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How I manage patient with tinnitus? Abdullah, Asma; Hern E, Yii; AR, Norsyamimi; J, Kirubananthini; AR, Roslenda; MD, Tuti Iryani; Hashim, Noor Dina; Falerina, Rosa; N, Zara Farina; H, Khai Yng
Oto Rhino Laryngologica Indonesiana Vol 50, No 2 (2020): Volume 50, No. 2 July - December 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v50i2.407

ABSTRACTBackground: Tinnitus is believed to cause significant psychological distress leading to impairment in quality of life (QOL). Purpose: To assess the negative impact of tinnitus on patientâ€™s QOL and discuss the management approach of tinnitus patient. Method: A cross-sectional study was conducted within one year duration on 88 patients who experienced tinnitus. Patients from Otorhinolaryngology clinic, Universiti Kebangsaan Malaysia Medical Centre (UKMMC) were evaluated based on socio-demographic data, clinical data and QOL. QOL was assessed using Tinnitus Handicap Inventory (THI), a self-report questionnaire measuring 3 domains of QOL: functional, emotional and catastrophic scales. Result: Respondents consisted of 35 males (39.8%) and 53 females (60.2%), with mean age of 57.9Â±13.9 years old. Pure tone audiometry should be done at least once during the follow up period. Patients with persistent tinnitus had significantly higher mean THI total scores (p=0.042) and emotional subscale score (p=0.037) compared to patients with intermittent tinnitus. However, there were no significant associations between gender, duration of tinnitus and laterality of tinnitus with patientâ€™s THI score. Discussion: All patients should have good history taking, proper physical examination and investigation. Those without the primary cause of tinnitus would be given tinnitus activity treatment by good counselling on tinnitus. Patient with vascular disorder would be given conservative treatment. Conclusion: Magnetic resonance imaging was indicated in asymmetrical hearing loss with tinnitus. Computed tomography scan with contrast was indicated when there is pulsatile tinnitus with/without abnormal ear finding. Patients with high grades THI questionnaire would be referred to psychiatrist for further assessment.Â ABSTRAKLatar belakang: Tinitus diyakini dapat menyebabkan stress psikologi yang signifikan sehingga mengakibatkan penurunan kualitas hidup seseorang (Quality of Life / QOL). Tujuan: Menilai dampak negatif tinitus pada kualitas hidup penderita dan merencanakan penatalaksanaannya. Metode: Penelitian ini merupakan studi potong lintang pada 88 penderita tinitus selama satu tahun. Penderita yang datang ke unit rawat jalan Telinga Hidung Tenggorok Bedah Kepala dan Leher (THT-KL), Universiti Kebangsaan Malaysia Medical Centre (UKMMC) dilakukan evaluasi berdasarkan data demografi, data klinis dan QOL. Quality of life dinilai menggunakan Tinnitus Handicap InventoryÂ (THI), kuesioner tentang penderita yang mengukur 3 domain QOL: skala fungsional, emosional dan katastropik. Hasil: Responden terdiri dari 35 laki-laki (39,8%) dan 53 perempuan (60,2%), dengan rerata usia 57.9Â±13.9 tahun. Audiometri nada murni perlu dilakukan minimal satu kali selama periode penelitian. Penderita dengan tinitus persisten secara signifikan memiliki nilai rata-rata THI yang lebih tinggi (p=0.042) dan nilai emotional subscale (p=0.037) dibandingkan dengan penderita tinitus intermiten. Tidak ada hubungan yang signifikan antara jenis kelamin, durasi tinitus dan lateralisasi tinitus dengan nilai THI penderita. Diskusi: Semua penderita diperlukan anamnesis yang baik dan pemeriksaan fisik yang menyeluruh. Penderita tanpa penyebab primer dari tinitusnya akan diberikan terapi konseling tinitus yang baik. Penderita dengan gangguan pembuluh darah akan diberikan pengobatan konservatif. Kesimpulan: Magnetic resonance imaging perlu dilakukan pada gangguan pendengaran satu sisi dengan tinitus. Computed tomography scan dengan kontras dilakukan pada tinitus pulsatil dengan atau tanpa kelainan pada telinga. Pada pendertita dengan nilai kuesioner THI yang tinggi akan dirujuk ke psikiater untuk penilaian lebih lanjut.

