Unsafe Type of Chronic Suppurative Otitis Media: Epidemiology, Etiology, Classification, Radiological Diagnosis, Management, Complications and Prognosis
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Author:
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HULDANI , FAUZIAH, MASHURI, HERLINA UINARNI, BAYU INDRA SUKMANA, VITALY V. GONCHAROV
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Abstract:
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We reviewed many literatures on malignant or unsafe type of chronic suppurative otitis media or CSOM. One of the human senses is hearing. Many pathological conditions cause hearing loss, including CSOM. This is caused by middle ear chronic infection with tympanic membrane perforation and ear secretions for at least 2 months. The secretions that come out can be serous, mucous, or purulent. The presence of cholesteatoma is a diagnostic criteria of malignant or unsafe type of CSOM. Cholesteatma is a cyst containing desquamation of keratin epithelium and usually located in the middle ear, it suppresses the mastoid and epitympanic. Unsafe type CSOM needs to be diagnosed as soon as possible because it can cause severe complications or even the death. The principle of handling unsafe type of CSOM with cholesteatom is surgery, the common surgery methods uses in this condition are radical mastoidectomy with or without modification and thympanoplasty. Drugs are only used as an infection suppressant before surgery. The faster diagnosis and treatment given will produce a better prognosis compared to conditions that are already worse with complications.
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Keyword:
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cholesteatoma, unsafe type of chronic suppurative otitis media, mastoidectomy.
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2020.12.03.320
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