Gambaran Keluhan Telinga dan Letak Perforasi Membran Timpani pada Pasien dengan Otitis Media Supuratif Kronis

Tenty Tenty, Fernando Nathaniel, Dean Ascha Wijaya, Yohanes Firmansyah

Sari


ABSTRACT

 

Chronic Suppurative Otitis Media (CSOM) is a persistent inflammation of the middle ear. It is one of the most common ear infections worldwide, leading to hearing impairment and affecting people's quality of life. This study, conducted at Ciawi General Hospital in July 2023, is a cross-sectional investigation aiming to outline the ear-related complaints and the location of tympanic membrane perforations in patients with CSOM. The participants were selected based on total sampling criteria. The variables examined in this research include age, gender, perceived symptoms, and physical examination of both ears to identify the type of perforation in the tympanic membrane. The data is presented descriptively. Out of the 53 respondents, 56.6% were between 18 and 64 years old, with a higher proportion being female (52.8%). The most commonly reported symptoms by respondents (>50% of cases) with CSOM were a sense of fullness in the ear, hearing loss, tinnitus, otorrhea, and itching in the ear. According to the results of the physical examination, the most prevalent type of perforation was central perforation, occurring in 98.1% of cases, and 88.7% of cases showed ear discharge. The conclusion in this study is that CSOM has general symptoms accompanied by central perforation and symptoms of ear discharge.

 

Keywords: Chronic Suppurative Otitis Media, Hearing Loss, Otorrhea, Perforation

 

 

ABSTRAK

 

Otitis media supuratif kronis (OMSK) merupakan suatu peradangan pada telinga tengah yang berlangsung kronis. OMSK termasuk infeksi telinga paling umum yang menyebabkan gangguan pendengaran dan mempengaruhi kualitas hidup seseorang di seluruh dunia. Penelitian potong lintang ini bertujuan untuk mengetahui gambaran keluhan telinga dan letak perforasi membran timpani pada pasien dengan OMSK di RSUD Ciawi yang dipilih sesuai kriteria secara total sampling pada periode waktu Juli 2023. Variabel yang digunakan dalam penelitian ini yaitu usia, jenis kelamin, gejala yang dirasakan, serta pemeriksaan fisik pada kedua telinga untuk melihat jenis perforasi pada membran timpani. Data disajikan dalam bentuk deskriptif. Dari 53 responden, 56,6% responden berusia 18 – 64 tahun dan didominasi oleh perempuan (52,8%). Gejala yang paling sering dirasakan oleh responden (>50% kasus) dengan OMSK adalah telinga terasa penuh, penurunan pendengaran, tinnitus, otorea, serta telinga yang terasa gatal. Berdasarkan hasil pemeriksaan fisik didapatkan bahwa jenis perforasi yang paling dominan adalah perforasi sentral pada 98,1% kasus dan terdapat sekret telinga pada 88,7% kasus. Kesimpulan pada penelitian ini adalah OMSK memiliki gejala yang umum disertai dengan perforasi sentral dan gejala sekret telinga

 

Kata Kunci: Otitis Media Supurativa Kronis, Otorea, Penurunan Pendengaran, Perforasi


Teks Lengkap:

Download Artikel

Referensi


Afolabi, O. A., Fadare, J. O., Omokanye, H. K., Olatoke, F., Odi, T. O., Saka, M. J., & Adaranijo, R. K. (2014). Socioeconomic challenges of chronic suppurative otitis media management in state tertiary health facility in Nigeria. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 15(1), 17–22. https://doi.org/10.1016/j.ejenta.2013.07.002

Ajmath, S., Kulkarni, N. K., & Hanumanthrao, A. V. S. (2020). Clinical and Radiological Study of Atticoantral Type of Chronic Suppurative Otitis Media. Journal of Evolution of Medical and Dental Sciences, 9(51), 3837. gale.com/apps/doc/A647361501/AONE?u=anon~3661e1a7&sid=googleScholar&xid=d1b5b47c

Brennan-Jones, C. G., Head, K., Chong, L.-Y., Burton, M. J., Schilder, A. G., & Bhutta, M. F. (2020). Topical antibiotics for chronic suppurative otitis media. Cochrane Database of Systematic Reviews, 2020(1). https://doi.org/10.1002/14651858.CD013051.pub2

Chung, J. H., Lee, S. H., Woo, S.-Y., Kim, S. W., & Cho, Y.-S. (2016). Prevalence and associated factors of chronic suppurative otitis media: Data from the Korea National Health and Nutrition Examination Survey, 2009-2012. The Laryngoscope, 126(10), 2351–2357.https://doi.org/10.1002/lary.25981

da Costa Monsanto, R., Kasemodel, A. L. P., Tomaz, A., & de Oliveira Penido, N. (2020). Subjective Visual Vertical Testing in Patients With Chronic Suppurative Otitis Media. Otolaryngology–Head and Neck Surgery, 163(5), 10181024.https://doi.org/10.1177/0194599820931491

Emmett, S. D., Kokesh, J., & Kaylie, D. (2018). Chronic Ear Disease. Medical Clinics of North America, 102(6), 1063–1079. https://doi.org/10.1016/j.mcna.2018.06.008

