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All Journal Althea Medical Journal Jurnal Sistem Kesehatan Oto Rhino Laryngologica Indonesiana Tunas Medika Jurnal Kedokteran & Kesehatan Indian Journal of Forensic Medicine & Toxicology
Wijana Wijana
Departemen Ilmu Kesehatan Telinga Hidung Tenggorok Bedah Kepala Leher Fakultas Kedokteran Universitas Padjadjaran/ Rumah Sakit Dr. Hasan Sadikin Bandung
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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Neonatal Asphyxia as a Risk Factor for Sensorineural Hearing Loss in Indonesian Children Ratna Anggraeni; Wijana; Pudyastuti Rachyanti
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15909

Abstract

Background: Neonatal Asphyxia is one of the risk factors for hearing loss in children. Neonatal Asphyxiacauses cochlear damage due to lack of oxygenation and tissue perfusion which can lead to cell death.Objective: Determining the risk of Neonatal Asphyxia for the occurrence of sensorineural hearing lossin children. Methods: A case control study was done between July to September 2020. Children withsensorineural hearing loss are on study group and the control group is children with normal hearing.Participants were measured for previous labor history based on medical records that confirmed asphyxia.Participants were also examined for DPOAE and ABR / BERA. The measurement results were analyzedusing the Chi-Square test, which was significant if p <0.05. Results: Most participants aged 2-3 yearsexperienced hearing loss (65.96%) and normal (68.08%; p = 0.835). Participants of sensorineural hearingloss with Neonatal Asphyxia (57.4%) were more than non- Neonatal Asphyxia (42.6%; OR = 1.82; 95% CI0.81 - 4.13; p = 0.149). Conclusion: Neonatal Asphyxia increases the risk of sensorineural hearing loss by1.82 times compared to children without Neonatal Asphyxia.
Tingkat Pengetahuan Kesehatan Telinga Dan Pendengaran Siswa Smp Di Kecamatan Muara Gembong Kabupaten Bekasi Ilman Fathony Martanegara; Wijana Wijana; Sally Mahdiani
Jurnal Sistem Kesehatan Vol 5, No 4 (2020): Volume 5 Nomor 4 Juni 2020
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jsk.v5i4.31281

Abstract

Kesehatan telinga dan pendengaran merupakan hal penting yang perlu perhatian khusus. Gangguan pada telinga dan pendengaran dapat mengakibatkan beberapa kelainan, seperti penyakit infeksi telinga, masalah keseimbangan hingga gangguan pendengaran permanen. Kesehatan telinga dan pendengaran yang baik dapat dicapai dengan melakukan kebiasaan dan sikap yang sehat dengan didasari pengetahuan yang baik dalam hal kesehatan telinga dan pendengaran. Penelitian dilakukan secara deskriptif  menggunakan kuesioner. Subjek penelitian sebanyak 714 siswa yang terbagi dalam empat desa di Kecamatan Muara Gembong, Kabupaten Bekasi. Pengetahuan siswa mengenai kesehatan telinga dan pendengaran secara umum masih rendah. Pada tingkat pengetahuan mengenai kebersihan telinga, >80% siswa tidak mengetahui mengenai kebiasaan yang baik untuk kebersihan telinga. Sebanyak >60% siswa tidak mengetahui penyebab infeksi telinga, dan >70% mengetahui mengenai komplikasi infeksi telinga. Pada tingkat pengetahuan mengenai kesehatan pendengaran, lebih dari 60% siswa memiliki kebiasaan memakai earphone dengan durasi penggunaan kurang dari 1 jam, namun lebih dari 80% siswa tidak mengetahui bahwa gangguan pendengaran karena bising bersifat permanen. Pembahasan lebih dari 90% siswa membutuhkan informasi mengenai kesehatan telinga dan pendengaran. Tingkat pengetahuan siswa mengenai kesehatan telinga dan pendengaran siswa di Kecamatan Muara Gembong Kabupaten Bekasi masih rendah sehingga dibutuhkan upaya pemberian informasi dan pemeriksaan berkala mengenai kesehatan telinga dan pendengaran bagi siswa secara umum.Kata Kunci : Tingkat pengetahuan, kesehatan telinga, kesehatan pendengaran.
Penatalaksanaan Aktinomikosis Oroservikofasial dengan Berbagai Faktor Risiko Tita Puspitasari; Sinta Sari Ratunanda; Ratna Anggraeni Poerwana; Wijana Wijana
Jurnal Sistem Kesehatan Vol 5, No 4 (2020): Volume 5 Nomor 4 Juni 2020
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jsk.v5i4.31289

