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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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Management of otosclerosis with obliterated footplate and round window involvement Harim Priyono; Anita Amalia Sari; Semiramis Zizlavsky; Widayat Alviandi; Respati W. Ranakusuma
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i2.448

Abstract

ABSTRACTBackground: Otosclerosis with obliterated footplate describes a condition with an overgrowth of bone so that the oval window is almost indistinguishable from the surrounding area. The occurence of round window obliteration is uncommon. In such cases, surgery is more difficult to perform and the results are often unsatisfactory. Purpose: To find out the management option for obliterative otosclerosis. Case report: A 35-year-old-man with suspected bilateral otosclerosis. The patient underwent transcanal endoscopic stapes surgery of the left ear with large fenestra stapedotomy procedure. Clinical question: In adult patients with obliterative otosclerosis, does stapes surgery improve hearing function and reduce complication? Review method: Using PubMed, EBSCOhost, Scopus and Proquest to search for the evidence of randomised control trial (RCT), cohort and case-control studies. Critical appraisal was conducted using critical appraisal tools from Center for Evidence Based Medicine (CEBM), Oxford University and qFAITH for systematic review/meta-analysis. Result: The literature searching used eligibility criteria based on keywords from clinical question found one study regarding the evaluation of intra-operative factors in otoslecrosis surgery outcomes, which was relevant to our clinical question. Conclusion: Large fenestra stapedotomy or stapedectomy is the preferred surgical technique for the management of obliterative otosclerosis. The involvement of round window caused a sensorineural hearing loss (SNHL) component and has a worse prognosis of hearing outcome post operatively. A further study is required to assess the best management for obliterative otosclerosis. ABSTRAKLatar belakang: Otosklerosis dengan obliterasi footplate menggambarkan suatu kondisi pertumbuhan tulang yang berlebihan sehingga tingkap lonjong hampir tidak dapat dibedakan dengan daerah sekitarnya. Obliterasi sampai ke tingkap bundar jarang terjadi. Hal tersebut menyebabkan operasi lebih sulit dilakukan dan hasilnya seringkali tidak memuaskan. Tujuan: Untuk mengetahui pilihan tatalaksana otosklerosis obliteratif. Laporan kasus: Laki-laki 35 tahun dengan suspek otosklerosis bilateral. Pasien menjalani operasi stapes telinga kiri dengan pendekatan endoskopi transkanal menggunakan prosedur stapedotomi fenestra besar. Pertanyaan klinis: Pada pasien dewasa dengan otosklerosis obliteratif, apakah operasi stapes dapat memulihkan fungsi pendengaran dan mengurangi komplikasi? Telaah literatur: Pencarian bukti melalui database PubMed, EBSCOhost, Scopus dan Proquest. Untuk uji coba kontrol acak, kohort dan studi kasus-kontrol, penilaian kritis dilakukan dengan menggunakan penilaian kritis dari CEBM, Oxford University dan qFAITH untuk tinjauan sistematis/meta-analisis. Hasil: Penelusuran literatur berdasarkan kriteria dari pertanyaan klinis, didapati satu artikel mengenai evaluasi faktor-faktor intraoperatif yang relevan dengan pertanyaan klinis. Kesimpulan: Stapedotomi fenestra besar atau stapedektomi adalah teknik bedah yang lebih dipilih untuk tatalaksana otosklerosis obliteratif. Keterlibatan tingkap bundar menyebabkan komponen gangguan pendengaran sensorineural, dan memiliki prognosis hasil pendengaran pasca operasi yang kurang baik. Dibutuhkan studi lebih lanjut untuk menilai tentang penatalaksanaan terbaik untuk kasus otosklerosis obliteratif.
Pharyngeal transit time in different consistency of food using Fiberoptic Evaluation of Swallowing Susyana Tamin; Mochamad Iqbal; Elvie Zulka Kautzia Rachmawati; Rahmanofa Yunizaf; Ratna Dwi Restuti; Aria Kekalih
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

