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Oto Rhino Laryngologica Indonesiana
Published by Perhimpunan Dokter Spesialis Telinga Hidung dan Tenggorok Bedah Kepala Leher Indonesia
ISSN : 02163667     EISSN : 25983970     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Journal Othorhinolaryngologica Indonesiana is a peer-reviewed and open access journal that focuses on promoting otorhinolaryngology-head and neck surgery that publishes research reports, case reports, and literature reviews, to increase knowledge and updating diagnostics procedurs on otorhinolaryngology-head and neck surgery.
Arjuna Subject : -
Articles 493 Documents
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How I manage patient with tinnitus? Abdullah, Asma; Hern E, Yii; AR, Norsyamimi; J, Kirubananthini; AR, Roslenda; MD, Tuti Iryani; Hashim, Noor Dina; Falerina, Rosa; N, Zara Farina; H, Khai Yng
Oto Rhino Laryngologica Indonesiana Vol 50, No 2 (2020): Volume 50, No. 2 July - December 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v50i2.407

Abstract

ABSTRACTBackground: Tinnitus is believed to cause significant psychological distress leading to impairment in quality of life (QOL). Purpose: To assess the negative impact of tinnitus on patient’s QOL and discuss the management approach of tinnitus patient. Method: A cross-sectional study was conducted within one year duration on 88 patients who experienced tinnitus. Patients from Otorhinolaryngology clinic, Universiti Kebangsaan Malaysia Medical Centre (UKMMC) were evaluated based on socio-demographic data, clinical data and QOL. QOL was assessed using Tinnitus Handicap Inventory (THI), a self-report questionnaire measuring 3 domains of QOL: functional, emotional and catastrophic scales. Result: Respondents consisted of 35 males (39.8%) and 53 females (60.2%), with mean age of 57.9±13.9 years old. Pure tone audiometry should be done at least once during the follow up period. Patients with persistent tinnitus had significantly higher mean THI total scores (p=0.042) and emotional subscale score (p=0.037) compared to patients with intermittent tinnitus. However, there were no significant associations between gender, duration of tinnitus and laterality of tinnitus with patient’s THI score. Discussion: All patients should have good history taking, proper physical examination and investigation. Those without the primary cause of tinnitus would be given tinnitus activity treatment by good counselling on tinnitus. Patient with vascular disorder would be given conservative treatment. Conclusion: Magnetic resonance imaging was indicated in asymmetrical hearing loss with tinnitus. Computed tomography scan with contrast was indicated when there is pulsatile tinnitus with/without abnormal ear finding. Patients with high grades THI questionnaire would be referred to psychiatrist for further assessment. ABSTRAKLatar belakang: Tinitus diyakini dapat menyebabkan stress psikologi yang signifikan sehingga mengakibatkan penurunan kualitas hidup seseorang (Quality of Life / QOL). Tujuan: Menilai dampak negatif tinitus pada kualitas hidup penderita dan merencanakan penatalaksanaannya. Metode: Penelitian ini merupakan studi potong lintang pada 88 penderita tinitus selama satu tahun. Penderita yang datang ke unit rawat jalan Telinga Hidung Tenggorok Bedah Kepala dan Leher (THT-KL), Universiti Kebangsaan Malaysia Medical Centre (UKMMC) dilakukan evaluasi berdasarkan data demografi, data klinis dan QOL. Quality of life dinilai menggunakan Tinnitus Handicap Inventory (THI), kuesioner tentang penderita yang mengukur 3 domain QOL: skala fungsional, emosional dan katastropik. Hasil: Responden terdiri dari 35 laki-laki (39,8%) dan 53 perempuan (60,2%), dengan rerata usia 57.9±13.9 tahun. Audiometri nada murni perlu dilakukan minimal satu kali selama periode penelitian. Penderita dengan tinitus persisten secara signifikan memiliki nilai rata-rata THI yang lebih tinggi (p=0.042) dan nilai emotional subscale (p=0.037) dibandingkan dengan penderita tinitus intermiten. Tidak ada hubungan yang signifikan antara jenis kelamin, durasi tinitus dan lateralisasi tinitus dengan nilai THI penderita. Diskusi: Semua penderita diperlukan anamnesis yang baik dan pemeriksaan fisik yang menyeluruh. Penderita tanpa penyebab primer dari tinitusnya akan diberikan terapi konseling tinitus yang baik. Penderita dengan gangguan pembuluh darah akan diberikan pengobatan konservatif. Kesimpulan: Magnetic resonance imaging perlu dilakukan pada gangguan pendengaran satu sisi dengan tinitus. Computed tomography scan dengan kontras dilakukan pada tinitus pulsatil dengan atau tanpa kelainan pada telinga. Pada pendertita dengan nilai kuesioner THI yang tinggi akan dirujuk ke psikiater untuk penilaian lebih lanjut.
A survey of Indonesian otolaryngologist behavior in medical service during the CoVid-19 pandemic Indra Zachreini; Jenny Bashiruddin; Susyana Tamin; Harim Priyono; Ika Dewi Mayangsari; Respati Ranakusuma; Natasha Supartono; Fikri Mirza Putranto; Dewo Aksoro; Selfiyanti Bimantara; Yussy Afriana Dewi; Kote Noordhianta; Bintang Napitupulu; Sagung Rai Indrasari; Nyilo Purnami; Tengku Siti Hajar Haryuna; Juliandi Harahap; Eka Savitri; Tjandra Manukbua
Oto Rhino Laryngologica Indonesiana Vol 51, No 1 (2021): Volume 51, No. 1 January - June 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i1.444

