v

DAFTAR ISI

LEMBAR PENGESAHAN ..................................................................................... i

SURAT PERNYATAAN........................................................................................ ii

PRAKATA ............................................................................................................. iii

DAFTAR ISI ........................................................................................................... v

DAFTAR SINGKATAN ..................................................................................... viii

DAFTAR TABEL .................................................................................................. ix

DAFTAR GAMBAR .............................................................................................. x

DAFTAR LAMPIRAN .......................................................................................... xi

INTISARI .............................................................................................................. xii

BAB I PENDAHULUAN ....................................................................................... 1

1.1 Latar Belakang ................................................................................... 1

1.2 Rumusan Masalah .............................................................................. 3

1.3 Tujuan Penelitian ............................................................................... 3

1.3.1 Tujuan Umum ........................................................................ 3

1.3.2 Tujuan Khusus ....................................................................... 3

1.4 Manfaat penelitian ............................................................................. 4

1.4.1 Manfaat Teoritis ..................................................................... 4

1.4.2 Manfaat Praktis ...................................................................... 4

BAB II TINJUAN PUSTAKA ............................................................................... 5

2.1 Rhinosinusitis ..................................................................................... 5

2.1.1 Anatomi Cavum Nasi ................................................................ 5

2.1.2 Komplek Ostiomeatal (KOM) .................................................. 7

2.1.3 Definisi Rhinosinusitis .............................................................. 8

2.2 Rhinosinusitis Ethmoidalis .............................................................. 11

2.3 Deviasi Septum ................................................................................ 12

2.3.1 Deviasi Septum Klasifkasi Mladina ....................................... 13

2.4 Deviasi Septum Nasi Klasifikasi Mladina Tipe III .......................... 14

vi

2.5 Computed Tomography (CT-Scan) ................................................. 15

2.5.1 Pemeriksaan CT-Scan pada Rhinosinusitis Ethmoidalis ........ 16

2.6 Hubungan Deviasi Septum Nasi Klasifikasi Mladina Tipe III dengan

Rhinosinusitis Ethmoidalis .............................................................. 17

2.7 Kerangka Teori ................................................................................ 19

2.8 Kerangka Konsep ............................................................................. 19

2.9 Hipotesis .......................................................................................... 19

BAB III METODE PENELITIAN........................................................................ 20

3.1 Jenis Penelitian dan Rancangan Penelitian ...................................... 20

3.2 Variable dan Definisi Operasional ................................................... 20

3.2.1 Variabel ................................................................................... 20

3.2.2 Definisi operasional ................................................................ 20

3.3 Populasi dan Sampel ........................................................................ 21

3.3.1 Populasi ................................................................................ 21

3.3.2 Sampel dan Besar Sampel ....................................................... 21

3.3.3 Teknik Sampling ..................................................................... 22

3.4 Instrumen dan Bahan Penelitian ...................................................... 22

3.5 Cara Penelitian ................................................................................. 22

3.5.1 Perencanaan ............................................................................ 23

3.5.2 Pelaksanaan ............................................................................. 23

3.6 Tempat dan Waktu ........................................................................... 23

3.7 Analisis Hasil ................................................................................... 23

3.8 Interpretasi Hasil .............................................................................. 24

BAB IV PEMBAHASAN ..................................................................................... 27

4.1 Hasil Penelitian ................................................................................ 27

4.1.1 Gambaran kejadian deviasi septum nasi klasifikasi Mladina

tipe III ................................................................................... 29

4.1.2 Gambaran kejadian rhinosinusitis ethmoidalis .................... 27

4.1.3 Gambaran deviasi septum nasi klasifikasi Mladina tipe III

berdasarkan letak kejadian rhinosinusitis ethmoidalis ......... 30

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4.1.4 Deviasi septum nasi klasifikasi Mladina tipe III sebagai

faktor risiko pada kejadian rhinosinusitis ethmoidalis ......... 31

4.2 Pembahasan ..................................................................................... 32

BAB V KESIMPULAN DAN SARAN ................................................................ 35

5.1 Kesimpulan ...................................................................................... 35

5.2 Saran ................................................................................................ 35

DAFTAR PUSTAKA ........................................................................................... 36

viii

DAFTAR SINGKATAN

CT-Scan : Computed Tomography scan

EPOS : European Position Paper on Rhinosinusitis and Nasal Polyps

IK (95%) : Interval Kepercayaan 95%

KOM : Kompleks Ostiomeatal

OR : Odd Ratio

SPN : Sinus Paranasalis

THT-KL : Telinga Hidung Tenggorok – Kepala Leher

ix

DAFTAR TABEL

Tabel 3.8 Uji odd ratio……..…………………………………………………24

Tabel 4.1.1 Gambaran kejadian rhinosinusitis ethmoidalis………………...…..27

Tabel 4.1.2 Distribusi karakteristik pasien rhinosinusitis ethmoidalis………....28

Tabel 4.1.3 Gambaran kejadian deviasi septum klasifikasi Mladina tipe III.......29

Tabel 4.1.4 Gambaran pasien deviasi septum nasi klasifikasi Mladina tipe III...29

Tabel 4.1.5 Gambaran kejadian deviasi septum nasi klasifikasi Mladina tipe

III berdasarkan letak….………………………...………….............30

Tabel 4.1.6 Uji Statistik odd ratio…………………………………………..…..31

x

DAFTAR GAMBAR

Gambar 2.1.1: Dinding lateral cavum nasi…………………………………….....5

Gambar 2.1.2: Gambaran CT-Scan KOM & sinus paranasalis………..…………7

Gambar 2.3.1: Deviasi septum klasifikasi Mladina………………………...…..13

Gambar 2.4 : Deviasi septum klasifikasi Mladina tipe III potongan axial….....14

Gambar 2.5.1: Penebalan mukosa pada rhinosinusitis kronik…………………..16

xi

DAFTAR LAMPIRAN

Lampiran 1. Data lampiran……………………………………………………39

Lampiran 2. Hasil uji statistik diskriptif………………………………………41

Lampiran 3. Hasil uji statistik odd ratio……...…………………………… .…46

Lampiran 4. Hasil CT-Scan……………………………………………………47

Lampiran 5. Surat keterangan melakukan penelitian……………………….…49