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All Journal Oto Rhino Laryngologica Indonesiana Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh
Fitria, Sova
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Analisis Perbedaan Angka Kesintasan pada Pasien Karsinoma Laring Yang Menjalani Total Laringektomi Dengan Dan Tanpa Diseksi Leher Fadhlia; Kurnia , Benny; Setiani, Lily; Fitria, Sova; Denantika, Oktaria; Suhanda, Rachmad
Journal of Medical Science Vol 6 No 1 (2025): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55572/jms.v6i1.117

Abstract

Pilihan terapi untuk karsinoma laring yang progresif (T3-T4) adalah operasi, baik untuk tumor laring maupun diseksi nodul pada leher, yang setelah itu dilanjutkan dengan kemoterapi, radiasi atau kombinasi kemoradiasi. Diseksi nodul pada leher dilakukan sesuai stadium penyakit. Sebagian besar pasien yang terdiagnosis pada stadium lanjut atau metastasis nodal regional, umumnya memiliki tingkat kelangsungan hidup 50%. Penelitian ini bertujuan menganalisis perbedaan angka kesintasan pasien dengan karsinoma laring yang telah menjalani total laringektomi dengan atau tanpa diseksi leher. Pengumpulan data menggunakan rekam medis pasien yang berobat ke Departemen THT-BKL RSUD dr. Zainoel Abidin sejak 1 Juli–30 September 2022. Metode penelitian berupa analitik observasional retrospektif dengan desain khusus analisis kesintasan, Diperoleh total 36 subjek, seluruhnya laki-laki, terbanyak (47,2%) pada kelompok usia 56-65 tahun. Mayoritas subjek (97,2%) memiliki riwayat merokok lebih dari 30 tahun, dengan 44,4% lokasi tumor berada di transglotis, dan pasien terbanyak (88,9%) datang ke rumah sakit pada stadium IV, secara histopatologi 75% jenis keratinizing squamous cell carsinoma. Sejumlah 41,7% menjalani total laringektomi saja dan 58,3% menjalani total laringektomi disertai diseksi leher. Hasil analisis kurva Kaplan Meier didapatkan angka bertahan hidup pada total laringektomi rata-rata 33,24 bulan dan 34,29 bulan pada total laringektomi dengan diseksi leher. Penelitian menunjukkan tidak terdapat perbedaan signifikan pada angka kesintasan pasien karsinoma laring yang menjalani total laringektomi dengan dan tanpa diseksi leher.
The suitability of patient’s little finger diameter and middle finger lenght to the trachea diameter in predicting the tracheostomy cannula size: - Fitria, Sova; -, Lily Setiani; Kurnia, Benny
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.757

Abstract

Background: A tracheostomy is a temporary or permanent opening of the trachea followed by a cannula insertion to secure the airway, a common life-saving procedure in otorhinolaryngology. However, tracheostomy cannula sizes vary significantly across manufacturers, with no standardized numbering system, complicating the selection of an appropriate size. The tracheal ring is made of cartilage, particularly in the fingers, is used as a marker for cartilage growth in the trachea. Purpose: This study aims to assess the suitability of little finger diameter and middle finger length to diameter of the trachea in order to predict the tracheostomy cannula size. Methode: This observational analytical study using a cross-sectional design, analyzing patients who underwent tracheostomy and met specific inclusion criteria. Measurements included the little finger diameter, middle finger length, and intraoperative anterolateral tracheal diameter. Data analysis was performed using Pearson and Spearman correlation tests. Result: Among 24 participants, adults accounted for 83.3% of cases, while children 16.7%, with a mean age of 54.5 years. The incidence of tracheostomy was more common in males (70.8%) and upper airway obstruction as the main indication (83,3%). The study identified a positive correlation between little finger diameter and tracheal internal diameter (r = 0.496, p < 0.05). Conversely, no significant correlation was observed between middle finger length and tracheal diameter (r = 0.318, p > 0.05). Conclusion: little finger diameter demonstrates potential as a predictor for tracheostomy cannula size, reflecting the internal tracheal diameter. Keywords: Tracheal diameter, little finger diameter, middle finger length, Tracheostomy cannula.
Co-Authors -, Lily Setiani Fadhlia Kurnia , Benny Kurnia, Benny Oktaria Denantika Rachmad Suhanda Setiani, Lily