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POTENCY OF VINEGAR THERAPY IN OTOMYCOSIS PATIENTS Sulaiman, Eman; Purwanto, Bambang; Lasminingrum, Lina; Dewi, Yussy Afriani; Mahdiani, Sally
Journal of Medicine and Health Vol 1, No 2 (2015)
Publisher : Maranatha Christian University

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Abstract

Otomycosis is an outer ear canal infection caused by fungi. Clinicians are trying to find out the most effective antifungal drug for treating otomycosis. Traditionally Apple cider vinegar has been used for the treatment of various diseases, including antifungal.The high cost in otomycosis treatment effort, long duration of treatment, high recurrence rate, and the difficulty in the application of drugs in the otomycosis treatment have encouraged the researcher to do this study. Having evaluated  the improvement of clinical symptoms, otoscopy view and examination of KOH 10% in patients receiving apple cider vinegar therap, this study uses descriptive study design of four otomycosis patients in the ORL HNS outpatient clinic of Hasan Sadikin Hospital Bandung from July to August 2014. Having evaluated a clinical symptoms improvement, it is found out that there is an increase of otoscopy view and examination of KOH 10% in patients receiving apple cider vinegar. In other words, there is an Improvement of clinical symptoms, otoscopy view, and examination of KOH 10% in patients receiving apple cider vinegar therapy. Topical apple cider vinegar therapy gives a good result in the improvement of clinical symptom,otoscopy view, and examination of KOH 10% in otomycosis  patients. Keywords: otomikosis, sign and symptoms improvement, apple cider vinegar.
Frequency and Clinical Characteristics of Tympanic Membrane Perforation Outpatients at Dr. Hasan Sadikin General Hospital in 2011–2013 M., Veronika Ratih; Mahdiani, Sally; Dwiyatnaningrum, Fenny
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Tympanic membrane perforation is a hearing problem that has become a health problem in the society. In Indonesia, there are only a few studies regarding tympanic membrane perforation. This study was aimed to observe the frequency and clinical characteristics of tympanic membrane perforation patients.Methods: This was a descriptive study performed from August to September 2014. The data was taken retrospectively from medical records of tympanic membrane perforation patients at Dr. Hasan Sadikin General Hospital from January 2011 to December 2013.Results: Of 579 tympanic perforation patients, there were only 214 medical records met the inclusion criteria. The frequency of tympanic membrane perforation patients increased in 2011 it was 28%, in 2013 it was 37.6%. The number of male patients (53.3%) was higher than female patients’. Most patients were in productive age (83.2%). Most patients came with the chief complaint of discharge from ear (36.4%) and the most common etiology was infection (84.1%). Otological examination showed that most patients had unilateral perforation (73.8%). Based on the size of perforation, central perforation (52.3%) was the most common otological finding. From audiogram, most patients had conductive hearing loss (41.5%) with moderate degree of hearing loss (30.4%). Most patients were treated by medications (64.5%).Conclusions: The frequency of tympanic membrane steadily increases with clinical characteristic mostly in male patients in productive age admitted with chieft complain of discharge of ear. The most common etiology is infection. Majority of patients have unilateral central perforation that cause conductive hearing lost. [AMJ.2016;3(1):43–8] DOI: 10.15850/amj.v3n1.702
Characteristics of Patients Who Underwent Mastoidectomy: A Two Years Experience Gunasekaran, Ashwini; Mahdiani, Sally; Veronica, Fifi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.148 KB) | DOI: 10.15850/amj.v4n3.1206

