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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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Autonomic dysfunction in allergic rhinitis assessed by heart rate variability Irawati, Nina; Poerbonegoro, Niken Lestari; Azzahroh, Faiza; Hanrahan, Joanna Erin
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.v55i2.745

Abstract

Background: Allergic rhinitis is a chronic inflammatory condition of the nose mediated by IgE, characterized by symptoms such as nasal congestion, rhinorrhea, repeated sneezing, and nasal itching. Autonomic nervous system dysfunction is a significant factor in the pathophysiology of allergic rhinitis. Purpose: To evaluate autonomic nervous system dysfunction in allergic rhinitis patients using heart rate variability. Case report: A 28-year-old woman with allergic rhinitis who underwent heart rate variability testing, revealed increased parasympathetic nervous system activity. Method: The study involved a literature search through PubMed, EBSCO, Scopus, and ScienceDirect, with screening based on inclusion and exclusion criteria. The selected literatures were critically reviewed using the Oxford Centre for Evidence-based Medicine’s criteria for Etiology Studies. Result: Two cross-sectional studies were identified that matched the case report’s PICO and eligibility criteria. Those studies showed patterns of autonomic nervous system dysfunction, marked by increased parasympathetic and decreased sympathetic activity in allergic rhinitis patients. Conclusion: The findings suggested that autonomic nervous system dysfunction played a role in the pathophysiology of allergic rhinitis, as evidenced by changes in heart rate variability.
Otoplasty in Children with Prominent Ears: A Scoping Review Handari, Eva Tami; Koento, Trimartani
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.v55i2.750

Abstract

Background: Prominent ears are one of the most common facial deformities in children. Although primarily a cosmetic issue, this condition can have significant social and psychological impacts on children, leading to the need for otoplasty at an early age. Otoplasty, a corrective surgical procedure, has undergone various innovations aimed at achieving satisfactory aesthetic outcomes, while minimizing complications. Purpose: To convey surgical techniques used in otoplasty for children with prominent ears. Case report: A 5-year-old patient presented with complaints of absent external auditory canals and prominent ears. The patient was diagnosed with bilateral auricular atresia, and prominent ears. The parents also reported speech delay in their child. Otoplasty was performed using the latest technique, with adjustments to the antihelical fold and reduction of conchal projection. Result: Following otoplasty using the newly introduced setback otoplasty technique described by Raunig, the patient demonstrated significant improvement in the aesthetic appearance of the ears with a more harmonious projection. Postoperative complications were minimal, with no signs of infection or residual deformity. The patient also continued postoperative speech therapy to address the speech delay. Conclusion: Advances in otoplasty with the New Concept Rauning technique had proven effective in correcting prominent ear deformities in children, yielding favorable aesthetic outcomes, with minimal complications. Early otoplasty can correct ear shape abnormalities and improve the child’s quality of life, both cosmetically and psychosocially.
The suitability of patient’s little finger diameter and middle finger lenght to the trachea diameter in predicting the tracheostomy cannula size: - Fitria, Sova; -, Lily Setiani; Kurnia, Benny
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.v55i2.757

Abstract

Background: A tracheostomy is a temporary or permanent opening of the trachea followed by a cannula insertion to secure the airway, a common life-saving procedure in otorhinolaryngology. However, tracheostomy cannula sizes vary significantly across manufacturers, with no standardized numbering system, complicating the selection of an appropriate size. The tracheal ring is made of cartilage, particularly in the fingers, is used as a marker for cartilage growth in the trachea. Purpose: This study aims to assess the suitability of little finger diameter and middle finger length to diameter of the trachea in order to predict the tracheostomy cannula size. Methode: This observational analytical study using a cross-sectional design, analyzing patients who underwent tracheostomy and met specific inclusion criteria. Measurements included the little finger diameter, middle finger length, and intraoperative anterolateral tracheal diameter. Data analysis was performed using Pearson and Spearman correlation tests. Result: Among 24 participants, adults accounted for 83.3% of cases, while children 16.7%, with a mean age of 54.5 years. The incidence of tracheostomy was more common in males (70.8%) and upper airway obstruction as the main indication (83,3%). The study identified a positive correlation between little finger diameter and tracheal internal diameter (r = 0.496, p < 0.05). Conversely, no significant correlation was observed between middle finger length and tracheal diameter (r = 0.318, p > 0.05). Conclusion: little finger diameter demonstrates potential as a predictor for tracheostomy cannula size, reflecting the internal tracheal diameter. Keywords: Tracheal diameter, little finger diameter, middle finger length, Tracheostomy cannula.

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