Profile of Flexible Fiberoptic Laryngoscopy Examination Before and During the COVID-19 Pandemic in the ORL-HNS Outpatient Unit of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2018–2021
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Highlights:
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No differences were observed in any of the variables before and during the COVID-19 pandemic.
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Only diagnosis variables differed between before and during the COVID-19 pandemic.
Abstract
Introduction: Flexible fiberoptic laryngoscopy (FOL) is indicated for various conditions in patients with abnormal upper airway anatomy. This study aimed to determine the profile of flexible FOL examinations at the Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) outpatient unit of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from 2018 to 2021.
Methods: This retrospective study used secondary data from medical records of patients who underwent flexible FOL examinations at the ORL-HNS outpatient unit from 2018 to 2021. The inclusion criteria consisted of patients’ medical records who had complete profiles, successful laryngoscopy, and diagnoses that met the specified variable criteria.
Results: A total of 723 patients underwent flexible FOL at the ORL-HNS outpatient clinic during the study period. Before and during the coronavirus disease (COVID-19) pandemic, most of these patients were males, between 20 and 59 years old, unemployed, and lived out of town. The most common procedure before and during the COVID-19 pandemic was FOL. Laryngomalacia was the common diagnosis before the COVID-19 pandemic. Malignancy in the larynx was the common diagnosis during the COVID-19 pandemic.
Conclusion: The variables age, sex, place of residence, occupation, and type of action remained consistent before and during the COVID-19 pandemic. However, the diagnosis variable had different results.
World Health Organization (WHO). Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Geneva, (2020). [Website]
Jaya I. Penguatan Sistem Kesehatan dalam Pengendalian COVID-19. Direktorat Jenderal Penanggulangan Penyakit, (2021, accessed 29 May 2022). [Website]
Soelama TE, Mengko SK, Palandeng OE. Prosedur Endoskopi THT-KL di Era Pandemi COVID-19. J Biomedik JBM 2022; 14: 82–91. [Journal]
Syarif I, Yudianto A, Saleh TA, Sulistyorini N. Trauma Profile of Homicide Victims at Dr. Soetomo General Academic Hospital, Surabaya, during the COVID-19 Pandemic. JUXTA J Ilm Mhs Kedokt Univ Airlangga 2024; 15: 17–22. [Journal]
Dinia F, Trisnantoro L, Helmi M. Managing Human Resources for Surge Capacity in Referral Hospitals based on WHO Hospital Readiness Checklist for COVID-19. Folia Medica Indones 2022; 58: 141–149. [Journal]
Goldberg J. Flexible Fiberoptic Laryngoscopy. ENT & Facial Plastic Surgeon in Atlanta, (2022, accessed 30 May 2022). [Website]
Bashiruddin J, Soekin S, Adham M, Dewi YA. Buku Pedoman T.H.T.K.L selama Pandemi COVID-19. 2nd ed. Jakarta: Perhimpunan Dokter Spesialis Telinga Hidung Tenggorok Bedah Kepala dan Leher Indonesia, (2020). [Book]
Clark BS, Gao WZ, Bertelsen C, Choi JS, Shoffel-Havakuk H, Reder LS, et al. Flexible versus Rigid Laryngoscopy: A Randomized Crossover Study Comparing Patient Rxperience. Laryngoscope 2020; 130: 2663–2666. [Journal]
Islam MN, Lodh D, Islam MS, Arifuzzaman M, Saha BK, Alam MS. A Comparative Study of Fiberoptic Laryngoscopy (FOL) and Indirect Laryngoscopy in the Diagnosis of Patients with Vocal Cord Lesions. Bangladesh J Otorhinolaryngol 2023; 29: 24–31. [Journal]
