Gambaran Pasien Rinosinusitis Kronik di RSUP Prof. Dr. R. D. Kandou Manado Periode 2023-2024
DOI:
https://doi.org/10.35790/gxjmhb07Keywords:
rinosinusitis kronik; gejala klinis; nasoendoskopi; CT scan sinus paranasalAbstract
Abstract: Chronic rhinosinusitis is an inflammation of the mucosa of the nose and paranasal sinuses lasting more than 12 weeks and significantly impacting quality of life. The diagnosis was established based on clinical symptoms supported by objective evidence of inflammation through nasoendoscopy or paranasal sinus CT scan. This study aimed to describe chronic rhinosinusitis patients at Prof. Dr. R. D. Kandou General Hospital Manado. This was a retrospective study using data of medical records of patients diagnosed with chronic rhinosinusitis at Prof. Dr. R. D. Kandou General Hospital from January 2023 to December 2024. The results obtained 162 samples, 56% were female and 44% male, with the majority aged 20–59 years (78.40%) and working as self-employed (25.30%). The most common clinical symptoms were nasal obstruction (40.80%) and anterior nasal discharge/post-nasal drip (33.78%). The most frequent nasoendoscopic finding was mucopurulent/purulent secretion in the middle meatus (63.16%), while the most common paranasal sinus CT scan finding was partial or total sinus opacification (56%). In conclusion, chronic rhinosinusitis more commonly occurs in female patients aged 20–59 years who predominantly work as self-employed. The most frequent clinical symptoms are nasal obstruction and anterior/post-nasal drip, with middle meatal secretion being the most common nasoendoscopic finding and partial/total sinus opacification being the most prevalent CT scan result.
Keywords: chronic rhinosinusitis; clinical symptoms; nasoendoscopy; paranasal sinus CT scan
Abstrak: Rinosinusitis kronik (RSK) merupakan inflamasi mukosa hidung dan sinus paranasal yang berlangsung lebih dari 12 minggu dan berdampak bermakna terhadap kualitas hidup. Diagnosis ditegakkan berdasarkan gejala klinis yang disertai bukti objektif inflamasi pada nasoendoskopi atau CT scan. Penelitian ini bertujuan untuk mengetahui gambaran pasien RSK di RSUP Prof. Dr. R. D. Kandou Manado. Desain penelitian ialah deskriptif retrospektif dengan memanfaatkan data rekam medis elektronik pasien terdiagnosis RSK di RSUP Prof. Dr. R. D. Kandou Manado selama periode Januari 2023 hingga Desember 2024. Hasil penelitian mendapatkan 162 pasien RSK, 56% berjenis kelamin perempuan dan 44% laki-laki, dengan mayoritas berusia 20-59 tahun (78,40%) dan bekerja sebagai wiraswasta (25,30%). Gejala tersering ialah hidung tersumbat (40,80%) dan sekret nasal anterior/post nasal drip (33,78%). Temuan nasoendoskopi paling sering berupa sekret mukopurulen/ purulen di meatus media (63,16%), sedangkan temuan CT scan sinus paranasal tersering ialah opasifikasi sebagian/total sinus (56%). Simpulan penelitian ini ialah perempuan lebih sering terdiagnosis rinosinusitis kronik dengan mayoritas pasien berusia 20-59 tahun dan bekerja sebagai wiraswasta. Gejala klinis yang sering dialami yaitu hidung tersumbat dan sekret nasal anterior/post nasal drip. Temuan nasoendoskopi tersering ialah sekret pada meatus media, sedangkan pada pemeriksaan CT scan sinus paranasal, temuan tersering ialah opasifikasi sinus baik parsial maupun total.
Kata kunci: rinosinusitis kronik; gejala klinis; nasoendoskopi; CT scan sinus paranasal
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