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Gejala Klinis Sindroma Waardenburg Laporan Kasus Finisia, Febri Wisudawan; Wijana, Wijana; Lasminingrum, Lina; Suseno, Bogi
Jurnal Sistem Kesehatan Vol 2, No 2 (2016): Volume 2 Nomor 2 Desember 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.422 KB) | DOI: 10.24198/jsk.v2i2.11265

Abstract

sindroma Waardenburg adalah kelainan bawaan yang jarang ditemukan, dengan prevalensi di Amerika Serikat 1 per 42000 orang. Ditandai dengan ketulian sensorineural, berhubungan dengan kelainan pigmen dan kecacatan jaringan yang berasal dari neural crest. Berdasarkan gejala yang menyertai, sindroma Waardenburg terbagi menjadi 4 tipe, insidensi tersering adalah tipe 1 dan 2. Gejala klinis kelainan ini diantaranya adalah: dystopia canthorum, kelainan pigmen (white forelock, kelainan pada alis mata, bulu mata, rambut tubuh dan heterochromia iris), ketulian sensorineural, pangkal hidung yang menonjol dan rambut  memutih pada usia muda (<30 tahun). Tujuan: mempresentasikan 3 kasus sindroma Waardenburg di poli audiovestibuler RS Hasan Sadikin Bandung pada periode Januari 2015-Desember 2015. Kasus:  Tiga anak dengan dugaan sindroma Waardenburg tipe 2, keluhan utama belum dapat berbicara.  Pemeriksaan audiologi didapatkan ketulian sensorineural, pemeriksaan fisik didapatkan kelainan pigmen iris. Kesimpulan: sindroma Waardenburg merupakan kelainan bawaan yang jarang ditemukan, diagnosis dapat ditegakan dengan mudah. Intervensi dini dapat menghasilkan perkembangan bicara dan bahasa yang lebih baik.Kata Kunci: keterlambatan bicara, dystopia canthorum, sindroma Waardenburg tipe 2.
Oto–Acoustic Emission and Auditory Brainstem Response Profile in Children with Speech Delay at Dr. Hasan Sadikin General Hospital Bandung Gunawan, Liani Mulasari; Wijana, Wijana; Pratiwi, Yuni S
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.268 KB)

Abstract

Background: Language and speech delay are the most common developmental disorders found in children. Hearing loss is the most common cause of speech delay among children. Hearing loss can be detected by subjective and objective examinations. Oto–acoustic emission (OAE) and auditory brainstem response (ABR) are objective electrophysiological examination with 100% sensitivity and 99% specificity. This study was aimed to describe OAE and ABR profile in children with speech delay at Dr. Hasan Sadikin General Hospital BandungMethods: This study was conducted in 2014 used the descriptive cross–sectional design with a total sampling of 333 medical records of children diagnosed with speech delay with inclusion criteria patients aged 1–5 years at the Hearing Disorders Clinic of Otorhinolaryngology–Head and Neck Surgery Policlinic at Dr. Hasan Sadikin General Hospital Bandung during the period of 2011–2012.Results: Out of all of the samples, there were 176 boys (52.9%) and 157 girls (47.1%). Most of children aged 24–35 months. Eighty children (24%) with normal hearing and 253 children (76%) with hearing loss. Hearing loss with Sensorineural hearing loss (SNHL) type most occured at the profound degree with 244 cases.Conclusions: Hearing loss is the most common cause of speech delay in children. Speech delay can be prevented by conducting the OAE and ABR examinations as early as possible. [AMJ.2016;3(2):265–8]  DOI: 10.15850/amj.v3n2.771
TIMPANOGRAM PADA ANAK USIA 1-5 TAHUN Kusmardiani, Desti; Wijana, Wijana; Boesoirie, Shinta Fitri; Mahdiani, Sally
MEDULA Vol 5, No 1 (2017)
Publisher : Halu Oleo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.095 KB) | DOI: 10.33772/medula.v5i1.3892