MENINGKATKAN KEMAMPUAN DETEKSI DINI DAN PENATALAKSANAAN GANGGUAN PENDENGARAN DI KALIBARU KULON BANYUWANGI Puguh Setyo Nugroho; Rosa Falerina; Nyilo Purnami; Rizka Fathoni Perdana; Alfian Nurfaizi
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 5 No. 1 (2021): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v5i1.2021.95-102

Hearing loss can disrupt communication, which has an impact on social, school, and work environments. Early detection and management of hearing loss can prevent it. The community is hoped to be contributed by raising awareness of hearing loss and its prevention. Therefore, educational activities in the form of counseling and training were carried out for various groups in Kalibaru Kulon village, Kalibaru Sub District, Banyuwangi District, East Java. The aim of the counseling and training on early detection of hearing loss for medical personnel is to increase their knowledge and skills at the Public Health Center (Puskesmas) to perform early detection and management of hearing loss. The purpose of hearing health counseling activities for “Satya Kencana” youth organizations is to increase their knowledge as a strategic age in the community to engage in early detection of hearing loss activities in the community. The training of medical personnel was conducted through lectures, practice skills, and questions and answers (Q&A), the average pre-test result was 47,67 (15,69) and the average post-test was 80,67 (22,73). The comparison of both results had significantly different results (p<0,0001). Hearing health counseling for “Satya Kencana” youth organizations was conducted with lectures and Q&A. The average pre-test result was 53,08 (13,72) and the average post-test result was 86,28 (20,81). The comparison of both results also showed significantly different results (p<0,0001).AbstrakGangguan pendengaran dapat mengganggu komunikasi yang berdampak pada lingkungan sosial, sekolah, dan pekerjaan. Gangguan pendengaran dapat dicegah dengan deteksi dan penatalaksanaan dini gangguan pendengaran. Diharapkan masyarakat dapat berkontribusi dengan meningkatkan kesadaran terhadap gangguan pendengaran dan pencegahannya. Sehingga dilaksanakan kegiatan edukasi berupa penyuluhan dan pelatihan untuk berbagai kalangan di desa Kalibaru Kulon Kecamatan Kalibaru Kabupaten Banyuwangi Jawa Timur. Tujuan kegiatan penyuluhan dan pelatihan deteksi dini gangguan pendengaran untuk tenaga medis adalah meningkatkan pengetahuan dan keterampilan tenaga medis di puskesmas untuk melakukan deteksi dan penatalaksanaan dini gangguan pendengaran. Tujuan kegiatan penyuluhan kesehatan pendengaran untuk karang taruna Satya Kencana adalah meningkatkan pengetahuan karang taruna sebagai usia strategis di masyarakat untuk berperan serta dalam kegiatan deteksi dini gangguan pendengaran di masyarakat. Pelatihan tenaga medis dilakukan dengan metode ceramah, praktek ketrampilan, dan tanya jawab dengan hasil rata-rata pre test 47,67 (+15,69) dan rata-rata post test 80,67 (+22,73). Perbandingan hasil pre test dan post test didapatkan hasil yang berbeda signifikan (p<0,0001). Penyuluhan kesehatan pendengaran untuk karang taruna Satya Kencana dilaksanakan dengan ceramah dan tanya jawab dengan hasil rata-rata pre test 53,08 (+13,72) dan rata-rata post test 86,28 (+20,81). Perbandingan hasil pre test dan post test didapatkan hasil yang berbeda signifikan (p<0,0001).

EDUKASI TENTANG GANGGUAN PENDENGARAN AKIBAT BISING KEPADA WARGA GENTENG KULON BANYUWANGI JAWA TIMUR Puguh Setyo Nugroho; Nyilo Purnami; Rosa Falerina; Rizka Fathoni Perdana; Yoga Rahmadiyanto; Chriscelia Valery So
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 5 No. 2 (2021): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v5i2.2021.356-363

