Sylvia Rachman
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Diagnosis dan Penatalaksanaan Tragus Asesorius dan Stenosis Liang Telinga pada Hemifasial Mikrosomia Al Hafiz; Jacky Munilson; Effy Huriyati; Yan Edward; Sylvia Rachman; Gunawan Yudhistira
Jurnal Kesehatan Andalas Vol 5, No 1 (2016)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v5i1.482

Abstract

Abstrak           Hemifasial mikrosomia (HFM) adalah diagnosis paling sering pada lesi wajah asimmetris dan merupakan kelainan kongenital wajah terbanyak kedua. HFM merupakan malformasi kongenital dimana terdapat defisiensi jaringan lunak dan tulang pada satu sisi wajah dan gangguan perkembangan telinga, terutama telinga luar. Diagnosis ditegakkan berdasarkan pada anamnesis, pemeriksaan fisik, dan pemeriksaan radiologis. HFM memiliki manifestasi klinis yang beragam, dan dipertimbangkan mendapatkan penatalaksanaan komprehensif yang melibatkan rekontruksi medik luas.               .           Sebuah kasus hemifasial mikrosomia dengan tragus asesorius dan stenosis liang telinga kanan dilaporkan pada perempuan berusia 13 tahun dan telah dilakukan rekonstruksi tragus dan kanaloplasti. Kata kunci: hemifasial mikrosomia, lesi wajah asimmetris, rekontruksi tragus, kanaloplasti. AbstractHemifacial microsomia (HFM) is the most frequent diagnosis in asymmetry facial lesions and the top second facial congenital lesion. HFM is a congenital malformation in which there is a deficiency of soft tissue and bone on one side of the face and malformation of the ear, especially outer ear. The diagnosis is based on history, physical examination, and radiological finding. HFM had various clinical manifestation and considered to comprehensive management involving extensive medical reconstruction. A hemifacial microsomia case with right tragal assesoria and ear canal stenosis has been reported in girl aged 13 years old and have performed tragus reconstruction and canaloplasty. Keywords:  hemifacial microsomia, asymmetrical facial lession, tragus reconstruction, canaloplasty
ANTROPOMETRI SENDI PERGELANGAN TANGAN PADA ETNIS MINANGKABAU Daldy Arianda; Roni Eka Sahputra; Sylvia Rachman; Erkadius Erkadius
Majalah Kedokteran Andalas Vol 38, No 2 (2015): Published in September 2015
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (394.195 KB) | DOI: 10.22338/mka.v38.i2.p89-98.2015

Abstract

AbstrakPenatalaksanaan fraktur distal radius adalah mengembalikan kekuatan menggenggam serta mempertahankan biomekanik sendi pergelangan tangan, sehingga pasien dapat mengerjakan aktifitas seperti sediakala, serta mengurangi resiko penyakit degeneratif di kemudian hari. Rentang gerak sendi juga merupakan bagian dari penilaian keselarasan anatomi, namun sedikit didiskusikan dalam kepustakaan. Penelitian ini bertujuan menilai antropometri sendi pergelangan tangan etnis Minangkabau. Survey analitik cross sectional dilakukan pada 50 mahasiswa kedokteran pria dan wanita beretnis Minangkabau, usia 21- 25 tahun. Data dianálisis untuk mengetahui nilai mean, standar deviasi serta menguji perbedaan antropometri pria dan wanita menggunakan t- test independen dengan derajat kepercayaan 95%. Nilai mean dan simpang deviasi ukuran ROM palmarfleksi 79,22 + 9,58; dorsofleksi 72,22 + 10,54; ulnar deviasi 40,74 + 9,43; radial deviasi 24,68 + 4,92; radial inclination 24,02 + 3,49; Radial length 11,35 + 1,56; Palmar Tilt 12,27 + 6,12. Terdapat perbedaan nilai radial inclination antara pria dan wanita (p=0,001). Penelitian ini menyimpulkan terdapat perbedaan bermakna secara statistik radial inclination pria dan wanita mahasiswa kedokteran yang beretnis Minangkabau. Selain itu terdapat perbedaan antropometri antara penelitian ini dengan kepustakaan yang lazim.AbstractAs it is known that the treatment of distal radius fractures is to restore the biomechanical strength of grip and maintain joint movement of the wrist so that the patient can do normal activities, and reduce the risk of degenerative diseases of the joints of the wrist in the future. From various journals and literature more votes just only on morphometry, while the range of motion is also part of conformity assessment anatomy as well. This study aimed to measure anthropometric of wrist joint of Minangkabau ethnic group. This study used cross sectional analytical survey on medical students, men and women, with Minangkabau ethnic group, age 21- 25 years , with a sample size of 50 people. Data was analysed to determine the mean and standard deviation, and to examine difference in male and female anthropometric measurement by using an independent t-test with a 95% degree of confidence. Result : Mean and standar deviation value ROM palmarfleksi 79.22 + 9.58; dorsiflexion 72.22 + 10.54; ulnar deviation of 40.74 + 9.43; radial deviation of 24.68 + 4.92. The size of the radial inclination was 24.02 + 3.49. Radial length was 11.35 + 1.56. Tilt Palmar size was 12.27 + 6.12. Statistically there was significant difference of radial inclination between women and men (p=0.001). Conclusion: There were significant differences in the average value of the radial inclination between men and women of Minangkabau ethnic group. Besides, there were some differences in anthropometric measurement in this study compared to figure commonly reported in literature.
ANTROPOMETRI SENDI PERGELANGAN KAKI ETNIS MINANGKABAU Hafni Marsil; Rizki Rahmadian; Sylvia Rachman; Erkadius Erkadius
Majalah Kedokteran Andalas Vol 38, No 2 (2015): Published in September 2015
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.57 KB) | DOI: 10.22338/mka.v38.i2.p108-115.2015

