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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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Pengaruh Pemberian N-Asetilsistein dan Vitamin D Terhadap Kadar Interleukin-1β Pada Otitis Media Supuratif Kronis Dewi, Pratiwi; Gayatri, Astrid
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 1 (2024): VOLUME 54, NO. 1 JANUARY - JUNE 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i1.666

Abstract

Background: Chronic suppurative otitis media (CSOM) is a major health problem in many populations around the world, causing significant morbidity and mortality. It is characterized by transformation and hyperplasia of the middle ear mucosa following infiltration of numerous inflammatory cells. Recent researches showed a significant impact of the anti-inflammatory and anti-oxidant effects of N-Acetylcysteine (NAC) and vitamin D independently, but their role in the pathophysiology of CSOM was still unclear. Purpose: To evaluate the effect of NAC and vitamin D supplementation on vitamin D and interleukine-1β levels in CSOM. Method: The research was an experimental study with randomized controlled trial design, and was conducted at ENT polyclinic, Dr Moewardi Regional General Hospital Surakarta on May-October 2023. Blood serum examination of vitamin D and IL-1β levels was done at Biomedical Laboratory of Medical Faculty Sebelas Maret University. Result: There were 36 CSOM subjects without cholesteatoma who met the inclusion and exclusion criteria. The NAC+vitamin D group had the highest mean vitamin D level (30.82±5.35 ng/mL) and the lowest mean IL-1β level (23.81±7.13 pg/mL) compared to the control group and the group that received only NAC or vitamin D alone. (p<0.05). Conclusion: N-Acetylcysteine and vitamin D supplementation had a synergistic effect in reducing oxidative stress and inflammation in CSOM.
Disfagia pasca kemoradiasi pada karsinoma nasofaring Mayangsari, Ika Dewi; Rachmawati, Elvie Zulka Kautzia; Az Zahra, Amira
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 1 (2024): VOLUME 54, NO. 1 JANUARY - JUNE 2024
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i1.679

Abstract

Background: Dysphagia is one of the early and long-term consequences of nasopharyngeal carcinomamanagement. Chemotherapy with radiation may improve the local control and survival rate but also canlead to serious dysphagia caused by radiation damage, and chronic alteration of tissues leading to fibrosisthat can happen during or soon after the radiation therapy. Dysphagia can result in dehydration andmalnutrition, place people at risk of aspiration, and reduce the quality of life by increasing anxiety anddepression. Purpose: Identifying causes, relevant factors, clinical presentation, and management of postchemoradiation dysphagia in nasopharyngeal cancer patients. Literature review: Structures demonstratingpost-therapy changes were deemed as dysphagia aspiration-related structures (DARS). Management ofnasopharyngeal carcinoma is radiotherapy with fibrosis found in 38.2% of the nasopharyngeal carcinomapatients on at least one side of the neck post-treatment. The presence of fibrosis in the pharyngeal andlaryngeal muscles impacted hyoid bone anterior movement and upper esophageal sphincter relaxationcontributed to dysphagia. Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is utilised to detectdysphagia in these patients. The treatment algorithm for dysphagia after chemoradiation consists of historytaking, clinical evaluation, instrumental examination, and management. The management options may bebehavioral, medical, surgical, or combination. Conclusion: Identifying the cause, the components of thedeficit, and the relevant patient factors has prime importance in managing dysphagia besides consideringthe options and weighing the risks versus benefits.   Keywords: Dysphagia, chemoradiation, nasopharyngeal carcinoma, dysphagia aspiration-related structures, fiberoptic endoscopic evaluation of swallowing
Correlation of LMP-1 expression with KRAS and IL-8 expression in NPC WHO type III Soehartono, Soehartono; Marini, Marini; Surjotomo, Hendradi; Fadli, Muhammad Luqman; Setijowati, Nanik
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.530

