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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.
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Articles 493 Documents
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Gambaran kasus epistaksis di IGD RSUP Dr. M. Djamil Padang periode 2018-2022 Irfandy, Dolly; Adrial, Adrial; Sariwati, Siska; Asyari, Ade; Nofita, Eka; Anggraini, Fika Tri
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.v54i2.675

Abstract

Background: Epistaxis is a common case that occurs in Ear Nose Throat (ENT) Department. Epistaxis can be managed independently, but mortality and morbidity rates will increase if it occurs in children, elderly, and patient with systemic conditions. Purpose: To understand epistaxis in terms of patient age, gender, risk factor, bleeding location, treatment, and age distribution based on etiology and risk factors. Method: A descriptive retrospective study, using secondary data from medical records of patients with chief complaints of epistaxis at the emergency installation of Dr. M. Djamil General Hospital in Padang, from 2018 to 2022. Result: The study found 329 patients who came with chief complaints of epistaxis. Epistaxis mostly found at age above 45 years old. Most cases happen in males (64.1%). The most common etiology and risk factors found were hypertension (21.4%). Most frequent bleeding location found in the anterior part (80.5%). Most epistaxis patients were treated with nasal compression (26.4%). The most common causes of epistaxis in children were mechanical trauma, in young adults fractures of the maxillofacial region, and hypertension in elderly. Conclusion: Epistaxis can occur in all age groups and can occur spontaneously or accompanying a disease. The etiology and risk factors of epistaxis vary based on age groups. Epistaxis is treated according to the cause. Keywords: epistaxis, age, risk factors, treatment   ABSTRAK Latar belakang: Epistaksis merupakan kasus yang sering terjadi di bagian THT. Epistaksis dapat ditangani secara mandiri, namun angka mortalitas dan morbiditas akan meningkat jika terjadi pada anak-anak, lansia, dan pasien dengan kondisi sistemik. Tujuan: Untuk mengetahui gambaran epistaksis ditinjau dari usia pasien, jenis kelamin, faktor risiko, lokasi perdarahan, penanganan, dan distribusi usia berdasarkan etiologi dan faktor risiko. Metode: Studi deskriptif retrospektif dengan menggunakan data sekunder dari rekam medis pasien dengan keluhan utama epistaksis di Instalasi Gawat Darurat RSUP Dr. M. Djamil di Padang, dari 2018-2022. Hasil: Penelitian menemukan 329 pasien yang datang dengan keluhan utama epistaksis. Epistaksis paling banyak ditemukan pada usia di atas 45 tahun. Sebagian besar kasus terjadi pada laki-laki (64,1%). Etiologi dan faktor risiko yang paling banyak ditemukan adalah hipertensi (21,4%). Lokasi perdarahan yang paling sering ditemukan di bagian anterior (80,5%). Sebagian besar pasien epistaksis ditangani dengan kompresi hidung (26,4%). Penyebab epistaksis yang paling sering ditemukan pada anak-anak adalah trauma mekanik, pada dewasa muda fraktur pada daerah maksilofasial, dan hipertensi pada lansia. Kesimpulan: Epistaksis dapat terjadi pada semua kelompok usia dan dapat terjadi secara spontan atau menyertai suatu penyakit. Etiologi dan faktor risiko epistaksis bervariasi berdasarkan kelompok usia. Penatalaksanaan epistaksis dilakukan sesuai dengan penyebabnya. Overview of epistaxis cases in emergency installation. Kata kunci: epistaksis, usia, faktor risiko, tatalaksana
Managing airway distress in a 2-month-old infant with epiglottic cyst Hamida, Deta; Olivia Claudia , Pelealu
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.v54i2.685