AbstractNoise can have an impact on hearing loss. Changes in hearing thresholds due to noise are some temporary but others potentially permanent. The impact of hearing loss must be controlled so the quality of life will not decrease. A cross-sectional study to assess the quality and increasing knowledge about noise-induced hearing loss was implemented with lectures, discussions and a pre-test before the activity and a post-test after the activity to assess the knowledge development. The polling was conducted to assess the participants' attitudes and psychomotor skills. The study was followed by 77 participants, most of whom were aged 20-30 years, namely 23 (30%). It was found that 16 people (20%) had complaints of hearing loss, 18 people (24%) often used headsets and earphones, 18 (23%) people worked in noisy places. The average pre-test result was 35.06 (+13.72) and the post-test was 77.9 (+20.81). Comparison of pre-test and post-test results of hearing health education obtained different results (p < 0.0001) significantly. Noise-induced hearing loss is permanent deafness and cannot be treated with medicine or surgery. Prevention is the most important thing from noise-induced hearing loss. The counseling education about noise-induced hearing loss on community must always be performed as an prevention and early detection.Keywords: deafness, noise induce hearing loss, prevention, education AbstrakBising dapat berdampak terhadap gangguan pendengaran. Perubahan batas pendengaran akibat bising yang bersifat sementara, dan perubahan batas pendengaran akibat bising yang bersifat menetap. Dampak gangguan pendengaran harus dikendalikan agar tidak menimbulkan penuruna kualitas kehidupan. Studi cross sectional untuk menilai kualitas dan upaya peningkatan pengetahuan tentang gangguan pednegaran akibat bising dilaksanakan dengan ceramah, diskusi dan dilakukan pre test sebelum kegiatan dan post test setelah kegiatan untuk menilai peningkatan pengetahuan. Survei jajak pendapat dilakukan untuk menilai sikap dan psikomotor peserta. Studi diikuti 77 peserta, usia terbanyak di usia 20 – 30 tahun yaitu 23 orang (30%). Didapatkan 16 orang (20%) mengalami keluhan gangguan pendengaran, 18 orang (24%) sering menggunakan headset dan earphone,18 (23%) orang bekerja di tempat bising. Hasil rata-rata pre test 35,06 (+13,72) dan rata-rata post test 77,9 (+20,81). Perbandingan hasil pre test dan post test penyuluhan kesehatan pendengaran didapatkan hasil yang berbeda signifikan (p < 0,0001). Tuli akibat bising merupakan tuli yang bersifat menetap dan tidak dapat diobati dengan obat maupun pembedahan, pencegahan merupakan hal yang terpenting dari tuli akibat bising atau noise induced hearing loss.Kegiatan edukasi penyuluhan gangguan pendengaran akibat bising harus senantiasa dilakukan di masyarakat sebagai upaya pencegahan dan deteksi dini.Kata kunci: Tuli, gangguan pendengaran karena bising, pencegahan, edukasi

MENINGKATKAN KUALITAS PENDIDIKAN UNTUK ANAK DENGAN BERKEBUTUHAN KHUSUS TUNA RUNGU DAN WICARA DI SLB B DI ERA PANDEMI Puguh Setyo Nugroho; Nyilo Purnami; Rosa Falerina; Rizka Fathoni Perdana; Yoga Rahmadiyanto; Chriscelia Valery So
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 5 No. 2 (2021): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v5i2.2021.364-371

