Skip to main content Skip to main navigation menu Skip to site footer

Gambaran hasil skrining pendengaran pada pasien dengan keterlambatan bicara & bahasa di poliklinik THT-KL RSUP Sanglah periode Januari-Desember 2017

Abstract

Pendahuluan: Gangguan bicara dan bahasa telah lama menjadi perhatian para klinisi yang berkecimpung dalam kesehatan anak. Hal ini dikarenakan adanya berbagai kelainan yang dapat menyertai gangguan tersebut, juga adanya implikasi signi kan terhadap kehidupan anak- anak penyandangnya. Gangguan bicara dan bahasa dapat merupakan akibat dari berbagai kelainan seperti retardasi mental, gangguan pendengaran, gangguan persepsi, gangguan psikososial, autisme, mutisme elektif, afasia reseptif, dan cerebral palsy.

Tujuan: Untuk mengetahui gambaran hasil penapisan pendengaran pada penderita dengan keterlambatan bicara dan bahasa di poli THT- KL, RSUP Sanglah Denpasar.
Metode: Penelitian ini merupakan penelitian deskriptif dengan rancangan deskriptif retrospektif dengan mengambil data dari rekam medis pasien dengan gangguan bicara dan bahasa di poliklinik THT-KL RSUP Sanglah periode Januari 2017 hingga Desember 2017.

Hasil: Dari total 125 anak yang diteliti, dengan lelaki 77 anak dan perempuan 48 anak, didapatkan rentang usia terbanyak penderita keterlambatan bicara dan bahasa yaitu di atas 5 tahun (37 anak). Hasil pemeriksaan otoacoustic emission (OAE) didapatkan hasil pass pada telinga kanan sebanyak 42% (52 anak), telinga kiri 39% (49 anak) dan refer pada telinga kanan sebanyak 58% (73 anak), telinga kiri sebanyak 61% (76 anak). Pada pemeriksaan derajat pendengaran dengan brainstem evoked response audiometry (BERA) dan auditory steady state response (ASSR), didapatkan lebih banyak tuli derajat sangat berat, yaitu 66% pada telinga kanan dan 63% pada telinga kiri.

Kesimpulan: Penderita keterlambatan bicara dan bahasa lebih banyak pada lelaki dengan usia terbanyak di atas 5 tahun. Penderita sebagian besar mengalami gangguan pendengaran, dengan derajat terbanyak yaitu tuli sangat berat.

 

Introduction: Speech and language disorders have long been a concern of pediatricians. This is due to various abnormalities that can accompany the disorder, as well as signi cant implications for the lives of children with disabilities. Speech and language disorders can be a result of various disorders such as mental retardation, hearing loss, perception disorders, psychosocial disorders, autism, elective mutism, receptive aphasia, and cerebral palsy.

Objective: This research is to nd out the description of auditory screening results in patients with delayed speech and language at the ENT policlinic of Sanglah general hospital, Denpasar.
Methods: This study was a descriptive study with a retrospective descriptive design by taking data from medical records of patients with delayed speech and language in the ENT policlinic of Sanglah general hospital on January 2017 to December 2017.

Results: Out of a total of 125 children studied, with 77 male and 48 female children, the highest age range of speech and language delays was above 5 years (37 children). On otoacoustic emission (OAE) examination obtained 42% of the right ear pass (52 children), 39% (49 children) left ear pass and 58% refer on the right ear (73 children), 61% refer on the left ear (76 children). On examination of the degree of hearing with brainstem evoked response audiometry (BERA) and auditory steady state response (ASSR), more severe degrees of deafness were obtained, namely 66% in the right ear and 63% in the left ear.

Conclusion: Patients with delayed speech and language was more in men with the most age above 5 years. Most su erers experience hearing loss, with the highest degree of deafness being Profound.

References

  1. Psarommatis IM, Goritsa E, Douniadakis D, Tsakanikos M, Kontrogianni AD. Apastolopoulos N. Hearing Loss in Speech-Language Delayed Children. Journal of Paediatric Otorhinolaryngology. 2001; 58: 205-10.
  2. Law J, Garret Z, Nye C. Speech and Language Therapy Interventions for Children with Primary Speech and Language Delay or Disorder. Cochrane Database Syst Rev. 2003; 3: CD004110.
  3. Mclaughlin MR. Speech and Language Delay in Children. Am Fam Physician. 2011; 10: 1183-8.
  4. Bellman M, Byrne O, Sege R. Developmental Assessment of Children. BMJ. 2013; 15: 346: e8687.
  5. Scarborough HS, Dobrich W. Development of Children with Early Language Delay. J Speech Hear Res. 1990; 33(1): 70-83.
  6. Leung AK, Kao CP. Evaluation and Management of the Child with Speech Delay. Am Fam Physician. 1999; 59(11): 3121-28.
  7. Probst R, Grever G, Iro H. Causes and Effects of Pediatric Hearing Disorders. Dalam : Probst R, Grever G, Iro H, penyunting. Basic Otorhinolaryngology : A Step by Step Learning Guide. Edisi kedua. New York: Georg Thieme Verlag. 2006. h.198-201.
  8. Thompson DC, Davis RL. Universal Newborn Hearing Screening: Summary of Evidence. JAMA. 2001; 285: 2000-10.
  9. US Preventive Services Task Force. Universal Newborn Hearing Screening: Recommendation and Rationale. AJN. 2002; 102(11): 83-9.
  10. Joint Committee on Infant Hearing. Joint Committee on Infant Hearing Year 2007 Position Statement : Principles and Guidelines for Early Hearing Detection and Intervention Programs. Pediatrics. 2000; 106(4): 798-817.
  11. Kandari JM, AlshuaibWB, Joe M. BERA in Children With Hearing Loss and Delayed Speech. Electromyography and Clinical Neurophysiology. 2016; 46(1):43-9.
  12. Yoshinaga C, Coulter D, Thomson V. The Colorado New Born Hearing Screening Project : Effect on Spech and Language Development for Children With Hearing Loss. Journal of Perinatology. 2000; 20: 131-6

How to Cite

Rai Wiryadi, I. M., & Wiranadha, I. M. (2019). Gambaran hasil skrining pendengaran pada pasien dengan keterlambatan bicara & bahasa di poliklinik THT-KL RSUP Sanglah periode Januari-Desember 2017. Medicina, 50(3). https://doi.org/10.15562/medicina.v50i3.677

HTML
67

Total
827

Share

Search Panel