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All Journal Oto Rhino Laryngologica Indonesiana Majalah Biomorfologi (Biomorphology Journal) Indian Journal of Forensic Medicine & Toxicology
Ekorini, Haris Mayagung
Departemen Ilmu Kesehatan Telinga Hidung Tenggorok-Bedah Kepala Dan Leher Fakultas Kedokteran Universitas Airlangga/Rumah Sakit Dr.Soetomo Surabaya
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health

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Sindrom kanalis semisirkularis superior Ekorini, Haris Mayagung
Oto Rhino Laryngologica Indonesiana Vol 41, No 1 (2011): Volume 41, No. 1 January - June 2011
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (638.76 KB) | DOI: 10.32637/orli.v41i1.59

Abstract

Background: Superior semicircular canal dehiscence syndrome (SSCD) is a very rare medical  condition in which disturbances of balance or vertigo is triggered by loud noise or pressure. This condition  is caused by dehiscence of a portion of the temporal bone overlying the superior semicircular canal and may present as the third window. Symptoms of the SCDS are autophony, which the person’s own voice  is loudly heard, hyperacusis, tinnitus, vertigo and nystagmus. Diagnosis is made by history, hearing and vestibular examinations, and high resolution CT scan. Its management includes surgery or conservatively. Purpose: To inform ENT specialists and general practitioners about this syndrome.Case: Reported one patient who was diagnosed as SCDS. The patient complain of vertigo when hearing a loud noise or while on an aeroplane, aural fullness, hearing his own footsteps while walking and tinnitus. The audiometric examination showed mild sensory-neural hearing loss, tympanometric and vestibular examination was nomal and nystagmus was found, observed by frenzel in valsava condition. The high resolution CT scan showed dehiscence on the roof of the right superior semicircular canal.Case management: Patient was given advice to avoid loud noise, air pressure changed such as diving, straining and valsava maneuver. Conclusion: SCDS is a rare medical condition, which needs accurate history taking and examination to establish the diagnosis. Keywords: Superior canal dehiscence syndrome, vertigo, autophony Abstrak :  Latar belakang: Sindrom kanalis semisirkularis superior (superior semicircular canal dehiscence syndrome)adalah suatu kelainan yang sangat jarang ditemukan. Terjadi gangguan keseimbangan atau vertigo yang dipicu oleh suara keras atau tekanan. Keadaan ini disebabkan karena terjadi dehisensi di daerah os tulang temporal pada kanalis semisirkularis superior, sehingga menjadi jendela ketiga (third window). Gejala klinis dari sindrom kanalis semisirkularis superior (SKSS) adalah autofonia, yaitu suara yang ditimbulkan oleh tubuhnya terdengar lebih keras, hiperakusis, tinitus, vertigo yang dipicu oleh suara keras dan dapat terjadi nistagmus. Diagnosis ditegakkan dengan anamnesis yang cermat, pemeriksaan pendengaran dan keseimbangan serta dilakukan CT scan resolusi tinggi. Penanganan dapat dilakukan dengan operasi atau konservatif. Tujuan:   Agar para ahli THT dan dokter umum mengenal sindrom yang jarang ini. Kasus: Dilaporkan satu kasus penderita yang didiagnosis sebagai SKSS. Penderita mengeluh vertigo apabila mendengar suara keras, saat naik pesawat udara, telinga terasa penuh, bila berjalan dapat mendengar langkahnya dan tinitus. Dari pemeriksaan audiometri didapatkan tuli sensorineural ringan, timpanometri dan pemeriksaan keseimbangan sederhana tidak didapatkan kelainan, saat valsava didapatkan nistagmus dilihat dengan kacamata frenzel. Hasil CT scan resolusi tinggi didapatkan dehisensi pada kanalis semisirkularis superior kanan. Penatalaksanaan: Pada penderita ini belum dilakukan operasi tetapi dianjurkan menghindari suara keras dan menghindari perubahan tekanan misal menyelam, mengangkat benda berat, valsava. Kesimpulan: SKSS merupakan suatu kasus yang jarang, yang memerlukan anamnesis dan pemeriksaan yang cermat untuk menegakkan diagnosis penyakit ini. Kata kunci: sindrom kanalis semisirkularis superior, vertigo, bising, tekanan
Superior Semicircular Canal Dehiscence Syndrome in a Woman: A Case Report Arif Surgana; Haris Mayagung Ekorini
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16796

