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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Majalah Kedokteran Sriwijaya SRIWIJAYA JOURNAL OF MEDICINE Oto Rhino Laryngologica Indonesiana Bioscientia Medicina : Journal of Biomedicine and Translational Research Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal of Anesthesiology and Clinical Research
Abla Ghanie, Abla
Department Of Ear Nose Throat Head And Neck Surgery, Faculty Of Medicine, Universitas Sriwijaya, Palembang, Indonesia / Department Of Ear Nose Throat Head And Neck Surgery, Dr Moh Hoesin Hospital, Palembang, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Uji Reliabilitas Voice Handicap Index-30 Adaptasi Bahasa Indonesia dI RSUP Dr. Mohammad Hoesin Palembang Yanti, Lisa Apri; Ghanie, Abla; Zuleika, Puspa; Adelien, Adelien
Sriwijaya Journal of Medicine Vol. 2 No. 1 (2019): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

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Abstract

Berbicara merupakan cara yang efektif untuk berkomunikasi. Adanya gangguan suara atau disfonia akan mengganggu proses komunikasi yang akan berdampak negatif terhadap kehidupan sosial. Voice Handicap Index (VHI) merupakan salah satu kuesioner untuk menilai persepsi suara dimana Agency of Healthcare Research and Quality pada tahun 2012 mengumumkan VHI sebagai diagnostik instrumen yang valid dan reliabel. Saat ini klinisi di Indonesia belum menggunakan alat ukur ini pada pasien dengan gangguan suara ataupun untuk evaluasi pascaterapi karena belum tersedianya instrumen yang sudah teruji reliabilitasnya dalam bahasa Indonesia. Penelitian ini bertujuan untuk mendapatkan VHI adaptasi bahasa Indonesia yang reliabel, mengetahui sebaran subjek gangguan suara berdasarkan demografi, pemeriksaan perseptual subjektif (GRBAS) dan laringoskopi indirek. Penelitian ini menggunakan rancangan potong lintang. Subjek diambil dengan teknik consecutive sampling hingga terpenuhi jumlah sampel 40 orang. Penelitian dilakukan di poliklinik THT-KL divisi Laring Faring RSMH pada bulan Juni-November 2018. Hasil uji reliabilitas VHI didapatkan skala fungsional, fisik, emosional maupun skor total memiliki nilai alpha lebih dari 0,7. Hal ini menunjukkan bahwa VHI adaptasi bahasa Indonesia reliabel untuk dijadikan suatu instrumen pemeriksaan. Nilai Cronbach-α tertinggi yaitu pada skala VHI total sebesar 0.884. VHI-30 adaptasi bahasa Indonesia reliabel sebagai instrumen penilaian kualitas hidup pasien gangguan suara.
Penatalaksanaan Enam Kasus Aspirasi Benda Asing Tajam di Saluran Trakheobronkial Puspa Zuleika; Abla Ghanie
JURNAL KEDOKTERAN DAN KESEHATAN Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

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Abstract

Latar Belakang: Aspirasi benda asing ialah masuknya benda yang berasal dari luar tubuh atau dari dalam tubuh yang dalam keadaan normal tidak ada ke saluran pernafasan. Aspirasi benda tajam di saluran trakheobronkial merupakan permasalahan yang cukup sering terjadi dan meningkat beberapa tahun terakhir seiring dengan peningkatan penggunaan  jarum   pentul, terutama pada wanita muda dan remaja perempuan. Aspirasi benda asing tajam  berpotensi menimbulkan komplikasi serius, seperti distress pernapasan akut, atelektasis, perdarahan, robekan dan infeksi paru, bahkan kematian. Diagnosis aspirasi benda asing tajam dapat ditegakkan melalui anamnesis berupa riwayat tersedak benda asing tajam dan didukung dengan pemeriksaan radiologi berupa gambaran radiopak dari benda asing tajam. Tujuan: Mempresentasikan serial kasus aspirasi benda asing tajam di saluran trakeobronkial. Kasus: Lima kasus aspirasi benda asing tajam jarum pentul dan satu kasus prolong aspirasi benda tajam paku payung plastik di saluran trakeobronkial,           Kesimpulan: Dilaporkan lima kasus aspirasi benda asing tajam jarum pentul dan satu kasus prolong aspirasi benda tajam paku payung plastik di saluran trakeobronkial, yang berhasil ditatalaksana dengan bronkoskopi kaku
Angka Kejadian Delayed Speech Disertai Gangguan Pendengaran pada Anak yang Menjalani Pemeriksaan Pendengaran di Bagian Neurootologi IKTHT-KL RSUP Dr.Moh. Hoesin Sarah Novi Lia Sari; Yuli D Memy; Abla Ghanie
JURNAL KEDOKTERAN DAN KESEHATAN Vol 2, No 1 (2015)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

