Manage ARDS patients without Ventilator in Burn Unit?
Lisa Hasibuan (Indonesia)
13.45 14.00 Hyperbaric Oxygen Therapy in Plastic Surgery Cases: A Systematic
Review - Afriyanti Sandhi (Indonesia)
14.00 14.15 Endocrine and Metabolic Changes in Severe Burn
I Nyoman P. Riasa (Indonesia)
13.30 14.30 SS5: A New Clinical Option in Wound Management
(MUNDIPHARMA)
Moderator: Hardisiswo Soedjana (Indonesia)

Sandeq B Room
13.30 13.45 How Smartpore Techology can improve Patients Quality of Live ?

David S. Perdanakusuma (Indonesia)
13.45 14.00 Sharing Betaplast Experience
Brevitra Janesa Bismedi (Indonesia)
14.00 14.15 PVP-I : Myth and Facts in Wound Management
13.30 14.30 SS 6: Facial Reconstruction
Moderator: Najatulah (Indonesia)
Acacia Room
13.30 13.45 Blepharoptosis: Orbicularis Plication Modified Tarsus
13.45 14.00 Constricted Ear Kristaninta Bangun (Indonesia)
14.00 14.15 Alar Nose Reconstruction with Septochondral Mucosal Flap,

Cartilage Graft and Island Forehead Flap
05
SCIENTIFIC SCHEDULE
13.30 15.30 Free Paper 3 4
Moderator: Erythrina Permata Sari (Indonesia)

Azalea Room
14.30 15.45 SS 7: Craniofacial
Sandeq A Room
14.30 14.45 Facial Trauma Old Fracture Management
Siti Handayani (Indonesia)
14.45 15.00 Tetrapod Fracture, Surgical Anatomy Revisited as a Guide for

3D Reduction using Caroll Girard Screw
RR. Prasetyanugraheni Kreshanti (Indonesia)
15.00 15.15 Turricephaly Reconstruction in Sanglah General Hospital

Made Suka Adnyana (Indonesia)
14.30 15.45 SS 8: Cleft (SMILETRAIN)
Moderator: Asrofi S. Surachman (Indonesia)

Sandeq B Room
14.30 14.45 The Usage of Ear Cartilage Graft to Improve Aesthetic Performance

of the Nose in Cleft Children Donna Savitry (Indonesia)
14.45 15.00 Our Experience with Nasoalvcolar Molding (NAM) in More Than 80

Cleft Patients - Karina F. Moegni (Indonesia)
15.00 15.15 Nose Revision after Labioplasty Muhammad Jailani (Indonesia)
14.30 15.45 SS 9: Microsurgery
Moderator: Irena Sakura Rini ( Indonesia)
Acacia Room
14.30 14.45 Microvascular Radial Forearm Fasciocutaneous Free Flap for Defect

Reconstruction on Head and Neck
Agus Roy Rusli Hamid (Indonesia)
14.45 15.00 Reconstructive Microsurgery in Craniofacial Tumor
Hendra Sanjaya (Indonesia)
15.00 15.15 Finger Replantation : Reported of Twelve Cases in Sanglah General
Hospital, Bali-Indonesia - Agus Roy Rusli Hamid (Indonesia)
15.30 16.20
Free Paper 5
Moderator: Irra Rubianti Widarda (Indonesia)
Azalea Room
06
SCIENTIFIC SCHEDULE
15.45 17.00
SS 10: Hypospadia Tips and Tricks
Moderator: Sachraswaty (Indonesia)
Sandeq A Room
15.45 16.15
Surgical Management of Short Urethra

Chaula L. Sukasah (Indonesia)
16.15 16.45
My Experience Using Standolis Technique to Repair Penile

Hypospadia - Sumantri Sarimin (Indonesia)
16.45 17.00
Discussion
15.45 17.00
SS 11: Miscellaneous 1
Moderator: Parintosa Atmodiwirjo (Indonesia)

Sandeq B Room
15.45 16.00
Gambaran Morbiditas Outcome Pasien Bedah Plastik yang

Dikerjakan Dokter Non Bedah Plastik di Sumatera Barat 2007-2015
Deddy Saputra (Indonesia)
16.00 16.15
Profile Snake bite Diagnostic and Treatment dr. Muwardi Hospital -
Amru Sungkar (Indonesia)
16.15 16.30
The Role of Bleomycin in Haemangiomas
Herman Yosef Limpat (Indonesia)
16.30 17.00
Discussion
15.45 17.00
Moderator: Dharma P.T.R Maluegha (Indonesia)
Acacia Room
15.45 16.00
Challenge in Giant Hemifacial Neurofibromes Reduction

Ruby Riana Asparini (Indonesia)
16.00 16.15
Role of Epithel Growth Factor in Treating Scar / Keloid

Poengki Dwi Poerwantoro (Indonesia)
16.15 16.30
Diabetes Mellitus type II Impairs Adipose Derived Stem Cells

Karina F. Moegni (Indonesia)
16.30 17.00
Discussion
18.30 21.30
PERAPI NIGHT (Phinisi 1 Room)
Instructional Course on Stem-Cell

Saturday, 28 May 2016
Sandeq B Room
07.00 08.00
Re-Registration
08.00 10.00
Session 1
Moderator: Elida Sari Siburian (Indonesia)
07
SCIENTIFIC SCHEDULE
08.00 08.20
Whats Stem Cell? - Hiroshi Mizuno (Japan)
08.20 08.40 Introduction to Bone Marrow Derived Stem Cells
Rica Tanaka (Japan)
08.40 09.00 Introduction to ASCs - Fonny Josh (Indonesia)
09.00 09.20 Harvesting and isolation of adipose derived stem cells

Fonny Josh (Indonesia)
09.20 09.40 Introduction to Hematopoietic Stem Cells
Ferry Sandra (Indonesia)
10.00 10.30
Coffee Break
10.30 12.30 Session 2

Moderator: Irena Sakura Rini (Indonesia)
10.30 10.50 Adipose Derived Stem Cells in Regenerative Medicine

10.50 11.10 Clinical application of Adipose derived stem cells in Plastic surgery

11.10 11.30
Harvesting and Isolation of Bone Marrow Stem Cells

Rica Tanaka (Japan)
11.30 11.50 An overview of PRP Natalie Brenner (Germany)
11.50 12.10 Harvesting PRP Natalie Brenner (Germany)
12.30 13.00
LUNCH
13.00 14.40 Session 3

13.00 13.20 Harvesting and isolation of hematopoietic stem cells

Ferry Sandra (Indonesia)
13.20 13.40 Clinical Application of Bone Derived Marrow Stem Cells
Rica Tanaka (Japan)
13.40 14.20 Skin Rejuvenation and Associated Application of PRP

