UJI DIAGNOSTIK GEJALA SUMBATAN HIDUNG, GANGGUAN PENDENGARAN DAN BENJOLAN LEHER PADA MASSA NASOFARINGS
| Main Authors: | , ASHADI PRASETYO, , Dr. dr. Bambang Hariwiyanto, Sp.THT-KL(K) |
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| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2011
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/89354/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=51375 |
Daftar Isi:
- Nasopharyngeal mass is an abnormal growth within nasopharynx with a high incidence rate in Indonesia especially nasopharyngeal cancer. The diagnosis of Nasopharyngeal mass is often late due to the fact that the signs and symptoms of early Nasopharyngeal mass is not specific, the location of the nasopharyngs which is quite hidden, and supporting examinations such as nasoendoscopy, CT Scan, pathology may not be avalaible in primary health care facilities. Thus patients suffering from Nasopharyngeal mass are often diagnosed during the later stages of the cancer. Diagnosing this cancer based on the main signs and symptoms of Nasopharyngeal mass has never been evaluated as a simple, quick, valid and inexpensive primary diagnostic tool to increase awareness of physicians located in primary health care facilities. The aim of this study to evaluate the validity of symptoms nasal obstruction, hearing loss and lump in the neck of Nasopharyngeal mass as a diagnostic tool for Nasopharyngeal mass. This study was a diagnostic test that assessed symptoms of nasal obstruction, hearing loss and lump in the neck of nasopharyngeal mass compared to a reference standard which are nasopharyngeal CT Scan and resulted in a 2 x 2 table. This study implemented a cross � sectional design. Samples for this study was done using consecutive sampling. The samples for this study were all patients that complained of lump in the neck, nasal obstruction and hearing loss at Dr. Sardjito Hospital Yogyakarta based on the inclusion and exclusion criteria. Data analysis was done by evaluating the sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratio, and unlikelihood ratio from three main signs and symptoms of Nasopharyngeal mass with a 2 x 2 table. Symptoms of nasal obstruction, hearing loss and lump in the neck of Nasopharyngeal mass had a sensitivity of 65,7%, spesificity of 76,6%, positive predictive value of 78,1%, negative predictive value of 63,8%, likelihood positive of 2,8, likelihood negative of 0,4 with an accuracy of 70,5%.