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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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Hypertonic Saline Nasal Irrigation for Chronic Sinusitis: A Systematic Review and Meta-analysis Lao, Alexsandro; Vatvani, Akhil; Setiawathi, Ni Putu
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.631

Abstract

Background: Chronic rhinosinusitis (CRS) is an inflammatory condition of the paranasal sinusescharacterized by persistent sinonasal symptoms. It is a prevalent chronic medical ailment worldwide,impacting individuals of all ages and impairs patients’ quality of life. Recent findings in otorhinolaryngology reveal that hypertonic saline nasal irrigation is more effective than isotonic saline for addressing this condition. Hypertonic saline with higher osmotic pressure demonstrates superior efficacy in reducing mucosal edema. Purpose: To study the efficacy of nasal irrigation with hypertonic saline on chronicrhinosinusitis. Literature review: Conducted following the Preferred Reporting Items for SystematicReview and Meta-Analysis (PRISMA) 2020 guidelines. The search strategy spanned prominent multipleelectronic databases (PubMed and SagePub), encompassing publications from 2015 to 2023. Duplicatepublications, review articles, and incomplete articles were excluded. A meta-analysis was planned toanalyze outcome of Visual Analog Scale (VAS) score. Result: The search results from the year 2015-2023 yielded 35 articles from PubMed and 28 articles from SagePub. In the end, 4 eligible studies wereobtained. From these, hypertonic saline demonstrated enhanced symptomatic relief. However, only twostudies were eligible for meta-analysis, revealing no significant VAS difference between hypertonic andnormal saline (mean difference 2.40 [95% CI -2.85 – 7.65]; p 0.37). Conclusion: Hypertonic saline nasal irrigation offered moderate side effects, improved nasal symptoms and ciliary activity more than isotonic saline, although there were no significant differences in radiological imaging or sense of smell. However, the meta-analysis did not find a significant difference in VAS scores.Keywords: chronic rhinosinusitis, ciliary activity, nasal irrigation, hypertonic saline
Profil hasil pemeriksaan OAE high noise pada pasien tinnitus di klinik elektromedik RSA UGM Bawono, Mahatma Sotya; Akuntanto, Ignatius Adhi; Avidati, Herfis; Hapsari, Widiarahma; Sari, Shinta Kusumalarna Sari
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.v54i1.632

Abstract

Background: Tinnitus is a hearing disorder in the form of sound sensation without externalstimulation. It can affect a person’s quality of life. The number of patients with tinnitus is expected toincrease. Not many hospitals have a High Noise Otoacoustic Emission (OAE) device for examining tinnitusin patients. Tinnitus research is still limited in Indonesia, especially in Yogyakarta. Purpose: This studyaimed to describe the results of the OAE High Noise examination in tinnitus patients at the ElectromedicalClinic of UGM Academic Hospital. Method: A non-experimental study with a descriptive observationalapproach using secondary data. The sampling technique used was a total sampling technique of tinnituspatients who were examined for (OAE) High Noise from January 1st, 2019, to December 31st, 2021. Result: Respondents who met the inclusion and exclusion criteria were 292 subjects. Most respondentswere more than 60 years old (27.05%), and female (51.71%). The OAE High Noise examination resultsshowed that most of them were abnormal (85.61%). Most of the respondents experienced bilateral tinnitusand experienced disturbances in more than six frequencies (46.60%). The primary diagnosis that had beenfound in the respondents was tinnitus (87.67%). Conclusion: The OAE High Noise examination resultsat the Electromedical Clinic of UGM Academic Hospital were mainly abnormal.
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
Peran radioterapi lokoregional pada kasus karsinoma nasofaring dengan metastasis jauh: laporan serial kasus berbasis bukti Mayangsari, Ika Dewi; Rahman, Muhammad Ade; Adham, Marlinda; Prajogi, Gregorius Ben; Cahyanur, Rahmat; Safitri, Eka Dian
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.638