Abstract

ABSTRACT Tympanometry is an objective examination that used to test condition of middle ear, mobility of tympanic membrane and the ossicles.The results are displayed in a curve called timpanogram. Timpanogram influenced by several factors, including age and race.The purpose of this study was to provide normal values of tympanogram in children aged 1 to 5 years. This study was an analytic research with cross sectional approach in 90 normal children aged 1-5 years through a routine examination with ear otoscopy and tympanometry. From the 90 samples (180 ears) the average value of the volume of the ear canal / Vea was 0.469 mL in the right ear and 0,495 mL in the left ear, the mean compliance / SAA 0.396 mL in the right ear and 0.380 mL in the left ear, and the average pressure / TPP -56.78 daPa on the right ear and the left ear daPa-53.26. Compared with the results of existing studies, the average value of the ear canal volume/ Vea and mean compliance/ SAA in children aged 1-5 years in Bandung showed lower. Statistically, in the Vea, there was a significant differences between men and women, with p = 0.041 in the right ear and p = 0.027 in the left ear. There was a correlation between variables Vea with SAA. Keywords: tympanogram, children ages 1-5 years.
PENGARUH PREDNISON TERHADAP PERBAIKAN PENDENGARAN PENDERITA LUPUS ERITEMATOSUS Wijana, Wijana; Mutiara, Ira Agustine; Agustian, Ratna Aggraeni
Majalah Kedokteran Bandung Vol 48, No 2 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Lupus eritematosus sistemik (LES) merupakan penyakit kronik mengenai multisistem, merupakan gangguan autoimun yang ditandai oleh produksi autoantibodi dan deposisi kompleks imun di jaringan. Manifestasi klinis dapat meliputi berbagai organ termasuk telinga. Pada telinga dapat menimbulkan gangguan dengar, tinitus, dan vertigo. Gangguan dengar terjadi bilateral pada frekuensi tinggi. Prednison merupakan kortikosteroid oral yang memiliki efek glukokortikoid yang bersifat anti-inflamasi dan imunosupresif. Penelitian ini bertujuan mengetahui pengaruh prednison terhadap perbaikan pendengaran penderita LES. Penelitian dilakukan periode Maret?Mei 2013 di Poliklinik Gangguan Dengar dan Bicara, Telinga Hidung Tenggorok Bedah Kepala dan Leher Rumah Sakit Dr. Hasan Sadikin Bandung menggunakan metode quasi-experimental dengan rancangan one group pretest-posttest design dan hasilnya dihitung secara statistik menggunakan uji Rank Spearman. Pada 28 subjek pasien LES dilakukan anamnesis, pemeriksaan fisis, laboratorium, audiometri nada murni, timpanometri, dan distortion production otoacoustic emissions. Subjek diberi prednison 1 mg/kgBB/hari (dosis maksimal 60 mg/hari) selama 4 minggu, kemudian dilakukan evaluasi ulang. Sebelum terapi, 26 subjek mengalami gangguan dengar sedang pada frekuensi tinggi, simetris. Sesudah terapi, 24 subjek ambang dengar menjadi normal dan 4 subjek tetap mengalami gangguan dengar (Rs=0,734; p<0,01). Simpulan, prednison dapat memperbaiki status pendengaran penderita LES.  [MKB. 2016;48(2):112?7]Kata kunci: Gangguan dengar, lupus eritematosus sistemik, prednisonPrednisone Effect to on Hearing Status of Systemic Lupus Erythematosus PatientsSystemic lupus erythematosus (SLE) is a chronic, multi-system, autoimmune disorder characterized by the production of autoantibodies and immune complexes deposition in tissue. Clinical manifestations may include skin, mucosa, joints, blood, heart, lungs, kidneys, central nervous system (CNS), immune system, and ears. SLE Iin the ears can caused sensorineural hearing loss, tinnitus, and vertigo. This hearing disorder is commonly bilateral and has high frequencies. Prednisone is an oral corticosteroid with glucocorticoid and mineralocorticoid effects. Glucocorticoids have anti-inflammatory and immunosuppressive effects. The aim of this study was to evaluate the effect of prednisone in improving the degree of hearing loss in patients with SLE. This study was conducted in from March?May 2013, at tThe Hearing and Speech Disorder Clinic of Ear Nose Throat-Head and Neck Surgery, Dr. Hasan Sadikin Hospital Bandung, using quasi-experimental method with pre-post design in which the results were statistically calculated using Rank Spearman test. This study involved 28 subjects who had been diagnosed for SLE. Anamnesis, physical examination, and laboratory test were performed, followed by pure tone audiometry, tympanometry, and distortion product optoacoustic emissions (DPOAE). Subjects were given prednisone 1 mg/kgBW/day with a maximum dose of 6o mg/day. Re-evaluation was performed after 4 weeksof treatment. Before treatment, 26 subjects had mild hearing loss and 2 subjects had symmetric moderate hearing loss at high frequencies symmetrically. After therapy, 24 subjects became normal and 4 subjects still had hearing loss (Rs=0.734, p<0.01). In conclusion, prednisone can improve hearing status of SLE patients. [MKB. 2016;48(2):112?7]Key words: Hearing loss, prednisone, systemic lupus erythematosus DOI: 10.15395/mkb.v48n2.765
PENERAPAN TEKNOLOGI PEMANFAATAN CEKER AYAM BROILER MENJADI KRUPUK KULIT UNTUK HOME INDUSTRI DALAM RANGKA PEMBERDAYAAN EKONOMI MASYARAKAT DESA KELATING MIWADA, IN.S.; LINDAWATI, S.A.; WIJANA, WIJANA
Buletin Udayana Mengabdi Vol 5 No 1 (2006): Volume 5 No.1 ? April 2006
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

