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Correlation between Intraoperative Ossicular Status and Conductive Hearing Loss Degree among Chronic Suppurative Otitis Media Patients in Dr Mohammad Hoesin General Hospital Palembang Rizandiny; Ahmad Hifni; Erial Bahar; Abla Ghanie
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 4 (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.v5i4.409

Background: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the mucosa and periosteum of the middle ear and mastoid cavity that defined as a perforated tympanic membrane with persistent drainage for more than 2 months. Preoperative hearing threshold and air bone gap (ABG) assessment are expected to predict the ossicular status which can only be ascertained intraoperatively. This study aimed to determine the correlation between intra-operative ossicular status and the degree of conductive hearing loss assessed based on the hearing threshold and average ABG among CSOM patients in RSUP Dr. Mohammad Hoesin Palembang. Methods: Observational research using a cross sectional design. The data were collected using medical record on 64 subjects with a diagnosis of CSOM who underwent mastoidectomy surgery at Dr. Mohammad Hoesin Hospital Palembang for the period of March 2019 to June 2021. Results: From 64 samples conducted in the study, the average ossicular status score in CSOM patients was 1.84 ± 1.48, with the highest group scoring 0 being the malleus incus and intact stapes as many as 21 patients (31.3%). There was a strong positive correlation between hearing threshold scores and intra-operative ossicular status scores (p<0.005, R=0.5) and there was a strong positive correlation between ABG scores and intra-operative ossicular status scores (p <0.005, R=0.6). From the linear regression test, the most influential in predicting intra-operative ossicular status scores were gender, hearing threshold value, ABG value, and the presence of cholesteatoma Conclusions: There is a significant relationship between intra-operative ossicular status and the degree of conductive hearing loss in CSOM patients.

Burnout Among ENT Residents During Covid-19 Pandemic: What Are The Contributing Factors? Andrey Dwi Anandya; Abla Ghanie; Ahmad Hifni
Journal of Anesthesiology and Clinical Research Vol. 2 No. 2 (2021): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Introduction. Resident doctors are susceptible to burnout syndrome, which are the combination of physical and psychological fatigue, that may affect their performance. Long-term pandemic of Covid-19 may also contribute to increase the severity of burnout among residents doctor, might be because the increasing of work time and effort to treat the patients during the time while maintaining prevention against the possible exposure that may harm themselves. This study was aimed to evaluate burnout prevalence among ENT (Ear-Nose-Throat) medical residents in Covid-19 pandemic, and its relation to certain factors of demographic and wellness. Methods. Thirty ENT medical residents of Medical Faculty of Sriwijaya University were enrolled as study population. Burnout was measured by Copenhagen Burnout Inventory (CBI) and divided by three parameters (personal,work-related, patient-related). Results. Among 30 ENT resident doctors at Rumah Sakit Moh. Hoesin, the mean level of personal burnout was 53.056 (SD 17.125), work-related burnout was 47.975 (SD 17.663), and patient-related burnout was 34.861 (SD 20.746). Conclusion. Marriage, female gender, and inadequacy of PPE may contribute to the development of burnout. The burnout among resident doctors is a serious matter regarding their role as a frontline doctor during the pandemic era, because it may affect not only their performance at work, but toward their life as well.

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

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

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

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

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

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.

Correlation between Intraoperative Ossicular Status and Conductive Hearing Loss Degree among Chronic Suppurative Otitis Media Patients in Dr Mohammad Hoesin General Hospital Palembang Rizandiny; Ahmad Hifni; Erial Bahar; Abla Ghanie
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 4 (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.v5i4.409