Abstract

Aktinomikosis merupakan penyakit kronis granulomatosa yang jarang terjadi, berkembang lambat, dan disebabkan bakteri Gram positif anaerob famili Actinomycetaceae. Tujuan penelitian untuk melaporkan dan menganalisis kasus penatalaksanaan aktinomikosis oroservikofasial dengan berbagai faktor risiko. Metode penelitian laporan kasus pasien aktinomikosis oroservikofasial yang berobat ke poliklinik THT-KL, RSUP Dr. Hasan Sadikin, Bandung pada tahun 2016 dan 2017 serta dilakukan telaah kritis literatur mengenai penatalaksanaan aktinomikosis oroservikofasial. Pencarian literatur melalui situs Pubmed, Clinical Key, Proquest, Google Scholar. Berdasarkan kriteria tertentu, didapatkan lima artikel yang dilakukan penilaian critical appraisal. Dilaporkan 3 kasus dengan hasil biopsi ketiga pasien berupa peradangan kronis disebabkan Actinomyces. Antibiotik yang digunakan adalah Amoksisilin, kombinasi Amoksisilin dengan Klavulanat per oral, serta Seftriakson intra vena. Penatalasanaan  faktor risiko sebagian besar berupa pembedahan selain pemberian anti retroviral pada pasien HIV. Terdapat perbaikan pada pasien yang dievaluasi pada minggu ke-2 paska pengobatan, berupa berkurangnya keluhan dan tidak ditemukannya jaringan patologis pada pemeriksaan rinolaringoskopi serat lentur. Sebagai kesimpulan penatalaksanaan pasien aktinomikosis oroservikofasial mendapatkan hasil yang baik dengan pemberian antibiotik golongan Penisilin, kombinasi Penisilin dengan Anti Beta Laktamase atau dengan antibiotik golongan Sefalosporin disertai  penatalaksanaan terhadap faktor risiko yang melatarbelakangi. Penatalaksanaan  faktor risiko sebagian besar berupa pembedahan.Kata kunci: Aktinomikosis oroservikofasial, faktor risiko, Penisilin, pembedahan
Hearing status of children under five years old in Jatinangor district Wijana Wijana; Frino Abrianto; Shinta Fitri Boesoirie; Arif Dermawan
Oto Rhino Laryngologica Indonesiana Vol 50, No 1 (2020): Volume 50, No. 1 January - June 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (345.464 KB) | DOI: 10.32637/orli.v50i1.348