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Abstract

ABSTRACT The activity of community service was carried out with tittle ? Aplication of the foot birds technology be snack food for home industry to using the economic society at Kelating village?. It was carried out at Balai Desa Kelating on 23th September 2005. This socialization aimed to demonstration of the foot birds technology be snack food. The methods of activity was demonstration with the implementation three methods doing the snack food, that is one method with added lime, two method with added baking powder and three method without lime and baking powder. Previously it is explained by the theory. The result of activity on the whole success. The participant prefer the snack food for one method and two method. It can be concluded that, the participant very enthusiastic follow application of the foot birds technology be snack food and its never before the snack food production.
Otitis Media Supuratif Kronik pada Anak Pasyah, Muhamad Faris; Wijana, Wijana
Global Medical & Health Communication (GMHC) Vol 4, No 1 (2016)
Publisher : Faculty of Medicine Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v4i1.1597

Abstract

Otitis media supuratif kronik (OMSK) merupakan masalah pada anak dan remaja yang berdampak pada fisik, sosial serta psikologis dan mempunyai prevalensi yang tinggi. Kondisi ini merupakan proses peradangan akibat infeksi mukoperiosteum rongga telinga tengah yang ditandai oleh perforasi membran timpani dan keluar sekret yang terus menerus atau hilang timbul selama 3 bulan, serta dapat menyebabkan perubahan patologik yang permanen. Tujuan penelitian mengetahui gambaran OMSK pada anak. Penelitian dilakukan secara deskriptif retrospektif di poliklinik Otologi Departemen Ilmu Kesehatan Telinga Hidung Tenggorokan-Kepala Leher (THT-KL) RSUP Dr. Hasan Sadikin Bandung periode Januari 2012–Desember 2013. Diagnosis ditegakkan berdasarkan anamnesis dan pemeriksaan fisis. Didapatkan pasien OMSK anak laki-laki 53% dan pasien anak perempuan 47%. Jumlah OMSK tipe benigna 83% dan tipe maligna 17%. Komplikasi terbanyak OMSK pada anak adalah mastoiditis 32%. Angka putus berobat pada pasien anak dengan OMSK sebesar 60%. Simpulan, penderita OMSK pada anak lebih banyak pada laki-laki tipe benigna dan angka pasien putus berobat masih banyak ditemukan. CHRONIC SUPPURATIVE OTITIS MEDIA IN CHILDRENChronic supurative otitis media (CSOM) is a common problem among children and adolescent that give physical, social, and psycological effect, and its prevalence was quite a lot. It is a process of inflammation due to infection of middle ear mucoperiosteum which cause the perforation of timpanic membran, the drainage of ear for at least three months duration, that also could cause middle ear permanent pathological changes. The aim of the study was to provide characteristic of CSOM in pediatric patients. This study was retrospective descriptive study that was conducted at Otology Clinic of Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) Departement Dr. Hasan Sadikin General Hospital. This study was a retrospective descriptive study that was conducted during the period of January 2012–December 2013. Diagnoses were made from anamnesis and physical examination. There were boys 53% and girls 47% that had CSOM. Eighty three patients were having benign CSOM, then others 17% were having malignant one. It was also known that the most complication was mastoiditis 32%. The drop out number of patients was 60%. In conclusions, there are more boys than girls that have CSOM and benign CSOM are more frequent than malignant ones. The insidence of drop out is quite many.
ABR profile in children with congenital rubella syndrome at Hasan Sadikin General Hospital Wijana, Wijana; Ulfa, Alfira
Oto Rhino Laryngologica Indonesiana Vol 49, No 1 (2019): Volume 49, No. 1 January-June 2019
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (380.427 KB) | DOI: 10.32637/orli.v49i1.292