Soenarso SA. Survei Markplus: Masyarakat Enggan Mengunjungi Rumah Sakit sejak Pandemi COVID-19. Kontan.co.id, (2020). [Website]
Siedlecki SL. Understanding Descriptive Research Designs and Methods. Clin Nurse Spec; 34, (2020). [Journal]
Wang X, Kattan MW. Cohort Studies: Design, Analysis, and Reporting. Chest 2020; 158: S72–S78. [ScienceDirect]
Kamal MS, Farzana R, Hoque MHE, Hossain MG. Distribution of Laryngopharyngeal Malignancy in the North-East Part of Bangladesh: Fiberoptic Laryngoscopic (FOL) Study of 300 Cases. J Bangladesh Coll Physicians Surg 2022; 40: 99–104. [Journal]
Omokanye HK, Alabi SB, Idris’ SO, Ayodele SO, Nasir AA, Salaudeen GA, et al. Diagnostic Accuracy of Flexible Fiberoptic Laryngoscopy: Experience from a Tertiary Health Institution in Nigeria. Eur Arch Oto-Rhino-Laryngology 2021; 278: 2937–2942. [Springer]
Ministry of Health of the Republic of Indonesia (Kementerian Kesehatan Republik Indonesia). Bayi dan Balita <5 Tahun. Selamat Datang di Website Ayo Sehat, (2023, accessed 27 December 2023). [Website]
Mills N, Keesing M, Geddes D, Mirjalili SA. Flexible Endoscopic Evaluation of Swallowing in Breastfeeding Infants with Laryngomalacia: Observed Clinical and Endoscopic Changes with Alteration of Infant Positioning at the Breast. Ann Otol Rhinol Laryngol 2021; 130: 653–665. [PubMed]
Monintja YKG, Mengko SK, Pelealu OCP. Gambaran Hasil Pemeriksaan Laringoskopi Fiber Optik pada Pasien Rawat Inap di RSUP. Prof. Dr. R. D. Kandou Periode 2014 -2017. e-CliniC; 7. 2 January 2019. [Journal]
Irace AL, Dombrowski ND, Kawai K, Watters K, Choi S, Perez J, et al. Evaluation of Aspiration in Infants with Laryngomalacia and Recurrent Respiratory and Feeding Difficulties. JAMA Otolaryngol Head Neck Surg 2019; 145: 146–151. [PubMed]
Birkmeyer JD, Barnato A, Birkmeyer N, Bessler R, Skinner J. The Impact of the COVID-19 Pandemic on Hospital Admissions in the United States. Health Aff 2020; 39: 2010–2017. [Journal]
Bodilsen J, Nielsen PB, Søgaard M, Dalager-Pedersen M, Speiser LOZ, Yndigegn T, et al. Hospital Admission and Mortality Rates for Non-COVID Diseases in Denmark during COVID-19 Pandemic: Nationwide Population based Cohort Study. BMJ 2021; 373: n1135. [Journal]
Adamu A, Kolo ES, Ajiya A, Mahmud A, Shuaibu IY, Nwaorgu OGB. Fibreoptic Laryngoscopic Assessment of Patients with Hoarseness: A Cross-Sectional Analysis. J West African Coll Surg; 12, (2022). [Journal]
Sumon MMAK, Rahman AHMH, Afsana SD, Hossain MB. Causes of Hoarseness of Voice Based on Fiber Optic Laryngoscopy (FOL): Our Experiences in ENT OPD of a Peripheral Military Hospital. Med Today 2021; 33: 34–37. [Journal]
The Health Promotion Team of Dr. Soeradji Tirtonegoro General Hospital Klaten (Tim Promkes RSST - RSUP dr. Soeradji Tirtonegoro Klaten). Laringitis. Direktorat Jenderal Kesehatan Lanjutan, (2022, accessed 4 December 2023). [Website]
Klinginsmith M, Winters R, Goldman J. Laryngomalacia. Treasure Island (FL), 2025. [PubMed]
Tesmer P, Wróblewska-Seniuk K, Mazela J, Szydłowski J. Congenital Laryngeal Stenosis and Concomitant Birth Defects in a Term Newborn: A Case Report. Biomed Hub 2020; 5: 1–7. [Journal]
Bakhtiar B, Hadi S. Manifestasi Klinis, Diagnosis dan Tatalaksana Laringomalasia. J Kedokt Nanggroe Med 2022; 5: 38–44. [Journal]
Neighbors C, Hashmi MF, Song SA. Dysphonia. Treasure Island (FL), 2025. [PubMed]
Zang J, Nienstedt JC, Koseki JC, Nießen A, Flügel T, Kim SH, et al. Pediatric Flexible Endoscopic Evaluation of Swallowing: Critical Analysis of Implementation and Future Perspectives. Dysphagia 2022; 37: 622–628. [Springer]
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