AbstractA child with a hearing and speech impairment has the same right to education as all children. An equal access to education as an investment to their future. The Acceleration of Digitization and restrictions on activities that occurred during the pandemic and the fourth industrial revolution have led to a challenge of education process, especially for hearing and speech impairments students. This cross-sectional study aims to discover the quality of education and evaluate the knowledge gained from participating in an educational course by giving pre-test and post-test questionnaire. A polling method was conducted to assess the participants' attitudes and psychomotor. This study was attended by 627 respondents including SLB B teachers 267 respondents (43%), parents of students 191 respondents (30%) and the public 169 respondents (27%). The average pre-test score was 47,67 (+15,69) and the post-test average was 80,67 (+22,73). A mean difference between pretest and post-test score was significant at p < 0.0001. The principles of the education for a child with a hearing and speech impairment is to building children's independence by 293 respondents (23%), using innovative methods of teaching 143 respondents (20%) and increase the utilization of educational facilities and infrastructure 64 respondents (10%). The strategies to teach a child with a hearing and speech impairment is using innovative methods, starting with understand the children’s character and needs. One of the keys to a successful academic experience for children with disabilities is a productive and supportive relationship between parents and teachers.Keywords : Hearing impairment, speech impairment, educational, independence AbstrakAnak dengan tuna rungu dan wicara memiliki hak dasar. Salah satu hak dasar adalah mendapatkan akses pendidikan yang berkualitas untuk memberikan bekal untuk kehidupan masa depan. Pandemi, revolusi industri 4.0 terjadi percepatan digitalisasi informasi yang terjadi dan pembatasan fisik menjadi tantangan terhadap proses pendidikan untuk anak tuna rungu dan wicara. Studi cross sectional untuk menilai kualitas dan upaya peningkatan kualitas pendidikan dilaksanakan dengan seminar pendidikan dan dilakukan pre test sebelum kegiatan dan post test setelah kegiatan untuk menilai peningkatan pengetahuan. Survei jajak pendapat dilakukan untuk menilai sikap dan psikomotor peserta. Studi ini diikuti oleh 627 responden meliputi guru SLB B 267 orang (43 %), orang tua anak didik191 orang (30 %) dan masyarakat umum 169 orang (27 %). Aspek pengetahuan didapatkan hasil pre test 47,67 (+15,69). Hasil rata rata post test 80,67 (+22,73). Perbandingan hasil pre test dan post test didapatkan hasil yang berbeda signifikan (p<0,0001) sehingga didapatkan peningkatan pengetahuan sebelum dan setelah kegiatan. Sedangkan fokus pendidikan untuk anak tuna rungu dan wicara adalah menumbuhkan kemandirian anak di masa depan 293 orang (47 %), inovasi metode pembelajaran 143 orang (23 %), 127 orang (20 %) dan Penguatan sarana dan prasarana pembelajaran 64 orang (10 %). Perlu inovasi dalam metode pendidikan untuk anak tuna rungu dan tuna wicara. Inovasi dimulai dengan memahami karakter dan kebutuhan anak tuna rungu dan wicara. Kolaborasi antara segenap elemen orang tua dan guru menjadi kunci keberhasilan pendidikan untuk anak tuna rungu dan tuna wicara yang bertujuan untuk kemandirian dan bekal di masa depanKata kunci : Tuna rungu dan tuna wicara, pendidikan, kemandirian

SIGN LANGUAGE TRAINING FOR HEALTH STAFF Puguh Setyo Nugroho; Nyilo Purnami; Rosa Falerina; Rizka Fathoni Perdana; Yoga Rahmadiyanto; Hendra Kurnia Rakhma; Sumarman Sumarman; Sriati Sriati
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 6 No. 1 (2022): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v6i1.2022.99-108

Effective communication is a pillar of excellent service in the healthcare unit. Communication among health workers, hearing impaired and speech impaired will cause obstacles to services. Sign language skills need to be possessed by health workers in communicating with people who are deaf and speech impaired. Socializing sign language and developing sign language skills for health workers in health services. After participating in the training, health workers are expected to know and have sign language skills. Community service activities in the form of sign language training for health workers in health services are carried out with lectures, quiz, discussions and practice of sign language skills. Activities are carried out through online method. The activity was attended by 1,593 participants. The most participants were midwives (570 participants-35.8%), nurses (518 participants -32.5%) and doctors (191 participants -12%). A total of 1,333 participants (83.7%) experienced communication problems with the hearing impaired and speech impaired. The training was felt to be useful by 1,215 participants (76.3%). The average result of the pre-test quiz was 33.54 (+13.11) and the average post-test quiz was 61.23 (+10.41). Comparison of pre-test and post-test results of hearing health education obtained statistically significant differences (p < 0.0001). The benefits of training activities are felt to be useful and needs to be intensified to improve the quality of services and the quality of life for people who are hearing impaired and speech impaired.

EARLY DETECTION TRAINING OF HEARING DISORDERS IN THE ERA OF THE COVID 19 PANDEMIC FOR HEALTH PERSONNEL AT GENTENG KULON BANYUWANGI HEALTH CENTER, EAST JAVA Puguh Setyo Nugroho; Nyilo Purnami; Rizka Fathoni Perdana; Rosa Falerina; Hendra Kurnia Rakhma
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 6 No. 1 (2022): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v6i1.2022.129-142

