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Perbandingan skor Middle Ear Risk Index (MERI) pada pasien Otitis Media Supuratif Kronis (OMSK) dengan komplikasi intrakranial dan ekstrakranial di RSUD dr. Saiful Anwar, Malang, Indonesia

  • Ahmad Dian Wahyudiono ,
  • David Santoso ,

Abstract

Background: Chronic Suppurative Otitis Media (CSOM) is a chronic infection in the middle ear mucosa with tympanic membrane perforation and causes complications in the form of intracranial and extracranial. In previous studies, CSOM mortality rates were different between intracranial and extracranial complications. That prompted the researchers to determine the middle ear postoperative prognosis in CSOM with intracranial complications compared to the extracranial. Postoperative prognosis is measured by Middle Ear Risk Index (MERI). This study aims to evaluate the comparison of MERI scores in CSOM patients with intracranial and extracranial complications.

Methods: The research was conducted with an observational analytic design involving 40 research subjects from medical records of CSOM patients at RSUD dr. Saiful Anwar Malang in January 2017 – July 2021. The samples were divided into CSOM with intracranial and extracranial complications, including 12 and 28 subjects, respectively. Those samples are taken using consecutive sampling techniques and tested using an Independent T-test. Data were analyzed using SPSS version 25 for Windows.

Results: The mean of MERI scores in CSOM patients with intracranial complications was 9.170±2.517, and that in extracranial complications was 7.570±1.854. The p-value of 0.031 (P<0.05) was obtained using an Independent T-test, indicating a significant difference of MERI scores mean between CSOM patients with intracranial and extracranial.

Conclusion: There is a significant difference in MERI scores between CSOM with intracranial and extracranial complications.

 

Latar Belakang: Otitis Media Supuratif Kronis (OMSK) adalah infeksi kronis yang terjadi pada mukosa telinga tengah yang ditandai dengan perforasi membran timpani dan dapat menyebabkan komplikasi intrakranial maupun ekstrakranial. Penatalaksanaan OMSK dengan komplikasi bertujuan untuk menyelesaikan komplikasi, infeksi di telinga tengah dan perbaikan fungsi. Perbaikan fungsi pendengaran bukan tujuan utama tapi tetap menjadi harapan dari pasien. Prognosis fungsi pendengaran pada operasi mastoid dapat dinilai dengan memperhatikan Middle Ear Risk Index (MERI). Penelitian ini bertujuan untuk mengevaluasi perbandingan skor MERI pada pasien OMSK dengan komplikasi intrakranial dan ekstrakranial.

Metode: Penelitian dilakukan dengan desain penelitian observasional analitik yang melibatkan 40 subjek penelitian berupa rekam medis pasien OMSK di RSUD dr. Saiful Anwar Malang bulan Januari 2017 – Juli 2021. Sampel terbagi menjadi dua kategori yaitu OMSK dengan komplikasi intrakranial dan ekstrakranial dengan jumlah secara berurutan yaitu 12 dan 28 sampel. Sampel diambil menggunakan teknik konsekutif dan diuji menggunakan Independent T-Test. Data dianalisis dengan SPSS versi 25 untuk Windows.

Hasil: Didapatkan rerata pasien OMSK dengan komplikasi intrakranial sebesar 9,170±2,517 dan ekstrakranial sebesar 7,570±1,854. Pada uji Independent T-Test didapatkan nilai p sebesar 0,031 (p<0,05) yang menunjukkan terdapat perbedaan rerata MERI pada pasien OMSK dengan komplikasi intrakranial dan ekstrakranial secara bermakna.

Kesimpulan: Terdapat perbedaan skor MERI yang bermakna antara OMSK dengan komplikasi intrakranial dan ekstrakranial.

