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Tinjauan Pustaka: Klasifikasi dan Tatalaksana Trauma Aurikuler Aurora Awindya Nareswari; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.702

Abstract

The auricle is the outermost part of the ear so it is very susceptible to injury. Injury or trauma to the auricles can occur intentionally or unintentionally, with the most common causes being accidents, bullet injuries, frostbites, burns, animal bites, and others. Some types of activities have a high risk of experiencing this type of trauma such as wrestling, boxing, and soccer. The most common types of trauma to the auricle are abrasions, lacerations, avulsions, and auricular hematomas. Auricular lacerations can be caused by a hard blow with a blunt object, an incision from a sharp object such as a knife, an accident, and others. Meanwhile, an auricular hematoma is an abnormal condition due to trauma to the auricle which causes a buildup of blood between the cartilage and perichondrium. If not treated or treated late, this condition can lead to fibrosis of the cartilage and the formation of neocartilage, then ends with cauliflower ear which can cause drastic changes in the auricles. Therefore, the diagnosis and management of auricular trauma must be carried out appropriately and adequately so as not to cause discomfort to the patient due to its effect on the patient's appearance.
Pengaruh Presbikusis Terhadap Kualitas Hidup Lansia Ellysa Angguman Putri; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.703

Abstract

Presbycusis is a sensorineural hearing loss that commonly occurs in the elderly as a result of the degenerative process of the hearing organ which continues to decrease progressively and symmetrically on both sides of the ear. Based on the results of audiometric examination and temporal bone pathology, presbycusis can be classified into four categories are sensory type, neural type, metabolic type, and cochlear conduction types. Factors involved in the development of presbycusis are genetic factors and environmental factors. Presbycusis is an important problem in the elderly social interaction. The elderly rely on their hearing to overcome the limited vision that is starting to get impaired. In addition, decreased concentration and memory due to age also make it difficult for the elderly to understand speech, especially in noisy situations. Presbycusis can cause serious complications, such as anxiety disorders, communication disorders, depression, isolation, and cognitive disorders. Presbycusis can affect all aspects of life, especially the personal and daily life. This is because hearing is an important sensation for the elderly in improving the quality of life, maintaining safety and health. Communication barriers caused by presbycusis affect the quality of life of the elderly.
Rhinitis Alergi: Etiologi, Patofisiologi, Diagnosis dan Tatalaksana Indah Kurnia Putri Waruwu; Isabela Irene Pangestu; Syalwa Meutia; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.705

Abstract

Allergic rhinitis is an inflammatory disease that is triggered by the occurrence of allergic reactions in patients with atopy who have previously been sensitized to the same allergen and the release of a chemical mediator when there is repeated exposure to that specific allergen which causes an inflammatory reaction in the patient. Rhinitis which is triggered by an allergic reaction to an allergen is one of the cases of nasal inflammation found in all human races. The incidence of rhinitis is more common, especially in children with male gender. The incidence of rhinitis that occurs in children will decrease with increasing age of these children. In adulthood, the incidence of rhinitis can be said to decrease and is rarely found. Even though allergic rhinitis has a course of disease, clinical manifestations that are not too dangerous for the patient's condition, this disease can still experience recurrences if the triggering allergen is not removed. This recurrence cannot be allowed to continue to occur because over time it will become a chronic symptom which can trigger various complications and also decrease the quality of life of sufferers. Adequate management and avoidance of triggering allergens are the main steps to avoid recurrence of allergic rhinitis.
Gambaran Umum Lagoftalmus Fityah Zabrina Hidayat; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.708

