The Unsafe Type of Chronic Suppurative Otitis Media (CSOM) with profound sensorineural hearing loss: Therapy options

Azwar Ridwan 1, *, Juniar 1 and Azzam Faiz Mutawakkil 2

1 Department of Otorhinolaryngology, Head and Neck, Universitas Syiah Kuala, Banda Aceh, Indonesia.
2 Medical Student Program, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.
 
Research Article
World Journal of Advanced Science and Technology, 2023, 03(01), 046–051.
Article DOI: 10.53346/wjast.2023.3.1.0052
Publication history: 
Received on 21 April 2023; revised on 05 June 2023; accepted on 08 June 2023
 
Abstract: 
Background: Chronic suppurative otitis media (CSOM) is a serious problem in children and adolescents because leading to permanent hearing loss which can have physical, social and psychological impacts. An untreated CSOM can cause Sensorineural Hearing Loss (SNHL), which is a form of intra-temporal complication of CSOM.
Objective: To report a case of a unsafe type of CSOM patient with profound sensorineural hearing loss in left ear and further treatment options.
Case: Reported a 17-year-old female patient who was diagnosed as a patient with unsafe type of CSOM and profound sensorineural hearing loss in left ear. The patient underwent a radical mastoidectomy and used Bone-Anchored Hearing Aid (BAHA) on the left ear.
Conclusion: The diagnosis of the patient is based on anamnesis, physical examination, and supporting examinations. Management of the unsafe type of CSOM aims to remove all pathological tissue, leaving the operating dry cavity and preventing more severe complications. Subsequent planning for post-radical mastoidectomy patients can use hearing aid.
 
Keywords: 
Unsafe type of CSOM; Sensorineural hearing loss; Radical mastoidectomy; Bone-Anchored Hearing Aid
 
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