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All Journal Indonesian Journal of Tropical and Infectious Disease JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Medika Kartika : Jurnal Kedokteran dan Kesehatan Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Sosial dan Teknologi Folia Medica Indonesiana
Perdana, Rizka Fathoni
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Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Earth & Planetary Sciences Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Public Health Veterinary

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NO ASSOCIATION OF RECURRENT RESPIRATORY PAPILLOMATOSIS AGGRESSIVENESS AND HUMAN PAPILLOMAVIRUS TYPE 6 AND 11 Perdana, Rizka Fathoni; Herawati, Sri; Suroso, Bakti; Aksono, Eduardus Bimo
Indonesian Journal of Tropical and Infectious Disease Vol. 6 No. 5 (2017)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.917 KB) | DOI: 10.20473/ijtid.v6i5.3705

Abstract

Recurrent Respiratory Papillomatosis (RRP) is the most common benign neoplasm of the larynx among children as a result of HPV infection mainly type 6 and 11. RRP is still considered as serious problem since papilloma in the airway can cause hoarseness and obstruction which later described as aggressive and non aggressive types. Patients underwent multiple surgeries to keep airway patency and in order to communicate vocally. Previous studies reported that HPV-11 was associated with a more aggressive disease course. This study aim is to determine the association of RRP aggressiveness with HPV-6 and 11. Papilloma specimens were taken from patients who underwent surgical treatment of RRP patients and subjected HPV typing. All 17 patients with completed data and epidemiologic questionaires were defined for their staging to disease severity. Informations in the database were analyzed to identity statistically significant relationship with HPV type and knowing the HPV type is to predict the disease course. 17 patients RRP (12 males and 5 females) with age at onset 3,15 + 2,28 years and age at diagnosis 3,81 + 2,51 years. Surgery was performed 2,71 ± 1,16 times per year and 9 patients treated more than 3 surgeries per year. 10 patients had distal papilloma and 11 patients had tracheotomy. Agrressive disease was show found in 14 patients among 17 patients. HPV-11 was detected in 10 patients, HPV-6 was detected in 7 patients. According to the statisitcal analysis (Chi square test), there is no relationship between HPV type and disease aggressiveness. HPV-6 and 11 are not the only cause that affect the aggressiveness of Recurrent Respiratory Papillomatosis.
Profile of Flexible Fiberoptic Laryngoscopy Examination Before and During the COVID-19 Pandemic in the ORL-HNS Outpatient Unit of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2018–2021 Salsabila, Aisyah Nur; Perdana, Rizka Fathoni; Awalia, Awalia; Purnami, Nyilo
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 2 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I22025.155-161

Abstract

Highlights: No differences were observed in any of the variables before and during the COVID-19 pandemic. Only diagnosis variables differed between before and during the COVID-19 pandemic.   Abstract Introduction: Flexible fiberoptic laryngoscopy (FOL) is indicated for various conditions in patients with abnormal upper airway anatomy. This study aimed to determine the profile of flexible FOL examinations at the Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) outpatient unit of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from 2018 to 2021. Methods: This retrospective study used secondary data from medical records of patients who underwent flexible FOL examinations at the ORL-HNS outpatient unit from 2018 to 2021. The inclusion criteria consisted of patients’ medical records who had complete profiles, successful laryngoscopy, and diagnoses that met the specified variable criteria. Results: A total of 723 patients underwent flexible FOL at the ORL-HNS outpatient clinic during the study period. Before and during the coronavirus disease (COVID-19) pandemic, most of these patients were males, between 20 and 59 years old, unemployed, and lived out of town. The most common procedure before and during the COVID-19 pandemic was FOL. Laryngomalacia was the common diagnosis before the COVID-19 pandemic. Malignancy in the larynx was the common diagnosis during the COVID-19 pandemic. Conclusion: The variables age, sex, place of residence, occupation, and type of action remained consistent before and during the COVID-19 pandemic. However, the diagnosis variable had different results.
Dampak Intervensi Edukasi Terhadap Pengetahuan Tenaga Kesehatan Tentang Skrining Pendengaran di Puskesmas Kawedanan, Magetan Falerina, Rosa; Nugroho, Puguh Setyo; Perdana, Rizka Fathoni; Rosalina, Elsa; Rachmadhan, Hayyu Fath
Jurnal Sosial Teknologi Vol. 5 No. 9 (2025): Jurnal Sosial dan Teknologi
Publisher : CV. Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsostech.v5i9.32445

