Skripsi

Karakteristik dan Profil Pasien Otitis Media Supuratif Kronik dengan Gangguan Fungsi Tuba Eustachius Tahun 2020-2022 di RS Dr. Cipto Mangunkusumo = Characteristics and Profile of Chronic Supurative Otitis Media Patients With Eustachious Tube Function Impairment Year 2020-2022 at Dr. Cipto Mangunkusumo Hospital.

Latar Belakang Indonesia adalah negara dengan prevalensi Otitis Media Supuratif Kronik (OMSK) yang tinggi. Profil dan karakteristik pasien penting untuk diketahui demi deteksi dini dan tatalaksana yang baik. Tidak adanya penelitian serupa di RSCM menyebabkan penelitian mengenai profil dan karakteristik pasien OMSK dengan gangguan fungsi tuba eustachius yang berfokus pada usia, jenis kelamin, keluhan utama, tipe OMSK, dan tatalaksana di RSCM perlu dilakukan. Metode Penelitian ini merupakan studi deskriptif cross sectional menggunakan rekam medis. Subjek penelitian adalah pasien OMSK dengan gangguan fungsi tuba eustachius yang melakukan operasi timpanoplasti atau timpanomastoidektomi di poli otologi KSM THTKL RSCM tahun 2020—2022. milihan tahun mempertimbangkan data yang sudah dapat ditelusuri melalui Electronic Medical Record. Hasil Diambil data 78 pasien setelah dilakukan seleksi elegibilitas. Temuan terbanyak antara lain: usia >18 tahun (81%), wanita (56%), keluhan utama otorea (81%), tipe OMSK bahaya (59%). Tatalaksana sebelum berobat di RSCM didominasi nonoperatif (81%). Tatalaksana di RSCM yang bersifat nonoperatif secara berurutan ialah cuci telinga (100%), antibiotik sistemik (100%), antibiotik topikal (96%), dan kortikosteroid topikal (28%) sedangkan tatalaksana operatif berupa timpanomastoidektomi (59%) dan timpanoplasti (41%). Kesimpulan Temuan profil dan karakteristik pasien OMSK dengan gangguan tuba eustachius di RSCM didominasi usia dewasa, wanita, keluhan utama otorea, dan tipe OMSK bahaya. Tatalaksana pra-RSCM didominasi nonoperatif sedangkan tatalaksana di RSCM nonoperatif didominasi cuci telinga dan antibiotik sistemik sedangkan operatif didominasi timpanomastoidektomi.
Kata Kunci: Jenis Kelamin, Keluhan Utama, OMSK, Tatalaksana, Usia


Introduction Indonesia is a country with a high prevalence of Chronic Suppurative Otitis Media. Knowing the patient’s profile and characteristics for early detection and management is important. The absence of similar research at RSCM means that research regarding the profile and characteristics of CSOM patients with eustachian tube dysfunction at RSCM needs to be carried out—ultimately focusing on age, gender, major complaint, type of CSOM, and management. Method This research is a cross-sectional descriptive study using medical records. The subjects were CSOM patients with eustachian tube impairment who underwent tympanoplasty or tympanomastoidectomy surgery at ENT-Head and Neck Surgery RSCM in 2020—2022. The year selections were made considering the application of the hospital's Electronic Health Record. Results 78 data were used after eligibility selection. The most common findings include: age > 18 years (81%), women (56%), major complaint of otorrhea (81%), dangerous type of CSOM (59%). Management before treatment at RSCM is predominantly non-operative (81%). Non-operative treatments at RSCM are sequentially ear washing (100%), systemic antibiotics (100%), topical antibiotics (96%), and topical corticosteroids (28%) while operative treatments are tympanomastoidectomy (59%) and tympanoplasty (41 %). Conclusion The profile and characteristics of CSOM patients with eustachian tube disorders at RSCM are dominated by adult, women, major complaint otorrhea, and dangerous type of CSOM. Pre-RSCM management was predominantly non-operative. Non-operative management at RSCM was dominated by ear washing and systemic antibiotics, while operative management was dominated by tympanomastoidectomy.
Keywords: Age, CSOM, Gender, Major Complaint, Management