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All Journal Medic Nutricia : Jurnal Ilmu Kesehatan Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Hastuti Rahmi
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Biochemistry, Genetics & Molecular Biology Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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OTITIS MEDIA SUPURATIF KRONIK BILATERAL Asri Choirun Nisa; Ika Yuliartanti Maryono; Hastuti Rahmi
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 10 No. 2 (2025): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v10i2.10453

Abstract

Background: Chronic Suppurative Otitis Media (CSOM) is a long-term bacterial infection of the middle ear, with perforation of the tympanic membrane and otorrhea that lasting more than 2 weeks. The prevalence of CSOM in the world is around 65-330 million people and 60% of them experience significant hearing loss. Objective: This case report aims to provide a diagnostic overview and management of a patient with bilateral chronic suppurative otitis media at Arjawinangun Regional General Hospital. Case Report: A case is reported of a 58-year-old woman. The patient came with complaints of discharge from both ears and both ears felt plugged, painful and itchy. The patient had a history of ruptured eardrums in both ears 5 years ago and never came to follow up to the hospital. Examination of the right and left ears found secretions and subtotal perforation of the tympanic membrane. The patient was given treatment, Paracetamol 500 mg, Ofloxacin Eardrops ADS, Amoxicillin 500 mg. The patient was asked to come again for observation and additional examinations. Conclusion: The management of CSOM takes a long time and must be repeated, because the secretions that come out do not dry quickly or always recur. Chronic suppurative otitis media has a good prognosis if the infection can be controlled. Latar Belakang: Otitis Media Supuratif Kronik (OMSK) adalah infeksi bakteri yang berlangsung lama dan seringkali berulang pada telinga bagian tengah, dengan adanya perforasi membran timpani dan otore yang berlangsung lebih dari 2 minggu. Prevalensi OMSK di dunia sekitar 65-330 juta orang dan 60% di antaranya menderita gangguan penurunan pendengaran yang signifikan. Tujuan: Laporan kasus ini bertujuan untuk memberikan gambaran diagnostik dan penatalaksanaan pada pasien otitis media supuratif kronis bilateral di Rumah Sakit Umum Daerah Arjawinangun. Laporan Kasus: Dilaporkan kasus seorang wanita berusia 58 tahun. Pasien datang dengan keluhan keluar cairan dari kedua telinga dan kedua telinganya terasa penuh, sakit dan gatal. Pasien memiliki riwayat kedua gendang telinga robek 5 tahun yang lalu dan tidak pernah kontrol ke rumah sakit. Pada pemeriksaan telinga kanan dan kiri didapati adanya sekret dan membran timpani perforasi subtotal. Pasien diberikan pengobatan berupa Parasetamol 500 mg, Tetes telinga ofloksasin ADS, dan Amoksisilin 500 mg. Pasien diminta kontrol untuk observasi dan dilakukan pemeriksaan tambahan. Kesimpulan: Tatalaksana pada OMSK membutuhkan waktu yang tidak sebentar dan harus berulang, karena sekret yang keluar tidak cepat kering atau selalu kambuh lagi. Otitis media supuratif kronik memiliki prognosis yang baik jika infeksi dapat dikendalikan.
Tinjauan Pustaka: Otitis Media Akut Angela Ramanda P.; Indah Rahmawati; Hastuti Rahmi
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6062

Abstract

Acute Otitis Media (AOM) is one of the most common pediatric ear infections and may lead to significant complications when not diagnosed and managed appropriately. This literature review aims to summarize current evidence regarding the diagnostic approach and management of AOM. A structured search was conducted through PubMed, ScienceDirect, and Google Scholar, focusing on publications from the last ten years. The diagnosis of AOM is primarily established through clinical symptoms such as otalgia, fever, and irritability, supported by otoscopic findings including middle ear effusion, tympanic membrane erythema, or bulging. Adjunctive tools such as pneumatic otoscopy and tympanometry may improve diagnostic accuracy in selected cases. Management strategies emphasize assessing disease severity to determine the need for antibiotics. Amoxicillin remains the first-line therapy, while a watchful waiting strategy is recommended for mild, uncomplicated cases. Supportive therapy, particularly analgesics, plays a crucial role in minimizing patient discomfort. In recurrent or persistent cases, evaluation of contributing risk factors such as allergic rhinitis, passive smoke exposure, and eustachian tube dysfunction is essential. This review highlights that accurate diagnosis and rational treatment selection are key to preventing complications and reducing recurrence rates in AOM.
Laporan Kasus: Rinitis Alergi dengan Hipertrofi Adenoid Reihana Tasya Vunna Salipu; Hastuti Rahmi; Dhinasty Armenia W
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6226

