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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Jurnal Implementa Husada (JIH)
Fitria Waffi Nur Aini
Department Of Otorhinolaryngology Head And Neck Surgery, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada, Yogyakarta, 55281, Indonesia
Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Veterinary

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Chronic rhinosinusitis unveiling a two decades ethmoid foreign body: a case report Feri Trihandoko; Fitria Waffi Nur Aini
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.23900

Abstract

We report a case of a 50-year-old female who presented with rhinosinusitis-like symptoms, which she had been experiencing intermittently for over two decades. Her medical history revealed a nasal surgery performed approximately 22 years ago, after which she continued to experience unresolved symptoms despite multiple treatments. A Computed Tomography (CT) scan of the paranasal sinuses revealed findings with ethmoiditis, prompting the decision for endoscopic sinus surgery to address the underlying pathology. During surgery, a 3 cm gauze was discovered after opening the posterior ethmoid sinus. We highlight an unexpected foreign body inside the ethmoid sinus based on an unidentified picture from the CT scan, which we accidentally discovered during endoscopic surgery. This case underscores the importance of considering a retained foreign body as a potential cause of chronic rhinosinusitis, even many years after the initial surgical intervention. The unexpected identification of the gauze, which was not depicted in the preoperative CT scan, highlights the challenges in diagnosing retained foreign bodies within the complex anatomy of the sinuses. The report discusses the clinical presentation, diagnostic challenges, and management of this unusual case, contributing valuable insights to the literature on chronic rhinosinusitis and retained foreign bodies in the sinonasal region.
Chronic rhinosinusitis unveiling a two decades ethmoid foreign body: a case report Trihandoko, Feri; Fitria Waffi Nur Aini
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.23900

Abstract

We report a case of a 50-year-old female who presented with rhinosinusitis-like symptoms, which she had been experiencing intermittently for over two decades. Her medical history revealed a nasal surgery performed approximately 22 years ago, after which she continued to experience unresolved symptoms despite multiple treatments. A Computed Tomography (CT) scan of the paranasal sinuses revealed findings with ethmoiditis, prompting the decision for endoscopic sinus surgery to address the underlying pathology. During surgery, a 3 cm gauze was discovered after opening the posterior ethmoid sinus. We highlight an unexpected foreign body inside the ethmoid sinus based on an unidentified picture from the CT scan, which we accidentally discovered during endoscopic surgery. This case underscores the importance of considering a retained foreign body as a potential cause of chronic rhinosinusitis, even many years after the initial surgical intervention. The unexpected identification of the gauze, which was not depicted in the preoperative CT scan, highlights the challenges in diagnosing retained foreign bodies within the complex anatomy of the sinuses. The report discusses the clinical presentation, diagnostic challenges, and management of this unusual case, contributing valuable insights to the literature on chronic rhinosinusitis and retained foreign bodies in the sinonasal region.
Clinical Predictors of Hearing Preservation in Ménière Disease Fitria Waffi Nur Aini; Mahatma Sotya Bawono; Agus Surono; Feri Trihandoko
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 5 No. 1 (2026): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - Februari 2
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v5i1.26438

Abstract

Hearing outcomes in Ménière disease are heterogeneous, ranging from prolonged fluctuation to irreversible decline and bilateral involvement. Because hearing level influences counselling and follow up planning, clinicians need practical predictors that are available from history taking and routine audiometry. This review summarises evidence published between 2016 and 2025 on clinical predictors associated with hearing preservation in Ménière disease. Across contemporary cohorts and meta analytic data, older age and longer disease duration are repeatedly associated with poorer hearing and a lower likelihood of maintaining serviceable thresholds. Baseline audiometry is the most actionable predictor, earlier stages and low frequency predominant loss show a greater probability of stable or improved thresholds with conservative management, while broader frequency involvement and early high frequency loss are linked to progression and increased risk of bilateral disease. Comorbid migraine and specific clinical phenotypes at onset have also been associated with bilateral involvement. Overall, age, disease duration, baseline stage, frequency pattern of loss, migraine history, and onset phenotypes form a framework for risk stratification and hearing follow up in Ménière disease.
Tinnitus Mechanisms, Comorbidities and Emerging Therapeutic Strategies Fitria Waffi Nur Aini; Agus Surono; Ashadi Prasetyo
JURNAL IMPLEMENTA HUSADA Vol 7, No 2 (2026)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v7i2.26178

Abstract

Tinnitus is the perception of sound without an external source and affects about one tenth of the population, with a small proportion experiencing severe disability. It arises from cochlear injury, central auditory hyperexcitability, maladaptive neuroplasticity, and involvement of limbic, prefrontal, and somatosensory systems, with additional contributions from inflammation, oxidative stress, and metabolic factors. This narrative review summarizes current concepts of tinnitus mechanisms, frequent psychological, auditory, somatosensory, and systemic comorbidities, and available treatments. The strongest evidence supports psychological and sound based interventions such as cognitive behavioral therapy, counseling, hearing rehabilitation, and tinnitus retraining therapy, which reduce distress and improve daily functioning even when loudness changes little. Pharmacological therapy mainly targets comorbid depression, anxiety, sleep disturbance, inflammation, and oxidative stress. Adequate intake of zinc and iron may help prevent tinnitus. Despite several promising options, clinical evidence remains heterogeneous and no single therapy is universally effective, so individualized multidisciplinary care informed by underlying mechanisms and further supported by advances in basic research, biomarker development, and rigorous clinical trials is required.
Co-Authors Agus Surono Agus Surono Ashadi Prasetyo Feri Trihandoko Feri Trihandoko Mahatma Sotya Bawono Trihandoko, Feri