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Abstract

ABSTRACTBackground: In Indonesia, no research has been carried out or reported on pharyngeal transit time and a view of the swallowing process in a sample without complaints of dysphagia using the Flexible Endoscopic Evaluation of Swallowing (FEES) method and using five food consistencies. Purpose: To obtain the value of pharyngeal transit time and a view of the swallowing process in subjects without dysphagia problems. Method: Twenty-eight subjects without dysphagia (based on Ohkuma’s Dysphagia Screening) underwent FEES to determine pharyngeal transit time and dysphagia profile based on leakage, standing secretion, residue, penetration, and aspiration. Result: The median value of pharyngeal transit time on puree consistency was 0.799(0.499-5.666), gastric rice 0.966(0.433-5.733), oatmeal 0.849(0.533- 4.399), thick liquid 0.982(0.399-4.633), thin liquid 0.566(0.366-1.366). The pharyngeal delay time on the puree consistency was 0.566(0.199-5.333), gastric rice 0.799(0.233-2.799), oatmeal 0.899(0.099-3.633), thick liquid 0.833(0.033-3.733), and thin liquid mean was 0.294 (± 0.232). The pharyngeal response time on the puree consistency was 0.566(0.167-1.300), gastric rice 0.583(0.300-2.934), oatmeal 0.583(0.367- 1.233), thick liquid 0.549(0.333-1.533), thin liquid 0.549(0.366-1.399). There was no standing secretion, pre-swallowing leakage, penetration, and aspiration found in FEES. A grade 1 residue was found in 3(10.7%) subjects of puree, in 2(7.2%) subjects of gastric rice, in 3(10.7%) subjects of oatmeal, and in 9(32.2%) subjects of thick liquid. Conclusion: There was no prolonged pharyngeal transit time, pre-swallowing leakage, standing secretion, penetration, and aspiration in all subjects without dysphagia complaints at all food consistencies. There was minimal residue within normal limits in some subjects. ABSTRAKLatar belakang: Di Indonesia, belum pernah dilaporkan penelitian mengenai waktu transit faring dan gambaran proses menelan pada sampel tanpa keluhan disfagia dengan menggunakan metode Flexible Endoscopic Evaluation of Swallowing (FEES) dan menggunakan lima konsistensi makanan. Tujuan: Penelitian ini bertujuan untuk memperoleh nilai waktu transit faring dan gambaran proses menelan pada subjek tanpa masalah disfagia. Metode: Dua puluh delapan subjek tanpa disfagia (berdasarkan Skrining Disfagia Ohkuma) menjalani FEES untuk menentukan waktu transit faring dan profil disfagia berdasarkan leakage, standing secretion, residue, penetration, dan aspiration. Hasil: Nilai median waktu transit faring pada konsistensi puree adalah 0,799(0,499-5,633), gastric rice 0,966(0,433-5,733), oatmeal 0,849(0,533-4,399), thick liquid 0.982(0.399-4.633), thin liquid 0.566(0.366- 1.366). Waktu tunda faring pada konsistensi puree adalah 0,566 (0,199-5.333), gastric rice 0,799 (0,233-2,799), oatmeal 0,899 (0,099-3,633), thick liquid 0,833 (0,033-3,733), dan rerata thin liquid 0,294 (± 0,232). Waktu respon faring terhadap konsistensi puree adalah 0,566 (0,167-1,300), gastric rice 0,583 (0,300-2,934), oatmeal 0,583 (0,367-1,233), thick liquid 0,549 (0,333-1,533), thin liquid 0,549 (0,366-1,399). Tidak didapati adanya leakage, standing secretion, penetration, dan aspiration pada pemeriksaan FEES. Residu grade 1 ditemukan pada 3 (10,7%) subjek puree, pada 2 (7,2%) subjek gastric rice, pada 3 (10,7%) subjek oatmeal, dan pada 9 (32,2%) subjek thick liquid. Kesimpulan: Tidak terdapat perpanjangan waktu transit faring, leakage, standing secretion, penetration, dan aspiration pada semua subjek tanpa keluhan disfagia dengan semua konsistensi makanan. Terdapat residu minimal dalam batas normal pada beberapa subjek.
Infection on post transcartilaginous ear piercing Hemastia Manuhara Harba'i; Nydia Triana
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