Abstract

Background: Hearing is one of the most influential factors in children developmental process. The critical period of hearing and speech development begins in the first 6 months of life and continues until the age of 3 years. World Health Organization estimates that one to three in a thousand births have sensorineural hearing loss (SNHL). Early detection of hearing loss is substantial so that the diagnosis can be established and appropriate intervention can be done earlier. Purpose: To determine the hearing status in children under five years of age in Jatinangor. Method: A cross-sectional observational study with 240 subjects under the age of five in 12 Integrated Healthcare Center (Posyandu) in Jatinangor. Examinations included parental interviews, Behavioral Observation Audiometry (BOA), Otoacoustic Emissions (OAE), and tympanometry tests. Result: One child (0.4%) had moderate conductive hearing lossin the left ear, 1 child (0.4%) had bilateralsevere SNHL, and 7 children (2.9%) had profound bilateral SNHL. Conclusion: The incidence of hearing loss in children under five in Jatinangor was 3.8%, with bilateral profound SNHL asthe highest number, and the most common cause were prenatal Toxoplasma, Rubella, Cytomegalovirus (CMV) dan Herpes simplex virus (TORCH) infections.Keywords: children under-five, early detection, hearing status ABSTRAKLatar belakang: Pendengaran merupakan salah satu faktor yang sangat berpengaruh dalam proses perkembangan anak. Periode kritis perkembangan pendengaran dan berbicara dimulai dalam 6 bulan pertama kehidupan dan terus berlanjut sampai usia 3 tahun. Badan kesehatan dunia memperkirakan satu sampai tiga dalam seribu kelahiran terdapat kejadian gangguan dengar jenis sensorineural. Deteksi dini gangguan dengar penting untuk dilakukan sehingga diagnosis dapat ditegakkan dan intervensi yang tepat dapat dilakukan sedini mungkin. Tujuan: Untuk mengetahui status pendengaran pada anak usia bawah lima tahun di kecamatan Jatinangor. Metode: Penelitian observasional potong lintang dengan subjek penelitian 240 anak usia bawah lima tahun di 12 Pos Pelayanan Terpadu (Posyandu) Kecamatan Jatinangor. Dilakukan pemeriksaan meliputi wawancara orangtua anak, tes Behavioral Observation Audiometry (BOA), tes Otoacoustic Emissions (OAE) dan tes timpanometri. Hasil: Didapatkan 1 anak (0,4%) mengalami gangguan dengar konduktif derajat sedang pada telinga kiri, 1 anak (0,4%) mengalami gangguan dengar sensorineural derajat berat bilateral, dan 7 anak (2,9%) mengalami gangguan dengar sensorineural derajat sangat berat bilateral. Kesimpulan: Angka kejadian gangguan dengar pada balita di kecamatan Jatinangor sebesar 3,8% dengan gangguan dengar terbanyak berupa sensorineural derajat sangat berat bilateral, dan latar belakang penyebab terbanyak adalah infeksi prenatal Toxoplasma, Rubella, Cytomegalovirus dan Herpes simplex virus (TORCH).
Gambaran Klinis Pasien Laringomalasia di Poliklinik Telinga Hidung Tenggorok Bedah Kepala Leher Rumah Sakit Dr. Hasan Sadikin Bandung Periode Januari 2012 - Maret 2015 Ayu Hardianti Saputri; Melati Sudiro; Sinta Sari Ratunanda; Wijana Wijana
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 3, No 1 (2016): Tunas Medika Jurnal Kedokteran & Kesehatan
Publisher : Tunas Medika Jurnal Kedokteran & Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Laringomalasia merupakan salah satu kelainan kongenital yang terjadi akibat jatuhnya struktur supraglotik selama inspirasi sehingga menyebabkan stridor. Laringomalasia terdiri dari 3 tipe. Faktor risiko laringomalasia adalah lahir prematur, kelainan neurologik dan lesi jalan nafas. Faktor komorbid laringomalasia adalah bronkopneumonia, kelainan jantung bawaan dan kelainan neurologik. Laringomalasia diduga memiliki hubungan yang erat dengan refluks isi lambung. Tujuan: memberikan informasi mengenai gambaran klinis laringomalasia berdasarkan tipe laringomalasia, faktor risiko, faktor komorbid, dan gambaran refluks laringofaring sehingga diharapkan penatalaksanaan yang lebih terpadu. Metode: penelitian deskriptif retrospektif dengan pendekatan potong lintang, di Poliklinik THT-KL RSHS Bandung periode Januari 2012-Maret 2015, berdasarkan data rekam medis, dan pemeriksaan laringoskopi serat lentur. Hasil: Terdapat 84 pasien (55 laki-laki dan 29 perempuan). Tipe laringomalasia terdiri dari tipe 1 (63,1%), tipe 2 (23,8%) dan tipe 3 (13,1%). Faktor risiko terbanyak adalah cerebral palsy (13%). Faktor komorbid berupa bronkopneumonia (53,6,5%), dan kelainan jantung bawaan (4,8%). Terdapat 2 gambaran refluks laringofaring, yaitu mukus kental endolaring (48,8%), dan hipertrofi komisura posterior (10,7%). Kesimpulan: Laringomalasia banyak terjadi pada laki-laki dibandingkan perempuan, tipe laringomalasia terbanyak adalah tipe 1 epiglotis berbentuk omega. Faktor risiko kelainan neurologik (cerebral palsy), faktor komorbid bronkopnemonia dan gambaran refluks laringofaring berupa mukus kental endolaring yang banyak terjadi.Kata Kunci : Laringomalasia, Laringoskopi Serat LenturBackground : Laryngomalacia is a congenital anomalies caused by the collapse of the supraglottic structures during inspiration and causing of stridor. Laryngomalacia consists of 3 types. Laryngomalacia risk factor is premature birth, neurological disorders and lesions of the airway. Laryngomalacia comorbidities was bronchopneumonia, congenital heart disease and neurological disorders. Laryngomalacia expected to have close links with the laryngopharyngeal reflux (LPR). Aim: provide information on the clinical manifestation of Laryngomalacia based on type Laryngomalacia, risk factors, comorbidities, and laryngopharyngeal reflux so expect a more unified management. Methods : retrospective descriptive study with cross-sectional approach in the outpatient of Otolaryngology-Head and Neck Surgery, Hasan Sadikin Hospital, Padjadjaran University, period January 2012-March 2015 from the medical sheats records and record video flexible fiberoptic laryngoscopy (FFL). Results : Eighty four patients were included in the study (59 males and 29 females). Risk factor in this study is cerebral palsy (13%) and the comorbid factor is bronchopneumonia (53,6,5%), cerebral palsy and congenital heart diseases (4,8%). The two clinical findings from LPR is endolaring mucus (48,8%), posterior commissure hypertrophy (10,7%). Conclusions : Laryngomalacia more common in men than women, the most Laryngomalacia type is type 1 omega-shaped epiglottis. Risk factors is neurological disorders (cerebral palsy), comorbidities bronchopneumonia and laryngopharyngeal reflux picture in form of viscous mucus that frequently occurred.Keyword : Laryngomalacia, Flexible Fiberoptic Laryngoscopy.
Hearing Profile of Children Below Three Years Old at Jatinangor Integrative Health Care Center, West Java, Indonesia Fidkya Allisha; Wijana Wijana; Sally Mahdiani
Althea Medical Journal Vol 9, No 2 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v9n2.2525

