408_NIS

408

| AGUSTUS 2010

ENGLISH

SUMMARY

Skull Base Erosion and

Cranial Nerve Palsy

among Nasopharyngeal

Carcinoma Patients

in H. Adam Malik

Hospital, Medan,

Indonesia

Del tri Munir, Ramsi Lutan, Muzakkir

Zam-Zam, Chairul Abdi

Department of ENT, H. Adam Malik Hospital,

Medan, Indonesia

Skull base erosion and cranial nerve

palsy are complications of nasopha-

ryngeal carcinoma (NPC). These com-

plications can be caused by primary or

metastatic tumor.

Among 37 NPC patients in H. Adam

Malik Hospital, Medan during 2004,

we found 27 % with skull base erosion

and 59,5 % with cranial nerve palsies,

mostly n. VI.

Keywords: Undifferentiated Ca,

Non keratinizing Ca, Keratinizing

squamous Ca, Foramen lacerum, Sella

turcica, Os petrosum.

dm,rl,mz,ca

CDK 2010; 37(6): 415-18

Allergic Rhinitis is a

Risk Factor for Chronic

Benign Suppurative

Otitis Media

Tutie Ferika Utami, Kartono Sudar-

man, Bambang Udji Djoko Rianto,

Anton Christanto.

Otorhinolaryngology, Head and Neck Surgery

Department, Faculty of Medicine

Gadjah Mada University/Dr. Sardjito Hos-

pital, Yogyakarta, Indonesia

Background. Chronic benign suppu-

rative otitis media (CBSOM) is a com-

mon disease in developing countries

especially Indonesia. The prevalence

of CBSOM in Indonesia is 2,1 5,2%.

Inadequate management can cause

deafness, social isolation, decrease

in prestige and productivity, even

causing handicap and death due to

complications and disease process.

A large percentage of chronic otitis

media is still diffi cult to cure. Doctors

usually assume that infl ammation is

caused by bacterial infections. Thus,

antibiotics are generally prescribed

for treatment. But recurrent infl amma-

tion may be caused by allergic rhinitis;

in CBSOM this possibility cannot be

overlooked.

Objective. To study the presence of

allergic rhinitis as a risk factor in CB-

SOM.

Method and Material. This is a case

 control study at the ENT polyclinic,

Dr. Sardjito Hospital. Patients with CB-

SOM as case group compared with

patients without ear complaints as

control group. Risk factors to allergic

rhinitis was assessed through history

taking, anterior rhinoscopic examina-

tion and skin prick test. Data analysis

used X

test and logistic regression

analysis.

Results. A total of 50 patients as cases

and 50 patients as controls underwent

allergic rhinitis diagnosis. Forty pa-

tients (80%) from case group and 8 pa-

tients (16%) from control group were

positive for allergic rhinitis. The differ-

ence is signifi cant (p = 0,001) which

shows that allergic rhinitis is a risk fac-

tor for CBSOM. The risk of suffering

CBSOM is 21 times more frequent in

allergic rhinitis patients compared to

controls (OR = 21, IK = 95% : 7,53% -

58,56%).

Conclusion. Allergic rhinitis is a risk

factor for CBSOM.

Key words: CBSOM, allergic rhinitis,

risk factor

CDK 2010; 37(6): 425-29

Correlation between

Chronic Rhinitis and

Sinusitis on Waters'

X-ray

Dewi Ayu Paramita*, Suyono*,

Kristanto Yuli Yarsa**, Mardiatmo*,

Wachid Putranto***

Department of Radiology*, Department

of Histology**, Department of Internal

Medicine***

Faculty of Medicine, Sebelas Maret

University/ Dr. Moewardi Hospital,

Surakarta, Indonesia

Objective: To fi nd correlation between

chronic rhinitis and sinusitis on Waters'

view Xray photo. Method: This study

is observational with cross sectional

approach, conducted from January to

June 2008. Samples are Waters' view

fi lms at Radiology Department of Dr.

Moewardi Hospital Surakarta. Result:

Total samples analyzed were 91. There

is strong correlation between chronic

rhinitis and sinusitis imaging on Wa-

ters view (p value = 0,002; OR 3,78).

Conclusion: Subject with rhinitis have

3,78 bigger possibility to have sinusitis

in imaging.

Key words: chronic rhinitis, sinusitis,

Waters view

CDK 2010; 37(6): 431-33

CDK ed_179 Agustus-September'10 DR.indd 408

7/26/2010 5:30:48 PM