Abstract

Gangguan pendengaran merupakan masalah kesehatan global yang berdampak luas pada kualitas hidup individu, mulai dari hambatan perkembangan bicara pada anak, penurunan prestasi akademik pada remaja, hingga isolasi sosial dan peningkatan risiko jatuh pada lansia. Deteksi dini melalui layanan primer sangat penting, namun pengetahuan dan keterampilan tenaga kesehatan di lini pertama masih terbatas. Penelitian ini bertujuan untuk mengevaluasi efektivitas edukasi dan pelatihan skrining gangguan pendengaran bagi tenaga kesehatan di Puskesmas Kawedanan, Kabupaten Magetan. Metode yang digunakan adalah pelatihan dengan pendekatan kombinasi seminar daring dan workshop luring. Sebanyak 61 tenaga kesehatan dari berbagai profesi mengikuti kegiatan ini. Pengetahuan peserta dievaluasi menggunakan pretest dan posttest, dengan analisis statistik untuk mengukur peningkatan pemahaman. Hasil penelitian menunjukkan rata-rata skor pretest sebesar 68,03 dan meningkat menjadi 97,05 pada posttest. Uji statistik menunjukkan adanya peningkatan signifikan (p < 0,01), yang menandakan kegiatan edukasi dan pelatihan efektif dalam meningkatkan pemahaman peserta mengenai skrining gangguan pendengaran. Edukasi dan pelatihan berbasis kombinasi metode dapat meningkatkan pengetahuan tenaga kesehatan tentang deteksi dini gangguan pendengaran. Kegiatan ini perlu dilaksanakan secara berkelanjutan agar tenaga kesehatan di layanan primer mampu berperan aktif dalam deteksi dini dan penatalaksanaan awal gangguan pendengaran, sehingga kualitas pelayanan kesehatan masyarakat dapat ditingkatkan.
Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya Sabrina, Annisa Maya; Maulydia; Perdana, Rizka Fathoni; Fitriati, Mariza
Indonesian Journal of Anesthesiology and Reanimation Vol. 4 No. 2 (2022): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V4I22022.72-79

Abstract

Introduction: Airway foreign body (AFBs) is the most common emergency for ENT-HN (Ear, Nose, Throat-Head Neck) that requires immediate treatment. The gold standard management for AFBs is a bronchoscopy performed under general anesthesia (GA). Objective: This study aims to determine the profile of AFBs patients who underwent bronchoscopies with GA at Dr. Soetomo General Hospital Surabaya from January 2018 – December 2019. Materials: This is a descriptive, retrospective study that uses data from medical records. Microsoft Excel was used to analyze the data. 22 patients met the inclusion criteria. Results: The most common ages were 11 to 20-year-olds (73%), 55% were female, and 45% were male. The patients were from outside (73%) and inside (27%) Surabaya. As much as 67% of the sampled patients had coughs and 23% were symptomless. The foreign bodies found were pins (67%), clipboard nails (14%), and nuts (9%). These AFBs were located in the left main bronchus (45%), trachea (32%), and right main bronchus (18%), and in 5% of these cases, the AFBs could not be located. The duration between the event and the bronchoscopy was mostly less than 1 day (54%), 2 days (32%), and 3 days (14%). Most cases (90%) were without AFBs complications, but some had obstruction (5%), and hemoptysis (5%). Most patients also had an uncomplicated bronchoscopy (81%), however, some suffered lesions (14%) and bleeding (5%). A majority of the patients were also ASA I (68%), and the remainder were classified as ASA II (18%), and III (14%). The premedication drugs administered were fentanyl (41%), and a combination of fentanyl and midazolam (41%). Meanwhile, the most frequently maintained anesthetic agent was Isoflurane+O2 (27%). Most patients also did not have any comorbid factors (85%), but some had anemia (5%), obstruction (5%), as well as obesity followed by sputum retention and hypernatremia (5%). Conclusion: Most AFB patients who underwent bronchoscopy under GA were 11-20 years old, female, and had a cough as a clinical symptom. Most AFBs were pins at the left main bronchus. The duration between the incident and the bronchoscopy was less than 1 day. There were also mostly no complications of AFBs and bronchoscopies. The most common physical status in patients was ASA I, with fentanyl only or fentanyl and midazolam as a premedication drug. The most common agent used to maintain the anesthesia was a combination of isoflurane and O2. Most patients also had no comorbid factors for GA.
KARAKTERISTIK PASIEN MIKROTIA DI RUMAH SAKIT UNIVERSITAS AIRLANGGA PERIODE 2018-2021 Tadika, Renanda Sekar; Falerina, Rosa; Budi, Agus Santoso; Perdana, Rizka Fathoni
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 6 No 4 (2023): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Mikrotia dapat dipengaruhi oleh beberapa faktor risiko. Adanya gangguan pendengaran dan kelainan bentuk wajah pada penderita mikrotia menimbulkan banyak stigmatisasi dari orang-orang di sekitarnya. Hal ini tentu memengaruhi kondisi psikologisnya sehingga diperlukan penanganan yang tepat bagi pasien. Tujuan penelitian ini adalah untuk mengetahui karakteristik pasien mikrotia di RS Universitas Airlangga periode 2018-2021. Penelitian ini menggunakan metode penelitian deskriptif dengan desain retrospektif. Populasi yang digunakan adalah rekam medis pasien mikrotia di Rumah Sakit Universitas Airlangga periode 2018-2021. Hasil penelitian menunjukkan jenis kelamin pasien terbanyak adalah laki-laki (69,2%). Mayoritas pasien menderita mikrotia unilateral (55,1%), derajat III (83,3%) dengan tipe tuli konduksi (95,71%). Sementara itu, paling banyak riwayat penyakit ibu pasien mengonsumsi obat-obatan teratogenik (42,3%). Kasus mikrotia ini lebih banyak terjadi pada pria dan terjadi pada telinga kanan. Hal ini dipengaruhi oleh beberapa faktor risiko, yang terbanyak adalah konsumsi obat teratogenik selama masa kehamilan. Kata kunci: anotia, faktor risiko, gangguan pendengaran, mikrotia DOI : 10.35990/mk.v6n4.p385-394
Transnasal Esophagoscopy Examination in Outpatient Unit, Department of Otorhinolaryngology Head and Neck Surgery, Dr. Soetomo Hospital, Surabaya Perdana, Rizka Fathoni
Folia Medica Indonesiana Vol. 56, No. 1
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Esophagoscopy is the standard examination standard for evaluation, diagnosis, screening and surveillance of esophageal diseases. Although it is often done, esophagoscopy costs a lot, is inconvenient, and risks complications, including cardiopulmonary complications because patients usually require routine sedation in the implementation of conventional esophagoscopic procedures. The purpose of this study is to get an overview of the results of the implementation of transnasal esophagoscopy in Department of Otorhinolaryngology Head and Neck Surgery, Division of Broncho-oesophagology, Dr. Soetomo Hospital, Surabaya, between 1 September 2012 and 30 April 2015. This study was a retrospective descriptive study with a population of all patients undergoing esophagoscopic examinations during this period. Data is taken from medical records of new patients undergoing transnasal esophagoscopy. Inclusion criteria were all patients who had been tested for transnasal esophagoscopy, and exclusion criteria were incomplete medical record data. There were 35 patients who underwent transnasal esophagoscopy examination at Department of Otorhinolaryngology Head and Neck Surgery, Division of Broncho-oesophagology, Dr. Soetomo Hospital, Surabayaduring the study period. The mean of patients who participated in the study was 54.17 ± 14.02. 23 male patients (63.89%), while 12 female patients or 34.11%. Indications of dysfagi are found in all age groups, most in the age group 51-70 years. Metastases in head and neck malignancies are found in the age group 31 - 50 years and 51 - 70 years. Indications for heartburn are found in the age group 21-50 years and 51-70 years. In conclusion, the results of transnasal esophagoscopic examination showed that most patients had a normal picture (60%) and a positive picture with an esophageal abnormality of 40%. The most common features are lesions in the mucosal esophagus lumen, scar, masses and stenosis.
Pattern of Laryngomalacia Cases at the Ear, Nose, and Throat (ENT) Outpatient Clinic of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, 2021-2022 Rusuldi, Stavina Dwiputri Rizky; Perdana, Rizka Fathoni; Rossyanti, Lynda; Rahmawati, Rosydiah
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): JANUARY 2026 (IN-PROGRESS ISSUE)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I12026.63-69

