Hubungan Tonsilitis Kronis dan Otitis Media Efusi di Bagian THT RSUD Ulin Banjarmasin Tahun 2014

Farisa Shauma Fachir, Nur Qamariah, Dona Marisa

Abstract


Abstract: Chronic tonsillitis is an inflammation of the tonsil was settled as a result of recurrent of acute or subclinical infection which is marked by the widening of the tonsil crypts and size can be enlarged (hypertrophy) or shrink (atrophy). Otitis media effusion is a state of the serous secretion in the middle ear with an intact tympanic membrane without symptoms and signs of acute inflammation. Primary mechanism that role in the occurrence of otitis media with effusion is eustachian tube disruption, and it is could due to enlarged tonsils. The aims of this study were to determine the relationship between chronic tonsillitis and otitis media with effusion in otorhinolaryngology (ENT) at Ulin general hospital Banjarmasin in 2014. The study was an observational analytic with cross sectional approach. Samples were 526 patients who fulfilled the inclusion criteria. Relationship between chronic tonsillitis and otitis media with effusion was tested using Fisher test with Epi info application and the result showed that p=0,245. It was concluded that there is no relationship between chronic tonsillitis and  otitis media with effusion.

Keywords: chronic tonsillitis, otitis media with effusion

 

Abstrak: Tonsilitis kronis adalah peradangan tonsil yang menetap sebagai akibat infeksi akut atau subklinis yang berulang yang tandai oleh adanya pelebaran kripta dan ukuran tonsil yang dapat membesar (hipertrofi) ataupun mengecil (atrofi). Otitis media efusi adalah sebuah keadaan adanya sekret nonpurulen di dalam telinga bagian tengah dengan membran timpani yang utuh, tanpa adanya gejala dan tanda inflamasi akut. Mekanisme utama yang berperan dalam terjadinya otitis media efusi adalah terganggunya fungsi tuba eustachius, salah satunya akibat ukuran tonsil yang membesar. Penelitian ini bertujuan untuk mengetahui hubungan tonsillitis kronis dan otitis media efusi di bagian THT RSUD Ulin Banjarmasin tahun 2014. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Sampel berjumlah 526 orang pasien yang memenuhi kriteria inklusi. Hasil uji Fisher dengan aplikasi Epi info, didapatkan p=0,245. Kesimpulan tidak terdapat hubungan yang bermakna antara tonsilitis kronis dan otitis media efusi di bagian THT RSUD Ulin Banjarmasin tahun 2014.

 

Kata-kata kunci: tonsilitis kronis, otitis media efusi


Full Text:

PDF

References


Kalu SU, Matthew C. A Study of clinician adherence to treatment guideline for otitis media with effusion. Wisconsin Medical Journal. 2010;109(1):15-20.

Chang CW, Yang YW, Fu CY, et al. Differences between children and adult with otitis media with effusion treated with CO2 laser myringotomy. Journal of the Chinese Medical Association. 2012;75:29-35.

Soepardi, Efiaty A, Iskandar, et al. Buku ajar ilmu kesehatan telinga hidung tenggorokan kepala leher : otitis media non-supuratif. Jakarta: Fakultas Kedokteran Universitas Indonesia, 2005; p. 58-60.

Berkman ND, Wallace IF, Steiner MJ, et al. Review otitis media with effusion: comparative effectiveness treatments. Effective Health Care Program. 2012;(101):2-19.

Zakrzewski L, Lee Daniel T. An algoritmic approach to otitis media effusion. The Journal of Family Medicine. 2013;62(12):700-706.

Daniel M, Umer SI, Fergie N, et al. Bacterial involvement in otitis media with effusion. International Journal of Pediatric Otorhinolaryngology. 2012;74:1416-1422.

Mogonanta CA, Ionita E, Piriei D, et al. Chronic tonsillitis histological and immunohistochemical aspects. Romanian Journal of Morphology and Embriology. 2008;49(3):381-386.

Arsyad FW, Wahyuni S, Ipa Agustin. Hubungan antara pengetahuan dan pola makan dengan kejadian tonsilitis pada anak usia sekolah dasar di wilayah kerja puskesmas Minasateke kab. Pangkep. ISSN. 2013;2(1):1-7.

Sapitri V. Karakteristik penderita tonsilitis kronis yang diindikasikan tonsilektomi di RSUD Raden Mattaher Jambi. Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi. 2013.

Almslmani MA, Eldesoky RM, Hassan H.O, et al. Risk assesment of otitis media in infants and young children. Journal of American Science. 2012;8(3):443-446.

Da Costa JL, Navarro A, Neves JB, et al. Otitis medias with effusion: association with the eustachian tube dysfunction and adenoiditis, the case of the Central Hospital of Maputo. Acta Ottorhinolaringol Esp. 2005;56:290-294.

Onal M, Yilmaz T, Bilgic E, et al. Apoptosis in chronic tonsillitis and tonsilar hypertrophy. International Journal of Pediatric Otorhinolaryngology. 2015; 79: 191-195.

P.C. Zhang, Y.T. Pang, K.S. Loh, et al. Comparison of histology between recurrent tonsillitis and tonsillar hypertrophy. Clinical Otolaryngology Allied Science. 2003; 28(3): 235-239.

N. Alatas, F. Baba. Proliferating active cells, lymphocyte subsets, and dendritic cells in recurrent tonsillitis: their effect on hypertrophy. Arch. Otolaryngology Head Neck Surgery. 2008; 134(5): 477-483.

Khammas AH, Yaseen ET. Thuhaibat JAB. Incidence of hypertrophied tonsils in patients with chronic tonsillitis selected for tonsillectomy. Iraqi J. Comm. Med. 2010; 23(2): 96-100.

Reddy R. Eustachian Tube: Its functions and dysfunctions in relation to the pathogenesis of middle ear. Journal of Evidence Based Medicine and Healthcare. 2014; 1(6): 387-390.

Katzenmeyer K, Deskin RW, Quinn FB, et al. Otitis media. Grand Rounds Presentation UTMB Dept of Otolaryngology. 1999.

Mozaffarinia K, Teimori Y, Sarrafinejad A. Serous otitis media in pre-school children. 2010; 22(60): 87-92.




DOI: http://dx.doi.org/10.20527/jbk.v12i1.353

Article Metrics

Abstract view : 2816 times
PDF - 3360 times

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 Jurnal Berkala Kedokteran

Indexed by :

          

 

 

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

joomla
visitors View My Stats