Raditya, I Gede Wahyu Adi
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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.
Characteristics of Hearing Impairment in Patients with Suspected Congenital Rubella Syndrome at the ENT Clinic of Prof. Dr. I.G.N.G Ngoerah Hospital Denpasar, Indonesia Raditya, I Gede Wahyu Adi; I Made Wiranadha
Journal of Community Medicine and Public Health Research Vol. 5 No. 2 (2024): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v5i2.55911

Abstract

Asymptomatic rubella virus infection can cause delays in the diagnosis of rubella in pregnant women, leading to the development of congenital rubella syndrome (CRS). The clinical manifestations of congenital rubella syndrome are called the rubella triad, which includes heart problems, eye problems, and hearing disorders. Sensorineural hearing loss is the most common type of hearing loss in children with rubella infection. This study aimed to determine the characteristics of hearing loss in CRS patients. This study used a retrospective descriptive research design, utilizing secondary data from the medical records of patients with CRS who underwent hearing examinations at the Ear, Nose, Throat (ENT) Polyclinic of Prof. dr. I.G.N.G. Ngoerah Hospital Denpasar, Indonesia. The study found that the most common age group among suspected CRS patients was 6 - 12 months (51.42%), the majority of these patients were male (62.86%), the most frequent clinical signs and symptoms in suspected CRS patients were congenital heart disease (CHD) as a major criterion (60%), and microcephaly as a minor criterion (77.14%). Based on the CRS case criteria, none of the suspected CRS patients were diagnosed with confirmed CRS, with most cases being classified as clinical CRS (65.71%). The hearing loss in suspected CRS patients was entirely sensorineural type with the majority of cases being bilaterally and to a very severe degree (53.57%)
Correlation of changes in mean platelet volume with clinical stage of undifferentiated nasopharyngeal carcinoma Raditya, I Gede Wahyu Adi; Suanda, I Ketut; Asthuta, Agus Rudi; Filbertine, Jessica
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.v55i1.725

Abstract

Background: The mean platelet volume (MPV) is known to serve as a platelet activation assessment system for cancer prognosis evaluation. However, its role in nasopharyngeal carcinoma (NPC) has not been studied. Purpose: To determine the correlation between MPV changes and stage progression, in undifferentiated-type NPC. Method: A retrospective cross-sectional study was conducted in Ear, Nose, Throat-Head and Neck Surgery (ENT-HNS) clinic of Sanglah General Hospital, Denpasar, from May to June 2020. Patients with undifferentiated-type NPC meeting inclusion and exclusion criteria were included. The mean MPV values were determined by calculating the difference in MPV from complete blood count tests after six chemotherapy sessions, compared to before chemotherapy. Changes in NPC staging were assessed using TNM classification pre- and post-chemotherapy. Logistic regression analysis was performed to examine the correlation between MPV changes and clinical stage changes, considering the confounding factors. Result: A total of 30 subjects were participated in this study, with mean age of 50.70±12.55 years. A significant correlation was observed between MPV changes and changes in clinical stages T (p=0.021, r=0.419), N (p=0.025, r=0.408), and M (p=0.048, r=0.364). Linear regression analysis showed a significant correlation between MPV changes and clinical stage T (p<0.001, r=0.268), clinical stage N (p=0.042, r=0.039), and clinical stage M (p=0.003, r=0.059) after adjusting for age and sex as confounding factors. Conclusion: There was a significant correlation between changes in MPV and clinical stage progression (T, N, M), in patients with undifferentiated-type nasopharyngeal carcinoma
Rationality of Antibiotic Therapy in Patients with Acute Pharyngitis Based on the Centor Score at the First Level Health Facilities Raditya, I Gede Wahyu Adi; Putra, I Dewa Gede Arta Eka
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.103006

Abstract

Background: Pharyngitis is an inflammation of the pharyngeal wall caused by viruses, bacteria, allergies, trauma, irritants, and others. It is important to determine the cause of pharyngitis to ensure the need for antibiotic therapy, considering the high rate of antibiotic resistance. Objective: This study aims to determine the rationality of antibiotic therapy in patients with acute pharyngitis based on the Centor score at the primary health facility in Denpasar. Method: This study is a retrospective descriptive study by taking secondary data from medical records of patients with acute pharyngitis who received antibiotic therapy at Public Health Center A in East Denpasar and Clinic B in West Denpasar. From each primary health care, research samples were selected using systemic random sampling. The Centor score was assessed from the medical records of 32 patients at each primary health care. Rational antibiotic therapy is defined at a Centor score ≥4, while irrational <4. Results: The Centor score description in the sample shows that most samples have a Centor score of less than 4, where in the Public Health Center there were 23 (71.9%) samples and in the Clinic 22 (68.8%) samples. Overall, 45 (70.3%) samples had a Centor score <4, so in this study, only 29.7% of acute pharyngitis patients were rational to receive antibiotic therapy. Conclusions: The administration of antibiotics to patients with acute pharyngitis in primary health care in Denpasar is not rational. Socialization and education are needed for general practitioners in primary health care about the use of the Centor score in patients with acute pharyngitis to help clinicians determine whether or not antibiotic therapy is needed.
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.