Putri Nisrina Hamdan

7/23/2019 Putri Nisrina Hamdan

http://slidepdf.com/reader/full/putri-nisrina-hamdan 1/8

JURNAL READING

Evaluation of Children with Chronic Rhinosinusitis after

Adenotonsillectomy

DISUSUN OLEH:

Putri Nisrina Hamdan

1102011213

PEMBIMBING :

dr. Budhy Parmn! M"#s! S$. %H%&'L

'#$anit#raan '(ini" I(mu %H% )SUD 'ta *i(#+n

,a"u(tas '#d"t#ran Uni-#rsitas arsi

/a"arta

201



KATA PENGANTAR

Pui syu"ur $#nyusun $anat"an "#hadirat ((ah S%! "ar#na atas 4#r"at dan rahmat&

Nya! $#nyusun da$at m#ny#(#sai"an $#nyusunan urna( r#adin+ ini yan+ 4#rudu(

“Evaluation of Children with Chronic Rhinosinusitis after Adenotonsillectomy”. /urna(

r#adin+ ini $#nyusun susun untu" m#(#n+"a$i tu+as di '#$anit#raan '(ini" I(mu P#nya"it

%#(in+a Hidun+ %#n++r"an )SUD 'ta *i(#+n.

P#nyusun m#n+u5a$"an 4anya" t#rima "asih yan+ s#4#sar&4#sarnya "#$ada dr.

udhy Parmono! ".Kes! #$.T%T&K' yan+ t#(ah m#m4im4in+ dan m#m4antu $#nyusun

da(am m#(a"sana"an "#$anit#raan danda(am m#nyusun ma"a(ah ini.

P#nyusun m#nyadari masih 4anya" "#"uran+an 4ai" $ada isi mau$un 6rmat ma"a(ah

ini. O(#h "ar#na itu! s#+a(a "riti" dan saran "ami t#rima d#n+an tan+an t#r4u"a.

"hir "ata $#nyusun 4#rhara$ urna( r#adin+ ini da$at 4#r+una 4a+i r#"an&r#"an

s#rta s#mua $iha" yan+ in+in m#n+#tahui s#di"it 4anya" t#ntan+ “Evaluation of Children

with Chronic Rhinosinusitis after Adenotonsillectomy”.

*i(#+n! D#s#m4#r 201

P#nyusun

1



Evaluation of Children with Chronic Rhinosinusitis after

Adenotonsillectomy17,ath(ah B#hnud

Abstrak Pendahuluan:

)insinusitis "rnis 8)S'9! did#6inisi"an s#4a+ai $rs#s in6(amasi yan+ m#(i4at"an sinus

$aranasa( yan+ 4#r(an+sun+ s#(ama s#tida"nya ti+a 4u(an! rinsinusitis "rnis m#ru$a"an

$#ny#4a4 utama dari mr4iditas $#diatri" dan $#n+4atan yan+ su(it"ar#na t#r4atasnya

$#n#(asan $at6isi(+i. Dasar $#n+4atan untu" ana"&ana" d#n+an )S' t#ta$ t#ra$i

anti4iti" yan+ a+r#si6! ta$i4anya" $asi#n +a+a( s#hin++a untu" m#nin+"at"an $r+ram

di$#r$anan+ d#n+an anti4iti" ra( s$#"trum (uas.

Namun! hasi( $#n+4atan yan+ 4ai" d#n+an ad#nid#"tmi saa t#(ah di(a$r"an $ada

ana"d#n+an )S'. %uuan dari $#n#(itian ini ada(ah untu" m#n+#-a(uasi $#n+aruh

ad#ntnsi(#"tmi$ada rinsinusitis "rnis $ada ana"&ana".

Bahan dan Metode:

Da(am ui "(inis ini $$u(asi $#n#(itian 4#rusia 0 ana" di 4a;ah 1 tahun yan+ t#(ahdi$i(ih

untu" ad#ntnsi(#"tmi. S#4#(um $rs#dur! di(a"u"an $#m#ri"saan rnt+#n $sisi at#rs

$ada indi-idu yan+ m#nd#rita )S' dan m#nam$i("an +#a(a s#$#rti rhinrrh#a!ha(itsis! dan

4atu" "rnis. Hanya $asi#n d#n+an "#"#ruhan 4i(at#ra( sinus ma"si(arisyan+ t#rda6tar da(am

studi. )adi+ra6i (anut di(a"u"an $ada hari "# 2< s#t#(ah$rs#dur dan hasi( $#n+4atan

di#-a(uasi.