Abstract

Background: World Health Organization (WHO) announced a newly discovered virus that first identified in Wuhan, China on December 2019, namely SARS-CoV-2 as the cause of corona virus disease (COVID-19) which had become global pandemic. Doctors as medical practitioners are categorized as vulnerable group to be infected by corona virus, and many otorhinolaryngologists had been infected and even died in performing medical services. Among the causative factors why otorhinolaryngologists could get infected by corona virus is their behavior. Purpose: To assess the behavioral level of otorhinolaryngologists in medical services during Covid-19 pandemic. Method: Descriptive study with a cross sectional design. Research samples were otorhinolaryngologists in Indonesia who met the inclusions criteria. The samples were selected by consecutive sampling method, and obtained 1299 subjects. Behavioral level was assessed from 3 aspects: knowledge, attitude, and practice, which comprised of 12 questions. Result: It was found that 461 respondents had a good behavioral level (35.5%), 677 respondents had moderate levels (52.1%) and 161 respondents had low level (12.4%). There was a statistically significant correlation between knowledge with behavioral level, attitude with behavioral level, and practice with behavioral level (p=0.001). Conclusion: The study of behavioral level of otorhinolaryngologists in medical service during Covid-19 pandemic obtained the highest number was moderate level 677 respondents (57.2%), and there was a statistically significant correlations between the variable of knowledge with behavioral level, the variable of attitude with behavioral level, and the variable of practice with behavioral level (p=0.001).ABSTRAK Latar belakang: Organisasi kesehatan dunia (WHO) mengumumkan virus baru yang pertama kali muncul di Wuhan China, pada Desember 2019, yaitu SARS-CoV-2 sebagai penyebab corona virus disease 19 (Covid 19) dan menyatakan sebagai pandemi. Dokter sebagai tenaga kesehatan merupakan kelompok yang rentan terinfeksi virus corona dan berdasarkan laporan, sudah banyak dokter Telinga Hidung Tenggorok - Bedah Kepala Leher (THT-KL) yang terinfeksi bahkan meninggal dunia dalam pelayanan medis. Salah satu faktor penyebab dokter THT-KL terinfeksi oleh virus corona adalah tingkat perilaku dokter THT-KL. Tujuan: Mengetahui tingkat perilaku dokter THT-KL dalam melakukan pelayanan medis saat pandemi Covid 19. Metode: Penelitian deskriptif dengan rancangan studi potong lintang. Sampel penelitian adalah dokter THT-KL di Indonesia yang memenuhi kriteria inklusi. Teknik pengambilan sampel secara berurutan, dan mendapatkan 1299 sampel. Tingkat perilaku dinilai dari 3 aspek yaitu dimulai dari pengetahuan, sikap dan tindakan yang terdiri dari 12 pertanyaan. Hasil: Didapatkan tingkat perilaku responden dokter THT-KL dalam pelayanan medis pada pandemi Covid 19, tingkat perilaku baik sebanyak 461 responden (35,4%), tingkat sedang 677 responden (52,1%), dan tingkat kurang 161 responden (12.4%). Terdapat hubungan yang signifikan antara pengetahuan dan tingkat perilaku, sikap dengan tingkat perilaku dan tindakan dengan sikap perilaku (p=0,001). Kesimpulan: Didapatkan tingkat perilaku dokter THT-KL dalam pelayanan medis pada pandemi covid 19, terbanyak adalah tingkat perilaku sedang sebanyak 677 responden (57,2%), dan terdapat hubungan yang bermakna antara variabel pengetahuan dengan tingkat perilaku, variabel sikap dengan tingkat perilaku dan variabel tindakan dengan tingkat perilaku dokter THT-KL dalam pelayanan medis pada pandemi Covid 19, dimana nilai p = 0,001. Kata kunci: perilaku, dokter THT-KL, pandemic, Covid-19
Hearing impairment in hemodyalisis patients with hypertension and diabetes mellitus type-2 Nyilo Purnami; Nunuk Mardiana; Sabrina Izzattisselim; Alfarika Rosmalia; Makhmudyah Indri Cahyani
Oto Rhino Laryngologica Indonesiana Vol 51, No 1 (2021): Volume 51, No. 1 January - June 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i1.396

