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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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Pharyngeal transit time in different consistency of food using Fiberoptic Evaluation of Swallowing Tamin, Susyana; Iqbal, Mochamad; Rachmawati, Elvie Zulka Kautzia; Yunizaf, Rahmanofa; Restuti, Ratna Dwi; Kekalih, Aria
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.v52i2.537

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 Harba'i, Hemastia Manuhara; Triana, Nydia
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.v52i2.543

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.
Surgical approach of juvenile nasopharyngeal angiofibroma Adham, Marlinda
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.545

Abstract

ABSTRACT  Background: Juvenile nasopharyngeal angiofibroma (JNA) is a histologically benign tumor of blood vessels but clinically malignant, with distinctive growth patterns, and required various surgical approaches. The tumor arises from superior posterior sphenopalatine foramen with nasal obstruction and recurrent epistaxis symptoms. Purpose: To discuss the best surgical approach regarding the JNA stage. Case Report:  A 13-year-old boy came complaining of recurrent unilateral epistaxis, unilateral nasal obstruction, and swelling of the right cheek. Tumor had expanded from nasopharynx to anterior maxillary region and intracranial. Clinical Question: Is open surgery with a lateral approach the best choice for clearing up the tumor mass and preventing recurrency in JNA which had expanded to anterior maxillary area and intracranial? Method: Literature search was conducted through PubMed, Clinical Key, Cochrane, and Google Scholar using keywords which were “juvenile nasopharyngeal angiofibroma”, “open surgery”, and “tumor recurrence”, obtained 71 papers which were screened using the inclusion and exclusion criteria. Result: The primary treatment for JNA is surgery, and the surgical approaches vary from anterior, lateral, and inferior. The literature search obtained one retrospective cohort study complied with this case, which reported 33 patients with JNA. Interventions on 25 patients with lateral surgical approaches and 8 patients with other approaches.  There were 3 patients with lateral approach intervention and 2 patients with other approaches, had JNA tumor recurrence.   Conclusion: The lateral approach is the best approach for clearing up the entire tumor mass and preventing recurrency in JNA cases with expansion to anterior maxillary region and intracranial. ABSTRAK  Latar Belakang: Angiofibroma nasofaring belia (ANB) adalah tumor pembuluh darah yang secara histologis jinak tetapi klinis ganas, dengan pola pertumbuhan beragam dan membutuhkan teknik pendekatan pembedahan yang berbeda. Tumor berasal dari area superoposterior foramen sfenopalatina, mempunyai gejala klinik berupa sumbatan hidung dan epistaksis berulang. Tujuan: Menentukan tatalaksana pendekatan terbaik pembedahan ANB sesuai perluasan tumor. Laporan Kasus: Pasien laki-laki berusia 13 tahun dengan keluhan epistaksis berulang dari hidung kanan, hidung tersumbat, dan bengkak di daerah pipi kanan. Tumor sudah meluas ke nasofaring sampai ke intrakranial.  Pertanyaan Klinis: Apakah pembedahan terbuka dengan pendekatan lateral merupakan pilihan terbaik untuk mengangkat seluruh massa tumor serta mencegah rekurensi, pada kasus ANB dengan perluasan ke area anterior maksila serta ke intrakranial? Metode: Pencarian literature menelusuri Pubmed, Clinical Key, Cochrane, dan Google Scholar menggunakan kata kunci “juvenile nasopharyngeal angiofibroma”, “open surgery”, dan “tumor recurrence” diperoleh 71 naskah yang selanjutnya disaring dengan kriteria inklusi dan eksklusi.  Hasil: Terapi utama ANB adalah pembedahan dengan arah pendekatan yang bervariasi tergantung dari lokasi massa tumor, yaitu pendekatan dari anterior, lateral, atau inferior. Dari pencarian literatur diperoleh satu penelitian retrospektif yang melaporkan 33 kasus ANB, dimana 25 kasus dilakukan intervensi pendekatan lateral dan 8 pasien dengan cara pendekatan lainnya, dan didapati   3 kasus dengan pendekatan lateral dan 2 kasus dengan pendekatan lain mengalami rekurensi. Kesimpulan: Pembedahan dengan pendekatan lateral merupakan cara pendekatan terbaik untuk mengangkat massa tumor sebersih mungkin dan mencegah terjadinya rekurensi pada kasus ANB dengan perluasan ke anterior maksila serta ke intrakranial. 
Comprehensive therapy in united airway disease: Evidence Based Case Report Irawati, Nina; Vania, Elizabeth; Poerbonegoro, Niken Lestari; Anatriera, Raden Ayu
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.548

