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Tiara Melati
Fakultas Kedokteran, Unversitas Trisakti, Jakarta, Indonesia

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PENCEGAHAN RINOSINUSITIS AKUT DENGAN MELAKUKAN CUCI HIDUNG MENGGUNAKAN LARUTAN SALIN ISOTONIS Tiara Melati
Jurnal Akta Trimedika Vol. 1 No. 1 (2024): Januari 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i1.19209

Abstract

Nasal irrigation or douche with isotonic saline solution may be in rising due to COVID-19. But there has been a debate over its efficacy as a preventive measure for acute rhinosinusitis and other forms of acute upper respiratory infections. More randomized clinical trials and other literature have shown improvements in managing allergic rhinitis, chronic rhinosinusitis, and post-surgery patients. But few have demonstrated the significancy of saline nasal irrigation in otherwise. The European Position Paper on Rhinosinusitis and Nasal Polyps/EPOS 2020 has stated very few data was available to enable them to draw conclusion regarding nasal saline irrigation as adjunct treatment in acute rhinosinusitis. As we were in the endemic state of COVID 19, publication has risen to discuss the benefit of saline nasal douche. Literature search was conducted in PubMed and Elsevier databases. Inclusion criteria are recent publications (5 – 10 years), written in English, using Boolean method. Searching for keywords such as “nasal irrigation”, “nasal douche”, “nasal lavage”, “saline”, “acute rhinosinusitis”, and “common cold”. This review aims to discuss the latest data to answer whether isotonic saline nasal irrigation gives benefit as to prevent acute upper respiratory infections. All in all, this review recommends isotonic saline nasal douche safe to perform and may reduce prevalence and nasal symptoms in acute upper respiratory inflammation/ infection.
DISFUNGSI TUBA EUSTACHIUS Tiara Melati
Jurnal Akta Trimedika Vol. 1 No. 3 (2024): Juli 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i3.20240

Abstract

Eustachian Tube Dysfunction occurred due to pressure dysregulation of the middle ear leading to negative pressure within the tympanic cavity. This syndrome may be due to intrinsic factor such as anatomical anomaly (cleft palate) and extrinsic factors such as upper respiratory tract infection, laryngpharyngeal reflux, adenoid hypertrophy or other nasopharyngeal mass, mucociliary clearance disorder, and others. The symptoms of this syndrome included obstructed ear or sensation of water filling ear (aural fullness), conductive hearing loss, ringing in the ear, or autophony. This syndrome occurrence frequently seen in allergic rhinitis and chronic rhinosinusitis groups. This article described the basic sciences, diagnosis as well as the latest preventive measures in managing Eustachian Tube Dysfunction. This article aims to increase the medical community awareness about the condition of Eustachian Tube Dysfunction which often unnoticed, to decrease incidence and cost of disease in Indonesia.  Examination should consider tools availability and accessible in the primary, secondary and tertiary settings necessary to make diagnosis. The use of statistically validated and reliable questionnaires would improve anamnesis, such as Eustachius Tube Dysfunction Quessionaire-7, Total Nasal Symptoms Score, Nasal Obstruction Symptoms Evaluation, Reflux Symptoms Index. Basic examination of the ear and hearing using otoscopy and tunning fork like Rinne and Weber tests were also useful in the primare care setting. The combination of subjective and objective measurements will boost a better prognosis.
DETEKSI DAN DIAGNOSIS TUBERKULOSIS LARING Assa Putri Nur Anisya Anisya; Maria Angelika Tampubolon Tampubolon; Tiara Melati
Jurnal Akta Trimedika Vol. 2 No. 1 (2025): Januari 2025
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v2i1.21727

Abstract

Laryngeal tuberculosis, a form of extrapulmonary tuberculosis is prevalent less than 2% in Indonesia. Indonesia continues to be the second-highest tuberculosis-endemic country in the world, with more than 700,000 cases in 2022 and more than 600,000 cases in 2023. Of these cases, only 8% are extrapulmonary. In head and neck tuberculosis, laryngeal tuberculosis is the second most common manifestation after cervical lymphadenopathy tuberculosis. However, these numbers are expected to be underreported and underestimated in Indonesia. Misdiagnosis often occurs in highly contagious laryngeal tuberculosis due to lacking pathognomonic signs and symptoms. Furthermore, the high frequency of tuberculosis in productive age groups, particularly those aged 15 to 54 years, results in enormous catastrophic expenses for affected individuals, as well as a financial burden on the government. Considering the fore mentioned, a comprehensive systematic review of such rare case is required. This review aims to facilitate and provide an update on early detection and diagnosis of laryngeal tuberculosis to appropriate and prompt management.
Co-Authors Assa Putri Nur Anisya Anisya Maria Angelika Tampubolon Tampubolon