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Karakteristik klinis disfungsi tubulus eusthacius pada pasien rinosinusitis kronis di Rumah Sakit Umum Pusat Sanglah Denpasar, Bali, Indonesia

  • Anak Agung Sagung Dewi Nurgitayanti ,
  • Sari Wulan Dwi Sutanegara ,


Abstract

Background: Despite the well-described anatomical, histological, and physiological relations underlying Eustachian tube dysfunction (ETD) and its frequency in chronic rhinosinusitis (CRS); ETD severity and related clinical characteristics is rarely a part of CRS assessment. We aim to evaluate ETD clinical characteristics and the extent to which ETD symptomatology affects patients’ life.

Methods: This descriptive study involved 61 CRS confirmed patients visiting otorhinolaryngology polyclinic in Sanglah General Hospital. The data was collected through history taking with subsequent completion of patient-reported Eustachian Tube Dysfunction Questionnaire (ETDQ-7).

Results: Prominent clinical characteristics in decreasing order of frequency were prior history of ETD (88.5%), followed with family history of allergy (69%), smoking (31.1%) and asthma (23%). The mean item score for ETDQ-7 questions including ear symptoms with coexisting cold or sinusitis (5.7 ± 0.71), pressure in the ears (4.54 ± 0.86), a feeling of ears being clogged or underwater (4.37 ± 0.85), muffled hearing (3.98 ± 1.29), pain in the ears (2.27 ± 1.47) and ringing sound (2.16 ± 1.64) exceeded the clinically significant threshold of ≥2.1. Whilst the symptom of crackling or popping sound (1.98 ± 1.72) did not affect CRS patients as severe. 

Conclusion: Prior history of ETD was the most prevalent clinical characteristic whereas ear symptoms with coexisting cold or sinusitis was the most significant symptom of ETD in CRS. Additional analytical study regarding ETD predictor in correlation to its severity in CRS is warranted. 

 

Latar Belakang: Hubungan anatomi, histologis, dan fisiologis serta frekuensi terjadinya disfungsi tuba Eustachius (ETD) telah digambarkan dengan baik pada pasien dengan rhinosinusitis kronis (CRS); namun derajat keparahan dan karakteristik klinis ETD jarang menjadi bagian dari pemeriksaan CRS. Penelitian ini bertujuan untuk mengevaluasi karakteristik klinis ETD dan tingkat keparahan ETD dalam mempengaruhi kehidupan pasien.

Metode: Penelitian deskriptif ini melibatkan 61 pasien CRS pada poliklinik Telinga Hidung dan Tenggorok (THT) Rumah Sakit Umum Pusat (RSUP) Sanglah. Data dikumpulkan melalui anamnesis dengan melengkapi Eustachian Tube Disfunction Questionnaire (ETDQ-7) sesuai yang dilaporkan pasien.

Hasil: Karakteristik klinis yang menonjol secara berurutan adalah riwayat ETD (88,5%), riwayat alergi dalam keluarga (69%), merokok (31,1%) dan asma (23%). Rerata skor item untuk pertanyaan ETDQ-7 termasuk gejala telinga yang disertai dengan demam atau sinusitis (5,7 ± 0,71), rasa tekan di telinga (4,54 ± 0,86), perasaan telinga yang tersumbat atau seperti di bawah air (4,37 ± 0,85), pendengaran redup (3,98 ± 1,29), nyeri di telinga (2,27 ± 1,47) dan bunyi berdenging (2,16 ± 1,64) melebihi ambang batas signifikan secara klinis sebesar ≥ 2,1. Sedangkan gejala suara crackling atau popping (1,98 ± 1,72) tidak mempengaruhi pasien CRS dengan tingkat keparahan berat.

Simpulan: Riwayat ETD sebelumnya merupakan karakteristik klinis yang paling umum, sedangkan adanya demam atau sinusitis penyerta merupakan gejala ETD yang paling signifikan pada CRS. Studi analitik mengenai prediktor ETD dan kaitannya terhadap tingkat keparahan CRS diperlukan.

Keywords: Disfungsi tuba Eustachius rhinosinusitis kronis karakteristik gejala.

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How to Cite

Nurgitayanti, A. A. S. D., & Sutanegara, S. W. D. (2022). Karakteristik klinis disfungsi tubulus eusthacius pada pasien rinosinusitis kronis di Rumah Sakit Umum Pusat Sanglah Denpasar, Bali, Indonesia. Intisari Sains Medis, 13(2), 654–658. https://doi.org/10.15562/ism.v13i2.1307
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Anak Agung Sagung Dewi Nurgitayanti
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Sari Wulan Dwi Sutanegara
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