Abstract

Background: Epiglottic cysts, although rare, are significant causes of neonatal airway obstruction, necessitating prompt recognition and intervention. Purpose: To emphasize the importance of accurate diagnosis and management of airway distress. Case report: A two-month-old infant exhibited persistent tachypnea, inspiratory stridor, and intercostal retractions. Initially misdiagnosed as severe pneumonia, the infant’s condition did not improve with antibiotics. Video-assisted laryngoscopy revealed an obstructive cyst on the epiglottis, which was successfully managed by aspiration, resulting in significant clinical improvement. Clinical question: What are the most effective diagnostic and therapeutic approaches for managing epiglottic cysts in neonates? Method: Thirteen published cases of epiglottic and other laryngeal cysts in neonates, were analyzed, focusing on their clinical presentations, diagnostic methods, management strategies, and outcomes. Data were extracted and summarized in a table for comparison. Result: The review identified common symptoms, including respiratory distress and feeding difficulties. Initial misdiagnosis was prevalent, with many cases attributed to pneumonia or laryngomalacia. Video-assisted laryngoscopy emerged as the gold standard for diagnosis, supplemented by CT and MRI. Management varied from cyst aspiration to endoscopic ablation and microsurgical excision, with positive outcomes in most cases. The objective was to summarize the findings in a review manner, highlighting trends and commonalities among the cases. Conclusion: The successful management of this case through cyst aspiration highlighted the importance of timely and accurate diagnosis, and the necessity for standardized diagnostic and therapeutic protocols. Future research should aim to refine diagnostic criteria and develop consensus guidelines, to enhance patient outcomes in this vulnerable population. Keywords: epiglottic cysts, neonatal airway obstruction, respiratory distress, video-assisted laryngoscopy   ABSTRAK Latar belakang: Kista epiglotis, meskipun jarang, merupakan penyebab signifikan obstruksi saluran napas pada neonatus, yang memerlukan pengenalan dan intervensi yang cepat. Tujuan: Untuk menekankan pentingnya diagnosis dan penatalaksanaan akurat. Laporan kasus: Bayi berusia dua bulan menunjukkan takipnea persisten, stridor inspiratorik, dan retraksi interkostal. Awalnya salah didiagnosis sebagai pneumonia berat, dan kondisi bayi ini tidak membaik dengan pemberian antibiotik. Video-laringoskopi mengungkapkan adanya kista obstruktif pada epiglotis, yang berhasil dikelola dengan aspirasi, dan menghasilkan perbaikan klinis yang signifikan. Pertanyaan klinis: Apa pendekatan diagnostik dan terapeutik yang paling efektif untuk mengelola kista epiglotis pada neonatus? Metode: Tigabelas kasus yang dipublikasikan tentang kista epiglotis dan kista laring lainnya pada neonatus dianalisis, dengan fokus pada presentasi klinis, metode diagnostik, strategi penatalaksanaan, dan hasilnya. Data diekstraksi dan dirangkum dalam tabel untuk perbandingan. Hasil: Tinjauan ini mengidentifikasi gejala umum, termasuk kesulitan bernapas dan kesulitan pemberian makan. Diagnosis awal kerap kali salah, dengan banyak kasus yang dianggap berhubungan dengan pneumonia atau laringomalasia. Video-laringoskopi muncul sebagai standar emas untuk diagnosis, dilengkapi dengan CT dan MRI. Penatalaksanaan bervariasi dari aspirasi kista hingga ablasi endoskopik dan eksisi bedah-mikro, dengan hasil positif pada sebagian besar kasus. Hasil temuan dirangkum dalam bentuk tinjauan, menyoroti gejala klinis dan kesamaan di antara kasus-kasus tersebut. Kesimpulan: Penatalaksanaan yang berhasil dari kasus ini melalui aspirasi kista, menitikberatkan pentingnya diagnosis yang tepat waktu dan akurat, serta kebutuhan akan protokol diagnostik dan terapeutik yang terstandarisasi. Penelitian di masa depan harus bertujuan untuk memperbaiki kriteria diagnostik, dan mengembangkan pedoman konsensus, untuk meningkatkan keberhasilan menolong pasien dalam populasi yang rentan ini. Kata kunci: kista epiglotis, obstruksi saluran napas neonatus, kesulitan bernapas, video- laringoskopi
Adaptation of Chronic Otitis Media Questionnaire (COMQ-12): reability and validity of the Indonesian version Sudrajad, Hadi; Hendradewi, Sarwastuti; Primadewi, Novi; Kandhi, Putu Wijaya; Seytopambudi, Kukuh
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.v54i2.688

