Profile of Chronic Suppurative Otitis Media Complication in Indonesian Patients: Review of 25 Cases

Abstract

Artono, Titiek Hidayati Ahadiah, Rosydiah Rahmawati, Nyilo Purnami, Edi Handoko

Background: The number of CSOM complications is increasing every year, especially in developing countries. Indonesia is a developing country with a large population and a large number of CSOM cases. Objectives: Analysing the profile of CSOM patients with complications in 2017 - 2018. Methods: Participants in this study were CSOM patients with complications who underwent surgery in the 2017-2018 period. Participants in this study were divided into 2 groups based on the year of complications. They were identified for demographic data, types of complications, clinical symptoms and comorbid symptoms at admission, radiology, intraoperative findings, and complications. The statistical tests used in this study included Chi Square test, Mann-Withney test, and Kruslkal-Wallis. Results: The average participant’s age was 28.84 ± 15.40 years (p = 0.468), with the most in the age range of 11-25 years (48.00%). Most of them were male (76.00%) (p = 0.364), high school-educated (48.00%), came from Western Indonesia (76.00%), and students (40.00%). Clinical symptoms were otorrhea and ear pain (68.00%). All participants had cholesteatoma and 60.00% had atticoantral perforation in eardrum. Most CSOM complications in 2017 and 2018 was extracranial (55.56%; p = 1.000 and 70.59%; p = 0.785, respectively). There was no significant comparison between the number of CSOM complications in 2017 and 2018 (p = 0.326). Surgical procedures used canal wall down tympanoplasty. Conclusion: Subperiosteal abscess is the most common extracranial complication, while brain abscess is the most common intracranial complication of CSOM in this study.