Background: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the mucosa and periosteum of the middle ear and mastoid cavity that defined as a perforated tympanic membrane with persistent drainage for more than 2 months. Preoperative hearing threshold and air bone gap (ABG) assessment are expected to predict the ossicular status which can only be ascertained intraoperatively. This study aimed to determine the correlation between intra-operative ossicular status and the degree of conductive hearing loss assessed based on the hearing threshold and average ABG among CSOM patients in RSUP Dr. Mohammad Hoesin Palembang. Methods: Observational research using a cross sectional design. The data were collected using medical record on 64 subjects with a diagnosis of CSOM who underwent mastoidectomy surgery at Dr. Mohammad Hoesin Hospital Palembang for the period of March 2019 to June 2021. Results: From 64 samples conducted in the study, the average ossicular status score in CSOM patients was 1.84 ± 1.48, with the highest group scoring 0 being the malleus incus and intact stapes as many as 21 patients (31.3%). There was a strong positive correlation between hearing threshold scores and intra-operative ossicular status scores (p<0.005, R=0.5) and there was a strong positive correlation between ABG scores and intra-operative ossicular status scores (p <0.005, R=0.6). From the linear regression test, the most influential in predicting intra-operative ossicular status scores were gender, hearing threshold value, ABG value, and the presence of cholesteatoma Conclusions: There is a significant relationship between intra-operative ossicular status and the degree of conductive hearing loss in CSOM patients.

Factors associated with the length of stay of deep neck abscess patients Yanti, Lisa Apri; Lubis, Friska Meutia; Bahar, Erial; Ghanie, Abla
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.473

ABSTRACTBackground: Deep neck abscess is an accumulation of pus in one or more potential spaces of the deep neck fascia. Complications of deep neck abscesses are considered as an emergency in the Ear Nose Throat–Head and Neck field. One determining factor of prognosis in deep neck abscess patients is the length of stay in the hospital. Objective: To find out the factors associated with the hospital length of stay of deep neck abscess patients. Method: Observational research using a cross sectional design. Data collection was carried out using medical record data on 91 subjects diagnosed with deep neck abscess at Dr. Mohammad Hoesin Hospital Palembang from July 2018 to May 2021. Result: From the 91 samples studied, the average hospital length of stay for deep neck abscess patients was 11.26 days. The study found factors related to the length of stay in the hospital, namely comorbidities (p=0.005), location of the abscess (p=0.004), pus culture (p=0.003), and the number of deep-neck spaces involved (p=0.005). Linear regression found that the most significant factors on the hospital length of stay were the involvement of abscess in 2 or more deep neck spaces (p = 0.002) and the presence of comorbidities (p = 0.005). Conclusion: Abscess involvement in 2 deep neck spaces or more and the presence of comorbidities were the most influential factors associated with the hospital length of stay in deep-neck abscess patients.ABSTRAKLatar Belakang: Abses leher dalam adalah akumulasi pus pada satu atau lebih ruang potensial fasia leher dalam sebagai akibat penjalaran infeksi. Komplikasi abses leher dalam masih merupakan keadaan darurat di bidang THT-KL. Salah satu faktor penentu prognosis adalah lama rawat di rumah sakit. Banyak faktor yang dapat mempengaruhi lama rawat pasien abses leher dalam di rumah sakit. Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan lama rawat pasien abses leher dalam di RSUP Dr. Mohammad Hoesin Palembang. Metode: Penelitian observasional yang menggunakan rancangan potong lintang. Pengumpulan data dilakukan dengan menggunakan data rekam medis pada 91 subjek dengan diagnosis abses leher dalam di RSUP Dr. Mohammad Hoesin Palembang periode Juli 2018 sampai dengan Mei 2021. Hasil: Dari 91 sampel yang dilakukan penelitian, rerata lama rawat di rumah sakit pada pasien abses leher dalam adalah 11,26 hari. Penelitian mendapatkan faktor yang berhubungan dengan lama rawat di rumah sakit yaitu komorbid (p=0,005), lokasi abses (p=0,004), kultur pus (p=0,003), dan jumlah ruang leher dalam yang terlibat (p=0,005). Dari uji regresi linier didapatkan faktor yang paling memengaruhi lama rawat di rumah sakit adalah keterlibatan abses ³ 2 ruang leher dalam (p=0,002) dan terdapat komorbid (p=0,005). Kesimpulan: Keterlibatan abses pada 2 ruang leher dalam atau lebih, dan terdapatnya komorbid adalah faktor yang paling berpengaruh terhadap lama rawat pasien abses leher dalam.