Abstract

Background: Nasopharyngeal carcinoma (NPC) is a squamous cell carcinoma originating from mucosal epithelium of the nasopharynx with complex disease progression. About 95% are caused by Epstein-Barr virus (EBV) infection which is characterized by the detection of viral gene product protein of Latent Membrane Protein-1 (LMP-1). Tumor growth and metastasis depend on the mechanism of angiogenesis. Interleukin-8 (IL-8) is a potent angiogenic factor and involved in the angiogenesis mechanism. Kirsten Rat Sarcoma (KRAS) is one of the proto-oncogenes that has an increased expression of more than 60% in NPC. The KRAS activation played a role in the modulation of IL-8 expression by triggering several important signaling pathways, which triggered neovascularization in the process of angiogenesis. Purpose: To determine the correlation between expression of LMP-1 with KRAS and IL-8, in mechanism of angiogenesis in NPC WHO type III. Method: Analytical observational study with a cross-sectional approach involving 30 paraffin blocks of biopsy tissue from NPC patients who had not received radiotherapy or chemotherapy. Expressions of LMP-1, KRAS, and IL-8 were examined with immunohistochemistry (IHC) staining method, and calculated using manual counting by Anatomic Pathologists. Result: Statistical analysis of LMP-1 expression with KRAS showed an insignificant positive correlation (p=0.546), with a correlation coefficient (ρ=0.115). The KRAS expression with IL-8 showed an insignificant positive correlation (p=0.851), with a correlation coefficient (ρ=0.036). The LMP-1 expression with IL-8 showed a significant positive correlation (p=0.042), with a correlation coefficient (ρ=0.321). Conclusion: The increase in the expression of LMP-1 was followed with the increase in the IL-8 expression. Keywords: NPC, LMP-1, KRAS, IL-8, angiogenesis   ABSTRAK Latar belakang: Karsinoma nasofaring (KNF) adalah karsinoma sel skuamosa yang berasal dari epitel mukosa nasofaring. Perkembangannya melibatkan hubungan yang kompleks. Sekitar 95% disebabkan oleh infeksi virus Epstein-Barr (VEB) yang ditandai dengan terdeteksinya protein produk gen virus, salah satunya yaitu Latent Membrane Protein-1 (LMP-1). Pertumbuhan dan metastasis tumor tergantung pada mekanisme angiogenesis. Interleukin-8 (IL-8) adalah faktor angiogenik yang kuat, dan terlibat dalam mekanisme angiogenesis. Kirsten Rat Sarcoma (KRAS) merupakan salah satu proto- onkogen yang mengalami peningkatan ekspresi lebih dari 60% pada KNF. Aktivasi KRAS memainkan peran dalam modulasi ekspresi IL-8 dengan memicu beberapa jalur sinyal penting, dan hal ini dapat memicu neovaskularisasi pada proses angiogenesis. Tujuan: Mengetahui korelasi antara ekspresi LMP-1 dengan ekspresi KRAS dan IL-8 dalam mekanisme angiogenesis KNF WHO tipe III. Metode: Penelitian observasional analitik dengan pendekatan potong lintang yang melibatkan 30 blok parafin jaringan biopsi penderita KNF yang belum mendapat pengobatan radioterapi maupun kemoterapi. Pemeriksaan ekspresi LMP-1, KRAS, dan IL-8 menggunakan pewarnaan imunohistokimia, dan hasilnya dihitung secara manual oleh ahli Patologi Anatomi. Hasil: Analisis statistik ekspresi LMP-1 dengan KRAS menunjukkan korelasi positif yang tidak signifikan (p =0,546), dengan koefisien korelasi ρ=0,115. Ekspresi KRAS dengan IL-8 menunjukkan korelasi positif yang tidak signifikan (p=0,851), dengan koefisien korelasi ρ=0,036. Ekspresi LMP-1 dengan IL-8 menunjukkan korelasi positif yang signifikan (p=0,042), dengan koefisien korelasi ρ=0,321. Kesimpulan: Semakin tinggi ekspresi LMP-1, maka diikuti oleh tingginya ekspresi IL-8. Kata kunci: KNF, LMP-1, KRAS, IL-8, angiogenesis
Effects of topical hyaluronic acid on nasal mucosa wound healing Sabig, Lidya; Dewi, Anna Mailasari Kusuma; Hariyati, Riece; Karlowee, Vega; Septarina, Faiza Rizky Aryani
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.544

