Background Chronic suppurative otitis media (CSOM) is a chronic infection of the middle ear with perforation of the tympanic membrane and secrete from the ear more for than two months, either continuously or intermittently. Chronic suppurative otitis media has a high prevalence and impact on the physical, social, and psychological of the patients. This disease may be fatal and even cause death. Objective Analyzing management evaluation of CSOM patients. Methods A retrospective study was conducted based on medical records of CSOM patients from January 2017–December 2019. The study used total sampling Chi-squared test with p < 0.05. Results There were 600 patients with CSOM in January 2017–December 2019. Most of them were male, aged 36–45 years old with normal body mass index. There were 431 patients on the follow-up post-treatment by either medical or surgical management. The recovery rate could be assessed from the evaluation of CSOM complaints 6 months after treatment, and the results were significant ( p < 0.001). Conclusions : CSOM managements are in the form of operative and non-operative that shows improvement within 6-month evaluation.

Background Tuberculosis of the ear and temporal bone is an extremely rare case. Methods This case series was reported using the 2020 PROCESS Guideline. The design of this study used a retrospective study during the 2017–2019 period . Results Four cases of tuberculosis mastoiditis with age range between 16 and 66 years from 2016 to 2019. All patients presented with chronic ear discharge from chronic ear with signs of mastoiditis with intra- and extra-temporal complications. All patients underwent radical mastoidectomy, and histopathologic examination showed tuberculosis. All patients received anti-tuberculosis drug first and second category. Conclusion Clinical features of tuberculosis mastoiditis may vary. The diagnosis of tuberculosis mastoiditis can be examined through histopathologic examination and geneXpert tuberculosis. Surgical treatment and anti-tuberculosis administration are the primary choices in the management of tuberculosis mastoiditis.

Background Chronic suppurative otitis media (CSOM) is the most common infectious disease in the world and the leading cause of hearing loss in children in developing countries. Iron deficiency anemia (IDA) is often found in children with CSOM. Objective This study was conducted to determine the association between IDA and the incidence of CSOM in children. Method This research is a case-control study using consecutive sampling. Participants were divided into case group which are children diagnosed with CSOM (n = 42) and control group which are children with normal ear (n = 42). All participants were examined for serum iron (FE), hemoglobin (Hb), total iron-binding capacity (TIBC), and ferritin levels. The analysis used in this study includes the chi-square test or fisher extract test and independence t -test or Man Whitney test with p < 0.05. Result The measurement results obtained values of Hb (13.00 ± 1.34 g/dL; p < 0.001), FE (95.13 ± 40.84 g/dL; p < 0.001), TIBC (354.18 ± 62.44 g/dL; p = 0.016), and ferritin levels (17.57 ± 8.55 g/dL; p < 0.001). Participants who experienced IDA were 21.43% which in the case group was 31.0% and control group was 11.9% ( OR = 3.32; p = 0.033). Conclusion IDA can increase the incidence of CSOM in children.

sindroma Waardenburg adalah kelainan bawaan yang jarang ditemukan, dengan prevalensi di Amerika Serikat 1 per 42000 orang. Ditandai dengan ketulian sensorineural, berhubungan dengan kelainan pigmen dan kecacatan jaringan yang berasal dari neural crest. Berdasarkan gejala yang menyertai, sindroma Waardenburg terbagi menjadi 4 tipe, insidensi tersering adalah tipe 1 dan 2. Gejala klinis kelainan ini diantaranya adalah: dystopia canthorum, kelainan pigmen (white forelock, kelainan pada alis mata, bulu mata, rambut tubuh dan heterochromia iris), ketulian sensorineural, pangkal hidung yang menonjol dan rambut  memutih pada usia muda (<30 tahun). Tujuan: mempresentasikan 3 kasus sindroma Waardenburg di poli audiovestibuler RS Hasan Sadikin Bandung pada periode Januari 2015-Desember 2015. Kasus:  Tiga anak dengan dugaan sindroma Waardenburg tipe 2, keluhan utama belum dapat berbicara.  Pemeriksaan audiologi didapatkan ketulian sensorineural, pemeriksaan fisik didapatkan kelainan pigmen iris. Kesimpulan: sindroma Waardenburg merupakan kelainan bawaan yang jarang ditemukan, diagnosis dapat ditegakan dengan mudah. Intervensi dini dapat menghasilkan perkembangan bicara dan bahasa yang lebih baik.Kata Kunci: keterlambatan bicara, dystopia canthorum, sindroma Waardenburg tipe 2.