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Abstract

ABSTRACTBackground: Body piercing is getting more popular nowadays as a body modification. Piercing is an invasive procedure with the possibility of complications. Researchers had found the rate of body piercing complications at 20.5%. The often found complications are allergic contact dermatitis, inflammation, bleeding, and infection. Some piercings at different sites of human body have more risks to become infected. The cartilaginous part of the ear has a higher risk of significant infection, because of the avascular nature of auricular cartilage that could lead to poor wound healing. Small local infection can progress into perichondritis or abscess. Perichondritis or perichondral inflammation is a severe and a very frequent complication. Pinna edema and spreading of infection could occur if the treatment is delayed. Subperichondral abscess with possible cartilage ischemic necrosis could be the consequence. Purpose: To evaluate the risk of infection after a transcartilaginous piercing. Case Report: Presenting 2 cases of auricular perichondritis treated at ENT Head and Neck Surgery Department, Mitra Keluarga Gading Serpong Hospital. Clinical question: Is infection the most frequent complication of ear piercing? Review method: Searching literature through PubMed and ProQuest with keyword of “Ear Piercing Infection”. Further selection was performed through clinical question. Result: The search found one journal disclosing a case of a 29-year-old patient diagnosed with auricular perichondritis who had the same symptoms as both of our reported patients. Conclusion: Piercing is an invasive procedure. Knowledge of the risks, precautions, and potential complications is important to reduce the peril of serious complications of piercing. ABSTRAKLatar belakang: Saat ini, tindik pada anggota tubuh semakin populer sebagai salah satu bentuk modifikasi tubuh. Tindik merupakan prosedur yang invasif dengan kemungkinan terjadinya komplikasi. Penelitian terdahulu menyatakan komplikasi dari tindik tubuh sebanyak 20.5%. Komplikasi yang paling umum terjadi adalah dermatitis kontak alergi, inflamasi, perdarahan, dan infeksi. Tindik pada lokasi tubuh tertentu memiliki risiko yang lebih tinggi untuk mengalami infeksi. Bagian tulang rawan pada telinga memiliki risiko tinggi untuk mengalami infeksi yang signifikan, karena pada dasarnya tulang rawan tidak memiliki pembuluh darah sehingga proses penyembuhannya kurang baik. Infeksi kecil lokal dapat menjadi perikondritis atau abses. Perikondritis atau inflamasi perikondrial adalah komplikasi berat yang sangat umum terjadi. Edema pada bagian daun telinga dan penyebaran infeksi dapat terjadi apabila tatalaksana tidak segera dilakukan. Sebagai akibatnya, dapat timbul abses subperikondrial dengan kemungkinan nekrosis tulang rawan. Tujuan: Untuk mengevaluasi risiko infeksi setelah melakukan tindik pada tulang rawan. Laporan kasus: Melaporkan 2 kasus perikondiritis yang ditatalaksana oleh dokter spesialis Telinga, Hidung, dan Tenggorok di Rumah Sakit Mitra Keluarga Gading Serpong. Pertanyaan klinis: Apakah infeksi merupakan komplikasi yang paling sering terjadi pada tindik telinga? Metode: Mencari literatur melalui PubMed dan ProQuest dengan kata kunci ”Infeksi Tindik Telinga”. Pencarian selanjutnya dilakukan melalui pertanyaan klinis. Hasil: Satu jurnal menyajikan laporan kasus tentang pasien berumur 29 tahun dengan diagnosis perikondiritis yang memiliki gejala yang serupa dengan kedua pasien pada laporan kasus ini. Kesimpulan: Tindik adalah tindakan yang invasif. Pengetahuan tentang risiko, pencegahan, dan potensi komplikasi yang dapat terjadi, merupakan hal yang penting untuk menurunkan kemungkinan terjadinya komplikasi serius dari tindik.
The effect of neutrophil-lymphocyte ratio on neck nodule size in nasopharyngeal carcinoma chemotherapy Soehartono -; Dwi Novitasari; Iriana Maharani
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