Abstract

Background: Chronic rhinosinusitis (CRS) is a chronic inflammatory disease of the nasal and paranasal sinuses mucosa that takes place for more than 3 months. The treatment paradigm nowadays depends on Functional Endoscopic Sinus Surgery (FESS) in the hope to repair the damaged mucosa, restoring it to its physiological condition. Hyaluronic Acid (HA) could restore the natural barrier of the mucosa and stop the inflammatory cascade. Purpose: To understand the difference in the number of inflammatory cells in the post-FESS nasal mucosa in CRS patients that had been treated with HA. Method: This was pre and post-test, double-blinded, randomized control group study design of 22 CRS patients (range 18 to 55 years) in Dr. Kariadi General Hospital, Semarang from May to August 2019. All subjects had undergone biopsies of the inferior turbinate at the time of surgery and 4 weeks after surgery. The number of pre and post-test neutrophil, eosinophil and lymphocyte counts were compared between control and treatment groups. The neutrophil-to-lymphocyte ratio (NLR) and eosinophil-to- lymphocyte ratio (ELR) levels were also compared between the two groups. Data analysis was done using the Wilcoxon test. Result: When the pre and post-test treatment group and the control group were compared, no statistically significant difference was found between two groups except for ELR in the treatment group (p=0.028). Conclusion: ELR was decreased significantly in the treatment group. NLR level was also decreased but not significant. This study had shown that topical HA could positively modulate the inflammatory response. Keywords: chronic rhinosinusitis, FESS, histopathology, neutrophil, eosinophil, lymphocyte ABSTRAK Latar belakang: Rinosinusitis kronis (RSK) merupakan penyakit inflamasi kronik pada mukosa hidung dan sinus paranasal yang berlangsung lebih dari 12 minggu. Bedah Sinus Endoskopi Fungsional (BSEF) pada RSK bertujuan untuk memperbaiki mukosa yang rusak dan mengembalikannya ke kondisi fisiologis. Asam hyaluronat (AH) dapat mengembalikan penghalang alami mukosa dan menghentikan proses inflamasi. Tujuan: Untuk mengetahui perbedaan jumlah sel inflamasi pada mukosa hidung pasca BSEF pada pasien RSK yang diberikan terapi tambahan AH. Metode: Penelitian ini merupakan penelitian pre dan post-test, tersamar ganda, desain penelitian kelompok kontrol acak terhadap 22 pasien RSK (berusia 18 hingga 55 tahun) di RS Dr. Kariadi, Semarang dari bulan Mei hingga Agustus 2019. Semua subjek dilakukan biopsi konka inferior pada saat operasi dan 4 minggu setelah operasi. Jumlah neutrofil, eosinofil, dan limfosit sebelum dan sesudah terapi dibandingkan antara kelompok kontrol dan kelompok perlakuan. Rasio neutrofil terhadap limfosit (NLR) dan rasio eosinofil terhadap limfosit (ELR) juga dibandingkan antara kedua kelompok. Analisis data dilakukan dengan menggunakan uji Wilcoxon. Hasil: Hasil perbandingan kelompok perlakuan dan kelompok kontrol sebelum dan sesudah terapi, menunjukkan tidak ada perbedaan yang signifikan secara statistik antara kedua kelompok kecuali ELR pada kelompok perlakuan (p=0,028). Kesimpulan: ELR menurun secara signifikan pada kelompok perlakuan. Tingkat NLR juga menurun tetapi tidak signifikan. Penelitian ini menunjukkan bahwa AH topikal dapat secara positif memodulasi respon inflamasi. Kata kunci: rinosinusitis kronis, BSEF, histopatologi, neutrofil, eosinofil, limfosit
Adenotonsilektomi pada Anak dengan Hidrosefalus Syukrinto, Gustav; Amanda, Cindy Julia; Puspitasari, Ratih
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.635

