KATA PENGANTAR

Puji syukur penulis panjatkan kehadirat Allah SWT karena berkat rahmat dan hidayahNya lah penulis dapat menyelesaikan pembuatan laporan kasus yang berjudul Otitis Media
Supuratif Kronis.
Laporan kasus ini disusun dalam rangka meningkatkan pengetahuan sekaligus
memenuhi tugas kepaniteraan klinik ilmu THT di RSUD Cianjur. Pada kesempatan ini,
penulis ingin mengucapkan terima kasih kepada:
1. dr. Eman Sulaiman, Sp. THT-KL selaku konsulen THT di RSUD Cianjur
2. Orang tua yang selalu mendoakan keberhasilan penulis
3. Teman-teman sekelompok atas dukungan dan kerjasamanya
Semoga dengan adanya laporan kasus ini dapat menambah khasanah ilmu pengetahuan
dan berguna bagi penulis maupun teman sejawat lainnya.
Penulis menyadari bahwa laporan kasus ini masih jauh dari kesempurnaan, oleh karena
itu penulis sangat membutuhkan saran dan kritik untuk pembuatan laporan kasus yang lebih
baik di waktu yang akan datang.
Terima kasih.

Cianjur, September 2016

Penulis

DAFTAR ISI
1

KATA PENGANTAR................................................................................................................i
DAFTAR ISI..............................................................................................................................ii
DAFTAR GAMBAR................................................................................................................iv
DAFTAR TABEL ....................................................................................................................v
BAB 1. PENDAHULUAN........................................................................................................1
1.1 LATAR BELAKANG..............................................................................................1
BAB 2. LAPORAN KASUS......................................................................................................2
2.1 IDENTITAS PASIEN..............................................................................................2
2.2 ANAMNESIS...........................................................................................................2
2.3 PEMERIKSAAN FISIK..........................................................................................3
2.3.1 Status Generalis......................................................................................3
2.3.2 Status Lokalis THT................................................................................4
2.3.2.1 Telinga........................................................................................4
2.3.2.2 Hidung .......................................................................................5
2.3.2.2.1 Sinus Paranasal ........................................................5
2.3.2.2.2 Transluminasi...........................................................6
2.3.2.2.3 Tes Penciuman.........................................................6
2.3.2.3 Tenggorok .................................................................................6
2.3.3 Pemeriksaan Maksilofasial....................................................................8
2.3.4 Leher .....................................................................................................9
2.4 RESUME................................................................................................................10
2.5 DIAGNOSA BANDING........................................................................................10
2.6 DIAGNOSA KERJA..............................................................................................10
2.7 PEMERIKSAAN PENUNJANG...........................................................................10
2.8 PENATALAKSANAAN.......................................................................................10
2.8.1 Non Medikamentosa............................................................................10
2.8.2 Medikamentosa ...................................................................................11

BAB 3. TELINGA...................................................................................................................12
3.1 ANATOMI.............................................................................................................12
3.1.1 Telinga Luar.........................................................................................13
3.1.2 Telinga Tengah ....................................................................................13
3.1.3 Telinga Dalam......................................................................................15
3.1.4 Vaskularsisasi...................................................................................... 16
3.1.5 Persarafan ............................................................................................16
3.2 FISILOGI PENDENGARAN...............................................................................17
3.3 SISTEM VESTIBULARIS....................................................................................18
BAB 4. OTITIS MEDIA SUPURATIF KRONIK .................................................................20
2

4.1 DEFINISI . ............................................................................................................20

4.2 EPIDEMIOLOGI...................................................................................................20
4.3 PATOFISIOLOGI..................................................................................................20
4.3.1 Gangguan Fungsi Ventilasi..................................................................21
4.3.2 Gangguan Fungsi Drainase..................................................................21
4.3.3 Gangguan Fungsi Proteksi...................................................................21
4.4 TANDA dan GEJALA.......................................................................................... 22
4.4.1 Telinga Berair (otorrhoe).................................................................... .22
4.4.2 Gangguan Pendengaran...................................................................... .23
4.4.3 Nyeri Telinga (otalgia).........................................................................23
4.4.4 Vertigo .................................................................................................23
4.5 KLASIFIKASI.......................................................................................................24
4.5.1 JENIS OMSK.......................................................................................24
4.5.1.1 OMSK tipe Benigna.................................................................24
4.5.1.2 OMSK tipe Maligna................................................................24
4.5.2 BERDASARKAN AKTIVITAS..........................................................25
4.5.2.1 OMSK Aktif.............................................................................25
4.5.2.2 OMSK Tenang.........................................................................25

4.6 JENIS PEMBEDAHAN pada OMSK ...................................................................26

4.6.1 Mastoidektomi sederhana (simple mastoidectomy)...........................26
4.6.2 Mastoidektomi radikal .................................................................26
4.6.3 Mastoidektomi radikal dengan modifikasi .......................................27
4.6.4 Miringoplasti ..............................................................................27
4.6.5 Timpanoplasti ............................................................................27
4.6.6 Pendekatan ganda timpanoplasti ..................................................28
4.7 KOMPLIKASI................................................................... ...................................28
4.7.1 Komplikasi Ditelinga Tengah .......................................................28
4.7.2 Komplikasi Telinga Dalam..........................................................28
4.7.3 Komplikasi Ekstradural...............................................................28
4.7.4 Komplikasi Ke Susunan Saraf Pusat................................................28
BAB 5. PENUTUP...................................................................................................................30
5.1 KESIMPULAN......................................................................................................30
DAFTAR PUSTAKA..............................................................................................................31

DAFTAR GAMBAR
Gambar 1. Anatomi Daun Telinga...........................................................................................12
Gambar 2. Skema Bagian Telinga............................................................................................12
Gambar 3. Telinga Tengah Dengan Batas-batasnya ...............................................................14
Gambar 4. Skema Fisiologi Pendengaran................................................................................17
Gambar 5. Skema Fisiologi Keseimbangan.............................................................................19
Gambar 6. Jenis-jenis Perforasi................................................................................................20

DAFTAR TABEL
Tabel 1. Perbedaan OMSK Benigna dan Maligna .................................................................25