Abstract

ABSTRACTBackground: The concept of the united airway disease (UAD) recognises the association between allergic inflammation in the upper and lower airways. Patients with asthma and concomitant allergic rhinitis experience more asthma-related primary and secondary care visits. Purpose: To determine the best treatment option in the case of patients with asthma related allergic rhinitis, both in the control of nasal and pulmonary symptoms. Case report: A case case of 45 years old woman with asthma related to allergic rhinitis treated with combination of intranasal steroid and asthma therapy. Clinical question: In adult patient with allergic rhinitis related to asthma, does the combination of intranasal and inhaled steroids give better clinical improvement subjectively and objectively compared to monotherapy? Method: Literature search through two different databases (PubMed and Cochrane Library) and by searching the bibliography of articles to evaluate the outcome of combination therapy and monotherapy for the disease. Result: Two articles were found relevant with the topic fulfilled the requirements and relevant with the formulation or clinical question. Conclusion: Treating the inflammation associated with allergic rhinitis may have a true impact on the control of asthma, while the failure to treat rhinitis may impair asthma control.ABSTRAKLatar belakang: Konsep United Airway Disease (UAD) mengenali adanya hubungan antara inflamasi alergi pada saluran napas atas dan bawah. Pasien asma yang bersamaan dengan rinitis alergi melakukan lebih banyak kunjungan ke perawatan primer dan sekunder terkait asma. Tujuan: Menentukan pilihan pengobatan terbaik pada pasien dengan rinitis alergi terkait asma, baik dalam pengendalian keluhan hidung maupun paru. Laporan kasus: Satu kasus seorang wanita berusia 45 tahun dengan asma yang berhubungan dengan rinitis alergi. Metode: Mengumpulkan jurnal terkait dari dua database yang berbeda (PubMed dan Cochrane Library). Pencarian artikel juga dilakukan dengan mencari pada daftar pustaka artikel untuk mengevaluasi luaran dari terapi kombinasi dan terapi tunggal untuk penyakit ini. Pertanyaan klinis: Apakah terapi kombinasi dengan steroid intranasal dan steroid hirup dapat memberikan perbaikan lebih signifikan secara subjektif maupun objektif dibandingkan dengan terapi tunggal pada pasien dewasa dengan rinitis alergi dan asma? Hasil: Didapatkan dua artikel yang relevan dengan topik, sesuai dengan pertanyaan klinis serta memiliki penilaian kritis yang baik. Kesimpulan: Mengobati peradangan yang terkait dengan rinitis alergi dapat berdampak nyata pada pengendalian asma, sedangkan kegagalan untuk mengobati rinitis dapat mengganggu pengendalian asma.
Lennox-Gastaut syndrome and its impact on quality of life: hearing and speech perspective Zizlavsky, Semiramis; Putri, Shally Adhina Adhina; Pamungkas, Indra Parmaditya; Anam, Khoirul; Mangunatmadja, Irawan
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.549