Abstract

Background: Superior semicircular canal dehiscence (SSCD) syndrome is a disease that occurs veryrare. Clinical presentation consists of Tullio’s phenomenon and Hennebert’s sign. This case presentationis atypical and clinician should be aware. Purpose: to present the rare case of Superior semicircular canaldehisence (SSCD) Case presentation: A 65-year-old woman with complaints of dizziness from 2 years agoand her recurrence. The audiogram showed bilateral sensorineural deafness with a mean hearing thresholdof 58 decibels (dB) of the right ear and 48 dB of the left ear. There is also an air-bone gap in the right earat low frequencies (250 Hz). The tympanogram revealed a type A result in both ears. Positive results wereobtained on the examination of Romberg sharpened, positive Fukuda step to the right, and the Gans test. CTscan showed dehiscence of the right superior semicircular canal. Therapy in patients was given conservativetherapy because the participants refused to undergo surgery. Conclusion: SSCD has a specific symptom ofTullio’s phenomenon and CT scan shows dehiscence of the superior semicircular canal.
THE PROFILE OF CHILDREN WITH CONGENITAL RUBELLA SYNDROME SUFFERING FROM HEARING DISORDERS IN DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA Raudhatuzzahra Kesuma; Haris Mayagung Ekorini; Tri Hartini Yuliawati
Majalah Biomorfologi Vol. 30 No. 2 (2020): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v30i2.2020.45-51

Abstract

Background: Congenital Rubella Syndrome (CRS) is an infection that can cause hearing loss which is commonly found in infants in Indonesia. The hearing screening of otoacoustic emission (OAE) and automated auditory brainstem response (AABR) is essential as an early screening to prevent speech and language development disorders which may reduce the social function of the patient in the future. Objective: To analyze the profile of children with CRS who suffer from hearing loss in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2015-2017. Materials and Methods: This research employed a descriptive retrospective study by collecting 118 secondary data from the medical records. Results: CRS was mostly found in 0-3 months age group (76 patients), and was dominated by males (62 patients). The most common signs and symptoms were congenital heart disease (49 patients), followed by hearing loss (37 patients). The serological results were mostly dominated by negative IgM and positive IgG (40 patients). The most dominant results of hearing screening test were OAE and AABR bilateral refer (45 patients). Conclusion: The profile of children with CRS suffering from hearing loss is various, depending on which country the research is conducted.
The Dizziness Handicap Inventory questionnaire scores before-and-after vestibular rehabilitation therapy of presbyastasis patients Etty Sekardewi; Achmad Chusnu Romdhoni; Haris Mayagung Ekorini
Oto Rhino Laryngologica Indonesiana Vol 50, No 1 (2020): Volume 50, No. 1 January - June 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v50i1.349

