Characteristics of Patients Who Underwent Mastoidectomy: A Two Years Experience
Abstract: Mastoidectomy is a
surgical procedure to remove an infected portion of the bone behind the ear
called mastoiditis when medical treatment is not effective. Patients with
chronic suppurative otitis media (CSOM) complications mostly need this surgery
in order to maintain the normal function of hearing. Chronic mastoiditis and
cholesteatoma are the most common indications of CSOM. This study was conducted
to identify the characteristics of patients who underwent mastoidectomy at Dr.
Hasan Sadikin General Hospital, from 2012– 2013.
Methods: A descriptive study using total sampling method was conducted.
Data were collected from medical records of 41 patients who underwent
mastoidectomy at Dr. Hasan Sadikin General Hospital from 2012–2013. Inclusion
criteria were medical records of patients who
underwent mastoidectomy, and
consisted of variables studied, such as
age, gender, chief complaint, main etiology, method of surgery, and presence of abnormalities in the
structure of middle ear. Incomplete medical records were excluded. The collected
data were presented using percentage.
Results: Age ranged from 15–64 years (85.37%), male patients were higher
(65.9%) compared to female patients (34.1%). Otorrhea (70.73%) was the main
chief complaint and infection (100%) was the main cause. Majority of patients
had canal wall down (CWD) surgery (63.41%) and many abnormalities were found in
the inner ear structure during the surgery.
Conclusions: Infection is the only cause and otorrhea is the main
indication for mastoidectomy. Most patients have been operated with CWD
technique.
Keywords: Ear infection, inner
ear structure abnormalities, mastoidectomy
Author: Ashwini Gunasekaran,
Sally Mahdiani, Fifi Veronica
Journal Code: jpkedokterangg170167