Abstract

Background: Chronic suppurative otitis media (CSOM) is one of the most common ear diseases that has a major impact on quality of life (QoL). The Chronic Otitis Media Questionnaire 12 (COMQ-12) is a CSOM-specific questionnaire that aims to assess QoL. Until currently, there is no questionnaire that has been tested for reliability and validity in the Indonesian version. Purpose: To assess the reliability and validity of the Indonesian version of COMQ-12. Method: An analytic observational study with a cross-sectional design, conducted in Dr. Moewardi General Hospital Surakarta Indonesia from March to May 2024. Reliability was assessed by internal consistency, and validity was assessed by Pearson correlation. Result: The reliability test with internal consistency obtained Cronbach’s alpha value for all question items >0.7. This indicated that all question items had good reliability. Meanwhile, the validity test with the Pearson correlation test obtained a p-value <0.05 for all question items with coefficients, all of which were positive. This indicated that all question items had good validity. Conclusion: Indonesian version of COMQ-12 has good reliability and validity to assess QoL in CSOM patients. Keywords: CSOM, COMQ-12, QoL, reliability, validity   ABSTRAK Latar belakang: Otitis media supuratif kronik (OMSK) merupakan salah satu penyakit telinga yang paling umum dijumpai, dan berdampak besar pada kualitas hidup (QoL). Kuesioner Otitis Media Kronik 12 (COMQ-12) merupakan kuesioner khusus Otitis Media Supuratif Kronik (OMSK) yang bertujuan untuk menilai QoL, namun saat ini kuesioner COMQ-12 dalam versi Bahasa Indonesia belum teruji reliabilitas dan validitasnya. Tujuan: Untuk menilai reliabilitas dan validitas COMQ- 12 versi Bahasa Indonesia. Metode: Penelitian observasi analitik dengan desain potong lintang, yang dilakukan di RSUD Dr. Moewardi Surakarta, Indonesia dari bulan Maret sampai Mei 2024. Reliabilitas dinilai dengan konsistensi internal, dan validitas dinilai dengan korelasi Pearson. Hasil: Uji reliabilitas dengan konsistensi internal memperoleh nilai Cronbach’s alpha untuk semua butir soal >0,7. Hal ini menunjukkan bahwa semua butir soal memiliki reliabilitas yang baik. Sementara itu, uji validitas dengan uji Pearson correlation memperoleh nilai p<0,05 untuk semua butir soal, dengan koefisien yang semuanya positif. Hal ini menunjukkan bahwa semua butir soal memiliki validitas yang baik. Kesimpulan: COMQ-12 versi Indonesia mempunyai reliabilitas dan validitas yang baik untuk menilai kualitas hidup pasien OMSK.
EFEK SUPLEMEN KAPSUL JAHE MERAH TERHADAP REFLUX LARINGOFARINGEAL: Red Ginger and LPR Asyari, Ade; Julianda, Wahyu; Aliska, Gestina; Bachtiar, Hafni; Octavia, Tri Aryanti; Diflayzer, Diflayzer
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.v54i2.690