Abstract

Background: Presbyastasis is multifactorial balance dysfunction that occurs in the elderly person. Presbyastasis can increase the risk of fall, anxiety, and decrease the quality of life. Vestibular rehabilitation therapy (VRT) has been proven effective to overcome balance disorders, and it is safe for the elderly. Several studies had reported the success of VRT for balance disorders. All this time, the accomplishment of VRT was assessed by using balance test, which had a risk of falling in elderly patients. Objective: To find out the outcome of Dizziness Handicap Inventory (DHI) questionnaire score in presbyastasis patients after VRT. Method: Ten presbyastasis patients in age range 60-75 years old who met the study criteria were taken by consecutive sampling. A longitudinal observational (pre and posttest) study by analyzing the DHI questionnaire scores. Assessment was performed twice, before and after VRT. The data was analyzed using paired T test and Wilcoxon signed rank test with outcome p<0.05. Result: The measurement of the emotional subscale DHI (DHI.E) showed the mean score before VRT was 4.00 (1.63), after therapy was 0.00 (0.63), p=0.004. The functional subscale (DHI.F) measurement showed the mean score before VRT was 10.40 (3.98), after therapy was 2.40 (2.07), p 0.00. The mean score of physical subscales (DHI.P) measurement before VRT was 9.00 (4.40), after therapy was 2.00 (1.58), p=0.008. The total DHI score (DHI.T) before VRT was 22.6 (7.67), after VRT was 4.20 (2.2) with p=0.000. Conclusion: There was an improvement in DHI questionnaire score before and after 6 weeks VRT.Keywords: Vestibular rehabilitation therapy (VRT), Dizziness Handicap Inventory (DHI), presbyastasis ABSTRAK Latar belakang: Presbiastasis dapat meningkatkan angka jatuh, kecemasan dan menurunkan kemandirian sehingga menurunkan kualitas hidup pada usia lanjut. Terapi rehabilitasi vestibuler (TRV) merupakan modal terapi yang terbukti dapat mengatasi gangguan keseimbangan, dan aman untuk usia lanjut. Beberapa penelitian melaporkan adanya keberhasilan TRV pada penderita gangguan keseimbangan. Keberhasilan dari TRV selama ini dinilai dengan menggunakan pemeriksaan keseimbangan yang memiliki risiko jatuh pada penderita usia lanjut. Tujuan: Membuktikan adanya perubahan skor kuesioner Dizziness Handicap Inventory (DHI) pada penderita presbiastasis sesudah TRV. Metode: Sepuluh penderita presbiastasis usia 60-75 tahun yang memenuhi kriteria penelitian diambil secara consecutive sampling. Studi observasi longitudinal (pre dan posttest) dengan menghitung dan menganalisis skor kuesioner DHI. Pengukuran dilakukan 2 kali yaitu sebelum TRV dan sesudah TRV. Analisis data dilakukan dengan paired T test dan Wilcoxon signed rank test, dengan hasil p<0,05. Hasil: Pengukuran skor kuesioner DHI subskala Emotional (DHI.E) sebelum TRV mempunyai mean 4,00 (1,63), 6 minggu sesudah TRV didapatkan mean 0,00 (0,63), p=0,004. Hasil subskala Functional (DHI.F) sebelum TRV didapatkan mean 10,40 (3,98), 6 minggu sesudah TRV, mean 2,40 (2,07), p=0,00. Pada subskala Physical (DHI.P) didapatkan mean 9,00 (4,40), dan 6 minggu sesudah TRV didapatkan mean 22,6 (7,67), sesudah TRV didapatkan mean 4,20 (2,2) dengan p=0,000. Kesimpulan: Terdapat perbaikan skor kuesioner DHI sesudah 6 minggu terapi rehabilitasi vestibuler (TRV).
Perbandingan bone conduction pada penderita otitis media supuratif kronik dengan kolesteatoma dan tanpa kolesteatoma Putri Cita Sari Dewi; Titiek Hidayati Ahadiah; Haris Mayagung Ekorini
Oto Rhino Laryngologica Indonesiana Vol 48, No 1 (2018): Volume 48, No. 1 January - June 2018
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (299.135 KB) | DOI: 10.32637/orli.v48i1.252

Abstract

Latar Belakang: Beberapa peneliti melaporkan adanya sensorineural hearing loss (SNHL) yang dapat terjadi bersamaan atau sebagai sekuele dari Otitis Media Supuratif Kronik (OMSK), yang menunjukkan adanya gangguan fungsi koklea. Kolesteatoma diduga sebagai salah satu faktor risiko terjadinya gangguan fungsi koklea pada OMSK. Tujuan: Membandingkan bone conduction (BC) penderita OMSK dengan kolesteatoma dan tanpa kolesteatoma. Metode: Penelitian crosssectional analitik dari data rekam medik penderita OMSK dengan dan tanpa kolesteatoma yang telah dilakukan mastoidektomi di Rumah Sakit Dr. Soetomo Surabaya pada Januari 2014 hingga November 2016, dengan kriteria inklusi dan eksklusi yang ketat. Dicatat nilai BC sebagai cerminan fungsi koklea, dan ada tidaknya kolesteatoma durante operasi. Durasi otore merupakan faktor perancu dalam perhitungan statistik. Hasil: Dari 111 rekam medik penderita OMSK didapatkan 57 dengan kolesteatoma dan 54 tanpa kolesteatoma. Bone conduction pada penderita OMSK dengan kolesteatoma didapatkan lebih tinggi di semua frekuensi dan paling tinggi di frekuensi 4000 Hz. Uji statistik dengan multiple regression dengan tingkat kemaknaan (α) sebesar 0,05 mendapatkan hasil rerata (mean) BC OMSK dengan kolesteatoma (28,6 dB HL) signifikan lebih tinggi dibandingkan tanpa kolesteatoma (17,3 dB HL) dengan p=0,002. Sementara itu, pada durasi otore tidak didapatkan hasil yang signifikan (p=0,398). Kesimpulan: Penderita OMSK dengan kolesteatoma memiliki BC lebih tinggi dibandingkan tanpa kolesteatoma. ABSTRACTBackground: Some researchers had reported the presence of sensorineural hearing loss (SNHL) which may occur simultaneously or as a sequel of Chronic Suppurative Otitis Media (CSOM) which is indicating impaired cochlear function. Cholesteatoma is suspected to be one of the risk factors for impaired cochlear function in CSOM. Objective: Comparing bone conduction (BC) of CSOM with and without cholesteatoma patients. Method: This was a crossectional analytic study using medical record data of CSOM patients with and without cholesteatoma who underwent mastoidectomy in Dr. Soetomo Hospital from January 2014 to November 2016, with strict inclusion and exclusion criteria. The BC level was recorded as a reflection of cochlear function, and the presence or absence of cholesteatoma during surgery. The otore duration was put down as a confounding factor in statistical calculations. Result: From 111 medical records of CSOM patients were found 57 with cholesteatoma, and 54 without cholesteatoma. Bone conduction in CSOM patients with cholesteatoma is higher in all frequencies and the highest at 4000 Hz. Statistical test using multiple regression with significance level (α) p= 0.05, revealed the BC mean result of CSOM with cholesteatoma (28.6 dB HL) was significantly higher than on CSOM without cholesteatoma (17.3 dB HL)(p=0.002). Meanwhile the otore duration did not reveal a significant result (p=0.398). Conclusion: CSOM patients with cholesteatoma had a higher BC than those without cholesteatoma.
Cochlear implant programme report in Dr. Soetomo Hospital Surabaya Haris Mayagung Ekorini
Oto Rhino Laryngologica Indonesiana Vol 46, No 1 (2016): Volume 46, No. 1 January - June 2016
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (444.735 KB) | DOI: 10.32637/orli.v46i1.142