The COVID 19 pandemic impacts the early detection of hearing impairment. Socialization is needed in the form of early detection education of hearing loss in the era of the COVID 19 pandemic to health workers in the front line. The purpose of educational activities is to improve the knowledge and skills of health workers to conduct early detection of hearing impairment in the era of the COVID 19 pandemic. The condition of the COVID 19 pandemic changed the interaction pattern between people, including in education and training activities in the field of health. Education with on line means is becoming a common thing to do today. This training activity is conducted on line and off line methods with limited participants. The training for health workers was carried out using an off line method and was attended by 39 participants. The average result of the pre test was 45.20 (+ 15.69), and the average post test was 80.67 (+ 22.73). Comparison of the pre test and post test results with the t-test, the results were significantly different (p < 0.0001). The training with the on line method was attended by 1,145 participants. The results of the average pre test score were 55.30 (+15.61), and the post test average score was 72.82 (+21.61). Comparison of the pre test and post test scores with the t-test results was significantly different (p < 0.0001). On line and off line methods in training activities provide significant results in increasing the knowledge of health workers so that the pandemic does not hinder the implementation of training activities to increase the knowledge of health workers in an effort to improve the quality of life of the community, in this case, hearing.

EHANCING COMMUNITY SERVICE ACTIVITIES ON EARLY DETECTION AND MANAGEMENT OF HEARING IMPAIRMENT IN THE ERA OF THE COVID-19 PANDEMIC Puguh Setyo Nugroho; Nyilo Purnami; Rizka Fathoni Perdana; Rosa Falerina; Alfian nurfaizi
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 3 No. 2 (2021): OCTOBER 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v3i2.25545

PENDAHULUAN: Telinga adalah salah satu organ yang paling penting dari akal , yang memungkinkan manusia untuk mendengar, menerima informasi, berkomunikasi, dan bersosialisasi dengan orang lain. Gangguan pendengaran akan menghambat kehidupan dan sosialisasi manusia. Anak-anak yang lahir dengan gangguan pendengaran akan menjadi tuna rungu; karena itu, gangguan pendengaran harus dideteksi dan bertindak dini dan menyeluruh. Wabah COVID-19 berdampak pada deteksi dini dan gangguan pendengaran. Sosialisasi berupa edukasi tentang deteksi dini dan gangguan pendengaran di era pandemi COVID-19 kepada tenaga medis garis depan yang diperlukan. Kegiatan edukasi tersebut bertujuan untuk meningkatkan pengetahuan dan keterampilan tenaga medis untuk melakukan deteksi dini dan penanganan gangguan pendengaran dalam pandemi COVID-19.METODE: Kondisi wabah COVID-19 juga telah mengubah pola interaksi manusia, termasuk kegiatan pendidikan dan pelatihan di bidang medis. Pendidikan online kini sudah menjadi praktik yang lumrah. Studi Penyanyi mengikuti kegiatan Metode edukasi DetEksi dini Dan Gangguan pendengaran di era Pandemi COVID-19.HASIL: Seminar dengan metode online ini dilaksanakan dengan ceramah dan tanya jawab (Tanya Jawab) yang diikuti oleh 1.4 84 peserta. Skor rata-rata dari tes awal adalah 55. 05 (+ 15,61) dan skor rata-rata post-tes adalah 72. 00 (+ 21,61). Perbandingan hasil kedua dengan uji-t memberikan hasil yang berbeda nyata (p <0,0 5 ).KESIMPULAN: Metode online dalam kegiatan pendidikan menunjukkan hasil yang signifikan dalam meningkatkan pengetahuan tenaga medis.

Clinicopathological profile of nasopharyngeal carcinoma in 2016-2019 at Dr. Soetomo General Hospital Karindra Amadea Susetiyo; Etty Hary Kusumastuti; Muhtarum Yusuf; Rosa Falerina
Oto Rhino Laryngologica Indonesiana Vol 52, No 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.474