Abstract

Background: Sensorineural hearing loss could occur in chronic kidney disease (CKD) patients undergoing hemodyalisis. In general, the frequency of hearing impairment in CKD is connected with age and gender, and with associated disorders such as hypertension and diabetes mellitus. Purpose: To find out the incidence of hearing loss (HL) in CKD patients with hypertension and diabetes mellitus who were undergoing hemodialysis, in Dr. Soetomo General Hospital. Method: This was an observational descriptive study. Subjects were all CKD patients who were undergoing hemodialysis from June until December 2019 in Dr. Soetomo General Hospital. Subjects were categorized demographically and the hearing impairment was examined with audiometric examination and otoacoutic emission test. Result: From 52 samples, there were 31 female and 21 male, with the ratio 1.5:1. The highest age group was in 31-40 years old, and the average was 47 years old. Hemodialysis CKD patients with hypertension were 46 subjects, 14 patients with normal hearing and 32 patients had hearing impairment: mild HL 25 patients, moderate HL 5 patients and moderate-severe 2 patients. Hemodialysis CKD patients with DM type-2 were 12 subjects, 3 patients with normal hearing, and 9 patients had hearing impairment: mild HL 4 patients, moderate HL 4 patients, and moderate-severe HL 1 patient. Conclusion: In this study, female hemodyalisis patients were more than male, and the highest age group was between 31-40 years old. Hearing impairment in CKD subjects with hypertension were mostly mild HL, while in CKD subjects with DM type-2 were mostly mild and moderate HL.ABSTRAK Latar belakang: Tindakan hemodialysis yang dilakukan pada penderita penyakit ginjal kronis (PGK) dapat menyebabkan gangguan pendengaran tipe sensorineural. Perlu dikembangkan penatalaksanaan gangguan pendengaran terkait hemodialisis. PGK dan gangguan pendengaran secara umum berhubungan dengan usia dan jenis kelamin, serta penyakit yang sering menyertai PGK seperti hipertensi dan diabetes mellitus. Tujuan: Mendapatkan angka kejadian gangguan pendengaran pada penderita PGK yang menjalani hemodialisis, dengan disertai hipertensi dan diabetes mellitus (DM) di RSUD. Dr. Soetomo. Metode: Disain penelitian ini adalah deskriptif observasional dengan sampel semua penderita PGK yang dilakukan hemodialisis di RSUD Dr Soetomo yang memenuhi kriteria inklusi. Sampel yang diambil berdasarkan data demografi kemudian dilakukan pemeriksaan audiometri dan otoacoustic emission. Hasil: Didapati penderita PGK perempuan sebanyak 31 orang dan laki-laki 21 orang, dengan rasio 1,5:1. Kelompok usia terbanyak adalah 31-40 tahun, dan rerata usia penderita 47 tahun. Pasien PGK yang dihemodialsis dengan disertai hipertensi ada 46 subjek, 14 orang tanpa gangguan pendengaran dan 32 orang mengalami gangguan pendengaran: derajat ringan 25 penderita, derajat sedang 5 penderita, dan derajat sedang-berat 2 penderita. Pasien PGK yang dihemodialisis dengan DM type-2 ada 12 orang: tanpa ganguan pendengaran 3 orang, gangguan pendengaran derajat ringan 4 penderita, derajat sedang 4 penderita,dan derajat sedang-berat 1 penderita. Kesimpulan: Penderita PGK jenis kelamin perempuan lebih banyak daripada laki-laki. Kelompok usia terbanyak adalah 31-40 tahun. Sebagian besar pasien PGK dengan HD mengalami gangguan pendengaran derajat ringan. PGK yang disertai hipertensi terbanyak mengalami gangguan pendengaran derajat ringan, sedangkan yang disertai DM yaitu derajat ringan dan derajat sedang.Kata kunci: gangguan pendengaran, hipertensi, diabetes mellitus tipe 2, penyakit ginjal kronis,hemodialisis
Tuberculous Otitis Media: a case report of hearing impairment in developing country Giovanni Reynaldo; Bernadina Chyntia Carsantiningrum; Harim Priyono
Oto Rhino Laryngologica Indonesiana Vol 50, No 2 (2020): Volume 50, No. 2 July - December 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v50i2.342

