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Hubungan Otitis Media Akut Dengan Riwayat Infeksi Saluran Pernapasan Atas Pada Anak Lidya Angelina Purba; Mukhlis Imanto; Dian Isti angraini
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.145

Children are very susceptible to Acute Otitis Media (AOM) because the anatomical shape of the eustachian tube is shorter, more flexible and more horizontal than adult. Two thirds of all children have an episode of acute otitis media in the first 3 years of life. Upper Respiratory Tract Infection (ARI) is one of the most common risk factors for causing acute otitis media (AOM) in children. This is because the inflammatory process that occurs in ARI causes damage to mucocilia, goblet cells, and mucus glands in the epithelium of the nasopharynx and middle ear. Children aged under 5 years will usually experience upper respiratory tract infections of two to seven episodes per year. Children who have frequent episodes of ARI are more likely to experience episodes of AOM. his is also in line with repeated episodes of ARI against the risk of AOM recurrence. Recurrent ARI is an ARI that occurs at least four times a year. Therefore, the diagnosis and management of ARI in children as early as possible must be done properly, so that the incidence of ARI in children does not progress to AOM. The causes of otitis media are multifactorial, the anatomical variation of the eutachian tube, and the invasive ability of the pathogen compared to the human's immune system. The diagnosis of otitis media can be confirmed by fulfilling 3 criteria: sudden appearance of the disease, found signs of effusion (known fluid) in the middle ear, found signs of middle ear inflammation.

Hubungan Rinitis Alergi Dengan Rinosinusitis Kronik Zhafran Ramadhan Lumbantobing; Mukhlis Imanto
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.168

Chronic rhinosinusitis is an inflammatory and infectious disease of the paranasal sinuses with the characteristics of 5 major symptoms that have occurred for at least 12 weeks: nasal congestion, pain or pressure on the face, nasal obstruction, the presence of secretions in the nose anterior and posterior, and loss of smell. Allergic rhinitis is the most common predisposing factor for chronic rhinosinusitis because it is associated with obstruction of sinus ostium due to mucosal edema. As many as 50% - 84% of patients with chronic rhinosinusitis have a history of atopy to dust, fungi and allergies to animal hair and an increase in serum specific IgE antibodies and peripheral eosinophils associated with the onset of symptoms of chronic rhinosinusitis. In chronic rhinosinusitis patients with allergic rhinitis, hypersensitivity reaction occur and an increase in the number of inflammatory mediators such as histamine, proinflammatory cytokines such as interleukins, TNF-α (tumor necrosis factor), GM-CSF (granulocyte-macrophage colony stimulating factor) is more in the nasal mucosa compared with chronic rhinosinusitis patients without allergic rhinitis. All these inflammatory mediators will then lead to increased vascular permeability and hypersecretion of the mucus glands. The inflammatory process caused by allergic rhinitis will cause blockage of the ostiomeatal complex, impaired mucocilliary clearance, and impaired ciliary function resulting in paranasal sinus obstruction which will lead to chronic rhinosinusitis. It is very important for patients with allergic rhinitis to be managed properly both pharmacologically and non-pharmacologically in order to help prevent the occurrence of chronic rhinosinusitis.

Hubungan Tonsilektomi Dengan Kualitas Hidup Pada Anak Di Rumah Sakit Detasemen Kesehatan Tentara Bandar Lampung Tahun 2018 Abimanyu Darmawan; Mukhlis Imanto
Medula Vol 12 No 3 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i3.387

