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Vocal cord immobility after lateral pharyngotomy extraction of the impacted dentures in the upper esophagus: A Case Report Tamin, Susyana; Koento, Trimartani; Hutauruk, Syahrial Marsinta; Supit, Ivana; Ardiantara, Sabda
Dentika: Dental Journal Vol. 27 No. 1 (2024): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v27i1.15716

Impaction of foreign bodies in the esophagus is a frequent emergency in otorhinolaryngology. However, diagnosing and managing denture impaction in the esophagus presents greater challenges compared to other foreign bodies, often leading to various complications. This study reported a rare case of vocal cord immobility after the evacuation of denture impaction in the esophagus using lateral pharyngotomy. The patient, a 73-year-old man, experienced throat discomfort after swallowing a denture an hour before admission. According to the CT scan carried out, a 3.7 cm long denture was found around the T3-T5 spine level and was located 3 mm lateral right to the descendant aorta and 4 mm posterior of the trachea. During esophagoscopy extraction, the denture was stuck in the upper esophagus and was successfully evacuated by lateral pharyngotomy. Subsequently, the patient developed vocal cord immobility, and this case underscores the importance of considering vocal cord complications following the extraction of a denture impaction in the esophagus.

Appropriate imaging in the management of first branchial cleft anomalies Koento, Trimartani; Sari, Indira
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.624

Background: First branchial cleft anomalies (FBCA) are rare clinical entities of the head and neck.The low incidence and varied presentation often result in misdiagnosis and inappropriate treatment.Correct diagnosis is essential for proper management, while an incorrect diagnosis will often lead toinadequate treatment. A good understanding of the regional anatomy and embryology can lead to anearly diagnosis and thereby effective management of FBCA. Purpose: To present how to diagnose andmanage FBCA. Case report: A case of a 6-year-old female who had an FBCA with a history of swellingand recurrent discharge from the fistula in the infra-auricular area. Complete excision of the tract wasperformed without facial nerve complication. Clinical question: What is the appropriate imaging fordiagnosis FBCA? Review method: Scoping review was done to identify the scientific evidence aboutimaging for diagnosis FBCA. Systemic searching in 4 databases (PubMed, Embase, Proquest, and Webof Science) using keywords “first branchial cleft”, “anomaly”, and “imaging”. Result: Three article wasfound relevant with the topic of imaging for diagnosis FBCA. Conclusion: Proper diagnosis of FBCAcan lead to proper management and good results. Imaging can provide an anatomical picture of eachbranchial arch anomaly, which can be very helpful in preoperative planning to determine a definitivesurgical approach. Early management of FBCA can reduce the recurrence rate significantly.Keywords: first branchial cleft, anomaly, children, imaging

Appropriate imaging in the management of first branchial cleft anomalies Koento, Trimartani; Sari, Indira
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.624

Background: First branchial cleft anomalies (FBCA) are rare clinical entities of the head and neck.The low incidence and varied presentation often result in misdiagnosis and inappropriate treatment.Correct diagnosis is essential for proper management, while an incorrect diagnosis will often lead toinadequate treatment. A good understanding of the regional anatomy and embryology can lead to anearly diagnosis and thereby effective management of FBCA. Purpose: To present how to diagnose andmanage FBCA. Case report: A case of a 6-year-old female who had an FBCA with a history of swellingand recurrent discharge from the fistula in the infra-auricular area. Complete excision of the tract wasperformed without facial nerve complication. Clinical question: What is the appropriate imaging fordiagnosis FBCA? Review method: Scoping review was done to identify the scientific evidence aboutimaging for diagnosis FBCA. Systemic searching in 4 databases (PubMed, Embase, Proquest, and Webof Science) using keywords “first branchial cleft”, “anomaly”, and “imaging”. Result: Three article wasfound relevant with the topic of imaging for diagnosis FBCA. Conclusion: Proper diagnosis of FBCAcan lead to proper management and good results. Imaging can provide an anatomical picture of eachbranchial arch anomaly, which can be very helpful in preoperative planning to determine a definitivesurgical approach. Early management of FBCA can reduce the recurrence rate significantly.Keywords: first branchial cleft, anomaly, children, imaging

Otoplasty in Children with Prominent Ears: A Scoping Review Handari, Eva Tami; Koento, Trimartani
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.750

Background: Prominent ears are one of the most common facial deformities in children. Although primarily a cosmetic issue, this condition can have significant social and psychological impacts on children, leading to the need for otoplasty at an early age. Otoplasty, a corrective surgical procedure, has undergone various innovations aimed at achieving satisfactory aesthetic outcomes, while minimizing complications. Purpose: To convey surgical techniques used in otoplasty for children with prominent ears. Case report: A 5-year-old patient presented with complaints of absent external auditory canals and prominent ears. The patient was diagnosed with bilateral auricular atresia, and prominent ears. The parents also reported speech delay in their child. Otoplasty was performed using the latest technique, with adjustments to the antihelical fold and reduction of conchal projection. Result: Following otoplasty using the newly introduced setback otoplasty technique described by Raunig, the patient demonstrated significant improvement in the aesthetic appearance of the ears with a more harmonious projection. Postoperative complications were minimal, with no signs of infection or residual deformity. The patient also continued postoperative speech therapy to address the speech delay. Conclusion: Advances in otoplasty with the New Concept Rauning technique had proven effective in correcting prominent ear deformities in children, yielding favorable aesthetic outcomes, with minimal complications. Early otoplasty can correct ear shape abnormalities and improve the child’s quality of life, both cosmetically and psychosocially.

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