Comparison of fiberoptic endoscopic examination of swallowing findings between neurogenic and non-neurogenic dysphagia patients Zuleika, Puspa; Jalili, Melania; Bahar, Erial; Ghanie, Abla
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.475

ABSTRACTBackground: Dysphagia is the difficulty or discomfort on swallowing which can affects a person’s quality of life. Based on pathophysiology, dysphagia can be classified as neurogenic and non-neurogenic. One method of diagnosis is to use a flexible endoscope called the Fiberoptic Endoscopic Examination of Swallowing (FEES). The basic findings obtained from the FEES examination were standing secretion, silent aspiration, hypopharyngeal sensitivity, leakage, residue, penetration and aspiration. Objective: To compare the findings of the FEES examination between patients with neurogenic and non-neurogenic dysphagia. Method: Observational research using cross sectional design. Data collection was carried out using medical record data on 94 subjects with dysphagia who underwent FEES examination at Dr. Mohammad Hoesin Hospital Palembang from January 2019 to January 2021. Result: The most common FEES finding in neurogenic dysphagia were filtered purée residue, milk residue, and biscuit residue. In the non-neurogenic dysphagia group, the most common FEES finding was filtered purée residue. There were significant differences in FEES findings between neurogenic dysphagia and non-neurogenic dysphagia in filtered purée residue (p=0.014), rice purée residue (p=0.017), flour purée residue (p=0.007), and biscuit puree penetration (p=0.017). Conclusion: There were significant differences in FEES findings between neurogenic dysphagia and non-neurogenic dysphagia concerning residue of filtered purée, residue of rice purée, residue of flour purée, and biscuit penetration. From regression analysis, the dominant factors found in neurogenic dysphagia were filtered purée penetration, flour purée residue, biscuit penetration, and found in non-neurogenic dysphagia were flour purée penetration and biscuit puree leakage.ABSTRAKLatar belakang: Disfagia adalah kesulitan atau gangguan proses menelan, yang dapat memengaruhi kualitas hidup seseorang. Berdasarkan patofisiologinya, disfagia dapat diklasifikasikan menjadi neurogenik dan non-neurogenik. Salah satu metode diagnosis adalah dengan menggunakan Fiberoptic Endoscopic Examination of Swallowing (FEES). Temuan dasar yang diperoleh dari pemeriksaan FEES adalah standing secretion, silent aspiration, sensitivitas hipofaring, leakage, residu, penetrasi dan aspirasi. Tujuan: Membandingkan hasil pemeriksaan FEES antara pasien disfagia neurogenik dan non-neurogenik. Metode: Penelitian observasional dengan desain potong lintang. Pengumpulan data dilakukan dengan menggunakan data rekam medis pada 94 subjek disfagia yang menjalani pemeriksaan FEES di Rumah Sakit Dr. Mohammad Hoesin Palembang dari Januari 2019 hingga Januari 2021. Hasil: Temuan FEES yang paling umum pada disfagia neurogenik adalah residu bubur saring, residu susu, dan residu biskuit. Pada kelompok disfagia non-neurogenik, temuan FEES yang paling umum adalah residu bubur saring. Terdapat perbedaan yang signifikan dalam temuan FEES antara disfagia neurogenik dan disfagia non-neurogenik pada residu bubur saring (p=0,014), residu bubur nasi (p=0,017), residu bubur tepung (p=0,007), dan penetrasi bubur biskuit (p=0,017). Kesimpulan: Terdapat perbedaan yang signifikan dalam temuan FEES antara disfagia neurogenik dan disfagia non-neurogenik pada residu bubur saring, residu bubur beras, residu bubur tepung, serta penetrasi bubur biskuit. Dari analisis regresi ditemukan faktor dominan di disfagia neurogenik adalah penetrasi bubur saring, residu bubur tepung, penetrasi bubur biskuit, dan di disfagia non-neurogenik adalah penetrasi bubur tepung dan kebocoran bubur biskuit.

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