Abstract

Background: Ginger (Zingiber officinale) is a popular rhizome plant that used as a cooking and medicinal ingredient. Ginger contains many active compounds, such as phenolic and terpenes. Ginger has an anti-inflammatory effect through active ingredients, including diarylheptanoids, oleoresin, gingerol, shogaol and zingerone. Ginger powder is often used as a remedy for gastric acid reflux. In laryngopharyngeal reflux, there is a damage to the laryngopharyngeal mucosa due to irritation of gastric acid and pepsin. Purpose: To analyze the effect of red ginger powder capsule supplementation (Zyngiber officinale var. rubrum) on laryngopharyngeal reflux. Method: Non-randomized control trial study with a pretest-posttest control group design in laryngopharyngeal reflux. The patients were divided into two groups, where each group was examined for Reflux Symptom Index (RSI) and Reflux Finding Score (RFS). The intervention group was given red ginger powder capsules and lansoprazole, while the control group was given lansoprazole only; then a month later, both groups were examined for RSI and RFS finding score. Data were analyzed statistically with a computer program and were declared significant if p<0.05. Result: There was a significant difference between RSI and RFS in the intervention group, and there was no significant difference between RSI and RFS in the control group. Meanwhile, there were significant differences in RSI and RFS between the control and intervention groups. Conclusion: There was a significant difference between the reflux symptom index and reflux finding score between the intervention group and the control group. Keywords: red ginger, Zingiber officinale var. rubrum, laryngopharyngeal reflux, reflux symptom index, reflux finding score ABSTRAK Latar belakang: Jahe (Zingiber officinale) merupakan tanaman rimpang yang populer digunakan sebagai bahan masakan dan obat. Jahe mengandung banyak senyawa aktif, seperti senyawa fenolik dan terpena. Jahe memiliki efek anti-inflamasi melalui kandungan aktifnya, antara lain diarylheptanoida, oleoresin, gingerol, shogaol dan zingeron. Bubuk jahe sering digunakan sebagai pengobatan pada kasus refluks asam lambung. Pada kelainan refluks laringofaring, terjadi kerusakan pada mukosa laringofaring akibat iritasi asam lambung dan pepsin. Tujuan: Menganalisis pengaruh suplementasi kapsul serbuk jahe merah (Zingiber officinale var. rubrum) terhadap refluks laringofaring. Metode: Menggunakan metode non-randomized control trial, dengan pendekatan pretest-posttest control group design pada refluks laringofaring. Pasien dibagi menjadi dua kelompok, dan masing-masing kelompok diperiksa indeks gejala refluks, dan skor temuan refluks. Pada kelompok intervensi diberikan kapsul serbuk jahe merah dan lansoprazole, sedangkan pada kelompok kontrol diberikan lansoprazole saja; selanjutnya, satu bulan kemudian dilakukan pemeriksaan indeks gejala refluks dan skor temuan refluks. Data dianalisis secara statistik dengan program komputer dan dinyatakan signifikan jika p<0,05. Hasil: Terdapat perbedaan yang signifikan antara indeks gejala refluks dan skor temuan refluks pada kelompok intervensi, dan tidak terdapat perbedaan yang signifikan antara indeks gejala refluks dan skor temuan refluks pada kelompok kontrol. Sementara itu, terdapat perbedaan yang signifikan pada indeks gejala refluks dan skor temuan refluks antara kelompok kontrol dan intervensi. Kesimpulan: Terdapat perbedaan yang signifikan antara indeks gejala refluks dan skor temuan refluks antara kelompok intervensi dan kelompok kontrol. Kata kunci: jahe merah, Zingiber officinale var. rubrum, refluks laringofaring, indeks gejala refluks, skor temuan refluks
Subperiosteal and Citelli abscesses as rare complications of chronic suppurative otitis media Handoko, Edi; Sunanto, Selina Hans
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.680

Abstract

Background: Citelli abscess, is a rare extracranial complication of malignant chronic suppurative otitis media (CSOM), constitutes of a subperiosteal abscess extending from the mastoid medial aspect into the digastric fossa. Its infrequency often leads to underreporting, and delayed recognition can have severe consequences. Purpose: To present a case of malignant CSOM complicated by subperiosteal and Citelli abscesses. Case report: A 31-year-old male was diagnosed with left ear CSOM, with subsequent extracranial complications. Computed Tomography (CT) of the head and neck revealed cholesteatoma-associated ossicular damage, subperiosteal abscess, and Citelli abscess, extending intracranially to the extra-axial zone of the left temporal region. The patient underwent incision and drainage prior to receiving CT scan results, followed by a radical mastoidectomy and broad-spectrum antibiotic treatment. Clinical question: “In patients with CSOM, how does the prevalence of extracranial complications compared to intracranial complications in terms of frequency and associated clinical outcomes?” Method: A systematic search of PubMed, ProQuest, EBSCOhost, and Medline identified studies on extracranial and intracranial complications of CSOM published between 2019 and 2024. Result: Out of identified 84 articles, 6 met the inclusion criteria. Extracranial complications were more common, though regional variations emphasized the need for vigilance regarding intracranial complications due its severity. Conclusion: Subperiosteal abscesses, including Citelli abscesses, are rare but serious extracranial complications of CSOM. Prompt surgical intervention and targeted antibiotic therapy are crucial for favorable outcomes.
The Management of retropharyngeal abscess in adult patient Hendrayani, Anak Agung Ayu Sri Vemi; Nalle, Tince Sarlin
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.689

