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1Department of OtorhinolaryngologyHead and Neck surgery Faculty of Medicine Udayana University/Sanglah General Hospital Denpasar, Bali, Indonesia. 2Departement of Internal Medicine Faculty of Medicine Udayana University, Sanglah General Hospital Denpasar, Bali, Indonesia. 3Pathobiology Laboratory of Faculty of Veterinary MedicineUdayana University, Bali, Indonesia. 4Department of Histology Faculty of Medicine Udayana University, Bali, Indonesia. 5Department of Public Health, Faculty of Health, Science and Technology, Dhyana Pura University, Bali, Indonesia. *Corresponding author E-mail: madelelyrahayu@gmail.com

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