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Sriwijaya Journal of Otorhinolaryngology
Published by Phlox Institute: Indonesian Medical Research Organization
ISSN : 2987131X     EISSN : 2987131X     DOI : https://doi.org/10.59345/sjorl
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health
Focus Sriwijaya Journal of Otorhinolaryngology (SJORL) focused on the development of medical sciences especially otorhinolaryngology for human well-being. Scope Sriwijaya Journal of Otorhinolaryngology (SJORL) publishes articles which encompass all aspects of basic research/clinical studies related to the field of otorhinolaryngology and allied science fields, especially all type of original articles, case report, review articles, narrative review, meta-analysis, systematic review, mini-reviews and book review.
Arjuna Subject : Kedokteran - Otorhinolaryngology
Articles 35 Documents
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The Influence of Traditional Indonesian Practices (Jamu) on the Prevention and Management of Common Otorhinolaryngology Complaints: A Mixed-Methods Study Fifia Ardinanti; Brian Edgar Wicaksana; Rizki Ayu; Mohammad Arfin; Abd El Nasser
Sriwijaya Journal of Otorhinolaryngology Vol. 2 No. 2 (2024): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v3i1.189

Abstract

Introduction: In Indonesia, jamu (traditional herbal medicine) is culturally significant for health maintenance, including managing common ear, nose, and throat (ENT) complaints. This study explored the influence of jamu on the prevention and management of these complaints by examining patient beliefs, usage patterns, perceived outcomes, and associations with conventional healthcare-seeking. Methods: A mixed-methods sequential explanatory design was used. A cross-sectional survey of 1200 Indonesian adults assessed demographics, ENT complaint prevalence, jamu use (type, frequency, perceived effectiveness), and healthcare seeking. Subsequently, semi-structured interviews were conducted with 30 survey participants who regularly used jamu for ENT issues to explore their beliefs and experiences. Quantitative data were analyzed using descriptive statistics, chi-square tests, and logistic regression. Qualitative data underwent thematic analysis. Results: Survey data showed 68.5% experienced ENT complaints in the past year, with sore throat (42.3%), cough (38.7%), and nasal congestion (31.2%) most common. Among them, 53.2% used jamu, primarily turmeric-based for sore throat and ginger-based for cough and congestion. Regular jamu use was associated with perceived symptom relief (p < 0.001) but also with a higher likelihood of delaying conventional care for persistent symptoms (OR = 1.85). Interviews revealed strong cultural beliefs in jamu's efficacy and safety for mild ENT issues, often used as a first-line treatment due to its natural origin, fewer perceived side effects, and affordability. However, some acknowledged its limitations for severe conditions. Conclusion: Jamu plays a significant role in managing common ENT complaints in Indonesia, driven by strong cultural beliefs and perceived benefits. While users report symptom relief, delayed access to conventional care for serious conditions is a potential concern. Further research is needed to scientifically evaluate specific jamu formulations and develop integrated usage guidelines in Indonesia.
Risk Factors for Allergic Rhinitis in Students of SMA Negeri 1 Padang, Indonesia Hidayat, Rachmat; Sari, Puspa
Sriwijaya Journal of Otorhinolaryngology Vol. 1 No. 1 (2023): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v1i1.224

Abstract

Introduction: Allergic rhinitis (AR) is a disorder of the nasal mucosa caused by inflammation and initiated by a hypersensitivity reaction due to exposure to allergens. This study aimed to determine the risk factors associated with allergic rhinitis in SMA Negeri 1 Padang Indonesia students. Methods: This study was an observational study with a cross-sectional approach. A total of 500 research subjects participated in this study, and the research subjects met the inclusion criteria. The inclusion criteria were SMA Negeri 1 Padang, Indonesia students aged 15-17 years and willing to participate in the research as evidenced by the consent of their parents or guardians to participate in this study. Data analysis was carried out using SPSS software version 25. Univariate analysis was performed to present the frequency distribution of each variable test. Bivariate analysis was performed to determine the relationship between risk factors and incidence of rhinitis allergies, p < 0.05. Results: The results of the study show that gender is not related to the incidence of rhinitis allergies. Smoke exposure, owning pets, dust exposure, and a history of atopy are associated with events of rhinitis allergies, p<0.05. Conclusion: Smoke exposure, owning pets, dust exposure, and a history of atopy are risk factors for this incidence of allergic rhinitis in SMA Negeri 1 Padang, Indonesia students.
Characteristics of Acute Pharyngitis at Dr. M. Djamil General Hospital, Padang, Indonesia Sari, Puspa; Adelia
Sriwijaya Journal of Otorhinolaryngology Vol. 1 No. 1 (2023): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v1i1.225

