Otitis Media Supuratif Kronik pada Anak

Abstract

Otitis media supuratif kronik (OMSK) merupakan masalah pada anak dan remaja yang berdampak pada fisik, sosial serta psikologis dan mempunyai prevalensi yang tinggi. Kondisi ini merupakan proses peradangan akibat infeksi mukoperiosteum rongga telinga tengah yang ditandai oleh perforasi membran timpani dan keluar sekret yang terus menerus atau hilang timbul selama 3 bulan, serta dapat menyebabkan perubahan patologik yang permanen. Tujuan penelitian mengetahui gambaran OMSK pada anak. Penelitian dilakukan secara deskriptif retrospektif di poliklinik Otologi Departemen Ilmu Kesehatan Telinga Hidung Tenggorokan-Kepala Leher (THT-KL) RSUP Dr. Hasan Sadikin Bandung periode Januari 2012–Desember 2013. Diagnosis ditegakkan berdasarkan anamnesis dan pemeriksaan fisis. Didapatkan pasien OMSK anak laki-laki 53% dan pasien anak perempuan 47%. Jumlah OMSK tipe benigna 83% dan tipe maligna 17%. Komplikasi terbanyak OMSK pada anak adalah mastoiditis 32%. Angka putus berobat pada pasien anak dengan OMSK sebesar 60%. Simpulan, penderita OMSK pada anak lebih banyak pada laki-laki tipe benigna dan angka pasien putus berobat masih banyak ditemukan.

CHRONIC SUPPURATIVE OTITIS MEDIA IN CHILDREN

Chronic supurative otitis media (CSOM) is a common problem among children and adolescent that give physical, social, and psycological effect, and its prevalence was quite a lot. It is a process of inflammation due to infection of middle ear mucoperiosteum which cause the perforation of timpanic membran, the drainage of ear for at least three months duration, that also could cause middle ear permanent pathological changes. The aim of the study was to provide characteristic of CSOM in pediatric patients. This study was retrospective descriptive study that was conducted at Otology Clinic of Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) Departement Dr. Hasan Sadikin General Hospital. This study was a retrospective descriptive study that was conducted during the period of January 2012–December 2013. Diagnoses were made from anamnesis and physical examination. There were boys 53% and girls 47% that had CSOM. Eighty three patients were having benign CSOM, then others 17% were having malignant one. It was also known that the most complication was mastoiditis 32%. The drop out number of patients was 60%. In conclusions, there are more boys than girls that have CSOM and benign CSOM are more frequent than malignant ones. The insidence of drop out is quite many.