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All Journal Oto Rhino Laryngologica Indonesiana GANESHA MEDICINA
Pradiptha, I Putu Yupindra
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Health Professions Medicine & Pharmacology Public Health

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HIPOTIROID KONGENITAL DAN GANGGUAN PENDENGARAN ADITYA NUGRAHA, IDA BAGUS; PRADIPTHA, I PUTU YUPINDRA
Ganesha Medicina Vol. 3 No. 2 (2023)
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/gm.v3i2.66825

Abstract

Congenital hypothyroidism is a cause of physical and mental disabilities that can be prevented with early detection and therapy. However, early diagnosis is difficult to enforce clinically because most newborns with congenital hypothyroidism do not show any typical symptoms. Permanent hearing loss has been reported in patients with congenital hypothyroidism who were not detected early and treated late until 6 months of age. This is different from hearing loss caused by acquired hypothyroidism, in which symptoms of hearing loss can be corrected by treating hypothyroidism. The central nervous system is one of the most affected by congenital hypothyroidism and can cause behavioral, language, and social difficulties in a child's development. Congenital hypothyroidism, if not treated adequately, can cause serious behavioral problems whereas over-therapy of congenital hypothyroidism appears to be associated with impaired attention. Therefore, treatment should be based on clinical sign and symptoms, regular monitoring of clinical conditions and health promotion strategies to improve not only treatment adherence but also the long-term prognosis of hearing loss.
The The first transcanal endoscopic ear surgery in Udayana University General Hospital Danastri, I Gusti Ayu Mahaprani; Lolik Lesmana, I Wayan; Pranitasari, Ni Putu Oktaviani Rinika; Raditya, I Gede Wahyu Adi; Pradiptha, I Putu Yupindra; Wahyu Widiantari, I Gusti Ayu Putu; Nogueira, João Flávio
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 1 (2024): VOLUME 54, NO. 1 JANUARY - JUNE 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i1.657

Abstract

Background: The conventional method for treating cholesteatoma involves using a microscopicapproach. However, over the years, endoscopy has evolved from being a supplementary tool alongside themicroscope to becoming the primary transcanal approach in different areas of ear surgery. Purpose: Topresent a case of cholesteatoma in adult which was treated by the combination of transcanal endoscopicear surgery and mastoidectomy. Case report: An adult patient with malignant type of chronic suppurativeotitis media underwent transcanal endoscopic ear surgery and mastoidectomy. Endoscopic surgery is amore intricate single-handed procedure that demands both experience and a comprehensive knowledge ofendoscopic ear anatomy. This is essential for navigating the anatomical space, dealing with the ossicularchain, and employing transcanal drilling techniques. The primary surgical focus for endoscopic earsurgery is the middle ear. When addressing cases where cholesteatoma extends beyond the posteriorepitympanum, the surgical approach relies on the surgeon’s expertise in performing extensive atticotomyor mastoidectomy, either with or without microscope assistance. Clinical question: What is the role oftranscanal endoscopic ear surgery and mastoidectomy in adult patient with cholesteatoma? Method:Literature searching was performed with the keywords: ”cholesteatoma”, AND ”transcanal endoscopicear surgery”, AND ”mastoidectomy” through database PubMed, Proquest, and hand searching/e-book. Result: There were 3 articles relevant with the subject. Conclusion: Transcanal endoscopic ear surgery isa minimally invasive and secure procedure characterized by its low rates of complications and recurrence   Keywords: transcanal endoscopic ear surgery, mastoidectomy, cholesteatoma, chronic suppurative otitis media.
Co-Authors Danastri, I Gusti Ayu Mahaprani Ida Bagus Aditya Nugraha Lolik Lesmana, I Wayan Ni Putu Oktaviani Rinika Pranitasari Nogueira, João Flávio Raditya, I Gede Wahyu Adi Wahyu Widiantari, I Gusti Ayu Putu