Hasil:

Dari 0 $asi#n 4#rusia di 4a;ah 1 tahun yan+ di#-a(uasi! 22 8=9 ada(ah $#r#m$uan dan

1<8=9 ada(ah (a"i&(a"i. Usia rata&rata $asi#n ada(ah >.22 tahun s#m#ntara yan+ t#rtua

ada(ah 1 dant#rmuda 4#rusia tahun. Hidun+ t#rsum4at! rhinrrh#a! $st nasa( dri$! dan

4atu" "rnis dia(ami (#h s#mua $asi#n. S#t#(ah ad#ntnsi((#5tmy! +#a(a ini s#5ara

si+ni6i"an 4#r"uran+ dan hanya mun5u( masin+&masin+ 1!=! 0=! 20=! dan 20= $sds

s#tia$ $asi#n. na(isis mu(ti-ariat di(a"u"an d#n+an m#n++una"an Ui M5N#mar.

Kesi!ulan:M#nurut hasi( studi ini! di mana >2!= dari $asi#n m#nunu""an $#mu(ihan (#n+"a$ s#t#(ah

$#ra;atan! ad#ntnsi((#5tmy da$at dian++a$ s#4a+ai mda(itas $#n+4atan untu")S'.

Kata Kun"i:

d#nid! d#nid#"tmi! %nsi( Pa(atin#! %nsi(#"tmi

2



Intrdu"si

In6#"si 4#ru(an+ dan "rnis $ada tnsi(s#rta ad#nid t#rus m#nadi masa(ah umum!

dan $rs#dur 4#dah ad#ntnsi((#5tmy umum di(a"u"an 81!29. )insinusitis ada(ah umum

dit#mu"an $ada ana"&ana" dan t#(ah t#r4u"ti m#m$#n+aruhi $asi#n dan "#(uar+anya s#5ara

si+ni6i"an 839.)insinusitis'rnis 8*)S9 didia+nsis "#ti"a ana" m#n+a(ami +#a(a hidun+

mam$#t! rhinrrh#a! $st nasa( dri$! ha(itsis! 4atu"! sa"it "#$a(a! atau d#mam s#"und#r dari

$#radan+an hidun+ dan sinus $aranasa( yan+ dia(ami s#(ama ti+a 4u(an atau (#4ih 8&?9.

P#n+4atan untu" ana"&ana" d#n+an *)S t#ta$ t#ra$i anti4iti" yan+ a+r#si6! ta$i 4anya"

$asi#n yan+ +a+a( $#n+4atan 4ah"an s#t#(ah ditam4ah $#n++unaan anti4iti" ra( s$r#"trum

(uas 8!>9.

P#n+4atan a(t#rnati6 s#$#rtiB#dah Sinus ,un+sina( Ends"$i 8,ESS9!t#(ah t#r4u"ti

#6#"ti6 $ada $asi#n ini! namun ada "#"ha;atiran t#ntan+ dam$a" $ada $#r"#m4an+an

"#ran+"a ;aah 89.Hasi( $#n+4atan yan+ 4ai" u+a t#(ah di(a$r"an da(am *)S $#diatri"

d#n+an ad#nid#5tmy 8?9 dan $#n++unaan r#im#n yan+ t#rdiri dari t#ra$i anti4iti"

intra-#na 4#rsamaan d#n+an as$irasi sinus t#(ah t#r4u"ti m#m$#r4ai"i +#a(a *)S $ada

$asi#n ana" yan+ +a+a( untu" m#r#s$n %#ra$i ra( "n-#nsina( 8>9.