Abstract

ABSTRACTBackground: Tuberculosis is one of major health problems in developing countries, especially extrapulmonary tuberculosis. Tuberculous otitis media (TOM) is one of extrapulmonary manifestations which is a rare phenomenon characterized by painless otorrhea, insidious onset of ear discharge, multiple perforations in the tympanic membrane, and pale granulation tissues in middle ear cleft. Purpose: Reporting one rare case of TOM. Case Report: A 58-year-old male came with painless otorrhea and recurrent hearing impairment. Tympanomastoidectomy was carried out to repair the tympanic membrane, to cleanse the secret from the middle ear, and to obtain sample for biopsy. Histopathological examination showed necrotizing granuloma which contained mycobacterium tuberculosis infection. Medical treatment was administration of anti tuberculosis drugs. Clinical Question: How to establish TOM diagnosis? Review Method: Searching for literature evidence through Google Scholar. Result: The search obtained 20 journals which in accordance with the inclusion and exclusion criteria. There were similarities on clinical and therapeutic symptoms with this reported case. Discussion: In the reported case, the probable pathophysiology was bacterial aspiration through the Eustachian tube, which was just diagnosed during pre-operative screening. There was no apparent pulmonary tuberculosis symptom. Diagnosis TOM with mastoiditis was difficult, it required high skilled accuracy. Conclusion: TOM is a rare manifestation of extrapulmonary tuberculosis. High suspicion of TOM is needed in patients who did not respond to standard treatment. Treatment includes administration of anti-tubercular drugs, and surgical procedure to cleanse the secretion and granulation tissues. Permanent hearing loss can occur in cases of delayed diagnosis. ABSTRAKLatar belakang: Tuberkulosis merupakan masalah kesehatan di negara berkembang, terutama tuberkulosis ekstra pulmonal. Otitis media tuberkulosa (OMT) merupakan salah satu manifestasi tuberkulosis ekstra pulmonal yang jarang terjadi dan ditandai dengan gejala klinis berupa keluar cairan dari telinga tanpa disertai rasa nyeri, onset penyakit berjalan lambat, terdapat perforasi multipel pada membran timpani, dan jaringan granulasi pucat di rongga telinga tengah. Tujuan: Melaporkan satu kasus OMT yang jarang ditemukan. Laporan Kasus: Seorang laki-laki 58 tahun datang dengan keluhan keluar cairan dari telinga tanpa disertai rasa nyeri, dan ada gangguan pendengaran berulang. Pada pasien dilakukan tindakan bedah timpanomastoidektomi untuk memperbaiki membran timpani yang rusak, membersihkan sekret, dan melakukan biopsi jaringan. Hasil pemeriksaan histopatologi didapati jaringan granuloma nekrotikans yang menunjukkan adanya infeksi Mycobacterium tuberculosis. Diberikan terapi medikamentosa obat anti tuberkulosa. Pertanyaan Klinis: Bagaimana menegakkan diagnosa OMT? Telaah literatur: Penelusuran bukti kepustakaan melalui Google Scholar. Hasil: Penelusuran menghasilkan 20 jurnal yang memenuhi kriteria inklusi dan eksklusi dan memiliki kesamaan gejala klinis dan terapi dengan kasus yang dilaporkan. Diskusi: Pada kasus ini kemungkinan patofisologinya adalah aspirasi bakteri melalui tuba eustachius, dan OMT baru terdiagnosis saat dilakukan skrining pra-operasi. Tidak didapati gejala tuberkulosis paru. Diagnosis OMT dengan mastoiditis cukup sulit, diperlukan ketelitian yang tinggi. Kesimpulan: OMT merupakan manifestasi tuberkulosis ekstra pulmonal yang jarang terjadi. Perlu kecurigaan yang tinggi adanya OMT pada pasien yang tidak responsif terhadap pengobatan standar. Penatalaksanaan meliputi pemberian obat anti tuberkulosa, dan tindakan bedah untuk mengeluarkan dan membersihkan sekret dan jaringan granulasi. Gangguan pendengaran permanen bisa terjadi pada kasus yang penatalaksaannya terlambat.
Association Neutrophil Lymphocyte Ratio and Therapy Respons in Submandibular Abscess with and without Diabetes Dian Ratna Chamora; Mohammad Dwijo Murdiyo; Iriana Maharani
Oto Rhino Laryngologica Indonesiana Vol 51, No 2 (2021): VOLUME 51, NO. 2 JULY - DECEMBER 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i2.416

Abstract

ABSTRACTBackground: Submandibular abscess is one of the most common deep neck abscesses and associated with fatal complications which require adequate management. Diabetes mellitus (DM) is a chronic and complex disease that necessitates ongoing medical care with a multifactorial risk reduction strategy in addition to blood sugar control. The neutrophil lymphocyte ratio (NLR) is a simple marker for the systemic inflammatory conditions. An increased NLR values were found in patients with submandibular abscesses and patients with DM. Purpose: To determine the correlation between NLR to the therapeutic response of patients with submandibular abscesses with and without DM. Method: A cross-sectional study design with secondary data collection from medical records of submandibular abscess patients with and without DM. NLR value was compared between two groups. Correlation between NLR value and therapeutic response was compared between DM and non DM group. Result: The mean NLR of patients with and without DM were respectively 7.65 ± 4.92 and 16.53 ± 11. There was no significant difference between NLR and good therapeutic response or not in submandibular abscess patients with and without DM (p > 0.05). Conclusion: NLR of submandibular abscess patients with DM was lower than without DM. A lower NLR in submandibular abscess patients with DM did not have better response to therapy. Lower LNR in submandibular abscess patients without DM had a better therapeutic response, but it was not statistically significant.Keywords: neutrophil lymphocyte ratio, response to therapy, submandibular abscess, diabetes mellitusABSTRAKLatar belakang: Abses submandibula merupakan salah satu abses leher dalam yang paling sering ditemui dan berkaitan dengan komplikasi yang fatal sehingga diperlukan penatalaksanaan yang memadai pada pasien. Diabetes mellitus (DM) merupakan penyakit kronis dan kompleks, yang memerlukan perawatan medis berkelanjutan dengan strategi mengurangi risiko multifaktorial selain kontrol gula darah. Rasio neutrofil limfosit (RNL) merupakan penanda sederhana adanya kondisi inflamasi sistemik. Peningkatan nilai RNL ditemukan pada pasien dengan abses submandibula dan pasien DM. Tujuan: Mengetahui hubungan RNL terhadap respon terapi penderita abses submandibula dengan DM dan tanpa DM. Metode: Penelitian cross-sectional, sampel penelitian dari arsip rekam medis rawat inap pasien dengan diagnosis abses submandibula baik dengan komorbid DM dan tanpa komorbid DM. Nilai RNL dibandingkan diantara kedua kelompok. Hubungan nilai RNL dan respon terapi dibandingkan diantara kelompok DM dan tanpa DM. Hasil: Rerata nilai RNL pada pasien abses submandibula dengan komorbid DM sebesar 7,65 + 4,92 dan pada pasien tanpa komorbid DM sebesar 16,53 + 11. Tidak ada perbedaan yang signifikan antara nilai RNL terhadap respon terapi baik dan tidak baik pada pasien abses submandibula dengan komorbid DM dan tanpa DM (p>0,05). Kesimpulan: RNL penderita abses submandibula dengan DM lebih rendah daripada penderita tanpa DM. RNL yang lebih rendah tidak memiliki respon terapi yang lebih baik pada penderita abses submandibula dengan DM. RNL yang lebih rendah memiliki respon terapi yang lebih baik pada penderita abses submandibula tanpa DM, namun tidak bermakna secara statisitik.Kata kunci: rasio neutrofil limfosit, respon terapi, abses submandibula, diabetes mellitus
The correlation between earphone usage patterns with the incidence rate and severity of tinnitus Adrian Joshua Velaro; Devira Zahara
Oto Rhino Laryngologica Indonesiana Vol 51, No 2 (2021): VOLUME 51, NO. 2 JULY - DECEMBER 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i2.432

