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All Journal Jurnal Kesehatan Andalas Journal of Agromedicine and Medical Sciences Buletin Ilmiah Nagari Membangun Oto Rhino Laryngologica Indonesiana Majalah Kedokteran Andalas Bioscientia Medicina : Journal of Biomedicine and Translational Research Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Ilmu Kesehatan Indonesia (JIKSI) Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Jurnal Otorinolaringologi Kepala dan Leher Indonesia (JOKLI) Jurnal Riset Ilmiah Seroja Husada: Jurnal Kesehatan Masyarakat
Ade Asyari
Bagian Telinga, Hidung, Tenggorok, Kepala, Dan Leher FK Unand/RSUP Dr. M. Djamil Padang
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Rigid Esophagoscopy for an Impacted Kaffir Lime in the Proximal Esophagus: A Case Report and Discussion of a Unique Mechanical-Chemical Injury Rita Risandi; Ade Asyari
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1407

Abstract

Background: Esophageal food bolus impaction is a common otolaryngological emergency. However, impaction by a large, whole citrus fruit is exceedingly rare and presents unique diagnostic and therapeutic challenges, particularly concerning the object's size, radiolucency, and potential for causing both mechanical and chemical mucosal injury. Case presentation: We present the case of a 42-year-old male with acute-onset dysphagia and hypersalivation after ingesting a whole kaffir lime. Laryngoscopy revealed pooled secretions in the pyriform sinus, a key indicator of high esophageal obstruction, despite non-contributory plain radiography. The patient underwent emergent rigid esophagoscopy under general anesthesia. A 36 mm kaffir lime was identified at 15 cm from the incisors and successfully extracted en bloc using alligator grasping forceps. Post-extraction evaluation revealed localized mucosal excoriation without evidence of deep laceration or perforation. The patient recovered fully with no long-term sequelae. Conclusion: This case highlights the successful management of a rare and challenging esophageal foreign body. It underscores the diagnostic primacy of clinical findings over negative radiography for radiolucent objects and demonstrates the distinct advantages of rigid esophagoscopy—superior airway control, a wider operating channel, and use of robust instrumentation—for large, solid foreign bodies lodged in the proximal esophagus. In this instance, the impaction did not lead to severe complications within 24 hours, but prompt removal is essential to mitigate the risks of pressure necrosis and chemical esophagitis.
Rigid Esophagoscopy for an Impacted Kaffir Lime in the Proximal Esophagus: A Case Report and Discussion of a Unique Mechanical-Chemical Injury Rita Risandi; Ade Asyari
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1407

Abstract

Background: Esophageal food bolus impaction is a common otolaryngological emergency. However, impaction by a large, whole citrus fruit is exceedingly rare and presents unique diagnostic and therapeutic challenges, particularly concerning the object's size, radiolucency, and potential for causing both mechanical and chemical mucosal injury. Case presentation: We present the case of a 42-year-old male with acute-onset dysphagia and hypersalivation after ingesting a whole kaffir lime. Laryngoscopy revealed pooled secretions in the pyriform sinus, a key indicator of high esophageal obstruction, despite non-contributory plain radiography. The patient underwent emergent rigid esophagoscopy under general anesthesia. A 36 mm kaffir lime was identified at 15 cm from the incisors and successfully extracted en bloc using alligator grasping forceps. Post-extraction evaluation revealed localized mucosal excoriation without evidence of deep laceration or perforation. The patient recovered fully with no long-term sequelae. Conclusion: This case highlights the successful management of a rare and challenging esophageal foreign body. It underscores the diagnostic primacy of clinical findings over negative radiography for radiolucent objects and demonstrates the distinct advantages of rigid esophagoscopy—superior airway control, a wider operating channel, and use of robust instrumentation—for large, solid foreign bodies lodged in the proximal esophagus. In this instance, the impaction did not lead to severe complications within 24 hours, but prompt removal is essential to mitigate the risks of pressure necrosis and chemical esophagitis.
Pola Bakteri Berdasarkan Hasil Kultur dan Sensitivitas Antibiotik pada Penderita Abses Leher Dalam di Bagian THT-KL RSUP Dr. M. Djamil Padang Periode 2019-2021 Salim, Aurelia Agantha; Lestari, Yuniar; Asyari, Ade; Suharti, Netti; Ilmiawati, Cimi
Jurnal Otorinolaringologi Kepala dan Leher Indonesia Vol. 2 No. 1 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jokli.v2i1.37