Abstract

Introduction: Pharyngitis presents with a variety of symptoms, including sudden sore throat, fever, headache, lymphadenitis, and sometimes abdominal pain, nausea, fatigue, and/or rash. This study aimed to provide data on the basic characteristics of acute pharyngitis patients at Dr. M. DjamilGeneral Hospital, Padang, Indonesia. Methods: This study was a descriptive observational study. This study uses secondary data obtained from medical record data at the medical records installation of Dr. M. Djamil General Hospital, Padang, Indonesia. A total of 100 research subjects participated in this study, and the research subjects met the inclusion criteria. The inclusion criteria in this study were patients diagnosed with acute pharyngitis at Dr. M. Djamil General Hospital, Padang, Indonesia, for the period January – December 2022 and who have complete medical record data. Data analysis was carried out using SPSS version 25. Results: The majority of research subjects are in the age range of 0-14 years. The majority of research subjects are female. The majority of research subjects had clinical symptoms of sore throat and difficulty swallowing. The symptoms that arise in acute pharyngitis depend on the microorganisms that accompany it. Acute pharyngitis caused by bacteria is characterized by severe headache, fever or chills, malaise, painful swallowing, vomiting, and possibly coughing but rarely. Conclusion: The characteristics of pharyngitis patients at Dr. M. Djamil General Hospital, Padang, Indonesia, are aged 0-14 years with prominent clinical symptoms of sore throat and difficulty swallowing.
Overview of Sensorineural Deafness Patients at Cut Meutia General Hospital, North Aceh, Indonesia Hafni, Ahmad; Yanti, Lisa
Sriwijaya Journal of Otorhinolaryngology Vol. 1 No. 1 (2023): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v1i1.226

Abstract

Introduction: Sensorineural deafness is deafness that occurs due to disturbances in the inner ear or in the nerve pathways from the inner ear to the brain. This study aimed to provide an overview of sensorineural deaf patients at Cut Meutia General Hospital, North Aceh, Indonesia. Methods: This study was a descriptive observational study and used secondary data obtained from medical record data at the medical records installation of Cut Meutia General Hospital. A total of 50 research subjects participated in this study, and the research subjects met the inclusion criteria. The inclusion criteria in this study were patients aged > 18 years who were diagnosed with sensorineural hearing loss at Cut Meutia General Hospital, North Aceh, Indonesia, for the January-December 2022 period and had complete medical record data. Results: The majority of research subjects have an age range of > 50 years. Subject the majority of studies have male gender. The majority of research subjects complained of deafness in both ears. The majority of research subjects have a profound hearing threshold. Conclusion: Characteristics of sensorineural deafness at Cut Meutia General Hospital, North Aceh, Indonesia, generally occur at the age of > 50 years, male gender, occurs bilaterally, and has a very poor hearing threshold.
Overview Aspects of Anatomy and Histology of the Trachea, Pharynx, Larynx, and Esophagus: A Narrative Literature Review Mariana; Sari, Yulia
Sriwijaya Journal of Otorhinolaryngology Vol. 1 No. 1 (2023): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v1i1.227

Abstract

This literature review aimed to describe the anatomical and histological aspects of the trachea, pharynx, larynx, and esophagus. The trachea is a tube-shaped respiratory tract consisting of cartilage and muscle and lined by a pseudostratified columnar ciliated epithelium. The pharynx is a funnel-shaped fibromuscular pouch that is large at the top and narrow at the bottom. This pouch starts at the base of the skull and continues through the esophagus to the level of the sixth cervical vertebra. The laryngopharynx is bordered superiorly by the upper edge of the epiglottis, anteriorly by the larynx, inferiorly by the esophagus, and posteriorly by the cervical vertebrae. The esophagus is a hollow cylindrical organ about 25 cm long and 2 cm in diameter, which extends from the hypopharynx to the cardia of the stomach. The esophagus lies posterior to the heart and trachea, anterior to the vertebrae, and pierces the diaphragmatic hiatus just anterior to the aorta. In conclusion, a thorough understanding of neck anatomy helps establish the diagnosis and management of patients in clinical situations.
Strategic Avoidance of General Anesthesia in Obstetric Trauma: Ear Ring Block for Auricular Reconstruction in a Second-Trimester Pregnancy Purwoko; Septian Adi Permana; Fernando Feliz Christyan
Sriwijaya Journal of Otorhinolaryngology Vol. 3 No. 2 (2025): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v3i2.241