Abstract

ABSTRACTBackground: Earphone nowadays is extensively used along with audiovisual technology development. The increased use of earphone can lead to tinnitus. Around 10- 20% of the adult population had experienced tinnitus during their life, and 0.5-2.5% affected their quality of life. Tinnitus in medical students could interfere in the teaching process which could can lead to decreased quality of medical students. Objective: To observe the correlation between the pattern of using earphone with the incidence of tinnitus, and to determine the severity of tinnitus among students of the Faculty of Medicine, Universitas Sumatera Utara, class 2017-2019 who used earphones. Method: This was an analytic study with cross-sectional design, using consecutive sampling technique. Result: Bivariate analysis between earphone use patterns and the incidence of tinnitus among the subjects obtained statistically significant results (p=0.017). Univariate analysis on 148 respondents showed a pattern of risky earphone use (64.2%) and 52 people with tinnitus (35.1%), and tinnitus severity with 52 participants based on Visual Analogue Scale was mild (55.8%) and based on Tinnitus Handicap Inventory Questionnaire was light (53.9%). In the pattern of earphone use, the results of the analysis of the frequency of using earphones for 3-4 days were (40.5%), the volume of earphone use was 60-80% (54.1%), the length of time using earphones >3 years was (65.5%), and the duration of using earphones <1 hour (38.5%). Conclusion: There was a correlation between the pattern of earphone use and the incidence of tinnitus among students at the Faculty of Medicine, Universitas Sumatera Utara, class 2017-2019.Keywords: earphone, tinnitus, Visual Analog Scale, Tinnitus Handicap Inventory QuestionnaireABSTRAKLatar belakang: Earphone saat ini sangat banyak digunakan seiring dengan perkembangan teknologi audiovisual. Prevalensi pengguna earphone pada remaja sekitar 83,6% dari 436 remaja. Penggunaan earphone yang berlebihan dapat menyebabkan tinitus. Statistik prevalensi dunia menunjukkan 30-40% populasi dewasa pernah mengalami tinnitus dalam hidupnya dan 0,5-2,5% kualitas hidupnya sangat terganggu oleh tinitus. Tinitus merupakan salah satu tanda penurunan fungsi pendengaran dan mampu menyebabkan penurunan performa kognitif. Tinitus pada mahasiswa kedokteran dapat mengganggu proses belajar mengajar sehingga dapat menurunkan kualitas mahasiswa kedokteran. Tujuan: Untuk mengetahui apakah terdapat hubungan pola penggunaan earphone dengan angka kejadian tinnitus serta tingkat keparahan tinitus pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara. Metode: Penelitian analitik dengan desain potong lintang dengan teknik pengambilan secara consecutive sampling. Pengukuran dilakukan dengan Visual Analog Scale (VAS) dan Tinitus Handicap Inventory Questionnaire (THI-Q). Hasil: Analisis bivariat antara pola penggunaan earphone dengan angka kejadian tinnitus pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara diperoleh hasil (p=0,017). Analisis univariat pada 148 responden menunjukkan pola penggunaan earphone berisiko sebanyak (64,2%) dan yang mengidap tinitus sebanyak 52 orang (35,1%), dan tingkat keparahan tinitus dengan jumlah responden 52 orang berdasarkan VAS adalah ringan (55,8%) dan berdasarkan THI-Q adalah ringan (53,9%). Pada pola penggunaan earphone diperoleh hasil analisis frekuensi penggunaan earphone 3-4 hari sebanyak (40,5%), volume penggunaan earphone 60-80% sebanyak (54,1%), lama penggunaan earphone >3 tahun sebanyak (65,5%), dan durasi penggunaan earphone <1 jam sebanyak (38,5%). Kesimpulan: Terdapat hubungan antara pola penggunaan earphone dengan angka kejadian tinitus pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara angkatan 2017-2019.Kata kunci: earphone, tinitus, Visual Analog Scale, Tinnitus Handicap Inventory Questionnaire
Non-Powder gunshot injury of the parapharynx space Raden Ayu Hardianti Saputri; Annika Famiasti; Nur Akbar Aroeman; Agung Dinasti Permana; Sinta Sari Ratunanda
Oto Rhino Laryngologica Indonesiana Vol 51, No 2 (2021): VOLUME 51, NO. 2 JULY - DECEMBER 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i2.402

