Akurasi Gejala Klinis Kriteria Task Force Terhadap Indeks Lund-Mackay Tomografi Komputer

Abstract

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.

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.