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All Journal Oto Rhino Laryngologica Indonesiana
Zizlavsky, Semiramis
Departemen Telinga Hidung Tenggorok - Bedah Kepala Leher Fakultas Kedokteran Universitas Indonesia/ Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo Jakarta
Health Professions Medicine & Pharmacology

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Tantangan Pasca Operasi Implan Koklea: Pengalaman 15 Tahun di Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo Zizlavsky, Semiramis; Priyono, Harim
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.701

Abstract

Background: Hearing loss is a significant but often overlooked disability, particularly in developing countries as Indonesia, where access to specialized care is still limited. Purpose: To review the 15-years experience of cochlear implantation services at Cipto Mangunkusumo National General Hospital. Method: A retrospective study of children aged 0–18 years with profound hearing loss who underwent cochlear implant surgery between 2009 and 2023. Data were collected from medical records, including patient demographics, surgical outcomes, and complications. Result: A total of 255 patients (318 ears) received cochlear implants, with the majority aged 3–5 years (37.6%), and 54.5% male. Unilateral implants were predominant (75.3%). In 2020, a 92% decline in surgeries was noted due to the COVID-19 pandemic, which led to the postponement of elective and non-urgent cases. Post-surgical complications occurred in 4.3% of patients, with facial nerve stimulation being the most common side effects (36.4%). Conclusion: Despite expanding services, there still some obstacles remained, including high costs, limited access to specialized care, and unequal distribution of skilled professionals. Addressing these challenges is crucial to improving patient outcomes, and ensuring the sustainability of cochlear implant programs in Indonesia.
Clinical approach to auditory malingering in an adolescent Yasin, Fikry; Zizlavsky, Semiramis; Irfan, Irfan; Kaligis, Fransiska
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.640

Abstract

Background: Cases of auditory malingering are frequently encountered in medical practice, but there was very limited scientific evidence on the characterization of auditory malingering in children and adolescents. Purpose: To provide a comprehensive description of an auditory malingering case in an adolescent. Case Report: A 14-year-old boy came with complaints of sudden bilateral deafness, for the last three months. Hearing examination findings were within normal limits. Discussion: An objective hearing examination was necessary to complement subjective assessments in establishing the diagnosis of hearing loss. In this case, following normal auditory findings and subsequent consultations, the patient admitted that he had feigned his symptoms to avoid bullying by his friends, who mocked him for never having visited Jakarta. Conclusion: The examination of hearing function should involve not only subjective hearing examinations, but also objective hearing examinations to establish a diagnosis of hearing loss. Keywords: hearing loss, hearing examination, malingering   ABSTRAK Latar belakang: Kasus malingering yang melibatkan organ pendengaran cukup sering ditemukan dalam praktek kedokteran sehari-hari, namun bukti ilmiah yang mendeskripsikan kejadian malingering pendengaran pada anak-anak dan remaja masih sangat terbatas. Tujuan: Untuk menyampaikan secara komprehensif suatu kasus malingering pendengaran pada seorang remaja. Kasus: Laki-laki usia 14 tahun datang dengan keluhan mendadak tidak dapat mendengar pada kedua telinga sejak 3 bulan terakhir. Hasil pemeriksaan fungsi pendengaran dalam batas normal. Pembahasan: Pemeriksaan fungsi pendengaran secara obyektif diperlukan untuk menegakkan diagnosis gangguan pendengaran. Pada kasus ini, setelah temuan pendengaran yang normal dan konsultasi lanjutan, pasien mengaku telah memalsukan gejalanya untuk menghindari perundungan teman-temannya yang mengejeknya karena belum pernah mengunjungi Jakarta. Kesimpulan: Pemeriksaan fungsi pendengaran sebaiknya tidak hanya dilakukan pemeriksaan pendengaran subyektif saja, namun diperlukan juga pemeriksaan pendengaran obyektif untuk menegakkan diagnosis gangguan pendengaran. Kata kunci: gangguan pendengaran, pemeriksaan fungsi pendengaran, malingering
Intraoperative Electrically Evoked Auditory Brainstem Response (eABR) examination in cochlear implant candidacy Zizlavsky, Semiramis; Saleh, Rangga Rayendra; Priyono, Harim
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 1 (2024): VOLUME 54, NO. 1 JANUARY - JUNE 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i1.664

Abstract

Background: Cochlear implantation is one of the most promising hearing habilitation methods for patients with profound sensorineural hearing loss (SNHL). One of the difficulties associated with the method is predicting the outcome of the surgery, especially in patients with cochlear nerve abnormalities. Purpose: To evaluate the intraoperative cochlear nerve response using Electrically Evoked Auditory Brainstem Response (eABR), and determine if cochlear implantation was required. Clinical question: How significant was intraoperative eABR in determining the outcome of cochlear implantation? Case report: This study considered two cases with profound bilateral SNHL that underwent intraoperative eABR. The first case involved 10-year-old girl who had used conventional hearing aids for eight years before surgery. She practiced lip reading for communication. The second case involved 4-year-old boy with delayed speech and a history of febrile seizure when he was two years old. He had used a conventional hearing aid for six months. Method: Evidence based literature was conducted through PubMed, Embase, and Wiley. Result: On the first case, eABR examination evoked no response in both ears and the parents decided not to carry on with the surgery. In the second case, eABR examination aroused a significant response in both ears, so the implantation was performed. Three months postoperative, the child was babbling and able to detect sound. Conclusion: eABR could give valuable input in identifying profound bilateral SNHL patients with cochlear nerve abnormality. The high cost of implant devices makes this examination beneficial for the patient’s family in deciding if implantation surgery is required.   Keywords: cochlear implant, cochlear nerve hypoplasia, eABR, hearing habilitation, profound sensorineural hearing loss
Co-Authors -, FADILAH Aldri Frinaldi Alia, Dina Alia, Dina Anita Amalia Sari Arief, Wresty Bambang Hermani Bernie Endyarni Medise Damayanti Soetjipto Damayanti, Heditya Dina Alia Edrial Eddin Eka Dwi Safitri Fadilah - Fikri Mirza Putranto Fransiska Kaligis Harahap, Juliandi Haryuna, Tengku Siti Hajar Heditya Damayanti Hidayatul Fitria Hidayatul Fitria Indra Parmaditya Pamungkas Indra Zachreini Indrati Suroyo Irawan Mangunatmadja Jenny Bashiruddin Joedo Prihartono Juliandi Harahap Khoirul Anam KHOIRUL ANAM Mayangsari, Ika Dewi MMSI Irfan ,S. Kom Muchtaruddin Mansyur Natasha Supartono Nirza Warto Pamungkas, Indra Parmaditya Pandelaki, Jacub Pratamisiwi, Rindy Yunita Priyono, Harim Putri, Shally Adhina Adhina Ranakusuma, Respati Respati Ranakusuma Respati W. Ranakusuma Respati W. Ranakusuma Restuti, Ratna Dwi Ronny Soewento Ronny Suwento Ronny Suwento, Ronny Safira Trifani Putri Safitri, Eka Dwi Saleh, Rangga Rayendra Saptawati Bardosono Sari, Anita Amalia Sarwono Waspadji Setyo Handryastuti Shally Adhina Adhina Putri Soetjipto, Damayanti Soewento, Ronny Supartono, Natasha Tamin, Susyana Tara Candida Mariska Teguh Ranakusuma Tiara Aninditha Tri Handayani Tri Handayani Tri Juda Airlangga, HARDJOPRAWITO Wahyuni, Luh Kurnia Warto, Nirza Widayat Alviandi Yasin, Fikry Zachreini, Indra