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All Journal Medica Hospitalia Indonesian Journal of Biomedicine and Clinical Sciences
Nourma Wahyu Andriani
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Risk Factors for Orbital Complication in Odontogenic Rhinosinusitis Dewi, Anna Mailasari Kusuma; Andriani, Nourma Wahyu; Iriani, Desy
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 2 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i2.1062

Abstract

Background: Orbital involvement is the most common complication in rhinosinusitis presenting about 60-75%. The manifestation of orbital complications such as eyelid edema, proptosis, eye movement disorder and loss of vision. The potential risk factors for developing complications are described in several studies. Purpose: To examine the risk factors for orbital complication in odontogenic rhinosinusitis. Methods: A retrospective case control study of 34 patients from July 2022 to July 2023 based on medical records. The subjects were classified into two groups, the case group involving odontogenic rhinosinusitis patients with orbital complication and the control group involving patients without orbital complications. Risk factors were sex, onset of odontogenic sinusitis, sinonasal symptoms, diabetes, histopathological findings, laboratory findings and CT scan images of sinus. The characteristics of orbital complications and the types of pathogenic bacteria cultivated were recorded. Results: There number of patients in each group were 17, with the female to male ratio of 2,4:1, aged 8 to 81 years were enrolled in this study. The most common orbital complication was sub periosteal abscess (41%). We found 64% positive bacterial growth from tissue culture dominated by Staphylococcus sp. (54.5%). Histopathological examination showed the main inflammatory cell of the sinus mucosal epithelium was neutrophil in both groups. The logistic regression test showed that the risk factors for orbital complication were absolute neutrophil count p 0.008, OR 81.062, mucopurulent discharge p 0.009, OR 0.006 and sinus involvement p 0.027, OR 0.152. Conclusion: Orbital complications were associated with sinus involvement with main symptom involving mucopurulent discharge and higher absolute neutrophil count.
Factors influencing auditory verbal therapy outcome among children with cochlear implant Nourma Wahyu Andriani; Zulfikar Naftali; Dwi Marliyawati; Pujo Widodo; Muyassaroh
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 1 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i1.12244

Abstract

Early intervention with cochlear implants and habilitation with auditory-verbal therapy (AVT) methods can promote better development later in childhood. A previous study reported that communication methods,educational methods, duration of communication, frequency of therapy, and type of therapy influencing the effectiveness of amplification in children based on observations from parents. The AVT assessment uses severalassessments that can help determine a child’s hearing skill level, one of which is the early learning accomplishment profile (E-LAP). The study aimed to assess the factors influencing auditory–verbal therapy (AVT) outcomes among children with cochlear implants. It was an analytical observational study with a cross-sectional design in several home therapy. The assessment was using E-LAP. Chi-square test and multivariate logistic regression were used to measure the association between categorical variables. From 52 subjects, there were 32.7% who had received their cochlear implants <3 yr, 67.3% ≥3 yr, 51.9% ≥3 yr using cochlear implant, 53.8% good family participation, 51.9% had undergraduate parents, 71.2% had a profound hearing before implant, 86.5% underwent routine therapy, and 55.8% had a good outcome in AVT. This study showed age of implantation (p= 0.043), optimal family participation (p=0.006), and frequency of AVT (p= 0.002) were related to the outcomes of AVT. From multivariate logistic regression the duration of implant use was the most related (p=0.008). In conclusion, age of implantation, duration of implant use, family participation, and frequency of AVT are related to the outcomes of AVT.
Co-Authors Dewi, Anna Mailasari Kusuma Dwi Marliyawati Iriani, Desy MUYASSAROH Pujo Widodo Zulfikar Naftali