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Abstract

Delayed Speech adalah keterlambatan proses bicara seorang anak dibandingkan dengan proses bicara anak seusianya. Delayed Speech merupakan masalah utama yang sebagian besar diakibatkan oleh gangguan pendengaran.Tujuan penelitian ini adalah untuk mengetahui prevalensi delayed speech dan pemeriksaan pendengaran yang sesuai pada anak dengan gangguan pendengaran  di Bagian  Neurootologi Departemen Ilmu Kesehatan Telinga Hidung Tenggorok Kepala dan Leher (IKTHT-KL) RSUP dr. Mohammad Hoesin Palembang Periode Januari 2010-Maret 2012.Penelitian deskriptif obser-vasional dengan menggunakan data sekunder berupa hasil timpanometri, OAE dan BERA di Klinik subdivisi Neurotologi bagian THT-KL Periode Januari 2010-Maret 2012. Deskripsi meliputi distribusi usia, jenis kelamin, derajat gangguan pendengaran, gambaran OAE dan penyebab gangguan pendengaran. Sampel penelitian adalah 513 pasien. Terdapat 452 pasien delayed speech yang disertai gangguan pendengaran. Prevalensi pada periode Januari 2010 hingga Maret 2012 adalah 88,4%. Distribusi jenis kelamin laki-laki 343 pasien (66,9%) dan perempuan 170 pasien (33,1%). Pasien berusia 0-1 tahun sebanyak 36 pasien (7%),  lebih dari 1-2 tahun sebanyak 142 (27,7%),  lebih 2-3 tahun sebanyak 128 pasien,  lebih dari 3-4 tahun sebanyak 71 pasien (13,8%),lebih dari 4-5 tahun sebanyak 43 pasien (8,4%), lebih dari 5-6 tahun sebanyak 36 (7%) dan lebih dari 6 tahun adalah sebanyak 57 (11,1%). Gangguan bilateral didapatkan sebanyak 71,2%, dan unilateral sebanyak 17,2%. Distribusi derajat gangguan pendengaran telinga kanan: tuli sangat berat sebanyak 38,4%, tuli sedang berat sebanyak 19,5%, tuli ringan sebanyak 24,2%, pendengaran normal sebanyak 17,9%. Gambaran OAE pass pada telinga kanan sebanyak 41,5%, OAE refer sebanyak  52,8% dan OAE pass dengan gambaran BERA abnormal mulai derajat sedang adalah sebanyak 5,6%.  Gambaran OAE pass telinga kiri adalah 47,1%,  refer 48,5%, dan OAE pass dengan gambaran BERA abnormal mulai derajat sedang adalah sebanyak 4,2%. Derajat gangguan pendengaran telinga kiri: tuli sangat berat sebanyak 18,7%, tuli sedang berat sebanyak 48,6%, tuli ringan sebanyak 17,2%, pendengaran normal sebanyak 15,6%. Predisposisi TORCH dan infeksi intrauterin sebanyak 7,6%, obat-obatan sebanyak 8,8%, lahir SC sebanyak 15,2%, hiperbilirubinemia sebanyak 6,2%, asfiksia sebanyak 8,2%, riwayat infeksi postnatal 20,5%, trauma kepala 13,8%, dan perdarahan telinga  2,5%. Prevalensi delayed speech disertai gangguan pendengaran adalah 88,3% dan pemeriksaan BERA memerlukan penunjang lain seperti OAE dalam menegakkan diagnosa gangguan pendengaran
Hubungan Otitis Media Supuratif Kronik dengan Derajat Gangguan Pendengaran di Departemen THT-KL RSUP Dr. Mohammad Hoesin Palembang Periode 2014-2015 Ayu Laisitawati; Abla Ghanie; Tri Suciati
Majalah Kedokteran Sriwijaya Vol 49, No 2 (2017): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v49i2.8371