Abstract

ABSTRACTBackground: Lennox-Gastaut syndrome (LGS) is a severe pediatric epilepsy syndrome characterized by multiple seizure types including tonic, atonic, atypical absence, and generalized tonic-clonic seizures. LGS is also associated with cognitive decline and various neural disturbance, including hearing loss. Purpose: To report a case of Lennox-Gastaut syndrome with unilateral hearing loss and delayed speech. Case report: Four years old boy with LGS and delayed speech was referred to the Otolaryngology Outpatient Clinic, Dr Cipto Mangunkusumo Hospital for hearing and speech ability evaluation. He had had repeated seizures since he was three weeks old, and also had cortical lesion and mild atrophy in the left hemisphere brain. Hearing tests with Otoacoustic Emission (OAE), Brainstem Evoked Response Audiometry (BERA), and Auditory Steady State Response (ASSR) revealed profound unilateral hearing loss in the left ear, which required hearing aid and also speech therapy. Clinical question: Is there any correlation between brain abnormality/damage with unilateral hearing loss and delayed speech in Lennox-Gastaut syndrome? Method: Using Pubmed, Proquest Database, and Hand Searching to search the evidence. The evidence selected will be appraised by at least two members of our group using Oxford Center of Evidence-Based Medicine (CEBM) worksheet. Result: Following screening of double publication and its suitability to our clinical questions over ten years, no literature was found. Conclusion: The patient was given antiepileptic drugs (AEDs) and postural control training. For the hearing and speech problems, as the best comprehensive treatment the patient was suggested to use hearing aids and undergo speech therapy program. ABSTRAKLatar belakang: Lennox-Gastaut syndrome (LGS) adalah kumpulan gejala epilepsi berat pada anak dengan ciri khas kejang multipel, tonik, atonik, kejang absans atipik dan tonik klonik menyeluruh. LGS juga berkaitan dengan penurunan kognitif dan berbagai gangguan saraf, termasuk gangguan pendengaran. Tujuan: melaporkan kasus sindrom Lennox-Gastaut dengan gangguan pendengaran satu sisi dan keterlambatan bicara. Laporan Kasus: Seorang anak laki-laki berusia 4 tahun dengan sindroma Lennox-Gastaut mengalami keterlambatan bicara dirujuk ke Departemen Telinga Hidung Tenggorok, Rumah Sakit Dr.Cipto Mangunkusumo untuk evaluasi ambang dengar dan penanganannya. Riwayat penyakit menunjukkan kejang berulang sejak berusia tiga minggu, yang ditemukan juga lesi di korteks serebri dan atrofi ringan pada hemisfer otak kiri. Berdasarkan Otoacoustic Emission (OAE), Brainstem Evoked Response Audiometry (BERA), dan Auditory Steady State Response (ASSR) ditemukan adanya gangguan pendengaran sangat berat unilateral pada telinga kiri dan membutuhkan Alat Bantu Dengar dan terapi wicara. Pertanyaan klinis:Apakah terdapat korelasi antara abnormalitas otak atau kerusakan otak dengan gangguan pendengaran unilateral dan keterlambatan bicara pada LGS? Metode: Pencarian bukti dilakukan melalui PubMed, Proquest, dan pencarian manual. Artikel yang didapatkan kemudian ditelaah oleh setidaknya dua anggota kelompok dengan menggunakan lembar kerja yang diperoleh dari Oxford Center of Evidence-Based Medicine (CEBM) Hasil: Setelah dilakukan skrining publikasi ganda dan kesesuaian dengan pertanyaan klinis dari sepuluh tahun terakhir tidak ditemukan literatur yang sesuai. Kesimpulan:  Pasien ditangani dengan obat antiepilepsi dan latihan psikomotorik. Untuk gangguan pendengaran pasien dianjurkan untuk menggunakan Alat bantu Dengar dan terapi wicara. Penanganan kasus LGS harus menyeluruh untuk memperoleh hasil yang baik.
Financing hearing aids for patients with congenital deafness in Indonesia Zachreini, Indra; Bashiruddin, Jenny; Zizlavsky, Semiramis; Tamin, Susyana; Priyono, Harim; Mayangsari, Ika Dwi; Alviandi, Widayat; Supartono, Natasha; Soetjipto, Damayanti; Ranakusuma, Respati; Damayanti, Heditya; Alia, Dina; Hajar Haryuna, Tengku Siti; Harahap, Juliandi; Warto, Nirza; Fitria, Hidayatul
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.550