Abstract

Background: Hydrocephalus is an expansion of the ventricular system resulting from the condition of the brain, with altered circulation of the cerebrospinal fluid. The expansion could lead to an increase in intracranial pressure (ICP). Some procedures in adenotonsillectomy also could increase ICP, and lead to brain injury. Purpose: To study complications in performing adenotonsillectomy procedures on a child with hydrocephalus. Case report: A 3-year-old girl presented with hydrocephalus with recurrent sore throat, runny nose, cough, and fever at least once a month for about one year. She also presented with a history of sleep disturbance, such as snoring, nocturnal awakening, often mouth breathing, and bedwetting. During an ear, nose, throat (ENT) examination, the tonsil size was T4/T4, with dilated crypts and no detritus. The nasendoscopy examination revealed that she had a grade III adenoid hypertrophy. Clinical question: What to consider in minimizing complications of adenotonsillectomy in children with hydrocephalus during and after the surgery? Method: A literature search was performed on PubMed and Google Scholar, with keywords “Adenotonsillectomy” AND “Hydrocephalus” AND “ Intracranial Pressure”. Result: Based on the search, some procedures were found, such as intubation, placing a mouth gag, and head positioning during operative surgery, could increase ICP. Conclusion: There are some considerations when performing adenotonsillectomy in children with hydrocephalus that should be carefully prepared, to prevent increased ICP and brain injury during and after surgery. Keywords: adenotonsillectomy, hydrocephalus, intracranial pressure, tonsil hypertrophy   ABSTRAK Latar belakang: Hidrosefalus merupakan perluasan sistem ventrikel otak akibat gangguan sirkulasi cairan serebrospinal. Perluasan tersebut dapat menyebabkan peningkatan tekanan intrakranial (TIK). Beberapa prosedur pada adenotonsilektomi juga dapat meningkatkan TIK dan menyebabkan cedera otak. Tujuan: Untuk mengetahui komplikasi dalam melakukan tindakan adenotonsilektomi pada anak dengan hidrosefalus. Laporan kasus: Seorang anak perempuan berusia 3 tahun datang dengan hidrosefalus dan riwayat nyeri tenggorokan berulang disertai pilek, batuk, dan demam setidaknya sebulan sekali, selama kurang lebih satu tahun. Ia juga memiliki riwayat gangguan tidur, seperti mendengkur, terbangun di malam hari, sering bernapas melalui mulut, dan mengompol. Dari pemeriksaan Telinga, Hidung, Tenggorok (THT), didapati pembesaran tonsil ukuran T4/T4, dengan kriptus melebar dan tidak ada detritus. Dari pemeriksaan nasendoskopi, ditemukan hipertrofi adenoid derajat III. Pertanyaan klinis: Apa yang harus dipertimbangkan dalam meminimalkan komplikasi adenotonsilektomi pada anak dengan hidrosefalus, baik selama dan setelah operasi? Metode: Pencarian literatur dilakukan di PubMed dan Google Scholar, dengan kata kunci “Adenotonsilektomi” DAN “Hidrosefalus” DAN “Tekanan Intrakranial”. Hasil: Berdasarkan penelusuran, didapati beberapa prosedur, seperti intubasi, pemasangan mouth gag, dan posisi kepala selama operasi bedah, dapat meningkatkan TIK. Kesimpulan: Terdapat beberapa pertimbangan dalam melakukan adenotonsilektomi pada anak dengan hidrosefalus, yang sebaiknya dilakukan secara hati-hati untuk mencegah peningkatan TIK dan cedera otak, baik pada saat atau setelah melakukan operasi. Kata kunci: adenotonsilektomi, hidrosefalus, tekanan intrakranial, hipertrofi tonsil
Clinical approach to auditory malingering in an adolescent Yasin, Fikry; Zizlavsky, Semiramis; Irfan; Kaligis, Fransiska
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.640