Abstract

Introduction: Allergic rhinitis is an inflammation of the nasal mucosa triggered by allergens, leading to symptoms such as sneezing, nasal congestion, and excessive nasal discharge. Adenoid hypertrophy is the enlargement of the adenoid glands in the nasopharynx, commonly occurring in children, which can result in breathing difficulties and upper respiratory infections. These two conditions often coexist in children and impact their quality of life, particularly in terms of breathing and sleep. In Indonesia, the prevalence of allergic rhinitis is estimated to be around 38%. Case Report: An 8-year-old girl patient came to the ENT clinic at RSUD Kabupaten Bekasi with the main complaint of nasal congestion for more than a week. This was accompanied by a cough, nasal discharge and itching, sore throat, sneezing, and snoring during sleep. Endoscopic examination revealed eutrophic inferior and middle turbinates, mucous secretion, and hypertrophy of the adenoid covering the torus tubarius. The patient was diagnosed with allergic rhinitis and adenoid hypertrophy and was treated with nasal corticosteroid spray, antihistamines, decongestants, expectorants, and advised to avoid allergens such as dust. Conclusion: Adenoid hypertrophy with allergic rhinitis can cause upper airway obstruction and sleep disturbances, such as obstructive sleep apnea syndrome (OSAS), which affects physical and cognitive development and requires appropriate management. Management of adenoid hypertrophy can be pharmacological or surgical, depending on the patient's clinical symptoms. Allergic rhinitis can be treated with antihistamines, nasal corticosteroid spray, and avoidance of allergens.
Polip Antrokoanal Angiomatosa pada Remaja 17 Tahun di RSUD Pasar Rebo Agisni Kartika Rachmadini; Indah Trisnawaty; Hastuti Rahmi
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6666

Abstract

Antrochoanal polyps are solitary lesions originating from the maxillary sinus and extending into the nasal cavity and nasopharynx. The angiomatous variant is rare and is characteristically associated with recurrent epistaxis due to prominent vascular proliferation within the polyp. We report a case of a 17-year-old male who presented with recurrent epistaxis for four months, accompanied by nasal obstruction and frequent sneezing. Nasoendoscopic examination revealed a friable mass in the left middle meatus with a tendency to bleed on contact. Computed tomography (CT) scan demonstrated a hyperdense mass measuring approximately 1.5 × 2.2 × 2.7 cm occupying the left nasal cavity and extending into the left maxillary sinus, without evidence of bony destruction. Histopathological examination confirmed the diagnosis of an angiomatous antrochoanal polyp. The patient initially received conservative medical management aimed at maintaining nasal cavity hygiene, including 0.9% normal saline irrigation, loratadine 10 mg, and cefixime 200 mg, along with education regarding proper nasal hygiene. Definitive treatment was subsequently performed with left-sided Functional Endoscopic Sinus Surgery (FESS). Intraoperative findings a reddish polipoid mass that bled easily was observed, and postoperatively the nasal cavity appeared patent with no residual mass. This case is consistent with the literature, which states that antrochoanal polyps are more common in children and adolescents, are typically unilateral, and that definitive treatment is endoscopic surgery with a good prognosis, although the risk of recurrence remains.
Co-Authors Agisni Kartika Rachmadini Angela Ramanda P. Asri Choirun Nisa Dhinasty Armenia W Ika Yuliartanti Maryono Indah Rahmawati Indah Trisnawaty Reihana Tasya Vunna Salipu