Abstract

ABSTRACTBackground: The appropriate management of patients with congenital deafness is installing hearing aids, either external hearing aids or implanted in the ear (cochlear implant), aiming to reduce the medical and social burden, besides improving the quality of life of the sufferers. Objective: To ascertain the cost of hearing aids in patients with congenital deafness, in the form of external hearing aids or cochlear implants. Method: A descriptive study with cross-sectional design using questionnaires through interviews. The sample size was 535 mothers whose children had congenital deafness at 24 hospitals with facilities for establishing a diagnosis of congenital deafness in 17 provinces in Indonesia. Result: Most respondents were aged 30-39 years (55%), occupations were housewives (71.8%), and education level was high school (52.5%). The type of hearing aid used mostly was external (92.7%), with 45.9% paid by personal expense. The surgically planted hearing aids in 22 children was mostly cochlear implants (95.5%), which were financed by the Indonesian Healthcare and Social Security Agency (BPJS) plus personal costs (50%). Discussion: This study found that the most common type of hearing aid used by children with hearing impairments was external hearing aids (92.7%) through independent financing (45.9%). Only 7.3% of patients chose surgery in hearing habilitation, and 95.5% were cochlear implants. The small percentage of surgery were due to the high-priced of cochlear implants, and the government did not cover all financial expenses. Conclusion: Most external hearing aids were paid independently-out-of-pocket, while cochlear implant surgeries were funded by BPJS, plus extra costs independently. ABSTRAKLatar belakang: Penatalaksanaan terbaik untuk penderita tuli kongenital adalah pemasangan alat bantu dengar (ABD), baik berupa ABD eksternal maupun ABD yang ditanam dalam telinga (implan koklea), dengan tujuan untuk mengurangi beban medis dan sosial, serta meningkatkan kualitas hidup penderita. Tujuan: Untuk mengetahui seberapa besar biaya pemasangan ABD pada penderita tuli kongenital, baik berupa ABD eksternal maupun implan koklea. Metode: Penelitian deskriptif dengan rancangan cross sectional study menggunakan kuesioner melalui wawancara. Besar sampel 535 ibu yang anaknya menderita tuli kongenital pada 24 rumah sakit yang memiliki fasilitas penegakkan diagnosis tuli kongenital di 17 provinsi di Indonesia. Hasil: Sebagian besar responden berusia 30-39 tahun (55%), pekerjaan terbanyak adalah ibu rumah tangga (71.8%), dan tingkat pendidikan SMA (52.5%). Jenis ABD yang terbanyak adalah ABD eksternal (92,7%) dengan pembiayaan secara mandiri 45,9%. Pemasangan ABD dengan tindakan operasi dilakukan pada 22 anak, yang terbanyak adalah implan koklea (95,5%) yang dibiayai oleh Badan Penyelenggara Jaminan Sosial (BPJS) ditambah dengan biaya sendiri (50%). Diskusi: Penelitian ini mendapati bahwa ABD yang terbanyak digunakan oleh anak dengan gangguan pendengaran adalah ABD eksternal (92,7%) dengan biaya mandiri (45,9%). Habilitasi pendengaran dengan tindakan operasi hanya dilakukan pada 7,3% pasien, berupa implantasi koklea 95,5%. Kecilnya persentase habilitasi bedah dikarenakan tingginya harga implant koklea, dan bantuan dari BPJS tidak meliputi keseluruhan biaya. Kesimpulan: Sebagian besar pembiayaan alat bantu dengar eksternal secara mandiri, sedangkan operasi implan koklea menggunakan biaya BPJS ditambah biaya sendiri.
Gambaran Kualitas Hidup dan Penggunaan Alat Bantu Dengar Anak Tuna Rungu SLBN II Banjarmasin Kurniadi, Melody Audria
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.557