Abstract

Lagophthalmos is a disorder of the eyelids that cannot close completely. Lagophthalmos causes the eyes to remain open and unable to blink, this causes the eyes to have no protection so they can be exposed and leading them to evaporating the tears. The impact that arises is damage to the layers of the eye and will continue to get worse if it is not treated immediately. Lagophthalmos has many etiologies. Nevertheless, the main cause of lagophthalmos is facial nerve paralysis (N.VII) which is also known as paralytic lagophthalmos, damage to the eyelids which is called cicatricial lagophthalmos, and lagophthalmos during sleep which is called nocturnal lagophthalmos. Diagnosis can be established by anamnesis and physical examination results. The patient will complain of a foreign object in the eye, as well as a feeling of soreness, the eye can be watery or dry, and if lagophthalmos is accompanied by damage to the cornea, blurry vision can be found. On physical examination, a gap will be found between the upper and lower eyelids when the patient tries to close his eyes. Physical examination and laboratory tests can also be used to determine the etiology of lagophthalmos and rule out the differential diagnosis. Other physical examinations that can be carried out are function tests of all cranial nerves and corneal sensitivity tests. Treatment for lagophthalmos is divided into pharmacology and surgery according to the severity of the disease. There are also preventive efforts made to relieve symptoms and prevent the severity of the disease with education.
Penegakan Diagnosis dan Tatalaksana Keratitis Bakterial Devina Hardianto; Devira Fitriani Kamal; Mochamad Fauzan Dava; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.712

Abstract

Bacterial keratitis is an infection of the cornea that caused by the invasion and proliferation of bacteria in the cornea, which can cause ulceration of the cornea. Bacterial keratitis is most often caused by Staphylococcus aureus, Staphylococcus epidermis, Streptococcus pneumoniae, and Pseudomonas aeruginosa. The use of contact lenses is associated with the incidence of bacterial keratitis. Other risk factors are alcohol, malnutrition, trauma, changes in the surface of the cornea. Symptoms that are often experienced are pain and red eyes, blurred vision, sensitivity to light, watery eyes, and tearing, because of damage in corneal epithelium and stromal inflammation due to the entry of bacteria. It is necessary to establish the diagnosis of bacterial keratitis. Evaluation is by inspection of the eye using slit lamp. Conjunctival injection, white infiltrate on the cornea due to damage to the corneal epithelium can be found. In addition, corneal thinning, stromal edema, inflammatory endothelial plaques, folds of Descemet's membrane, mucopurulent discharge, and anterior chamber hypopyon were also found. Laboratory test is through a scraping of the cornea for gram staining or bacteria culture. The treatment of bacterial keratitis is using broad-spectrum antibiotics before culture test and definitive antibiotics after the causative bacteria are identified.
ARTIKEL POLIP HIDUNG DAN PENATALAKSANAAN Hanifah Qollama Astrid; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.714

Abstract

Nasal polyps are long-stemmed protrusions of the nasal cavity and it is include pseudotumors, which are a chronic inflammatory disease of the mucous membranes of the nose and paranasal sinuses. Nasal secretions, nasal congestion, sneezing, impaired sense of smell, male gender, increasing age and asthma are symptoms and risk factors associated with nasal polyps. Nasal polyps are aggressive and often seems like other pathologies in the nasal and paranasal cavities. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP) is the most common condition that usually occurs, nasal polyps are a continuation of acute rhinosinusitis. The etiology is not known with certainty, there are several underlying things. Diagnosis of nasal polyps can be enforced by history of anamnesis and clinical manifestations felt by the patient. Careful anamnesis, precise and fast diagnosis can have an impact on good and ideal treatment and management for increase a quality of life a patients, evaluation and management of side effects from treatment must be continuously controlled. Intranasal corticosteroids such as budesonide, fluticasone propionate, and mometasone furoate have been shown to reduce polyp size.
Konjungtivitis Alergi Noval Ramadirta; Mentari Putri Maharani; Rachel Agustin Inggrid Zefanya; Yashila Rahimah; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.716

Abstract

Allergic conjunctivitis is a form of ocular disorder associated with hypersensitivity reactions to foreign bodies. Allergic conjunctivitis is often a reaction to topical and systemic medications or cosmetics and animal dander from cats and/or dogs. Allergic conjunctivitis is a consequence of a type 1 allergic reaction. In individuals with hypersensitivity, when the allergen is present in the conjunctiva, this allergen triggers a reaction that causes Th2 cells to produce cytokines that induce the production of immunoglobulin E (IgE) by B cells. Classification of allergic conjunctivitis based on Ocular Allergy from the European Academy of Allergy and Clinical Immunology (EAACI) are ocular surface hypersensitivity disorders including ocular allergy or non-allergic ocular hypersensitivity. The diagnosis and management of this disease are related to the clinical manifestations that occur in patients. General management in the form of avoiding allergens and improving eye hygiene must be considered so that chronicity does not occur in the disease and interferes with the patient's quality of life. Some cases of allergic conjunctivitis do not pose a severe health threat. Complications of allergic conjunctivitis are rare, but when they do, they can be serious, including, in severe cases, scarring of the eye. If allergic conjunctivitis develops into infective conjunctivitis, the infection can spread to other body areas, potentially causing severe secondary infections. This article will provide a deeper understanding of allergic conjunctivitis, its diagnosis and management.
HIFEMA : TINJAUAN KLINIS DAN KLASIFIKASI Imtinan Khoirunnisa; Carissa Aprilia Y; Fadilah Alwiyah; Regita Dwi M; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.720