Abstract

Background: Nasopharyngeal carcinoma (NPC) is a highly metastatic head and neck cancer primarilytreated with platinum-based chemotherapy. The oligometastasis hypothesis proposed by Hellman andWeichselbaum suggested that controlling the primary tumor through locoregional radiotherapy couldsignificantly improve prolonged disease-free survival. Purpose: To evaluate the effectiveness of combining locoregional radiotherapy with chemotherapy for metastatic NPC. Case series report: The first case involved a 57-year-old male with NPC at T4N3M1 (lungs) with partial response to chemotherapy, who then underwent concurrent chemoradiotherapy. However, his condition deteriorated after completing chemoradiation. The second case featured a 56-year-old male with NPC at T4N3M1 (liver), exhibiting partial response to chemotherapy and remaining at a stable condition after concurrent chemoradiotherapy. Method: Using specific keywords based on clinical questions in the PubMed, Cochrane, EBSCOhost, and Proquest databases. Inclusion criteria, exclusion criteria, and critical appraisal were carried out to find relevant studies. Result: Eleven articles were appraised critically based on the Oxford Centre for Evidence-based Medicine (CEBM) worksheet and include the validity, importance, and applicability in clinical scenarios. Conclusion: Metastatic NPC patients had better overall survival outcomes when treated with locoregional radiotherapy and systemic chemotherapy. Predictive factors influencing survival included oligometastasis, locoregional radiotherapy, chemotherapy response, lactate dehydrogenase, C-reactive protein, EBV DNA, total chemotherapy administration, Karnofsky performance score, number of metastatic lesions, and liver metastases. Platinum-based chemotherapy combined with locoregional radiotherapy could be considered as a management approach for cases of oligometastatic NPC.Keywords: nasopharyngeal carcinoma, chemotherapy, metastasis, overall survival, radiotherapy
Relationship of lowest oxygen saturation value with degree of obstructive sleep apnea on polysomnography Murdiyo, H.M Dwijo; Febrihianto, Ronald Yohanes
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.v54i1.639

Abstract

Background: Obstructive sleep apnea (OSA) is a part of sleep disorder breathing syndrome.Symptoms of OSA often occur, but it is difficult to detect. Upon diagnosis, patients generally have hadsymptoms of OSA for years. If it is not treated properly, OSA can lead into complications involvingvarious other organ systems. The standard examination for diagnosing OSA is polysomnography. However,polysomnography examination during the era of Covid-19 pandemic could not be done. Purpose: Todetermine the relationship between the lowest oxygen saturation (SaO2) value and the degree of obstructivesleep apnea on polysomnography examination. Method: Observational analytic study with a crosssectional approach. The total sample was 59 subjects, consisted of 37 males and 22 females. The lowestSaO2 was assessed on polysomnography examination and compared with the degree of OSA. Result:The lowest SaO2 relationship with the degree of OSA showed a significant negative result with a strongrelationship. In mild OSA, the Area Under Curve (AUC) value = 77.1%, and the cut off SaO2 value wasobtained at 90.5%. In moderate OSA, the AUC = 85% and the cut off SaO2 value was at 87.5%. In severeOSA, the AUC value was 94% and the cut off SaO2 value was obtained at 84.5%. Conclusion: Therewas a significant relationship between the lowest oxygen saturation on polysomnography examinationand the degree of OSA.
Clinical approach to auditory malingering in an adolescent Yasin, Fikry; Zizlavsky, Semiramis; Irfan, 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
Eksisi Intralesi sebagai Strategi Tatalaksana Keloid: Laporan Kasus Berbasis Bukti Trimartani, T.; Widodo, Dini Widiarni; Ranakusuma, Respati Wulansari; M, Mesiwisani; Putri, Annisa; Reksodiputro, Mirta Hediyati
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.v54i1.646

Abstract

Background: Several therapeutic modalities exist for keloids, but management them remains a challenge due to high recurrence rates. These case series discussed surgical therapy using intralesional excision. Purpose: To compare the effect of intralesional excision with extra-lesional excision followed by post-operative triamcinolone injection, on the recurrence rates of auricular keloids. Case reports: Three patients with keloids treated with intralesional excision were presented. The first patient, a 20-year- old male, had keloids on both ears, nose, hands, and feet following burnt injury. The second patient, a 19-year-old female, had a keloid lump on the left auricle. The patient had a history of bilateral microtia and had undergone stage 1 auriculoplasty with rib grafting on both ears. The third patient, a 36-year-old woman with complaints of a keloid appearing for 3 years in the helix of her right ear, and underwent surgical excision followed by triamcinolone injection. Clinical question: How does the recurrence in patients with auricular keloid undergoing intralesional excision and postoperative triamcinolone injection, compared to extra-lesional excision and triamcinolone injection? Method: A systematic literature search was conducted using PubMed, Cochrane Library, Scopus, and ClinicalKey with relevant keywords: “intralesional excision”, AND “keloid”. Result: A total of 192 articles were found, and 3 articles met the eligibility criteria. Conclusion: The literature search revealed no difference in the recurrence rates between intralesional and extra-lesional excision with triamcinolone injection. Further research on this topic is needed. Keywords: intralesional excision, keloid, recurrence
Penggunaan Steroid Sebagai Pengobatan Preventif untuk Transient Facial Nerve Palsy pada Parotidektomi Adham, Marlinda; Windri, Sellina; Agung, Ibrahim
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.v54i1.647