ABSTRACTBackground:.The number of nasopharyngeal carcinoma (NPC) cases is increasing and causing death, placing this cancer in fifth place as the cause of death in Indonesia. The initial clinical symptoms that are less specific often cause patients coming with advanced stage conditions. Therefore, the study of clinical and pathological profiles of NPC patients are required. Objective: To find out the clinicopathological profile of NPC patients in Dr. Soetomo General Hospital in 2016-2019. Methods: This study was descriptive research with a retrospective study using medical records of NPC patients in Dr. Soetomo General Hospital from 2016 to 2019. Results: 192 NPC patients that meet the criteria were divided according to their age, gender, histopathological classification, stage, and post-therapy response. Out of 192 patients, 22 patients had post-therapy response based on histopathological data. Conclusion: NPC patients in Dr. Soetomo General Hospital in 2016-2019 were found in the range of 14-77 years old, most patients were in the age group 41-≤50 years old (66 patients, 34%). There were more male than female patients (73%). The most common clinical symptoms experienced by patients were a lump on the neck (82%), local ear complaints (79%), and local nasal complaints (75%). The most common histopathological subtype was non-keratinizing squamous cell carcinoma undifferentiated in 181 patients (94%). The highest stage of patients was IV A in 122 patients (64%). In 18 (82%) from 22 patients, based on histopathology examination had good criteria on therapy response. ABSTRAKLatar belakang: Angka kasus karsinoma nasofaring yang (KNF) kian meningkat dan dapat menyebabkan kematian, menempatkan kanker ini pada urutan ke lima di Indonesia. Gejala klinis awalnya yang kurang spesifik seringkali menyebabkan penderita datang dengan kondisi stadium lanjut. Oleh karena itu, profil penderita KNF secara klinis dan gambaran histopatologinya perlu diteliti lebih lanjut. Tujuan: Mengetahui profil klinikopatologi penderita KNF di RSUD Dr. Soetomo tahun 2016-2019. Metode: Penelitian secara deskriptif dengan studi retrospektif menggunakan rekam medis penderita KNF di RSUD Dr. Soetomo tahun 2016-2019. Hasil: Sebanyak 192 penderita KNF yang memenuhi kriteria dibagi berdasarkan kategori usia, jenis kelamin, klasifikasi histopatologi, stadium, dan respon pasca terapi. Dari 192 penderita ditemukan sebanyak 22 penderita memiliki data respon pasca terapi berdasarkan histopatologi. Kesimpulan: Penderita KNF di RSUD Dr.Soetomo tahun 2016-2019 ditemukan pada rentang usia 14-77 tahun dengan penderita terbanyak pada rentang usia 41- 50 yaitu 66 (34%) serta lebih banyak terjadi jenis kelamin laki-laki yaitu 140 (73%). Gejala klinis yang paling banyak dialami penderita adalah benjolan pada leher 158 (82%), keluhan lokal telinga 151 (79%), dan lokal hidung 144 (75%). Subtipe histopatologi terbanyak adalah nonkeratinizing squamous cell carcinoma undifferentiated yaitu 181 (94%) penderita. Stadium terbanyak penderita adalah IV A yaitu 122 (64%) penderita. Sebanyak 18 (82%) dari 22 penderita berkriteria baik pada respon terapi berdasarkan histopatologi.

Characteristics of Laryngopharyngeal Reflux: A retrospective descriptive study Rizka Fathoni Perdana; Reyna Cesariyani Rahmadianti Rusuldi; Husin Thamrin; Rosa Falerina
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 6, No 2 (2022): Journal Qanun Medika Vol 6 No 02
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v6i2.11647

Laryngopharyngeal reflux (LPR) is a condition of reverse flow of gastric and duodenal fluid that reaches the aerodigestive tract, causing inflammation in the upper respiratory tract. Reflux Symptoms Index (RSI) and Reflux Finding Score (RFS) have been used as instruments to determine the symptoms and signs in LPR patients. This study aims to find out the characteristics of patients with LPR. A retrospective descriptive study was performed using medical records as a source of information to obtain the characteristics of patients with LPR in ENT Outpatient Clinic Dr. Soetomo General Academic Hospital Surabaya. The study population is all patients that has been diagnosed with LPR based on RSI >13 and RFS >7 in the period 2018-2019. Our finding shows the total patients diagnosed with LPR were 58. There were 45 patients diagnosed solitarily according to the results of the RSI score, while the RFS was 34 patients. The total patients diagnosed according to both of RSI and RFS were 21 patients. In this study, 67.24% patients with LPR were female, while the male patients were 32.76%. Most patients with LPR belonged to 50 – 59 years (25.86%). The distribution of occupation shows the highest number of patients is unemployed (43.10%). The most frequent and severe complaints from LPR patients were throat clearing, sensation of something sticking in throat or lump, and excess throat mucus or postnasal drip. The laryngoscopy findings compiled on the RFS showed that the most common signs in LPR patients were subglottic edema, thick endolaryngeal mucus, and posterior commissure hypertrophy.

