KARAKTERISTIK GEJALA KLINIS PASIEN OTITIS MEDIA SUPURATIF KRONIK TIPE BAHAYA DI BAGIAN TELINGA HIDUNG TENGGOROK KEPALA LEHER RSUP DR. MOHAMMAD HOESIN PALEMBANG PERIODE JUNI 2009-JUNI 2011

PRIMASARI, ZELFI and Zuleika, Puspa and Hayati, Lusia (2012) KARAKTERISTIK GEJALA KLINIS PASIEN OTITIS MEDIA SUPURATIF KRONIK TIPE BAHAYA DI BAGIAN TELINGA HIDUNG TENGGOROK KEPALA LEHER RSUP DR. MOHAMMAD HOESIN PALEMBANG PERIODE JUNI 2009-JUNI 2011. Undergraduate thesis, Sriwijaya University.

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Abstract

Background: Chronic Suppurative Otitis Media (CSOM) is a chronic inflammation in middle ear that marked hy the presence of perforation on tympanic membrcme and history of discharge from ear more than 2 months. Unscrfe CSOM is CSOM with cholesteatoma and causes extra cranial and intracranial complications. The aim of this study w as to assess the characteristics of clinical sign in patients of unsafe chronic suppurative otitis media. Method: A descriptive cross-sectional study was conducted with some variables such as sex, age, residence, perforation of tympanic membrane, X-ray mastoid and Ct-Sccm examination, complication and surgical intervention. Population and samples of study were all of unsafe CSOM patient's medical record that hospitalized at Department of ENT Head and Neck Surgery Mohammad Hoesin Hospital during 01 June 2009-30 June 2011. Data was entered in distributive frequency using Statistical Package for the Social Sciences version 18. Results: During this study, there were 73 cases and only 55 cases were appropriate based on inclusion criteria. The amount of male patients (56.4%) and females (43.6%). The age was grouped into 16-30years (29.1%), <15years (27.3%), 31-45 years (25.5%), 46-60 y ear s (16.4%) and >60 years (1.8%). Patients came from outside of Palembang (56.4%) and Palembang (43.6%). Total perforation (72.7%), subtotal (20%), attic (5.5%) and marginal (1.8%). X-ray examination and CT-Sccm finding were mastoiditis chronic sclerotic (96.3 %), cholesteatom(67.2%), bone destruction (21.8%), subdural abcess (1.8%). Extra cranial complication was (90.9%>) which most type was conductive hearing lost (60%) and intracranial complication was (9.1%). Surgical intervention was radical mastoidectomy (45.5%), modified radical mastoidectomy (43.6%) mastoidectomy+tympanoplasty (10.9%). Conclusion: Most of patients were males (56.4%) and belongs to the age group of 16-30 years (29.1%), then came from outside Palembang (56.4%>). The most perforation of tympanic membrane was total perforation (72.7%) with mastoiditis chronic sclerotic (93.6%) found in X-ray and CT-Scan examination. Most complication was extra cranial (90.9%)which most type was conductive hearing lost (60%) and surgical intervention wasradical mastoidectomy (45.5%). Total perforation of tympanic membrane in patient CSOM can be used as predictor of unsafe CSOM so that early diagnosis and refferal to ENT head and neck surgery can be done immidiately. On the other hand, hearing lost could be used as indicator for unsafe CSOM.

Item Type:	Thesis (Undergraduate)
Uncontrolled Keywords:	Unscrfe Chronic Suppurative Otitis Media, clinical signs, complication, intervention.
Subjects:	R Medicine > R Medicine (General) > R5-920 Medicine (General)
Divisions:	04-Faculty of Medicine > 11201-Medicine (S1)
Depositing User:	Mrs Furika Furika
Date Deposited:	30 Sep 2022 06:49
Last Modified:	30 Sep 2022 06:49
URI:	http://repository.unsri.ac.id/id/eprint/80148

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