Rizka Fathoni Perdana
Department Of Otorhinolaryngology And Head-Neck Surgery, Faculty Of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya

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Journal : Indian Journal of Forensic Medicine

Transnasal Esophagoscopy Procedure in Outpatient Clinic at Dr. Soetomo General Academic Hospital Muhammad Qodri Anantomo; Rizka Fathoni Perdana
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i2.17971

Abstract

Background: Transnasal esophagoscopy is a small caliber flexible esophagoscopy technique that has the same as diagnostic accuracy as conventional esophagoscopy. In addition, this technique is safer than any other techniques and has patient tolerance. Aims: This study aims to analyze and evaluate the transnasal esophagoscopy (TNE) procedure in patients. Method: retrospectively approach was used in this study by taking data from the activity register of the broncho-esophagology division of outpatient unit of ORL-HNS Dr. Soetomo General Academic Hospital. TNE report book and patient medical records were collected to have the data. The observation period was 2013 to 2017. Result: patients who met the inclusion and exclusion criteria was 99 patients, with a male to female ratio of 2.3: 1. Most endoscopic findings were normal esophagus (56.57%). Existing abnormal findings included esophageal stenosis (18.18%), esophageal mucosal lesions (14.14%), and esophageal tumors (11.11%). TNE examination complications were found to be 1%. Conclusion: Transnasal esophagoscopy is widely used in patients aged 51-60 years with dysphagia, reflux or globus as the most common indications. TNE is quite safe to do in an outpatient hospital setting.
Management of Airway Foreign Body Aspiration with Atelectasis Complication Puji Utami; Rizka Fathoni Perdana
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 3 (2022): Indian Journal of Forensic Medicine and Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i3.18300

Abstract

Background: A sharp foreign body aspirationis a problem that is usually found in teenage women who wear hijab.Straight-pins are used in wearing hijab to make a model and to hold it tight in place. Straight-pin aspiration has thepotential to become a serious problem if it is inhaled in the airway and must be removed immediately in optimalconditions by using complete equipment to prevent complications.Case Report: A 14 year old girl with straight-pin aspiration in the airwayhad come to emergency room ofDrSoetomo General AcademicHospital, Surabaya, Indonesia. The initial location of the straight-pinwas in the rightmain bronchus and a rigid bronchoscopy was planned. Rigid bronchoscopy was performed but the foreign objectfailed to be removed and the foreign object moved further down and difficult to reach. A flexible bronchoscopywas performed and the foreign body was successfully removed. However, there was a complication of left lungatelectasis after the procedure. It was treated conservatively and healed.Conclusion: Straight-pin aspirationin the airway is treated by rigid and flexible bronchoscopy with atelectasis asa complication. Flexible bronchoscopy is an alternative therapy for inhaled foreign bodies that are located distallyand cannot be reached by rigid instruments.