ABSTRACT

INTRAOPERATIVE FINDINGS OF CHRONIC SUPURATIVE OTITIS

MEDIA (CSOM) WITH CHOLESTEATOMA IN DEPARTEMENT OF
OTORHINOLARYNGOLOGY RSUP DR. MOHAMMAD HOESIN
PALEMBANG IN 1 JULY 2011 UNTIL 30 JUNE 2013
(Widya Tria Kirana, Faculty of Medicine Sriwijaya University 2014, pages)
Background: CSOM is chronic inflammation in middle ear and mastoid more than
three months, characterized by the release of secretions in the ear through the
tympanic membrane perforation has previously happened. CSOM with cholesteatoma
(atticoantral type or maligna) can cause life-threatening complications as a result of
damage by granulation tissue and cholesteatoma. One of management CSOM with
cholesteatoma is through operative procedure. Currently, there is no recent research
data on intraoperative findings in OMSK with cholesteatoma.
Research Objectives: Knowing the descriptions of intraoperative findings with
cholesteatoma in Dr. Mohammad Hoesin Palembang period July 1, 2011 through
June 30, 2013
Method: Type of study used is descriptive observational study. Subjects were patients
with a diagnosis of CSOM with cholesteatoma who were operated at the Department
of otorhinolaryngology Dr. Mohammad Hoesin Palembang period July 1, 2011
through June 30, 2013 who were appropriate based on inclusion criteria.
Result: CSOM with cholesteatoma is mostly found in female (59%) and belongs to
the age group of 18-40 years (51,3%) then living outside of Palembang (56,4%). Ear
surgery is frequently on right ear (59%). Total perforation is most frequently occurred
(51.3%) with the tympanic cavity mucosa granulation (46,2%). Patients with
abnormal bone loss occurs most (48.7%) and 38.5% had ossicular fixation. Extensive
gradation of cholesteatoma in stage 3 and 4 are more common (23.1%). Intratemporal
complications more often suffered by patients (53.8%).
Conclusion: CSOM with cholesteatoma mostly occurred in female with range of age
between 18-40 years old. In tympanic cavity, total perforation and mucosa
granulation is most frequently occurred. Patients had abnormal bone loss and
ossicular fixation. Extensive gradation of cholesteatoma in stage 3 and 4 are more
common. Intratemporal complications more often suffered by patients.
Keyword: CSOM, cholesteatoma, perforation, extensive gradation