Abstract

Highlights: The majority of laryngomalacia patients were between 3-12 months. Pneumonia was the most common clinical symptom, alongside dysphagia.   Abstract Introduction: Laryngomalacia is the most frequent cause of stridor in infants and neonates. This study aimed to analyze the characteristics of patients with laryngomalacia at the Ear, Nose, and Throat (ENT) Outpatient Clinic, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, during 2021-2022. Methods: This was a descriptive retrospective study conducted at the ENT Outpatient Clinic, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from 2021 to 2022. The research variables included age, gender, clinical symptoms, and comorbidities. Results: Most patients were in the 3-12-month age group (38 patients, 48.1%). They were followed by the age group of <3 months (27 patients, 34.18%). Forty-six (58.22%) patients were males, while there were 33 (41.78%) female patients. The most common clinical symptom in patients was pneumonia (63 patients, 36.41%), followed by dysphagia (53 patients, 30.63%). Meanwhile, the most common comorbidities in patients were craniofacial abnormalities (34 patients, 30.35%), followed by heart defects (30 patients, 26.78%). The results showed that laryngomalacia patients were dominated by babies aged 2 months, with an average age of 8 months. Conclusion: Laryngomalacia often shows with pneumonia and dysphagia. There are several comorbidities that could worsen the laryngomalacia, such as craniofacial abnormalities, heart defects, and congenital syndromes. Laryngomalacia can manifest at several days or months. Any gender is at risk of being affected by laryngomalacia.
Co-Authors Agus Santoso Budi, Agus Santoso Aksono HP., Eduardus Bimo Awalia, Awalia Falerina, Rosa Fitriati, Mariza Maulydia Nugroho, Puguh Setyo Nyilo Purnami Rachmadhan, Hayyu Fath Rosalina, Elsa Rossyanti, Lynda Rosydiah Rahmawati, Rosydiah Rusuldi, Stavina Dwiputri Rizky Sabrina, Annisa Maya Salsabila, Aisyah Nur Sri Herawati Suroso, Bakti Tadika, Renanda Sekar