PERBANDINGAN HASIL PEMERIKSAAN RADIOLOGIK MASTOID DENGAN HASIL PEMERIKSAAN KLINIK PADA PENDERITA OTITIS MEDIA KRONIK AKTIF DENGAN DAN TANPA MASTOIDITIS

Abstract

Background: Chronic Otitis Media (COM) is a chronic infection (more than 3 months) of half or entire middle ear cleft mucoperiosteum within prolonged tympanic membrane perforation and with or without history of otorrhea. COM defined as active if a discharge found during an examination. Like the other otitis media, COM has a potential to become complicated. The most frequent complication is mastoiditis. Mastoiditis is a bone inflammation (osteitis) of antrum wall and cellulae mastoid. Diagnosis of Mastoiditis is based on Ear Nose Throat clinical examination and Radiologic examination. The purpose of this research is to compare between Radiologic examination result on active COM patients and its Ear Nose Throat clinical examination result. Methods: An observational analytic study with cross sectional approach, using 30 COM patients who fulfilled clinical criteria as a sample. Sample was taken from copying the medical record at Bagian Rekam Medik Instalasi Rawat Jalan RSUP Dr. Kariadi Semarang. The research was conducted from March until June 2008. The data was analyzed using Kappa statistic test to measure the agreement between two nominal variables (radiologic examination result and Ear Nose Throat clinical examination result). Result: According to Kappa statistic test analysis, the score of Ear Nose Throat clinical examination result and the Radiologic examination result produced value of 0.039. Conclusion: Ear Nose Throat clinical examination result and Radiologic examination result on COM patients with or without mastoiditis had a bad agreement value. Keywords: Chronic Otitis Media, Mastoiditis