Abstract:
Background: Chronic suppurative otitis media (CSOM) with cholesteatoma is a disease with high morbidity and mortality due to its complications. Cholesteatoma can cause bone erosion and damage to surrounding structures resulting in serious complications. This study aims to determine the complications and intraoperative findings that can be found in CSOM patients with cholesteatoma at RS Haji Mina Medan in 2015-2019. Methods: This study is descriptive in nature with 50 medical records of CSOM patients with cholesteatoma in 2015-2019. This research was conducted from June 2020-January 2021 at the T.H.T.K.L Department and the medical records department at the Medan Hajj Hospital. Univariate analysis was performed on each research variable and the category of frequency distribution of each variable was expressed as a percentage. Results: It was found that the age range of CSOM sufferers with the most cholesteatoma was 21-30 years (48%). More CSOM patients with cholesteatoma were male (68%) than female (32%). Based on education level, the highest number of SMA was (52%). Based on occupation, people who do not work / school age suffer the most from CSOM with cholesteatoma (50%). Most patients present with the main complaint of watery and smelly ears (40%). It was found that the ossicular chain was eroded by 45 people (90%). Based on intraoperative findings at the location of cholesteatoma, it was found mostly in the tympanic cavity and mastoid as many as 35 people (70%). The most common intracranial complication was cerebral abscess in 27 people (54%). The most common extracranial complications were retroauricular abscess in 24 people (48%). Conclusion: The most erosion of the auditory bone chain was found and the location of most cholesteatoma formation was in the tympanic and mastoid cavity. Most intracranial complications are cerebral abscesses, while extracranial complications are retroauricular abscesses.
Keywords: Cholesteatoma, complications, CSOM, intraoperative findings
