Otitis media effusion (OME) is a buildup of fluid in the middle ear. with membrane timpani Which Still intact without accompanied by with sign signs of infection acute. Otitis media effusion or often too referred to as otitis media Serous effusion will generally heal on its own within two to four weeks, but in some cases, it can last for months, even years. Chronic effusion in the ear often results in hearing loss. 1.3 OME often attacks children aged 1 to 3 years, followed by school age, namely 4 to 6 years. As many as 90% child age 10 year at least Once experience One time OME episodes. Although rare, otitis media with effusion can also affect adults. Cases of otitis media with effusion in adults usually occur after the patient has experienced infection channel breathing on Which heavy like sinusitis, reaction severe allergies, drastic changes in air pressure after flying or diving, or etiology other Which can cause dysfunction tube eustachius. Based on the report WHO regarding epidemiology otitis media, prevalence of otitis media effusion in Indonesia reached 3.8%. 3.4 Otitis media with effusion is clinically characterized by decreased function of the tympanic membrane and middle ear due to accumulation of fluid in the middle ear. The accumulation of fluid in the middle ear can be serous or mucoid and causes conductive hearing loss , ringing in the ears, a feeling of fullness in the ear, and sometimes can cause pain due to changes in pressure. 2,5,6
Diagnosis of Otitis media with effusion can be established through anamnesis and physical examination as well as supporting examinations in the form of audiometry and tympanometry. From the anamnesis, it was found that the main complaint that usually brings patients to come for treatment due to otitis media with effusion is a decrease in function. hearing, a feeling of fullness in ears, and pain due to pressure differences. On inspection with use otoscope, looks color dull tympanic membrane, retraction/sunken tympanic membrane, and decreased mobility of the tympanic membrane. Audiometry examination showed conductive hearing loss with tympanometry type B results . 7,8,9 OME treatment therapy includes observation, medication and surgery. OME patients will generally be observed first for three months from the beginning or since being diagnosed with OME. Surgical therapy is recommended for patients who have experienced persistent OME and do not show improvement with medication or persistent hearing loss. According to the Clinical practice guideline Otolaryngol Head Neck Surgery , it is not recommended to give medication such as antibiotics, decongestants, antihistamines to patients O.M. There is choice other in the form of action surgery on patient OME with installation tube tympanostomy. Installation tube tympanostomy aims to provide ventilation of the middle ear cavity which aims to improve threshold limit hearing Also can lighten up process chronic inflammation that occurs in the mucosa of the middle ear. 10