BKG

Artha, AgusGedeMade (2013) Peningkatan Tekanan Telinga Tengah Setelah Adenotonsilektomi. Magister thesis, Universitas Brawijaya.

Indonesian Abstract

Adenotonsilitis kronis cukup sering dijumpai terutama pada anak-anak. Tonsil dan adenoid sering dipengaruhi secara bersamaan oleh proses penyakit yang sama yaitu infeksi kronis (berulang) dan atau hiperplasia obstruktif. Hubungan anatomi antara nasofaring dan adenoid memiliki implikasi terhadap tuba Eustachius yang terletak di sebelah lateral. Sebagian besar penyakit telinga tengah didahului oleh gangguan fungsi tuba Eustachius. Pengangkatan adenoid dan tonsil diduga menghilangkan efek obstruksi mekanik dan atau sumber inflamasi. Fungsi ventilasi merupakan fungsi tuba Eustachius yang paling penting, bertujuan untuk mempertahankan keseimbangan tekanan gas dalam telinga tengah dan udara di luar membrana timpani. Salah satu cara mengukur tekanan telinga tengah yang secara tak langsung menilai fungsi ventilasi tuba Eustachius adalah timpanometri. Penelitian ini bertujuan mengetahui peningkatan tekanan telinga tengah penderita adenotonsilitis kronis setelah adenotonsilektomi. Penelitian observational komparatif dengan desain pre and post measurement ini melibatkan 8 penderita adenotonsilitis kronis yang dilakukan adenotonsilektomi. Tekanan telinga tengah diukur sebelum dan setelah adenotonsilektomi. Data penelitian dianalisa dengan uji ANOVA dan Kruskal Wallis. Terdapat peningkatan tidak bermakna tekanan telinga tengah setelah adenotonsilektomi. Peningkatan bermakna hanya ditemukan pada tekanan telinga tengah kiri setelah adenotonsilektomi pada saat perasat Toynbe dan Valsava. Peningkatan tekanan telinga tengah kiri pada saat Toynbe dan Valsava 21 hari setelah adenotonsilektomi menunjukkan peningkatan tekanan telinga tengah yang bermakna (p =0,024 dan p =0,036). Kesimpulan penelitian ini adalah terdapat peningkatan tidak bermakna tekanan telinga tengah setelah adenotonsilektomi, peningkatan bermakna hanya ditemukan pada tekanan telinga tengah kiri setelah adenotonsilektomi pada saat perasat Toynbe dan Valsava. Penelitian lebih lanjut diperlukan melihat hubungan perluasan pembesaran adenoid dengan tekanan telinga tengah, dengan menggunakan endoskopi.

English Abstract

Chronic Adenotonsilitis fairly common, especially in children. Tonsils and adenoid often simultaneously affected by same disease process that are chronic/recurrent infection and/or obstructive hyperplasia. Anatomical relationship between nasopharynx and adenoid has implications for Eustachian tube which is located on lateral nasopharynx. Most of middle ear disease is preceded by Eustachian tube dysfunction. Removal of adenoids and tonsils is assumed will eliminate effects of mechanical obstruction and/or source of inflamation. Ventilation is Eustachian tube`s function that is most important, aim to maintain a balance of gas pressure in middle ear and air outside tympanic membrane. One way of measuring pressure in middle ear that did not directly assess function of Eustachian tube ventilation is tympanometry. This study aimed to increase middle ear pressure after adenotonsillectomy patients with chronic adenotonsilitis. Comparative observational study design with pre and post measurement involves 8 patients with chronic adenotonsilitis adenotonsillectomy performed. Middle ear pressure was measured before and after adenotonsillectomy. Data were analyzed using ANOVA and Kruskal Wallis test. re are no significant increases in middle ear pressure after adenotonsillectomy. Only significant increase was found in left middle ear pressure after adenotonsillectomy when Toynbe and Valsalva maneuvers performed. Left middle ear pressure changes during Valsalva Toynbe and 21 days after adenotonsillectomy showed that changes in middle ear pressure was significant (p =0.024 and p =0.036). Conclusions of this study are no significant changes in middle ear pressure after adenotonsillectomy, only significant change was found in left middle ear pressure after adenotonsillectomy when Toynbe and Valsalva maneuvers. Fur r research is needed to see relationship adenoid expanding middle ear pressure by endoscopy.

Other Language Abstract

UNSPECIFIED

Item Type: Thesis (Magister)
Identification Number: TES/616.314/ART/p/041309857
Subjects: 600 Technology (Applied sciences) > 616 Diseases > 616.3 Diseases of digestive system
Divisions: Profesi Kedokteran > Spesialis THT Kepala dan Leher, Fakultas Kedokteran
Depositing User: Hasbi
URI: http://repository.ub.ac.id/id/eprint/158330
Full text not available from this repository.

Actions (login required)

View Item View Item