Abstract

ABSTRACTBackground: Non-powder firearm is a weapon which used compressed air or CO2 gas to propel lead or steel ball pellets. Trauma caused by non-powder firearm has the potential for significant morbidity and mortality. Head and neck wounds account for 13.8%-30% of all non-powder firearm injuries. Bullets from gunshots often nest in the parapharyngeal space. Purpose: To present a case of non-powder firearm trauma in parapharyngeal space and its management. Case Report: A 13 years-old boy came with non-powder firearm trauma on the left cheek and bleeding from the left nostril. Upon physical examination there was a vulnus sclopetorum sized 0.5x0.5 cm without active bleeding in the left zygoma area. Three dimensional CTscan showed a hyperdense metal lesion in the left parapharyngeal space with 42.6 cm distance from penetrating site to the bullet location. The bullet was then extracted with transparotid approach surgery guided by C-arm imaging. Clinical Question: How is the management of trauma from a non-powder gunshot in the parapharyngeal space? Review method: Literature search through Pubmed, Cochrane Library, and Wiley using non-powder firearm injury in parapharyngeal space and its management as keywords. Result: The search obtained 11 articles. Based on inclusion and exclusion criteria, one article was found relevant with the topic i.e. one case report of non-powder firearm injury in parapharyngeal space and its surgical management. Conclusion: The safe procedure for retrieving bullets from the parapharyngeal space is in the form of surgery with the help of C-arm imaging to pinpoint the bullet’s location and to prevent further complication.Keywords: non-powder firearm, gunshot injury, parapharynx space, C-armABSTRAKLatar belakang: Senapan angin merupakan senjata yang menggunakan tenaga penggerak berjenis gas CO2 untuk melontarkan peluru. Trauma akibat senapan angin dapat berpotensi fatal. Sebanyak 13,8-30% luka tembak senapan angin terjadi pada daerah kepala dan leher. Salah satu ruang leher yang kerap menjadi tempat bersarangnya peluru adalah ruang parafaring. Tujuan: Melaporkan kasus dan penanganan trauma tembak senapan angin pada parafaring. Laporan kasus: Anak laki-laki berusia 13 tahun dengan riwayat tertembak senapan angin di pipi kiri dan perdarahan dari hidung kiri. Pada pemeriksaan fisis didapatkan vulnus sklopetorum berukuran 0,5 x 0,5 cm tanpa perdarahan aktif di area zigoma kiri. Hasil CT scan 3D didapatkan lesi hiperdens dengan densitas metal pada parafaring kiri, berjarak 42,6 mm dari luka. Benda asing peluru kemudian diekstraksi melalui tindakan operatif menggunakan pendekatan transparotid dengan bantuan C-Arm. Pertanyaan klinis: Bagaimana penatalaksanaan trauma tembak senapan angin pada ruang parafaring? Telaah literatur: Penelusuran literatur melalui Pubmed, Cochrane Library, dan Wiley menggunakan kata kunci luka tembak senapan angin pada ruang parafaring dan penatalaksanaannya. Ditemukan 11 artikel, dan pemilihan artikel berdasarkan kriteria inklusi dan eksklusi, terdapat satu penelitian yang relevan. Hasil: Didapat satu laporan kasus tentang luka tembak senapan angin di ruang parafaring dengan tindakan bedah sebagai penanganannya. Kesimpulan: Tatalaksana pengambilan peluru yang aman adalah dengan pendekatan pembedahan dengan bantuan C-Arm untuk mencegah komplikasi lebih lanjut.Kata kunci: senapan angin, luka tembak, trauma, ruang parapfaring, C-arm
Microbiota profile in sinonasal mucosa of chronic rhinosinusitis as an indicator for therapeutic outcome Imam Megantara; Muhammad Fadhil Ihsan Yazid; Gita Widya Pradini; Melati Sudiro; Chrysanti Murad
Oto Rhino Laryngologica Indonesiana Vol 51, No 2 (2021): VOLUME 51, NO. 2 JULY - DECEMBER 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i2.423

