Otitis Media Supuratif Kronis

Question 1

Otitis Media Supuratif Kronis

Answer 1

Keluar cairan >8 minggu + perforasi MT

Question 2

OMSK (2)

Answer 2

Benign/aman/safe/tubotimpani
Maligna/bahaya/dangerous/atikoantral

Question 3

OMSK Benign/aman/safe/tubotimpani

Answer 3

3S
Safe Sentral Subtotal

Question 4

Otoskopi OMSK Benign/aman/safe/tubotimpani

Answer 4

Perforasi MT sentral pars tensa/subtotal

Kolesteatom (-)

Question 5

OMSK Benign/aman/safe/tubotimpani: Tenang

Answer 5

Sekret (-)

Rujuk → Miringoplasti (Timpanoplasti tipe I)

Question 6

OMSK Benign/aman/safe/tubotimpani: Aktif

Answer 6

Sekret (+)

Tx
Ear toilet H2O2 3% 3-5 hari
AB topikal (ofloksasin)
AB oral (golongan penisilin (amoksisilin), eritromisin)

Question 7

OMSK Maligna/bahaya/dangerous/atikoantral

Answer 7

MAM Telur
Maligna Atik Marginal Total

Question 8

Otoskopi OMSK Maligna/bahaya/dangerous/atikoantral

Answer 8

Perforasi MT marginal pars tensa/total/atik

Kolesteatom (+) → keratosis obsturans

Question 9

Tx OMSK Maligna/bahaya/dangerous/atikoantra

Answer 9

Rujuk → Mastoidektomi radikal

Question 10

Komplikasi OMSK (3)

Answer 10

Intratemporal
Ekstratemporal
Intrakranial

Question 11

Komplikasi OMSK Intratemporal

Answer 11

• Mastoiditis
  Tanda radang retroauricular
• Labirinitis
  Vertigo, tuli, tinitus
• Petrositis
  Parese N. VI (n. abducens)

Question 12

Komplikasi OMSK Ekstratemporal

Answer 12

Demam (+), fluktuasi (+)

• Abses Bezold
  Abses di m. sternocleidomastoideus
• Abses Citeli
  Abses di occipital
• Abses Zygomaticum
  Abses di zygomaticum
• Tx
  Insisi drainase

Question 13

Komplikasi OMSK Intrakranial

Answer 13

• Abses Otak
• Meningitis
• Thromboflebitis sinus sigmoid

Question 14

Tx Definitif/Gagal Konservatif OMSK Benign/aman/safe/tubotimpani

Answer 14

Mastoidektomi simple

Question 15

Jenis Foto Mastoiditis

Answer 15

Schuller
Stenver