211 - 274 http://localhost:8080/xmlui/handle/123456789/5832 2026-04-29T09:10:48Z 2026-04-29T09:10:48Z Bellynda, Monica Marsih, Marsih Adinugroho, Yohanes Suwardi, Suwardi Riza, Muhammad Muhammad, Faizal http://localhost:8080/xmlui/handle/123456789/5865 2024-09-20T04:19:14Z 2022-01-01T00:00:00Z

Title: Pancreatoblastoma in previously pancreatic pseudocysts in a 14-year-old female: a case report Authors: Bellynda, Monica; Marsih, Marsih; Adinugroho, Yohanes; Suwardi, Suwardi; Riza, Muhammad; Muhammad, Faizal Abstract: Pancreatoblastoma in previously pancreatic pseudocysts in a 14-year-old female: a case report Monica Bellynda,¹ Marsih,¹ Yohanes Adinugroho,¹ Suwardi,² Muhammad Riza,3 Faizal Muhammad4 Case Report/Series ABSTRACT Pancreatoblastoma is a rare tumor characterized by uncontrolled growth of pancreatic epithelial cells with a mix of squamous nests and acinar differentiation. Diagnostic modalities include abnormal liver enzyme, pancreatic enzyme, and imaging findings. Treatment options include surgical resection, sometimes combined with chemotherapy, depending on the tumor’s size and grade. We reported a pancreatoblastoma in a 14-year-old female with prior pancreatic pseudocysts. The transformation from pseudocysts to pancreatoblastoma is believed to be caused by the heterozygosity molecular loss on the 11p chromosome and several genetic mutations. Magnetic resonance cholangiopancreatography showed a well-defined, heterogeneous mass in the pancreatic head, with 70% of the mass composed of cysts. A partial pancreatectomy was performed because a complete pancreatectomy may harm the adjacent structures. However, a complete resection combined with chemoradiation may be the best option for long-term survival and complete remission. In this case, she was disease-free until 30 months after the chemotherapy protocol. KEYWORDS pancreas, pancreatic neoplasm, pancreatic pseudocysts, pancreatoblastoma

2022-01-01T00:00:00Z Adi Satrio Lazuardi, Muhammad Rhomdhon Kurniawan, Andrie Nurhad, Pradana Daryanto, Besut http://localhost:8080/xmlui/handle/123456789/5841 2024-09-20T02:49:10Z 2022-01-01T00:00:00Z

Title: Multiple vaginal stones secondary to an ectopic ureter in an adult female patient: a case report Authors: Adi Satrio Lazuardi, Muhammad; Rhomdhon Kurniawan, Andrie; Nurhad, Pradana; Daryanto, Besut Abstract: Multiple vaginal stones secondary to an ectopic ureter in an adult female patient: a case report Muhammad Adi Satrio Lazuardi,1 Andrie Rhomdhon Kurniawan,2 Pradana Nurhadi,1 Besut Daryanto1 Medical Journal of Indonesia Case Report/Series ABSTRACT Vaginal stone is a rare case with low incidence. Ectopic ureter insertion into the vagina is one of the congenital abnormalities that may lead to vaginal stone formation. True incontinence persisting until adulthood might indicate an ectopic ureter, often associated with a complete duplex renal system. We reported an adult female that came with a chief complaint of true incontinence since she was young. However, it was left untreated due to limited healthcare facilities in her area and low socioeconomic status. The computed tomography examination revealed a right complete duplex renal system, with upper moiety inserted into the vagina, and multiple vaginal stones. Thus, stone removal and ureteroneocystostomy procedure were performed. No further complaints or complications were recorded after the hospital discharge. KEYWORDS ectopic ureter, ureteroneocystostomy, vaginal stone

2022-01-01T00:00:00Z Susanto, Agus Rusminah, Nunung Putri Pertiwi, Yohana http://localhost:8080/xmlui/handle/123456789/5840 2024-09-20T02:42:16Z 2022-01-01T00:00:00Z