Natalie Brenner (Germany)
14.40 15.00
Coffee Break and Closing
15.00 21.00
KONKER PERAPI
08
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
ABSTRACT
Plenary Lecture 1
STEPS TO GOOD RESEARCHER: A NOTE TO BEGINNER
Senior Research Fellow and Professor
Malaria and Vector resistance Laboratory, Eijkman Institute for Molecular Biology,
Jalan Diponegoro 69, Jakarta 10430
Department of Parasitology, Faculty of Medicine, Hasanuddin University, Jalan Perintis
Kemerdekaan Km 10, Tamalanrea 90245, Makassar, 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. However, 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. Therefore,
efforts are now focused to translate the major discoveries in basic science into tool
(s) that may facilitate diagnosis, treatment and prevention of diseases, particularly in
developing countries where infectious diseases are still dominant - thus underlines the
importance of clinical research at hospital and community levels.
Clinical research pertains research conducted on humans or human tissues that makes
use of patient data. This Includes study of disease mechanisms, therapeutic interventions,
epidemiology, and clinical trials, aimed at understanding human disease and improving
human health. Interaction between researchers and patient data is a key feature. This
talk focuses on how to create a good clinical researcher among the Indonesian medical
professionals. The basic qualities of a good researcher including clinical researcher in
general are intelligence, honesty, curiosity and initiative, enough knowledge, and good
in oral and written communication.Steps in clinical research includes: pre-investigation
step: identify the problem, collect and evaluate existing information (state-of-the-art),
formulate research objective and hypotheses, identify the study subjects, think of the
study design, write the study protocol, and develop the tool. Investigation step includes:
pretest and pilot study, collect the data, handle the non-response and ethical issues,
scrutinize the data. Post-investigation step includes: analyse the data, interprets the
results, write and disseminate the reports and monitor the reaction. The detail of each
step will be discussed during presentation.
12
ABSTRACT
Plenary Lecture 2
THE FUTURE OF ADIPOSE DERIVED STEM CELL IN PLASTIC SURGERY
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
15
ABSTRACT
Plenary Lecture 3
AESTHETIC FACIAL CONTOURING
David J. David (Australia)
The relationship between aesthetic surgery of the head and neck and craniomaxillofacial
surgery is a close one. Many of the mainstream aesthetic manoeuvres have taken
their inspiration from repair of severe craniofacial defonnities. 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.
The basis of facial contouring is the rule outlined by Pichler first the bone then the soft
tissue.
This presentation deals with the techniques, of reshaping the face in patients with
deformity and in purely aesthetic cases.
Such surgery presupposes knowledge of the aesthetic norms for the society and the
wishes of the patient. Understanding of anthropon1etrics and cephalometries becomes
essential for the surgeon.
The treatment 1nodalities consist of osteotomies, onlay procedures, soft tissue
sculpturing and soft tissue augmentation.
Somme common complications are addressed.
16
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, Korea
The standard of beauty is a matter of individual or cultural opinion. The Asians have their
own view of beauty and it is fairly different from that of other ethnic populations. Also,
most Asians do not want to lose their ethnic identity after aesthetic surgery.
However, there are certain facial skeletal features that, although frequently seen among
the Asian population, are regarded as poor facial aesthetics: a narrow and flat forehead,
prominent malar eminences, a convex lower facial profile, hypoplastic paranasal areas,
and prominent mandibular angles.
With advancement of the knowledge and technique of the craniomaxillofacial surgery,
forehead plasty, malaplasty, aesthetic orthognathic surgery, and mandibular contouring
surgery added important armory to correct these aesthetic weakness. With one or
combination of these aesthetic surgeries of the facial skeleton, the plastic surgeon gives
harmony, balance, and proportion to the facial profile to make aesthetically pleasing
appearance of the face.
17
ABSTRACT
Plenary Lecture 3
STEM CELL FACELIF
Dr.Brenner, Natalia, Bonn, (Germany)
The stem cell facelift is a complete facial rejuvenation procedure. The main function is
to restore both the youthful contour and shape of the face. Another goal is to improve
the skin quality and color irregularities caused by both the aging process and exposure
to the sun and environment. Adipose tissue has been considerred an organ of energy
storage and the lagest endocrine organ . It was found that the adipose cell population
contains not only monopotent progenitor cells but also multipotent mesenchymal Stem
Cells (Adipose Derived StemCells ADSCs). ADSCs are regarded as a potent tool for
cell-base therapies, comparable to bone marrow-derived mesenchymal SC, because
they can be obtained in a large amount throught a less invasive approach, liposuction.
Liposuction aspirates are composed of two parts- fat tissue and SVF. Mesnchymal
Stem Cells can be separated from SVF. Our study identifired freshly isolated ASCs as
CD31-CD34+CD45-CD90+ cells. The Stem Cell Facelift is different from a conventional
Fat Grafting and Lipo transfer.
Fat grafting or Lipo Transfer is the process of transferring the fat to an area, but the stem
cells are locked inside the tissue stroma. Real Stem Cell Facelifts isolate the stem cells
from the fat itself and then reintroduce the stem cells into the desired area.
Applications of ADSCs in plastic and reconstructive surgery shows a great promise in
repair of skin lesions.
In summary is to determine that the StemCell Facelift is a good Complement to
conventional Facelift operations. It Must be performed more than once to achieve
good results . Must be done by experienced stem cell doctors with the use of certified
laboratory. Technologies for Fat Processing, Harvesting and Application must be
standardized to achieve better results in ASC-Usage
18
ABSTRACT
THE ART of MINIFACE LIFT
Irena Sakura Rini (Indonesia)
19
ABSTRACT
THREAD LIFT
Enrina Diah Nurmeirini (Indonesia)
20
ABSTRACT
THREAD LIFT FOR FACIAL CONTOURING
Bambang Wicaksono (Indonesia)
21
ABSTRACT
NOSE CONTOURING
Sumantri Sarimin (Indonesia)
22
ABSTRACT
SUTURE SUSPENSION BROWPEXY
Tomie Hermawan Soekamto (Indonesia)
Current aesthetic literature reflects a renewed interest in the subcutaneous brow lift.
Management of eyebrow ptosis remains a most challenging problem. No single superior
solution for brow ptosis currently available.
The closed transcutaneous thread brow lift is not a new approach, 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.
The surgical result of brow rejuvenation depends on the type of deformity, the procedure
done and the quality of its execution. Lesser procedures generally produce lesser results
but for patients appropriate expectations may be adequate.
Keyword: brow rejuvenation, suture suspension, lesser procedures
23
ABSTRACT
NOSE CONTOURING
24
ABSTRACT
SUTURE SUSPENSION BROWPEXY
Tomie Hermawan Soekamto (Indonesia)
Current aesthetic literature reflects a renewed interest in the subcutaneous brow lift.
Management of eyebrow ptosis remains a most challenging problem. No single superior
solution for brow ptosis currently available.
The closed transcutaneous thread brow lift is not a new approach, 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.
The surgical result of brow rejuvenation depends on the type of deformity, the procedure
done and the quality of its execution. Lesser procedures generally produce lesser results
but for patients appropriate expectations may be adequate.
Keyword: brow rejuvenation, suture suspension, lesser procedures
25
ABSTRACT
BROWLIFT ENDOSCOPY
Eyelid sagging with aging. Sometimes it is not the real sagging of eyelids, but eyelids
look sag because of eyebrow sagging. In that case, eyelid surgery must be prohibited.
if middle age woman have upper blepharoplasty because they think their eyelids sag,
facial image will turn strong and rough. Doing so without any examination could lead
to strong appearance. And the thickening eyelid will give unnatural look. Sometimes
Patients tend to ask doctor about their thick eyelid. They remove any excessfat from the
upper lid that leads to sunken eyelid. Especially on older patients.Therefore they must
have forehead eyebrow lift.
If young people with have no sagging brow, can do double eyelid surgery only. If it is
necessary, endobrowlift can do with double eyelid surgery simultaneously. So, if people
want to do the eyelid surgery, the problem should be diagnosed first. The problem is
brow, eyelid or both.
Lots of patients thought that the problem is the sagging of eyelid(s), but to determine the
problem we have to thoroughly do the physical examination of the patients periorbital
area.
Brow lift surgery is curicial before the upper lid procedure. Endoscopic browlift have
advantages, could hide scars and heals faster than open procedure.
26
ABSTRACT
UPPER LID BLEPHAROPLASTY: FAT TRANSPOSITION
27
ABSTRACT
SS 3: Breast
BREAST IMPLANT: ROUND OR TEARDROP SHAPE, WHICH ONE BETTER?
Choosing a right breast implant is very important before breast augmentation operation.
The breast implant is chosen by based on size and customers needs/taste. Every breast
implant is unique in itself with their own pros and cons that makes it customizable to
patients condition. The right breast implant should improve the condition of the breast.
There are several types of breasts implant. Based on their looks, there are round and
teardrop shape. Two different textures: textured or smooth. Lastly, Polyurethane-based
implant that could prevent the risk of Capsular Contracture
There are 2 types of filling, saline-filled implant and silicone-filled implant. Saline would
feel firmer compared to softer silicone.
In choosing the right breast implant, we have to find one which is suitable. Base on the
measurements, width of the breasts, height of the breasts and ratio between width and
height, to figure out whether they have higher breasts, normal breasts or lower breasts.
For high and normal breast position, we can use round shape, while for low breast
is teardrop shape, because it can give volume to upper part of breast to make the
appearance less hollow.
Incision area to facilitate implant is also important to discuss. These areas are
inframammary fold, auxiliary and infra-areola, in connection with the post-surgical scars.
To prevent the forming of keloid, 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 areolas
colour. Scars on inframammary could be closed if glandular ptosis present, there is a risk
of visible if the breasts are exposed. Scars on these areas have to be extremely thought
because Asian skins tend to have darker shades, especially on flat-chested that make it
more difficult to hide.
The thickness of breasts is also something to consider, because thin breasts tend to
show rippling especially when using round cohesive 1 or saline.
28
ABSTRACT
SS 3: Breast
ENDOSCOPIC ASSISTED BREAST AUGMENTATION
Dharma P. T. R. Maluegha (Indonesia)
29
ABSTRACT
SS 3: Breast
LARGE GYNECOMASTIA WITH NIPPLE REPOSITIONING UTILIZING THE
DERMATOGLANDULER FLAP
Hardisiswo Soedjana (Indonesia)
30
ABSTRACT
Plenary Lecture 4
REMOVING THE STIGMA OF THE CLEFT
David J. David (Australia)
The outcome of treatn1ent for deft lip and palate was once confined to repairing the lip
first and later the palate. Greater understanding of the condition, a more affluent society
and the introduction of protocol management from birth to maturity has opened the way
to a more demanding patient body .
The stigmata are not only the facial shape , lip and nose deformities but dental
malalignment and deft speech
Each of these is dealt with as part of the modern protocol, 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.
31
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
ABSTRACT
Plenary Lecture 5
RECONSTRUCTION, LIP VERSATILITY OF ABBE FLAP
Bisono (Indonesia)
Due to its very unique characters, the best donor to reconstruct lip deffect is the still
existing lip tissue; rearrange and re unite using flap technique if necessary.
Abbe found a technique of sharing, closing the deffect using opposite lip tissue as a flap,
based on labial artery on the rich vascularization of lip tissue as pedide To reconstruct
lip, 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.
Many special techniques have been found to reconstruct Congenital Deffect.
Understanding of flap construction technique should be have in adult cases,so that we
can try to do Total Reconstruction, where as in babies we should remember / be warned
by the principle of Functional Matrix. Minute structures could catch up growth in time to
normal affer being united with the surrounding structure.
Abbe flap is very versatile to reconstruct congenital deffect, deflect due to trauma /
infection / tumor removal / or imperfect result of previous reconstruction.
It can close almost 80% loss of lip beautifully.
35
ABSTRACT
Plenary Lecture 5
CONDILUS MANDIBULA RECONSTRUCTION WITH K WIRE AND SILICON BLOCK
36
ABSTRACT
Special Symposium (DERMOZONE 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, only a few that can be detected on
the surface. Some reason are the lack of money and knowledge about the wound, the
expensiveness of the cost of the medicine, the long period of time to heal the wound, etc.
Medcare dermozone has already used in United Kingdom for 6 years as an alternative
choice to heal the chronic wound.
Method: We reported several cases with various wound, observed and noted to see the
efficacy of the ointment.
Result/Conclusion: In the average the wounds healed quickly, 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.
37
ABSTRACT
Special Symposium (DERMOZONE INDONESIA)
Javita SRG (Indonesia)
38
ABSTRACT
Lunch Symposium 2 (PRO HEALTH INT)
MAKING PERFECTION OF THE ALVEOLAR BONE GRAFT IN CLEFT PATIENT:
THE ROLE OF BTCP
39
ABSTRACT
Lunch Symposium 2 (PRO HEALTH INT)
EVOLUTION OF BIODEGRADABLE IMPLANT IN CMF: PERSONAL EXPERIENCE IN
FOA PATIENT
Magda Rosalina Hutagalung (Indonesia)
40
ABSTRACT
SS 4: Burn and Wound
HOW TO MANAGE ARDS PATIENTS WITHOUT VENTILATOR IN BURN UNIT?
Lisa Hasibuan
Hasan Sadikin General Hospital - University of Padjadjaran, Bandung, Indonesia
Lesson learned by the author for more than 15 years treating burn patients, there is a
pattern occuring in most burn patients, but particularly in more severe presentations,
such as in sepsis and inhalation injury cases. In acute phases, fluid resuscitation is
administered to all burn patients. Reaching third to fifth day, tachycardia and dyspnea
begin to present, and without proper interventions, in fifth to seventh day postburn,
culminated in death.
In our facility, the burn unit is not equipped with ventilator. Furthermore, we always had
difficulties in admitting patients with inhalation injury to intensive care unit due to the
limited number of ventilators. Other setback, if burn patients are admitted to the General
ICU, the wound management for patients with larger burn areas is challenging for the
ICU personnels, unlike in our burn unit and its trained personnels.
The question in my mind: can we do something to help ARDS patients survive without
ventilator?
To date, we have learned from our inhalation injury cases to develop a detailed protocol
in our burn unit. Patients with confirmed inhalation injury will be intubated and admitted
to Burn Unit. The endotracheal tube is connected to T-piece and the patient breathes
spontaneously. Fluid resuscitation is continued until reaching adequate urine output in
the first two days, while maintaining low central venous pressure.
In the third day, spontaneous fluid back flow from interstitial to circulation occurs,
increasing cardiac preload profoundly. We administer either colloid, fresh frozen plasma,
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.
In the third to fifth day, we attempt to control hypermetabolic response using beta-blocker
and dobutamine when necessary.
Now we have nine survivors out of eighteen
41
ABSTRACT
HYPERBARIC OXYGEN THERAPY IN PLASTIC SURGERY CASES: A SYSTEMATIC
REVIEW
Afriyanti Sandhi (Indonesia)
Plastic Reconstructive and Aesthetic Surgeon
Dr. Suyoto Pusrehab Kemhan Hospital, Jakarta, Indonesia
BACKGROUNDS: Diabetic Wounds, Venous Ulcers and Chronic Burn Wounds are
the most challenging chronic wound cases in Plastic Surgery; 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). Various
pathologies may cause tissue breakdown, including poor blood supply resulting in
inadequate oxygenation of the wound bed. HBOT has been suggested to improve
oxygen supply to wounds and therefore improve the healing process.
METHODS: This paper provides a systematic review of the literature reporting the results
of HBOT in the treatment and prophylaxis. Evidence Based Medicine (EBM) is designed
to discover the best evidence available and apply it in daily practice for treatment of
individual patient. The preferred level of evidence is the randomized controlled trial,
however, other evidence has merit as well.
RESULTS: We included eleven trials in this study. Eight trials for diabetic foot ulcer (total
452 subjects); pooled data of three trials (140 subjects) revealed an increase in the rate
of ulcer healing with HBOT at six weeks (RR 5.20; 95% CI 1.25 21.66; p 0.02), 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
0.36; 95%CI 0.11 1.18). 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%;
95% CI 18.97 47.03; p<0.00001). Two trials (141 subjects) for burns, 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.
CONCLUSIONS: This review found that HBOT seems to improve the chance of healing
in diabetic foot ulcer and may reduce the major amputation. And as adjunctive therapy,
HBOT may reduce the size of the wounds in venous ulcer. In terms of burns therapy, we
found no sufficient evidence to support or refuse HBOT for the management of burns
injury. Further research is needed to better define the role of HBOT in the treatment of
chronic wounds and burns.
Keywords: Hyperbaric oxygen therapy, chronic wounds, burns, systematic review.
42
ABSTRACT
ENDOCRINE AND METABOLIC CHANGES IN SEVERE BURN
I Nyoman P. Riasa (Indonesia), Hendra Sanjaya (Indonesia).
Despite advances in major burn resuscitation, and its surgical treatment, endocrine and
metabolic dysfunction still remains a significant cause of morbidity and mortality in burn
patients.
Severe burn injury is characterized by hypermetabolism and catabolism proportional
to burn surface area. Severe burns have the most intense and prolonged catabolic
response of all surgical ICU 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. The hypermetabolic response is associated with
high REE and release of substrate from protein and fat stores. Increase Rate of protein
catabolism lead to loss of LBM and protein wasting. Muscles proteolysis continues until 6
months, and resulted in increasing delay in rehabilitation, other complication and death.
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.
Healing of burn wounds is an anabolic process which consumes massive amounts of
amino acids, supplied by breakdown of skeletal muscle. Simple and effective anabolic
strategies are early burn wound excision and skin grafting, sepsis elimination, prompt
environment temperature (30 32 C), continuous high carbohydrate and protein diet
(enteral route) and early institution of vigorous excercise program. Further anabolic
strategies aimed on reducing erosion of LBM at minimum level, administration of anabolic
agents such as recombinant human growth hormone, Insulin, Metformin, Oxandrolone
and anti-catabolic drugs (propanolol).
43
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
SHARING BETAPLAST EXPERIENCE
Brevitra Janesa Bismedi (Indonesia)
45
ABSTRACT
PVP-I : MYTH AND FACTS IN WOUND MANAGEMENT
46
ABSTRACT
SS 6: Facial Reconstruction
BLEPHAROPTOSIS: ORBICULARIS PLICATION MODIFIED TARSUS
47
ABSTRACT
CONSTRICTED EAR
Kristaninta Bangun (Indonesia)
48
ABSTRACT
ALAR NOSE RECONSTRUCTION WITH SEPTOCHONDRAL MUCOSAL FLAP,
CARTILAGE GRAFT AND ISLAND FOREHEAD FLAP
49
ABSTRACT
SS 7: Craniofacial
FACIAL TRAUMA OLD FRACTURE MANAGEMENT
Siti Handayani (Indonesia)
50
ABSTRACT
SS 7: Craniofacial
TETRAPOD FRACTURE, SURGICAL ANATOMY REVISITED AS A GUIDE FOR 3D
REDUCTION USING CAROLL GIRARD SCREW
RR. Prasetyanugraheni Kreshanti (Indonesia)
51
ABSTRACT
SS 7: Craniofacial
TURRICEPHALY RECONSTRUCTION IN SANGLAH GENERAL HOSPITAL
I Made Suka Adnyana (Indonesia)
Division of Plastic Reconstruction and Aesthetic Surgery, Department of Surgery,
Udayana University-Sanglah Hospital, Denpasar- Bali
Turrycephaly characterized by abnormal tall head caused by premature fusion of both
coronal suture, though others suture may also be involved. This abnormality commonly
related to craniofacial syndromes such as Crauzon, Apert, and Pfeiffer.
This article describes a case of 5 year old boy present with tall head, forehead slopes
backward, proptosis,normal maxilla and occlusion, papill athropy, delay speaking. The
head CT shows bicoronal synostosis. A fronto orbita advacemen and anterior cranial vault
reshaping was performed to correct the deformity. Significant cosmetic improvement
was achieved after surgery.
52
ABSTRACT
SS 8: Cleft (SMILETRAIN)
THE USAGE OF EAR CARTILAGE GRAFT TO IMPROVE AESTHETIC
PERFORMANCE OF THE NOSE IN CLEFT CHILDREN
Background: As a plastic surgeon I know that nose repair in cleft patients is not easy,
usually takes some surgeries to make it good. And in school age the pateints usually
have low self confidence in thei school because of the nose. The sun-shield method of
using ear cartilage graft works really well in adult for aesthetic result, 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.
Result/Conclusion: The aesthetic performance of the repaired nose looks better and
both parents and children are happy with the result.
53
ABSTRACT
OUR EXPERIENCE WITH NASOALVCOLAR MOLDING (NAM) IN MORE THAN 80
CLEFT PATIENTS
54
ABSTRACT
NOSE REVISION AFTER LABIOPLASTY
Muhammad Jailani (Indonesia)
55
ABSTRACT
SS 9: Microsurgery
MICROVASCULAR RADIAL FOREARM FASCIOCUTANEOUS FREE FLAP FOR
DEFECT RECONSTRUCTION ON HEAD AND NECK
Sub Division of Hand Surgery,
Division of Plastic, Reconstructive and Aesthetic Surgery,
Department of Surgery, School of Medicine Udayana University
Sanglah General Hospital, 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).
Material and Methods: Reported 3 patients who had facial defects, 1 patient with post
NOMA Infection, 1 patient with large haemangiomas on upper eyelid and 1 patient with
defect of palatal after palatoplasty. All the patients were immediately reconstructed using
RFFF after resection and excision. Patient with large haemangioma, following palmaris
longus tendon for ptosis correction immediately. Vascular anastomoses were
done with the facial vessels in the neck. All the patients underwent a lateral thigh splitthickness skin graft for closure of the donor site. Outcome measurements included postoperative assessment of flap survival and healing.
Results: Flap survival was successful in all cases. Complication include, haematoma
occure in patient with NOMA and perfomed hematoma evacuation. All donor site were
healing good, no hand functional loss.
Conclusion: RFFF for soft tissue reconstruction for facial defect is a reliable technique. It
is thin, pliable skin flap and Acceptable functional morbidity at donor site.
Key Words : Facial Defect- radial forearm fasciocutaneous free flap (RFFF).
56
ABSTRACT
SS 9: Microsurgery
RECONSTRUCTIVE MICROSURGERY IN CRANIOFACIAL TUMOR
Hendra Sanjaya (Indonesia)
57
ABSTRACT
SS 9: Microsurgery
FINGER REPLANTATION : REPORTED OF TWELVE CASES IN SANGLAH
GENERAL HOSPITAL, BALI-INDONESIA
Sub Division of Hand & Microsurgery
Division of Plastic, Reconstructive and Aesthetic Surgery
Department of Surgery, School of Medicine, Udayana University/
Sanglah General Hospital, Denpasar-Bali, Indonesia
Background: Replantation should be the prime indications for treatment of amputated
hands and fingers, due to functional and aesthetic advantages. The absolute indications
for replantation are thumb, multiple fingers, transmetacarpal or hand, and any upper
extremity amputation in a child whatever the level. Type of injury, sharp amputation is
a good indication, while blunt amputations are less likely to be regarded as indications
for replantation. With proper management of the amputated finger, replantation can be
attempted even after 24 hours.
Case Report: This study reports twelve cases of finger replantation were received in
hand and microsurgery sub division during the period of 2014-2015. Eleven patients
were male and one was female. Three patients were child, who accidentally cut their
finger while playing. Other nine patients with the age of 20-30 years old, the mechanism
of amputation due to machine injury, cut by knife, and motorbike accident. 84% replant
survivals were achieved, after a period of follow up with occupational therapy the patients
regain good functional and cosmetic results. One patient got vein problem, and we using
letches for remove the clot. Two patients were failed due to arterial problem.
Conclusion: Functional outcome of replanted fingers will never equal that of the normal
healthy counterpart, but replantation has major functional, cosmetic, and psychological
benefits. Our patients were very satisfied with their replanted fingers, which have helped
them to return to a better quality of life.
Keywords : Amputation, finger replantation
58
ABSTRACT
10: Hypospadia Tips and Tricks
SURGICAL MANAGEMENT OF SHORT URETHRA
Chaula L. Sukasah (Indonesia)
59
ABSTRACT
10: Hypospadia Tips and Tricks
MY EXPERIENCE USING STANDOLIS TECHNIQUE TO REPAIR PENILE
HYPOSPADIA
60
ABSTRACT
GAMBARAN MORBIDITAS OUTCOME PASIEN BEDAH PLASTIK YANG
DIKERJAKAN DOKTER NON BEDAH PLASTIK DI SUMATERA BARAT 2007- 2015
Deddy Saputra (Indonesia)
61
ABSTRACT
PROFILE SNAKE BITE DIAGNOSTIC AND TREATMENT DR. MUWARDI HOSPITAL
Amru Sungkar (Indonesia)
Plastic and Reconstructive Surgery Division,Department of Surgery , Medical Faculty
of 11 March University -Dr Moewardi General Hospital Surakarta
Backgrounds: Snake bite is a common and frequently devastating environmental and
occupational disease, especially in rural areas of tropical developing countries. Snake
venoms are rich in protein and peptide toxins that have specificity for a wide range
of tissue receptors, making them clinically challenging and scientifically fascinating,
especially for drug design. Although the full burden of human suffering attributable
to snake bite remains obscure, hundreds of thousands of people are known to be
envenomed and tens of thousands are killed or maimed by snakes every year. There
are view of complications that may arise from snake bite, one of them is compartment
syndrome.
We presented a descriptive retrospective study at Dr. Moewardi General Hospital
Surakarta between January 2013 Maret 2016, we found 91 patients and evalute including
gender, age, time arrived at hospital, types of snakeclinical presentation, laboratory
finding, amounts SABU injection, medical treatment, and length stay at hospital. Clinical
presentation such as hematotoxin, neurotoxin, and swollen, bulla, trombositopenia,
abnormal PT/APTT, fasciotomy, debridement , necrotomy and skingrafting
Result: The most victim is male at age 21-50 , the majority without envenomiation,
the clinical manifestation is haematotoxin, compartment syndrome, venom serum
is given 1-2 vial according clinical examination, intervention treatment usually due to
compartment syndrome with fasciotomies and delayed skingrafting . One patient died
due to cardiac failure from neurotoxin venom.
Keyword: snake bite, snake venoms, anti venoms ,compartment syndrome, skingrafting
62
ABSTRACT
THE ROLE OF BLEOMYCIN IN HAEMANGIOMAS
Latar Belakang: Anomali vaskuler adalah sekelompok kelainan kongenital pada pembuluh
darah. Tahun 1982, Mulliken dan Glowacki mengklasifikasikan anomali vaskuler dalam
dua tipe yaitu tumor vaskuler dan malformasi vaskuler. Tumor vaskuler merupakan
neoplasma endotel yang ditandai dengan hyperplasia sel vaskuler berselubung
kapiler dengan sel endotel dan perisit yang meluas membentuk lobular. Hemangioma
merupakan tipe tumor vaskuler yang paling sering muncul. Kategori kedua dari anomali
vaskuler adalah malformasi vaskuler, yaitu jaringan ireguler pembuluh-pembuluh darah.
Diagnosis: Diagnosis hemangioma didapat dari anamnesis, pemeriksaan fisik dan
pemeriksaan penunjang. Dari anamnesis dan pemeriksaan fisik, hemangioma muncul
pada pada masa neonatal, biasanya dalam 2 minggu pertama. Hemangioma viseral
atau tumor subkutan dalam, mungkin tidak bermanifestasi sampai 2 hingga 3 bulan
kehidupan. Sekitar 30% sampai 40% dari hemangioma baru terbentuk pada saat muncul
sebagai tanda awal pada kulit yaitu daerah pucat nyaris tak terlihat, telangiektasi, atau
bercak makula merah atau bercak ekimosis. 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. Ditentukan tindakan misalnya dengan eksisi sirkular dan purse-string
closure sebagai prosedur primer yang menghasilkan bekas luka minimal. Tindakan
bedah yang dilakukan disesuaikan dengan umur penderita dan fase dari hemangioma.
Selain tindakan bedah, terdapat juga beberapa pilihan tindakan, seperti observasi,
pemberian obat obatan atau injeksi bleomycin.
Bleomycin A5 digunakan sebagai terapi hemangioma dan malformasi vaskuler dengan
cara injeksi bleomycin intralesi. Bleomycin telah berhasil digunakan dalam pengobatan
hemangioma dan semua jenis malformasi vaskuler kecuali port wine stain (malformasi
kapiler), dimana terapi laser lebih baik karena sulit untuk menyuntikkan ke dalam
pembuluh yang halus. Meskipun merupakan pengobatan yang cukup baru, namun
efektivitas dan keamanan obat telah dipelajari secara luas dan pengobatan telah
terbukti memiliki tingkat keberhasilan yang tinggi. Bleomycin A5 akan mempengaruhi sel
lapisan pembuluh dan menyebabkan sel tersebut menghilang dan terkurangi jumlahnya,
sehingga lesi akan mengecil ukurannya, warna lebih pudar, dan lesi berkurang
penonjolannya
Prognosis: Pada umumnya prognosis hemangioma dan malformasi vaskuler baik,
bergantung pada letak lesi, komplikasi, serta penanganan yang baik.
Kata kunci
Bleomisin pada hemangioma, malformasi vaskular, non operatif terapi pada hemangioma
63
ABSTRACT
CHALLENGE IN GIANT HEMIFACIAL NEUROFIBROMES REDUCTION : A CASE
REPORT AND LITERATURE REVIEW
Ruby Riana Asparini (Indonesia)
Ruby Riana Asparini(1), Sitti Rizaliyana(2), Radias Dwi Padmani(3)
(1)Surgery Department of Medical Faculty of Malang Muhammadiyah University,
Malang, Indonesia
(2) Department of Plastic Reconstructive and Aesthetic Surgery, Airlangga
University School of Medicine/ Dr. Soetomo General Hospital, Surabaya,
Indonesia
(3)Bhakti Dharma Husada Hospital, Surabaya, Indonesia
Neurofibromatosis type 1 (NF-1), first described by Von Recklinghausen (1882), is an
autosomal dominant disease caused by a spectrum of mutations in the NF-1 gene.
Prevalence in the general population is approximately 1/3000 births. A hallmark clinical
feature of NF1 is multiple dermal neurofibromas, benign tumours that typically appear in
early adolescence and increase in numbers throughout life. The pathogenesis of these
tumours is not known. Facial nerve neurofibromas (FNN) are most commonly located in
the parotid gland.
We report a case of giant facial neurofibroma in 26 years old male patient without family
history of neurofibromatosis type 1. Features typical of neurofibroma, including an
enlarged nerve fascicle composed of elongated nuclei and scant cytoplasmic cells, were
identified. Excision was performed with preservation of parotid duct. The mass weight
was about 4,9 kg. There were some challenges during the procedure, such as bleeding,
hypovolemia, preservation of vital structure.
64
ABSTRACT
ROLE OF EPITHEL GROWTH FACTOR IN TREATING SCAR / KELOID
Poengki Dwi Poerwantoro (Indonesia)
65
ABSTRACT
DIABETES MELLITUS TYPE II IMPAIRS ADIPOSE DERIVED STEM CELLS
66
KODE
FP 006
FP 014
FP 018
FP 019
FP 020
FP 022
14.30 - 4.40
14.40 - 14 50
14.50 - 15.00
15.00 - 15.10
15.10 - 15.20
15.20 - 15.30
Johannes Albert Biben
Hastika Saraswati
Fory Fortuna
Fernita Leo
Edwin Ardiansyah
Astrinita Lestari Suyata
NAME
: 26 May 2016
: 14.30 - 16.30
: Elida Sari Siburian (Indonesia)
: Azalea
TIME
DATE
TIME
MODERATOR
Room
Free Paper 1 - 2
INSTITUTION
Division of Plastic, Reconstructive