Abstract

Accumulation of blood in the anterior chamber of the eye called hyphema. A hyphema usually caused by blund trauma to the eye. It can also occur as a result of surgery inside the eye or abnormal blood vessels inside eye. Bleeding, eye pain, blurry or distorted vision, and light sensitivity is the symptoms of hyphema. The treatment are encouraging the blood, treat elevation incraocular pressure, bed rest is recommended. Also, patient of hyphema can also kept head in elevatd position during sleep and protect the eye with a shield. Steroid eye drops usually prescribed to limit inflammation, dilating drops, and reduce the pain. The last treatment is surgery with purpose to remove the blood. Prognosis of hyphema depends on size, small sized have a good prognosis. But, patient whose have eyes undergo rebleding have bad prognosis because they have larger sized of hyphema.
Tinjauan Pustaka: Patofisiologi, Diagnosis, dan Tatalaksana Rinitis Alergi Ahmad Duta Al-Ihya; Ghina Salsabila Fenty PNR; Putu Ristyaning Ayu Sangging; Rani HImayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.725

Abstract

Rhinitis is broadly defined as inflammation of the nasal mucosa. The incidence rate of allergic rhinitis in Indonesia is estimated at approx 10-20% and soon increase. The average age of allergic rhinitis is 8-11 years,and 80% allergic rhinitis occurs in 20 years old. Rhinitis describes a pattern of symptoms resulting from nasal inflammation and/or nasal mucosal dysfunction that includes many different subtypes. There are three different, widely accepted subtypes of rhinitis: allergic rhinitis, infectious rhinitis, and non-allergic rhinitis, non-infectious rhinitis. Rhinitis is characterized by the presence of one or more of the following nasal symptoms: nasal congestion, anterior or posterior rhinorrhea, sneezing, and pruritus.The diagnosis of this disease can be done by percutaneous skin tests (skin prick test), radioalergosorbent test (RAST), simultaneous multiantigen test (MAST), fluoroallergosorbent test (FAST), and capture immunoassay test (ImmunoCAP). A thorough medical history and detailed clinical examination may lead to suspicion of allergic rhinitis. Medical therapy includes intranasal corticosteroids, which are safe to administer to both adults and children and are superior to combination oral antihistamines and leukotriene receptor antagonists. The first generation antihistamines are no longer recommended because of side effects, whereas the second generation oral antihistamines have strong H1 receptor selectivity and weak anticholinergic action. Nasal irrigation is widely used in all types of rhinitis with isotonic or hypertonic saline and helps remove mucus and clears inflammatory medications.
Ablasio Retina: Etiologi, Faktor Resiko, Diagnosis, dan Tatalaksana Salsabila Haqya Kusuma; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.726