Abstract

Background: Surgical interventions during pregnancy require balancing maternal physiological stability with fetal safety. Trauma necessitating ear reconstruction typically requires general anesthesia, which carries elevated risks of difficult airway management, aspiration, and fetal neurotoxicity. The “Ring Block” offers a regional alternative, yet evidence on its safety in second-trimester trauma remains limited. Objective: To evaluate the safety, hemodynamic stability, and surgical efficacy of a landmark-based Ear Ring Block as an alternative to general anesthesia for extensive auricular trauma reconstruction in a high-risk, second-trimester parturient. Case presentation: We present a 41-year-old multigravida at 14 weeks of gestation (ASA II) with a complex traumatic laceration of the right auricle following a motor vehicle accident. Owing to her advanced maternal age and the risks of general anesthesia, an awake ear reconstruction was planned using a landmark-based Ear Ring Block with 12 mL of 2% Lidocaine. Complete surgical anesthesia was achieved with a V-pattern and inverted V-pattern injection trajectory. Intraoperative monitoring revealed hemodynamic stability with no fluctuations in mean arterial pressure or fetal heart rate abnormalities. The patient reported a visual analog scale score of zero intraoperatively and was discharged 12 hours after surgery without complications. Conclusion: The Ear Ring Block represents a superior anesthetic modality for auricular trauma in pregnant patients. It effectively mitigates the physiological risks of general anesthesia while providing profound analgesia and hemodynamic stability. This technique should be considered a primary anesthetic strategy for auricular reconstruction in the obstetric population.
Comparative Efficacy of Topical Antifungal and Antiseptic Agents for Otomycosis in Tropical and Subtropical Climates: A Systematic Review and Meta-Analysis Rachmat Hidayat; Oliva Azalia Putri; Aisyah Andina Rasyid
Sriwijaya Journal of Otorhinolaryngology Vol. 3 No. 2 (2025): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v3i2.305

Abstract

Background: Otomycosis is a superficial fungal infection of the external auditory canal that is disproportionately prevalent in tropical and subtropical regions, yet the comparative efficacy of topical agents in this climatic and mycological context has not been quantitatively synthesised. Objective: To compare complete-cure rates of topical antifungal and antiseptic agents for otomycosis using comparative studies from tropical and subtropical countries. Methods: Following a registered protocol (PROSPERO CRD420261456091) and PRISMA 2020, we identified comparative studies reporting complete cure or mycological eradication. Ten studies (1,970 ears; eight countries) were included. The pre-specified primary comparison, povidone-iodine versus clotrimazole, was pooled as a risk ratio (RR) using a random-effects model with the Hartung–Knapp–Sidik–Jonkman correction, a 95% prediction interval and a leave-one-out analysis. Risk of bias used RoB 2 and ROBINS-I; certainty used GRADE. Results: The random-effects pooled cure rate across 21 arms was 74.9% (95% CI 66.9–82.2; I² = 93%). For povidone-iodine versus clotrimazole (k = 4), the pooled RR was 0.86 (HKSJ 95% CI 0.53–1.39; prediction interval 0.29–2.58), indicating no significant difference while excluding neither agent's superiority. Between-study heterogeneity (I² = 79%) arose entirely from one non-randomised study; omitting it gave RR 0.95 (0.85–1.06) with I² = 0%. Certainty was low to very low. Conclusion: Topical azoles and low-cost antiseptics such as povidone-iodine achieve broadly similar, moderate cure rates for otomycosis in tropical settings, but the evidence is too imprecise to establish equivalence, and potential ototoxicity means agent choice should remain individualised.
Concurrent Retropharyngeal and Cervical (Colli) Abscess in a Three-Year-Old Child: Diagnostic Challenges, Multidisciplinary Management, and Favourable Surgical Outcome Ketut Tadeus Max Nurcahya Pinatih; I Gusti Ayu Mahaprani Danastri; M. Ayu Damayanthi; Putu Dian Ariyanti Putri
Sriwijaya Journal of Otorhinolaryngology Vol. 4 No. 1 (2026): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v4i1.300

Abstract

Background: Retropharyngeal abscess is an uncommon but potentially life-threatening deep neck space infection of early childhood that may compromise the airway and, when it extends into adjacent compartments, endanger the great cervical vessels; its coexistence with a concurrent cervical (colli) abscess and carotid-space involvement in a toddler is rarely documented. Objective: This report describes the diagnostic reasoning, the multidisciplinary airway-centred management, and the favourable outcome of such a case. Case presentation: A three-year-old boy presented with a twenty-day history of a progressively enlarging, erythematous left neck swelling and a fourteen-day history of intermittent fever unresponsive to oral antibiotics, followed by vomiting of blood-stained pus. He was febrile with a muffled voice and a tender, warm, non-fluctuant left cervical mass. The leukocyte count was elevated and haemoglobin mildly reduced. Contrast-enhanced computed tomography showed a rim-enhancing retropharyngeal collection extending to the carotid space and left neck, abutting the left carotid artery and displacing the trachea, with cervical lymphadenopathy, pan-sinusitis, and pneumonia. After two negative SARS-CoV-2 tests, incision and drainage under general anaesthesia with a secured airway evacuated pus from the cervical component, supported by intravenous ceftriaxone and metronidazole; the child recovered fully. Conclusion: Delayed recognition of paediatric deep neck infection permits dangerous multicompartment spread; integrated imaging-operative judgement and airway-focused multidisciplinary care are the decisive determinants of a favourable outcome.
Inferior Turbinate Hypertrophy and SFAR-Defined Allergic Rhinitis in Chronic Suppurative Otitis Media: A Cross-Sectional Study at Ngoerah Hospital, Bali Ni Luh Sartika Sari; Made Prani Windasari; Ni Made Pasmiati Setyaningsih
Sriwijaya Journal of Otorhinolaryngology Vol. 4 No. 1 (2026): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v4i1.301