and Aesthetic Surgery, Department
of Surgery Cipto Mangunkusumo
Hospital - Universitas Indonesia
Dep/SMF of Plastic Reconstructive
and Aesthetic Surgery Airlangga
University School of Medicine
/ Dr.Soetomo General Hospital
Surabaya
Div. of Plastic, Dept. of Surgery,

Faculty of Medicine Hasanuddin
University, Makassar, Indonesia

JUDUL
Thromboprophylaxis Strategy and

the Risk of Free Flap Thrombosis in
Patients with Hypercoagulability: A
Systematic Review.
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
68
FP 030
FP 036
FP 038
FP 049
FP 050
FP 051
15.30 - 15.40
15.40 - 15.50
15.50 - 16.00
16.00 - 16.10
16.10 - 16.20
16.20 -16.30
Melina Tiza
Mufida Muzakkie
Eliza Nindita
Robin Kurnia Wijaya
Rani Septrina
Muhammad Nawir






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
Genturs 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
FP 042 Steven Narmada
FP 045 Tasya Anggrahita
FP 046 Tessa Puspita Sari
13.40-13.50
13.50-14.00
14.00-14.10
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
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, Bandung
Hasan Sadikin Protocol
Division of Plastic, Reconstructive Efficacy of Chlorhexidine-alcohol
and Aesthetic Surgery,
versus Povidone Iodine as PreDepartment of Surgery Cipto
Operative Skin Preparation to
Mangunkusumo Hospital Prevent Surgical Site Infection: a
Universitas Indonesia
Meta-analysis
Relative Body Weight Changes
Post Palate Repair in Patients
Department of Surgery Cipto
Fed by Long Nipple Nursing Bottle
Mangunkusumo Hospital Versus Conventional Feeding
INSTITUTION
Mangunkusumo Hospital Universitas Indonesia
: 27 May 2016
: 13.30 - 15.30
: Erythrina Permata Sari (Indonesia)
: Azalea
13.30-13.40
TIME
Free Paper 3-4

DATE
TIME
MODERATOR
Room
FREE PAPER SCHEDULE
69
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
14.10-14.20
14.20-14.30
14.30-14.40
14.40-14.50
14.50-15.00
15.00-15.10
Department of Plastic
Reconstructive and Aesthetic
Surgery Airlangga University
School of Medicine Dr. Soetomo
General Hospital Surabaya
Dep/SMF of Plastic
School of Medicine / Dr.Soetomo
Division of Plastic Surgery,
Department of Surgery, 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. 30:

Encountered in Adult
Effectivity of Platelet Rich Plasma

in Wound Healing of Deep
Second Degree Burn Injuries in
Dr. Soetomo General Hospital
The Effectiveness Bovine

Amniotic Membrane to Substitute
Human Amniotic Membrane in
Partial Thickness Wound Care in
Rats
FREE PAPER SCHEDULE
FP 037 Ribka Theodora
15.40 - 15.50
NAME
FP 019 Santi Devina
KODE
15.30 - 15.40
TIME
: 27 May 2016
: 15.30 - 16.20
: Djohan Wirawan (Indonesia)
: Azalea
FP 052 Beni Herlambang
15.20-15.30
Free Paper 5
DATE
TIME
MODERATOR
Room
FP 013 Doni Setiawan
15.10-15.20
Gatot Soebroto Central Army

Hospital
INSTITUTION
Case Report : Hand finger

Degloving Injury, Amputation is
Not an Option
The Effect of Platelet-rich

Plasma (PRP) for Promoting
Epithelialization Speed in Rat
Skins 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
72
FP 031 Nanda Febry Setiawati
FP 032 Nurardhilah Vityadewi
FP 041 Setiagung Ambari Bowo
15.50 - 16.00
16.00 - 16.10
16.10 - 16.20
The Effect of Topical Insulin

Gel on Epithelialization
Process, Collagen Synthesis,
Fibroblast Proliferation, and
Neovascularization of FullThickness Wound on WistarStrain rat (Rattus norvegicus)
Division of Plastic, Reconstructive Cartilage Regeneration on Donor
Site Defect with One Sided
Perichondrial Auricular Cartilage
Mangunkusumo Hospital Graft : an Experimental Rabbit
Model
Division of Plastic, Reconstructive Bacterial Pathogens And
Antibiotic Sensitivity Pattern
In Burn Unit Of Hasan Sadikin
Mangunkusumo Hospital Hospital (RSHS) From January
2012 - December 2015
FREE PAPER SCHEDULE
ABSTRACT FREE PAPER

