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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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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
Acute sialadenitis with acute myocarditis Muhammad Dwijo Murdiyo; Siregar, Solita Vasya
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.674

Abstract

Background: Acute sialadenitis is an inflammation in the salivary glands that can be caused by various factors. This condition can also lead to complications beyond the head neck region, such as meningitis, pancreatitis, myocarditis, anemia hemolytic anemia, polyarthritis, and neck abscess. Purpose: To understand the clinical symptom, cause, and complications, that could occur in acute sialadenitis. Case report: A 65 years old man came to the hospital with swelling of the neck, chest pain, and salivary glands inflammation, along with findings suggestive of acute myocarditis. Clinical question: What complications can occur in sialadenitis? Method: A literature search was carried out on the Google Scholar site, in February-March 2022, with keywords “Sialadenitis” AND “Sialadenitis Complications” AND “Acute Myocarditis”. The inclusion criteria were publications in the last 20 years that were relevant to the topic, and had a full manuscript available. Result: There were 19 literatures obtained, and all could be used as a reference. Conclusion: The complications of sialadenitis were determined based on symptoms and comprehensive diagnostic tools, and the management needed multidemensional department collaboration.
Jaringan Patologis dan Jenis Perforasi yang Menyebabkan Gangguan Pendengaran Konduktif pada Otitis Media Supurativa Kronis Shantika Putra, Aditya; Sudarmanto, Yohanes; Wahyudiono, Ahmad Dian; Handoko, Edi
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.697

Abstract

Background: Chronic Suppurative Otitis Media (CSOM) is an inflammatory middle ear condition that often leads to conductive hearing loss. Purpose: To analyse the correlation between pathological tissue and the type of perforation with conductive hearing loss, in patients with CSOM. Method: Cross-sectional study on medical records data of CSOM patients who visited the Ear, Nose, and Throat (ENT) outpatient clinic at Saiful Anwar General Hospital, between January 2019 and June 2022. The collected data included physical examination of the ear, audiometry results, and surgical findings during the operation. Comparative analysis was performed to compare audiometry results based on the pathological tissue diagnosis and the perforation type. Result: A total of 51 CSOM patients were included in the study. Moderate conductive hearing loss was the most common type (49% of cases). The comparative analysis showed no significant correlation between pathological tissue or the type of perforation with conductive hearing loss, in patients with CSOM. Conclusion: In this study, there were no significant corrrelation between pathological tissue and the type of perforation with conductive hearing loss in patients with CSOM.
Difficulties in the removal of whistle foreign body in the left bronchus Handayani, Ni Komang Tri Utami; Sucipta, I Wayan; Putra, I Dewa Gede Arta Eka; Asthuta, Agus Rudi; Suanda, I Ketut; Dewantara, I Putu Santhi
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.715

Abstract

Background: Tracheobronchial foreign bodies are one of the most common critical conditions in otorhinolaryngology. The mortality rate due to foreign body aspiration in children under 5 years old is quite high. The increased incidence of foreign body aspiration was triggered by the tendency of children to put everything in their mouths when crying, screaming, running, and playing. Purpose: To report difficulties in the management of a whistle foreign body in the left bronchus. Case report: A 9 years old boy, was brought to Prof. Ngoerah Hospital on December 19th, 2023, with a complaint of coughing for 2 days, because he accidentally choked on a whistle while playing. However, the results of thoracic X-ray and CTscan did not show a clear foreign body in the form of a whistle. Method: Literature search was conducted using keywords ”whistle foreign body in left bronchus” OR ”whistle foreign body” OR ”foreign body in left bronchus” AND ”bronchoscopy management” in Medline and PubMed from 2019– 2024. Result: A total of 21 literatures was found, and 12 could be used as references. Conclusion: The management of foreign body in the bronchus is challenging in diagnostic and bronchoscopy procedures.
Balloon sinuplasty versus surgical therapy for chronic rhinosinusitis Halim, Felicia; Sutikno, Budi
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.727