Abstract

The separation of the neurosensory layer on the retina with the pigment epithelium layer at the bottom is an eye disease called Retinal Detachment. Retinal detachment occurs when the EPR and neurosensory layers are no longer attached to each other. Based on previous research, it was found that in the Iowa area conducted by Haimann et al., as well as research conducted in Minnesota by Wilkes et al., there were 12 cases of retinal detachment per 100,000 people each year. This research was conducted with the type of literature review research which has the aim of collecting data that is relevant to the material that is interested in being studied at this time, namely regarding Retinal Detachment or Retinal Detachment. The inclusion criteria used by the researchers were a literature that was uploaded or published at the latest in 2012. The exclusion criteria used were literature published in 2011 and below (examples: 2011, 2010). The results of the research that has been done are in the form of in-depth material regarding retinal detachment. Based on the theory introduced by the American Optometric Association (AAO), retinal detachment is categorized into rhegmatogenous which most often causes emergency conditions, and non-rhegmatogenous. Risk factors that affect retinal detachment are myopia, age, gender, trauma, the presence of peripheral retinal degeneration, and others. Meanwhile, the recommended treatment or therapy is vitrectomy surgery, scleral buckle, pneumatic retinopexy, and laser photocoagulation. Because retinal detachment can be an emergency case, doctors need to be aware of the signs and symptoms that lead to this disorder.
Co-Authors Adinda Husna Cahyana Agung Ikhssani Agustyas Tjiptaningrum Ahmad Duta Al-Ihya Alghani, Sulthan Rafi Almaina Puteri Jasmine Almaina Amira Nabila Andi Nafisah Angelica Philia Christy Anggraeni Janar Wulan Annisarahma, Lyvia Aprilia, Intan Rahma Ardian Reza Putra Arfa Salma Firnandya Ari Irawan Ari Irawan Ari Wahyuni Aulia Nur Fitriatsani Aurora Awindya Nareswari Azizah Nur Rahmah Bagus Pratama Brigitta Shinta dewi Carissa Aprilia Y Cholyviona W.S Handhayani Citra Yuliyanda Pardilawati Cut Karel Dithia Daffa Fahreiza Daffa Fahreiza Devina Hardianto Devira Fitriani Kamal Devya Aulia Dian Isti Angraini Dilla Syahra Noor Fitri Dzakwan Cedri Ketierteu Ellysa Angguman Putri Evan Christian Christian Fadila Gustiani Daraz Fadilah Alwiyah Faiq Razaan Razaan Farid Hammadi Faridi Pani Farraz Kanya Syahra Fayza Syachrani Fityah Zabrina Hidayat Ganesha Rahman Hakim Ghina Salsabila Fenty PNR Gusnirwan, Alief Hanifah Qollama Astrid Hanna Mutiara Hendri Busman Herlambang, Geri Indra Imtinan Khoirunnisa Indah Kurnia Putri Waruwu Indah Salsabila Indri Windarti Intanri Kurniati Isabela Irene Pangestu Jhons Fatriyadi Suwandi Julianti, Dinul Aliya Kalih, Abigael Ludwina Kamila Nastiti Karima, Nisa Keziah Tirtawijaya Khairun Nisa Kurnia Fithrananda Kurniawaty, Evi Laja, Rana Salsabila Putri Lintang Lestari Cahya Sawitri Mafalda Marzon Maria Devi Melni Armadani Mentari Putri Maharani Mira Yustika Mochamad Fauzan Dava Muhamad Zaidan Algifari Muhammad Ammar Naufal Muhammad Arsy Kamal Faadhil Muhammad Maulana Muhammad Rizki Akbar, Muhammad Rizki Mukhbita, Khalila Alya Mukhlis Imanto, Mukhlis Nabila Alsa Sagia Nabila Shafira Nabila Yoli Rahmadani Nadhia Wihelga Nahrassyiah Rahma Putri Ni Putu Sari Widiyani Noval Ramadirta Nurul Fadhilah Az-zahro Nurul Utami Oktafany Oktafany Oktoba, Zulpakor Pardilawati, Citra Yulianda Pardilawati, Citra Yuliyanda Prasetyo, Muhammad Purwono Qoriba, Fathan RA Genta Syakira Hatta Rachel Agustin Inggrid Zefanya Rafi Gutra Aslam rahmawati, selvi Rahmi Zuraida Raihanah Nabilah Rani Himayani Rani Himayani Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Regita Dwi M Reisyah Syahfira Rifka Putri Dewi Rika Lisiswanti Risti Graharti Rizqiani Astrid Nasution Rudiyanto, Waluyo Salsabila Haqya Kusuma Salshabilla, Annisa Sembiring, Dustin Delano Pranata Setiorini, Anggi Shiddiq, Muhammad Nasrullah Nur Shinta Nareswari, Shinta Simanungkalit, Jesica Natalia Sinulingga, Anselmus Libreya Siti Shafira Elfreda Suharmanto Suryani Agustina Daulay Susianti Susianti Sutarto Sutarto Sutyarso Sutyarso Syahrani Alya Murfi Syalwa Meutia Syiva Ulhayah Tamaulina Br Sembiring Tiasti, Jania Tri Umiana Soleha Tsurayya Fathma Zahra Yashila Rahimah Zahra, Siti Aqila Zayatri Nurul Jannaty Zheva Aprillia Yozevi