Abstract

Salah satu penyebab utama gangguan pendengaran adalah otitis media supuratif kronik (OMSK). OMSK dibagi menjadi 2 tipe yaitu OMSK tipe aman (benigna) dan tipe bahaya (maligna). Gangguan pendengaran pada OMSK tipe bahaya (maligna) lebih berat dibandingkan tipe aman (benigna) dikarenakan proses infeksi pada tipe ini sering melibatkan telinga bagian dalam sedangkan pada OMSK tipe aman (benigna) proses infeksi tidak sampai mengenai telinga bagian dalam. Penelitian ini bertujuan untuk mengetahui adanya hubungan otitis media supuratif kronik dengan derajat gangguan pendengaran di RSUP Dr. M. Hoesin Palembang. Penelitian ini merupakan penelitian observasional analitik dengan rancangan potong lintang (cross-sectional study). Sampel penelitian ini adalah semua rekam medik penderita otitis media supuratif kronik di RSUP Dr. M. Hoesin Palembang pada tahun 2014-2015. Dari 116 subjek, ditemukan 62 kasus OMSK tipe bahaya (maligna) dan 54 kasus OMSK tipe aman (benigna) berturut-turut yitu derajat sedang berat (48,1%) dan derajat sedang (38,7%). Jenis gangguan pendengaran terbanyak untuk tipe bahaya (maligna) dan aman (benigna) adalah gangguan pendengaran tipe konduktif dengan persentase berturut-turut 94,4% dan 43,5%. Terdapat hubungan antara OMSK dengan derajat gangguan pendengaran (p= 0,027) dan terdapat perbedaan rata-rata ambang dengar yang sangat bermakna antara OMSK tipe aman (benigna) dan OMSK tipe bahaya (maligna) dengan nilai p= 0,000 serta terdapat hubungan antara OMSK dengan jenis gangguan pendengaran (p=0,000). Terdapat hubungan antara OMSK dengan derajat gangguan pendengaran, dimana derajat gangguan pendengaran lebih berat pada tipe bahaya (maligna) dibandingkan tipe aman (benigna).
Gambaran Audiologi dan Temuan Intraoperatif Otitis Media Supurtif Kronik Dengan Kolesteatoma pada Anak Wilsen Wilsen; Denny Satria; Yuli Doris M; Abla Ghanie
Majalah Kedokteran Sriwijaya Vol 46, No 2 (2014): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v46i2.2693

Abstract

Otitis media supuratif kronik (OMSK) dengan kolesteatoma pada anak dapat menyebabkan tuli konduktif derajat ringan sampai berat. Kehilangan pendengaran merupakan komplikasi OMSK yang paling sering. Penurunan pendengaran pada anak-anak penderita OMSK telah dihubungkan dengan ketidakmampuan belajar dan performa sekolah yang buruk. OMSK masih menjadi masalah kesehatan utama di negara maju dan berkembang. Tujuan penelitian ini adalah untuk mengetahui gambaran audiologi dan temuan intraoperatif pada anak-anak penderita OMSK dengan kolesteatoma di RS Moh Hoesin Palembang. Studi deskriptif retrospektif dilakukan di bagian rawat inap THT-KL RSUP Moh. Hoesin Palembang, melibatkan 40 anak-anak penderita OMSK dengan kolesteatoma yang telah menjalani pembedahan dari Januari 2009 sampai Januari 2012. Pada audiometri didapatkan anak-anak dengan gangguan pendengaran derajat ringan sebanyak 3 pasien (7,5%), derajat sedang 4 pasien (10%), derajat sedang berat 10 pasien (25%), derajat berat 8 pasien (20%), derajat sangat berat 15 pasien (37,5%). Besarnya air bone gap sebelum operasi adalah <20 dB pada 1 pasien (2,5%), 21-40 dB 17 pasien (42,5%), 41-60 dB 22 pasien (55%). Rantai tulang pendengaran saat temuan intraoperatif pasien tersering dijumpai hanya tersisa basis stapes pada 27 pasien (67,5%) dan letak kolesteatoma pada kavum timpani dan kavum mastoid pada 31 pasien (77,5%)
Characteristics Of Patient With Foreign Body Ingestion In Palembang Adelien; Abla Ghanie; Puspa Zuleika; Lisa Apri Yanti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 1 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i1.156

Abstract

Introduction. Foreign body ingestion is a common diagnosis that presents in emergency departments—coins as the oesophagal foreign body most commonly found in infants and children. Coins retained in the oesophagus require intervention to prevent complications. This study aimed to determine oesophagal coin foreign body patient's characteristic at Mohammad Hoesin General Hospital Palembang. Method. This study design was retrospective descriptive. Samples were all patient diagnosed with oesophagal coin foreign bodies which underwent Extraction with esophagoscopy guidance that was performed at Mohammad Hoesin General Hospital Palembang during January 2013 – August 2017. Result. Forty-three patients had diagnosed with oesophageal coin foreign bodies consist of 22 males and 21 females. The most frequent age was 4fouryears old. The most presenting symptoms are Globus sensation on the throat (79%) and odynophagia (51,1%). Radiologist confirmation was done in every patient with foreign coin bodies in oesophagus. All patients underwent oesophagoscopy. 65,1% of cases of foreign coin bodies were found in the second constriction of throat. Duration of stay in hospital was the range from 1- 4 days, with the most frequent, was two days. There was no complication found in all patients. Conclusion. Oesophagal coin foreign body is most commonly ingested in children. The most presenting symptom is globus sensation on the throat. There is no complication found in this study.
Fiberoptic Endoscopic Examination of Swallowing (FEES) Evaluation in Post Stroke Patients Puspa Zuleika; Abla Ghanie; Adelien; Indriati Purwasari
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 4 No. 4 (2020): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v4i4.157