Abstract

AbstrakPenelitian ini bertujuan mengukur antropometri sendi pergelangan kaki etnis Minangkabau. Penelitian cross sectional dilakukan pada 50 orang mahasiswa kedokteran etnis Minangkabau berusia 21-25 tahun di lingkungan RS. dr. M Djamil Padang. Dilakukan pemeriksaan ROM, rontgen ankle proyeksi anteroposterior, lateral dan mortise. Hasil penelitian didapatkan ROM plantarfleksi 48,920±5,820, ROM dorsofleksi 31,300±4,070, inversi 10,320±2,280, eversi 5,940±1,200, talocrural angel anteroposterior 76,530± 2,530 dan mortise 77,380±2,270, tibiofibular overlap anteroposterior 7,51±2,64 mm dan mortise 4,71±2,45 mm, tibiofibular clear space anteroposterior 3,6±1,18 mm dan mortise 3,85±1,09 mm, talar tilt anteroposterior 0,140±0,100 dan mortise 0,190±0,150, medial malleolar length anteroposterior 13,88±1,99 mm dan mortise 14,03±1,69 mm, lateral malleolar length anteroposterior 25,71±2,83 mm dan mortise 26,70±3,40 mm, johnson angle anteroposterior 87,770±1,710 dan mortise 87,570±1,840, medial clear space 2,97±0,75 mm, anteroposterior inclination angle 7,470±2,700, anterior distal tibial angle 82,530± 2,700, dan anteroposterior gap 3,50±1,43 mm.Terdapat perbedaan ukuran antropometri sendi pergelangan kaki mahasiswa kedokteran beretnis Minangkabau di lingkungan RS. Dr. M. Djamil Padang dengan kepustakaan, namun masih dalam rentang normal.AbstractThis study aimed to measure anthropometric of ankle joint of Minangkabau ethnic group. Cross sectional study has been done in 50 Minangkabau ethnic medical students, aged 21-25 years in RSUP. Dr. M Djamil Padang. ROM, anteroposterior, lateral, and mortise X-ray projections of ankle were examined. ROM plantarflexion was 48.920±5.820, ROM dorsiflexion was 4.070±31.300, inversion was 10.320±2.280, eversion was 5.940±1.200, talocrural angel anteroposterior was 76.530±2.530 and mortise was 77.380±2.270, tibiofibular overlapp anteroposterior was 7.51±2,64 mm and mortise was 4.71±2,45 mm, tibiofibular clear space anteroposterior was 3.6±1.18 mm and mortise was 3.85±1.09 mm, talar tilt anteroposterior was 0.140 ± 0.100 and mortise was 0.190 ± 0.150, medial malleolar length anteroposterior was 13.88 ± 1,99mm and mortise was 14.03 ± 1,69mm, lateral length malleolar anteroposterior was 25.71±2,83 mm and mortise was 26.70 ± 3,40 mm, johnson angle anteroposterior was 87.770 ± 1.710 and mortise was 87.570±1.840, medial clear Space was 2,97±0,75 mm, anteroposterior Inclination Angle was 7.470±2.700, anterior distal tibial Angle was 82.530 ± 2.700 and anteroposterior gap was 3.50 ± 1,43 mm. There was a difference in antropometric size of the ankle joint between Minangkabau ethnic medical student in RSUP. Dr. M. Djamil Padang and literature, but still within the normal range.
THE ROLE OF RADIOLOGY IN DIAGNOSTIC BREAST TUMOR Sylvia Rachman
Majalah Kedokteran Andalas Vol 38 (2015): Supplement 1 | Published in September 2015
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (64.886 KB)

Abstract