Abstract

Background: Mastoidectomy is a surgical procedure to remove an infected portion of the bone behind the ear called mastoiditis when medical treatment is not effective. Patients with chronic suppurative otitis media (CSOM) complications mostly need this surgery in order to maintain the normal function of hearing. Chronic mastoiditis and cholesteatoma are the most common indications of CSOM. This study was conducted to identify the characteristics of patients who underwent mastoidectomy at Dr. Hasan Sadikin General Hospital, from 2012– 2013.Methods: A descriptive study using total sampling method was conducted. Data were collected from medical records of 41 patients who underwent mastoidectomy at Dr. Hasan Sadikin General Hospital from 2012–2013. Inclusion criteria were medical records of patients who  underwent  mastoidectomy, and consisted of variables studied, such as  age, gender, chief complaint, main etiology, method of surgery,  and presence of abnormalities in the structure of middle ear. Incomplete medical records were excluded. The collected data were presented using percentage.Results: Age ranged from 15–64 years (85.37%), male patients were higher (65.9%) compared to female patients (34.1%). Otorrhea (70.73%) was the main chief complaint and infection (100%) was the main cause. Majority of patients had canal wall down (CWD) surgery (63.41%) and many abnormalities were found in the inner ear structure during the surgery.Conclusions: Infection is the only cause and otorrhea is the main indication for mastoidectomy. Most patients have been operated with CWD technique. 
Clinical and Histopathological Characteristic of Salivary Gland Carcinoma in Dr. Hasan Sadikin General Hospital in 2009–2012 Andriani, Fatimah Lidya; Nur, Ismet Muchtar; Mahdiani, Sally
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Salivary gland neoplasm is one of the rare neoplasm. The frequency of this neoplasm is lower than 2% of all type of tumors in human. Malignant salivary gland tumor comprises 6% of all head and neck tumors. Data about salivary gland carcinoma are still limited. The aim of this study was to determine the frequency of malignant salivary gland based on the patients’ age, gender, site of lesion and histopathology type. Methods: This study was conducted descriptively. There were 97 subjects found from histopathological form that had been examined in Department of Anatomical Pathology, Dr. Hasan Sadikin General Hospital in 2009–2012. Total sampling technique was used and all data about patients’ age, gender, site of lesion and histopathology type were collected and analyzed.Results: Of 97 cases, age group 50–59 years old had the highest frequency (29%). The prevalence in male was more frequent than female with male:female ratio was 1.4:1. The most common site of carcinoma was found in parotid gland (45%). Mucoepidermoid carcinoma was the most common histopathology type found in this study (28%).Conclusions: Salivary gland carcinoma is still a rare malignant case in Dr. Hasan Sadikin General Hospital. Carcinoma in parotid gland was the most common site and mucoepidermoid carcinoma was the most common histopathology type. [AMJ.2016;3(1):54–8]DOI: 10.15850/amj.v3n1.696
Clinical Finding, Diagnosis, and Management of Tuberculous Mastoiditis in 4 Cases Sally Mahdiani; Lina Lasminingrum; Bambang Purwanto; Riri Handayani
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15944

Abstract

Background: Tuberculous mastoiditis is a rare case of chronic otitis media disease and extrapulmonary tuberculosis, caused by Mycobacterium tuberculosis. Case Presentation: Four cases of tuberculous mastoiditis were reported, ranging in age from 16 to 66 years. All patients presented with chronic discharge with signs of mastoiditis with intra and extratemporal complications. Two patients only manifested in the mastoid and two other patients had symptoms of tuberculosis in other organs, especially the lungs. All patients underwent radical mastoidectomy and histopathological examination showed tuberculosis. All patients received category 1 and category 2 antituberculosis drugs. Conclusion: The clinical features of tuberculous mastoiditis vary. Diagnosis of tuberculous mastoiditis can be done by histopathological examination and geneXpert. Surgical therapy and administration of antituberculosis are the main options in the management of tuberculous mastoiditis.
Frequency and Clinical Characteristics of Tympanic Membrane Perforation Outpatients at Dr. Hasan Sadikin General Hospital in 2011–2013 Veronika Ratih M.; Sally Mahdiani; Fenny Dwiyatnaningrum
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.064 KB)