Abstract

Background: Hearing function is one of the most important factors affecting children’s development process. The first three years of life is a golden period of growth and development of children. This study was conducted to investigate the hearing profile of children below three years old at Jatinangor Integrative Health Care Center (Pos Pelayanan Terpadu, Posyandu), West Java, Indonesia.Methods: An observational cross-sectional study was conducted to 86 children below three years old who was selected by using multistage cluster sampling at 12 Posyandu in Jatinangor sub-district by using in-depth interview related to hearing loss risk factors, reaction test, and tympanometry test.Results: The hearing loss prevalence of children below three years old in the Jatinangor sub-district was 7.0%. Of the 86 children, there were 2.3% (n=2) children with moderate conductive hearing loss, 1.2% (n=1) children with moderate sensorineural hearing loss, and 3.5% (n=3) children with very severe sensorineural hearing loss. Fifty percent of children with sensorineural hearing loss were discovered without any risk factor.Conclusions: The prevalence of hearing loss in children under three years old at the Jatinangor Integrative Health Care Center is slightly higher than the national prevalence. Fifty percent of children are found without risk factors, therefore Universal Newborn Hearing Examination (UNHS) needs to be implemented at the national level in accordance with the guidelines of the Joint Committee for Infant Hearing (JCIH) in which are integrated with primary health care units, tertiary health care centers otorhinolaryngology, and also the audiological center.
Characteristics of Nasal Foreign Body Cases in Dr. Hasan Sadikin General Hospital Bandung Henzen Ghesan Hampry; Sinta Sari Ratunanda; Melati Sudiro; Wijana Wijana; Ayu Hardianti Saputri
Althea Medical Journal Vol 10, No 1 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n1.2702

Abstract

Background: Nasal foreign bodies are caused by the insertion of an extraneous substance into the nasal cavity. These cases frequently occur in children. Nasal foreign bodies are easily diagnosed, yet the treatment may be burdensome with possible complications and costly management. The study aimed to evaluate the characteristics of nasal foreign body cases.Methods: The study was descriptive and cross-sectional, using secondary data taken from all medical records of the Emergency Room in Dr. Hasan Sadikin General Hospital, Bandung, from 2018 to 2021. Data were presented in tables.Results: Of the 57 cases, most of the patients (64.9%) were aged 3-5 years, with boys as the most prevalent cases (59.7%) and the most common complaint was pain (31.7%). Inorganic foreign bodies (61.4%) were more commonly found, and being frequently found in the right nasal cavity (49.1%). The duration of the foreign body in the nasal cavity and the treatment conducted on the patients were mostly not written in the medical records, however, no complications were found.Conclusions: A higher incidence of nasal foreign bodies can be found in boys aged 3-5 years. Inorganic objects and pain are the most common manifestations, although the condition of all patients has been improved. Raising awareness about foreign body cases to the community, especially the parents, is the key to preventing these cases from occurring.
Communication Ability and Related Factors in Children with Hearing Aids rico doloksaribu; Wijana -
Oto Rhino Laryngologica Indonesiana Vol. 49 (2019): Volume 49, No. 2 July - December 2019
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v49i2.307