Abstract

Background: Cases of auditory malingering are frequently encountered in medical practice, but there was very limited scientific evidence on the characterization of auditory malingering in children and adolescents. Purpose: To provide a comprehensive description of an auditory malingering case in an adolescent. Case Report: A 14-year-old boy came with complaints of sudden bilateral deafness, for the last three months. Hearing examination findings were within normal limits. Discussion: An objective hearing examination was necessary to complement subjective assessments in establishing the diagnosis of hearing loss. In this case, following normal auditory findings and subsequent consultations, the patient admitted that he had feigned his symptoms to avoid bullying by his friends, who mocked him for never having visited Jakarta. Conclusion: The examination of hearing function should involve not only subjective hearing examinations, but also objective hearing examinations to establish a diagnosis of hearing loss. Keywords: hearing loss, hearing examination, malingering   ABSTRAK Latar belakang: Kasus malingering yang melibatkan organ pendengaran cukup sering ditemukan dalam praktek kedokteran sehari-hari, namun bukti ilmiah yang mendeskripsikan kejadian malingering pendengaran pada anak-anak dan remaja masih sangat terbatas. Tujuan: Untuk menyampaikan secara komprehensif suatu kasus malingering pendengaran pada seorang remaja. Kasus: Laki-laki usia 14 tahun datang dengan keluhan mendadak tidak dapat mendengar pada kedua telinga sejak 3 bulan terakhir. Hasil pemeriksaan fungsi pendengaran dalam batas normal. Pembahasan: Pemeriksaan fungsi pendengaran secara obyektif diperlukan untuk menegakkan diagnosis gangguan pendengaran. Pada kasus ini, setelah temuan pendengaran yang normal dan konsultasi lanjutan, pasien mengaku telah memalsukan gejalanya untuk menghindari perundungan teman-temannya yang mengejeknya karena belum pernah mengunjungi Jakarta. Kesimpulan: Pemeriksaan fungsi pendengaran sebaiknya tidak hanya dilakukan pemeriksaan pendengaran subyektif saja, namun diperlukan juga pemeriksaan pendengaran obyektif untuk menegakkan diagnosis gangguan pendengaran. Kata kunci: gangguan pendengaran, pemeriksaan fungsi pendengaran, malingering
Clinical characteristics of maxillofacial fracture patients in Dr. M. Djamil General Hospital Padang Hafiz, Al; Maidatuz Zahra, Agnesia; Mulyani, Henny; Huriyati, Effy; Revilla, Gusti; Zhuhra, Rahma Tsania
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.661