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Abstract

ABSTRACTBackground: Nasopharyngeal carcinoma (NPC) is a cancer of the head and neck, that ranks as the 4th most malignant cancer in Indonesia. The prognosis of NPC patients is determined from the clinical stage based on the Tumor, Nodule, Metastatic (TNM) classification system. These prognosis factors are not entirely reliable for predicting treatment outcomes. The Neutrophil Lymphocyte Ratio (NLR) represents an index of pro-tumor and anti-tumor activity, that can be used to predict the outcome of neoadjuvant chemotherapy and the patient’s well-being as assessed by Karnofsky status, Body Mass Index (BMI), and neck nodule size (NNS). Purpose: To study the effect of NLR on Karnofsky status, BMI, and NNS in WHO type III NPC patients who underwent 3 cycles of neoadjuvant chemotherapy. Method: Analytical observational research with a cohort-retrospective approach on WHO type III NPC subjects who underwent platinum-based regimen neoadjuvant chemotherapy. NLR pre-chemotherapy was analyzed for its effect on Karnofsky status, BMI, and NNS. Result: NLR had no significant effect on Karnofsky status pre- and post-chemotherapy, BMI pre- and post-chemotherapy, NNS pre-chemotherapy, changes in Karnofsky status and BMI pre-and post-chemotherapy, but had significant effect on the size of neck nodules post-chemotherapy, and changes in the size of neck nodules. Conclusion: NLR has no significant effect on Karnofsky status, on BMI pre- and post-chemotherapy, and neck nodule size pre-chemotherapy. However, NLR had a significant effect on neck nodule size post-chemotherapy and neck nodule size changes. ABSTRAKLatar belakang: Karsinoma Nasofaring (KNF) merupakan keganasan dalam bidang THT yang menempati urutan ke-4 keganasan di Indonesia. Prognosis pasien KNF terutama ditentukan dari stadium klinis berdasarkan sistem klasifikasi Tumor, Nodul, Metastasis (TNM) yang tidak sepenuhnya dapat diandalkan untuk memprediksi hasil pengobatan. Sedangkan Ratio Netrofil-Limfosit (RNL) mempresentasikan indeks aktivitas protumor dan antitumor sehingga dapat digunakan sebagai pelengkap stadium klinis untuk memprediksi hasil kemoterapi neoadjuvan dan kesejahteraan subjek melalui status Karnofsky, Index Massa Tubuh (IMT) dan ukuran nodul leher. Tujuan: Mempelajari efek Rasio Netrofil-Limfosit (RNL), Index Massa Tubuh (IMT), dan ukuran nodul leher pada subjek dengan KNF WHO tipe III yang telah menjalani 3 siklus kemoterapi neoadjuvan. Metode: Penelitian observasional analitik dengan pendekatan kohort-retrospektif menggunakan data rekam medis penderita KNF tipe III WHO yang menjalani kemoterapi neoadjuvan menggunakan regimen berbasis platinum. RNL sebelum kemoterapi dianalisis pengaruhnya terhadap status Karnofsky, IMT dan ukuran nodul leher. Hasil: RNL berpengaruh tidak signifikan terhadap status Karnofsky sebelum dan sesudah kemoterapi, IMT sebelum dan sesudah kemoterapi, ukuran nodul leher sebelum kemoterapi, perubahan status Karnofsky, perubahan IMT, namun berpengaruh signifikan terhadap ukuran nodul leher sesudah kemoterapi dan perubahan ukuran nodul leher. Kesimpulan: RNL berpengaruh tidak signifikan terhadap status Karnofsky, IMT sebelum dan sesudah kemoterapi, ukuran nodul leher sebelum kemoterapi, namun berpengaruh signifikan terhadap ukuran nodul leher sesudah kemoterapi dan perubahan ukuran nodul leher sebelum kemoterapi, namun berpengaruh signifikan terhadap ukuran nodul leher sesudah kemoterapi dan perubahan ukuran nodul leher.
Caldwell-Luc approach for odontogenic maxillary sinusitis Dolly Irfandy; Bestari Jaka Budiman; Putri Sari Ivanny
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

