UMBILICAL RECONSTRUCTION WITH DOUBLE OPPOSING SEMILUNAR FLAP, AN APPEALING RESULTS: A CASE SERIES

Highlights: • A double opposing semilunar flap has good result for umbilicus reconstruction. • A double opposing semilunar ensures a natural appearance and avoids visible scarring while maintaining appropriate depth and size. Abstract: Introduction: Umbilical loss is not a common problem enc...

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Main Authors: Arif Rahmat Muharram, Agus Santoso Budi, Lobredia Zarasade, Beta Subakti Nata’atmadja
Format: Article
Language:English
Published: UNIVERSITAS AIRLANGGA 2018-06-01
Series:Jurnal Rekonstruksi dan Estetik
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Online Access:https://e-journal.unair.ac.id/JRE/article/view/24367
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author Arif Rahmat Muharram
Agus Santoso Budi
Lobredia Zarasade
Beta Subakti Nata’atmadja
author_facet Arif Rahmat Muharram
Agus Santoso Budi
Lobredia Zarasade
Beta Subakti Nata’atmadja
author_sort Arif Rahmat Muharram
collection DOAJ
description Highlights: • A double opposing semilunar flap has good result for umbilicus reconstruction. • A double opposing semilunar ensures a natural appearance and avoids visible scarring while maintaining appropriate depth and size. Abstract: Introduction: Umbilical loss is not a common problem encountered in plastic surgery routine cases. The absence of umbilicus will cause significant effect in total aesthetic appearance of the abdomen, thus making it an essential part of anatomy landmark. Congenital defect, oncologic and abdominoplasty complication are the most often causes, and tremendous psychological trauma will cause patient to seek help. Case Illustration: There are many proposed technique for such reconstruction, based on original scar or wound and final expected shape, of course with their advantages and disadvantages. We used a double opposing semilunar flap for our cases. Along with its technical detail, we will present three cases comprises of the defect after omphalocele scar removal, umbilical endometriosis excision and postcentral abdominal tumor excision. Reports will be presented with preoperative and postoperative result. Discussion: This technique avoids the appearance of scarring and secondary stenosis by hiding the circular scar incision and maintaining its position in the middle of the new form. Conclusion: The reconstruction technique of the umbilicus presented for the anatomical units, provides a very natural look, and generates slight excess of skin on the upper part over time and giving a more graceful appearance.
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language English
publishDate 2018-06-01
publisher UNIVERSITAS AIRLANGGA
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series Jurnal Rekonstruksi dan Estetik
spelling doaj-art-f9f04b77cf4141f98a717df59a3640f52025-01-07T04:47:39ZengUNIVERSITAS AIRLANGGAJurnal Rekonstruksi dan Estetik2301-79372774-60622018-06-0131131710.20473/jre.v3i1.2436719989UMBILICAL RECONSTRUCTION WITH DOUBLE OPPOSING SEMILUNAR FLAP, AN APPEALING RESULTS: A CASE SERIESArif Rahmat Muharram0Agus Santoso Budi1https://orcid.org/0000-0001-7638-6374Lobredia Zarasade2https://orcid.org/0000-0001-7351-9768Beta Subakti Nata’atmadja3https://orcid.org/0000-0001-7351-9768Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaCraniofacial and Microsurgery Fellowship at Seoul National University Bundang Hospital, South KoreaHighlights: • A double opposing semilunar flap has good result for umbilicus reconstruction. • A double opposing semilunar ensures a natural appearance and avoids visible scarring while maintaining appropriate depth and size. Abstract: Introduction: Umbilical loss is not a common problem encountered in plastic surgery routine cases. The absence of umbilicus will cause significant effect in total aesthetic appearance of the abdomen, thus making it an essential part of anatomy landmark. Congenital defect, oncologic and abdominoplasty complication are the most often causes, and tremendous psychological trauma will cause patient to seek help. Case Illustration: There are many proposed technique for such reconstruction, based on original scar or wound and final expected shape, of course with their advantages and disadvantages. We used a double opposing semilunar flap for our cases. Along with its technical detail, we will present three cases comprises of the defect after omphalocele scar removal, umbilical endometriosis excision and postcentral abdominal tumor excision. Reports will be presented with preoperative and postoperative result. Discussion: This technique avoids the appearance of scarring and secondary stenosis by hiding the circular scar incision and maintaining its position in the middle of the new form. Conclusion: The reconstruction technique of the umbilicus presented for the anatomical units, provides a very natural look, and generates slight excess of skin on the upper part over time and giving a more graceful appearance.https://e-journal.unair.ac.id/JRE/article/view/24367umbilical reconstructionflaphealth and well-being
spellingShingle Arif Rahmat Muharram
Agus Santoso Budi
Lobredia Zarasade
Beta Subakti Nata’atmadja
UMBILICAL RECONSTRUCTION WITH DOUBLE OPPOSING SEMILUNAR FLAP, AN APPEALING RESULTS: A CASE SERIES
Jurnal Rekonstruksi dan Estetik
umbilical
reconstruction
flap
health and well-being
title UMBILICAL RECONSTRUCTION WITH DOUBLE OPPOSING SEMILUNAR FLAP, AN APPEALING RESULTS: A CASE SERIES
title_full UMBILICAL RECONSTRUCTION WITH DOUBLE OPPOSING SEMILUNAR FLAP, AN APPEALING RESULTS: A CASE SERIES
title_fullStr UMBILICAL RECONSTRUCTION WITH DOUBLE OPPOSING SEMILUNAR FLAP, AN APPEALING RESULTS: A CASE SERIES
title_full_unstemmed UMBILICAL RECONSTRUCTION WITH DOUBLE OPPOSING SEMILUNAR FLAP, AN APPEALING RESULTS: A CASE SERIES
title_short UMBILICAL RECONSTRUCTION WITH DOUBLE OPPOSING SEMILUNAR FLAP, AN APPEALING RESULTS: A CASE SERIES
title_sort umbilical reconstruction with double opposing semilunar flap an appealing results a case series
topic umbilical
reconstruction
flap
health and well-being
url https://e-journal.unair.ac.id/JRE/article/view/24367
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