'ar#na 4i6i(m t#(ah t#r(i4at s#4a+ai nidus untu" in6#"si 4a"t#ri "rnis ana"&ana"

d#n+an *)S 8<9 dan hist(+i ad#nid s#rta tnsi( yan+ sama dan "#duanya t#r(#ta" di 5in5in

a(d#y#r! "ami m#n#(as"an $#n+a(aman 4aru da(am m#n+#((a s#ri dari $asi#n ana" d#n+an

*)S yan+ m#na(ani ad#ntnsi(#"tmi 4u"an ad#nid#5tmy saa. %uuan ini $#n#(itian

ada(ah untu" m#n+#-a(uasi $#n+aruh ad#ntnsi((#5tmy $ada *)S $ada ana"&ana".

Bahan dan M#td#

P#n#(itian 5rss&s#5tina( m#n+#-a(uasi 0 ana"&ana" 4#rusia @ 1 tahun 81<(a"i&(a"i

dan 22 $#r#m$uan9 4#sar sam$#( $$u(asi yan+ s#5ara 4#rurutan m#n+a5u $ada D#$art#m#n

%#(in+a! Hidun+ dan %#n++r"an 8%H%9)umah Sa"it 4#sar di Ham#dan! antara Mar#t 200A

dan Mar#t 2010! untu" ad#ntnsi(#"tmi "ar#na untu" 4#r4a+ai indi"asi t#rmasu" tnsi(itis

a"ut 4#ru(an+! ad#nid hi$#rtr6i t#r"ait d#n+an "rnis sinusitis! $#rna$asanmu(ut"rnis!

+an++uan tidur! dan titis m#dia "rni" d#n+an #6usi. Untu" m#n+#-a(uasi

$asi#nad#ntnsi((ar "ami m#(a"u"an radi+ra6i nas6arin+ (at#ra(is da(am ran+"a untu"

m#n#ntu"an u"uran ad#nid dan m#m#ri"sa (an+sun+ tnsi( s#suai d#n+an S"a(a Brds"y. 0 $asi#n yan+ t#rda6tar da(am $#n#(itian di$i(ih dari tta( 5a(n 4#rdasar"an "rit#ria "(inis *)S

8+#a(a yan+ t#rmasu" $uru(#n rhinrrh#a! $st nasa( dri$! 4atu" "rnis! ha(itsis! dan

s#4a+ainya9 yan+ t#(ah 4#rtahan (#4ih dari 3 4u(an dan tida" ada r#s$n t#rhada$ %#ra$i

anti4iti" ra( s#5ara rutin. Pasi#n u+a harus m#mi(i"i $#n#4a(an mu"sa sinus ma"si(a

4i(at#ra( yan+ did#t#"si (#h $#m#ri"saan radi(+i $sisi at#rs.

Pada saat masu"! ri;ayat "(inis rin5i di$#r(#h untu" s#tia$ $asi#n dan $#m#ri"saan

6isi" s#5ara m#ny#(uruh di(a"u"an (#h s#ran+ t(aryn+(+ist. S#mua ana"&ana"

m#na(ani ad#ntnsi(#"tmi dan s#(ama 2 min++u s#t#(ah $#rasi ra( am"sisi(in 0 m+

"+ hari dan untu" 3 hari a5#tamin$h#n! 1 m+ "+ ? am. S#mua $asi#n di$u(an+"ans#hari s#t#(ah $#rasi dan m#n++una"an 4at ra( yan+ sama anti4iti"a dan ana(+#si" 5ara

3



hidu$ $as5a$#rasi. na"&ana" d#n+an $#nya"it sist#mi" atau "#(ainan (ain di"#5ua(i"an.

S#(ain itu! ran+&ran+ d#n+an amur sinusitis atau $#rasi s#4#(umnya $ada sinus atau

$(i$sis di"#(uar"an.