Abstract

Background: Maxillofacial fracture consists of several types of fractures depending on their location. Traffic accidents are the most common cause of these cases. The choice of management given in maxillofacial fractures is divided into immediate and planned delayed management, depending on the condition of the injured tissue. Purpose: To describe the clinical characteristics of maxillofacial fracture in the Department of Otorhinolaryngology Faculty of Medicine Universitas Andalas/Dr. M. Djamil General Hospital Padang, in 2020 to 2022. Method: A descriptive study with retrospective approach. The study was conducted by collecting data from the medical record section by using a total sampling technique (59 patients) from 2020 to 2022. Result: The highest cause was traffic accidents (49.2%), the most common findings were nasal bone fracture (44.1%), with operative management (82.4%). Conclusion: Maxillofacial fractures were most commonly experienced by the young age group and caused by traffic accidents, therefore driving safety and driver compliance should be more emphasized. Keywords: maxillofacial fracture, ORIF (Open Reduction Internal Fixation), septorhinoplasty, septoplasty, rhinoplasty ABSTRAK Latar belakang: Fraktur maksilofasial terdiri dari beberapa jenis fraktur tergantung lokasinya. Kecelakaan lalu lintas menjadi penyebab tersering dari kasus ini. Pemilihan tatalaksana yang diberikan pada fraktur maksilofasial dibagi menjadi tatalaksana segera dan tatalaksana lanjutan terencana, tergantung dari kondisi jaringan yang terluka. Tujuan: Untuk mengetahui karakteristik klinis pasien fraktur maksilofasial di Departemen THT-BKL FK Unand/RSUP Dr. M. Djamil Padang, dari 2020 sampai 2022. Metode: Penelitian ini bersifat deskriptif dengan pendekatan retrospektif. Penelitian dilakukan dengan pengambilan data di bagian rekam medik dengan teknik total sampling dan didapatkan sampel sebanyak 59 pasien pada tahun 2020 sampai 2022. Hasil: kelompok usia paling sering adalah 16-30 tahun (54.2%), dengan jenis kelamin terbanyak adalah laki-laki (76.3%), penyebab tersering adalah kecelakaan lalu lintas (4.2%), jenis fraktur tersering adalah fraktur tulang hidung (44.1%), dan tatalaksana paling sering adalah tatalaksana operatif (82.4%) Kesimpulan: Fraktur maksilofasial paling sering dialami oleh kelompok usia remaja dan disebabkan kecelakaan lalu lintas, oleh karena itu keselamatan dan kepatuhan berkendara perlu lebih diperhatikan dan ditingkatkan. Kata kunci: fraktur maksilofasial, ORIF (Open Reduction Internal Fixation), septorinoplasti, septoplasti, rinoplasti
Correlation of hearing aid use and quality of life in elderlies: A systematic review Saraswati, Innes Andini; Utomo, Bambang Suprayogi Resi; Trixie, Joue Abraham
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.667

Abstract

Background: Aging can lead to degeneration processes in multiple organs, including the auditory organs, resulting in hearing loss. Hearing loss in the elderly often affects their quality of life (QOL). One of the procedures to improve this could be done by fitting hearing aids (HA). According to the National Center of Health Statistics (NCHS) data, hearing loss in people over 65 years old is 26.8%. However, only 14.4% use hearing aids. Purpose: To find out the correlation between the use of hearing aids and the quality of life of the elderly. Literature review: This was a systematic review with an observational study approach. Data analysis was performed using Review Manager software. QOL was assessed with the Hearing Handicap Inventory for Elderly (HHIE) questionnaire. Afterwards, comparing between the elderly who used HA and those who did not use HA. Results: The literature identified from the medical database reached 728 features, but only 4 met the criteria. From the research results, it was found that there was a statistically significant difference in HHIE scores between elderly people who used and did not use hearing aids. In social HHIE p=0.03 (p<0.05), emotional HHIE p=0.02 (p<0.05), and total HHIE p=0.006 (p<0.05). Total HHIE, a combination of social and emotional HHIE, described the overall quality of life. Conclusion: Hearing aids were considered effective for reducing limitations due to hearing loss, especially communication in the elderly. In other words, the quality of life in the elderly who used HA was better than in the elderly who did not use HA. Keywords: elderly, hearing loss, hearing aids, quality of life   ABSTRAK Latar belakang: Penuaan dapat menyebabkan proses degenerasi pada berbagai organ, termasuk organ auditori sehingga terjadi gangguan pendengaran. Gangguan pendengaran pada lansia seringkali memengaruhi kualitas hidupnya. Salah satu upaya untuk memperbaiki hal tersebut dapat dilakukan dengan pemasangan alat bantu dengar (ABD). Menurut data National Center of Health Statistics (NCHS), gangguan pendengaran di usia lebih dari 65 tahun mencapai 26,8%; tetapi, hanya 14,4% diantaranya yang menggunakan alat bantu dengar. Tujuan: Mengetahui hubungan penggunaan alat bantu dengar terhadap kualitas hidup lansia. Tinjauan Pustaka: Menggunakan metode systematic review dengan pendekatan studi observasional. Analisis data dilakukan dengan perangkat lunak Review Manager. Kualitas hidup dinilai dengan kuisioner Hearing Handicap Inventory for Elderly (HHIE), lalu dibandingkan antara lansia yang menggunakan dan tidak menggunakan ABD. Hasil: Literatur yang teridentifikasi dari medical database mencapai 728 tulisan, tetapi hanya 4 yang memenuhi kriteria. Dari hasil penelitian didapatkan bahwa terdapat perbedaan skor HHIE yang signifikan secara statistik antara lansia yang menggunakan dan tidak menggunakan alat bantu dengar. Pada HHIE sosial didapatkan p=0.03 (p<0.05), HHIE emosional p=0.02 (p<0.05), dan HHIE total p=0,006 (p<0,05). Kualitas hidup secara keseluruhan digambarkan oleh HHIE total yang merupakan gabungan antara HHIE sosial dan emosional. Kesimpulan: Alat bantu dengar dinilai efektif untuk menurunkan keterbatasan akibat gangguan pendengaran, terutama komunikasi pada lansia. Dengan demikian kualitas hidup pada lansia yang menggunakan ABD lebih baik daripada lansia yang tidak menggunakan ABD. Kata kunci: lansia, gangguan pendengaran, alat bantu dengar, kualitas hidup
Retropharyngeal abscess on patient with diabetes mellitus type-2, dental cavity, and oral candidiasis Sari, Ellyna Aisha; Nurdiansyah, Ahmad
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.668