Abstract

Background and Objective: One of the most reported complication of parotidectomy or other parotid surgery is facial nerve palsy. Steroids such as glucocorticoid have been known to help preserve nerve damage. But there’s lack of evidence that shows the use of steroids to help nerve recovery. So authors are determined to find the association between steroid intervention in parotidectomy patients to prevent or to help accelerate recovery rate in facial nerve palsy cases. Methods: This evidence-based case report used the PICO method for literature search in two databases (Ovid and PubMed). After selecting the article using inclusion and exclusion criteria, the author appraised the article using the Center of Evidence Based Medicine (CEBM) Oxford Appraisal Tools. Results: In total of 2 articles we found, we include all of them for analysis. Both of the articles shows that there’s no correlation between giving steroids to post-parotidectomy patients and faster recovery rate. In contrary, one study shows that placebo-treated groups had a faster facial nerve function recovery rate than steroid-treated patients. Conclusion: Giving steroids to post-parotidectomy patient won’t help accelerate the facial nerve function recovery rate. Prevention of facial nerve palsy in parotidectomy was preferred as treatment.
Round window sealing with steroid-soaked sponge in sudden sensorineural hearing loss Putranto, Fikri Mirza; Safitri, Eka Dian; Shafira, Ardys
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.v54i1.654

Abstract

Background: A rescue treatment is needed in cases of Sudden Sensorineural Hearing Loss (SSNHL)which fail to obtain complete hearing restoration after conservative steroid therapy. In order to acquirebetter access of steroid to the cochlea, sealing the round window with a sponge soaked in steroid couldbe considered as an alternative delivery strategy. Purpose: To review the evidence about the impact ofround window sealing in SSNHL patients whose hearing failed to recover completely after treated withsystemic and/or intratympanic steroid. Cases: Seven patients with SSNHL, who had experienced either noor slight response to previous systemic and/or intratympanic steroid administration, underwent transcanalround window sealing with steroid-soaked sponge. Pure Tone Audiometry (PTA) results and symptoms(hearing loss, tinnitus, vertigo) were compared pre- and post-operatively. Five patients reported betterhearing and tinnitus symptom. Method: A scoping review was made by conducting literature searchingat Cochrane, Pubmed, and Google Scholar using keywords “sudden sensorineural hearing loss”, AND“round window sealing”, and their relevant synonymous terms, employing Boolean operators. Result: Atotal of 8 observational studies with 430 subjects met the inclusion criteria. Time measurement of hearingimprovement range from 6 days until 1 year. Most of the studies agreed that the procedure of sealingthe round window had a positive impact on hearing improvement. Conclusion: This study revealed thatround window sealing with steroid-soaked sponged could be considered as an alternative approach forpatients with SSNHL who failed in conservative therapy.   Keywords: “round window sealing; sudden sensorineural hearing loss; transtympanic steroid”    
The The first transcanal endoscopic ear surgery in Udayana University General Hospital Danastri, I Gusti Ayu Mahaprani; Lolik Lesmana, I Wayan; Pranitasari, Ni Putu Oktaviani Rinika; Raditya, I Gede Wahyu Adi; Pradiptha, I Putu Yupindra; Wahyu Widiantari, I Gusti Ayu Putu; Nogueira, João Flávio
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.v54i1.657

Abstract

Background: The conventional method for treating cholesteatoma involves using a microscopicapproach. However, over the years, endoscopy has evolved from being a supplementary tool alongside themicroscope to becoming the primary transcanal approach in different areas of ear surgery. Purpose: Topresent a case of cholesteatoma in adult which was treated by the combination of transcanal endoscopicear surgery and mastoidectomy. Case report: An adult patient with malignant type of chronic suppurativeotitis media underwent transcanal endoscopic ear surgery and mastoidectomy. Endoscopic surgery is amore intricate single-handed procedure that demands both experience and a comprehensive knowledge ofendoscopic ear anatomy. This is essential for navigating the anatomical space, dealing with the ossicularchain, and employing transcanal drilling techniques. The primary surgical focus for endoscopic earsurgery is the middle ear. When addressing cases where cholesteatoma extends beyond the posteriorepitympanum, the surgical approach relies on the surgeon’s expertise in performing extensive atticotomyor mastoidectomy, either with or without microscope assistance. Clinical question: What is the role oftranscanal endoscopic ear surgery and mastoidectomy in adult patient with cholesteatoma? Method:Literature searching was performed with the keywords: ”cholesteatoma”, AND ”transcanal endoscopicear surgery”, AND ”mastoidectomy” through database PubMed, Proquest, and hand searching/e-book. Result: There were 3 articles relevant with the subject. Conclusion: Transcanal endoscopic ear surgery isa minimally invasive and secure procedure characterized by its low rates of complications and recurrence   Keywords: transcanal endoscopic ear surgery, mastoidectomy, cholesteatoma, chronic suppurative otitis media.

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