Abstract

Background : Hearing function is very influential on the development of speech and language. Hearing disorders in children can lead to disrupt of communication skills. Hearing aids help provide the development of the ability to hear, talk, and communicate. Some factors such as age, duration of use of hearing aids, and parental activeness in encouraging children to communicate and perform auditory verbal therapy are known have an effect on communication skills.Aim : Knowing the capabilities and related factors of communication  after using of hearing aids in children.Method : Had been done cross sectional study design at the private hearing centre in Bandung in the period January - May 2018. Inclusion criteria for this research is children who use hearing aids which control in the period January-May 2018Result : From  60 subjects that fit with research criteria. There were 35 childrens (58,33%)  who use mix communication, there were 23 childrens (38,33%) in special school. There were 37 childrens (61,67%) who have communication duration more than 6 hours. There were 45 childrens (75%) had routine  frequency of therapy. There were 23 childrens (38,33%) who use AVT&Speech Therapy. A total of 66.67% of subjects had a low PEACH score (< 60), 16.67% had a moderate PEACH score (> 60 - ≤ 75), and 16.66% had a normal PEACH score (> 75). The PEACH score in this study shows an average value of 52.63% with 16.66% had a normal PEACH score (> 75)Conclusion : Caractheristic that have a significant relationship with normal peach score, communication method, educational method, communication duration, frequency of therapy, and type of therapy used (p <0.05 )
Hearing status of children under five years old in Jatinangor district Wijana Wijana; Frino Abrianto; Shinta Fitri Boesoirie; Arif Dermawan
Oto Rhino Laryngologica Indonesiana Vol. 50 No. 1 (2020): Volume 50, No. 1 January - June 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v50i1.348

Abstract

Background: Hearing is one of the most influential factors in children developmental process. The critical period of hearing and speech development begins in the first 6 months of life and continues until the age of 3 years. World Health Organization estimates that one to three in a thousand births have sensorineural hearing loss (SNHL). Early detection of hearing loss is substantial so that the diagnosis can be established and appropriate intervention can be done earlier. Purpose: To determine the hearing status in children under five years of age in Jatinangor. Method: A cross-sectional observational study with 240 subjects under the age of five in 12 Integrated Healthcare Center (Posyandu) in Jatinangor. Examinations included parental interviews, Behavioral Observation Audiometry (BOA), Otoacoustic Emissions (OAE), and tympanometry tests. Result: One child (0.4%) had moderate conductive hearing lossin the left ear, 1 child (0.4%) had bilateralsevere SNHL, and 7 children (2.9%) had profound bilateral SNHL. Conclusion: The incidence of hearing loss in children under five in Jatinangor was 3.8%, with bilateral profound SNHL asthe highest number, and the most common cause were prenatal Toxoplasma, Rubella, Cytomegalovirus (CMV) dan Herpes simplex virus (TORCH) infections.Keywords: children under-five, early detection, hearing status ABSTRAKLatar belakang: Pendengaran merupakan salah satu faktor yang sangat berpengaruh dalam proses perkembangan anak. Periode kritis perkembangan pendengaran dan berbicara dimulai dalam 6 bulan pertama kehidupan dan terus berlanjut sampai usia 3 tahun. Badan kesehatan dunia memperkirakan satu sampai tiga dalam seribu kelahiran terdapat kejadian gangguan dengar jenis sensorineural. Deteksi dini gangguan dengar penting untuk dilakukan sehingga diagnosis dapat ditegakkan dan intervensi yang tepat dapat dilakukan sedini mungkin. Tujuan: Untuk mengetahui status pendengaran pada anak usia bawah lima tahun di kecamatan Jatinangor. Metode: Penelitian observasional potong lintang dengan subjek penelitian 240 anak usia bawah lima tahun di 12 Pos Pelayanan Terpadu (Posyandu) Kecamatan Jatinangor. Dilakukan pemeriksaan meliputi wawancara orangtua anak, tes Behavioral Observation Audiometry (BOA), tes Otoacoustic Emissions (OAE) dan tes timpanometri. Hasil: Didapatkan 1 anak (0,4%) mengalami gangguan dengar konduktif derajat sedang pada telinga kiri, 1 anak (0,4%) mengalami gangguan dengar sensorineural derajat berat bilateral, dan 7 anak (2,9%) mengalami gangguan dengar sensorineural derajat sangat berat bilateral. Kesimpulan: Angka kejadian gangguan dengar pada balita di kecamatan Jatinangor sebesar 3,8% dengan gangguan dengar terbanyak berupa sensorineural derajat sangat berat bilateral, dan latar belakang penyebab terbanyak adalah infeksi prenatal Toxoplasma, Rubella, Cytomegalovirus dan Herpes simplex virus (TORCH).
Hearing Loss in Treacher-Collins Syndrome Fezzan Athama Fuadi; Wijana -
Oto Rhino Laryngologica Indonesiana Vol. 51 No. 1 (2021): Volume 51, No. 1 January - June 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i1.375