Title: Subgingival chlorhexidine irrigation for scaling and root planing adjunctive therapy in chronic periodontitis: a systematic review Authors: Susanto, Agus; Rusminah, Nunung; Putri Pertiwi, Yohana Abstract: Subgingival chlorhexidine irrigation for scaling and root planing adjunctive therapy in chronic periodontitis: a systematic review Agus Susanto, Nunung Rusminah, Yohana Putri Pertiwi Medical Journal of Indonesia Clinical Research ABSTRACT BACKGROUND Scaling and root planing (SRP) is a conventional treatment for chronic periodontitis; however, it has limitations in treating deep pockets. To enhance its efficacy, chlorhexidine (CHX) is proposed as adjunctive therapy with SRP due to its broad antimicrobial spectrum, low systemic toxic activity in humans, absence of oral microorganism resistance, and lack of teratogenic effects. This study aimed to know the efficacy of the adjunctive therapy of CHX. METHODS A literature search was conducted using various databases including PubMed, LIVIVO, EBSCOhost, and Google Scholar, following the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines within the last 10 years (2011–2021). Clinical parameters such as plaque index (PI), gingival index (GI), bleeding on probing (BOP), pocket depth (PD), and clinical attachment level (CAL) were recorded. The risk of bias in the selected studies was assessed using Cochrane Collaboration’s Handbook version 5.2.0. RESULTS Of 368 studies, 10 met the inclusion criteria, with 8 of them having a higher quality. Higher reduction of PI, GI, BI, PD, and CAL were observed in SRP with CHX irrigation compared with SRP alone. CONCLUSIONS Overall, adding CHX to SRP appeared to have additional clinical benefits compared with SRP alone in the treatment of chronic periodontitis. KEYWORDS chlorhexidine, periodontitis, root planing, therapeutic irrigation

2022-01-01T00:00:00Z Kreshanti, Prasetyanugraheni Marcellina Sadikin, Patricia Ingrid Anggraen, Margareth Athiyya Wibowo, Jasmine Bangun, Kristaninta http://localhost:8080/xmlui/handle/123456789/5839 2024-09-20T02:35:47Z 2022-01-01T00:00:00Z

Title: Surgical techniques to reduce oronasal fistula risk in wide cleft palate repair: a systematic review Authors: Kreshanti, Prasetyanugraheni; Marcellina Sadikin, Patricia; Ingrid Anggraen, Margareth; Athiyya Wibowo, Jasmine; Bangun, Kristaninta Abstract: Surgical techniques to reduce oronasal fistula risk in wide cleft palate repair: a systematic review Prasetyanugraheni Kreshanti,¹, ² Patricia Marcellina Sadikin,¹ Margareth Ingrid Anggraeni,¹ Jasmine Athiyya Wibowo,² Kristaninta Bangun¹, ² Medical Journal of Indonesia Clinical Research ABSTRACT BACKGROUND Wide cleft palate is a common congenital anomaly, particularly in developing countries with limited access to plastic surgeons and specialized cleft centers. It can be severe and may contribute to the development of oronasal fistula, which can occur in up to 78% of cases. Despite numerous surgical techniques for wide cleft repair, the best method remains unclear. This study aimed to identify surgical techniques for wide cleft palate repair to minimize the occurrence of oronasal fistula. METHODS Literature searching was conducted using multiple online databases including PubMed, Scopus, and Cochrane Library. The keywords used were “cleft palate”, ” surgery”, “technique”, “palatoplasty”, and “wide”. Inclusion and exclusion criteria were applied to select relevant studies, and the quality was assessed. RESULTS A total of 12 studies discussed surgical techniques to repair the primary wide cleft palate and their outcome on oronasal fistula formation. The surgical techniques included modified Furlow palatoplasty, two-flap palatoplasty, and modified Bardach’s two-flap palatoplasty. The incidence of oronasal fistula was 9.6% (n = 28/291) in one stage Furlow palatoplasty and 12.0% (n = 24/200) in the modified one-stage two-flap palatoplasty. CONCLUSIONS Two-flap palatoplasty and Furlow palatoplasty (and their modifications) were the safe surgical techniques for wide cleft repair with a low occurrence of oronasal fistula. KEYWORDS cleft palate, fistula, surgery, technique

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