Abstract

Background: Tympanic membrane perforation is a hearing problem that has become a health problem in the society. In Indonesia, there are only a few studies regarding tympanic membrane perforation. This study was aimed to observe the frequency and clinical characteristics of tympanic membrane perforation patients.Methods: This was a descriptive study performed from August to September 2014. The data was taken retrospectively from medical records of tympanic membrane perforation patients at Dr. Hasan Sadikin General Hospital from January 2011 to December 2013.Results: Of 579 tympanic perforation patients, there were only 214 medical records met the inclusion criteria. The frequency of tympanic membrane perforation patients increased in 2011 it was 28%, in 2013 it was 37.6%. The number of male patients (53.3%) was higher than female patients’. Most patients were in productive age (83.2%). Most patients came with the chief complaint of discharge from ear (36.4%) and the most common etiology was infection (84.1%). Otological examination showed that most patients had unilateral perforation (73.8%). Based on the size of perforation, central perforation (52.3%) was the most common otological finding. From audiogram, most patients had conductive hearing loss (41.5%) with moderate degree of hearing loss (30.4%). Most patients were treated by medications (64.5%).Conclusions: The frequency of tympanic membrane steadily increases with clinical characteristic mostly in male patients in productive age admitted with chieft complain of discharge of ear. The most common etiology is infection. Majority of patients have unilateral central perforation that cause conductive hearing lost. [AMJ.2016;3(1):43–8] DOI: 10.15850/amj.v3n1.702
Clinical and Histopathological Characteristic of Salivary Gland Carcinoma in Dr. Hasan Sadikin General Hospital in 2009–2012 Fatimah Lidya Andriani; Ismet Muchtar Nur; Sally Mahdiani
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.612 KB)

Abstract

Background: Salivary gland neoplasm is one of the rare neoplasm. The frequency of this neoplasm is lower than 2% of all type of tumors in human. Malignant salivary gland tumor comprises 6% of all head and neck tumors. Data about salivary gland carcinoma are still limited. The aim of this study was to determine the frequency of malignant salivary gland based on the patients’ age, gender, site of lesion and histopathology type. Methods: This study was conducted descriptively. There were 97 subjects found from histopathological form that had been examined in Department of Anatomical Pathology, Dr. Hasan Sadikin General Hospital in 2009–2012. Total sampling technique was used and all data about patients’ age, gender, site of lesion and histopathology type were collected and analyzed.Results: Of 97 cases, age group 50–59 years old had the highest frequency (29%). The prevalence in male was more frequent than female with male:female ratio was 1.4:1. The most common site of carcinoma was found in parotid gland (45%). Mucoepidermoid carcinoma was the most common histopathology type found in this study (28%).Conclusions: Salivary gland carcinoma is still a rare malignant case in Dr. Hasan Sadikin General Hospital. Carcinoma in parotid gland was the most common site and mucoepidermoid carcinoma was the most common histopathology type. [AMJ.2016;3(1):54–8]DOI: 10.15850/amj.v3n1.696
Characteristics of Patients Who Underwent Mastoidectomy: A Two Years Experience Ashwini Gunasekaran; Sally Mahdiani; Fifi Veronica
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.148 KB) | DOI: 10.15850/amj.v4n3.1206

Abstract

Background: Mastoidectomy is a surgical procedure to remove an infected portion of the bone behind the ear called mastoiditis when medical treatment is not effective. Patients with chronic suppurative otitis media (CSOM) complications mostly need this surgery in order to maintain the normal function of hearing. Chronic mastoiditis and cholesteatoma are the most common indications of CSOM. This study was conducted to identify the characteristics of patients who underwent mastoidectomy at Dr. Hasan Sadikin General Hospital, from 2012– 2013.Methods: A descriptive study using total sampling method was conducted. Data were collected from medical records of 41 patients who underwent mastoidectomy at Dr. Hasan Sadikin General Hospital from 2012–2013. Inclusion criteria were medical records of patients who  underwent  mastoidectomy, and consisted of variables studied, such as  age, gender, chief complaint, main etiology, method of surgery,  and presence of abnormalities in the structure of middle ear. Incomplete medical records were excluded. The collected data were presented using percentage.Results: Age ranged from 15–64 years (85.37%), male patients were higher (65.9%) compared to female patients (34.1%). Otorrhea (70.73%) was the main chief complaint and infection (100%) was the main cause. Majority of patients had canal wall down (CWD) surgery (63.41%) and many abnormalities were found in the inner ear structure during the surgery.Conclusions: Infection is the only cause and otorrhea is the main indication for mastoidectomy. Most patients have been operated with CWD technique. 
Timpanogram pada Anak Usia 1-5 Tahun Desti Kusmardiani; Wijana Wijana; Shinta Fitri Boesoirie; Sally Mahdiani
MEDULA JURNAL ILMIAH FAKULLTAS KEDOKTERAN UNIVERSITAS HALU OLEO Vol 5, No 1 (2017)
Publisher : Halu Oleo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.095 KB) | DOI: 10.46496/medula.v5i1.3892