Abstract

Background: Allergic rhinitis (AR) is an IgE-mediated inflammatory disease of the nasal mucosa and a recognised risk factor for chronic suppurative otitis media (CSOM) through Eustachian tube dysfunction, yet Indonesian data on this comorbidity remain scarce. Objective: To characterise Score for Allergic Rhinitis (SFAR)-defined AR and its association with inferior turbinate hypertrophy among CSOM patients at a tertiary ENT referral centre in Bali. Methods: A descriptive cross-sectional study, reported in accordance with the STROBE statement, consecutively enrolled 26 CSOM patients attending the ENT outpatient clinic of Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, from November to December 2025. AR was screened using the validated SFAR questionnaire (cut-off ≥7). Data were analysed with Wilson 95% confidence intervals (CI), bivariate odds ratios (OR), multivariable logistic regression, and receiver-operating-characteristic (ROC) analysis. Results: SFAR-defined AR was identified in 17 patients (65.4%; 95% CI 46.2–80.6). Most were female (65.4%) and aged 30–39 years (26.9%). Predominant symptoms were sneezing (42.3%), rhinorrhoea (34.6%) and nasal obstruction (23.1%); house dust was the leading trigger (94.1%). Inferior turbinate hypertrophy (80.8%) was strongly associated with AR (OR 12.8; 95% CI 1.15–142.6; p=0.034), and the SFAR score discriminated turbinate hypertrophy with an area under the curve of 0.776 (95% CI 0.527–1.00). Conclusion: Comorbid AR is highly prevalent among CSOM patients. Routine SFAR screening, particularly when inferior turbinate hypertrophy is present, may enable earlier AR detection and more comprehensive middle-ear management in Indonesian ENT practice.
Spatiotemporal Trends and Attributable Risk Factors of Nasopharyngeal Carcinoma in Southeast Asia (1990–2023): An Ecological Analysis of the Global Burden of Disease Study with Projections to 2050 Linda Purnama; Priscilla Kapoor; Mustafa Mahmud; Alessandra Navos
Sriwijaya Journal of Otorhinolaryngology Vol. 3 No. 2 (2025): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v3i2.306

Abstract

Background: Nasopharyngeal carcinoma (NPC) is an Epstein–Barr virus-associated epithelial malignancy with a strikingly uneven geography concentrated in Southeast Asia and southern China. Its region-specific burden, temporal dynamics and attributable risk factors have not been synthesised in a dedicated spatiotemporal ecological analysis. Objective: To characterise NPC burden, trends and attributable risks across Southeast Asia. Methods: We conducted an ecological analysis of Global Burden of Disease (GBD) estimates. Age-standardised incidence (ASIR), mortality (ASMR) and disability-adjusted life-year (DALY) rates for the GBD Southeast Asia region (1990–2021, GBD 2021) and constituent ASEAN countries (to 2023, GBD 2023) were compiled; temporal trends were summarised by the estimated annual percentage change (EAPC); attributable fractions for tobacco, alcohol and occupational carcinogens were obtained from GBD comparative risk assessment; and age-standardised rates were projected toward 2050. Results: In 2021 the Southeast Asia region recorded the highest NPC mortality of any world region (ASMR 1.60 per 100,000). Age-standardised rates declined (EAPC: incidence −0.39, mortality −0.76, DALYs −0.84% per year), yet absolute incident cases more than doubled (6,209 to 13,661; +120%). National ASIR ranged from 1.3 (Cambodia) to 14.2 (Singapore); Indonesia carried the greatest absolute burden (5,163 cases; 4,306 deaths). Incidence rose in Indonesia (EAPC +0.8), Laos (+0.7) and Viet Nam (+0.6). Alcohol-attributable burden increased most steeply (Southeast Asia EAPC +2.27), against declining tobacco- and occupational-attributable rates. Conclusion: Southeast Asia bears the world's heaviest NPC mortality; falling age-standardised rates mask a rising absolute burden and a growing alcohol-attributable component, underscoring the need for Epstein–Barr virus-informed early detection and region-tailored prevention.

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