Article Per Year (5 Year)
p-Index From 2021 - 2026
1.978
P-Index
This Author published in this journals
All Journal Indonesian Journal of Pharmaceutical Science and Technology Smart Medical Journal Indonesian Journal of Medicine Oto Rhino Laryngologica Indonesiana International Journal of Nasopharyngeal Carcinoma Jurnal Pengabdian Masyarakat Medika Indonesian Basic and Experimental Health Sciences
Novi primadewi
Faculty of Medicine, Sebelas Maret University
Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health

Published : 11 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 11 Documents
Search

 1   2 
When the Eustachian Tube Is Normal: Selective Epitympanic Dysventilation Syndrome in Primary Acquired Cholesteatoma – An Evidence-Based Case Report Pratiwi, Dewi; Sudrajad, Hadi; Primadewi, Novi; Ramliana, Dienia Nop
Indonesian Journal of Medicine Vol.11 No.2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.2.953

Abstract

Background: Primary acquired cholesteatoma is a benign yet locally destructive middle ear lesion with an incompletely understood pathogenesis. While Eustachian tube dysfunction is commonly implicated, it does not explain cases with normal middle ear pressure. Selective epitympanic dysventilation syndrome (SEDS) has been proposed as an alternative mechanism involving localized ventilation impairment within the epitympanum. This study aims to provide a clearer understanding of the clinical features of cholesteatoma associated with SEDS, which may help clarify its etiopathogenesis, support earlier detection, limit disease progression, and guide more appropriate, individualized clinical decision-making. Case presentation A 55-year-old female presented with one year of persistent, malodorous left otorrhea and progressive hearing loss over three months. Otoscopy revealed mucopurulent discharge with an attic perforation. Nasoendoscopy showed a patent Eustachian tube. Audiometry demonstrated mild conductive hearing loss (31.25 dB), and tympanometry showed a Type A curve, indicating normal middle ear pressure. Mastoid MSCT revealed opacification of mastoid air cells and antrum with intact ossicles and no mesotympanic involvement, suggesting a localized ventilation disorder consistent with SEDS. Conclusion: SEDS is an important and underrecognized mechanism in primary acquired cholesteatoma. Its recognition is essential for early diagnosis and for guiding surgical strategies that restore epitympanic ventilation to prevent recurrence.
Co-Authors . Harsini Abkar Raden Aditya, Destar Affi Angelia Ana Rima Setijadi Anggraini, Rinda Putri Anindita Ratna Gayatri Azizah, Zahroh Zuliana Dewi Pratiwi Dewi, Marisa Rizqiana Dewi, Taufani Donny Hendriyanto Eli Dwy Purbaningrum Fitria Marizka Kusumawardhany Hadi Sudrajad Hariyadi, Vicky Eko Nurcahyo Hendradewi, Sarwastuti Imaniar Hidayati Arindha Kandhi, Putu Wijaya Kandhi, Putu Wijaya Kesumo, Aningdita Kevin Wahyudy Prasetyo Matea, Ari Much Syamsulhadi Pratiwi, Primadita Asis Priyanka G Utami Ramliana, Dienia Nop Sekar Ayu Larasati Senyum Indrakila Setiamika, Made Setiamika, Made Seytopambudi, Kukuh Stephanie Indrawati Sugiarto Wahyu Aprillia Wicaksono, Adisetya Yusuf, Destar Aditya Zefania Yonisa