Abstract

Background: Treacher Collins Syndrome (TCS) is a craniofacial disorder that has a dominant autosomal disorder in facial development, found 1 in every 50.000 births. The most often manifestations could be mandibulofacial disorder, microtia, atresia of the ear canal, and hearing loss. This syndrome is also accompanied by bone malformations of the ossicular chain in the middle ear, which can lead to conductive hearing loss up to 50% of cases, besides sensory neural hearing loss. Purpose: To report one case of Treacher Collins syndrome who came to the Audiology-Vestibular Clinic, Dr. Hasan Sadikin General Hospital Bandung. Case report: The patient came with symptoms of micrognathia and microtia with bilateral hearing loss. The right ear is smaller than the left ear, and compliant with 3rd grade microtia. He had undergone reconstruction ear surgery of the right ear, and had an improvement in audiological examination after the second stage of reconstruction. There was TCOF 1 (Treacle Ribosome Biogenesis Factor 1) gene mutation involved in this case. Clinical question: What is the best management for TCS with micrognathia, microtia and severe bilateral hearing impairments? Review method: Literature search was performed with keywords Treacher Collins Syndrome AND microtia AND hearing loss. Result: The search obtained 263 literatures published in the last 10 years, and found 12 articles relevant with the topics. Conclusion: TCS is a rare inherited disorder, but the diagnosis could be easily established. Early intervention with hearing rehabilitation, audio-verbal rehabilitation, and reconstruction ear surgery should be carried out for a better quality of life.ABSTRAK Latar belakang: Sindroma Treacher Collins adalah kelainan kongenital auotosom dominan pada kepala dan wajah, yang ditemukan pada 1 dari 500,000 bayi lahir. Manifestasi yang paling sering didapati adalah kelainan mandibulofasial, mikrotia, atresia liang telinga, dan gangguan pendengaran. Pada sindroma ini terjadi malformasi rangkaian tulang-tulang pendengaran di telinga tengah, yang mengakibatkan tuli konduktif pada 50% kasus, dan dapat juga disertai tuli sensorineural. Tujuan: Melaporkan satu kasus sindroma Treacher Collins yang datang ke poliklinik Audiology-Vestibular, Rumah Sakit Umum Dr. Hasan Sadikin, Bandung. Laporan Kasus: Keluhan utama pasien adalah mikrognatia dan mikrotia disertai gangguan pendengaran kedua telinga. Bentuk telinga kanan lebih kecil daripada telinga kiri, yang sesuai dengan mikrotia derajat 3. Pasien menjalani bedah rekonstruksi telinga kanan, dan memperoleh perbaikan hasil pemeriksaan audiogram pasca tahap kedua bedah rekonstruksi. Pada kasus ini didapati ada mutasi genetik TCOF 1 (Treacle Ribosome Biogenesis Factor 1). Pertanyaan klinis: Bagaimana penatalaksanaan terbaik untuk kasus STC dengan mikrognatia, mikrotia dan gangguan pendengaran berat kedua telinga. Telaah literatur: Penelusuran literatur melalui Google Scholar dilakukan dengan kata kunci Treacher Collins Syndrome DAN microtia DAN hearing loss. Hasil: Didapatkan 263 literatur mengenai STC yang terbit dalam 10 tahun terakhir, dan 12 literatur yang sesuai dengan topik. Kesimpulan: Sindroma Treacher Collins adalah kelainan bawaan langka yang merupakan penyakit keturunan, namun diagnosisnya tidak sulit ditegakkan. Perlu dilakukan intervensi dini berupa rehabilitasi pendengaran, rehabilitasi wicara, dan bedah rekonstruksi telinga untuk memberikan kualitas hidup yang baik bagi penderita.Kata kunci: sindroma Treacher Collins, mikrognatia, mikrotia, gangguan pendengaran
Co-Authors Arif Dermawan Ayu Hardianti Saputri Ayu Hardianti Saputri Fezzan Athama Fuadi Fidkya Allisha Frino Abrianto Henzen Ghesan Hampry Ilman Fathony Martanegara Melati Sudiro Melati Sudiro Pudyastuti Rachyanti Ratna Anggraeni Ratna Anggraeni Poerwana rico doloksaribu Sally Mahdiani Shinta Fitri Boesoirie Sinta Sari Ratunanda Sinta Sari Ratunanda Tita Puspitasari