Abstract

Background: Cochlear implant is a result of technology development which has a great contributionto bilateral sensorineural hearing loss patients when conventional hearing aid does not help or does notgive enough benefit for these patients. In Surabaya, this program was started in November 2008.Purpose:To report cochlear implant programme in Dr. Soetomo Hospital Surabaya between November 2008 andOctober 2013.Methods: A descriptive retrospective study on complete data from medical record in Dr.Soetomo Hospital Surabaya between November 2008 and October 2013 were evaluated. Forty sevenpatients received cochlear implant, 3 patients did not have complete medical record and excluded, 44data were reviewed.Results: Forty four patients were implanted, the average of age identification was22.9 months old, the average of age of amplification was 29.7 months old and the average of age ofimplantation was 49.0 months old. All of the patients were prelingually deaf. Twenty seven patiens couldbe evaluated for habilitation with Categories of Auditory Performance (CAP) and the result of receptive,language, expressive and communication abilites were in good progress.Conclusion: The sooner thedevice implanted the better, and evaluation with CAP was effective. Keywords : Hearing impairment, cochlear implant, habilitation ABSTRAKLatar belakang: Implan koklea adalah hasil suatu perkembangan teknologi yang mempunyaikontribusi besar untuk pasien gangguan pendengaran sensorineural yang tidak bisa dibantu oleh alatbantu dengar. Di Surabaya, program ini dimulai pada November 2008. Tujuan: Evaluasi hasil programimplan koklea di RSUD Dr. Soetomo Surabaya sejak November 2008 sampai dengan Oktober 2013.Metode: Penelitian deskriptif retrospektif dan data diambil dari rekam medik yang lengkap di poliAudiologi RSUD Dr. Soetomo selama periode November 2008 sampai dengan Oktober 2013. Dari 47pasien yang dioperasi, 3 rekam medik tidak lengkap dan dieksklusi, 44 pasien yang mempunyai rekammedik lengkap dievaluasi. Hasil: Empat puluh empat pasien yang dilakukan implan koklea, rerataumur identifikasi 22,9 bulan, rerata umur amplifikasi 29,7 bulan, dan rerata umur operasi 49,0 bulan.Semua pasien adalah tuli sensorineural pre-lingual. Sebanyak 27 pasien dapat dilakukan evaluasihabilitasi dengan Categories of Auditory Performance (CAP) dengan hasil receptive, bahasa, ekspresifdan kemampuan berkomunikasi baik. Kesimpulan: Semakin muda umur pasien saat operasi hasilnyasemakin baik, dan evaluasi dengan CAP sangat efektif. Kata kunci: Gangguan pendengaran, implan koklea, habilitasi Correspondence: Haris M. Ekorini, Otorhinolaryngology Department, Faculty of Medicine AirlanggaUniversity/Dr. Soetomo Hospital, Surabaya. E-mail: hmekorini@yahoo.com.
The Dizziness Handicap Inventory questionnaire scores before-and-after vestibular rehabilitation therapy of presbyastasis patients Etty Sekardewi; Achmad Chusnu Romdhoni; Haris Mayagung Ekorini
Oto Rhino Laryngologica Indonesiana Vol. 50 No. 1 (2020): Volume 50, No. 1 January - June 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v50i1.349