Abstract

ABSTRACTBackground: Chronic rhinosinusitis (CRS) is characterized by persistent inflammation of the sinonasal mucosa, which often requires surgical and additional post-operative therapy. Microbial dysbiosis due to the imbalance of commensal bacteria and pathogens plays a crucial role in the inflammatory process within the sinonasal mucosa and in therapy outcome. Further knowledge about the microbiota profile in CRS is needed to improve the management strategy for CRS patients. Purpose: To review recent studies on the microbiota profile in sinonasal mucosa of CRS patients, and its potential as an indicator for therapeutic outcome. Literature review: Recent data from several studies has documented increased microbiota richness and diversity in post-operative CRS patients’ sinonasal mucosa, as well as good post-operative outcomes. Increased genus Corynebacterium abundance was also consistently associated with good post-operative outcomes. Conclusion: There was a difference in microbiota profiles in pre and post-operative CRS patients, indicating an association with clinical improvement. Corynebacterium was associated with better post-operative outcomes. Thus, the presence of these bacteria potentially could be used as an indicator for therapeutic outcome.Keywords: chronic rhinosinusitis, microbiota, endoscopic sinus surgery, therapeutic outcomeABSTRAKLatar belakang: Rinosinusitis kronis (RSK) merupakan kondisi inflamasi yang menetap pada mukosa sinonasal dan sering memerlukan operasi dan terapi tambahan pasca-operasi. Kondisi disbiosis mikrobiota akibat ketidakseimbangan bakteri komensal dan patogen diduga memengaruhi proses inflamasi pada mukosa sinonasal dan luaran terapi. Diperlukan pengetahuan tentang profil mikrobiota pada RSK sehingga diharapkan dapat meningkatkan strategi penanganan pasien RSK. Tujuan: Mempelajari studi terkini tentang profil mikrobiota pada mukosa sinonasal pasien RSK, dan potensinya sebagai indikator luaran terapi. Tinjauan pustaka: Data terkini dari beberapa penelitian menemukan peningkatan kekayaan dan keragaman mikrobiota pada mukosa sinonasal pasien RSK pasca-operasi dan memiliki hubungan dengan luaran operasi yang baik. Peningkatan kelimpahan genus Corynebacterium ditemukan secara konsisten berkaitan dengan luaran operasi yang baik. Kesimpulan: Terdapat perbedaan profil mikrobiota pada pasien RSK pra dan pasca-operasi yang mengindikasikan kaitannya dengan perbaikan klinis. Corynebacterium adalah bakteri yang ditemukan memiliki hubungan dengan luaran operasi yang lebih baik, sehingga keberadaan bakteri ini berpotensi untuk dapat dimanfaatkan sebagai indikator luaran terapi.Kata kunci: rinosinusitis kronis, mikrobiota, operasi sinus endoskopik, luaran terapi
Auditory Brainstem Response profile in speech delay patients at Universitas Gadjah Mada Academic Hospital Mahatma Sotya Bawono; Ade Febrina Lestari; Widiarahma Hapsari; Herfis Avidati; Shinta Kusumalarna Sari
Oto Rhino Laryngologica Indonesiana Vol 51, No 2 (2021): VOLUME 51, NO. 2 JULY - DECEMBER 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i2.420

Abstract

ABSTRACTBackground: Speech delay is one of the most common causes of developmental disorders in children and the reason for patients to be referred to the Electromedical Unit. Purpose: To find out the profile of Auditory Brainstem Response (ABR) results in pediatric patients with speech delays at the Electromedical Clinic of UGM Academic Hospital. Method: This was a retrospective descriptive observational study using secondary data, using total sampling method from January 1 to December 31, 2019. The respondents were 86 children who met the inclusion and exclusion criteria. Most of the respondents were male (68.6 %) in the age range of 2-<3 years (45.3%). Result: ABR examination found 68 children (79.1%) classified as normal ABR and 18 children (31.4%) with abnormal ABR. The highest number of respondents who obtained normal ABR results were male (42.6%), while abnormal ABR results were higher in female (66.7%). Respondents with normal and abnormal ABR results were mostly in the age range of 2-<3 years, consisted of 29 children (42.6%) and 10 children (55.5%) respectively. The respondents in this study were mainly categorized in the range of severe hearing loss (66.6%). Most of the respondents (77.8%) belong to the type of sensorineural hearing loss (SNHL). Conclusion: Respondents with abnormal ABR results showed predominantly (83.3%) had a hearing loss on both sides of the ear (bilateral). Pediatric patients with speech delay who underwent ABR testing mostly showed normal hearing. The majority of them were male, between 2-3 years of age.Keywords: ABR (Auditory Brainstem Response), hearing loss, hearing test, speech delayABSTRAKLatar belakang: Keterlambatan bicara adalah salah satu penyebab gangguan perkembangan yang paling sering ditemukan pada anak. Keterlambatan bicara merupakan penyebab terbanyak pasien dikirim ke Unit Elektromedik. Tujuan: Untuk mengetahui profil hasil Brain Evoked Response Auditory (BERA) pada pasien anak dengan keterlambatan bicara di Klinik Elektromedik RSA UGM. Metode: Penelitian deskriptif observasional dengan menggunakan data sekunder. Pengambilan sampel dilakukan dengan teknik total sampling pada periode 1 Januari 2019 sampai dengan 31 Desember 2019. Responden yang memenuhi kriteria inklusi dan eksklusi berjumlah 86 anak. Sebagian besar responden berada pada rentang umur 2-<3 tahun (45,3%) dan berjenis kelamin laki-laki (68,6%). Hasil: Responden dengan hasil pemeriksaan BERA normal sejumlah 68 anak (79,1%), sedangkan sisanya sebanyak 18 anak (31,4%) tidak normal. Sebagian besar responden dengan hasil BERA normal berjenis kelamin laki-laki (42,6%), sedangkan pada responden dengan hasil BERA tidak normal, sebagian besar berjenis kelamin perempuan (66,7%). Responden dengan hasil BERA normal maupun tidak normal sebagian besar berada pada rentang umur 2-<3 tahun, masing-masing berjumlah 29 anak (42,6%) dan 10 anak (55,5%). Sebagian besar responden pada penelitian ini tergolong pada gangguan pendengaran berat (66,6%). Penelitian ini juga menunjukkan sebagian besar responden (77,8%) termasuk dalam jenis gangguan pendengaran Sensorineural Hearing Loss (SNHL). Kesimpulan: Responden dengan hasil BERA tidak normal ini menunjukkan sebagian besar (83,3%) mengalami gangguan pendengaran pada kedua sisi telinga (bilateral). Pasien anak dengan keterlambatan bicara yang dilakukan tes BERA sebagian besar hasilnya normal. Kebanyakan dari mereka berjenis kelamin laki-laki dan berusia 2-3 tahun.Kata kunci: Keterlambatan bicara, gangguan pendengaran, pemeriksaan pendengaran, Auditory Brainstem Response (ABR), Brain Evoked Response Auditory (BERA)
Labyrinthine fistula size as a prognostic factor for postoperative hearing deterioration Ratna Dwi Restuti; Harim Priyono; Ayu Astria Sriyana; Rangga Rayendra Saleh; Eka Dian Safitri
Oto Rhino Laryngologica Indonesiana Vol 51, No 2 (2021): VOLUME 51, NO. 2 JULY - DECEMBER 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i2.497

