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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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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
Intraoperative Electrically Evoked Auditory Brainstem Response (eABR) examination in cochlear implant candidacy Zizlavsky, Semiramis; Saleh, Rangga Rayendra; Priyono, Harim
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.v54i1.664

Abstract

Background: Cochlear implantation is one of the most promising hearing habilitation methods for patients with profound sensorineural hearing loss (SNHL). One of the difficulties associated with the method is predicting the outcome of the surgery, especially in patients with cochlear nerve abnormalities. Purpose: To evaluate the intraoperative cochlear nerve response using Electrically Evoked Auditory Brainstem Response (eABR), and determine if cochlear implantation was required. Clinical question: How significant was intraoperative eABR in determining the outcome of cochlear implantation? Case report: This study considered two cases with profound bilateral SNHL that underwent intraoperative eABR. The first case involved 10-year-old girl who had used conventional hearing aids for eight years before surgery. She practiced lip reading for communication. The second case involved 4-year-old boy with delayed speech and a history of febrile seizure when he was two years old. He had used a conventional hearing aid for six months. Method: Evidence based literature was conducted through PubMed, Embase, and Wiley. Result: On the first case, eABR examination evoked no response in both ears and the parents decided not to carry on with the surgery. In the second case, eABR examination aroused a significant response in both ears, so the implantation was performed. Three months postoperative, the child was babbling and able to detect sound. Conclusion: eABR could give valuable input in identifying profound bilateral SNHL patients with cochlear nerve abnormality. The high cost of implant devices makes this examination beneficial for the patient’s family in deciding if implantation surgery is required.   Keywords: cochlear implant, cochlear nerve hypoplasia, eABR, hearing habilitation, profound sensorineural hearing loss
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
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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.
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
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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
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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
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
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
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
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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
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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.

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