Abstract

Background: An inflammation of the nose and paranasal sinuses is known as rhinosinusitis, and should it persist for 12 weeks or longer, it becomes chronic rhinosinusitis (CRS). Compared to medical therapy, balloon dilatation has been shown to produce statistically significant improvements in symptoms, quality of life, nasal endoscopy scores, and Computed Tomography Paranasal Sinuses (CT-PNS) scores. The outcomes are comparable to those of Functional Endoscopic Sinus Surgery (FESS). Furthermore, it was discovered to be a method that was both safe and bearable. Purpose: To ascertain the role of balloon dilatation in the management of CRS, by comparing the result of Balloon Sinuplasty versus Functional Endoscopic Sinus Surgery. Literature review: A search of Google Scholar over the last 10 years found 375 results, and 14 could used as reference sources. Conclusion: Balloon sinuplasty is a useful method to overcome CRS. Balloon sinuplasty is minimally invasive, avoiding more aggresive and drastic procedures, for cases that are severe and unresponsive to medical treatment.
Perbandingan Temuan Anatomi Mastoid Tipe Pneumatik dan Diploik Hasil Diseksi Tulang Temporal Peserta Didik Program Studi Ilmu Kesehatan THT-BKL Wahyu Widiantari, I Gusti Ayu Putu; Eka Putra Setiawan; Komang Andi Dwi Saputra; I Gde Ardika Nuaba; Rahayu, Made Lely
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.729

Abstract

Background: Simple mastoidectomy is the most common approach to managing chronic suppurative otitis media (CSOM). This procedure aims to partially or completely remove mastoid cells, to overcome the infection in the middle ear. However, the mastoid bone pneumatization type may influence the result of simple mastoidectomy or temporal bone dissection. Purpose: To determine the difference in the anatomical findings of pneumatic and diploic mastoid types in the temporal bone dissections. Method: This cross-sectional study assesed on pneumatic and diploic types of mastoid bone, on temporal bone dissections findings. The mastoid bones used in this study were temporal bone of the Indonesian cadavers. Data were obtained from direct observation of the number of anatomical landmarks found during temporal bone dissections on each type of mastoid bone; and the maximal anatomical landmark found in each bone was seven. The number of anatomical landmarks between pneumatic and diploic mastoid bone was compared using the Mann-Whitney U test. Result: The mean of overall anatomical landmarks found during temporal bone dissection was 4.50±1.70. No significant difference in the number of anatomical landmarks was found between pneumatic and diploic mastoid bone (4.57±0.79 vs. 4.43±0.53; p=0.827). Conclusion: There was no significant difference in anatomical findings between pneumatic and diploic mastoid bone in temporal bone dissections. Broad knowledge is vital for successful mastoidectomy in all types of mastoid bone.
Bioautography of dewandaru leaf ethanol extract thin-layer chromatography against Pseudomonas aeruginosa Lesmana, I Wayan Lolik; Yasa, I Wayan Putu Sutirta; Pranitasari, Ni Putu Oktaviani Rinika
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.733

Abstract

Background: Ear infections are a significant health concern due to their impact on hearing function. One ear infection that frequently occurs is Chronic Suppurative Otitis Media (CSOM), which is commonly caused by Pseudomonas aeruginosa. The development of therapies using natural ingredients appears to be a promising option for treating various infectious diseases. The potential of the Dewandaru leaves (Eugenia uniflora L.) has long been recognized, and several studies have demonstrated its antibacterial properties. Dewandaru leaves extract contains several active compounds with antibacterial activity, as evidenced by various in vitro studies. Purpose: To test the antibacterial activity of flavonoids, saponins, tannins, and terpenoids from Dewandaru leaves extract against American Type Culture Collection (ATCC) strain of Pseudomonas aeruginosa, ATCC 9027, as the most common cause of CSOM. Method: Antibacterial activity was assessed using the Thin-Layer Chromatography–Bioautography (TLC–bioautography) contact method using a clear area on the TLC plate. Result: Dewandaru leaf extract showed antibacterial activity against Pseudomonas aeruginosa with a significant zone of inhibition. The phytochemical substances in the extract that exhibit antibacterial activity were flavonoids. Conclusion: Dewandaru leaves had the potential to be a natural antibacterial agent against Pseudomonas aeruginosa.
Perbandingan Open dan Closed Drainage Pada Tatalaksana Abses Leher Dalam Multipel Di RSUP DR Mohammad Hoesin Palembang Yanti, Lisa Apri; Kusuma, Aji; Irfanuddin, Irfanuddin
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.735

