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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Oto Rhino Laryngologica Indonesiana
Melysa Fitriana
Department Of Otorhinolaryngology Head And Neck Surgery, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada/ Dr. Sardjito General Hospital, Yogyakarta
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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The influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis media Adhika Banu Wicaksono; Edhie Samodra; Melysa Fitriana; Feri Trihandoko; Anisa Haqul Khoiria; Dyah Ayu Kartika Dewanti
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 54, No 3 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19106/JMedSci005403202206

Abstract

Chronic suppurative otitis media (CSOM) is an infection of the middle ear cavity both partially and totally. It is characterized by ear discharge through a tympanic membrane perforation for over a period of 2 to 6 weeks. Hearing loss is the most common complication of CSOM. One of the degrees of hearing loss in tympanic membrane perforation is depending on the site of perforation, but this premise is still debatable because of pros and contras by some researchers. This study aimed to assess the degree of hearing loss in relation to the site of tympanic membrane perforation. A cross-sectional prospective study design was performed involving 43 patients of safe type CSOM who came to the Department of Otolaryngology Head and Neck Surgery from the period January 2016 to November 2018. All subjects were divided into 4 groups based on the site of perforation. There was a perforation in the posteroinferior, the posterosuperior, the anteroinferior, and the anterosuperior. A statistical analysis using Anova along with multivariate analysis was conducted. Our result showed that the most common site of tympanic membrane perforation was at the anteroinferior (30 samples, 59.8%). The highest hearing threshold was seen at posteroinferior with a mean hearing level of 37.7±2.0 dB, anteroinferior with a mean hearing level of 31.7±0.7 dB, anterosuperior with a mean hearing level 30.7±1.4 dB, and posterosuperior mean hearing level 28.9±1.5 dB. The difference was found significant with p=0.004. Posteroinferior tympanic membrane perforation had a higher number of hearing loss compared to the other sites. In conclusion, the tympanic membrane perforation site has an important role in the hearing level of conductive hearing loss in CSOM.
A Demographic profile and clinical characteristics of patients with age related hearing loss Dofi Pebriadi; Ashadi Prasetyo; Melysa Fitriana
Oto Rhino Laryngologica Indonesiana Vol. 56 No. 1 (2026): VOLUME 56, NO. 1 JANUARY - JUNE 2026
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v56i1.803

Abstract

Background: Age-Related Hearing Loss (ARHL), or presbycusis, is a progressive, bilateral sensorineural hearing loss associated with the aging process. It commonly occurs in individuals over 60 years of age and is often linked to metabolic and cardiovascular disorders. Oxidative stress is a key mechanism contributing to cochlear hair cell damage, thinning of the stria vascularis, and neuronal degeneration. Although ARHL is irreversible, controlling risk factors may help slow its progression. Purpose: To determine the demographic profile, clinical characteristics, and the relationship between comorbidities and types of ARHL in patients at Sardjito Hospital, Yogyakarta. Method: This retrospective descriptive study used secondary data from the Neurotology Clinic, Department of Otorhinolaryngology– Head and Neck Surgery, Sardjito Hospital, collected from January 2022 to December 2024. A total of 120 patients diagnosed with ARHL were collected. Bivariate analysis was performed using the Chi- Square test and Fisher’s Exact Test. Result: Among 120 respondents, most were male (57.5%) and aged 60–74 years (73.3%). The most common chief complaint was hearing loss (72.5%), followed by tinnitus (20.8%) and vertigo (6.7%). Audiogram findings showed that strial presbycusis was the most prevalent type (42.5%), followed by sensory (27.5%), neural (21.7%), and cochlear (8.3%) types. Most patients had moderate hearing loss (49.2%). Cardiovascular comorbidities were present in 51.7% of patients. A significant association was found between cardiovascular comorbidities and ARHL type (p < 0.05). Conclusion: Strial presbycusis was the most common type of ARHL, and had a correlation with cardiovascular comorbidities
Co-Authors Adhika Banu Wicaksono Anisa Haqul Khoiria Ashadi Prasetyo Dofi Pebriadi Dyah Ayu Kartika Dewanti Edhie Samodra Feri Trihandoko