Abstract

Introduction. Complications caused by post-stroke dysphagia increase the morbidity and mortality of patients. Although it has a significant effect on the functional abilities and worsening of the patient's prognosis, post-stroke dysphagia is still under-noticed and often undiagnosed. The importance of knowing the incidence of post-stroke dysphagia, not only to determine its relationship to the pathology of the disease but also to determine treatment plans or follow-up interventions. This study aims to determine the incidence of FEES findings in post-stroke dysphagia both hemorrhagic and non-hemorrhagic stroke. Methods. Forty post-stroke patients in the Inpatient and Outpatient Installation of the THTKL Section and the Neurology Section of Dr. Hospital. Mohammad Hoesin Palembang conducted a FEES examination to see leakage, residue, penetration, and aspiration after being given six different types of food boluses ranging from filter porridge, rice porridge, oatmeal, water, milk, and biscuits. The results of the assessment are recorded and analyzed descriptively. Results. From 40 research subjects found 25 people experiencing dysphagia, where subjects with non-hemorrhagic stroke types were 21 people (52.5%), while hemorrhagic stroke types were four people (10%). The occurrence of leakage of filter porridge was 5 findings, leakage of rice porridge was eight findings, oatmeal leakage, water, and milk were seven findings each, and biscuit leakage was two findings. The incidence of filtered pulp residues was 12 findings, rice porridge residues were 14 findings, oatmeal residues were 15 findings, water and milk residues were five findings each, and biscuit residues were eight findings. The incidence of penetration of filter porridge, rice porridge, and biscuits was one finding each, oatmeal penetration was not found, while water and milk penetration were six events each. The aspirations of filter porridge, rice porridge, oatmeal, and biscuits were not found, while water and milk aspirations were seven findings. Conclusion. The incidence of dysphagia in post-stroke patients both hemorrhagic and non-hemorrhagic in the Inpatient and Outpatient Installation of the THTKL Section and the Neurology Section of the Mohammad Hoesin Hospital Palembang Palembang is quite high at 62.5%. The occurrence of food residues is the most FEES findings. While aspirations are the fewest findings.
Comparison of Germ Patterns and Antimicrobial Susceptibility in Chronic Suppurative Otitis Media with Cholesteatoma and without Cholesteatoma in Dr. Mohammad Hoesin Hospital. Ahmad Hifni; Rian Hasni; Fiona Widyasari; Abla Ghanie; Erial Bahar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 7 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i7.332

Abstract

Introduction: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity. It is necessary to identify bacterial patterns and antibiotics susceptibility in CSOM. Appropriate administration of antibiotics is essential to treat infection and prevent widespread resistance. Objective: The aim of this study is to compare the pattern of germs and antibiotic susceptibility between CSOM with cholesteatoma and without cholesteatoma. Methods: Observational study with cross-sectional design. Data collection was carried out using medical record data on 102 subjects who underwent middle ear swab and bacterial culture from January to December 2019. Results: From 102 subjects and 122 bacterial culture results. it was found that Pseudomonas aeruginosa (36.1%) was one of the most common organisms to cause CSOM. followed by Staphylococcus haemolyticus. Staphylococcus epidermidis and Staphylococcus aureus. There was a significant difference between the germ pattern and the type of CSOM (p = 0.002). Amikacin. meropenem. gentamicin. cefepime. ciprofloxacin and ceftazidime were found to be the most effective antibiotics for Pseudomonas aeruginosa. The rate of resistance to tigecycline and cefazoline were highest. Age. sex. nutritional status and comorbidities were not factors that significantly influenced the incidence of cholesteatoma in CSOM. Conclusion: There is a significant difference between the germ pattern in both CSOM groups. Patients that show Gram negative have a significant effect on the incidence of CSOM with cholesteatoma.
Risk Factors for Congenital Deafness in Pediatric Patients Who Underwent Otoaccoustic Emission (OAE) and Auditory Brainstem Response (ABR) Examinations in General Hospital Mohammad Hoesin Palembang, Indonesia Fiona Widyasari; Fani Paulina; Ahmad Hifni; Abla Ghanie; Erial Bahar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 8 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i8.341