FP 006
INTRALESIONAL INJECTION WITH 5-FLOUROURACIL VERSUS TRIAMCINOLONE
ACETONIDE FOR KELOID TREATMENT
Astrinita Lestari Suyata, A. Indra Dewa, Fonny Josh
Div. of Plastic, Dept. of Surgery, Faculty of Medicine Hasanuddin University, Makassar,
Indonesia
Background: Keloids are a burden for patients due to aesthetic, physical and social
complaints and treatment remains a challenge since none of the them give satisfied
result. Nowadays Triamcinolone Acetonide injection is the first choice but gives side
effect to body imunity if used for long time. Antimetabolite 5-Flourouracil also redeems
fibroblast proliferation to reduce scar. This study compares efectivity of intralesional
injection with 5-Flourouracil and Triamcinolone acetonide for keloid treatment.
Methods This was an experimental study with 10 samples are treated with Triamcinolone
Acetonide and 10 samples with 5-Flourouracil. Samples were being tested by Mann
Whitney U-Test. Patients were taken from RS. Wahidin Sudirohusodo and other
partnership hospital in Makassar, who passed inclusion criteria from April 2010 until
fullfilled the sample number. Injections were given for 12 times with 1 week interval.
Vancouver Scar Scale Score was administered to measure changes in lession and the
comparisons are being test with Chi Square Test.
Result: Based on Chi Square Test, there were no differences in thickness (p=0.315),
color (p=0.221) and consistency (p=0.291), but there was difference in pigmentation
(p=0.001). Itchness was gone in the 4th week for 5-Flourouracil that 1 sample left for
Triamcinolone Acetonide. Pain was gone in the 5th week for Triamcinolone Acetonide
that 1 sample left for 5-Flourouracil.
Conclusions: Based on Vancouver Scar Scale, there were no much difference
between 5-Flourouracil and Triamcinolone Acetonide for keloid treatment except that
Triamcinolone Acetonide gave better result in lession pigmentation.
73
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, Djumadi Achmad, Arifin Seweng, Sumantri Sarimin
Indonesia
Background: Wound is a partial loss of or damage to body tissues that can be caused
by sharp objects or blunt trauma, changes in temperature, chemicals, explosion, electric
shock or an animal bite. Many herbs are known to have an important role in the wound
healing process. Aloe vera has been known to act as anti-inflammatory, increases cell
proliferation and collagen, as well as protecting the environment in a moist condition.
Aim of study: Knowing the comparison of angiogenesis in acute wounds on Wistar mice
between the use of aloe vera gel and tulle.
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. After 7-day adaptation period is over, a stratified random grouping of
mice, each of 5 mice for group 1 and labeled P1 and 5 mice for group 2, and then labeled
P2. Then transferred into a single enclosure. All mice given intraperitoneal ketamine
anesthesia treatment, made 1 piece of split thickness excision wound with a diameter
of 1 cm on the back of Wistar mice, using a biopsy punch. 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. Made a paraffin block and made preparations
histochemical staining Haematoccylin-eosin (HE). Preparations were examined under a
microscope. Did the tally of angiogenesis in each preparation using a counting chamber
system per ten field of view and compared between the two treatments.
Results: After counting the number of angiogenesis four large field of view on a
microscope with Hematoxyline-eosin staining, the obtained data is: There is a significant
difference between the number angiogensis Aloe Vera with Tulle group (p <0.01), where
the number of angiogenesis significantly more in the group of Aloe Vera (12.4) compared
with the group of Tulle (6.4).
Conclusion: In this study, the average number of angiogenesis in the group of aloe
extract were more visible than in group tulle. It was in line with the theory which states
that aloe vera can stimulate angiogenesis.
Keywords: Aloe vera, Wistar, angiogenesis, wound healing
74
ABSTRACT FREE PAPER

FP 018
MANDIBULOMAXILLARY FIXATION (MMF) TRAINING PROGRAM EVALUATION
AMONG PLASTIC SURGERY RESIDENT: A QUASI-EXPERIMENTAL STUDY
Fernita Leo Soetjipto Soepodo*, Kristaninta Bangun**
Division of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine,
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, as craniofacial cases
increase rapidly. By doing training on a non-living model, one will be competent to do the
skill prior to face the real patient. This study implement a training program using cranial
model to evaluate the increasing learning curve in craniofacial cases among residents
in training.
METHODS: Twenty two plastic surgery residents were enrolled in this study, they were
divided into two groups, the first group consists of residents who never perform this skill
before, and the second group were the ones who have performed this skill previously.
They performed a set of training consisting of one knowledge-based session, 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, which
assessed by two senior craniofacial surgeons using video recording.
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 [16,5 (2,44) vs 18 (1,57); P = 0,19], global
rating scale [17,5 (2,63) vs 19,4 (2,31); P = 0,43], total ABPAS score [33,9 (4,76) vs 37,4
(3,82); P = 0,34], and also for IMFscrew placement global rating scale [14,9 (1,53) vs
15,9 (0,95); P = 0,38], although the measurement did not show statistically significant
results. Time needed for arch bar completion [48 min 17 s vs 41 min 8 s; P = 0,23].
Time needed for IMFscrew placement completion [9 min 25 s vs 6 min 32 s; P = 0,23].
Total time to task completion was shorter in group 2, although the difference was not
statistically significant [57 min 24 s vs 47 min 17 s; P = 0,23].
CONCLUSION: The MandibulloMaxillary Fixation training program have proven to help
plastic surgery residents in training to increase their craniofacial skills, give an increase
in ABPAS and IMFscrew placement Global Rating Scale performance score and shorter
time to task completion.
KEYWORDS: mandibulomaxillary fixation (MMF) training, plastic surgery testing,
learning curve for craniofacial, arch bar
75
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*, Prasetyanugraheni Kreshanti*, Siti Handayani*, Julieata
Pancawati**, Amilia Jeni Susanto**, Grace Wangge***
*Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery, Cipto
Mangunkusumo Hospital - Faculty of Medicine, Universitas Indonesia
** Orthodontic Division, Department of Dentistry, Cipto Mangunkusumo Hospital Faculty of Medicine, Universitas Indonesia
***Department of Community Medicine, Faculty of Medicine, Universitas Indonesia
Background: It is expected that faster epithelialization decrease wound contraction and
then reducing scar formation. For long term, it will be an important factor that will results
in good maxillary growth.
Honey given as oral drops significantly precipitates the epithelialization process of the
lateral palatal defects post two flap palatoplasty 2.1 times faster. Long-term result has
not yet evaluated.
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.
Methods: This is a case control study consist of 2 groups. 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. The
cephalometric measurement will be recorded and the dental cast for each patient will be
made to be categorized using GOSLON YARDSTICK method. The data will be analysed
using SPSS version 22.
76
ABSTRACT FREE PAPER

FP 020
PERFORATOR BASED FLAPS IN BURN RECONSTRUCTION: A 2 YEARS
EXPERIENCE
Hastika Saraswati*, Beta Subakti N**
Dep/SMF of Plastic Reconstructive and Aesthetic Surgery
Airlangga University School of Medicine / Dr.Soetomo General Hospital Surabaya
Background: Burn trauma manifests in wide array of wound, and full thickness ones
are the most challenging to manage. In early burn, these defects usually caused by
third degree burns, and after healed and matured contracture will posses another major
threat. Defects like these will excel in function and cosmesis with flap covarage. Local flap
seldom be able to fulfill this required task, so free tissue transfer, pedicled and perforator
based flap will come in handy. Since its introduction by Koshima in 1989, perforator flap
has been developed in variety, techniques, and applications. It has advantages in such
for utilizing adjacent tissue that relatively have similar character, and also able to cover
larger defect compared to local flap. Perforator based flap doesnt need specialized
instrument and can be learned through a flatter learning curved compared to free tissue
transfer. In this article we would like to report our 2 years experience in utilizing perforator
based flap for burn reconstruction.
Patient and method: We collect data from our medical record from 1 January 2014-15
March 2016. We always mapped perforator using handheld Doppler and marked them
with permanent ink marker 1 day before operation. And not to forget preparing another
secondary life boat flap in case of inadequate predicted perforator vessel or else.
Result: e performed 21 operations. We did anterolateral thigh perforator flap, reversed
anterolateral thigh perforator flap, lateral arm flap, reversed radial artery perforator flap,
ulnar artery perforator flap, and medial thigh perforator flap once; supraclavicular artery
perforator flap and thoracodorsalis artery perforator flap twice; radial artery peforator flap
and lateral genu perforator flap three times; and dorsal metacarpal artery perforator flap
four times. All operations were performed by the same operator. There were 4 cases
with partial necrosis. Other cases were viable through healing process and perform well
for resurfacing these defects.
Conclusion: Perforator based flaps are considered to be an appealing option for burn
reconstruction due to its benefits compared to other available modalities.
Keywords: burn reconstruction, dorsal metacarpal, ulnar artery, radial artery, posterior
interosseus, thoracodorsal, medial thigh perforator, lateral genu perforator, anterolateral
thigh.
77
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Correspondence
Hastika Saraswati, Resident Plastic Reconstructive and Aesthetic Surgery, Airlangga
University School of Medicine, Dr.Soetomo General Hospital Surabaya, Jl.Mayjend
Moestopo 6-8 Surabaya, phone : 031-5501316.
78
ABSTRACT FREE PAPER

FP 022
THROMBOPROPHYLAXIS STRATEGY AND THE RISK OF FREE FLAP
THROMBOSIS IN PATIENTS WITH HYPERCOAGULABILITY: A SYSTEMATIC
REVIEW
dr. Parintosa Atmodiwirjo, SpBP-RE(K)1, dr. Johannes Albert Biben1
1
Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Universitas
Indonesia/Cipto Mangunkusumo Hospital. Jakarta, Indonesia
Background: Anastomosis technique and surgeons experience are two important
factors contributing to the success of free flap procedures. Despite adequate
anastomosis and surgical experience, flap loss due to thrombosis could still occur as a
result of patient related factors. Patients with hypercoagulable state such as those with
malignancy, hereditary, and acquired thrombophilia are among those who may need
free tissue transfer procedure. 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.
Methods: We searched relevant studies in PubMed, Embase, and Cochrane Library
databases using free flap, microsurgery, hypercoagulable state, and thrombophilia
as the search terms. Title, abstract, and full text screening were applied to 56 articles
found in the databases. Four articles, met the inclusion and exclusion criteria, were
included in the review.
Results: The etiologies of hypercoagulability in these 4 studies were varying from
collagen vascular disorder, hereditary or acquired abnormality of coagulation mechanism,
to malignancy related hypercoagulability. The overall incidence of thrombosis in
hypercoagulable subjects was 14%, while the subsequent flap loss incidence in this
group was 8%. Patients with hypercoagulable state were18.75 times more likely to
experience thrombosis after free flap procedure. The most common thromboprophylaxis
regimen used was heparin with various dose, interval, duration, and drug combination.
Conclusion: Hypercoagulable state seems to increase the risk of thrombosis in free
tissue transfer procedures. However, strong evidence to support this conclusion is
lacking. 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. 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.
79
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, Sumantri Sarimin, A.J. Rieuwpassa
Indonesia
Aloe vera gel extract can be used as a new candidat for acute wound care which can
accelerate the wound healing process. 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.
This study was an experimental research conducted on 10 wistar rats. This research
was done at the University Teaching Hospital Hasanuddin Makassar in October 2015.
Data were analyzed with SPSS version 22.0 with Mann-Whitney statistical test. 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. Number of
fibroblast in the treatment group, tulle ranged between 788-884 per 4 large field of views.
Statistically there was a significant correlation with p value of 0.032.
Keywords: fibroblasts, aloe vera, tulle, wound healing.
80
ABSTRACT FREE PAPER

FP 036
ANTHROPOMETRIC EVALUATION OF
GENTURS CHEILOPLASTY METHOD IN UNILATERAL CLEFT LIP
Septrina R, Sujatmiko G
Division of Plastic Surgery Reconstructive and Aesthetic, 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.
This procedure has impact on functional and aesthetical appearance1. The Genturs
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. It
uses the rotation-advancement, small triangular, preventing notching with some other
details to overcome the wide cleft. Thus gives us hypothesis, does the Genturs technique
give symmetrical result in anthropometric measurement.
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. Datas were classified in cupids bow, vertical
height, horizontal height, vermillion and nostril.
Result: From 14 patients, we found that most patient whose undergone surgery in 3
month (64.3%) are mostly female (64,3%), complete defect (85,8%) and in left side
(57,1%). This technique is able to produce significant lip and nose symmetry (CI 95%,
pvalue <0.005) in cupids bow, vertical height, horizontal height, thickness of vermillion
and nose. By doing this technique, the author able to create good lip and nose symmetry
(78.57%) even in wide defect (64.3%) and collapse palate (57.1%).
Conclusion: The Genturs 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.
Keywords: unilateral cleft lip, cheiloplasty, anthropometric measurement
81
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, Subchan Aga Bachtiar, Fonny Josh
Plastic Surgery Subdivision, Medical Faculty of Hassanuddin University/ Dr. Wahidin
Sudirohusodo Hospital Makassar, South Sulawesi
INTRODUCTION: Recently, back to nature trend has affect many fields including wound
healing process. A combination of herbal extracts (allium cepa, allantoin, asiaticoside
aloe vera, kazinol F paper mulberry, tamarind, vitamin E) and silicone derivate (nano
hydroxyprolisilane C) has been formulated to make a better scar. Theoritically, these
herbal extracts can accelerate wound healing process as well as prevent hypertrophic
scar formation. The purpose of this study was to prove the potential benefit of topical
herbal extracts combination on accelerating wound healing process.
METHOD: Two rounds full thickness skin wound was made on the back of wistar rats.
The samples were categorized into two groups, topical extract herbal group and tulle
group. Clinical and Histopathological examination started at day 3, 7, 14, and 21. After
examination, the rats was terminated. Angiogenesis, the presence of fibroblast and
collagen formation to observed the histology changes during wound healing process
was evaluated. All data was analized statistically.
RESULT: The wounds that applied with an extract herbal showed faster healing than
wounds that applied with tulle.
KEYWORDS: erbal extract, allium cepa, allantoin, asiaticoside aloe vera, kazinol F paper
mulberry, tamarind, vitamin E, hydroxyprolisilane C, wound healing, hypertrophic scar.
82
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FP 049
THE SAFETY OF ONE-PER-MIL TUMESCENT INFILTRATION INTO SKIN FLAP
THAT HAS SURVIVED FROM THE PRECEDING ISCHEMIC INSULT
E Nindita, Theddeus OH Prasetyono
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery Cipto
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. The
outcome could be used for secondary procedures in replantation as well as free flap
surgery.
MATERIAL AND METHODS: An experimental study will be conducted on bilateral groin
flaps of 20 healthy Wistar strained-Rattus novergicus weighing 220-270 grams. 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. Following
the clamp released, the flaps are inset back to its wound bed and flap survival will be
assessed with Analyzing Digital Images on postoperative day (POD)-7. On this POD-7,
the flaps will be grouped randomly into 3 groups i.e. one-per-mil tumescent (A), normal
saline (B), and control (C) groups. Re-harvesting the flaps will be conducted on the same
POD-7 following the injection group protocol. The flap survival is then re-assessed on
the day-7 after the second surgery using the same method of photo analysis. TcpO2 is
also measured pre and post injection. Statistical analysis will be conducted with ANOVA.
Statistical significance is stated as p<0.05.
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.
Keywords: tumescent, skin flap, and ischemic
83
ABSTRACT FREE PAPER

