A flap is a tissue unit that is transferred from one area (donor site) to another area (recipient site) while still maintaining its blood circulatory system. The island pedicle flap, also known as the V-Y flap, is a modified advancement flap. This flap is a very useful reconstruction option for small to intermediate-sized defects. A 69-year-old Acehnese woman with a history of working as a farmer came with complaints of a non-painful nodule on the wall of her left nose for the last 6 months. Based on the history and physical examination, the patient was provisionally diagnosed with nodular type Basal Cell Carcinoma. An excisional surgical was performed, then a pedicle island flap was performed to close the defect. Anatomical pathology examination results concluded basal cell carcinoma. The island pedicle flap technique is one of the surgical techniques that can be an option to close tumor excision defects. This technique offers a one-stage reconstruction with excellent cosmetic results for defects in the nasal wall. The color and texture of the skin after surgery are almost perfect because the flap originates from the skin immediately adjacent to the defect.
Stevens Johnson Syndrome (SJS) merupakan suatu sindroma atau kumpulan gejala yang mengenai kulit, selaput lendir, dan mata dengan keadaan umum yang bervariasi dari ringan sampai berat. Penyakit ini bersifat akut dan pada bentuk yang berat dapat menyebabkan kematian, oleh karena itu penyakit ini merupakan salah satu kegawatdaruratan penyakit kulit. Sindroma ini merupakan salah satu contoh immune-complex-mediated hypersensitivity, atau yang juga disebut reaksi hipersensitivitas tipe III, di mana kejadiaannya dapat diinduksi oleh paparan obat, infeksi, imunisasi, maupun akibat paparan fisik lain kepada pasien. Stevens Johnson Syndrome berisiko menimbulkan kematian, perawatan dan pengobatan pasien SJS sangat membutuhkan penanganan yang tepat dan cepat. Adapun terapi yang bisa diberikan antara lain perawatan terhadap kulit dan penggantian cairan tubuh, perawatan terhadap luka, serta perawatan terhadap mata. Kelangsungan hidup pasien Stevens Johnson Syndrome bergantung pada tingkat pengelupasan kulit, di mana apabila pengelupasan kulit semakin meluas, maka prognosisnya dapat menjadi semakin buruk. Selain itu, variabel lain seperti dengan usia penderita, keganasan penyakit tersebut, denyut jantung, kadar glukosa, kadar BUN dan tingkat bikarbonat juga dapat mempengaruhi kelangsungan hidup pasien.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.