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Abstract

ABSTRACTBackground: Maxillary odontogenic sinusitis is a maxillary sinusitis of dental origin. Odontogenic origin of infection must be suspected in those sinusitis patients who have symptoms of unilateral maxillary sinusitis, sinonasal symptoms such as nasal obstruction, rhinorrhea, and/or foul odour, a history of dental pain or dental/oral surgical treatment, and in those who are resistant to conventional treatment of sinusitis. Purpose: To report and analyze the result of Caldwell-Luc approach for odontogenic maxillary sinusitis. Case report: One case of odontogenic maxillary dextra sinusitis treated by Caldwell-Luc approach. After 2 months of follow-up, there was no thick and smelly discharge coming out of the nose, no complaints of pain in the nose, nor swelling and numbness of the cheeks and gums. Clinical question: “Does Caldwell-Luc approach provide good result for odontogenic maxillary sinusitis?” Review method: Literature searching was performed through Cochrane database, PubMed, ClinicalKey, and Google Scholar using keywords “Caldwell-Luc” and “odontogenic sinusitis.” Result: The search obtained 76 literatures which were related to clinical question. Afterwards filtered with eligible criteria, had resulted 21 relevant literatures. Conclusion: The choice of Caldwell-Luc approach for treating odontogenic maxillary sinusitis is a less invasive procedure and gave a satisfying result. Overlooking to identify a dental cause of maxillary sinusitis could lead to persistent symptoms, and failure of medical, as well as surgical intervention. ABSTRAKLatar belakang: Sinusitis maksilaris odontogenik adalah sinusitis maksilaris yang bersumber dari infeksi gigi. Sumber infeksi odontogenik harus dipikirkan ketika ditemukan gejala sinusitis maksila unilateral, gejala sinonasal seperti obstruksi hidung, rinorea dan bau busuk, riwayat infeksi gigi sebelumnya, trauma atau karena prosedur bedah pada tatalaksana gigi, dan pada pasien yang resisten terhadap pengobatan konvensional sinusitis. Tujuan: Melaporkan dan menganalisis hasil pendekatan Caldwell-Luc pada kasus sinusitis maksilaris odontogenik. Laporan Kasus: Satu kasus sinusitis maksilaris odontogenik dekstra yang ditatalaksana dengan pendekatan Caldwell-Luc. Setelah 2 bulan follow-up, tidak ada ingus kental dan berbau busuk yang keluar dari hidung, tidak ada keluhan nyeri di hidung, bengkak dan mati rasa pada pipi dan gusi. Pertanyaan klinis: “Apakah prosedur Caldwell-Luc memberikan hasil terbaik untuk kasus sinusitis maksilaris odontogenik?” Telaah literatur: Dilakukan pencarian melalui database Cochrane, PubMed, CinicalKey dan Google Scholar, menggunakan kata kunci “Caldwell-Luc” dan “sinusitis odontogenic”. Hasil: Diperoleh 76 literatur yang terkait dengan pertanyaan klinis. Setelah disaring dengan kriteria riset, terdapat 21 literatur yang relevan. Kesimpulan: Pemilihan tatalaksana sinusitis maksilaris odontogenik dengan pendekatan Caldwell-Luc merupakan prosedur invasif minimal, dan memberikan hasil yang memuaskan. Bila sumber infeksi dari gigi pada sinusitis maksilaris tidak terdeteksi, hal itu akan menyebabkan gejala persisten, dan kegagalan dalam tatalaksana medikamentosa maupun intervensi bedah.
Correlation between Tinnitus Handicap Inventory Correlation between Tinnitus Handicap Inventory Nyilo Purnami; Sofia Tiarini; Nico Probosutejo; Budi Utomo; Makhmudyah Indri Cahyani
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i2.582