Abstract

Background: Congenital Rubella Syndrome (CRS) refer to a condition of variable birth defects, such as hearing impairment, congenital heart defects, cataract or congenital glaucoma, and others. In Indonesia, the incidence rate of rubella infection in 2015 was 3.2 per 100.000 live birth and increasing to 5.6 per 100.000 live birth in 2017. Rubella vaccination can decrease the incidence of CRS, however it has not been implemented in many developing country. Hearing impairment is the most common clinical manifestation among CRS cases. Purpose: This study was performed to know the hearing profile on CRS from January until December 2018, at Hasan Sadikin Hospital. Methods: A retrospective descriptive study design was conducted. Data was obtained from medical records and Auditory Brainstem Response (ABR) results, between January until December 2018, at Dr. Hasan Sadikin General Hospital, Bandung. Results: There were 60 CRS patients, 53 of them (88%) had hearing loss. Profound Sensorineural Hearing Loss (SNHL) in 27 patients (45%), severe SNHL in 18 patients (30%), 3 of them were unilateral, moderate unilateral SNHL in 3 patients (5%), mild SNHL in 5 patients (8%) consisted of 2 unilateral SNHL and 3 bilateral SNHL. Normal hearing in 7 patients (12%). Conclusion: Eighty eight percent of CRS patients had hearing loss, 75% with bilateral SNHL. Follow-up and management for these patients required multidisciplinary approach such as paediatrics, ophthalmologic, physical medicine and rehabilitation, and parental support. Latar belakang: Sindrom Rubella Kongenital (SRK) mengacu pada berbagai kondisi cacat lahir, seperti gangguan pendengaran, cacat jantung kongenital, katarak atau glaukoma kongenital, dan lain-lain. Di Indonesia, tingkat kejadian infeksi rubella pada tahun 2015 adalah 3,2 per 100,000 kelahiran hidup dan meningkat menjadi 5,6 per 100,000 kelahiran hidup pada tahun 2017. Vaksinasi rubella dapat mengurangi kejadian SRK, namun belum diterapkan di banyak negara berkembang. Gangguan pendengaran adalah manifestasi klinis paling umum di antara kasus SRK. Tujuan: Penelitian ini dilakukan untuk mengetahui profil pendengaran pada SRK, dari Januari sampai dengan Desember 2018, di Rumah Sakit Hasan Sadikin. Metode: Penelitian ini adalah deskriptif retrospektif. Data diperoleh dari rekam medis dan hasil Auditory Brainstem Response (ABR) antara Januari hingga Desember 2018 di Rumah Sakit Umum Dr. Hasan Sadikin, Bandung. Hasil: Didapatkan 60 pasien SRK, 53 pasien (88%) mengalami gangguan pendengaran. Gangguan pendengaran sensorineural (GPSN) sangat berat terdapat pada 27 pasien (45%), GPSN berat pada 18 pasien (30%), 3 di antaranya adalah GPSN unilateral. GPSN unilateral sedang pada 3 pasien (5%), GPSN ringan pada 5 pasien (8%) terdiri dari 2 gangguan pendengaran unilateral dan 3 GPSN bilateral. Pendengaran normal pada 7 pasien (12%). Kesimpulan: Delapan puluh delapan persen pasien SRK mengalami gangguan pendengaran, 75% dengan GPSN bilateral. Tindak lanjut dan penatalaksanaan untuk pasien ini memerlukan pendekatan multidisiplin: spesialis THT, spesialis anak, spesialis mata, spesialis kedokteran fisik dan rehabilitasi, serta dukungan orang tua.
Oto–Acoustic Emission and Auditory Brainstem Response Profile in Children with Speech Delay at Dr. Hasan Sadikin General Hospital Bandung Gunawan, Liani Mulasari; Wijana, Wijana; Pratiwi, Yuni S
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.268 KB)