How I manage patient with tinnitus? Asma Abdullah; Yii Hern E; Norsyamimi AR; Kirubananthini J; Roslenda AR; Tuti Iryani MD; Noor Dina Hashim; Rosa Falerina; Zara Farina N; Khai Yng H
Oto Rhino Laryngologica Indonesiana Vol. 50 No. 2 (2020): Volume 50, No. 2 July - December 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v50i2.407

ABSTRACTBackground: Tinnitus is believed to cause significant psychological distress leading to impairment in quality of life (QOL). Purpose: To assess the negative impact of tinnitus on patient’s QOL and discuss the management approach of tinnitus patient. Method: A cross-sectional study was conducted within one year duration on 88 patients who experienced tinnitus. Patients from Otorhinolaryngology clinic, Universiti Kebangsaan Malaysia Medical Centre (UKMMC) were evaluated based on socio-demographic data, clinical data and QOL. QOL was assessed using Tinnitus Handicap Inventory (THI), a self-report questionnaire measuring 3 domains of QOL: functional, emotional and catastrophic scales. Result: Respondents consisted of 35 males (39.8%) and 53 females (60.2%), with mean age of 57.9±13.9 years old. Pure tone audiometry should be done at least once during the follow up period. Patients with persistent tinnitus had significantly higher mean THI total scores (p=0.042) and emotional subscale score (p=0.037) compared to patients with intermittent tinnitus. However, there were no significant associations between gender, duration of tinnitus and laterality of tinnitus with patient’s THI score. Discussion: All patients should have good history taking, proper physical examination and investigation. Those without the primary cause of tinnitus would be given tinnitus activity treatment by good counselling on tinnitus. Patient with vascular disorder would be given conservative treatment. Conclusion: Magnetic resonance imaging was indicated in asymmetrical hearing loss with tinnitus. Computed tomography scan with contrast was indicated when there is pulsatile tinnitus with/without abnormal ear finding. Patients with high grades THI questionnaire would be referred to psychiatrist for further assessment. ABSTRAKLatar belakang: Tinitus diyakini dapat menyebabkan stress psikologi yang signifikan sehingga mengakibatkan penurunan kualitas hidup seseorang (Quality of Life / QOL). Tujuan: Menilai dampak negatif tinitus pada kualitas hidup penderita dan merencanakan penatalaksanaannya. Metode: Penelitian ini merupakan studi potong lintang pada 88 penderita tinitus selama satu tahun. Penderita yang datang ke unit rawat jalan Telinga Hidung Tenggorok Bedah Kepala dan Leher (THT-KL), Universiti Kebangsaan Malaysia Medical Centre (UKMMC) dilakukan evaluasi berdasarkan data demografi, data klinis dan QOL. Quality of life dinilai menggunakan Tinnitus Handicap Inventory (THI), kuesioner tentang penderita yang mengukur 3 domain QOL: skala fungsional, emosional dan katastropik. Hasil: Responden terdiri dari 35 laki-laki (39,8%) dan 53 perempuan (60,2%), dengan rerata usia 57.9±13.9 tahun. Audiometri nada murni perlu dilakukan minimal satu kali selama periode penelitian. Penderita dengan tinitus persisten secara signifikan memiliki nilai rata-rata THI yang lebih tinggi (p=0.042) dan nilai emotional subscale (p=0.037) dibandingkan dengan penderita tinitus intermiten. Tidak ada hubungan yang signifikan antara jenis kelamin, durasi tinitus dan lateralisasi tinitus dengan nilai THI penderita. Diskusi: Semua penderita diperlukan anamnesis yang baik dan pemeriksaan fisik yang menyeluruh. Penderita tanpa penyebab primer dari tinitusnya akan diberikan terapi konseling tinitus yang baik. Penderita dengan gangguan pembuluh darah akan diberikan pengobatan konservatif. Kesimpulan: Magnetic resonance imaging perlu dilakukan pada gangguan pendengaran satu sisi dengan tinitus. Computed tomography scan dengan kontras dilakukan pada tinitus pulsatil dengan atau tanpa kelainan pada telinga. Pada pendertita dengan nilai kuesioner THI yang tinggi akan dirujuk ke psikiater untuk penilaian lebih lanjut.

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