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Frontal Sinus Mucocele Mimicking Sphenoorbital Tumor: A Very Rare Case Report Prihartomo, Gatot Aji; Sidharto, Bagus; Hakim, Muhammad 'Azmi
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 1 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i1.16265

Abstract

Introduction: The paranasal sinus mucocele is a slow-growing mass that contains mucous. It can grow to vary in size, well-defined border, and fluctuating.   Case description: A 51-year-old male with the chief complaint was a mass in his left eye 9 months before. The complaint began with a small swelling and it became bigger. He had no chronic flu-like syndrome previously. He admitted that he had no complaints with his vision or his hearing. The mass is as big as eight centimeters in diameter. The physical examination revealed that his left eye was protruded with left eye acuity was 6/6. He had paresis with an upward gaze in his left eye. At the palpation examination, it was soft, elastic, and fluctuative, well-defined border with bony in its surroundings, and no pain sensation. Discussion: In this case, the frontal sinus mucocele can make the eyeball protrude because of downward development. It does not impair visual function, because it does not disturb the optic nerve. The impairment was difficult to gaze upwardly. Conclusion: Given that the lesion came from the frontal sinus, it could grow outwardly and make the eyeball protrude. Histologically, mucocele had to spread inflammatory cells and macrophages, debris cells, and necrotic mass. Keywords: Frontal sinus; mucocele; sphenoorbital tumor; paranasal sinus.
Community-Based Tele-Mentored Ultrasound for Urological Screening in Rural Primary Care Afdal; Jaya, Indra; Hardiansyah, Muhammad Teguh; Yashar, Muhammad Adan; Prihartomo, Gatot Aji; Deviandri, Romy; Maulanisa, Sinta Chaira
Jurnal Pengabdian UNDIKMA Vol. 7 No. 2 (2026): May (IN PRESS)
Publisher : LPPM Universitas Pendidikan Mandalika (UNDIKMA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/jpu.v7i2.20028

Abstract

This community service activity aims to assess the feasibility and impact of the community-based HHUS tele-mentoring program for urological screening in rural primary healthcare centers in Indonesia. A prospective quasi-experimental study was conducted from August to October 2025 at Pangkalan Baru Primary Health Center, Riau, Indonesia. Four general practitioners (GPs) underwent a one-day HHUS training session, followed by one month of tele-mentoring using the UroSono Mentor app, a telemedicine platform that supports both real-time video consultation and asynchronous image review, and one additional month of independent practice. Confidence, usability, feasibility, mentor responsiveness, patient satisfaction, and behavioral intention were assessed using structured questionnaires. Data were analyzed using the Friedman test (p < 0.05). Confidence scores improved significantly across all phases (p = 0.018), increasing from 2.06 (pre-training) to 4.37 (tele-mentoring) and 3.81 (independent practice). Training satisfaction was high (3.81 ± 0.19), with positive ratings for mentor responsiveness (4.44 ± 0.24) and usability (4.13 ± 0.14). Patient satisfaction averaged 4.49 ± 0.54. Of the 26 patients examined, 69.2% had normal findings, while 30.8% required referral. Community-based tele-mentored HHUS effectively enhanced GPs’ competence and confidence, achieving strong acceptance among both healthcare providers and patients. The UroSono Mentor model shows promise for scalable integration into rural urological screening programs.