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

FP 051
MORPHOMETRY OF INFANT NOSTRIL IN JAKARTA
Melina Tiza, Siti Handayani, Grace Wangge
Mangunkusumo Hospital - Universitas Indonesia
Introduction: Indonesian normal nostril anatomy has received little attention in infants
younger than 2 year. The notion of an ideal nose is critical to reconstruction, especially
for cleft lip and nose repair.
Methods: A cross sectional study was performed. Basal aspect images taken from
screen capture of the video. Ten anthropometric measurements of the nostril were
measured and analyzed with Image J software. Results were compared statistically
using the two-tailed t test and correlation coefficients were calculated.
Results: 156 infants were included (median age, 9,5 months; girls, n:72 and boys,
n: 84; Deutero Malay race, n:127 and other race, n: 29). Measurements were similar
(p>0.05) in Deutero Malay races and other races, included nasal tip protrusion, alar
length, ala thickness, collumella width and length, sill width.Alar base width, sub alar
width, anatomical width andmorphological width of nose were significantly longer in
Deutero Malay race than in other race (p<0.05). In under 9 months old Deutero Malay
infant, everyage group (0-3, 4-6, 7-9) were increase their sill width value 0,77- 1,04
mm and nostril height value 0,4-0,54 mm. Measurements of Deutero Malay race were
correlated positively with age and weight (p < 0.05).
Conclusion: Normal nostril morphology is described in a population of Indonesian
infants. By providing reference data of normal nostril morphometric in Indonesian
infants, it can guuide the cleft treatment or reconstruction of the Indonesian infant.
Keywords: Infant; morphometry
85
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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*, Hardisiswo Soedjana**
*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, although many
factors influence it. Early excision debridement as source control treatment has been
done routinely in our center. It was intended to prevent sepsis and improve mortality.
Method: We performed a retrospective, cross sectional study over 4 years (2012-2014)
among patients with flame burns in Burn Unit Dr. Hasan Sadikin Hospital who underwent
early excisional debridement. The criteria of patients were adult, with full thickness burn,
without inhalation injury and co morbid disease. The mortality and incidence of sepsis
were analyzed by simple regression linier statistics using SPSS 16.0 for windows.
Result: Mortality rateof all patients was 43,3% and 42,3% of it was directly caused by
sepsis. Thirty nine patients matched with the criteria , 20 patients had early excision
(< 3 days) and 19 patients had late excision (> 3 days). In early excision group, 75%
got sepsis and 55% died. Mortality and incidence of sepsis wasnt significantly different
in this group (p=0,252 and p=0,855). Sex as confounding factor wasnt significantly
different (p=0,774). Both of groups have same length of stay (mean : 13,1 and p=0,236).
The extent of TBSA and age were significant factors causing mortality rate (p < 0,05).
Conclusion: There are many factors that contribute to the success of treating burn
patient. Excision debridement was proven by this study not a major factor and ineffective
to decrease sepsis and mortality in burned patients.
86
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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, Lisa Y. Hasibuan
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery
Padjajaran University
Hasan Sadikin Hospital, Bandung
Background: he incidence of burns in Indonesia is still quite high, some of which are
severe burns included patients with extensive burns 30 percent or more of body surface
area, high-voltage electrical burns, inhalation injury, and burns with comorbid (trauma).
Patients with severe burns are most likely to fall into severe sepsis and multiple organ
failure complications, especially ARDS resulting in death.
Methods: We present data of severe burn patients treated in Burn Unit Hasan Sadikin
Hospital period 2013-2015. We started using Hasan Sadikin Protocol since January
2015. 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, betabloker
was used to reduce complications of SIRS and sepsis. Dobutamine were given to the
patients who already experienced ARDS to reduce extravascular lung water index and
improvement of pulmonary ventilation function.
Result: There were 26 patients with severe burn injury in 2013, the mortality rate were
53,8% and 78,6% of it was caused by ARDS. In 2014 there were 40 patients with severe
burn, the mortality rate were 45 % and 66,7% of it was caused by ARDS. After using
Hasan Sadikin Protokol since 2015, the mortality rate from 33 patients of severe burn
was 33,3% and 66,3% of it caused by ARDS.
Conclusion: Using new strategy, Hasan Sadikin protocols, on handling severe burn
patients in our burn unit reduced the mortality rate. ARDS remains a major cause of
death in cases of severe burns. Further research is needed to develop this strategy.
Keywords: evere burn injury, betablockers, ARDS, negative fluid balance, mortality rate
87
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FP 045
EFFICACY OF CHLORHEXIDINE-ALCOHOL VERSUS POVIDONE IODINE AS PREOPERATIVE SKIN PREPARATION TO PREVENT SURGICAL SITE INFECTION: A
META-ANALYSIS
Tasya Anggrahita, Aditya Wardhana, Gentur Sudjatmiko
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery,
University of Indonesia - Cipto Mangunkusumo Hospital
Background: urgical site infections remain substantial problems to surgeons and
patients as it increase the morbidity, mortality, length of stay, hospital cost, rate of readmission and rate of re-surgery. This study aim is to compare the use of chlorhexidinealcohol versus povidone-iodine for preoperative skin preparation to prevent surgical site
infection.
Method: The literature search was conducted through the Pubmed database in
November 2015. 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. Quality of the study
was assessed using Jadad Score. Meta-analysis was conducted in the included study to
obtain a pooled estimate of effect size. Evidence of heterogeneity and publication bias
was also assessed.
Results: 6 RCTs with a total of 2,080 patients were included in meta-analysis. Metaanalysis showed the use of chlorhexidine-alcohol was associated with significantly fewer
SSIs (pooled risk ratio, 0.60 (95% CI, 0.45-0.79)) and fewer positive skin culture results
(pooled risk ratio, RR 0.38(95% CI, 0.28-0.51)) compared with povidone iodine.
Conclusion: Pre-operative skin antisepsis with chlorhexidine is more effective than
povidone iodine in preventing surgical site infection.
Keywords: chlorhexidine-alcohol, povidone-iodine, skin antisepsis, surgical site infection
88
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FP 046
RELATIVE BODY WEIGHT CHANGES POST PALATE REPAIR IN PATIENTS FED
BY LONG NIPPLE NURSING BOTTLE VERSUS CONVENTIONAL FEEDING
Tessa Puspita Sari, Prasetyanugraheni Kreshanti
University of Indonesia, Jakarta, Indonesia
Introduction: Until today the feeding regiment after palate repair is still debatable. While
some craniofacial center worldwide already allow unrestricted feeding post palate repair
and comes with no significant adverse effects on operative outcomes or complications,
our craniofacial center still forbid the immediate use of nipple feeding postoperative
and allow only spoon or cup feeding. 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.
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. Control group was using conventional feeding method
with spoon or cup feeding, while study grup was using bottle with long nipple. The body
weight of each subjects was measured preoperative and first week post operative. The
amount of oral intake, insidences of complications and relative body weight changes was
recorded and evaluated.
Results: Relative weight changes after one week was significantly different between two
groups. The body weight of patients in group 1 was reduced 8,4% (mean 883 g) while
patients in group 2 only reduced 2,3% (mean 201 g). There were no significant betweengroup differences in the mean amount of daily oral intake for sixth days after surgery.
At second week postoperative, the relative body weight changes from baseline weight
was still significantly difference between two groups. However, there is no significant
differences of relative body weight between two groups at third week postoperative.
Calories of daily intake at week one, two and three did not differ significantly between
the two groups. There is also zero incidence of wound dehiscence or fistula developed
in either group.
Conclusion: This preliminary study demonstrates that early unrestricted feeding using
bottle with long nipple after cleft palate repair does not adversly affect final outcome, does
not increase risk of complications, and can be safely implemented. It also significantly
prevent greater weight loss after surgery that may disrupt the wound healing process
Keywords: cleft palate, body weight, feeding management
89
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FP 048
THE EFFECTIVENESS BOVINE AMNIOTIC MEMBRANE TO SUBSTITUTE HUMAN
AMNIOTIC MEMBRANE IN PARTIAL THICKNESS WOUND CARE IN RATS
Y.J.Fitra; S. Rizaliyana;, M.S.Noer
Department of Plastic Reconstructive and Aesthetic Surgery, Airlangga University
School of Medicine, Dr. Soetomo General Hospital Surabaya
Background: The use of human amniotic membrane is widely known. Its use led to the
imbalance of production and demand. On the other hand, 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.
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.
Methods: A randomized clinical trial post-test control group design in male rats which
harmed partial-thickness wound, 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.
Keywords: bovine amniotic membrane, partial-thickness wound
Correspondence: *Yugos Juli Fitra, Resident of
Plastic Reconstructive and
Aesthetic Surgery Programme, Airlangga University School of Medicine, Dr. Soetomo
General Hospital, Mayjen Moestopo 6-8 Surabaya, phone : 031- 5501316, email:
danauranukumbolo1@yahoo.com.
**Sitti Rizaliyana, Plastic Reconstructive and Aesthetic Surgeon, Staffs of Department
Plastic Reconstructive and Aesthetic Surgery, Airlangga University School of Medicine,
Dr. Soetomo General Hospital, Mayjen Moestopo 6-8 Surabaya, phone : 031- 5501316.
**M. Sjaifuddin Noer, Plastic Reconstructive and Aesthetic Surgeon, Staffs of Department
Plastic Reconstructive and Aesthetic Surgery, Airlangga University School of Medicine,
Dr. Soetomo General Hospital, Mayjen Moestopo 6-8 Surabaya, phone : 031- 5501316
90
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FP 044
EFFECTIVITY OF PLATELET RICH PLASMA IN WOUND HEALING OF DEEP
SECOND DEGREE BURN INJURIES IN DR. SOETOMO GENERAL HOSPITAL
P. T. Utami*; S. Rizaliyana; M. S. Noer
School of Medicine
Dr. Soetomo Teaching Hospital Surabaya
Background: A wide damage of skin caused by burn injuries leads to high morbidity
and mortality. Topical antibiotic such as silversulfadiazine was common used in burn
care, but not so effective in promotes epithelial process. Amnion and platelet rich plasma
(PRP) solely contain a lot of growth factor that promote epithelial process.
Methods: randomized clinical trial post-test control group designs, was done from
December 2015 until February 2016, to compare platelet rich plasma to amnion itself
and topical silversulfadiazine, in deep 2nd degree burn care in Dr. Soetomo General
Hospital. Data was collected at the day 0, 7, 14, and 21, evaluated the wide of burn
wound to get the percentage of epithelium and the rate of epithelial process among this
three group. Data was analyzed statistically with one-way Annovas multivariate.
Results: PRP was superior significantly to amnion itself and silversulfadiazine in
percentage of epithelium (P = 0,001), and superior significantly in the rate of epithelial
process in first 7 days (P = 0,009), 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, and can be considered for the burn wound dressing. Growth factors in PRP
may works more effective in first phase of wound healing.
Keypoint: deep 2nd degree of burn, platelet rich plasma, amnion, silversulfadiazine
91
ABSTRACT FREE PAPER

FP 001
FACIAL CLEFT OF TESSIER NO. 30: ENCOUNTERED IN ADULT
Hardisiswo Soedjana, MD.1 and Ade Sari N. Sitorus, MD.1
Affiliation:
1
Division of Plastic Surgery, Department of Surgery, Hasan Sadikin Hospital/
University of Padjadjaran Bandung
Background: Facial cleft Tessier no. 30, also known as lower midline facial cleft, is
an extremely rare case. To date, there were about 100 cases of median facial clefts
reported since its first encountered by Couronne in 1819. Since this deformity is rare
and presents in widely variations, therefore presentation and management are valuable
to our interest.
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. She only wanted her
lower lip to be repaired. There were no complain on feeding nor speech performance.
On physical examination there were cleft on lower lip with scar that extend from chin
to the neck, making appearance of web-like along the neck. The mandibular segments
were mobile. We found ankyloglossia with small notch on the upper side of the tongue.
Patient was not able to perform soundings of particular letter such as letter K.
On the investigation of skull and panoramic x-ray examination both showed there were
complete separations of mandibular symphisis.
Patient were performed a tongue-tie release, rigid fixation on separated mandibular
segment continued with maxillo-mandibullar fixation, and the last is lower lip
reconstruction.
Patient was discharged after maxillo-mandibular fixation release and performed
postoperative skull and panoramic x-ray examination. We consult the patient to speech
therapist to optimize patients speech.
Conclusion: Facial cleft Tessier no. 30 considered as a rare deformity. Management on
this case is vary and valuable since there were lots of variant of presentation on each
case.
Keywords: Tessier cleft 30, facial cleft, midline mandible cleft
92
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, Airlangga
University, Dr. Soetomo Hospital
2
Senior Staff of Department of Plastic Reconstructive and Estethic Surgery, Airlangga
University, Dr. Soetomo Hospital, Surabaya
Ankylosis of temporomandibular joint (TMJ) is an intracapsular union of the disc-condyle
complex to temporal articular surface that restricts mandibular movement, with fibrous
adhesions or bony fusion between condyle, disc, glenoid fossa, and articular eminence
(1).
TMJ ankylosis is more commonly associated with trauma (13100%), local or systemic
infection (1049%), or systemic diseases (100%), such as ankylosing spondylitis,
rheumatoid arthritis, and psoriasis.
We report a debilitating recurrent case of left TMJ ankylosis in a 16-year-old male with
history of trismus since 4 years old. We describe a step-wise procedure involving a
patient at an early age which has not been previously described in Indonesian patients.
In the first surgery, an osteotomy of the ankylosis and interpositional temporofacial flap
were performed. Recurring ankylosis was managed by osteotomy and interpositional
silicone block with bilateral coronoidectomies. Postoperatively, patient followed
aggressive regimen of physiotherapy. He healed uneventfully and showed favorable
results in terms of function with mouth opening restored to 3,5 cm.
Condylar fracture of mandible leading to TMJ ankylosis at an early age can be
disastrous causing disturbances in facial growth, function and aesthetics. A vigorous
and multidisciplinary approach should be executed to obtain an optimal outcome for
TMJ ankylosis.
93
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FP 011
Free Flap Reconstruction of Scalp Defects Caused by High Voltage Electric Injury
Doni Setiawan*, Sitti Rizaliyana**
Department of Plastic Reconstructive and Aesthetic Surgery Airlangga University
School of Medicine Dr. Soetomo General Hospital Surabaya
Background
Defects in the scalp may be partial or full thickness. Mostly, they result from burn
injuries which have been managed using various methods including free flap surgery.
Scalp has its own specificity. Therefore, extensive defect closure requires special
attention due to its limited elasticity. Reconstruction of the scalp is determined by the
size and depth of the defect. Free flaps used in burn reconstructions can be divided
into myocutaneous, muscular, cutaneous, and fasciocutaneous. Myocutaneous and
muscular flaps are mainly used to fill cavities and to provide better control of infection.
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, free flap reconstruction was performed on
5 male patients (6 surgeries) who had sustained electrical burn injuries, aged between
19 and 55 years old.
Result
Surgeries were successfully performed on 5 patients with scalp defects using free
flap reconstruction. All patients underwent immediate debridement. After proper
wound treatment, the scalp defects could be successfully reconstructed by a one-stage
surgery with acceptable complications and good long-term outcomes.
Conclusion
We highlighted the indications for free flap technique in primary reconstructions, the
preferred time frame within which free flaps should be performed, and methods which
may be employed to reduce complications and ensure flaps success.
Keywords
Free flap, Scalp, High Voltage Electric Injury.
Correspondence:
*Doni Setiawan, resident of Plastic Reconstructive and Aesthetic Surgery,
Airlangga University School of Medicine, Dr.Soetomo General Hospital Surabaya,
Jl.MayjenMoestopo 6-8 Surabaya, phone and fax : 031- 5501316, email: setiawan.
ddr@gmail.com.
94
ABSTRACT FREE PAPER