Abstract

Introduction: Congenital deafness is a hearing loss that occurs at birth. Congenital deafness in neonates can be caused by risk factors during pregnancy and during the birth process. The tests carried out for hearing screening for neonates in hospital up to 1 month old are Otoaccoustic Emission (OAE) and Auditory Brainstem Response (ABR) examinations. Objective: Determining the relationship between family history of deafness, syndromes associated with sensorineural hearing loss, TORCH infection and prenatal syphilis, use of ototoxic drugs during pregnancy, prematurity, low birth weight, asphyxia, and hyperbilirubinemia with the incidence of congenital deafness in children Methods: This cross-sectional study was conducted based on medical record datas from children who underwent OAE and ABR examinations at Dr. Mohammad Hoesin Palembang hospital from January 2019 to February 2021. Results: From the 349 children, 180 (51.6%) had bilateral OAE and ABR pass results, 161 (46.1%) had bilateral referrals and 8 (2.3%) children received unilateral refer results. From 122 children with risk factors, 38 (31.1%) children with bilateral passes, 81 (66.4%) children with bilateral referrals and 3 (2.5 %) children with unilateral refer. From 227 children without risk factors, 142 (62.6 %) children with a bilateral pass, 80 (35.2 %) children with bilateral referrals and 5 (2.2%) children with unilateral refer. The most common risk factor was LBW of 41 (11.7%) children. Chi square test and logistic regression analysis results showed a significant relationship between ototoxic drugs during pregnancy and congenital deafness (p = 0.001) with referral results, the value of Odd Ratio (OR) 9.651. Conclusions: There is a significant relationship between risk factors for ototoxic drugs during pregnancy, TORCH and syphilis infection during pregnancy, asphyxia, congenital syndrome, LBWand hyperbilirubinemia with congenital deafness.
Factors Affecting Intratympanic Corticosteroids Injection Therapy Results in Sudden Deafness Patients at Dr Mohammad Hoesin Hospital Palembang Abla Ghanie; Listya Paramita; Fiona Widyasari; Ahmad Hifni; Erial Bahar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 11 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i11.364

Abstract

Background. Sudden deafness is an emergency in the Ear Nose Throat Department, a subset of sensorineural hearing loss within a 72-hour window period and consists of a decrease in hearing of 30 decibels affecting at least three consecutive frequencies. The therapy given is corticosteroids, systemic corticosteroids or intratympanic corticosteroids injection, or both. The prognosis of sudden deafness depends on several factors. Patient with sudden hearing loss does not always have the same result in hearing improvement. This study was aimed to determine the factors that affect the results of intratympanic corticosteroid injection therapy in patients with sudden deafness.Methods. This study is an observational study with a cross-sectional design. The data were collected using medical records on 96 ears given intratympanic corticosteroid injection therapy at Dr. Mohammad Hoesin Hospital Palembang from July 2018 to February 2021.Results. From 96 ears conducted in the study, the improvement of therapeutic results on intratympanic corticosteroid injection in patients with sudden deafness was 72.9%. The study found factors that influenced the outcome of therapy, namely age (p=0.002), the onset of therapy (p = 0.003), and the use of a combination of systemic steroids (p=0.010). From the logistic regression test, it was found that the factors that most influenced the results of intratympanic corticosteroid injection therapy were young age 18-40 years (p=0.016) with (OR) 6.654 (CI95% 1.418-31.222) and therapy onset less than two weeks (p=0.027) with (OR) 3.108 (95% CI 1.134-8.515).Conclusions. The factors associated with the improvement in the outcome of intratympanic corticosteroid injection therapy in patients with sudden hearing loss were patient age and early onset of therapy.
Co-Authors Adelien Adelien, Adelien Ahmad Hifni Ahmad Hifni Ahmad Hifni Ahmad Hifni Ahmad Hifni Andrey Dwi Anandya Ayu Laisitawati Denny Satria Erial Bahar Erial Bahar Erial Bahar Erial Bahar, Erial Fani Paulina Fiona Widyasari Indriati Purwasari Jalili, Melania Lisa Apri Yanti Listya Paramita Lubis, Friska Meutia Puspa Zuleika, Puspa Rian Hasni Rizandiny Sarah Novi Lia Sari Tri Suciati Wilsen Wilsen Yanti, Lisa Apri Yuli D Memy Yuli Doris M