S#mua $asi#n di follow up s#t#(ah $#rasi dan di"unun+i (#h t(aryn+(+ist $ada

hari "#& >! 1! dan 2< s#t#(ah $#rasi. Pada hari "# 2<! $#m#ri"saan radi+ra6i di(a"u"an (a+i

dan tin+"at $#r4ai"an dini(ai s#suai d#n+an s"r 4#ri"ut: 1! rahan+ atas uni(at#ra( sinus #(asC

2! sinus 4i(at#ra( m#nunu""an $#r4ai"an di4andin+ $ra $#rasi radi+ra6iC 3! tida" ada

$#ru4ahan yan+ t#r(ihat $ada radi+ra6iC ! sinus 4i(at#ra( yan+ 4#nar&4#nar #(as. S"r 1 atau

2 m#nunu""an $#r4ai"an $arsia(! 3 m#nunu""an tida" ada $#r4ai"an! dan ditunu""an

$#mu(ihan (#n+"a$.

%#muan "(inis yan+ 55" d#n+an Panda+an dan 'u#sin#r di+una"an untu" m#ni(ai

+#a(a mayr dan minr.'u#sin#r t#rs#4ut di4#ri"an (#h $#ra;at "#$ada ran+ tua $asi#n!

yan+ 4#risi $#rin+"at+#a(a $ra $#rasi s#$#rti s#m4uh! 4ai"! sama! atau (#4ih 4uru". Para

ran+tua di4#ritahu t#ntan+ studi $rt"( dan t#(ah di$#r(#h in6rm#d 5ns#nt s#rta

$#n#(itian t#(ah dis#tuui (#h 'mit# Eti" "ami. P#r4andin+an -aria4#( $#n#(itian s#4#(um

dan s#sudah Int#r-#nsi di(a"u"an d#n+an m#n++una"an ui "#(m$" t#r"ait 8Ui M5N#mar9

d#n+an P 0!0 m#nunu""an statisti" yan+ si+ni6i"an.

Hasi(

Dari 0 $asi#n di 4a;ah 1 tahun yan+ di#-a(uasi da(am $#n#(itian ini 22 8=9

ada(ah $#r#m$uan dan 1< 8=9 ada(ah (a"i&(a"i. Itu usia rata&rata $asi#n ada(ah >.22 tahun

d#n+an yan+ t#rtua 1 dan t#rmuda tahun 8%a4#( 19.

S#4#(um $#rasi! "#&0 8100=9 dari $asi#n m#nd#rita hidun+ t#rsum4at!

rhinrrh#a$uru(#n! $st nasa( dr$! dan sa"it 4atu". Pada hari "# 2< s#t#(ah $#rasi +#a(a inihadir da(am 1!=! 0=! 20=! dan 20= dari $asi#n! masin+&masin+ 8P 0.000 untu" s#mua

+#a(a9. Ha(itsis ada(ah t#r(ihat $ada 3A 8A>!=9 dari $asi#n s#4#(um $#rasi t#ta$i hanya

t#r(ihat $ada < 820=9 $asi#n $ada $#rid# $as5a&$#rasi.

S#4#(um $#rasi! 20 80=9 dari $asi#n m#nd#rita sa"it "#$a(a di4andin+"an d#n+an 1

82!=9 yan+ m#nd#rita sa"it "#$a(a dan 2A 8>2!=9 yan+ m#mi(i"i $#mu(ihan (#n+"a$ $as5a

$#rasi 8%a4#( 29. B#r"aitan d#n+an t#muan radi(+is $ada 2< hari ad#ntnsi((#5tmy

4#ri"ut! 2A 8>2!=9 $asi#n m#nunu""an "(irin+ (#n+"a$ $#n#4a(an mu"sa sinus ma"si(aris

dan 11 82>!=9 m#nunu""an $#ru4ahan $arsia(.

4



Dis"usi

*)S t#ta$ m#nadi masa(ahuntu" d"t#r yan+ 4#rurusan d#n+an $$u(asi ana".

P#n#(itian ini m#nunu""an #6#"ti-itas ad#ntnsi(#"tmi di $#n+#((aan *)S $ada ana"&

ana" dan m#nam4ah data yan+ dis#dia"an (#h 4#4#ra$a hasi( studi $rs$#"ti6 yan+

m#nunu""an $#r4ai"an $ada $#nya"it&s$#si6i" dan "ua(itas hidu$ +(4a( s#t#(ah

ad#ntnsi((#5tmy 82!A9.