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

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

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

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

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

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

FP 041
BACTERIAL PATHOGENS AND ANTIBIOTIC SENSITIVITY PATTERN IN BURN
UNIT OF HASAN SADIKIN HOSPITAL (RSHS) FROM JANUARY 2012 - DECEMBER
2015
Setiagung A Bowo*, Almahitta C Putri**
*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. Antibiotic
resistance is a major wide problem in burn unit. We evaluated the pattern of bacterial
pathogens isolated from burn wound and sensitivity of antibiotics in burn unit of RSHS.
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. Data of demography, characteristic of patients, wound isolates bacteria and
sensitivity was collected.
Result: A total 205 patients were admitted to burn unit of RSHS and 164 patients can be
analyzed, which 114 (69,5%) patients were male and the most commonly affected age
groups were young adults 15-40 years old. The mortality rate in burn unit was 71 patients
( 43,3%) and Acute Respiratory Distress Syndrome (ARDS) was commonly the primary
cause of death (53,5%) and followed by sepsis (42,3%). Microorganism from burn wound
isolates showed P. aeruginosa (30,1%), A. baumanii (19,9%), K. pneumonia (19,3%),
E. cloacae (9,1%), E. coli (4%), P. stuartii (2,8%). Meropenem was the most sensitive
antibiotic against to P. aeruginosa and K. pneumonia. Amikasin was very sensitive
to A. baumanii, E. cloacae and E. coli . P. stuartii was 100% sensitive to meropenem,
amikasin, piperacillin-tazobactam and cotrimoxazole. Cefoperazon, ceftriaxone and
ceftazidime showed very low sensitivity(0-14,3%).
Conclusion: Dominant bacteria isolated was P. aeruginosa sensitive to meropenem
and commonly resistant to the third generation of cephalosporins antibiotic. It was
became multi drug resistance bacteria.
104
ABSTRACT FREE PAPER

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

PO 004
TECHNIQUE AND RANDALL - TENNISON TRIANGULAR
Azis Beru Gani, Fonny Josh
Background: Quality of life of patients is determined by the effectiveness and aesthetic
results of operations labioplasti. There are several techniques that can be used
labioplasty the lower lip Z-plasty (Bauer, Trusler, Tondra and Tennison) and upper
lip Z-plasty (Millard, Wynn, Mulliken) and a combination of upper and lower Z-plasty
(Skoog). However, the surgical technique is most often used in the Plastic Surgery
Department of Hasanuddin, namely engineering and technical Millard Randall-Tenison
Triangular Flap Repair.
Methods: This study used a descriptive observational design with a sample of 24 people
with 12 people each operation Millard and 12 people Randall - Triangular Tennison in
2012-2014 at Hikmah Hospital. Mortier Modified Score to assess Red Lip, White Lip and
Scars.
Results: The average ratings Red Lip Aesthetics (Vermillion) Mechanical Millard 1.43 to
1.38 while Tennison. The average ratings White Lip Aesthetics Mechanical Millard 1.72
while 1.47 Tennison. Average ratings Esthetic Scars Mechanical Millard 1.50 to 1.47
while Tennison.
Conclusion: Aesthetics post labioplasty unilateral Millard technique better than Tennison
Keywords: Labioplasty unilateral, Millard technique, technique Tennison
106
PO 001 Affandi Wiramur
PO 004 Azis Beru Gani
PO 005 Bayu Suhartadi
PO 007 Beni Herlambang
10.05 - 10.10
10.10 - 10.15
10.15 - 10.20
: 26 May 2016
: 10.00 - 10.55
: Foyer Sandeq A
KODE
NAME
10.00 - 10.05
E-POSTER 1
DATE
TIME
Room
TIME


INSTITUTION
An Alternative Treatment After

Tumor Ablation At Maxillofacial
Region For Geriatric Patient :
Case Series
Hemostatic Performance Of
Honey Soaked Oxydized
Regenerated Cellulose (Surgicel
Madu); An Animal Study
Comparative Aesthetics Post

Labioplasty Unilateral with Millard
technique and Randall - Tennison
Triangular
Total Nasal Reconstruction
JUDUL
E-POSTER SCHEDULE
107
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
10.20 - 10.25
10.25 - 10.30
10.30 - 10.35
10.35 - 10.40
10.40 - 10.45
10.45 - 10.50

Gatot Soebroto Central Army

Hospital

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,
an AIDS patient : A Case Report
E-POSTER SCHEDULE
10.50 - 10.55
PO 014 Maria Valentine

Bunionplasty In Plastic Surgery
Point Of View
E-POSTER SCHEDULE
109
110
KODE
PO 016
PO 017
PO 019
09.30 - 09.35
09.35 - 09.40
09.40 - 09.45
Mufida Muzakkie
Mirnasari
Amirsyah
Michelle Athina
NAME
: 27 May 2016
: 09.30 - 10.30
: 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
The Effect of Topical Simvastatin

Gel to Epithelialization Process,
Collagen Synthesis, and
Fibroblast Proliferation, of Full
Thickness Wound on Wistar
Strain rat (Rattus norvegicus)
The Objective Measurement of
Marginal Epithelial Creeping of
and Aesthetic Surgery, Department of
Split-Thickness Skin Graft Using
Surgery Cipto Mangunkusumo Hospital
Transparent Plastic Paper: An
- Universitas Indonesia
Idea and Innovation Method
INSTITUTION
E-POSTER SCHEDULE
PO 021
PO 022
PO 023
PO 024
PO 025
09.45 - 09.50
09.50 - 09.55
09.55 - 10.00
10.00 - 10.05
10.05 - 10.10
Rachmaniar
Pramanasari
Saktrio Darmono
Department of Plastic Reconstructive

and Aesthetic Surgery Airlangga
University School of Medicine Dr.
Soetomo General Hospital Surabaya
Pritha
Dep/SMF of Plastic Reconstructive and

Macrophages Behavior; Amnion
Aesthetic Surgery Airlangga University
And Mnicrobial Cellulose In Rats
Full Thickness Wound
Embolization And Reduction In

Giant Haemangioma Glossus Et
Labialis Inferior : A Case Report

Cleft Craniofacial Center Jakarta:
Profile Of Palatal Index And
Fistula Formation
Nurliati Sari
Handini
Explosive Major Burn: Case

Report and Literature Review
Survival Of Costochondral
Versus Calvarial Bone Graft
As Biomaterials For Orbital
Volume Restoration Surgery : A
Systematic Review
General Practioner and staff on

Noi Maya Anggrita
General Hospital Of Manggar City,
Sari
East Belitung, Indonesia
E-POSTER SCHEDULE
111
112
PO 026
PO 027
PO 028
PO 29
10.10 - 10.15
10.15 - 10.20
10.10 - 10.25
10.25 - 10.30
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

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, Department

of Surgery,
Sandy S. Sopandi
Hasan Sadikin Hospital/ University of
Padjadjaran Bandung
Correlation Between Blood