Chronic tonsillitis is an inflammatory disease of the tonsils that often occurs in children. The action taken in chronic tonsillitis is tonsillectomy. Given the tonsils as a body defense system is still a matter of controversy among experts. Chronic tonsillitis that has been done with tonsillectomy will affect the quality of life. Quality of life consists of emotions, social, school, and physical. The aim of this study is to determine the relationship of tonsillectomy with quality of life in children. The design used in this study was observational analytic with a case control approach. Data collected by analyzing medical records and distributing questionnaires to 44 children aged 5-12 years. Sampling methods done by purposive sampling. The research instrument used was Pediatric Quality of Life Inventory (PedsQL). Data were analyzed with chi square. Most of tonsillectomy patients have good quality of life with a percentage of 77,3% compared to those without tonsillectomy with a percentage of 31,8%. Tonsillectomy was statistically related with quality of life in children at the Hospital Detasemen Kesehatan Tentara Bandar Lampung with p value = 0,006 (p<0,05). Based on this study, we can conclude that there was a relationship between tonsillectomy and quality of life in children at the Hospital Detasemen Kesehatan Tentara Bandar lampung in 2018. Chronic tonsillitis is an inflammatory disease of the tonsils that often occurs in children. The action taken in chronic tonsillitis is tonsillectomy. Given the tonsils as a body defense system is still a matter of controversy among experts. Chronic tonsillitis that has been done with tonsillectomy will affect the quality of life. Quality of life consists of emotions, social, school, and physical. The aim of this study is to determine the relationship of tonsillectomy with quality of life in children. The design used in this study was observational analytic with a case control approach. Data collected by analyzing medical records and distributing questionnaires to 44 children aged 5-12 years. Sampling methods done by purposive sampling. The research instrument used was Pediatric Quality of Life Inventory (PedsQL). Data were analyzed with chi square. Most of tonsillectomy patients have good quality of life with a percentage of 77,3% compared to those without tonsillectomy with a percentage of 31,8%. Tonsillectomy was statistically related with quality of life in children at the Hospital Detasemen Kesehatan Tentara Bandar Lampung with p value = 0,006 (p<0,05). Based on this study, we can conclude that there was a relationship between tonsillectomy and quality of life in children at the Hospital Detasemen Kesehatan Tentara Bandar lampung in 2018.

Hubungan antara kebiasaan membersihkan telinga dengan timbulnya otitis eksterna pada pasien RSUD dr. A. Dadi Tjokrodipo Muhammad Iqbal Ramadhan; Mukhlis Imanto; Anisa Nuraisa Jausal; Asep Sukohar
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 11 No. 2 (2024): Jurnal Kesehatan dan Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jka.v11i2.pp114-120

Otitis eksterna merupakan inflamasi pada telinga bagian luar yang disertai infeksi atautanpa infeksi. penyebab yang paling umum adalah bakteri. Otitis eksterna sering kali terjadi saatmusim panas dan iklim yang hangat serta lembab. Indonesia menempati posisi keempatprevalensi tertinggi gangguan pendengaran di Asia Tenggara yaitu sebesar 4,6%, denganprevalensi tertinggi yaitu negara Sri Langka (8,8%), Myanmar (8,4%), dan India (6,3%). Tujuanpenelitian ini untuk mengetahui hubungan pengetahuan kebiasaan membersihkan telingadengan otitis eksterna dan juga hubungan antara pengetahuan benda pembersih telinga denganotitis eksterna menggunakan metode kuesioner tertutup. Metode desain penelitian analisisobservasional dengan pendekatan cross-sectional jumlah sampel dalam penelitian ini adalah106 sampel. Pengumpulan data dilakukan dengan menggunakan data primer. Data diperolehdari kuesioner. Berdasarkan analisis bivariat, ditemukan hubungan antara pengetahuankebiasaan membersihkan telinga dengan otitis eksterna di dapatkan hasil 0,003. Ada hubunganantara kebiasaan membersihkan telinga dengan timbulnya otitis eksternaKata kunci: Faktor Timbulnya Otitis Eksterna, Kebersihan Telinga

Corpus Alienum Esofagus berupa Gigi Palsu pada Pria Dewasa: Laporan Kasus Umniya; Mukhlis Imanto
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.1987

Esophageal foreign body is a medical emergency frequently encountered in ENT-Head and Neck Surgery clinical practice. This condition requires an accurate diagnosis and prompt management to prevent serious complications, such as esophageal perforation, mediastinitis, and even death. Dentures are a type of foreign body with a high risk of causing esophageal impaction due to their irregular shape, relatively large size, and often containing wires or sharp edges that can damage the gastrointestinal mucosa. This case report discusses a 46-year-old man with a chief complaint of a lump in his throat accompanied by pain when swallowing. These symptoms occurred after the patient woke up and realized his dentures were missing. Plain anteroposterior and lateral radiographs of the neck revealed a radiopaque foreign body shadow in the esophageal projection located at the level of the 7th cervical to 1st thoracic vertebrae (C7–T1). Based on these clinical and radiological findings, the patient was immediately scheduled for a rigid esophagoscopy under general anesthesia. Careful extraction of the foreign body using alligator forceps was successful, resulting in the intact removal of the broken piece of denture plate. Post-operatively, a thorough evaluation revealed no mucosal tears or other complications, either during or after the interventional procedure. This case demonstrates that a thorough history, accurate radiological examination, and prompt esophagoscopy are crucial in reducing morbidity in patients with esophageal foreign bodies.