Abstract

ABSTRACTBackground: Complaints of tinnitus sufferers are generally subjective, while there is no objective examination in establishing the diagnosis of tinnitus so far, so that a questionnaire is needed to help establish it. The limitations of objectively assessing tinnitus have led to self-report questionnaires as the best option for evaluating tinnitus symptoms and measuring the extent to which quality of life is negatively impacted. Objective: to compare the scores between the Indonesian Tinnitus Handicap Inventory (THI) and the Indonesian version of the 12-item Tinnitus Primary Function Questionnaire (TPFQ). Method: A descriptive analytic study with a cross sectional design, where both variables were observed at the same time. This research was conducted at the Neurotology Outpatient Unit (URJ) RSUD Dr. Soetomo Hospital, Surabaya from September 2019 to April 2020. Result: A total of 29 tinnitus patients who met the criteria were divided by age, gender, degree of hearing loss, THI score, THI severity, and TPFQ score. Conclusion: The results of the correlation test between the degree of hearing loss with THI-Indonesia and the degree of hearing loss with the Indonesian 12-item TPFQ showed no difference in the results, namely both were not correlated, so the Indonesian 12-items TPFQ was valid and reliable, and it could be used to shorten the assessment time of tinnitus sufferers in hectic outpatient clinics. ABSTRAKLatar belakang: Keluhan penderita tinitus umumnya bersifat subyektif, sedangkan sampai saat ini belum ada sarana pemeriksaan obyektif dalam menegakkan diagnosis tinitus, maka diperlukan kuesioner untuk membantu. Keterbatasan menilai tinitus secara obyektif telah menjadikan kuesioner mandiri (self-report) sebagai pilihan terbaik untuk mengevaluasi gejala tinitus dan mengukur sejauh mana kualitas hidup terkena dampak negatif. Tujuan: membandingkan skor antara Tinnitus Handicap Inventory (THI) Indonesia dengan Tinnitus Primary Function Questionnaire (TPFQ) 12-item versi Indonesia. Metode: Penelitian ini bersifat deskriptif analitik dengan desain potong lintang, dimana kedua variabel diamati dalam waktu yang bersamaan. Penelitian ini dilakukan di Unit Rawat Jalan (URJ) Neurotologi RSUD Dr. Soetomo pada bulan September 2019 sampai dengan April 2020. Hasil: Sebanyak 29 pasien tinitus yang memenuhi kriteria dibagi berdasarkan kategori usia, jenis kelamin, derajat gangguan pendengaran, skor THI, derajat keparahan THI, dan skor TPFQ. Kesimpulan: Hasil uji korelasi antara derajat gangguan pendengaran dengan THI-Indonesia maupun derajat gangguan pendengaran dengan TPFQ 12-item Indonesia menunjukkan tidak ada perbedaan hasil, yaitu sama-sama tidak berkorelasi, sehingga TPFQ 12-item Indonesia adalah valid dan handal dapat digunakan untuk mempersingkat penilaian penderita tinitus di klinik rawat jalan yang sibuk
Diagnosis and conservative therapy of retropharyngeal hematoma Wahyu Tri Novriansyah; Novialdi Nukman
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
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ABSTRACTBackground: Retropharyngeal hematoma is the accumulation of blood clots in the retropharyngeal space which can cause upper airway obstruction. Until now, controversy over surgical versus conservative therapy is still being debated. Purpose: Reporting one rare case of retropharyngeal hematoma. Case report: A 72-year-old man was brought to the emergency room with complaints of worsening dyspnea for 12 hours, after slipped and fell in the bathroom. Physical examination revealed purple discoloration on the posterior pharyngeal wall, CT scan showed inhomogeneous hyperdense masses, and coagulopathy. The patient underwent conservative therapy but finally died on the day-10 of treatment. Clinical question: How effective is the conservative therapy in retropharyngeal hematoma compared to surgical therapy? Review method: A literature search using keywords ”retropharyngeal hematoma” was conducted through Pubmed and Google Scholar. Result: Management of retropharyngeal hematoma is still controversial due to the lack of widely accepted guidelines. Conclusion: Conservative therapy in cases of retropharyngeal hematoma, should be administered aggressively, comprehensively, and with a strict protocol. ABSTRAKLatar belakang: Hematoma retrofaring adalah penumpukan bekuan darah di ruang retrofaring yang dapat menyebabkan obstruksi jalan nafas bagian atas. Hingga saat ini, kontroversi mengenai terapi bedah versus konservatif masih menjadi perdebatan. Tujuan: Melaporkan satu kasus hematoma retrofaring yang jarang terjadi. Laporan kasus: Seorang pria berusia 72 tahun dibawa ke ruang gawat darurat dengan keluhan sesak nafas yang semakin memburuk sejak 12 jam setelah jatuh karena terpeleset di kamar mandi. Pada pemeriksaan fisik didapatkan warna keunguan pada dinding posterior faring, CT scan terlihat massa hyperdense yang tidak homogen, serta koagulopati. Pasien menjalani terapi konservatif namun akhirnya meninggal pada hari ke-10 pengobatan. Pertanyaan klinis: Seberapa efektif terapi konservatif pada hematoma retrofaring dibandingkan dengan terapi bedah? Telaah literatur: Pencarian literatur menggunakan kata kunci ”retropharyngeal hematoma” dilakukan melalui Pubmed dan Google Scholar. Hasil: Penatalaksanaan hematoma retrofaring masih menjadi kontroversi karena belum adanya pedoman yang diterima secara luas. Kesimpulan: Terapi konservatif pada kasus hematoma retrofaring sebaiknya diberikan secara agresif, komprehensif, dan dengan protokol yang ketat. 
Correlation between duration of chronic renal failure patients undergoing hemodialysis and sensorineural hearing loss Novi Primadewi; Dewi Pratiwi; Taufani Dewi
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