Division of Plastic Surgery, Department
Glucose Variability And Mortality
of Surgery,
Sandy S. Sopandi
Among Severe Burn Injury
Hasan Sadikin Hospital/ University of
Patients At Rumah Sakit Hasan
Padjadjaran Bandung
Sadikin Burn Unit
E-POSTER SCHEDULE
ABSTRACT E-POSTER
PO 001
TOTAL NASAL RECONSTRUCTION
Affandi Wiramur*, Sitti Rizaliyana**
School of Medicine / Dr.Soetomo General Hospital Surabaya
Background:Total nasal defects present daunting challenges to the reconstructive
surgeon. The nose is a composite tissue structure composed of the nasal skeleton,
an internal lining of mucosa, and an external layer of skin. The topography of the
external nose is a graceful blend of convexities, curves, and depressions that reflect the
underlying shape of the nasal skeleton. The nasal skeleton can be fabricated with bone
and cartilage.
Methods: A patient requiring total nasal reconstruction after undergoing extensive
excision due basal cell carcinoma. These patient has been done forehead flap to
coverage the defect post-excision by head and neck surgeon, unfortunately failed. Total
nasal reconstruction is done using a radial forearm free flap prefabricated.
Results: A radial forearm free flap prefabricated is used to close the defect due to
forehead flap failure. Prefabricate the replacement structures performed 3 weeks before
flap transfer. A nonvascularized costal bone grafts is used to substitutes for the nasal
bones, and full-thickness skin graft is used for inner lining. Silastic tubes are inserted to
maintain proper shape and caliber of the nostrils.
Conclusions: A total nasal defect can be successfully reconstructed with a radial forearm
free flap prefabricated. Although it will requireing some flap debulking and separation of
esthetic subunits, the patient is very pleased with the result and functional outcome.
Keywords: radial forearm free flap prefabricated, total nasal reconstruction.
Correspondence: Affandi Wiramur, Resident of Plastic Reconstructive and Aesthetic
Surgery Programme, Airlangga University School of Medicine, Dr.Soetomo General
Hospital Surabaya, Mayjend. Moestopo 6-8 Surabaya, phone : 031-5501316.
113
ABSTRACT E-POSTER
PO 004
TECHNIQUE AND RANDALL - TENNISON TRIANGULAR
Azis Beru Gani, Fonny Josh
Background: Quality of life of patients is determined by the effectiveness and aesthetic
results of operations labioplasti. There are several techniques that can be used
labioplasty the lower lip Z-plasty (Bauer, Trusler, Tondra and Tennison) and upper
lip Z-plasty (Millard, Wynn, Mulliken) and a combination of upper and lower Z-plasty
(Skoog). However, the surgical technique is most often used in the Plastic Surgery
Department of Hasanuddin, namely engineering and technical Millard Randall-Tenison
Triangular Flap Repair.
Methods: This study used a descriptive observational design with a sample of 24 people
with 12 people each operation Millard and 12 people Randall - Triangular Tennison in
2012-2014 at Hikmah Hospital. Mortier Modified Score to assess Red Lip, White Lip and
Scars.
Results: The average ratings Red Lip Aesthetics (Vermillion) Mechanical Millard 1.43 to
1.38 while Tennison. The average ratings White Lip Aesthetics Mechanical Millard 1.72
while 1.47 Tennison. Average ratings Esthetic Scars Mechanical Millard 1.50 to 1.47
while Tennison.
Conclusion: Aesthetics post labioplasty unilateral Millard technique better than Tennison
Keywords: Labioplasty unilateral, Millard technique, technique Tennison
114
ABSTRACT E-POSTER
PO 005
HEMOSTATIC PERFORMANCE OF HONEY SOAKED OXYDIZED REGENERATED
CELLULOSE (SURGICEL MADU); AN ANIMAL STUDY
P Admodiwirjo, S Handayani, B Suhartadi.
Plastic and Reconstructive Surgery, Departement of Surgery, Universitas Indonesia
Background: Surgicel (oxidized regenerated cellulose/ ORC) widely use as local
hemostatic agent to minimise surgical bleeding in plastic surgery. Honey has numerous
advantage in wound healing. It has been proven to accelerate epithelialisation and
promote wound healing. In order to adopt this numerous advantages of honey while
control surgical bleeding, some of our senior consultant soak local hemostatic agent
(ORC) with honey. But there isnt any information regarding interaction between honey
and ORC. This research aimed to asses this interaction.
Methods: An animal study design to asses hemostatic performance of ORC after been
soaked with honey. 27 rats will be divided into 3 groups, where each group of lacerated
liver will be treated with ORC alone, honey soaked ORC and control. Amount of blood
exanguinated from liver laceration and the bleeding time will be recorded.
Statistical analysis: Subjects characteristic will be shown descriptively in table with
mean and standard deviation. Before apply a hypothesis test, Kolmogorov smirnov test
use for assesing sample normality. If we found p> 0.05 it will considered as normal
distribution. If we found the data is normally distributed then we do an One-Way ANOVA
test for the hypothesis. If data distribution is not normal, Kruskal-Wallis test will be used.
Statistical significance was defined as p<0.05. Analysis will be performed using the
statistical software SPSS 17.
115
ABSTRACT E-POSTER
FP 007
AN ALTERNATIVE TREATMENT AFTER TUMOR ABLATION AT MAXILLOFACIAL
REGION FOR GERIATRIC PATIENT : CASE SERIES
Beni Herlambang, Kristaninta Bangun
Plastic Surgeon Division, Surgery Department, Faculty of Medicine University of
Indonesia
Jl. Diponegoro No. 71, Central Jakarta,Indonesia
Background: Reconstruction at maxillofacial region for closed defect can be applied
many reconstructions method. In geriatric patient with tumour in maxillofacial region for
ideal reconstruction with several stages that must be allowed for patient, such as local
flap or microsurgical tissue free flap. In geriatric patient there are problem for complien
patient, underlying disease for local recurrence of malignant tumor and geriatric problem, cost, and also some of patients not want to take several operation procedure. There
are an an alternative treatment if reconstructions can not be done such as prostethic
maxillofacial for replacing the reconstruction methods.
Material and methods: Study case series at three patient with malignant tumor at maxillofacial region. The patients had been done wide excision operation for tumor ablation
and there are defect after the procedure. The patient with older patient and geriatric
problem. And we performed the alternative treatment for closed the defect because the
ideal reconstruction can not be done. The patient refuse to perform undergo staged
operation reconstruction, and also there are still risk of local recurrence of malignant
tumour.
Result: After wide exicion operation for tumor ablation maxillofacial region,the patient
have used the prostethic maxillofacial. The patient had satisfied for this method.
Conclution: There are many reconstructruction methods after wide exicion operation for
tumour ablation maxillofacial region. If the ideal reconstruction can not be done, there
still a alternative treatment for closed the defect with prostethic maxillofacial.
Key Word: maxillofacial reconstruction, prostethic maxillofacial
116
ABSTRACT E-POSTER
PO 008
SUCCESFUL SURGICAL MANAGEMENT OF GIANT CONDYLOMA ACUMINATUM,
AN AIDS PATIENT : A CASE REPORT
Doni Setiawan*, Beta Subakti Nataatmaja**
Introduction: Giant condyloma acuminatum, also called a Buschke-Lwenstein tumor,
first described in 1925, is a slow-growing, locally aggressive, destructive tumor of the
ano-genital region. Scrotal tumors are rare. Reports on giant condyloma acuminatum
lesions in patients with HIV and AIDS are surprisingly even rarer. The incidence is
estimated to be 0.1% in the general population.
Case presentation: In this report, 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. He was found to have a giant condyloma acuminatum of the scrotum, that
causing to be restrictied immobilization. Wide surgical excision and scrotal reconstruction
with pedicled bilateral medial thigh flap was performed, significantly improving his quality
of life.
Conclusion: Decision making regarding the goals of surgical intervention in the
terminally ill is a complex process. 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.
Keywords: Scrotal reconstruction, Giant condyloma acuminatum, Bilateral medial thigh
flap, HIV/AIDS.
Correspondence: *Doni Setiawan, resident of Plastic Reconstructive and Aesthetic
Surgery, Airlangga University
School of Medicine, Dr.Soetomo General Hospital Surabaya, Jl.MayjenMoestopo 6-8
Surabaya,
phone and fax : 031- 5501316, email: setiawan.ddr@gmail.com.
**Beta Subakti Nataatmaja, Plastic surgeon, staffs of Departement Plastic
Reconstructive and
Hospital
Surabaya, Jl.MayjenMoestopo 6-8 Surabaya, phone and fax : 031- 5501316.
117
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
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, theres 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
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 managementof vascular
malformation and preventing recurrences.
Keywords: vascular malformation; intra-lesional alcohol injection; ethanol; skin necrosis
120
ABSTRACT E-POSTER
PO 012
MESENCHYMAL STEM CELLS THE NEXT GENERATION OF BURN TREATMENT
Maulina Rachmasari, Aditya Wardhana
Department of Surgery; Division of Plastic Surgery Faculty of Medicine Universitas
Indonesia, Cipto Mangunkusumo Hospital Jakarta
Background: Burn trauma is still one of cause of morbidity and mortality. Although
survival rates are increasing, 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. 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.
Methods: Mesenchymal stem cells (MSCs) is the most common type of stem cell used
in burn wound. These cells had been conducted by PT. Sel Punca Laboratory. The
source for MSCs used in this study is adipose tissue, which provides a rich source of
MSCs. The stem cell therapy were administered locally at the site of the burn wound
for two patients. Then we mark the area that already epithelized. These MSCs was
assessed at day 3, 7 and 11 for rate of wound healing.
Results: We put the MSCs in 5 different sites for these patients. Then we assessed
whether there are progression in epithelialization. Both patients showed an advancing
epithelialization from the edge around 0,5 1,5 cm.
Conclusion: This study aims to highlight the beneficial therapeutic effect of stem cells
in burn wound healing. However, because of the very high harvesting and culturing
expenses, and also insufficient data on the safety of MSCs for human use, 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.
Keywords: Mesenchymal stem cell, burn
121
ABSTRACT E-POSTER
PO 013
LONG TERM MAXILLARY GROWTH EVALUATION AFTER THE NON DENUDED
MUCOPERIOSTEAL PALATOPLASTY TECHNIQUE
M Rachmasari, P Kreshanti,S Handayani, J Pancawati, AJ Susanto, G Wangge
Department of Surgery; Division of Plastic Surgery Faculty of Medicine Universitas
Indonesia, Cipto Mangunkusumo Hospital Jakarta
Background: Conventional two flap palatoplasty technique will made lateral defects
without any periosteal coverage. These denuded lateral defects are prone to
contamination and infection. These will result in wound contraction, scar formation and
maxilary growth impairment.
In 2011, we studied the non denuded mucoperiosteal palatoplasty technique. This
technique precipitated the epithelialization process of the lateral defects. Faster
epithelialization is expected to decrease wound contraction and in the long run will result
in good maxillary growth.
Aim of study: To evaluate long term maxillary growth in unilateral cleft lip and palate
patients repaired with the non denuded mucoperiosteal palatoplasty technique.
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, conventional two flap palatoplasty and normal population. The
outcome will be evaluated from cephalometry and GOSLON YARDSTICK method from
dental casts. Data will be analysed using SPSS version 22.
Keywords: maxillary growth evaluation, cephalometry, Goslon Yardstick, two flap
palatoplasty
122
ABSTRACT E-POSTER
PO 014
BUNIONPLASTY IN PLASTIC SURGERY POINT OF VIEW
Maria Valentine, Budiman
Plastic Surgery Division, Department of Surgery, Faculty of Medicine University of
Indonesia Ciptomangunkusumo Hospital,
Plastic Surgery Division, 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. It is a common condition, particularly in women
with inappropriate footwear, such as shoes that overly tight in toes and high heels.
Indication for surgery is common, with more than 150 different surgical procedures to
correct the condition have been described, with most of surgery intervention were done
by orthopedics and podiatry
Case Report: We presented one case of female, 28 years old, with chief complain
deformity and pain on her first toe of both feet since 2 years ago. The use of pointed
toe and high heels shoes was undeniable. From the clinical appearance, we can see
deformity of first toe in both feet, which can be classified to grade 3 Manchester scale.
We performed proximal phalangeal osteotomy and plating with 2.0 plating system and
also buniectomy. Early mobilization was achieved; no complication found post surgery,
and patient was satisfied with the result.
Discussion: Concomitant foot deformity may have interfered in process of bunion,
other than the use of tight and pointed shoes. Most procedures offered in the literature
for correction of hallux valgus do work if properly performed in the right indications.
Osteotomy and plating may offer the fastest mobilization post procedure with comparable
result with other procedure, it also reduces risk of infection and twisting of the osteotomy
part compare to the use of K-wire for fixation.
Summary: Correcting pain and deformity, avoiding recurrence, establishing normal foot
function, and early mobilization are the ultimate goals of bunion surgery, which can be met
with this procedure. Although many fields have been done invention in bunion surgery,
bunionplasty is one of many procedures that plastic surgery should be conquered at.
Keywords: bunion, hallux valgus, hallux abducto valgus, varus deformity,
123
ABSTRACT E-POSTER
PO 016
DEGLOVING HAND INJURY : IS SANDWICH FLAP STILL AN OPTION?
Michelle Athina
Design and function of the hand is an amazing work of anatomic engineering for the
effective functions of the hand. Therefore any injury to the underlying structures of the
hand carries a potential risk of serious handicap. And many of these injuries affect
the dominant hand, thereby impeding patients ability to work or cope with their social
obligations To reduce this risk even the smallest hand injuries require proper medical
evaluation. The goal with injuries of the hand is rapid and accurate entail evaluation and
treatment.
The degloving injuries of hand remain a persistent challenge. A case that we found in
RSPAD Gatot Soebroto, used an anterolateral chest and medial upper arm sandwich
flap to treat a 23-year-old, right-handed male worker with degloving injuries of 1/3 part
of metacarpal region until distal of fingers. The flap was designated to cover the entire
circumference of metacarpal-phalanxes sustaining degloving injury and to form mittenhand, after debrided. The total lengths of the distal phalanxes of four fingers were
almost completely retained. The donor defect was covered with split-thickness skin
graft. Eighteen days after the initial operation, the second operation performed aiming
to detach the flap. Six months later, the third operation was done to separate the index
finger and middle finger and also to shortened the tip of the finger. One year after the
first operation the patient had an aesthetically acceptable hand with limited function. The
fourth operation was performed to separate the middle finger and ring finger.
As final result, he can do his daily activities and back to work again. Therefore we
considered that salvaging degloved hand can be done using this old fashioned hand
sandwich flap technique when urgent need arises. In case of hand degloving injury, then
sandwich flap is still an option.
124
ABSTRACT E-POSTER
PO 017
THE EFFECT OF TOPICAL SIMVASTATIN GEL TO EPITHELIALIZATION PROCESS,
COLLAGEN SYNTHESIS, AND FIBROBLAST PROLIFERATION, OF FULL
THICKNESS WOUND ON WISTAR STRAIN RAT (RATTUS NORVEGICUS)
M. Amirsyah*, A. Santoso Budi, L. Zarasade**
School of Medicine, Dr.Soetomo General Hospital Surabaya
Abstract: Wounds have always been one of the most important subjects that
experimental researches were dedicated to. Insulin has been used for long as a anti
diabetic agent which was reported to have some pleiotropic effects such as induced
growth factor. 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.
18 male Rattus novergicus rats with a 2 cm2 full thickness wound on their back
were divided into three groups, Insulin group that received 0,5 Unit/100 gram gel,
base of gel group that treated only with gel base and NaCl group that received
no treatment but daily irrigation with normal saline. Duration of the study was
5 days. Wound closure rate, epithelization, fibroblast proliferation, collagen
bundles synthesis and thick of epitel were determined.
Keywords: Insulin, Wound healing, Epithelization, Fibroblast proliferation, Collagen
bundles
Correspondence: Mirnasari Amirsyah, Department of Plastic Reconstructive and
Hospital Surabaya, Mayjen Moestopo rd. 6-8 Surabaya, phone : 031-5501316.
125
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, Faculty of Medicine Universitas
Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Background: Split thickness skin graft (STSG) is common and ideal wound coverage
in extensive burn. Meshed and postage-stamp skin graft are allowed for expansion and
wide coverage. Evaluating and measure marginal epithelial creeping of meshed and
postage-stamp skin graft with photograph has some limitation: subjective interpretation,
pixel and saturation difference in every sequel and not given an actual size. In this study,
we made an innovation of objective method to measure epithelial creeping of STSG
using transparent plastic paper.
Materials and Methods: Subjects are extensive burn patients in Burn Unit, Cipto
Mangunkusumo Hospital that need STSG as wound coverage. 1:3 ratio of meshed
STSG and 1:4 ratio of postage-stamp STSG were applied to 8x8 cm2 recipient site.
Immediate skin graft was drawn on sterilized transparent plastic paper with black ink.
STSG and marginal epithelial creeping were drawn on another sterilized transparent
plastic paper on Day-5 with red ink, and on Day-10 with blue ink. Marginal epithelial
creeping on transparent plastic paper were measured and analyzed with digital image
analyses.
Results: At the day of STSG insetting, STSG were drawn on transparent plastic paper
as the pattern. The day-5 and day-10 of marginal epithelial creeping were evaluated and
measured in percentage, with the day-0 pattern as the reference. There was increasing
of epithelial on day-10 rather than day-5 that we can measure objectively and given the
actual size.
Conclusions: Using drawn transparent plastic paper as measurement tool of marginal
epithelial creeping of split thickness skin graft given an objective interpretation, easy to
apply and low price.
Keywords: objective measurement, epithelial creeping, STSG
126
ABSTRACT E-POSTER
PO 021
EXPLOSIVE MAJOR BURN: Case Report and Literature Review
Noi Maya Anggrita Sari MD1, Liliyanto MD2
1
General Practioner and staff on General Hospital Of Manggar City, East Belitung,
Indonesia
2
Practical General Surgeon and staff on General Hospital Of Manggar City, East Belitung,
Indonesia
Major burn is one of the most serious and life-threatening form of trauma. Inhalation
injury leads to pulmonary injury and increases burn mortality. Extensive burn on young
adult patient not only affect physical, psychological, social and spiritual aspect but also
changes in health-related quality of life with the possibility of scarring and contracture.
This article is a case report and review of an overview of burn injury not only treatment
strategies but also discussion on etiology, clinical presentation, burn prognosis based on
studies and recent research reports. A 20-yr-old male patient was admitted to our hospital
after gas explosion accident at work. Altogether 56% TBSA was burned by flame (2nd3rd degree). The regions affected were face, right buttock, and circumferential pattern
burns on both lower arms, both thighs, and both legs. The patient had a distressed facial
expression and was cooperative. He showed few signs of inhalation injury such as facial
burn, burning nose hairs, eyebrows, and hair; carbonaceous sputum, hoarseness, with
history of trapped in room during incident. He had little breathing difficulty, although
obvious swelling, particularly on head, was observed. Wounds were presented as red,
red white, and charred in appearance, parts were dry with diminished sensation, other
parts had blisters and painful to the touch, capillary refill >3sec. During emergency,
airway was secured, fluid resuscitation was administered according to Parkland formula,
crystalloid was preferred. The speed of resuscitation was monitored in relation to urine
output. The burned areas were scrubbed with normal saline and closed with silver
sulfadiazine and gauze, and taken to the icu and fully monitored. The laboratorys result
showed leukocystosis. Surgical management was performed every 3-5 days. Dressing
was changed daily with silversulfadiazine and honey. Positioning management was
performed to prevent contracture on the extremities. The patient was hospitalized and
discharged after 40 days.
Keywords: Major burn, Inhalation injuy, Circumferential burn injury
127
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, Kristaninta Bangun
Division of Plastic Reconstructive & Aesthetic Surgery, Department of Surgery,
Background: Biomaterials are known to be used in orbital volume restoration surgery
following blow out fracture. The choices may include costochondral graft or calvarial
bone graft. This study aims to analyze published evidence regarding those two options
for orbital volume restoration surgery for its survival in maintaining orbital volume.
Methods: A systematic literature review is performed to include publications based on
set inclusion and exclusion criteria. Strategies of literature search are used with search
terms combined as appropriate in PubMed Medical Subject Headings (MeSH) terms.
Risk, benefit, and survival of costochondral graft and calvarial bone graft in relation to
orbital volume restoration are noted. Rates of infection, diplopia, and enophthalmus are
compared between the two biomaterials.
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. Certain parameters may be included to propose an algorithm and help in decisionmaking process case-by-case, hence ending the controversies. The two biomaterials
may have equal stand in orbital volume restoration surgery.
128
ABSTRACT E-POSTER
PO 023
CLEFT CRANIOFACIAL CENTER JAKARTA: PROFILE OF PALATAL INDEX AND
FISTULA FORMATION
Pritha
Background: Fistula formation has been the main complication of palate repair. Its
formation proposed to be affected upon a number of factors such as the width of the
cleft, the amount of deficiency of the palate segments, and other extrinsic variables such
timing of the repair, gender, surgical procedures and the performing surgeon. Performing
integrated cleft treatment over 4 years we observed that most of our patients came with
a wide gap of cleft palate. 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.
Methods: A retrospective study of 52 cases underwent cleft palate repair in Cleft
Craniofacial Center between 2013 and 2015. Data collected include age, gender, type
of cleft palate, surgical technique, palatal index, and fistula formation. The severity is
classified into 3 degrees: mild (0-0.2), moderate (0.2-0.4), and severe (>0.4). Fistulas
formation was determined from physical examination on third week, but nasal-alveolar
fistulas and intentionally unrepaired anterior palatal fistulas were excluded.
Results: A total of 52 consecutive patients, aged 10 months to 21 years old with 32
boys (61.5%) and 20 girls (38.5%). Cleft type include incomplete, complete and bilateral
cleft in 13 (25%), 28 (53.8%), and 11 (21.2%) cases respectively. Two-flap palatoplasty
performed in 39 (75%) and Veau-Wardill-Kilner in 13 (25%). The severity based on
palatal index are 2 (3.8%), 8(15.3%), and 43 (83.9%) cases for mild, moderate, and
severe cleft respectively, without any fistel formation in mild and moderate group and 10
(19%) in severe group.
129
ABSTRACT E-POSTER
PO 024
EMBOLIZATION AND REDUCTION IN GIANT HAEMANGIOMA GLOSSUS ET
LABIALIS INFERIOR : A CASE REPORT
Rachmaniar Pramanasari*, Sitti Rizaliyana **
Department of Plastic Reconstructive and Aesthetic Surgery, Airlangga University School of
Medicine, Dr. Soetomo General Hospital Surabaya
Background: Infantile Hemangioma is the most common benign tumor in infants and
childhood that affected 10% of the populations. The caused is unknown and the prevalence
in male : female is 1 : 3. In premature infants the prevalence is higher as 30%. Head
and neck is a common region for vascular malformation. Giant hemangioma in head
and neck can causes a lot of problems. Among the different localizations of vascular
malformations in the head and neck region, the tongue has specific characteristics;
because its not only is susceptible to trauma, but also may cause speaking difficulty or
swallowing problems. Therefore, comprehensive treatment should be done for a better
outcome.
Case Report: In this paper, authors reports a rare case of giant hemangioma of the
tongue and lower lip in 8 months old infant, referred from Pediatric Department. She has
been treated in Pediatric Department with combination therapy using chemotherapy of
Vincristin and Kenacort and oral therapy of Propanolol. Theres no decreasing size of the
mass after this combination treatments.
From Plastic Surgery Department, we combined therapy using embolization and
reduction, in order to preserve the function of the tongue and maintain the size after
reduction.
Result: Giant hemangioma treatment combining embolization and reduction is not only
to reduce the bleeding during the operation, but also to maintain post operation growth
of hemangioma.
Keywords: Hemangioma, Giant, Tongue, Head and Neck, Vascular Malformations,
Infant
Correspondence: Rachmaniar Pramanasari, Department of Plastic Reconstructive and
Plastic Surgery, Airlangga University School of Medicine, Dr. Soetomo General Hospital
Surabaya, Jl Mayjen Moestopo 6-8, Surabaya, phone : 031-5501316
130
ABSTRACT E-POSTER
PO 025
MACROPHAGES BEHAVIOR; AMNION AND MNICROBIAL CELLULOSE IN RATS
FULL THICKNESS WOUND
Saktrio Darmono S.*, Beta S. Nataatmadja**, David S. Perdanakusuma***
School of Medicine, Dr. Soetomo Teaching Hospital Surabaya Indonesia
Background: Wound is the most frequent problems faced by a plastic surgeon. A wound
is a break or discontinuity of the integrity of the skin, mucosa, or tissue. Many factors
can affect the wound healing process. 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. Currently, there are variety of wound
dressing available, which according to research can increase the levels of macrophages
in the wound healing process.
Objective: Comparing the total amount of macrophages on full thickness wound bed in
the use of tulle, amnion and microbial cellulose.
Study design: Experimental, post test only group design.
Study method: Using 21 male rats Rattus norvegicus. Full thickness wounds were made
on the backs of mice. The wound was closed with tulle, amnion and microbial cellulose.
The wound was evaluated on the second day. Samples wounds were fixed with 10%
formalin solution. Examination of samples was done by Wright-Giemsa staining routine
/ Hemato-eosin under a microscope.
Hypothesis: There are differences in the increase in the number of macrophages in the
wound bed by the use of tulle, amnion and microbial cellulose.
Keyword: macrophage, tulle, amnion, microbial cellulose
Correspondence: Saktrio Darmono S., Department of Plastic Reconstructive and
Aesthetic Surgery, Airlangga University School of Medicine, Dr Soetomo Teaching
Hospital, Mayjen Moestopo Street No. 6-8, Surabaya, phone 550131
*Plastic surgery resident at Medical School of Airlangga University/Dr.Soetomo Hospital
Surabaya Indonesia
**Plastic surgeons, junior staff at Medical School of Airlangga University/Dr.Soetomo
***Plastic surgeons, senior staff at Medical School of Airlangga University/Dr.Soetomo
131
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. Sopandi, Irra R. Widarda
Division of Plastic Surgery Reconstruction and Esthetic, Department of Surgery Fakultas
Kedokteran Universitas Padjadjaran Rumah Sakit Hasan Sadikin, Bandung
INTRODUCTION: Severe burn injury incites hypermetabolic response in burn patients,
including insulin resistance and hyperglycemia. Hyperglycemia and blood glucose
fluctuation are associated with the increase of morbidity and mortality risk.
METHODS: We evaluated severe burn patients cared in RSHS Burn Unit between
2012-2015. From blood glucose examination during care, we calculated blood glucose
variability to be correlated to patients mortality outcome.
RESULTS: A total of 106 patients fulfilled inclusion criteria. Patients were classified into
two groups based on final outcome (66 patients survived in the first group and 40 patients
died in the second). Blood glucose variability was higher in the non-surviving group
(23.58 compared to 19.93). Mann-Whitney test showed p-value 0.074, 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, blood glucose is a parameter which needs to be regulated in
managing burn patients. Although to evaluate association between blood glucose and
mortality, we need another study with a more uniform patient characteristics and routine
examination of blood glucose during patient care.
KEYWORDS: blood glucose, burns, mortality, variability
132
ABSTRACT E-POSTER
PO 027
EVALUATION OF PRE-REFERRAL MANAGEMENT OF ACUTE BURN PATIENTS IN
RUMAH SAKIT HASAN SADIKIN
Sandy S. Sopandi, Irra R. Widarda
Division of Plastic Surgery Reconstruction and Esthetic
Department of Surgery Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit
Hasan Sadikin, Bandung
INTRODUCTION: Due to the high incidence of burn injury in Indonesia, primary
healthcare staff as the frontline of health service should master acute burn management
before referring patients to another facility. This management is an important initial step
in the comprehensive management of burn injury.
METHODS: We collected medical record of patients referred from another health center
to RSHS ER during 2015. We evaluated the diagnosis and management performed
including the practice of irrigation, decision to refer, availability of referral letter, evaluation
of depth and total burn area, fluid resuscitation, and urinary catheter insertion.
RESULTS: From the total of 74 patients, 43 patients (58.1%) were referred from
healthcare facilities inside Bandung, while the rest were from out of town. Duration
median from burn onset until arrival at ER was 6 hours. Sixty one patients (82.4%) had
a referral letter with them. Sixty six (89.2%) patients fulfilled referral criteria according to
ANZBA. Correct first aid water irrigation was performed only on one patient. Referrers
diagnosis was deemed accurate on two (2.7%) patients. Thirty eight (51.4%) patients did
not receive adequate fluid. Nine (12.2%) received fluid exceeding the required amount
while 29 (39.2%) did not receive enough fluid. Data regarding previous fluid therapy was
not available in 5 (6.8%) patients. Urinary catheter insertion was justified in 44 (59.5%)
patients.
CONCLUSION: Pre-referral management of acute burn injury is far from perfect.
Therefore we need efforts to increase health staffs prowess in acute burn management,
such as routine training and continuous education, especially for those working in
primary and secondary healthcare facilities.
KEYWORDS: burns, diagnosis, management, referral and consultation
133
ABSTRACT E-POSTER
PO 028
EXPERIENCE WITH NEOVAGINAL CONSTRUCTION IN MALE TO FEMALE
RECONSTRUCTION IN HASAN SADIKIN HOSPITAL
Galuh A.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,
although several cases was observed from typical average male with no congenital
disfigurement.
Creating neovaginal cavity between the bladder and the rectum had been the
main goal of this reconstruction. In our hospital, Inverted-V flap procedure and its
modification was tailored to epithelize the neovaginal construction. Total of 7 patients
underwent neovaginal construction using this method and its modification ( Four girls
with MRKH syndrome, two girl with Androgen resistance syndrome and one male). The
dissected length of the neovaginal cavity was estimated about 8- 9 cm. Postoperative
stricture or contracture of the neovagina were not found in all patients with follow up
period ranged from to 1 months. 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.
Key Words
vaginal agenesis, MRKH syndrome, androgen insensitive syndrome, male to female
reconstruction, neovaginal construction
134
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*, Chaula L Sukasah
Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery,
Faculty of Medicine Universitas Indonesia, 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. 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. One
of the well-documented severe complications of silicone injection is penile granuloma
(siliconoma) formation. The aim of this study is to report two cases of silicone-induced
penile granuloma and the respective surgical management in each case.
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, respectively.
Both patients suffered from debilitating siliconoma formation, which led to physical
deformities and disturbance in sexual activities. Surgical treatment consisted of extensive
removal of the fibrotic tissue followed by penile resurfacing using either split-thickness
skin graft or skin flap. Both patients recovered satisfactorily after the operation.
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. 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.
Key Words: Penile silicone granuloma, penile enhancement therapy, penile
augmentation, injectable silicone, case report
135
Congress Secretariat
Medical Conference Organizer (MCO) By PT. Pharma-Pro International
Perkantoran Duta Merlin Block C / 35 37