Abstract

Background: Retropharyngeal abscess is an infection of the inner neck that mostly occurs in the pediatric population, although they can also arise in adults. While numerous resources discuss the diagnosis, treatment, and complications of retropharyngeal abscess in children, there is a scarcity of information available concerning its manifestation in adults. Purpose: To study the disease course, and management of retropharyngeal abscess in adults. Case report: A 41-year-old female patient came with chief complaints of difficulty of swallowing, snoring while sleeping, shortness of breath, and weight loss. These complaints had been going on for about 3 months. Clinical question: What is the management and overall disease course of retropharyngeal abscess in adult? Method: The literature search was conducted through Google Scholar, PubMed, and manual searches of e-books. Result: Thirteen articles concerning retropharyngeal abscess were found, but only 4 literatures were relevant to clinical question and inclusion criteria. Conclusion: Retropharyngeal abscess may present with a variety of symptoms. Management for retropharyngeal abscess in adult patient includes abscess incision and drainage, along with medication administration
Prognostic factors for medicamentous and dental treatment failure in odontogenic sinusitis Dwiyani, Kartika; Safitri, Eka Dian; Manalu, Josua
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.698

Abstract

Background: Odontogenic sinusitis refers to bacterial maxillary sinusitis caused by maxillary dental pathology, or complications from dental procedures. The therapeutic algorithm usually has two stages: conservative and surgical. If conservative therapy alone is successful in curing sinusitis, unnecessary sinus surgery can be avoided. But if conservative therapy fails, sinus surgery is usually required to remove the cause of the pathology. The effectiveness of conservative therapy varies in the range from 36 to 95%. Purpose: To investigate prognostic factors for medicamentous and dental treatment failure in odontogenic sinusitis. Case illustration: A 27 years old male with odontogenic sinusitis should undergo endoscopic sinus surgery although he had already received optimal conservative therapy. Clinical question: In patients with odontogenic sinusitis treated by conservative therapy, are smoking habits, high total Lund-Mackay score including osteomeatal complex (OMC) blockage, and history of dental procedure contribute as prognostic factors for medicamentosa and dental treatment failure? Method: Literature searching was performed through PubMed, Cochrane database and Hand-searching using keyword “odontogenic sinusitis”. Result: Three valid prognostic cohort articles were appraised for the validity, importance, and applicability in our clinical scenario. The precision prognostic factor is high total Lund-Mackay score with odd ratio (OR) 95%, and confidence interval (CI) 2.0, 1.04-3.79. Conclusion: High total Lund-Mackay score is an important prognostic factor for conservative therapy failure, so that the sinus surgery should be performed.
Tantangan Pasca Operasi Implan Koklea: Pengalaman 15 Tahun di Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo Zizlavsky, Semiramis; Priyono, Harim
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.701