Section

References

  1. Acuin J. Chronic suppurative otitis media. BMJ Clin Evid. 2007;2007:0507.
  2. Verhoeff M, van der Veen EL, Rovers MM, Sanders EA, Schilder AG. Chronic suppurative otitis media: a review. Int J Pediatr Otorhinolaryngol. 2006;70(1):1-12.
  3. Umar NS, Pary MI, Soesanty. Karakteristik Pasien Otitis Media Supuratif Kronik di Poliklinik Telinga Hidung Tenggorok Rumah Sakit Umum Daerah Dr. H Chasan Boesoirie Periode Januari-Juli 2019. Kiehara Medical Journal. 2019;1(1):60-65.
  4. Master A, Wilkinson E, Wagner R. Management of Chronic Suppurative Otitis Media and Otosclerosis in Developing Countries. Otolaryngol Clin North Am. 2018;51(3):593-605.
  5. Sharma N, Jaiswal AA, Banerjee PK, Garg AK. Complications of Chronic Suppurative Otitis Media and Their Management: A Single Institution 12 Years Experience. Indian J Otolaryngol Head Neck Surg. 2015;67(4):353-360.
  6. Dubey SP, Larawin V. Complications of chronic suppurative otitis media and their management. Laryngoscope. 2007;117(2):264-267.
  7. Kotzias SA, Seerig MM, Mello MFPC, Chueiri L, Jacques J, Silva MBCD, et al. Ossicular chain reconstruction in chronic otitis media: hearing results and analysis of prognostic factors. Braz J Otorhinolaryngol. 2020;86(1):49-55.
  8. Shishegar M, Faramarzi M, Rashidi Ravari M. Evaluation of middle ear risk index in patients undergoing tympanoplasty. Eur Arch Otorhinolaryngol. 2019;276(10):2769-2774.
  9. Kumar N, Madkikar NN, Kishve S, Chilke D, Shinde KJ. Using middle ear risk index and et function as parameters for predicting the outcome of tympanoplasty. Indian J Otolaryngol Head Neck Surg. 2012;64(1):13-16.
  10. Rumadas LPA, Munilson J, Pertiwi D. Gambaran Komplikasi Otitis Media Supuratif Kronis Tipe Bahaya di RSUP Dr. M. Djamil Padang Tahun 2017-2019. J Ilmu Kesehatan Indonesia. 2021;1(3):393–402
  11. Mittal R, Lisi CV, Gerring R, Mittal J, Mathee K, Narasimhan G, et al. Current concepts in the pathogenesis and treatment of chronic suppurative otitis media. J Med Microbiol. 2015;64(10):1103-1116.
  12. Webb BD, Chang CY. Efficacy of tympanoplasty without mastoidectomy for chronic suppurative otitis media. Arch Otolaryngol Head Neck Surg. 2008;134(11):1155-1158.
  13. Gitanjali N. The Role of Middle Ear Risk Index on the Outcome of Tympanopasty: The Tamilnadu. Semantic Scholars. 2016;7(1):76-86
  14. Artono, Ahadiah TH, Rahmawati R, Purnami N, Handoko E. Profile of chronic suppurative otitis media complication in Indonesian Patients: Review of 25 cases. Syst Rev Pharm. 2020;11(11):1477–1481.
  15. Mohammed AA, Shabaan EGE. Risk Factor for Patients Undergoing Tympanoplasty. Journal of American Science. 2015;11(11):204-2011.
  16. Duarte MJ, Kozin ED, Barshak MB, Reinshagen K, Knoll RM, Abdullah KG, Welling DB, Jung DH. Otogenic brain abscesses: A systematic review. Laryngoscope Investig Otolaryngol. 2018;3(3):198-208.
  17. Joy SM, Karthikeyan P, Pulimootil DT. A Prospective Cohort Study on Ossicular Reconstruction Using Autologous Incus or Cartilage in Chronic Otitis Media. Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery. 2021;5(1):18–23.

How to Cite

Wahyudiono, A. D., & Santoso, D. (2022). Perbandingan skor Middle Ear Risk Index (MERI) pada pasien Otitis Media Supuratif Kronis (OMSK) dengan komplikasi intrakranial dan ekstrakranial di RSUD dr. Saiful Anwar, Malang, Indonesia. Intisari Sains Medis, 13(1), 143–147. https://doi.org/10.15562/ism.v13i1.1203

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Ahmad Dian Wahyudiono
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ISM Journal


David Santoso
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