Jl. Gajah Mada no 3 5 Jakarta 10130, Indonesia
+6221 63869503/05
+62813 1785 7586 (Tiolan)
pitperapi2016@pharma-pro.com
+6221 63869502 ext. 120
www.pitperapi2016.org
MCO is certified by Indonesia Authority of MICE Industry and registered trademark of

PT. Pharma-Pro International. This name is protected by Indonesia copyright laws
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2016

The 20th Annual Scientific Meeting

Clarion Hotel, Makassar, South Sulawesi, Indonesia

PLENARY LECTURE 2..................................................................................................14

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

DERMATOGLANDULER FLAP ....................................................................................30

WITH K WIRE AND SILICON

INNOVATION FROM BENCH TO BED SIDE ................................................................40

HYPERBARIC OXYGEN THERAPY IN PLASTIC SURGERY CASES: A SYSTEMATIC

HOW SMARTPORE TECHOLOGY CAN IMPROVE PATIENTS QUALITY OF

DIABETES MELLITUS TYPE II IMPAIRS ADIPOSE DERIVED STEM CELLS

FREE PAPER 1 - 2.........................................................................................................67

GENTURS CHEILOPLASTY METHOD IN

UNILATERAL CLEFT LIP...............................................................................................81

ANKYLOSIS WITH INTERPOSITIONAL ARTHROPLASTY USING SILICONE BLOCK

THROMBOSIS IN FREE FLAP : AN ANIMAL STUDY ..................................................97

EPITHELIALIZATION SPEED IN RAT SKINS THIRD DEGREE BURN WOUND

NEOVASCULARIZATION OF FULL-THICKNESS WOUND ON WISTAR-STRAIN RAT

TREATMENT. . ........................................................................................... 121

Exhibition Opening and Coffee Break

10.30 11.30 Plenary Lecture 2

Din Syafruddin (Indonesia)

Break & Dinner

19.10 21.00 Session 2

07.30 08.30 Plenary Lecture 4

10.00 11.00 Special Symposium (DERMOZONE INDONESIA)

Evolution of Biodegradable Implant in CMF: Personal Experience in

12.00 13.30 Friday Pray & Lunch

PERAPI NIGHT (Phinisi 1 Room)

Instructional Course on Stem-Cell

10.30 12.30 Session 2

13.00 14.40 Session 3

Coffee Break and Closing

Johannes Albert Biben

Astrinita Lestari Suyata

Division of Plastic, Reconstructive

Div. of Plastic, Dept. of Surgery,

Div. of Plastic, Dept. of Surgery,

Thromboprophylaxis Strategy and

Perforator Based Flaps in Burn

Intralesional Injection With

FREE PAPER SCHEDULE

Robin Kurnia Wijaya

Division of Plastic, Reconstructive

Division of Plastic, Reconstructive

Division of Plastic, Reconstructive

Div. of Plastic, Dept. of Surgery,

Division of Plastic, Reconstructive

Div. of Plastic, Dept. of Surgery,

Morphometry of Infant Nostril in

Comparison of Topical Treatment

Comparison of Total Fibroblast in

FREE PAPER SCHEDULE

FP 042 Steven Narmada

FP 045 Tasya Anggrahita

FP 046 Tessa Puspita Sari

FP 040 Setiagung Ambari Bowo

Free Paper 3-4

FREE PAPER SCHEDULE

FP 048 Yugos Juli Fitri

FP 044 Trisna Utami

FP 001 Ade Sari Nauli Sitorus

FP 010 Betha E Riestiano