Abstract

Latar Belakang : Penyakit abses leher dalam merupakan perluasan peradangan dari berbagai sumber infeksi yang membentuk suatu pus di dalam ruang potensial leher dalam. Infeksi pada ruang potensial leher dalam dapat disebabkan oleh bakteri aerob, bakteri anaerob, maupun multibakterial. Terapi antibiotik empiris diberikan sebelum hasil kultur dan uji sensitivitas antibiotik didapatkan. Tatalaksana pemberian antibiotik yang tidak tepat dapat menyebabkan terjadinya resistensi antibiotik. Tujuan : Penelitian ini bertujuan untuk mengetahui pola bakteri berdasarkan hasil kultur dan sensitivitas antibiotik pada penderita abses leher dalam di Bagian THT-KL RSUP Dr. M. Djamil Padang periode 2019-2021. Metode : Jenis penelitian ini adalah deskriptif retrospektif dengan teknik total sampling dan menggunakan data sekunder. Sampel penelitian adalah pasien abses leher dalam yang terdapat hasil kultur dan uji sensitivitas antibiotik di Bagian THT-KL RSUP Dr. M. Djamil Padang periode 2019-2021 dengan total 77 pasien. Hasil : Hasil pada penelitian ini menunjukkan usia terbanyak ialah usia pertengahan (>44-59 tahun) (37,7%), jenis kelamin terbanyak ialah laki-laki (74%), lama perawatan terbanyak ialah < 7 hari (44,2%). Jenis abses leher dalam terbanyak ialah abses submandibula (42,9%), etiologi paling banyak ialah infeksi odontogenik (71,4%), terapi antibiotik empiris yang paling banyak digunakan ialah kombinasi ceftriaxone dan metronidazole (68,8%), hasil kultur terbanyak ialah bakteri Klebsiella pneumonia (18,2%), antibiotik dengan angka sensitif tertinggi ialah antibiotik amikacin (89,7%) dan meropenem (82,4%), dan angka resisten tertinggi ialah antibiotik amoxicillin (100%) dan ampicillin (93,3%). Kesimpulan : pola bakteri berdasarkan hasil kultur ialah Klebsiella pneumoniae dan uji sensitivitas antibiotik didapatkan gentamicin dengan kombinasi metronidazole yang dapat digunakan sebagai antibiotik empiris pada penderita abses leher dalam.
Analisis Nilai Peak Nasal Inspiratory Flow pada Kejadian Rinitis Alergi Faathira, Ken Rabbani; Asyari, Ade; Afdal, Afdal
Jurnal Otorinolaringologi Kepala dan Leher Indonesia Vol. 2 No. 1 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jokli.v2i1.44

Abstract

Latar Belakang: Gejala hidung tersumbat sering merupakan gejala yang dominan pada rinitis alergi. Peak Nasal Inspiratory Flow (PNIF) adalah alat yang sangat bermanfaat untuk mengukur sumbatan hidung pada rinitis alergi karena terkait erat dengan tanda-tanda rinitis alergi berdasarkan pemeriksaan klinis dan berkorelasi baik dengan derajat keparahan rinitis alergi dan memiliki kelebihan yang sederhana, murah, nyaman, dan cepat. Penelitian ini bertujuan untuk menganalisis perbedaan nilai PNIF antara orang dengan rinitis alergi dan non-rinitis alergi. Metode: Penelitian ini merupakan penelitian analitik komparatif dengan menggunakan pendekatan cross sectional. Skrining rinitis alergi menggunakan kuesioner Score For Allergic Rhinitis (SFAR) kemudian dilakukan anamnesis, nasoendoskopi, dan pengukuran PNIF di poliklinik THT BKL RSUP Dr. M. Djamil Padang. Populasi adalah seluruh mahasiswa Program Studi Kedokteran Universitas Andalas yang mengidap rinitis alergi dan non-rinitis alergi dengan total sampel sebanyak 36 orang. Teknik pengambilan sampel dilakukan dengan convenience sampling. Hasil: Hasil penelitian didapatkan median nilai PNIF pada kejadian rinitis alergi sebesar 100 (50-120) L/m. Rata-rata nilai PNIF pada kejadian non-rinitis alergi sebesar 130,56 ± 24,36 L/m (Maks = 190 L/m, Min = 90 L/m). Dari hasil uji statistik Mann-Whitney didapatkan analisis beda nilai PNIF pada kejadian rinitis alergi dan non-rinitis alergi dengan nilai p < 0,001. Kesimpulan: Kesimpulannya terdapat perbedaan nilai PNIF yang signifikan antara kejadian rinitis alergi dan non-rinitis alergi.
Co-Authors Abdiana Abdiana, Abdiana Aci Mayang Sari Adha, Muhammad Rofid Adrial Adrial, Adrial Afdal Afdal, Afdal Afrainin Syah, Nur Al Hafiz Al Hafiz Al Hafiz Ali Djamhuri Amany, Esmaralda Nurul Amri, Siti Salsabilla Andani Eka Putra Arif Fahmi Arni Amir ASRAWATI Asrining Tyas Bestari J Budiman Bestari Jaka Budiman Bestari Jaka Budiman Bonny Murizky Cimi Ilmiawati, Cimi Deni Amri Diflayzer, Diflayzer Dolly Irfandy Dwininta Alfathika Effy Huriati Effy Huriyati Efrida Efrida Efrida Elniza Morina Elniza Morina Embun Dini Erly Indrama Erwi Saswita Esmaralda Nurul Amany Esmaralda Nurul Amany Eti Yerizal Eti Yerizel Faathira, Ken Rabbani Fachzi Fitri Fasya, Haidar Haikal Fika Tri Anggraini Fikri Akbar Firdawati, Firdawati Gestina Aliska Hafni Bachtiar Hafni Bachtiar Hafni Bachtiar Hafni Bachtiar Hafni Bachtiar Harun Harnavi Hendra Permana Jacky Munilson Jacky Munilson Julianda, Wahyu Khairil Faiz Amir Lestari, Rahmi Masnadi, Nice Rachmawati Mizwar, Mizwar Monica, Febrina Nadhirah binti Sa'an Nasman Puar Naura Aqila Netti Suharti Netti Suharti, Netti Nirza Warto Novialdi . Nur Azizah Nur Azizah Octavia, Tri Aryanti Putri Rizki Fitriani Rachmawati, Elvie Zulka Kautzia Rafly, Alifyar Rahmadona Rahmadona Rimelda Aquinas Rita Risandi Rosfita Rasyid Rossy Rosalinda Salim, Aurelia Agantha Saptino Miro Saptino Miro, Saptino Sariwati, Siska Sri Rahma Liza Sukri Rahman Sutas, Bima Ferdana Syandrez Prima Putra Tuti Handayani Tuti Handayani Utami, Refi Amalia Wahyu Julianda Wahyu Julianda Yan Edward Yolazenia Yolazenia Yuniar Lestari