Akurasi Gejala Klinis Kriteria Task Force Terhadap Indeks Lund-Mackay Tomografi Komputer
AKURASI GEJALA KLINIS KRITERIA TASK FORCE TERHADAP
INDEKS LUND-MACKAY TOMOGRAFI KOMPUTER
Abstrak
Pendahuluan : Angka kejadian rinosinusitis kronik di Indonesia cukup
tinggi dan banyak penelitian tentang rinosinusitis dan bedah sinus
endoskopik yang telah dilakukan. Peneliti tertarik untuk mengetahui
akurasi gejala klinis kriteria Task
Force terhadap indeks Lund-Mackay tomografi komputer.
Tujuan: Untuk mengetahui akurasi gejala klinis kriteria Task Force
terhadap indeks Lund-Mackay tomografi komputer.
Metode: Penelitian ini bersifat deskriptif dengan design case series.
Gejala rinosinusitis kronik yang ditemukan dicatat dan diberi skor untuk
masing-masing gejala. Hasil tomografi komputer dicatat dan diberi skor
sesuai indeks Lund-Mackay.
Hasil Penelitian: Didapatkan 36 penderita, dimana gejala mayor tersering
adalah hidung tersumbat (94,4%). Pada pemeriksaan tomografi komputer
sinus paranasalis potongan koronal, didapati bahwa variasi anatomi
tersering ditemukan adalah septum deviasi(58,3%), multisinusitis adalah
yang tersering dijumpai (27,8%), sinus maksilaris merupakan sinus yang
tersering terkena sinusitis (80,6%), Keros tipe I merupakan yang tersering
(72,2%) dan paling sering dijumpai pada laki-laki, dijumpai lebih banyak
kompleks ostiomeatal yang tertutup, skor hasil tomografi komputer
berdasarkan indeks Lund-Mackay antara 1-24. Akurasi diagnosis gejala
klinis kriteria Task Force terhadap indeks Lund-Mackay adalah 94,4 %.
Kesimpulan : Akurasi gejala klinis rinosinusitis kronik kriteria Task Force
terhadap tomografi komputer yaitu sebesar 94,4%, hampir sama dengan
hasil penelitian sebelumnya.
Kata Kunci : rinosinusitis kronik, Task Force, indeks Lund-Mackay,
tomografi komputer sinus paranasalis
Universitas Sumatera Utara
ACCURACY BETWEEN SYMPTOM OF CHRONIC RHINOSINUSITIS
WITH TASK FORCE CRITERIA AND LUND-MACKAY INDEKS
COMPUTED TOMOGRAPHY
Abstract
Introduction: Incidens of chronic rhinosinusitis in Indonesia is quite high.
There has been many studies about chronic rhinosinusitis and Functional
Endoscopic Sinus Surgery. This study aimed to find out accuracy of
clinical symptoms based on Task Force criteria against computed
tomography index of Lund-Mackay.
Purpose: To find out the accuracy of clinical symptoms based on Task
Force criteria against computed tomography index of Lund-Mackay.
Method: This study was descriptive with case series design. Symptoms of
Chronic rhinosinusitis were recorded and given scored for each symptoms.
Computed tomography result were recorded and given score according to
Lund-Mackay index.
Result: There were 36 subjects which mosts mayor symptoms found
were nasal congestion (94,4%). In computed tomography examination,
deviated septum were the most common anatomical variation found
(58,3%), multisinusitis were the most common sinus involved (27,8%),
Keros type I was the most common found (72,2%) and more frequent in
male. Most ostiomeatal complex were occluded. Scores of computed
tomography according to Lund-Mackay index between 1-24. Diagnosis
accuracy of clinical symptoms based on Task Force against Lund-Mackay
is 94,4%.
Conclusion :
There is accuration between chronic rhinosinusitis
symptoms based on Task Force and Computed Tomography results that
is 94,4% and are consistent with previous studies.
