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All Journal Medic Nutricia : Jurnal Ilmu Kesehatan Jurnal Kesehatan dan Kedokteran
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.
CASE REPORT: CHRONIC SUPPURATIVE OTITIS MEDIA BILATERAL Syifa Fadlilah, Syifa Fadlilah; Indah Trisnawaty; Hastuti Rahmi
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2456

Abstract

Chronic Suppurative Otitis Media (CSOM) is a persistent middle ear infection characterized by tympanic membrane perforation and prolonged or recurrent ear discharge lasting more than two months. Objective: This case report aims to analyze the clinical presentation and management approach in a patient with CSOM, as well as to evaluate the success of type II endoscopic tympanoplasty in repairing tympanic membrane perforation and restoring hearing function. Methodology: This case study utilized a qualitative approach, collecting data through physical examination, audiometric testing, and CT imaging to assess the condition of the patient's ears. The patient underwent type II endoscopic tympanoplasty on the right ear. Findings: A 52-year-old female patient presented with bilateral ear discharge for two months, mild conductive hearing loss in the right ear (39 dB threshold), and normal hearing in the left ear (24 dB threshold) with slight reductions at frequencies ≤1000 Hz and ≥4000 Hz. CT imaging revealed mucosal thickening in the Prussak space and bilateral mastoid air cells with sclerotic edges, with no cholesteatoma detected. After type II endoscopic tympanoplasty, the patient showed significant improvement, with the cessation of ear discharge and no major complications. Implications: This case highlights the importance of early diagnosis and timely intervention in managing CSOM, demonstrating that type II endoscopic tympanoplasty is an effective, minimally invasive surgical option to repair tympanic membrane perforations and prevent further complications, such as more severe hearing loss. Novelty and Contribution: This case report provides a new contribution to the management of safe type CSOM, emphasizing the success of type II endoscopic tympanoplasty as a less invasive surgical alternative to traditional methods, especially for patients with mild conductive hearing loss and recurrent ear infections.
Co-Authors Asri Choirun Nisa Ika Yuliartanti Maryono Indah Trisnawaty Syifa Fadlilah, Syifa Fadlilah