Tesis

Perbandingan fungsi ventilasi tuba Eustachius pada subjek celah palatum dan subjek sehat menggunakan sonotubometri = Comparison of ventilation function Eustachian tube in cleft palate patient and normal subject with sonotubometry.

Latar Belakang: Penilaian fungsi ventilasi tuba Eustachius pada anak celah palatum sangat penting karena memiliki kontribusi terhadap gangguan telinga tengah dan pendengaran. Sonotubometer menggambarkan fungsi otot levator dan tensor veli palatini sehingga dapat dijadikan acuan adanya gangguan ventilasi tuba Eustachius sebelum dilakukan operasi palatoplasti. Alat sonotubometri pada penelitian ini dirakit sendiri dan belum digunakan di Indonesia. Tujuan: Untuk mengetahui perbandingan fungsi ventilasi tuba Eustachius pada subjek penelitian. Metode: Desain penelitian ini komparatif cross-sectional pada 31 subjek celah palatum dan 62 subjek sehat usia ≤ 18 tahun dimatchingkan sesuai usia. Hasil: Proporsi celah palatum terbanyak pada klasifikasi Veau II. Tiga parameter sonotubometri yang dibandingkan pada subjek penelitian didapatkan bermakna secara statistik (p < 0,001). Proporsi gangguan fungsi ventilasi tuba Eustachius berdasarkan klasifikasi Veau pada subjek penelitian berbeda bermakna dengan p < 0,001. Pada analisis multivariat didapatkan beberapa faktor determinan gangguan fungsi ventilasi tuba Eustachius yaitu hipertrofi adenoid, parameter jumlah pembukaan tuba Eustachius dan celah palatum klasifikasi Veau III dan IV, masing-masing memiliki faktor risiko sebesar 6,469, 36,211 dan 10,411 kali terjadinya gangguan fungsi ventilasi tuba Eustachius. Kesimpulan: Alat sonotubometri dapat menilai gangguan fungsi ventilasi tuba Eustachius dengan tiga parameter secara statistik didapatkan berbeda bermakna antara kedua subjek penelitian. Faktor risiko terjadinya gangguan fungsi ventilasi tuba Eustachius adalah hipertrofi adenoid, jumlah pembukaan tuba Eustachius dan celah palatum Veau III dan IV.
Kata kunci: Celah palatum, sonotubometri, fungsi ventilasi tuba Eustachius



Background: Eustachian tube ventilation function assessment in cleft palate children is very important because it gives contribution to the middle ear and hearing disorders . Sonotubometer describes the function of the levator and tensor veli palatini muscle so it can be used as a reference for Eustachian tube ventilation disorder before palatoplasty. Sonotubometri in this study of selfassembled and has not been used in Indonesia . Objective : To compare the Eustachian tube ventilation function on the subject in the study. Methods : The study design was a comparative cross - sectional study on 31 subjects with cleft palate and 62 healthy subjects aged ≤ 18 years matched according to age. Results : The biggest proportion of cleft palate was the Veau II classification . Three sonotubometri parameters compared in subjects were statistically significant ( p < 0.001 ) . The proportion of Eustachian tube ventilation function disorder based on the Veau classification of different subjects was significant with p < 0.001 . In multivariate analysis, several determinant factors of Eustachian tube ventilation function disorder were adenoid hypertrophy , parameter number of Eustachian tube opening and cleft palate Veau classification III and IV , each of which has a risk factor of 6.469 , 36.211 and 10.411 times for Eustachian tube ventilation disorder. Conclusion : sonotubometri can assess Eustachian tube ventilation function disorder with three parameters that statistically has significant different between the two subjects in the study. Risk factors for the occurrence of Eustachian tube ventilation function were adenoid hypertrophy , number of Eustachian tube opening and cleft palate Veau III and IV .
Keywords: cleft palate, sonotubometry, and Eustachian tube ventilation function