Perbaikan Pendengaran Pasien Otitis Media Efusi yang Autoinflasi
Laporan Kasus Berbasis Bukti
DOI:
https://doi.org/10.55175/cdk.v51i6.1024Kata Kunci:
Autoinflasi, gangguan pendengaran, otitis media efusiAbstrak
Latar Belakang: Otitis media efusi (OME) adalah adanya cairan di telinga tengah tanpa tanda atau gejala infeksi telinga akut. OME merupakan salah satu penyebab gangguan pendengaran. OME kronik tanpa gejala dapat diobervasi 3 bulan karena dapat bersifat swasirna. Selama masa pengawasan tersebut autoinflasi merupakan intervensi yang bermanfaat, efek samping minimal, dan kepatuhannya tinggi. Tujuan: Mengetahui efektivitas autoinflasi untuk memperbaiki pendengaran pasien otitis media dengan gangguan pendengaran. Metode: Pencarian literatur melalui database PubMed, Cochrane, ScienceDirect, Scopus, dan EBSCOHost sesuai kriteria inklusi dan eksklusi. Artikel terpilih ditelaah kritis menggunakan rapid critical appraisal of systematic review dan level of evidence menggunakan Oxford Centre for Evidence-based Medicine 2011. Hasil: Satu artikel systematic review and meta-analysis of RCT memenuhi kriteria inklusi dan eksklusi. Berdasarkan artikel tersebut, didapatkan pooled estimate RR 1,74; 95% CI [1,22-2,50] dengan Z-score 3,02 (p=0,0025). Hasil ini memiliki heterogenitas substansial (I2=69%) signifikan (p=0,01). Simpulan: Pasien OME dengan gangguan pendengaran yang melakukan autoinflasi >1 bulan memiliki kemungkinan 1,74 kali lebih besar mencapai perbaikan gangguan pendengaran dibandingkan kontrol. Autoinflasi metode Politzer memberikan hasil perbaikan gangguan pendengaran signifikan. Penelitian RCT skala besar direkomendasikan agar dapat menilai efektivitas autoinflasi pada pasien otitis media efusi dengan gangguan pendengaran menggunakan metode Politzer atau metode lain.
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Hak Cipta (c) 2024 Ugiadam Farhan Firmansyah, Kemal Akbar Suryoadji, Jenny Bashirudin, Brastho Bramantyo, Widayat Alviandi
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