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All Journal Medula Jurnal Medika Hutama JK Unila (Jurnal Kedokteran Universitas Lampung) Prosiding Konferensi Nasional PKM-CSR Majority Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Mukhlis Imanto
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Otitis Media Supuratif Kronik Auris Dextra Tipe Aman Fase Aktif Pada Anak Usia 2 Tahun : Sebuah Laporan Kasus Indah Kurnia Putri Waruwu; Mukhlis Imanto
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1971

Abstract

Benign-type chronic suppurative otitis media (CSOM) is a chronic middle ear infection characterized by a central tympanic membrane perforation and persistent otorrhea without cholesteatoma, with inflammation limited to the middle ear mucosa. Benign-type CSOM cases in children under 3 years of age are rarely reported, despite this age group having a high risk of recurrent ear infections due to the immature anatomy of the Eustachian tube, which is shorter, wider, and more horizontal compared to that of adults. We report a case of a 2-year-old boy who presented to the ENT Outpatient Clinic of Dr. H. Abdul Moeloek Regional General Hospital, Lampung Province, with a 2-month history of yellowish-white discharge from the right ear. The complaint was accompanied by hearing loss, indicated by the child not turning his head when called from behind. History-taking revealed six episodes of recurrent upper respiratory tract infection (URTI) within the past year, as well as exposure to cigarette smoke from the patient's father at home. Both conditions were significant risk factors contributing to the development of CSOM. Otoendoscopic examination revealed a subtotal central perforation of the pars tensa of the right tympanic membrane without cholesteatoma, establishing the diagnosis of active benign-type CSOM. The patient received aural toilet with 3% hydrogen peroxide for 3–5 days to clear the discharge, followed by topical ofloxacin 0.3% for 14 days. Parental education was provided regarding proper medication administration, keeping the ear dry, and avoiding cigarette smoke exposure. Accurate diagnosis and appropriate management are essential to prevent hearing impairment and delayed speech and language development in children.
Co-Authors Aironi Irsyahma Aisyah Lubis Anggraeni Janar Wulan Ari Wahyuni Arilinia Pratiwi Diana Mayasari Dinni Istiqomah Dyah Wulan Sumekar Dyah Wulan Sumekar RW Ety Apriliana Farhan Ridho Pangestu Helmi Ismunandar Indah Kurnia Putri Waruwu Intan Fajar Ningtyas Intan Nurhaliza Nurhaliza Intanri Kurniati Isnida Shela Arlovi Jhons Fatriyadi Suwandi M. Farhan Rozak Mai Rista Nila Sari Muchammad Aqsa Enrico Ricardo Muhammad Yusran Muhartono Muhartono Nabila Rayhan Yasmin Nadia Rosmalia Dewi Nisrina Aulia Amirah Rani Himayani Rasmi Zakiah Oktarlina Reni Zuraida Retno Ariza Rizky Hanriko Rr Astri Nur Azizah Utama Salsabila Dwi Irga Syarif Septia Eva Lusiana TA Larasati Tondi Rosalinda Mandalahi Tri Umiana Soleha Tri Umiana Soleha Wildan Kautsar Irawan Wulan Noventi Yona Arisena Magdalena Silitonga