Keywords : chronic rhinosinusitis, Task Force, Lund-Mackay index,
paranasal sinus computed tomography
Universitas Sumatera Utara
INDEKS LUND-MACKAY TOMOGRAFI KOMPUTER
Abstrak
Pendahuluan : Angka kejadian rinosinusitis kronik di Indonesia cukup
tinggi dan banyak penelitian tentang rinosinusitis dan bedah sinus
endoskopik yang telah dilakukan. Peneliti tertarik untuk mengetahui
akurasi gejala klinis kriteria Task
Force terhadap indeks Lund-Mackay tomografi komputer.
Tujuan: Untuk mengetahui akurasi gejala klinis kriteria Task Force
terhadap indeks Lund-Mackay tomografi komputer.
Metode: Penelitian ini bersifat deskriptif dengan design case series.
Gejala rinosinusitis kronik yang ditemukan dicatat dan diberi skor untuk
masing-masing gejala. Hasil tomografi komputer dicatat dan diberi skor
sesuai indeks Lund-Mackay.
Hasil Penelitian: Didapatkan 36 penderita, dimana gejala mayor tersering
adalah hidung tersumbat (94,4%). Pada pemeriksaan tomografi komputer
sinus paranasalis potongan koronal, didapati bahwa variasi anatomi
tersering ditemukan adalah septum deviasi(58,3%), multisinusitis adalah
yang tersering dijumpai (27,8%), sinus maksilaris merupakan sinus yang
tersering terkena sinusitis (80,6%), Keros tipe I merupakan yang tersering
(72,2%) dan paling sering dijumpai pada laki-laki, dijumpai lebih banyak
kompleks ostiomeatal yang tertutup, skor hasil tomografi komputer
berdasarkan indeks Lund-Mackay antara 1-24. Akurasi diagnosis gejala
klinis kriteria Task Force terhadap indeks Lund-Mackay adalah 94,4 %.
Kesimpulan : Akurasi gejala klinis rinosinusitis kronik kriteria Task Force
terhadap tomografi komputer yaitu sebesar 94,4%, hampir sama dengan
hasil penelitian sebelumnya.
Kata Kunci : rinosinusitis kronik, Task Force, indeks Lund-Mackay,
tomografi komputer sinus paranasalis
Universitas Sumatera Utara
ACCURACY BETWEEN SYMPTOM OF CHRONIC RHINOSINUSITIS
WITH TASK FORCE CRITERIA AND LUND-MACKAY INDEKS
COMPUTED TOMOGRAPHY
Abstract
Introduction: Incidens of chronic rhinosinusitis in Indonesia is quite high.
There has been many studies about chronic rhinosinusitis and Functional
Endoscopic Sinus Surgery. This study aimed to find out accuracy of
clinical symptoms based on Task Force criteria against computed
tomography index of Lund-Mackay.
Purpose: To find out the accuracy of clinical symptoms based on Task
Force criteria against computed tomography index of Lund-Mackay.
Method: This study was descriptive with case series design. Symptoms of
Chronic rhinosinusitis were recorded and given scored for each symptoms.
Computed tomography result were recorded and given score according to
Lund-Mackay index.
Result: There were 36 subjects which mosts mayor symptoms found
were nasal congestion (94,4%). In computed tomography examination,
deviated septum were the most common anatomical variation found
(58,3%), multisinusitis were the most common sinus involved (27,8%),
Keros type I was the most common found (72,2%) and more frequent in
male. Most ostiomeatal complex were occluded. Scores of computed
tomography according to Lund-Mackay index between 1-24. Diagnosis
accuracy of clinical symptoms based on Task Force against Lund-Mackay
is 94,4%.
Conclusion :
There is accuration between chronic rhinosinusitis
symptoms based on Task Force and Computed Tomography results that
is 94,4% and are consistent with previous studies.
Keywords : chronic rhinosinusitis, Task Force, Lund-Mackay index,
paranasal sinus computed tomography
Universitas Sumatera Utara