Abstract

Background: Retropharyngeal abscesses are uncommon but potentially life-threatening diagnosis. Treatment of retropharyngeal abscess ranges from prolonged courses of intravenous antibiotics to surgical incision and drainage. Purpose: To disclose a case of retropharyngeal abscess, and to study the management. Case report: A 64-year-old male came to the emergency room complaining of pain when swallowing for one week. The pain became more severe and unabling him to eat solid food. Patient also had diabetes mellitus, dental cavity and oral candidiasis. Clinical question: In patients with retropharyngeal abscess, when does incision and drainage need to be performed? How is the recovery rate compared to conservative treatment? Review method: The literatures were searched on PubMed, Medline database as well and Google Scholar. The literatures obtained were then filtered according to the publications in the last 10 years. Result: Literature and studies of retropharyngeal abscess that were found commonly studies in children, but there were also studies in adults, more likely in a wider scope as deep cervical abscess. Conclusion: Incision and drainage are the therapy of choice for adult patient, while conservative antibiotic therapy, was the first option for pediatric retropharyngeal abscess. Keywords: retropharyngeal abscess, deep cervical abscess, incision and drainage, conservative therapy   ABSTRAK Latar belakang: Abses retrofaring merupakan diagnosis yang jarang ditemui namun dapat menyebabkan kondisi yang mengancam jiwa. Penatalaksanaan pada abses retrofaring dapat bervariasi, dengan pemberian terapi antibiotik intravena hingga insisi drainase. Tujuan: Untuk melaporkan satu kasus abses retrofaring, dan mempelajari penatalaksanaan terapinya. Laporan kasus: Seorang laki-laki 64 tahun datang ke instalasi gawat darurat dengan keluhan nyeri saat menelan, selama satu minggu. Nyeri bertambah berat, dan tidak bisa menelan makanan padat. Pasien memiliki riwayat diabetes mellitus, karies gigi, dan candidiasis. Pertanyaan klinis: Bagaimana panduan terapi pada kasus abses retrofaring, serta kapan insisi drainase perlu dilakukan? Bagaimana angka kesembuhan dibandingkan terapi konservatif? Telaah literatur: Literatur diperoleh dari PubMed, Medline dan Google Scholar, kemudian literatur disaring menurut publikasi 10 tahun terakhir. Hasil: Literatur dan penelitian mengenai abses retrofaring yang ditemukan umumnya diteliti pada populasi anak-anak, namun ada juga penelitian pada orang dewasa yang didapatkan dalam lingkup yang lebih luas sebagai kasus abses leher dalam. Kesimpulan: Insisi dan drainase pada pasien dewasa merupakan pilihan utama terapi dalam lingkup yang lebih luas yaitu abses leher dalam, sedangkan terapi antibiotik konservatif pada abses retrofaring anak masih menjadi pilihan utama. Kata kunci: abses retrofaring, abses leher dalam, insisi drainase, terapi konservatif
Ekstraksi Sulit Benda Asing Kacang di Traktus Trakeobronkial: Sebuah Kasus Serial Winata, Felicia Yumita; Sucipta, I Wayan; Dewantara, I Putu Santhi
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.673

