OVERVIEW OF PATIENTS WITH CHRONIC RHINOSINUSITIS UNDERGOING SURGERY IN PADANG, WEST SUMATRA, 2018-2022
Introduction: Chronic rhinosinusitis (CRS) remains a health problem that affects the quality of life of patients and often requires surgery. Approximately >60% of CRS patients undergo surgery. Aims: This study aims to identify an overview of patients with chronic rhinosinusitis undergoing surgery in Padang, West Sumatra, 2018-2022. Methods: This type of study is a descriptive observational study conducted by observing the medical records of CRS patients at the ENT-HNS Outpatient Department of RSUP Dr. M. Djamil Padang for the period January 2018 – December 2022 with a total sample of 138 patients. Samples were collected using a total sampling technique and then analyzed univariately. Results: The results of this study showed that CRS patients were found mostly (21.7% each) in the 41-50 years and 51-60 years age groups, more than half (52.2%) were male, and most (86.2%) lived in West Sumatra area. Most (89.9%) patients presented with nasal congestion and more than half (55.1%) had CRSwNP. Staphylococcus epidermidis was the most common microbe type (29.8%) found in patients. Most total Lund-Mackay scores (24.6%) were found in the 5-8 score range. Most (83.3%) patients visited postoperatively for ≤ 3 months with an average of 3.6 visits per patient. Conclusion: This study provides an overview of CRS patients who underwent surgery, which is crucial for determining the most appropriate management strategies to prevent the worsening of patient symptoms. Furthermore, this study may provide an overview of the duration of post-sinus surgery control.
Alshammari, D., Alshaikh, R., Bakheet, M., Janahi, W. and Alreefy, H., 2021. Correlation between Radiological Staging of Chronic Rhinosinusitis and Revision of Endoscopic Sinus Surgery. International Journal of Otolaryngology
and Head & Neck Surgery. https://doi.org/10.4236/ijohns.2021.102013
Brooks, S.G., Trope, M., Blasetti, M., Doghramji, L., Parasher, A., Glicksman, J.T., Kennedy, D.W., Thaler, E.R., Cohen, N.A., Palmer, J.N. and Adappa, N.D., 2018. Preoperative Lund-Mackay computed tomography score is associated with preoperative symptom severity and predicts quality-of-life outcome trajectories after sinus surgery. International Forum
of Allergy and Rhinology. https://doi.org/10.1002/alr.22109
Central Bureau of Statistics, 2023. Total Population by Regency/City and Sex in West Sumatra Province, 2020-2022. Central Bureau of Statistics.
Cobzeanu, B.M., Palade, D.O., Bandol, G., Vonica, P.S., Severin, F., Moisii, L., Cobzeanu, M.L., Apostol, D.C., Matei, D.V. and Cobzeanu, M.D., 2020. Paranasal sinus mucoceles, therapeutic solution through external surgical approach. Romanian Journal of Rhinology. https://doi.org/10.2478/rjr-2020-0028
Decree of the Minister of Health of the Republic of Indonesia Number HK.01.07/MENKES/1257/2022 on National Guidelines for the Managements of Chronic Rhinosinusitis.
Dewi, P.K.Y., Setiawan, E.P. and Sutanegara, S.W.D., 2018. Karakteristik Penderita Rinosinusitis Kronis yang Rawat Jalan di Poli THT-KL RSUP Sanglah Denpasar Tahun 2016. E-Journal Medika, 7(12), pp.1–10.
Fokkens, W.J., Lund, V.J., Hopkins, C., Hellings, P.W., Kern, R., ... and Zwetsloot, C.P., 2020. European Position Paper on Rhinosinusitis and Nasal Polyps 2020. Rhinology. https://doi.org/10.4193/Rhin20.600
Harahap, N.I.K., Siregar, S.M. and Nasution, M.E.S., 2018. Profil Kuman Pada Sekret Hidung Penderita Rinosinusitis Kronis Di Rumah Sakit Haji Medan. Jurnal Ibnu Sina Biomedika, [online] 2(1), pp.57–64.