Abstract

Background: Hearing loss is a significant but often overlooked disability, particularly in developing countries as Indonesia, where access to specialized care is still limited. Purpose: To review the 15-years experience of cochlear implantation services at Cipto Mangunkusumo National General Hospital. Method: A retrospective study of children aged 0–18 years with profound hearing loss who underwent cochlear implant surgery between 2009 and 2023. Data were collected from medical records, including patient demographics, surgical outcomes, and complications. Result: A total of 255 patients (318 ears) received cochlear implants, with the majority aged 3–5 years (37.6%), and 54.5% male. Unilateral implants were predominant (75.3%). In 2020, a 92% decline in surgeries was noted due to the COVID-19 pandemic, which led to the postponement of elective and non-urgent cases. Post-surgical complications occurred in 4.3% of patients, with facial nerve stimulation being the most common side effects (36.4%). Conclusion: Despite expanding services, there still some obstacles remained, including high costs, limited access to specialized care, and unequal distribution of skilled professionals. Addressing these challenges is crucial to improving patient outcomes, and ensuring the sustainability of cochlear implant programs in Indonesia.
The relationship between IL-6 expression and ossicular destruction in CSOM with cholesteatoma Rahayu, Made Lely; Winarti, Ni Wayan; Danastri, I Gusti Ayu Mahaprani; Handayani, Ni Komang Tri Utami; Reniati, Roselina
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.704

Abstract

Background: Chronic suppurative otitis media (CSOM) is a disease that affects the middle ear, leading to perforation of the tympanic membrane. This condition involves chronic inflammation in the middle ear and mastoid cavity. A CT scan often reveals destruction to the ossicles and cholesteatoma. Purpose: To determine the relationship between increased IL-6 expression and ossicular destruction in CSOM patients with cholesteatoma. Method: This observational analytic study with a cross-sectional comparative design was conducted at the Anatomy Pathology Laboratory of Prof. Ngoerah General Hospital, Denpasar. The study used cholesteatoma tissue paraffin blocks from patients with the dangerous type of CSOM who had undergone tympanomastoidectomy from January 2022 to December 2023. Sampling was carried out through consecutive sampling, which included all cholesteatoma tissue paraffin blocks from patients with the dangerous type of CSOM that met the inclusion criteria, amounting to 17 blocks. Result: This study found a p-value >0.05, indicating no association in the bivariate analysis between the percentage, intensity, and overall score of IL-6 pathology results and ossicular destruction due to cholesteatoma, in CSOM patients. Conclusion: This study concluded that there was no significant relationship between IL-6 expression and hearing bone destruction caused by cholesteatoma in CSOM patients.
Retrieval of a spherical foreign body in the right bronchus of a small child Frasiska, Kadek Devi Ari; Dewantara, I Putu Santhi; Sucipta, I Wayan; Putra, I Dewa Gede Arta Eka; Asthuta, Agus Rudi; Saputra, Komang Andi Dwi; Wiranadha, I Made
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.708

Abstract

Background: Bronchial foreign body aspiration can result in life-threatening obstruction of the airway, which makes it a serious emergency, particularly in children. Purpose: To report and discuss the challenges in extracting a spherical foreign body in right bronchus of a small child. Case report: A 3-year-old child, inadvertently inhaled a tiny, metallic ball, which resulted in respiratory distress. Diagnostic evaluation revealed high density opacity on chest X-ray, suggestive of a foreign body in the right main bronchus. The round metallic foreign body was successfully retrieved through bronchoscopy using optical forceps and magnetic forceps. Method: Literature search was conducted using keywords ”round foreign body in bronchus”, ”bronchial foreign body”, and ”bronchoscopy” in Medline and PubMed. Result: A total of 5 cases of round foreign bodies in the bronchus were published from 2003 to 2020. One case reported surgical removal of the foreign body, while 4 others were extracted via bronchoscopic intervention. Discussion: This case underscores the complexities in managing bronchial foreign body aspiration, particularly spherical shaped foreign body. The foreign body was round shaped and metallic, so it was difficult to be grasped, and the patient’s bronchus was very frail. Prompt diagnosis and appropriate interventions, guided by thorough clinical assessment and imaging, are crucial in ensuring favorable outcomes in such cases. Conclusion: In managing patients with foreign bodies in the bronchi, it is essential to select the appropriate instruments depending on the shape and type of foreign body, and surgical intervention should be considered as the last resort for foreign body extraction.

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