Dia+nsis yan+ t#$at dari *)S $ada ana"&ana" s#rin+"a(i su(it untu" di4uat "ar#na

simtmat(+i tum$an+ tindih d#n+an "ndisi t#r$a$ar -irus in6#"si $#rna$asan atas dan

ad#nid in6#"si atau hi$#rtr6i 810!119. Baru&4aru %#muan m#nunu""an 4ah;a

ad#nid#5tmy (#h s#ndiri da$at m#m4#ri"an man6aat 4a+i $asi#n d#n+an *)S. Da(ams#4uah studi (#h Fand#n4#r+ dan H#a(ty! <= dari ana"&ana" m#nunu""an r#s(usi +#a(a

*)S yan+ d#"at atau (#n+"a$ s#t#(ah ad#nid#5tmy 810!129. S5tt dan r#"an&r#"an di m#ta&

ana(isis m#r#"a m#ny#4ut"an $#n+aruh ad#nid#5tmy $ada *)S di$#r"ira"an 4ah;a s#"itar

>0= dari $asi#n m#nda$at "#untun+an d#n+an ad#nid#5tmy saa 8A9.Du"un+an untu"

man6aat ad#nid#5tmy u+a datan+ dari $#n#(itian yan+ m#nunu""an $#n+uran+an um(ah

4a"t#ri $at+#n dan $#nin+"atan mi"rr+anism# "m#nsa( di nas6arin+ s#t#(ah

ad#nid#5tmy 8139. S#(ain itu! t#(ah ada 4#4#ra$a $#n#(itian t#ntan+ $#n+aruh tnsi(#"tmi

untu" $#n+uran+an #$isd# 6arin+itis 819 dan m#m4#rsih"an 6arin+ dari mi"rr+anism#

$at+#n. O(#h "ar#na itu! u"uran ad#nid dan "#hadiran $#nya"it t#r"ait ada(ah 6a"tr untu"

di$#rtim4an+"an 819 $#n+a(aman "ami ada(ah amand#( yan+ ditam4ah"an "#

ad#nid#5tmy da$at m#nin+"at"an Prs#s $#n+4atan untu" *)S.

Da(am $#n#(itian "ami! hidun+ t#rsum4at! $uru(#n rhinrrh#a! $st nasa( dti$! dan

4atu" t#r(ihat di s#mua 0 8100=9 $asi#n s#4#(um $#rasi ta$i min++u s#t#(ah

ad#ntsi((#5tmy +#a(a m#n+hi(an+ $ada s#4a+ian 4#sar $asi#n.

Pas5a $#rasi > 81!=9 m#mi(i"i hidun+ mam$#t! 0 80=9 $asi#n m#mi(i"i $uru(#n

rhinrrh#a! < 820=9 m#mi(i"i $stnasa( dri$! dan < 820=9 m#mi(i"i 4atu". Da(am $#n#(itian

ini! ha(itsis t#r(ihat di 3A 8A>!=9 $asi#n s#4#(um $#rasi dan hanya da(am < 820=9 $asi#n

s#t#(ah ad#ntnsi(#"tmi. Sa"it "#$a(a yan+ di(a$r"an (#h 20 80=9 $asi#n s#4#(um

int#r-#nsi dan s#t#(ah itu hanya 1 82!=9 $asi#n m#nd#rita dari m#r#"a.

5



Bu"ti (#4ih (anut untu" "#+unaan int#r-#nsi 4#dah *)S $ada ana" 4#rasa( dari

4#r4a+ai $#n#(itian t#rmasu" di *ina! yan+ m#n+#-a(uasi #6#" dari dua $#r(a"uan yan+

4#r4#da untu" *)S./an+"a $anan+! ma"r(ida dsis r#ndah yan+ t#r4u"ti m#nadi t#ra$i

yan+ #6#"ti6 dan a(t#rnati6 yan+ -a(id di *)S ana".Int#r-#nsi 4#dah ada(ah di$#r(u"an untu"

