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All Journal Dentika Dental Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Ardiantara, Sabda
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Public Health

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Vocal cord immobility after lateral pharyngotomy extraction of the impacted dentures in the upper esophagus: A Case Report Tamin, Susyana; Koento, Trimartani; Hutauruk, Syahrial Marsinta; Supit, Ivana; Ardiantara, Sabda
Dentika: Dental Journal Vol. 27 No. 1 (2024): Dentika Dental Journal
Publisher : TALENTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/dentika.v27i1.15716

Abstract

Impaction of foreign bodies in the esophagus is a frequent emergency in otorhinolaryngology. However, diagnosing and managing denture impaction in the esophagus presents greater challenges compared to other foreign bodies, often leading to various complications. This study reported a rare case of vocal cord immobility after the evacuation of denture impaction in the esophagus using lateral pharyngotomy. The patient, a 73-year-old man, experienced throat discomfort after swallowing a denture an hour before admission. According to the CT scan carried out, a 3.7 cm long denture was found around the T3-T5 spine level and was located 3 mm lateral right to the descendant aorta and 4 mm posterior of the trachea. During esophagoscopy extraction, the denture was stuck in the upper esophagus and was successfully evacuated by lateral pharyngotomy. Subsequently, the patient developed vocal cord immobility, and this case underscores the importance of considering vocal cord complications following the extraction of a denture impaction in the esophagus.
Efektivitas Terapi Penghambat Pompa Proton pada Anak dengan Otitis Media Kronik: Sebuah Laporan Kasus Berbasis Bukti Hanrahan, Joanna Erin; Calista, Nabilla; Ardiantara, Sabda; Restuti, Ratna Dwi; Irawati, Nina; Rachmawati, Elvie Zulka Kautzia
Majalah Kedokteran Indonesia Vol 73 No 6 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.6-2024-870

Abstract

Introduction: In Indonesia, 82% of children with otitis media have experienced chronic otitis media (COM). COM has a high recurrency rate and is multifactorial, one of which is caused by acid reflux. Proton pump inhibitor (PPI) therapy has been used to treat acid reflux and gives excellent result. Purpose: Reporting one case of a child with COM and laryngopharyngeal reflux (LPR) who received PPI therapy. An evidence-based literature review was done to evaluate the effectiveness of PPI therapy in patient with COM and LPR.Methods: Literature searching was done through 3 databases. Critical appraisal based on the Oxford Center for Evidence Based Medicine Checklists 2011.Results: After we sorted out duplications and screened articles according to our inclusion and exclusion criteria, we retrieved one article. This article is valid and applicable, yet PPI therapy did not give significant clinical improvement because of some reasons.Conclusion: From the literature review, PPI therapy on patient with COM did not give significant clinical improvement such as to stop middle ear discharge, yet in our case, PPI therapy could produce a clinical improvement and in line with previous experimental studies. Therefore, PPI therapy could still be considered given in children with COM.
Effects of Continuous Positive Airway Pressure on Nonalcoholic Fatty Liver Disease in Patients with Obstructive Sleep Apnea: A Systematic Review Tamin, Susyana; Ardiantara, Sabda; Rudiatmoko, Diar Riyanti
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 24, No 1 (2023): VOLUME 24, NUMBER 1, April, 2023
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/241202349-53

Abstract

Background: Nonalcoholic fatty liver disease (NAFLD) is associated with obstructive sleep apnea (OSA). Continuous positive airway pressure (CPAP) is the first-line therapy for OSA. However, the effect of CPAP on NAFLD in patients with concomitant OSA is still unclear. This study aims to identify the use of CPAP on NAFLD in patients with OSA. Method: A systematic literature search was performed using particular keywords and medical subheadings in three journal databases: Cochrane, PubMed, and EBSCOhost. The results were screened and assessed using inclusion and exclusion criteria by three independent authors. The Randomized controlled trial (RCT) quality was evaluated with Jadad scale and the cohort studies quality was assessed with Newcastle-Ottawa quality assessment scale.Results:  Two RCTs and three cohort studies were eligible to fulfil the inclusion criteria, consisting of 620 total patients. Two RCTs showed no statistically significant improvement after CPAP treatment in NAFLD based on intrahepatic triglyceride (measured by proton magnetic resonance spectroscopy), liver stiffness measurement, serum cytokeratin-18 fragment, and liver function blood test parameters. Meanwhile, 2 cohort studies in adults and 1 cohort study in children showed significant improvement in ALT, AST, and APRI. However, one cohort study showed no significant improvement in serum fibrosis markers and transient elastography measurement after CPAP treatment.Conclusion: CPAP might be beneficial in some patients with OSA to improve NAFLD, but further research that includes many subjects and longer duration of CPAP therapy is needed to confirm this result.
Co-Authors Calista, Nabilla Hanrahan, Joanna Erin Hutauruk, Syahrial Marsinta Koento, Trimartani Nina Irawati Rachmawati, Elvie Zulka Kautzia Restuti, Ratna Dwi Rudiatmoko, Diar Riyanti Supit, Ivana Tamin, Susyana