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Abstract

ABSTRACTBackground: Along with the increasing incidence of chronic renal failure patients receiving hemodialysis, recently, the incidence of sensorineural hearing loss (SNHL) among patients with end-stage kidney disease undergoing hemodialysis had also increased. The cochlea and kidney have many anatomical, physiological, pharmacological and pathological similarities. Dialysis sometimes causes worsening of hearing function. Objective: To determine the correlation between the duration of renal failure patients undergoing hemodialysis and the degree of sensorineural hearing loss. Method: A retrospective study using cross sectional method, conducted from August–September 2018. The study began by identifying patients with chronic renal failure and then continued with Oto Acoustic Emission (OAE) examination and pure tone audiometry. Result: The results of the Spearman rank statistical test for the correlation between duration of hemodialysis and the degree of SNHL in the right and left ears in patients with chronic renal failure found a significant positive correlation r= 0.498 and p=0.001 (right) , and r= 0.400 and p=0.006 (left). Conclusion: There was a significant correlation between the length of hemodialysis and the degree of sensorineural hearing loss. ABSTRAKLatar belakang: Seiring dengan peningkatan angka kejadian pasien gagal ginjal kronik yang mendapatkan hemodialisa, akhir-akhir ini didapati peningkatan angka kejadian Sensorineural Hearing Loss (SNHL) di antara pasien dengan penyakit ginjal stadium akhir yang menjalani hemodialisa. Koklea dan ginjal memiliki banyak kesamaan anatomis, fisiologis, farmakologis dan patologis. Dialisa terkadang menyebabkan memburuknya fungsi pendengaran. Tujuan: Untuk mengetahui hubungan lama pasien gagal ginjal yang menjalani hemodialisa dengan derajat gangguan pendengaran tuli sensorineural. Metode: Penelitian retrospektif dengan metode potong lintang, dilakukan dari Agustus-September 2018. Penelitian dimulai dengan mengidentifikasi pasien gagal ginjal kronik kemudian dilanjutkan dengan pemeriksaan tes Oto Acoustic Emission (OAE) dan audiometri nada murni. Hasil: Hasil uji statistik Spearman rank untuk korelasi lama hemodialisa dengan derajat SNHL telinga kanan dan kiri pada pasien gagal ginjal kronik didapatkan korelasi positif yang signifikan: r= 0,498 dan p=0,001 (kanan) dan r= 0,400 dan p=0,006 (kiri). Kesimpulan: Terdapat korelasi yang bermakna antara lama hemodialisis dengan derajat tuli sensorineural.
Reconstruction of medial upper lip defect with Abbe flap Dini Widiarni Widodo; Wulan Mega Gustria
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

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Abstract

ABSTRACTBackground: Reconstruction of upper lip defect is challenging, because the upper lip is formed by two lateral nasolabial subunits and one philtrum subunit. The most effective reconstruction approach for upper lip deformities is still being debated. Purpose: To report a case of upper lip defect, and review the Abbe flap and Estlander flap methods for upper lip reconstruction. Case report: A 62 years old female subject with full thickness defect of two third of the upper lip, repaired by Abbe flap. Clinical question: What is the best surgical preference for upper lip defect reconstruction? Review method: A systematic literature search based on clinical questions, inclusion, and exclusion criteria in the PubMed, ProQuest, EBSCO databases, Scopus and hand searching using keywords. Result: No eligible studies were pertinent to answer the clinical question. Conclusion: Reconstruction options of upper lip defect were based on thickness, size and the defect in the structure involved. The Abbe flap can be used to reconstruct the full thickness medial upper lip, one-third up to two-thirds of the defect area. Lateral defects and commissure involvement can be repaired by Estlander flap. ABSTRAKLatar belakang: Rekonstruksi defek bibir atas lebih sulit, karena dibentuk oleh dua subunit nasolabial lateral dan satu subunit filtrum. Pendekatan rekonstruksi yang paling efektif untuk kelainan bentuk bibir atas masih diperdebatkan. Tujuan: Untuk menyajikan kasus defek bibir atas, pilihan terapi untuk pasien ini dan meninjau pilihan metode operasi dengan jabir Abbe dan Jabir Estlander untuk rekonstruksi bibir atas. Laporan kasus: Seorang wanita 62 tahun dengan defek dua pertiga bibir atas dengan ketebalan penuh, yang direkonstruksi dengan jabir Abbe. Pertanyaan klinis: Apakah pilihan bedah rekonstruksi terbaik untuk defek bibir atas? Telaah literatur: Pencarian literatur sistematis berdasarkan pertanyaan klinis, kriteria inklusi dan eksklusi di database PubMed, ProQuest, EBSCO host dan pencarian tangan menggunakan kata kunci. Hasil: Tidak didapati studi yang memenuhi syarat untuk menjawab pertanyaan klinis. Kesimpulan: Pilihan rekonstruksi untuk defek bibir atas adalah berdasarkan ketebalan, luas, dan kecacatan pada struktur yang terlibat. Jabir Abbe dapat digunakan untuk rekonstruksi medial bibir atas dengan ketebalan penuh sepertiga hingga dua pertiga dari area defek. Defek lateral dan keterlibatan komisura dapat diperbaiki dengan jabir Estlander.
Filtration effectiveness of N95 medical mask exposed to repeated ultraviolet germicidal irradiation room Ratna Dwi Restuti; Harim Priyono; Tara Candida Mariska; Arie Cahyono; Brastho Bramantyo; Dewi S. Soemarko; Prasandhya Astagiri Yusuf; Fitri Arman; Joedo Prihartanto
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i2.581