Abstract

Background: Hearing loss affects a person’s ability to communicate actively. In addition to socialbarriers, non-interactive communication can affect a person’s emotional state. Early intervention at achild’s age is very important to note. Purpose: To provide an overview of the quality of life (QoL) of deafchildren socially and emotionally, and to assess the use of hearing aids (HA) in their daily lives. Method:Conducted using a cross-sectional method on 37 students aged 11-18 years, at the Government SpecialSchool II Banjarmasin. The research media used was a Strength and Difficulties questionnaire. The datawas then processed using SPSS. Subjects were 19 male and 18 female, with the highest number being 13years of age. Only 1 participant had anatomical abnormalities in the ear canal. All students had hearingloss and did not know the cause of hearing loss. Result: As many as 50% of participants experiencedabnormalities in behaviour, 40% were borderline, and only 10% were normal. The relationship problemsin peer groups sub-scale experienced the most disruption. Almost all participants (97%) of the study didnot use their HA due to damaged (13%), or being left at home (65%). Conclusion: All children usedsign language as a way of communication, and never had speech therapy. Almost all deaf children hadbehavioural disorders. Most participants (97%) did not wear their HA. This was one of the factors thatcaused the quality of life of children with hearing impairment to decline.Keywords: hearing loss, deaf, child, behavioural disorder, hearing aid, quality of life
Analysis of bile acid in saliva of patients with laryngopharyngeal reflux and non-laryngopharyngeal reflux Asyari, Ade; Utami, Refi Amalia; Yerizel, Eti; Putra, Andani Eka; Firdawati, Firdawati
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.561

Abstract

ABSTRACT — Background: Laryngopharyngeal reflux (LPR) is the backflow of gastric and or duodenal fluid into the larynx, pharynx, trachea, and bronchi. The prevalence of LPR is difficult to determine due to the limited gold standard and the large variety of LPR symptoms. Damage can occur due to the decrease in pH value and also because of exposure to harmful enzymes in reflux, including bile acid. Purpose : This study was conducted to analyze bile acid levels in the saliva of LPR patient and non LPR subject. Methods:  This study is an observational study with a case-control design. The study was conducted in the ORL-HNS Department of Dr. M. Djamil Hospital, Padang, West Sumatra, Indonesia. The total sample size was 44 people. We enrolled 22 healthy subjects as the control group and 22 patients suspected of having LPR. Result: LPR patients are more common in women than in men, with 12 women and 10 men. Bile acid in the LPR group means of is 25.08±7.67µM, meanwhile, in the healthy group, the mean was 18.99±8.26 µM. There is a statistically significant in the incidence of LPR with the bile acids (p = 0.015) based on t- independent test. Conclusion: Our study confirmed that bile acids in saliva play a major role in diagnosing LPR. 
Association between obstructive sleep apnea and sleep quality Saputra, Egon Ilman; Resi Utomo, Bambang Suprayogi
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.575

Abstract

Background: Obstructive sleep apnea (OSA) is described as a disturbance of sleep presentingrepetitive (either total or partial) closure of the upper airway. Studies have demonstrated that OSA inthe middle-aged induces excessive daytime sleepiness; mood problems and poor quality of life. OSAis characterized by repetitive narrowing or obstruction of the upper airway during sleep, resultingin apnea or hypopnea. Patients with OSA have shown poor sleep quality. Purpose: To evaluate thepossible association between OSA and patients’ sleep quality. Literature review: OSA is a commonsleep disturbance classified by intermittent partial or total upper airway obstruction during sleep, causing intermittent hypoxemia, recurrent arousals, sleep fragmentation, and poor sleep quality. OSA is related to the quality of life, depression, and anxiety, but there were associations with acute stress which were reported by a few studies. Most of studies on OSA had collected data from moderate to severe sleep apnea in elderly patients and clinical settings. Continuous positive airway pressure (CPAP) therapy, which provides a mechanical pneumatic stent for the upper airway, is an effective treatment for OSA. As a rule, it is given via a nasal mask, and therefore patients should ideally keep their mouth closed during sleep. Conclusion: The literature review showed that there was a significant association between obstructive sleep apnea risk and sleep quality. The risk of increasing OSA among young people is associated with acute stress, and the relationship is mediated by sleep quality.Keywords: sleep apnea, continuous positive airway pressure, upper airway obstruction
Reconstruction of medial upper lip defect with Abbe flap Widodo, Dini Widiarni; Gustria, Wulan Mega
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.v52i2.579

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.

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