Abstract

Background: Tracheobronchial foreign body aspiration is a common emergency case, particularly in children. It happens mostly in children, causing airway obstruction and accidental death. Bronchoscopy is the gold standard of both diagnostics and therapeutics, but despite rapid developments in anesthesia techniques and bronchoscopic instrumentation, airway foreign body extraction is not an easy procedure to perform. Purpose: To demonstrate various approaches that can be employed to extract difficult tracheobronchial foreign bodies. Case report: This case report presented four cases of difficult extraction of peanut foreign body in the tracheobronchial tract that utilized different approaches of extraction. In all four cases, the foreign body was extracted successfully. Clinical question: What are the options available for difficult extraction of tracheobronchial peanut foreign body? Method: Evidence-based literatures study about approaches of tracheobronchial foreign body extraction was performed through PubMed, Google Scholar database, and hand searching/e-book. Result: A total of 5 relevant articles in pertaining to difficult extraction of tracheobronchial foreign bodies were found. Conclusion: There were multiple approaches for extracting tracheobronchial foreign body that could be costumized to each case. Keywords: tracheobronchial foreign body, peanut foreign body, difficult extraction   ABSTRAK Latar belakang: Benda asing traktus trakeobronkial adalah salah satu kasus benda asing tersering pada keadaan gawat darurat. Kondisi tersebut paling sering terjadi pada anak-anak, menyebabkan sumbatan jalan nafas dan kematian. Bronkoskopi merupakan baku emas diagnostik sekaligus terapeutik, , akan tetapi walau telah terjadi perkembangan pesat dalam teknik anestesi dan instrumentasi bronkoskopi, ekstraksi benda asing di jalan napas bukan suatu prosedur yang mudah untuk dilakukan. Tujuan: Memaparkan berbagai pendekatan ekstraksi yang dapat dilakukan pada kasus sulit benda asing trakeobronkial. Laporan kasus: Dipaparkan empat kasus ekstraksi sulit benda asing kacang tanah di saluran trakeobronkial yang menggunakan pendekatan ekstraksi yang berbeda. Pada semua kasus, benda asing berhasil diekstraksi. Pertanyaan klinis: Apa saja pilihan pendekatan yang tersedia pada kasus ekstraksi sulit benda asing kacang trakeobronkial? Metode: Studi literatur berbasis bukti mengenai pendekatan ekstraksi benda asing trakeobronkial dilakukan melalui PubMed, basis data Google Scholar, dan pencarian manual/e-book. Hasil: Didapatkan 5 artikel yang relevan mengenai ekstraksi benda asing trakeobronkial. Kesimpulan: Terdapat beberapa pendekatan yang dapat digunakan untuk mengekstraksi benda asing trakeobronkial, yang dapat disesuaikan dengan masing-masing kasus. Kata kunci: benda asing trakeobronkial, benda asing kacang, ekstraksi sulit

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