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Pontoh, Valentini M.
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Profil pasien refluks laringofaring di RSUP Prof. Dr. R. D. Kandou Manado Runtung, Maureen; Pelealu , Olivia C. P.; Pontoh, Valentini M.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53653

Abstract

Abstract: Diagnosis of laryngopharyngeal reflux (LPR) requires a clinical history based on clinical symptoms (Reflux Symptom Index - RSI) and laryngeal examination (Reflux Finding Score - RFS) due to its nonspecific symptoms and laryngoscopic signs do not always correlate with the severity of symptoms. This study aimed to obtain the profile of patients with LPR at Prof. Dr. R. D. Kandou Hospital. This was a retrospective and descriptive study using medical records of LPR patients at Prof. Dr. R. D. Kandou Hospital during the period 2020-2022. The results showed that the majority of LPR patients were females (57.6%), aged 41-65 years and occupation as housewife. The most commonly experienced complaints were difficulty in swallowing (36.3%) and feeling of throat tightness (25,0%). The most frequent endoscopic finding was erythema/hyperemia of the arytenoids (36.8%). In conclusion, laryngo-pharyngeal reflux is often experienced by females aged 41-65 years, occupation as housewife. The most common complaints are difficulty in swallowing and feeling of throat tightness. Erythema/hyperemia of the arytenoid has the highest percentage in endoscopic finding. Keywords: laryngopharyngeal reflux; patient profile   Abstrak: Dalam mendiagnosis refluks laring faring (RLF), diperlukan anamnesis berdasarkan gejala klinis (Reflux Symptom Index - RSI) dan pemeriksaan laring (Reflux Finding Score - RFS) karena gejalanya tidak spesifik dan tanda laringoskopi tidak selalu sesuai dengan tingkat keparahan gejala. Penelitian ini bertujuan untuk mendapatkan profil pasien RLF di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif menggunakan data pasien yang tercatat di Instalasi Rekam Medis RSUP Prof. Dr. R.D. Kandou Manado periode 2020 hingga 2022. Hasil penelitian mendapatkan bahwa mayoritas pasien RLF ialah perempuan (57,6%) dengan usia 41-65 tahun. Distribusi pekerjaan menunjukkan jumlah pasien tertinggi ialah ibu rumah tangga. Keluhan yang paling sering dialami ialah sulit menelan (36,3%) dan rasa mengganjal pada leher (25,0%). Temuan endoskopi paling sering ialah eritema/hiperemis aritenoid (36,8%). Simpulan penelitian ini ialah refluks laring faring sering dialami oleh perempuan pada usia 41-65 tahun, dengan pekerjaan sebagai ibu rumah tangga. Keluhan paling sering ialah sulit menelan dan rasa mengganjal di tenggorokan. Distribusi tertinggi pasien refluks laring faring berdasarkan kondisi laring ialah eritema/hiperemis aritenoid. Kata kunci: refluks laringofaring; profil pasien
Otitis Media Supuratif Kronik Tipe Aman dan Tipe Bahaya di RSUP Prof. Dr. R. D. Kandou Manado Tahun 2022-2024 Rustam, Natelly E.; Pontoh, Valentini M.; Mona, Moudi M.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65849

Abstract

Abstract: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity marked by tympanic membrane perforation and persistent or recurrent otorrhea for more than two months. This study aimed to determine the characteristics of the safe and unsafe types of CSOM at Prof. Dr. R. D. Kandou General Hospital in years 2022-2024. This was a retrospective and descriptive study using the total sampling technique. The results obtained 103 patients of safe type (64.4%) and 57 patients of unsafe type (35.6%). The most frequent age group for both types was 20-59 years, with a predominance of females (53.4%) in safe type and males in unsafe type (54.4%). Most of the patients had a middle level of education. The most common symptom in both types was otorrhea (100%) with central perforation was frequently found in safe type of CSOM (45.6%) and attic perforation was most common in unsafe type of CSOM (22.5%). The most frequent treatment was conservative in safe type (51.5%), while conservative and surgery were more frequent in unsafe type (54.4%). In conclusion, the safe type of CSOM was more commonly found. The majority of patients were adults with a middle level of education. Female predominated in safe type, whereas male predominated in unsafe type. The most frequent symptom was otorrhea. Central perforation was most commonly found in safe type and attic perforation in unsafe type. The safe type was treated conservatively, whereas the unsafe type was commonly treated with a combination of conservative and surgery.   Keywords: chronic suppurative otitis media; safe type; unsafe type   Abstrak: Otitis media supuratif kronik (OMSK) adalah inflamasi kronik telinga tengah dan rongga mastoid yang ditandai dengan temuan perforasi membran timpani dan otore secara menetap atau berulang selama lebih dari dua bulan. Penelitian ini bertujuan untuk mengetahui karakteristik OMSK tipe aman dan tipe bahaya di RSUP Prof. Dr. R. D.  Kandou tahun 2022-2024. Jenis penelitian ialah deskriptif retrospektif dengan teknik total sampling.  Hasil penelitian mendapatkan 103 pasien tipe aman (64,4%) dan 57 pasien tipe bahaya (35,6%). Kelompok usia terbanyak kedua tipe ialah usia 20-59 tahun, dengan dominasi perempuan pada tipe aman (53,4%) dan laki-laki pada tipe bahaya (54,4%). Sebagian besar pasien berpendidikan menengah. Gejala tersering kedua tipe ialah otore (100%) dengan perforasi sentral terbanyak ditemukan pada OMSK tipe aman (45,6%) dan perforasi atik pada OMSK tipe bahaya (22,5%). Penanganan terbanyak ialah konservatif pada tipe aman (51,5%), sedangkan konservatif dan pembedahan pada tipe bahaya (54,4%). Simpulan penelitian ini ialah OMSK tipe aman lebih sering dijumpai. Mayoritas pasien usia dewasa dengan tingkat pendidikan menengah. Perempuan lebih banyak pada tipe aman, sedangkan laki-laki pada tipe bahaya. Gejala tersering ialah otore. Perforasi sentral paling banyak ditemukan pada tipe aman dan perforasi atik pada tipe bahaya. Tipe aman ditangani secara konservatif, sedangkan pada tipe bahaya umumnya kombinasi terapi konservatif dan pembedahan. Kata kunci: otitis media supuratif kronik; tipe aman; tipe bahaya
Co-Authors Mona, Moudi M. Olivia C. P. Pelealu Pelealu , Olivia C. P. Runtung, Maureen Rustam, Natelly E. Septiana Firdaus