"asus&"asus yan+ tida" ada r#s$n 4#r"#$anan+an $#ra;atan m#dis.d#nid#5tmy dan atau tnsi(#"tmi ada(ah $rs#dur 4#dah yan+ dir#"m#ndasi"an untu" ana"&ana" d#n+an

ad#nid dan atau tnsi( hi$#rtr6i 819.Bri#t"# dan Bri++#r! di m#ta&ana(isis dari hasi(

ad#nid#5tmy $ada *)S! m#n5atat 4ah;a ad#nid#5tmy m#n+uran+i $#ra;atan yan+

di(a$r"an +#a(a *)S di s#4a+ian 4#sar $asi#n ana".M#n+in+at "#s#d#rhanaan! r#ndah $r6i(

risi"! dan #6#"ti-itas #(as! ad#nid#5tmy harus di$#rtim4an+"an m#nadi t#ra$i utama

untu" yan+ su(it dis#m4uh"an $ada rinsinusitis ana" tida" rumit 81?9.)amadan

m#m4andin+"an #6#"ti-itas ,ESS dan ad#nid#5tmy d#n+an ,ESS s#ndiri dan

m#n+hasi("an 4ah;a ana"&ana" t#rt#ntu m#(a"u"an (#4ih 4ai" "#ti"a ,ESS di(a"u"an di

hu4un+annya d#n+an ad#nid#5tmy di di4andin+"an d#n+an ,ESS saa 8139.Har+a dan

r#"an! da(am $#n#(itian m#r#"a t#ntan+ "hasiat ad#nid#5tmy $ada ana"&ana" d#n+an

Sindrm D;n! m#nunu""an 4ah;a ana"&ana" m#na(ani "#dua ad#nid#5tmy dan $#rasi

tnsi( m#nunu""an $#nurunan m#nd#n+"ur dan a$n#a di4andin+"an m#r#"a yan+ m#na(ani

ad#nid#5tmy saa. P#n#(itian ini tida" m#m4ahas sinnasa( Status 81>9

Da(am $#n#(itian ini! $#nin+"atan yan+ si+ni6i"an da(am +#a(a *)S di "#(m$"

ana" itu di$#r(#h s#t#(ah ad#ntnsi(#"tmi.%#muan "(inis t#rs#4ut m#m4ai" $ada ham$ir

s#mua $asi#n d#n+an $#n#4a(an mu"sa 4i(at#ra( sinus ma"si(aris! yan+ did#t#"si (#h

rnt+#n $sisi at#rs! m#n+hi(an+ $ada >2!= $asi#n. P#nu(is $#r5aya 4ah;a Hasi( $siti6

$#n#(itian ini t#r"ait d#n+an "ns#$ yan+ 4#nar&4#nar m#n+ha$us "m$(#"s m#nu(ar

8ad#ntnsi(s9 (#4ih un++u( d#n+an $#m4#rian anti4iti".

'#sim$u(an

Hasi( $#n#(itian ini m#nunu""an 4ah;a ad#ntnsi((#5tmy m#nin+"at"an

$#n+4atan $rs#s *)S ana".

P#n+har+aan

'arya ini dihasi("an d#n+an 4antuan s#mua sta6 %H% d#$art#m#n di )umah Sa"it 4#sar di

Ham#dan.'U M#n+har+ai 4antuan m#r#"a.P#nu(is m#mi(i"i tida" ada "n6(i" "#$#ntin+anuntu" m#(a$r"an.

6



)E,E)ENSI

1. Nira G! Mi5h#a( GS! Da-id L! Maur##n %H! Ed;ard M. ua(ity 6 (i6# a6t#r

tnsi((#5tmy in 5hi(dr#n ;ith r#5urr#nt tnsi((itis. Ot(aryn+( H#ad N#5" Sur+ 200<C

13<: A&1?.

2. B#hnud ,! %ra4ian S. ua(ity 6 (i6# in und#r 1&y#ar (d 5hi(dr#n a6t#r ad#ntnsi((#5tmy.Iranian urna( 6 Otrhin(aryn+(+y 2010C 22: 13>&.

3. )udni5" E,! Mit5h#(( )B. Ln+&t#rm im$r-#m#nts in ua(ity&6&(i6# a6t#r sur+i5a(

th#ra$y 6r $#diatri5 >3inunasa( dis#as#. Ot(aryn+( H#ad N#5" Sur+ 200>C 13>:

<>3&>.