Abstract

Background: Presbyastasis is multifactorial balance dysfunction that occurs in the elderly person. Presbyastasis can increase the risk of fall, anxiety, and decrease the quality of life. Vestibular rehabilitation therapy (VRT) has been proven effective to overcome balance disorders, and it is safe for the elderly. Several studies had reported the success of VRT for balance disorders. All this time, the accomplishment of VRT was assessed by using balance test, which had a risk of falling in elderly patients. Objective: To find out the outcome of Dizziness Handicap Inventory (DHI) questionnaire score in presbyastasis patients after VRT. Method: Ten presbyastasis patients in age range 60-75 years old who met the study criteria were taken by consecutive sampling. A longitudinal observational (pre and posttest) study by analyzing the DHI questionnaire scores. Assessment was performed twice, before and after VRT. The data was analyzed using paired T test and Wilcoxon signed rank test with outcome p<0.05. Result: The measurement of the emotional subscale DHI (DHI.E) showed the mean score before VRT was 4.00 (1.63), after therapy was 0.00 (0.63), p=0.004. The functional subscale (DHI.F) measurement showed the mean score before VRT was 10.40 (3.98), after therapy was 2.40 (2.07), p 0.00. The mean score of physical subscales (DHI.P) measurement before VRT was 9.00 (4.40), after therapy was 2.00 (1.58), p=0.008. The total DHI score (DHI.T) before VRT was 22.6 (7.67), after VRT was 4.20 (2.2) with p=0.000. Conclusion: There was an improvement in DHI questionnaire score before and after 6 weeks VRT.Keywords: Vestibular rehabilitation therapy (VRT), Dizziness Handicap Inventory (DHI), presbyastasis ABSTRAK Latar belakang: Presbiastasis dapat meningkatkan angka jatuh, kecemasan dan menurunkan kemandirian sehingga menurunkan kualitas hidup pada usia lanjut. Terapi rehabilitasi vestibuler (TRV) merupakan modal terapi yang terbukti dapat mengatasi gangguan keseimbangan, dan aman untuk usia lanjut. Beberapa penelitian melaporkan adanya keberhasilan TRV pada penderita gangguan keseimbangan. Keberhasilan dari TRV selama ini dinilai dengan menggunakan pemeriksaan keseimbangan yang memiliki risiko jatuh pada penderita usia lanjut. Tujuan: Membuktikan adanya perubahan skor kuesioner Dizziness Handicap Inventory (DHI) pada penderita presbiastasis sesudah TRV. Metode: Sepuluh penderita presbiastasis usia 60-75 tahun yang memenuhi kriteria penelitian diambil secara consecutive sampling. Studi observasi longitudinal (pre dan posttest) dengan menghitung dan menganalisis skor kuesioner DHI. Pengukuran dilakukan 2 kali yaitu sebelum TRV dan sesudah TRV. Analisis data dilakukan dengan paired T test dan Wilcoxon signed rank test, dengan hasil p<0,05. Hasil: Pengukuran skor kuesioner DHI subskala Emotional (DHI.E) sebelum TRV mempunyai mean 4,00 (1,63), 6 minggu sesudah TRV didapatkan mean 0,00 (0,63), p=0,004. Hasil subskala Functional (DHI.F) sebelum TRV didapatkan mean 10,40 (3,98), 6 minggu sesudah TRV, mean 2,40 (2,07), p=0,00. Pada subskala Physical (DHI.P) didapatkan mean 9,00 (4,40), dan 6 minggu sesudah TRV didapatkan mean 22,6 (7,67), sesudah TRV didapatkan mean 4,20 (2,2) dengan p=0,000. Kesimpulan: Terdapat perbaikan skor kuesioner DHI sesudah 6 minggu terapi rehabilitasi vestibuler (TRV).
Co-Authors Arif Surgana Etty Sekardewi Putri Cita Sari Dewi Raudhatuzzahra Kesuma Romdhoni, Achmad Chusnu Titiek Hidayati Ahadiah Tri Hartini Yuliawati