Filipe, M., Karppinen, M., Kuatoko, P., Reimer, Å., Riesbeck, K., & Pelkonen, T. (2020). Suppurative otitis media in Angola: clinical and demographic features. Tropical Medicine & International Health, 25(10), 12831290.https://doi.org/10.1111/tmi.13466

Head, K., Chong, L.-Y., Bhutta, M. F., Morris, P. S., Vijayasekaran, S., Burton, M. J., Schilder, A. G., & Brennan-Jones, C. G. (2020). Topical antiseptics for chronic suppurative otitis media. Cochrane Database of Systematic Reviews, 2020(1). https://doi.org/10.1002/14651858.CD013055.pub2

Homøe, P., Kværner, K., Casey, J. R., Damoiseaux, R. A. M. J., van Dongen, T. M. A., Gunasekera, H., Jensen, R. G., Kvestad, E., Morris, P. S., & Weinreich, H. M. (2017). Panel 1: Epidemiology and Diagnosis. Otolaryngology–Head and Neck Surgery, 156(S4). https://doi.org/10.1177/0194599816643510

Jensen, R. G., Koch, A., & Homøe, P. (2013). The risk of hearing loss in a population with a high prevalence of chronic suppurative otitis media. International Journal of PediatricOtorhinolaryngology, 77(9),15301535.https://doi.org/10.1016/j.ijporl.2013.06.025

Khadkekar, S., Benny, L. M., Gujrathi, A. B., Gadpayale, N., & Paikrao, Y. (2021). A systematic review of complications of attico-antral type of chronic suppurative otitis media in our region. International Journal of Otorhinolaryngology and Head and Neck Surgery, 7(10), 1636. https://doi.org/10.18203/issn.2454-5929.ijohns20213898

Kombade, S., Kaur, N., Patro, S., & Nag, V. (2021). Clinico-bacteriological and antibiotic drug resistance profile of chronic suppurative otitis media at a tertiary care hospital in Western Rajasthan. Journal of Family Medicine and Primary Care, 10(7), 2572. https://doi.org/10.4103/jfmpc.jfmpc_2480_20

Nemati, S., Jafari Shakib, R., Shakiba, M., Araghi, N., & Azimi, S. Z. (2015). Allergic Rhinitis in Adults with Chronic Suppurative Otitis Media. Iranian Journal of Otorhinolaryngology, 27(81), 261266.http://www.ncbi.nlm.nih.gov/pubmed/26788473

Orji, F. T., Ukaegbe, O., Alex-Okoro, J., Ofoegbu, V. C., & Okorafor, I. J. (2016). The changing epidemiological and complications profile of chronic suppurative otitis media in a developing country after two decades. European Archives of Oto-Rhino-Laryngology, 273(9), 2461–2466.https://doi.org/10.1007/s00405-015-3840-1

Rosa-Olivares, J., Porro, A., Rodriguez-Varela, M., Riefkohl, G., & Niroomand-Rad, I. (2015). Otitis Media: To Treat, To Refer, To Do Nothing: A Review for the Practitioner. Pediatrics in Review, 36(11), 480–488. https://doi.org/10.1542/pir.36-11-480

Rosario, D. C., & Mendez, M. D. (2023). Chronic Suppurative Otitis. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK554592/

Schilder, A. G. M., Chonmaitree, T., Cripps, A. W., Rosenfeld, R. M., Casselbrant, M. L., Haggard, M. P., & Venekamp, R. P. (2016). Otitis media. Nature Reviews Disease Primers, 2(1), 16063. https://doi.org/10.1038/nrdp.2016.63

Uddén, F., Filipe, M., Reimer, Å., Paul, M., Matuschek, E., Thegerström, J., Hammerschmidt, S., Pelkonen, T., & Riesbeck, K. (2018). Aerobic bacteria associated with chronic suppurative otitis media in Angola. Infectious Diseases of Poverty, 7(1), 42. https://doi.org/10.1186/s40249-018-0422-7

Yorgancılar, E., Yıldırım, M., Gun, R., Bakır, S., Tekın, R., Gocmez, C., Merıc, F., & Topcu, I. (2013). Complications of chronic suppurative otitis media: a retrospective review. European Archives of Oto-Rhino-Laryngology, 270(1), 69–76.https://doi.org/10.1007/s00405-012-1924-8

Yung, M., Tono, T., Olszewska, E., Yamamoto, Y., Sudhoff, H., Sakagami, M., Mulder, J., Kojima, H., Incesulu, A., Trabalzini, F., & Ozgirgin, N. (2017). EAONO/JOS Joint Consensus Statements on the Definitions, Classification and Staging of Middle Ear Cholesteatoma. The Journal of International Advanced Otology, 13(1), 1–8. https://doi.org/10.5152/iao.2017.3363




DOI: https://doi.org/10.33024/mahesa.v3i10.11205

Refbacks

  • Saat ini tidak ada refbacks.


Publisher: Universitas Malahayati Lampung


Creative Commons License
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License


kostenlose besucherzähler