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All Journal Oto Rhino Laryngologica Indonesiana
Danastri, I Gusti Ayu Mahaprani
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Health Professions Medicine & Pharmacology

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The The first transcanal endoscopic ear surgery in Udayana University General Hospital Danastri, I Gusti Ayu Mahaprani; Lolik Lesmana, I Wayan; Pranitasari, Ni Putu Oktaviani Rinika; Raditya, I Gede Wahyu Adi; Pradiptha, I Putu Yupindra; Wahyu Widiantari, I Gusti Ayu Putu; Nogueira, João Flávio
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 1 (2024): VOLUME 54, NO. 1 JANUARY - JUNE 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i1.657

Abstract

Background: The conventional method for treating cholesteatoma involves using a microscopicapproach. However, over the years, endoscopy has evolved from being a supplementary tool alongside themicroscope to becoming the primary transcanal approach in different areas of ear surgery. Purpose: Topresent a case of cholesteatoma in adult which was treated by the combination of transcanal endoscopicear surgery and mastoidectomy. Case report: An adult patient with malignant type of chronic suppurativeotitis media underwent transcanal endoscopic ear surgery and mastoidectomy. Endoscopic surgery is amore intricate single-handed procedure that demands both experience and a comprehensive knowledge ofendoscopic ear anatomy. This is essential for navigating the anatomical space, dealing with the ossicularchain, and employing transcanal drilling techniques. The primary surgical focus for endoscopic earsurgery is the middle ear. When addressing cases where cholesteatoma extends beyond the posteriorepitympanum, the surgical approach relies on the surgeon’s expertise in performing extensive atticotomyor mastoidectomy, either with or without microscope assistance. Clinical question: What is the role oftranscanal endoscopic ear surgery and mastoidectomy in adult patient with cholesteatoma? Method:Literature searching was performed with the keywords: ”cholesteatoma”, AND ”transcanal endoscopicear surgery”, AND ”mastoidectomy” through database PubMed, Proquest, and hand searching/e-book. Result: There were 3 articles relevant with the subject. Conclusion: Transcanal endoscopic ear surgery isa minimally invasive and secure procedure characterized by its low rates of complications and recurrence   Keywords: transcanal endoscopic ear surgery, mastoidectomy, cholesteatoma, chronic suppurative otitis media.
The relationship between IL-6 expression and ossicular destruction in CSOM with cholesteatoma Rahayu, Made Lely; Winarti, Ni Wayan; Danastri, I Gusti Ayu Mahaprani; Handayani, Ni Komang Tri Utami; Reniati, Roselina
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.704

Abstract

Background: Chronic suppurative otitis media (CSOM) is a disease that affects the middle ear, leading to perforation of the tympanic membrane. This condition involves chronic inflammation in the middle ear and mastoid cavity. A CT scan often reveals destruction to the ossicles and cholesteatoma. Purpose: To determine the relationship between increased IL-6 expression and ossicular destruction in CSOM patients with cholesteatoma. Method: This observational analytic study with a cross-sectional comparative design was conducted at the Anatomy Pathology Laboratory of Prof. Ngoerah General Hospital, Denpasar. The study used cholesteatoma tissue paraffin blocks from patients with the dangerous type of CSOM who had undergone tympanomastoidectomy from January 2022 to December 2023. Sampling was carried out through consecutive sampling, which included all cholesteatoma tissue paraffin blocks from patients with the dangerous type of CSOM that met the inclusion criteria, amounting to 17 blocks. Result: This study found a p-value >0.05, indicating no association in the bivariate analysis between the percentage, intensity, and overall score of IL-6 pathology results and ossicular destruction due to cholesteatoma, in CSOM patients. Conclusion: This study concluded that there was no significant relationship between IL-6 expression and hearing bone destruction caused by cholesteatoma in CSOM patients.
The The first transcanal endoscopic ear surgery in Udayana University General Hospital Danastri, I Gusti Ayu Mahaprani; Lolik Lesmana, I Wayan; Pranitasari, Ni Putu Oktaviani Rinika; Raditya, I Gede Wahyu Adi; Pradiptha, I Putu Yupindra; Wahyu Widiantari, I Gusti Ayu Putu; Nogueira, João Flávio
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 1 (2024): VOLUME 54, NO. 1 JANUARY - JUNE 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i1.657

Abstract

Background: The conventional method for treating cholesteatoma involves using a microscopicapproach. However, over the years, endoscopy has evolved from being a supplementary tool alongside themicroscope to becoming the primary transcanal approach in different areas of ear surgery. Purpose: Topresent a case of cholesteatoma in adult which was treated by the combination of transcanal endoscopicear surgery and mastoidectomy. Case report: An adult patient with malignant type of chronic suppurativeotitis media underwent transcanal endoscopic ear surgery and mastoidectomy. Endoscopic surgery is amore intricate single-handed procedure that demands both experience and a comprehensive knowledge ofendoscopic ear anatomy. This is essential for navigating the anatomical space, dealing with the ossicularchain, and employing transcanal drilling techniques. The primary surgical focus for endoscopic earsurgery is the middle ear. When addressing cases where cholesteatoma extends beyond the posteriorepitympanum, the surgical approach relies on the surgeon’s expertise in performing extensive atticotomyor mastoidectomy, either with or without microscope assistance. Clinical question: What is the role oftranscanal endoscopic ear surgery and mastoidectomy in adult patient with cholesteatoma? Method:Literature searching was performed with the keywords: ”cholesteatoma”, AND ”transcanal endoscopicear surgery”, AND ”mastoidectomy” through database PubMed, Proquest, and hand searching/e-book. Result: There were 3 articles relevant with the subject. Conclusion: Transcanal endoscopic ear surgery isa minimally invasive and secure procedure characterized by its low rates of complications and recurrence   Keywords: transcanal endoscopic ear surgery, mastoidectomy, cholesteatoma, chronic suppurative otitis media.
Co-Authors Handayani, Ni Komang Tri Utami Lolik Lesmana, I Wayan Ni Putu Oktaviani Rinika Pranitasari Ni Wayan Winarti Nogueira, João Flávio Pradiptha, I Putu Yupindra Raditya, I Gede Wahyu Adi Rahayu, Made Lely Reniati, Roselina Wahyu Widiantari, I Gusti Ayu Putu