Article Per Year (5 Year)
p-Index From 2020 - 2025
0.444
P-Index
This Author published in this journals
All Journal E-Jurnal Medika Udayana Archives of The Medicine and Case Reports
Anak Agung Wira Ryantama
Unknown Affiliation
Health Professions Medicine & Pharmacology Nursing Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
PREVALENSI DAN KARAKTERISTIK OBESITAS PADA ANAK DI POLIKLINIK ANAK RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR PERIODE JANUARI-DESEMBER 2016 Anak Agung Wira Ryantama; Ida Bagus Subanada
E-Jurnal Medika Udayana Vol 10 No 1 (2021): Vol 10 No 01(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i1.P17

Abstract

ABSTRAK Obesitas dapat diartikan“sebagai suatu kelainan yang ditandai dengan penimbunan.”jaringan lemak tubuh secara berlebihan akibat ketidakseimbangan antara konsumsi kalori dan kebutuhan energi. Di Indonesia, prevalens “obesitas pada anak usia 6-15 tahun meningkat dari 5% tahun 1990 menjadi.”16% tahun 2001. Tujuan penelitian ini adalah untuk mengetahui karakteristik kasus obesitas pada anak yang terdapat“di RSUP Sanglah Denpasar periode Januari.”2016- Desember 2016. Penelitian ini merupakan studi deskriptif retrospektif dengan pendekatan potong lintang menggunakan data sekunder rekam medis dengan sampel anak obesitas yang datang ke Poliklinik Anak RSUP Sanglah Denpasar. Karakteristik yang diambil berupa umur, jenis kelamin, riwayat ASI ekslusif, pekerjaan orangtua dan pendidikan terakhir orangtua. Dari 34 anak dengan obesitas, ditemukan paling banyak berusia 7 tahun (23,5%) dan paling sedikit terjadi pada usia 12 tahun (5,9%). Anak lelaki lebih banyak menderita obesitas dibandingkan dengan anak perempuan (61,8% vs 38,2%). Lebih dari setengah sampel anak dengan obesitas tidak memiliki riwayat ASI ekslusif (55,9%). Orangtua anak dengan obesitas sebagian besar bekerja sebagai pegawai swasta (76,5%) dan memiliki riwayat pendidikan terakhir SMA (58,8%). Disimpulkan bahwa anak obesitas kebanyakan berusia 7 tahun, berjenis kelamin lelaki, tidak memiliki riwayat ASI ekslusif, memiliki orangtua dengan pekerjaan pegawai swasta dan pendidikan terakhir SMA. Kata kunci: Obesitas, Anak, Karakteristik, RSUP Sanglah
Non-Keratinizing Sinonasal Squamous Cell Carcinoma Extending to the Skull Base: Surgical Management with Total Maxillectomy - A Case Study Anak Agung Wira Ryantama; Eka Putra Setiawan; Wayan Lolik Lesmana; Agus Rudi Asthuta; Komang Andi Dwi Saputra; Luh Sartika Sari
Archives of The Medicine and Case Reports Vol. 6 No. 3 (2025): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v6i3.745

Abstract

Sinonasal squamous cell carcinoma (SNSCC) is an uncommon malignancy arising within the nasal cavity and paranasal sinuses, representing approximately 3% of head and neck cancers. The non-keratinizing subtype (NKSCC) presents unique diagnostic and therapeutic challenges, particularly when exhibiting locally advanced disease with extension towards critical structures like the skull base. Management typically involves a multimodal approach centered around surgical resection, often followed by adjuvant therapy. We present the case of a 51-year-old female, employed in the wood furniture industry, presenting with a progressively enlarging right nasal mass initially noted four years after removal of a right cheek lesion. Symptoms included unilateral nasal obstruction, epistaxis, anosmia, and loosening of maxillary teeth. Clinical examination revealed a large, friable mass obliterating the right nasal cavity and extending onto the palate. Computed tomography confirmed an extensive destructive mass involving the right nasal cavity, maxillary sinus, ethmoid sinus, extending to the nasopharynx, parapharyngeal space, masticator space, buccal space, frontal sinuses, and abutting the right internal carotid artery. Biopsy confirmed Non-Keratinizing Squamous Cell Carcinoma. The patient was staged as T4bN2cM0 according to the AJCC 8th edition criteria. Following neoadjuvant chemotherapy, the patient underwent total maxillectomy via a Weber-Ferguson approach with Lynch modification, including placement of a dental obturator. In conclusion, advanced NKSCC involving the skull base requires aggressive, multidisciplinary management. This case highlights the necessity of radical surgical resection, such as total maxillectomy via extended approaches like the Weber-Ferguson with Lynch modification, to achieve oncologic control in extensive T4b disease. Despite the challenges posed by proximity to vital structures, surgery remains the cornerstone of treatment, often requiring adjuvant therapy to optimize outcomes. Long-term follow-up is crucial due to the inherent risk of recurrence.
Co-Authors Agus Rudi Asthuta Eka Putra Setiawan Ida Bagus Subanada Komang Andi Dwi Saputra Luh Sartika Sari Wayan Lolik Lesmana