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All Journal Oto Rhino Laryngologica Indonesiana Malang Otorhinolaryngology Head and Neck Surgery Journal
Erlangga, Eggi
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Comparison between Eustachian tube angle and length in chronic otitis media and contralateral ear Erlangga, Eggi; Wahyudiono, Ahmad Dian; Yueniwati, Yuyun; Setijowati, Nanik
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 1 (2023): VOLUME 53, NO. 1 JANUARY - JUNE 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i1.552

Abstract

Background: Chronic suppurative otitis media (CSOM) is still a significant public health problem, especially in developing countries. Eustachian tube dysfunction is one of the factors that influence the occurrence of CSOM. The pathogenesis of acute and chronic otitis media is initiated by negative pressure in the middle ear. One theory of the event of CSOM is the continuum theory. The eustachian tube as one of the factors that influence the occurrence of CSOM has been proven from various studies comparing CSOM patients and the average population and CSOM with and without cholesteatoma. With the advanced technology, CT scan helps diagnose pathological conditions in the ear as a diagnostic tool and evaluation modality. CT scan imaging with a multiplanar reconstruction technique can provide a clear image of the anatomical shape of the Eustachian tube. Objective: This study aims to determine the relationship between the angle and length of the Eustachian tube in the ear with CSOM and the contralateral ear's angle and length. Method: An analytic study with a cross-sectional design involving 30 samples of CSOM patients with the contralateral ear. The measurement of the angle and length of the Eustachian tube using the multiplanar HRCT temporal reconstruction technique. Result: Statistical analysis with paired t-test showed that the Eustachian tube angle was significantly more horizontal in the CSOM ear than the contralateral ear (p<0.05). Eustachian tube length was shorter in CSOM than contralateral (p<0.05). Conclusion: The angle of the eustachian tube in the CSOM ear is smaller (more horizontal) and shorter than the contralateral ear.
Perbaikan Tuli Konduksi Pasca Pemberian Terapi LPR Erlangga, Eggi
Malang Otorhinolaryngology Head and Neck Surgery Journal Vol. 1 No. 2 (2022): September 2022
Publisher : Department of Otorhinolaryngology Head and Neck Surgery

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Abstract

AbstrakLatar Belakang: Refluks ekstraesofageal (EER) berhubungan dalam proses inflamasi pada seluruh mukosa kepala dan leher, sinus paranasal, tuba Eustachius dan telinga tengah, nasofaring, hingga ke saluran napas bagian bawah. Gangguan pendengaran yang disebabkan oleh LPR, sejauh ini diketahui berhubungan dengan disfungsi pada tuba Eustachius dan otitis media.Tujuan : Melaporkan dan menganalisis 1 kasus gangguan pendengaran dan LPR. Kasus: Laki-laki 74 tahun datang dengan keluhan penurunan pendengaran disertai dengan suara parau dan rasa berlendir di tenggorok. Pasien didapatkan tuli campur sedang dekstra dan tuli sensorineural sedang berat sinistra dan suspek LPR. Paska terapi didapatkan perbaikan ambang dengar dan gejala LPR.  Diskusi: Setelah pemberian terapi, terjadi perbaikan tuli konduksi pada kedua telinga. Tuli sensorineural yang masih didapatkan pada pasien dapat disebabkan dari proses degeneratif. Pada pasien disarankan untuk menggunakan alat bantu mendengar agar pendengaran pasien menjadi lebih baik.. Kesimpulan : Penyakit refluks laringofaring berhubungan dengan gangguan pendengaran dan ketulian. Kata kunci: Tuli campur, tuli sensorineural, refluks laringofaringeal  
Co-Authors Nanik Setijowati Wahyudi, Mgs Ahmad Yuyun Yueniwati