Abstract

ABSTRACT Tympanometry is an objective examination that used to test condition of middle ear, mobility of tympanic membrane and the ossicles.The results are displayed in a curve called timpanogram. Timpanogram influenced by several factors, including age and race.The purpose of this study was to provide normal values of tympanogram in children aged 1 to 5 years. This study was an analytic research with cross sectional approach in 90 normal children aged 1-5 years through a routine examination with ear otoscopy and tympanometry. From the 90 samples (180 ears) the average value of the volume of the ear canal / Vea was 0.469 mL in the right ear and 0,495 mL in the left ear, the mean compliance / SAA 0.396 mL in the right ear and 0.380 mL in the left ear, and the average pressure / TPP -56.78 daPa on the right ear and the left ear daPa-53.26. Compared with the results of existing studies, the average value of the ear canal volume/ Vea and mean compliance/ SAA in children aged 1-5 years in Bandung showed lower. Statistically, in the Vea, there was a significant differences between men and women, with p = 0.041 in the right ear and p = 0.027 in the left ear. There was a correlation between variables Vea with SAA. Keywords: tympanogram, children ages 1-5 years.
Evaluasi Pascaimplantasi Koklea di Bandung Roland Lallo Mangontan; Lina Lasminingrum; Sally Mahdiani
Jurnal Sistem Kesehatan Vol 5, No 2 (2019): Volume 5 Nomor 2 Desember 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jsk.v5i2.25665

Abstract

Implantasi koklea adalah terobosan dalam bidang kedokteran untuk tatalaksana gangguan dengar sensorineural derajat berat atau sangat berat. Pasien dengan implan koklea dilakukan evaluasi sebelum dan sesudah implantasi koklea dengan tujuan menilai perkembangan kemampuan komunikasi. Evaluasi pascaimplantasi koklea dapat dilakukan dengan berbagai metode, diantaranya Categories of Auditory Performance (CAP)-II dan Free Field Test (FFT). Tujuan penelitian ini adalah mengetahui hasil evaluasi pasien pascaimplantasi koklea di Bandung periode Januari 2012-Desember 2016. Penelitian dilakukan secara deskriptif dari pasien yang dilakukan implantasi koklea di Bandung periode Januari 2012-Desember 2016. Pasien dilakukan evaluasi menggunakan metode Categories of Auditory Performance-II sesuai usia dan lama penggunaan alat serta Free Field Test. 34 pasien telah dilakukan implantasi koklea: 11 pasien (32,3%) bilateral, 23 pasien (67,6 %) unilateral, 22 pasien (64,7%) dilakukan evaluasi dengan CAP-II, 9 pasien (26,4%) dilakukan evaluasi dengan FFT, 3 pasien (8,8%) tidak mengikuti evaluasi CAP-II ataupun FFT, 22 pasien (100%) mengalami peningkatan level CAP-II setelah penggunaan implan koklea. 9 pasien (100%) memberikan respon pada FFT setelah pemakaian implan koklea. Usia, lama penggunaan implan dan gangguan kongenital penyerta lain merupakan faktor penting yang mempengaruhi hasil CAP-II. Respon pada FFT juga muncul setelah penggunaan implan koklea.Kata kunci: CAP, FFT, implantasi koklea.