Otitis Media

Supuratif
Akut
Dr. H. Edi Handoko, Sp. THT-KL (K)
Durrotul Ikrimah
0910710007
Irsyad Robani Wihardi
105070106111007

Content
Definisi
Epidemiologi, Etiologi dan Faktor
Predisposisi
Patogenesis dan Patofisiologi

Prosedur Diagnostik

Terapi

Komplikasi

Otitis Media Supuratif Akut

Otitis Media Supuratif Akut

(OMSA) adalah Inflamasi
akut telinga tengah yang
disebabkan organisme
pyogenik

Dhingra, P., 2007. Disease of Ear, Nose and Throat. In:

Disorders of Middle Ear. 4th Edition ed. s.l.:Elsevier, pp.
61-73

Etiologi
35
30

30

25
20
15

20
12

10

Persentase

5
0

Dhingra, P., 2007. Disease of Ear, Nose and Throat.

In: Disorders of Middle Ear. 4th Edition ed.
s.l.:Elsevier, pp. 61-73

Pyogen

Etiologi

Ramakrishnan, K., Sparks, R. A. & Berryhill, W.

E., 2007. Diagnosis and Treatment of Otitis
Media. American Academy of Family Physicians,
Volume 76(Number 11), pp. 1651-1658.

Rute Infeksi

Dhingra, P., 2007. Disease of Ear, Nose and Throat.

In: Disorders of Middle Ear. 4th Edition ed.
s.l.:Elsevier, pp. 61-73

Faktor Predisposisi

Dhingra, P., 2007. Disease of Ear, Nose and Throat.

In: Disorders of Middle Ear. 4th Edition ed.
s.l.:Elsevier, pp. 61-73

Patofisiologi

Dhingra, P., 2007. Disease of Ear, Nose and Throat.

In: Disorders of Middle Ear. 4th Edition ed.
s.l.:Elsevier, pp. 61-73

Dhingra, P., 2007. Disease of Ear, Nose and Throat.

In: Disorders of Middle Ear. 4th Edition ed.
s.l.:Elsevier, pp. 61-73

Kriteria Diagnostik

American Academy of Pediatrics Subcommittee

on Management of Acute Otitis Media. Diagnosis
and management of acute otitis media.
Pediatrics 2004;113:1451-65.

Differential
Diagnosis

Ramakrishnan, K., Sparks, R. A. & Berryhill, W.

E., 2007. Diagnosis and Treatment of Otitis
Media. American Academy of Family Physicians,
Volume 76(Number 11), pp. 1651-1658.

Pemeriksaan Penunjang

Pneumatic Otoscopy

Tympanometry

Ramakrishnan, K., Sparks, R. A. & Berryhill,

W. E., 2007. Diagnosis and Treatment of
Otitis Media. American Academy of Family
Physicians, Volume 76(Number 11), pp.
1651-1658.

Tatalaksana
1.

Antibiotik

2.

Decongestant Nasal
Drops

3.

Oral Nasal Decongestant

4.

Analgetik antipiretik

5.

Ear toilet

6.

Dry Local Heat

Myringotomy

Dhingra,
7.P., 2007. Disease of Ear, Nose and Throat.
In: Disorders of Middle Ear. 4th Edition ed.
s.l.:Elsevier, pp. 61-73

Antibiotik hingga 10 hari

Komplikasi
acute
mastoiditis
labyrinthitis

meningitis

Dhingra, P., 2007. Disease of Ear, Nose and Throat.

In: Disorders of Middle Ear. 4th Edition ed.
s.l.:Elsevier, pp. 61-73

subperiosteal
abscess

Facial paralysis

petrositis

extradural
abscess

brain abscess

lateral sinus
thrombophlebi
tis

Prognosis
80% pasien mencapai fase
resolusi dalam 3 hari.

60% pasien mencapai fase

resolusi dalam 24 jam.
Sebagian kecil mengalami
rekurensi otitis media akut (3
kali dalam 6 bulan atau 4 kali
dalam 12 bulan)

Bradley-Stevenson C, O'Neill P, Roberts T. Otitis

media
in children (acute). BMJ Clin Evid 2007;12:301.

Terimakasih

Dhingra, P., 2007. Disease of Ear, Nose and Throat.

In: Disorders of Middle Ear. 4th Edition ed.
s.l.:Elsevier, pp. 61-73