Abstract

Background: Management of deep neck abscesses includes evacuation of pus from the abscess location, which can generally be divided into open drainage and closed drainage. Data regarding their comparison in deep neck abscesses are still inadequate. Purpose: To compare open and closed drainage in the management of patients with multiple deep neck abscesses. Method: Observational research using a cross-sectional design on 71 subjects diagnosed with multiple deep neck abscesses at RSUP Dr. Mohammad Hoesin Palembang who underwent drainage. Result: 37 subjects underwent open drainage (52.1%) and 34 underwent closed drainage (47.9%). A statistically significant difference between the open and closed drainage groups was observed in length of stay, duration until drain removal, days until the pus changed color and pus drained per day. Conclusion: Open drainage had more favorable outcomes compared to closed drainage. Comorbid factors were found to be affecting the efficacy of abscess drainage.
Adaptasi Kultural dan Data Normatif Pemeriksaan Olfaktori pada Populasi Lansia Indonesia Martin, Juvenius; Chandra, Kenly; Vebriana, Gennesia; Putra, Aditya; Kristian, Kevin; Handajani, Yvonne Suzy; Turana, Yuda
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.736

Abstract

Background: The olfactory sense plays a vital role in well-being and cognitive health, particularly in the older adults. Olfactory dysfunction is linked to neurodegenerative diseases, and geriatric syndromes like frailty. Existing cognitive tests are education-biased, limiting their applicability. Cultural adaptation of olfactory tests enhances diagnostic accuracy, necessitating region-specific normative data for Indonesia. Purpose: To establish normative olfactory scores for Indonesia’s older adult population using a culturally adapted odor identification test. Method: A descriptive study was conducted on 205 healthy participants aged 60 and above, in Jakarta. Eight culturally familiar odors were used in a forced-choice identification test. Normative data were generated based on percentiles, with the 10th percentile serving as the cut off for hyposmia. Data were analyzed using Statistical Package for the Social Sciences (SPSS). Result: Olfactory function was found to decline with age. Hyposmia thresholds were determined: individuals aged 60-64 years were considered hyposmic if they identified fewer than five odors, while those aged 80+ were hyposmic if they identified fewer than two odors. No significant differences were found between education levels, as both groups shared the same hyposmia thresholds. Conclusion: The study provided normative olfactory data specific to the Indonesia’s older adult population. These results supported the use of culturally adapted tests in clinical practice to detect olfactory dysfunction, which might indicate early cognitive decline. Further research should include longitudinal studies to capture changes over time.
NILAI AMBANG PROKALSITONIN DAN RISIKO KEMATIAN DINI PADA ABSES LEHER DALAM: PERSPEKTIF KLINIS: procalciton pada abses leher dalam Asyari, Ade; Tri Novriansyah, Wahyu; Novialdi, Novialdi; Dia Rofinda, Zelly; Rasyid, Rosfita; Utami, Refi Amalia
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.744

Abstract

Background: Procalcitonin (PCT) is widely used as an inflammatory marker in sepsis, but still controversial in deep neck abscesses. Purpose: To evaluate the usefulness of PCT as outcome predictor in deep neck abscess. Method: A prospective observational cohort study was conducted at Dr. M. Djamil Hospital, Padang, Indonesia (March 2022–May 2023). Patients with confirmed deep neck abscess by pus aspiration in the Emergency Department were included. Baseline laboratory and serum PCT tests were performed before surgical drainage. All patients received broad-spectrum antibiotics and standard postoperative care. Assessed outcomes were mortality, septic shock, organ failure, mediastinitis, empyema/ pleural effusion, necrotizing fasciitis, tracheostomy, pharyngocutaneous fistula, Intensive Care Unit >24 hours, and hospital stay. Result: Thirty-five patients met inclusion criteria. Multiple neck space involvement was found in 74.3%, and 93.4% underwent surgery. Mortality occurred in 28.6%, septic shock in 20%, mediastinitis in 14.3%, empyema/pleural effusion in 11.4%, necrotizing fasciitis in 8.6%, tracheostomy in 5.7%, fistula in 8.6%, and ICU stay >24 hours in 20%. Mean hospital stay was 9.03±7.90 days. Mean admission PCT was 0.313±0.677 ng/mL, with 17.1% having elevated PCT>0.5 ng/mL. No significant correlation was found between PCT and overall outcome. However, Receiver Operating Characteristic (ROC) analysis showed PCT≥0.14 ng/mL, predicted <5-day mortality (sensitivity 85.7%, specificity 78.4%), Area Under Curve (AUC) 0.773, p=0.027). Conclusion: Procalcitonin showed potential as an adjunctive marker in deep neck abscess. Although low initial levels are frequent, they do not exclude severe complications, highlighting its role in early risk stratification and clinical decisions.

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