Abstract

Background: Language and speech delay are the most common developmental disorders found in children. Hearing loss is the most common cause of speech delay among children. Hearing loss can be detected by subjective and objective examinations. Oto–acoustic emission (OAE) and auditory brainstem response (ABR) are objective electrophysiological examination with 100% sensitivity and 99% specificity. This study was aimed to describe OAE and ABR profile in children with speech delay at Dr. Hasan Sadikin General Hospital BandungMethods: This study was conducted in 2014 used the descriptive cross–sectional design with a total sampling of 333 medical records of children diagnosed with speech delay with inclusion criteria patients aged 1–5 years at the Hearing Disorders Clinic of Otorhinolaryngology–Head and Neck Surgery Policlinic at Dr. Hasan Sadikin General Hospital Bandung during the period of 2011–2012.Results: Out of all of the samples, there were 176 boys (52.9%) and 157 girls (47.1%). Most of children aged 24–35 months. Eighty children (24%) with normal hearing and 253 children (76%) with hearing loss. Hearing loss with Sensorineural hearing loss (SNHL) type most occured at the profound degree with 244 cases.Conclusions: Hearing loss is the most common cause of speech delay in children. Speech delay can be prevented by conducting the OAE and ABR examinations as early as possible. [AMJ.2016;3(2):265–8]  DOI: 10.15850/amj.v3n2.771
CHRONIC RHINOSINUSITIS PATIENT WITH NASAL POLYP CHARACTERISTICS AT OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY OUTPATIENT CLINIC, DR. HASAN SADIKIN GENERAL HOSPITAL, BANDUNG Riana, Dina; Dermawan, Arif; Wijana, Wijana; Saifuddin, Ongka Muhammad
International Journal of Integrated Health Sciences Vol 4, No 2 (2016)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To evaluate chronic rhinosinusitis (CRS) with nasal polyp (NP) characteristics in patients with routine visits to the Otolaryngology-Head and Neck Surgery outpatient clinic of Dr. Hasan Sadikin General Hospital, Bandung.Methods: This descriptive retrospective cross-sectional study was conducted at the Rhinology-Allergy Outpatient Clinic, Departement of Otolaryngology-Head and Neck Surgery, Dr. Hasan Sadikin General Hospital, Bandung, in the period of January 2014 to December 2014. Data were obtained from medical records and the sampling method used was total sampling. A total of 100 CRS with NP patients were evaluated. Nasal endoscopy examinations were performed. Patients were classified based on age into 10?20 years, 21?31 years, 32?42 years, 43?53 years, and >54 years groups. Results: Chronic rhinosinusitis with NP incidences were mostly found in male patients compared to females. There were several CRS cases with NP risk factors, including smoking and allergy. Conclusions: In the study, CRS with NP patients may possibly have one or more risk factors. Smoking is the major risk factor from CRS with NP after allergy. Keywords: Nasal polyp, nasal endoscopy, rhinosinusitis, risk factor DOI: 10.15850/ijihs.v4n2.834
Gejala Klinis Sindroma Waardenburg Laporan Kasus Finisia, Febri Wisudawan; Wijana, Wijana; Lasminingrum, Lina; Suseno, Bogi
Jurnal Sistem Kesehatan Vol 2, No 2 (2016): Volume 2 Nomor 2 Desember 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.422 KB) | DOI: 10.24198/jsk.v2i2.11265

Abstract

sindroma Waardenburg adalah kelainan bawaan yang jarang ditemukan, dengan prevalensi di Amerika Serikat 1 per 42000 orang. Ditandai dengan ketulian sensorineural, berhubungan dengan kelainan pigmen dan kecacatan jaringan yang berasal dari neural crest. Berdasarkan gejala yang menyertai, sindroma Waardenburg terbagi menjadi 4 tipe, insidensi tersering adalah tipe 1 dan 2. Gejala klinis kelainan ini diantaranya adalah: dystopia canthorum, kelainan pigmen (white forelock, kelainan pada alis mata, bulu mata, rambut tubuh dan heterochromia iris), ketulian sensorineural, pangkal hidung yang menonjol dan rambut  memutih pada usia muda (<30 tahun). Tujuan: mempresentasikan 3 kasus sindroma Waardenburg di poli audiovestibuler RS Hasan Sadikin Bandung pada periode Januari 2015-Desember 2015. Kasus:  Tiga anak dengan dugaan sindroma Waardenburg tipe 2, keluhan utama belum dapat berbicara.  Pemeriksaan audiologi didapatkan ketulian sensorineural, pemeriksaan fisik didapatkan kelainan pigmen iris. Kesimpulan: sindroma Waardenburg merupakan kelainan bawaan yang jarang ditemukan, diagnosis dapat ditegakan dengan mudah. Intervensi dini dapat menghasilkan perkembangan bicara dan bahasa yang lebih baik.Kata Kunci: keterlambatan bicara, dystopia canthorum, sindroma Waardenburg tipe 2.