Hopkins, C., Andrews, P. and Holy, C.E., 2015. Does time to endoscopic sinus surgery impact outcomes in chronic rhinosinusitis? Retrospective analysis using the uk clinical practice research data. Rhinology, 53(1). https://doi.org/10.4193/Rhin14.077
Irfandy, D., Budiman, B.J. and Huryati, E., 2019. Relationship between deviations of nasal septum and mucociliary transport time using saccharin test. Otorinolaringologia. https://doi.org/10.23736/S0392-6621.18.02180-X
Jang, D.W., Lee, H.J., Chen, P.G., Cohen, S.M. and Scales, C.D., 2021. Geographic Variations in Healthcare Utilization and Expenditure for Chronic Rhinosinusitis: A Population-Based Approach. Laryngoscope, 131(12). https://doi.org/10.1002/lary.29588
Kurniasih, C. and Ratnawati, L.M., 2019. Distribusi penderita rinosinusitis kronis yang menjalani pembedahan di RSUP Sanglah Denpasar Periode Tahun 2014 – 2016. Medicina, 50(1). https://doi.org/10.15562/medicina.v50i1.272
London, N.R., Lina, I. and Ramanathan, M., 2018. Aeroallergens, air pollutants, and chronic rhinitis and rhinosinusitis. World Journal of Otorhinolaryngology - Head and Neck Surgery. https://doi.org/10.1016/j.wjorl.2018.08.006
Mangunkusumo, E., 2019. Buku Teks Komprehensif Ilmu THT-KL Telinga, Hidung, Tenggorok Kepala-Leher. Buku Kedokteran EGC.
Maniakas, A., Asmar, M.H., Renteria Flores, A.E., Nayan, S., Alromaih, S., Endam, L.M. and Desrosiers, M.Y., 2018. Staphylococcus aureus on Sinus culture is associated with recurrence of chronic rhinosinusitis after endoscopic sinus surgery. Frontiers in Cellular and Infection Microbiology, 8(May). https://doi.org/10.3389/fcimb.2018.00150
Nugraha, M.F.B., Irfandy, D. and Yenny, S.W., 2022. Karakteristik Pasien Rinosinusitis Kronik di Poliklinik THT-KL RSUP DR. M. Djamil Padang 2017-2019. Jurnal Ilmu Kesehatan Indonesia, 2(4). https://doi.org/10.25077/jikesi.v2i4.493
Nurmalasari, Y. and Nuryanti, D., 2017. Faktor-Faktor Prognostik Kesembuhan Pengobatan Medikamentosa Rinosinusitis Kronis di Poli THT RSUD A. Dadi Tjokrodipo Bandar Lampung Tahun 2017. Jurnal Ilmu Kedokteran dan Kesehatan, 3(4).
Poluan, F.H. and Marlina, L., 2021. Prevalence and Risk Factor of Chronic Rhinosinusitis and the Impact on Quality of Life in Students of the Medical Faculty Christian University of Indonesia in 2018. Journal of Drug Delivery and Therapeutics, 11(3-S). https://doi.org/10.22270/jddt.v11i3-S.4846
Putri, D.R., Dolly, I. and Novita, A., 2020. Bacterial Pattern of Chronic Rhinosinusitis Patients at RSUP Dr. M. Djamil Padang 2016-2017. Jurnal Ilmu Kesehatan Indonesia, 1(2). https://doi.org/10.25077/jikesi.v1i2.59
Putri, R., 2021. Gambaran CT-Scan Pada Pasien Rinosinusitis Kronis Berdasarkan Kriteria Lund-Mackay di Poliklinik THT-KL RSUP Dr. M. Djamil Padang Pada Periode Januari 2017 - Desember 2019. Universitas Andalas.
Rahmannanda Laksanadi, A., Sutikno, B. and Sahudi, Dr., 2021. Profile of Chronic Rhinosinusitis Patients that Undergo Functional Endoscopic Sinus Surgery at Dr. Soetomo General Hospital Year 2015-2019. International Journal of Research Publications, 92(1). https://doi.org/10.47119/IJRP100921120222668
Regulation of the Governor of West Sumatra Number 39 year 2015.
Riskia, A.D., 2022. Karakteristik penderita rinosinusitis di Bagian/Kelompok Staf Medis THT-KL Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda. Jurnal Kedokteran Syiah Kuala, 22(1). https://doi.org/10.24815/jks.v22i1.23673
RSUP Dr. M. Djamil, 2019. Annual Report of RSUP Dr. M. Djamil Padang 2018. Padang.
Ryan, R.M., Whittet, H.B., Norval, C. and Marks, N.G., 1996. Minimal follow-up after functional endoscopie sinus surgery. Does it affect outcome? American Journal of Rhinology, 10(5).
