Karakteristik Infeksi Leher Dalam di SMF THT-KL RSUP. H.Adam Malik Medan Tahun 2006-2012

Abstract

potential) between the fascia of the neck, consists of peritonsil, parapharynx, retropharynx and submandibular abscesses. Currently, the case of deep neck infection is rarely found since the discovering of antibiotics. Deep neck infection is still a case of emergency in ENT-HNS cause resulting a fatal complications. Purpose: To identify the characteristic of deep neck infection at H. Adam Malik General Hospital Medan in 2006-2012. Method: A descriptive study of 40 patients in 2006-2012. Result: From 40 patients, 55% were the submandibular abscess, 32,5% peritonsil abscess, 10,0% parapharynx abscess, and 2,5% retropharynx abscess. In the submandibular abscess, 40,9% were found at age> 50-60 years, 63,6% men, 68,2% with a main complaint of swelling in the neck, and 86,4% due to the tooth infection. In the peritonsil abscess, 30,8% were found at age> 20-30 years, 30,7% men, 46,2% with a main complaint of sore throat, and 53,8% due to tonsillitis. In the parapharynx abscess, 50% were found aged>20-30 years, 75% men, 50% with a main complaint of sore throat, and 50% the cause were not clear. In the retropharynx abscess, 100% were found at age> 20-30 years, 100% men, 100% with a main complaint of sore throat, and 100% due to tuberculosis. Of culture results 22,5% were found no growth of bacteria, 85% with no comorbidities, 85% without complications, 60% with medicament and operative therapy, and 90% healed.

Pendahuluan: Infeksi leher dalam merupakan infeksi leher pada ruang (potensial) diantara fasia leher, terdiri dari abses peritonsil, parafaring, retrofaring dan submandubula. Pada saat ini kasus infeksi leher dalam sudah jarang dijumpai sejak diperkenalkannya antibiotik. Namun infeksi leher dalam masih merupakan kasus kedaruratan THT-KL dikarenakan dapat mengakibatkan komplikasi yang berakibat fatal. Tujuan: Mengetahui karakteristik infeksi leher dalam di SMF THT-KL RSUP. H. Adam Malik Medan Tahun 2006-2012 Metode: Penelitian deskriptif terhadap 40 penderita Infeksi leher dalam dari tahun 2006-2012. Hasil Penelitian: Dari 40 penderita, 55% dijumpai abses submandibula, 32,5% abses peritonsil, 10,0% abses parafaring, dan 2,5% abses retrofaring. Pada abses submandibula dijumpai usia >50-60 tahun 40,9%, laki-laki 63,6%, keluhan terbanyak pembengkakan di leher 68,2%, dan disebabkan infeksi gigi 86,4%. Pada abses peritonsil, usia >20-30 tahun 30,8%, laki-laki 30,7%, keluhan sakit menelan 46,2%, dan terbanyak disebabkan oleh tonsilitis 53,8%. Pada abses parafaring, usia >20-30 tahun 50%, laki- laki 75%, keluhan sakit menelan 50%, dan penyebabnya tidak jelas 50%. Pada abses retrofaring, usia >20-30 tahun 100%, laki- laki 100%, keluhan sakit menelan 100%, dan disebabkan TBC 100%. Dari hasil kultur 22,5% tidak dijumpai pertumbuhan kuman, 85% tanpa penyakit penyerta, 85% tanpa komplikasi, 60% terapi dengan medikamentosa dan operatif dan 90% sembuh.