. Hsu#h&Hsin H! %a&/#n L! *hi&*h# H! P&Hun+ *! Shian+&,u H. Nn&sinusitis&r#(at#d

rhin+#nush#ada5h#. m / Ot(aryn+( H#ad N#5" M#d Sur+ 200<C 2A: 32?&32.

. *ridd(# M! Stinsn ! Sa-(i;a(a M! *ti55hia /. P#diatri5 5hrni5 rhinsinusitis: a

r#trs$#5ti-#r#-i#;. m / Ot(aryn+( 200<C 2A8?9: 3>2&<.

?. ';an+ SS! S#" H*! 'yun+ )'. %h# r(# 6 ad#nids in $#diatri5 rhinsnusitis. Int /

P#diatri5 Otrhin(aryn+( 200<C >2: 1?3&0.>. da$$a ND! *ti55hia /M. Mana+#m#nt 6 r#6ra5try 5hrni5 rhinsinusitis in

5hi(dr#n. m /Ot(aryn+( 200?C 2>8?9: 3<&A.

<. Ju(iani G! *arrn M! Gurr(a /! *(#man *! Hau$#rt M! B#r" )! #t a(.Id#nti6i5atin

6 ad#nid 4i6i(ms in 5hrni5 rhinsinusitis. Int / P#diatr Otrhin(aryn+(

200?C>0:1?13&>

A. Bri#t"# SE! Bri++#r M%. d#nid#5tmy ut5m#s in $#diatri5 rhinsinusitis:

m#ta&na(ysis.Int / P#diatr Otrhin(aryn+( 200<C >2: 11&.

10. St#-#n ES! Dani#( SS! '#n '! La;r#n5# *. %r#nds in th# mana+#m#nt 6 $#diatri5

5hrni5 sinusitis: Sur-#y 6 th# m#ri5an s5i#ty 6 $#diatri5 t(aryn+(+y.

Larn+s5$# 200C 11:><&<0.

11. Na#imi M! 4da(i N. KEnds5$i5 and ima+in+ $r#-a(#n5# 6 nasa( mu5sa( 5nta5t

$int and ass5iatin 4#t;##n 5nta5t $int and sinunasa( sym$tms. M#di5a(

urna( 6 h;a /ndisha$urUni-#rsity 200AC <819: 11>&3. 8P#rsian9

12. /am#s *! Gian5ar( J! Mi5h#a(*! /s# GH! Mi5h#a( H! )i5hard B. Bi6i(m sur6a5#

ar#a in th# $#diatri5 nas$haryn. r5h t(aryn+( H#ad n#5" Sur+. 200>C 133: 110&

.

13. )amadan H. Sur+i5a( mana+#m#nt 6 5hrni5 sinusitis in 5hi(dr#n. Laryn+s5$#

200C 11:2103&A.

1. )amadan H. d#nid#5tmy -s #nds5$i5 sinus sur+#ry 6r th# tr#atm#nt 6

$#diatri5 sinusitis.r5h Ot(aryn+( H#ad N#5" Sur+ 1AAAC 12: 120<&11.

1. Jhu B! an+ S! Li L! Shi . KE-a(uatin 6 th# m#di5a( and sur+i5a( tr#atm#nt 6

$#diatri55hrni5 rhinsinusitis. Lin *hun+ Er Bi an Hu %u /in+ ai '# Ja Jhi

2011C 289: 213&?.8*hin#s#9

1?. Bri#t"# SE! Bri++#r M%. d#nid#5tmy ut5m#s in $#diatri5 rhinsinusitis:

m#ta&ana(ysis.Int / P#diatr Otrhin(aryn+( 200<C >28109: 11&.

17.Pri5# DL! Or-idas L/! #a-#r L! ,arm#r S. E66i5a5y 6 ad#nid#5tmy in th#

tr#atm#nt 6 nasa( and midd(# #ar sym$tms in 5hi(dr#n ;ith D;n syndrm#. Int /

P#diatr Otrhin(aryn+(200C ?<: >&13.

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Putri Nisrina Hamdan