Abstract

ABSTRACTBackground: The global Coronavirus disease (COVID-19) pandemic has created shortages of personal protective equipment (PPE) including N95 respirator medical masks. Ultraviolet Germicidal Irradiation (UVGI) is an effective way for disinfection of N95 masks before reuse. The UVGI chamber is an effective method of disinfection against SARS-CoV-2, however its effect on the N95 medical masks filtration ability is still uncertain. Purpose: To evaluate filtration effectiveness of N95 mask after repeated UV-C irradiation in the UVGI chamber. Method: This was a parallel two-group experimental study to see the effect of repeated UVGI exposure on the filtration of 2 types of N95 medical masks (type 8210 and 1860), with 25 pieces each group, using an aerosol particle counter, after 10 cycles of repeated UVGI exposure in the UVGI chamber of the ORL-HNS Department Dr. Cipto Mangunkusumo Hospital. Result: There were no significant differences in the filtration effectiveness of N95 medical masks after repeated UVGI exposure up to 10 cycles for 2 types of N95 masks and there was no significant change in the filtration ability of the N95 medical masks after repeated UVGI exposure. Conclusion: The filtration of N95 medical masks type 8210 and 1860 filtration were maintained >95% after repeated UVGI exposure with cumulative dose of 10,126-16.200 mJ/cm2 in UVGI chamber of ORL-HNS Department, Dr. Cipto Mangunkusumo Hospital. ABSTRAKLatar belakang: Pandemi Coronavirus disease 2019 (COVID-19) menyebabkan keterbatasan tersedianya alat pelindung diri (APD) termasuk masker respirator N95. Ultraviolet Germicidal Irradiation (UVGI) merupakan salah satu cara desinfeksi yang menjanjikan dan efektif, sehingga masker N95 dapat digunakan kembali. Bilik UVGI merupakan metode yang efektif dalam disinfeksi terhadap SARS-CoV-2, namun efek paparan UVGI terhadap kemampuan filtrasi masker N95 belum diketahui. Tujuan: Untuk mengevaluasi efektivitas filtrasi masker N95 setelah paparan UV-C berulang di Bilik UVGI. Metode: Penelitian ini adalah studi ekperimental dua kelompok paralel untuk melihat efek paparan UVGI berulang terhadap filtrasi 2 tipe masker N95 (tipe 8210 dan 1860) sebanyak 25 masker di setiap grup, menggunakan aerosol particle counter setelah paparan UVGI berulang sebanyak 10 siklus di Bilik UVGI Departemen THT-KL RSCM. Hasil: Tidak didapatkan perbedaan bermakna pada masker N95 pasca-paparan UVGI berulang sebanyak 10 siklus dengan rerata filtrasi pada 2 tipe masker, serta tidak terdapat perubahan signifikan kemampuan filtrasi masker N95 pasca-paparan UVGI berulang. Kesimpulan: Filtrasi masker N95 pada penelitian ini dapat dipertahankan 95% pasca-paparan UVGI berulang hingga dosis kumulatif 10.126˗16.200 mJ/cm2 di bilik UVGI Departemen THT-KL RSCM. 

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