Sani, M., 2020. Hubungan Gejala Klinis Pasien Rinosinusitis Kronik Dengan Kriteria Task Force American Academy of Otolaryngic Allergy dan American Rhinologic Society di Poliklinik Rinologi THT-KL RSUP Dr. M. Djamil Padang Periode Oktober 2017-September 2019. Universitas Andalas.
Sari, D.L., 2018. Perbedaan Waktu Penyembuhan Luka Pasien Rinosinusitis Kronis Alergi dan Non Alergi - Studi Observasional Pada Pasien Rinosinusitis Kronis Post Functional Endoscopic Sinus Surgery di RSI Sultan Agung Semarang. Universitas Islam Sultan Agung.
Shirama, Y.B., Adamu, A., Iseh, K.R., Ahmed, S.S., Baba, S.M. and Ma’aji, S.M., 2022. Correlation between Lund-Mackay CT scan score and Sinonasal Outcome Test-20 symptoms score in the evaluation of chronic rhinosinusitis. Journal of Clinical Sciences, 19(4). https://doi.org/10.4103/jcls.jcls_54_22
Singh, A.K., Gupta, P., Verma, N., Khare, V., Ahamad, A., Verma, V. and Agarwal, S.P., 2017. Fungal rhinosinusitis: Microbiological and histopathological perspective. Journal of Clinical and Diagnostic Research, 11(7). https://doi.org/10.7860/JCDR/2017/25842.10167
Soepardi, E., Iskandar, N., Bashiruddin, J. and Restuti, R., 2017. Buku Ajar Ilmu Kesehatan Hidung Tenggorok Kepala & Leher. Badan Penerbit FKUI.
Swari, W.D., Dwi Saputra, K.A. and Wiranadha, I.M., 2021. KARAKTERISTIK GEJALA MAYOR PASIEN RINOSINUSITIS KRONIS BERDASARKAN USIA DAN JENIS KELAMIN DI RSUP SANGLAH DENPASAR PERIODE JUNI 2018-JUNI 2019. GEMA KESEHATAN, 13(1). https://doi.org/10.47539/gk.v13i1.146
Thunberg, U., Söderquist, B. and Hugosson, S., 2017. Bacterial findings in optimised sampling and characterisation of S. aureus in chronic rhinosinusitis. European Archives of Oto-Rhino-Laryngology, 274(1). https://doi.org/10.1007/s00405-016-4239-3
Van der Veen, J., Seys, S.F., Timmermans, M., Levie, P., Jorissen, M., Fokkens, W.J. and Hellings, P.W., 2017. Real-life study showing uncontrolled rhinosinusitis after sinus surgery in a tertiary referral centre. Allergy: European Journal of Allergy and Clinical Immunology, 72(2). https://doi.org/10.1111/all.12983
Wang, D.Y., Cho, S.H., Lin, H.C., Ghoshal, A.G., Bin Abdul Muttalif, A.R., Thanaviratananich, S., Tunceli, K., Urdaneta, E., Zhang, D. and Faruqi, R., 2018. Practice Patterns for Chronic Respiratory Diseases in the Asia-Pacific Region: A Cross-Sectional Observational Study. International Archives of Allergy and Immunology, 177(1). https://doi.org/10.1159/000489015
Wirananda, I.M.S.V., Asthuta, A.R. and Saputra, K.A.D., 2019. Karakteristik penderita polip hidung di poliklinik THT-KL RSUP Sanglah Denpasar tahun 2018. Intisari Sains Medis, 10(3). https://doi.org/10.15562/ism.v10i3.454
Yolazenia, Y., Budiman, B.J., Huriyati, E., Djamal, A., Machmud, R. and Irfandy, D., 2018. Peran biofilm bakteri terhadap derajat keparahan rinosinusitis kronis berdasarkan skor Lund-Mackay. Oto Rhino Laryngologica Indonesiana, 47(2). https://doi.org/10.32637/orli.v47i2.220
Zhang, L. and Bachert, C., 2022. Chronic Rhinosinusitis: The Mucosal Concept. Chronic Rhinosinusitis: the Mucosal Concept. Springer. https://doi.org/10.1007/978-981-16-0784-4
Copyright (c) 2024 The Indonesian Journal of Public Health
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- The authors agree to transfer the transfer copyright of the article to The Indonesian Journal of Public Health effective if and when the paper is accepted for publication.
- Authors and other parties are bound to the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License for the published articles, legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA), implies that:
- Attribution ” You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial ” You may not use the material for commercial purposes.
- ShareAlike ” If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.