POLIP BISA DITEMUKAN PADA ANOSMIA (KEHILANGAN DAYA PENCIUMAN)

Anosmia adalah keadaan dimana kita kehilangan daya penciuman,salah satu dari panca indra kita.
Sel -sel reseptor untuk penciuman berada dalam atap hidung kita.
Kehilangan penciuman bisa bersifat ringan dan sementara,namun ada juga bersifat berat dan lama/menetap.
Foto ini  dibuat melalui prosedur endoskopi ,menggunakan (fiber)" endoscope"( endoskop serat lentur) pada seorang wanita yang telah kira-kira setahun menderita gangguan penciuman.
Kelebihan endoskop serat lentur yaitu karena sifat lenturnya, alat ini bisa mengikuti perubahan/lekuk rongga alami pada struktur anatomi pasien sehingga   tidak/kurang mengganggu rasa nyaman pasien.
Gambar menunjukkan polip pada hidung yang tidak nampak pada pemeriksaan rhinoskopi biasa,namun terlihat jelas pada pemeriksaan dengan endoskop serat lentur.
Foto : dr.L.S.Handikin SpTHT
Lokasi : Klinik Endoskopi R.S.Pelni,Jakarta

Bahagia karena memberi- Intisari Online

Bahagia karena memberi- Intisari Online

DYSPHONIA : CONSULT YOUR DOCTOR WHEN IT LAST MORE THAN 2 WEEKS.

There are some etiologies of dysphonia;inflammatory condition during viral infection/influenza,true vocal fold(s) paresis(neurologic problems),polyps or laryngeal cancer etc.
Consult your doctor when your hoarse voices last for more than 2 weeks.
The case shows hoarseness lasted for more than 10 years in a young lady,showing the stenotic glottic/subglotic inlet,sometime mistakenly diagnosed as asthmatic bronchitis.

SAFETY ENDOSCOPY IS THE MOST IMPORTANT THING

Preparation to do endoscopy is most important.
Check n re-check the right equipment,the right scope,the right accessories,the right patient(including the right supporting datas/medical records),the right procedures.
Safety is the most importance.
Beware of the possible uneven problem or reaction before,during and after endoscopy procedure.(fromThe Endoscopy Unit,Pelni Hospital.Jakarta).

A DIFFICULT CASE OF NASOPHARYNGEAL CANCER

A young male was suspected of primary liver cancer or hepatoma.The patient condition was getting poorer while the liver function deteriorating with icterus and anemia.

The PET/CT scan showed positive FDG uptake in the nasopharyngeal wall area.

Biopsy of the tumour showed positive for nasopharyngeal squamous cell carcinoma.
This case show the role of PET/CT scan to determine the location of primary tumor which is surprisingly found in the nasopharynx.

PLATELETE RICH PLASMA(PRP) FOR PROFUSE EPISTAXIS

PLATELETE RICH PLASMA (PRP) is a growing procedure in many medical situation.
This picture shows where a patient underwent  a succesful procedure of PRP to control  profuse nasal bleeding(epistaxis) following a nasal surgery(septoplasty and polypectomy).(Location:HCU,Private Hospital,Jakarta)

ENDOSCOPY OF NASOPHARYNX WITH MULTIPLE INFECTION

This picture shows multiple infection of nasopharynx with mucosal edema and hyperaemia and moderate mucous production.This most upper part of the respiratory tract has been naturally exposed to air pollution,dust,chemical substances,tobacco smokes,bio-particles etc.