Abstract

ABSTRACTBackground: A labyrinthine fistula is an abnormal opening in the bony capsule of the inner ear, such as cochlea or semi-circular canals that may occur as a complication of chronic suppurative otitis media (CSOM) with cholesteatoma. Purpose: To find out the relation of the size of labyrinthine fistula as a prognostic factor of hearing deterioration after a complete cholesteatoma removal. Case report: Two cases of labyrinthine fistula in CSOM with cholesteatoma, along with preoperative and postoperative audiometry results. Clinical question: Does the labyrinthine fistula size in CSOM with cholesteatoma patients could serve as a prognostic factor in the postoperative hearing outcome? Review method: A structured, evidence-based literature search using Pubmed, Proquest and Cochrane to find studies of labyrinthine fistula as a complication of CSOM. The articles were selected based on eligibility criteria i.e. surgery procedure, labyrinthine fistula measurement, and postoperative evaluation of hearing function. The appraisal of each article used Oxford critical appraisal independently for prognostic study and systematic review. Result: Two studies met the inclusion criteria. One article used cohort retrospective method valid based on appraisal for prognostic studies. The other article used a systematic review method which had low validity. Conclusion: Fistula size is still debatable as a postoperative prognostic factor for hearing deterioration in CSOM with cholesteatoma. Larger sample size and better methods of study are necessary to resolve the clinical question.Keywords: chronic suppurative otitis media (CSOM), cholesteatoma, labyrinthine fistula, fistula sizeABSTRAKLatar belakang: Fistula labirin adalah terbukanya dinding tulang pada koklea atau kanalis semisirkularis yang merupakan suatu komplikasi dari otitis media supuratif kronik (OMSK) tipe bahaya. Tujuan: Untuk menjawab pertanyaan klinis terkait hubungan antara ukuran fistula labirin dengan prognosis penurunan pendengaran pasca operasi pengangkatan kolesteatoma. Laporan kasus: Dua kasus fistula labirin pada penderita OMSK tipe bahaya, disertai dengan hasil pemeriksaan audiometri pendengaran sebelum dan sesudah operasi. Pertanyaan klinis: Apakah ukuran fistula labirin pada kasus OMSK dengan kolesteatoma dapat menjadi faktor penentu prognosis untuk hasil pemeriksaan pendengaran pasca operasi? Telaah literatur: Pencarian literatur berbasis bukti menggunakan Pubmed, Proquest dan Cochrane terkait fistula labirin pada kasus OMSK. Kriteria inklusi studi berdasarkan teknik operasi, ukuran fistula dan evaluasi pendengaran pasca operasi. Metode Oxford critical appraisal digunakan untuk studi prognosis pada satu artikel, dan digunakan systematic review untuk artikel lainnya. Hasil: Dari pencarian literatur terdapat dua artikel yaitu studi kohort retrospektif, dan systematic review yang memenuhi kriteria inklusi. Hasil telaah literatur menunjukan bahwa study kohort retrospektif memiliki validitas cukup baik, sedangkan studi systematic review memiliki validitas yang kurang baik. Kedua artikel ini memiliki hasil yang berbeda dalam hubungan ukuran fistula labirin dengan prognosis penurunan pendengaran pasca operasi. Kesimpulan: Ukuran fistula sebagai faktor prognosis penurunan pendengaran pasca operasi pada kasus OMSK tipe bahaya masih memerlukan penelitian dengan sampel yang lebih banyak, dan metode yang lebih baik untuk dapat menjawab pertanyaan klinis.Kata kunci: otitis media supuratif kronik (OMSK), kolesteatoma, fistula labirin, ukuran fistula

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