Relationship between Frequency of Fast Food and Beverage Consumption and Tonsillitis in Children Mukhlis Imanto; Roro Rukmi Windi Perdani; Oktadoni Saputra; Diyan Ekawati; Dustin Delano Pranata Sembiring
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1171

Tonsillitis is an inflammation of the palatine tonsils commonly affecting children aged 5–15 years. One of the contributing risk factors is the frequent consumption of fast food and fast beverages. This study aimed to analyse the association between fast food and fast beverage consumption and the incidence of tonsillitis among children aged 5–15 years. An observational analytic study with a case–control design was conducted involving 52 respondents, consisting of 26 cases and 26 controls, selected using consecutive sampling. Data were collected from children aged 5–15 years attending the Otorhinolaryngology outpatient clinic at Advent Hospital. Fast food and fast beverage consumption was assessed using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), followed by clinical diagnosis by a specialist. The Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) used to assess fast food and fast beverage consumption was tested for validity and reliability prior to data collection. Item validity was confirmed using correlation analysis with significance values < 0.05, while reliability testing demonstrated satisfactory internal consistency, with Cronbach’s alpha coefficients exceeding 0.70, indicating that the instrument was valid and reliable for measuring dietary consumption patterns. Consumption frequency was categorised as frequent (score ≥ median) and infrequent/never (score < median). Data analysis was performed using the Chi-square test. The study subjects consisted of 27 males (51.9%) and 25 females (48.1%). A total of 26 subjects (50.0%) were diagnosed with tonsillitis, while 26 subjects (50.0%) were non-tonsillitis. Frequent fast food consumption was reported in 25 subjects (48.1%), while frequent fast beverage consumption was reported in 23 subjects (44.2%). Fast food consumption more than twice daily showed a highly significant association with tonsillitis (p = 0.000). Similarly, fast beverage consumption was also significantly associated with tonsillitis (p = 0.000). A high frequency of fast food and fast beverage consumption (OR: 23.100 and 14.929, respectively) is significantly associated with the incidence of tonsillitis in children aged 5–15 years. Health education regarding healthy dietary patterns is essential to reduce the risk of tonsillitis in this age group.

Diagnosis Klinis dan Tatalaksana Rawat Jalan pada Abses Peritonsil Sinistra: Sebuah Laporan Kasus Vania Widyadhari Damayanti; Mukhlis Imanto
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.2006

Peritonsillar abscess is the most common complication of acute tonsillitis and is characterized by the accumulation of pus within the peritonsillar space. If left untreated, it may lead to serious complications, making early recognition and appropriate management essential. In patients with characteristic clinical findings, the diagnosis can often be established based on history taking and physical examination without additional investigations. This case report describes the clinical diagnosis and outpatient management of a left-sided peritonsillar abscess in a 46-year-old man presenting with a two-week history of left neck swelling, progressive sore throat, odynophagia, dysphagia, trismus, hot potato voice, hypersalivation, and fever. Oropharyngeal examination revealed an erythematous and bulging left peritonsillar swelling, causing medial displacement of the left tonsil and rightward deviation of the uvula. A clinical diagnosis of left peritonsillar abscess was established. Although hospitalization was recommended, the patient declined admission and was managed as an outpatient with oral cefixime, metronidazole, methylprednisolone, and paracetamol. Comprehensive education was provided regarding adequate rest, hydration, oral hygiene, smoking cessation, medication adherence, and recognition of warning signs requiring immediate medical attention. Outpatient treatment was considered appropriate because the patient had no evidence of airway compromise, dehydration, sepsis, significant comorbidities, or inability to tolerate oral medication. This case highlights that peritonsillar abscess can be accurately diagnosed clinically and that carefully selected patients may be safely managed on an outpatient basis with appropriate follow-up and patient education to minimize the risk of complications.

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