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referat

OTITIS MEDIA
EFUSI
INDAH ULFANOV
712018011
PRATIWI

Pembimbing
dr. Meilina Wardhani, Sp. THT-KL

RSUD PALEMBANG BARI


ILMU THT-KL
2020
Hello!
Otitis Media Efusi
Otitis media -> OMS & OMNS >

OME
di AS 75% < 3 th

OTITI MEDIA OTITIS MEDIA Di Inggris 25% < 10 th


SEROSA MUKOID
Pada negara tersebut rerata usia 3-6
AKUT
th
KRONIK

2
etiopatogenesis

Sembuh/normal
Fungsi tuba
Tekanan tetap terganggu
Gangguan
negatif di Efusi OME
tuba
telinga Infeksi (-)
tengah

Tuba tetap terganggu


Infeksi (+)
Etiologi:
Perubahan tekanan udara tiba- OMA
tiba
Alergi
Infeksi
Sumbatan Sembuh OME OMSK

3
Manifestasi
Klinis
� Pada anak-anak: Pada orang dewasa
 Penurunan pendengaran Pendengaran
yang tidak disadari berkurang
 Keterlambatan bicara, Rasa tidak nyaman
pemahaman Rasa penuh/tersumbat
pembicaraan, gangguan pada telinga
perkembangan bahasa Diplacusis binauralis
dan belajar Tinitus dan vertigo
 Gangguan perilaku

4
DIAGNOSIS
DIAGNOSIS

“ BANDING
Gejala Otitis media akut Otitis media efusi

Demam dan rewel + -

Otalgia + -

Penurunan pendengaran + +

Efusi telinga tengah Purulent Serous


Mucoid
non-purulent

Membran timpani Bulging, ada inflamasi, Intact, opaque, retraksi


bisa perforasi

Pulih dengan antibiotik + - 6


PENATALAKSANAAN
� Terapi non-bedah: � Terapi bedah
 Medikamentosa:  Indikasi terapi bedah bila efusi
o Nasal dan oral steroids menetap lebih dari 1-3 bulan dan
o Anti-histamin terdapat tuli yang menonjol.

o Dekongestan  Antara terapi bedah yang sering


dilakukan:
 Valsava maneuver
o Miringotomi dan tympanostomy
 Hiposensitisasi alergi
tube placement

7
KOMPLIKASI
� 1. Otitis media adesiva dan
� 2. Otitis media Kronis maligna.

8
Thanks!
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9
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Yellow Blue Red
Is the color of gold, butter and ripe Is the colour of the clear sky and Is the color of blood, and because
lemons. In the spectrum of visible the deep sea. It is located between of this it has historically been
light, yellow is found between violet and green on the optical associated with sacrifice, danger
green and orange. spectrum. and courage.

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Is the color of gold, butter and ripe Is the colour of the clear sky and Is the color of blood, and because
lemons. In the spectrum of visible the deep sea. It is located between of this it has historically been
light, yellow is found between violet and green on the optical associated with sacrifice, danger
green and orange. spectrum. and courage.

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