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Tympanic membrane perforation is one of the causes of hearing loss and can causerecurrent middle ear infections. Myringoplasty is a procedure for reconstruction of the tympanicmembrane perforation by using a ring in the ear with a complete hearing bone chain, goodmotion, and no pathological tissue in the middle ear. Myringoplasty aims to improve hearingfunction and prevent recurrent infections of the middle ear and inner ear. This study aimed tofind out the hearing characteristics of patients after myringoplasty based on an image of pure tone audiometry in the THT-KL Poli RSHS Bandung period January - December 2016. This is aretrospective descriptive study of patients undergoing myringoplasty. There were 285 new casesof tympanic membrane perforation with an age range of 15-55 years; 153 men (53.7%), 132women (46.3%), 109 (50.27%) patients had an increase in the hearing threshold of 10.1 dB - 20dB, reaching a normal hearing threshold of 249 (87, 4%) patients, and closure of perforationwere 254 (89.1%) patients. In a conclusion, there was a good hearing improvement aftermyringoplasty on tympanic membrane perforation without other abnormalities. Keywords: Myringoplasty, perforation of the tympanic membrane, increased hearing threshold.

Background: Hearing loss and deafness are still an issue in Indonesia, especially in West Java, with a prevalence of 2.5% and 0.06%, respectively. Cochlear implants are intended for patients with severe sensorineural hearing loss to stimulate the remaining auditory nerves. Based on their competency standards, Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) Specialists are expected to be able to inform patients and families about the cochlear implantation procedures. This study aimed to explore the level of knowledge, attitudes, and behavior of ORL-HNS Specialists in West Java towards cochlear implants.Methods: This study was a descriptive study with a cross-sectional approach. Primary data were collected through a questionnaire filled out by ORL-HNS Specialists who were actively working in West Java in 2021–2022.Results: Data from 157 specialists showed that 41.4% (n=65) had good knowledge about cochlear implants, and 43.9% (n=69) had adequate knowledge, however, 62.4% (n=98) showed a negative attitude. In addition, 99.3% (n=156) showed good behavior.Conclusions: ORL-HNS Specialists in West Java have a sufficient level of knowledge, negative attitude, and good behavior towards cochlear Implants. The negative attitude of the specialists need to be bettered, updating their knowledge about how cochlear implants work and their effectiveness for patients with hearing impairments might give them a new perspective and hopefully change their attitude towards cochlear implants.

Objective: To determine the validity and reliability of the Indonesian version of Patient Allergic Rhinitis Questionnaire as a screening tool for AR and the prevalence of AR in a class of 2018-2019 medical students of Universitas Padjadjaran, Indonesia.Methods: A cross-sectional descriptive study was performed during the period November-December 2021 on a class of 2018-2019 medical students of Padjadjaran University. The Indonesian version of the pre-validated Patient Allergic Rhinitis Questionnaire was distributed online. Allergic rhinitis was determined from history taking by identifying a history of a previous diagnosis of AR and/or 2 or more symptoms (watery runny nose, sneezing, nasal congestion, itching, or conjunctivitis) for more than 1 hour on most days.Results:. The validity of the Indonesian version of the Patient Allergic Rhinitis Questionnaire was good with a 0.895 Cronbach's Alpha coefficient, reflecting a reliable questionnaire. The prevalence of AR was 35.8% with most were female (69.2%). There were 59.9% of respondents who had a history of allergy in their parents. The most common symptom was nasal congestion (85.7%) and the moderate-severe persistent (49.2%) was the most common ARIA-WHO classification. Dusty places (92.1%) were the most common cause of symptoms. The most common comorbidity was rhinosinusitis (35%). The mean symptom severity score was 6.7.Conclusions: The Indonesian version of the Patient Allergic Rhinitis Questionnaire is valid and reliable as a screening tool for AR. The prevalence of AR in this study is quite high, with moderate-severe persistent as the most prominent classification.