Hubungan Frekuensi Kekambuhan dan Derajat Tonsilitis Kronik Hipertrofi dengan Indikasi Dilakukan Tonsilektomi di Rumah Sakit Hj. Bunda Halimah Kota Batam Periode 2021–2024
DOI:
https://doi.org/10.59680/anestesi.v4i2.2645Keywords:
Chronic Hypertrophic Tonsillitis, Recurrence Frequency, Tonsillar Hypertrophy, Tonsillectomy, Tonsillectomy IndicationAbstract
Background: Chronic hypertrophic tonsillitis is a common otorhinolaryngology condition that may cause recurrent episodes of inflammation, tonsillar enlargement, and indications for tonsillectomy. This study aimed to analyze the relationship between recurrence frequency and the degree of chronic hypertrophic tonsillitis with indications for tonsillectomy at the ENT-HN Polyclinic of Hj. Bunda Halimah Hospital, Batam City, from January 2021 to December 2024. Methods: This observational analytic study used a cross-sectional design with secondary data obtained from medical records. A total of 123 patients were included using total sampling. Data were analyzed using univariate and bivariate analysis with the Likelihood Ratio test. Results: Most respondents had moderate recurrence frequency (41.5%), grade 3 tonsillar hypertrophy (48.8%), and indications for tonsillectomy (92.7%). Bivariate analysis showed a significant relationship between tonsillitis recurrence frequency and indications for tonsillectomy (p=0.016), as well as between the degree of chronic hypertrophic tonsillitis and indications for tonsillectomy (p=0.000). Conclusion: There is a significant relationship between recurrence frequency and tonsillar hypertrophy degree with indications for tonsillectomy. The higher the recurrence frequency and tonsillar grade, the greater the likelihood of tonsillectomy indication.
References
Arambula, A., Brown, J. R., & Neff, L. (2021). Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils. World Journal of Otorhinolaryngology - Head and Neck Surgery, 7(3), 155–160. https://doi.org/10.1016/j.wjorl.2021.04.003
Asimakopoulos, P., Pennell, D. J. L., Mamais, C., Veitch, D., Stafrace, S., & Engelhardt, T. (2017). Ultrasonographic assessment of tonsil-lar volume in children. International Journal of Pediatric Otorhinolaryngology, 95, 1–4. https://doi.org/10.1016/j.ijporl.2017.01.024
Brandtzaeg, P. (2015). Immunobiology of the tonsils and adenoids. Mucosal Immunology: Fourth Edition, 1985–2016. https://doi.org/10.1016/B978-0-12-415847-4.00103-8
Brodsky, L. (1989). Modern assessment of tonsils and adenoids. Pediatric Clinics of North America, 36(6), 1551–1569. https://doi.org/10.1016/S0031-3955(16)36806-7
Burton, M. J., Glasziou, P. P., Chong, L. Y., & Venekamp, R. P. (2014). Tonsillectomy or adenotonsillectomy versus non-surgical treat-ment for chronic/recurrent acute tonsillitis. Cochrane Database of Systematic Reviews, 2014(11), CD001802. https://doi.org/10.1002/14651858.CD001802.pub3
Cahali, M. B., Soares, C. F. P., Dantas, D. A. S., & Formigoni, G. G. (2011). Tonsil volume, tonsil grade and obstructive sleep apnea: Is there any meaningful correlation? Clinics, 66(8), 1347–1351. https://doi.org/10.1590/S1807-59322011000800007
Douglas, C. M., Lang, K., Whitmer, W. M., Wilson, J. A., & Mackenzie, K. (2017). The effect of tonsillectomy on the morbidity from re-current tonsillitis. Clinical Otolaryngology, 42(6), 1206–1210. https://doi.org/10.1111/coa.12850
Howard, N. S., & Brietzke, S. E. (2009). Pediatric tonsil size: Objective vs subjective measurements correlated to overnight poly-somnogram. Otolaryngology–Head and Neck Surgery, 140(5), 675–681. https://doi.org/10.1016/j.otohns.2009.01.008
Kelly, G., Najoan, R. R., & Mengko, S. K. (2024). Karakteristik pasien operasi tonsilektomi di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2020 – Oktober 2023. E-CliniC, 12(3), 299–305. https://doi.org/10.35790/ecl.v12i3.53540
Kementerian Kesehatan Republik Indonesia. (2018). Pedoman Nasional Pelayanan Kedokteran (PNPK) 2018: Tata laksana tonsilitis. https://kemkes.go.id/id/pnpk-2018---tata-laksana-tonsilitis
Lu, X., Zhang, J., & Xiao, S. (2018). Correlation between Brodsky tonsil scale and tonsil volume in adult patients. BioMed Research Interna-tional, 2018, 6434872. https://doi.org/10.1155/2018/6434872
Mitchell, R. B., Archer, S. M., Ishman, S. L., Rosenfeld, R. M., Coles, S., Finestone, S. A., … Nnacheta, L. C. (2019). Clinical practice guide-line: Tonsillectomy in children (update). Otolaryngology–Head and Neck Surgery, 160(1_suppl), S1–S42. https://doi.org/10.1177/0194599818801757
Nabilah, N. A., Pratiningrum, M., Mu’ti, A., & Sawitri, E. (2024). Karakteristik pasien tonsilitis kronis yang menjalani tonsilektomi di RSUD Abdoel Wahab Sjahranie Samarinda tahun 2020–2022. Jurnal Medika: Karya Ilmiah Kesehatan, 9(2), 23–30. https://doi.org/10.35728/jmkik.v9i2.1233
Nolan, J., & Brietzke, S. E. (2011). Systematic review of pediatric tonsil size and polysomnogram-measured obstructive sleep apnea severity. Otolaryngology–Head and Neck Surgery, 144(6), 844–850. https://doi.org/10.1177/0194599811400683
Paradise, J. L., Bluestone, C. D., Bachman, R. Z., Colborn, D. K., Bernard, B. S., Taylor, F. H., … Saez, C. A. (1984). Efficacy of tonsillec-tomy for recurrent throat infection in severely affected children: Results of parallel randomized and nonrandomized clinical trials. The New England Journal of Medicine, 310(11), 674–683. https://doi.org/10.1056/NEJM198403153101102
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