111180773-presentasi-hipertrofi-adenoid.ppt
TRANSCRIPT
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ADENOID HIPERTROFI
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PENDAHULUAN
Adenoid : jaringan limfoid pada dindingposterior nasofaring di atas batas palatummolle dan termasuk dalam inin !alde"er
membesar pada usia # ta$un dankemudian mengeil dan meng$ilang samasekali pada usia %& ta$un
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Infeksi saluran napas bagian atas berulangsumbatan pada koana pasien
akan bernapas le!at mulut se$ingga terjadi:
a' gigi inisi(us atas lebi$ menonjol kedepan
b' faies adenoidea
' muda$ terjadi infeksi saluran pernafasanbagian ba!a$
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d' otitis media serosa rekuren )otitis medisakut residif* otitis media kronik dan terjadiketulian
e' tidur ngorok)mendengkur +Obstruktif sleepapneu s"ndrome) O,A, -
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ETIOLOGI
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FISIOLOGI
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GEJALA KLINIS
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GEJALA KLINIS Lanjutan
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DIAGNOSIS
1. Anamnesis
2. Pemeriksaan fsik
.angsung
/ meli$at transoral langsung ke dalamnasofaring setela$ palatum molle diretraksi'/ r$inoskopi anterior +fenomena palatum
molle negati(e-
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Tidak langsung
/ r$inoskopi posterior
/ nasofaringioskop
Palpasi 1ari telunjuk dimasukkan ke nasofaringmeraba adenoid membesar
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3' Pemeriksaan penunjang
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PENATALAKSANAAN
Indikasi adenoidektomi (Paparella dan Shumrick)
Indikasi absolut adenoidektomi :
Pen"akit telinga tenga$ sekunder akibatobstruksi tuba eusta$ii
Hipertro2 adenoid "ang men"ebabkanobstruksi saluran pernafasan
,inusitis ole$ karena obstruksi ostium sinusakibat kelainan adenoid
Nasofaringitis menetap dengan gejala pada$idung seperti rinor$ea* suara sengau danpernafasan berbun"i
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Indikasi relatif tonsiloadenoidektomi :
N"eri tenggorokan berulang
Otalgi berulang
R$initis kronisInfeksi saluran nafas berulang
Tonsil "ang besar atau dengan debris
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.imfadenopati er(ial
Tonsil T34 atau adenoid T34
Pen"akit sistemik akibat infeksi
,treptoous 5 $emolitikus +reumatikfe(er* reumatik $eart disease
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6ontraindikasi :gangguan perdara$an
resiko anestesi "ang besar atau pen"akitberat
Anemia
infeksi akut "ang berat
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Persiapan operasi
%'Pemeriksaan umum :
organ7organ (ital seperti jantung* paru7paru dan ginjal
Pemeriksaan dara$ : Hb* leukosit*trombosit* !aktu perdara$an* !aktupembekuan* ureum* kreatinin* gula dara$*
natrium* kalium'
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Pemeriksaan urine rutinPemeriksaan radiologis : foto toraks
Pemeriksaan E68+ bila di perlukan-
Pemeriksaan k$usus :
Periksaan status lokalis bidang THT76.k$ususn"a daera$ orofaring dan le$er
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Perawatan preoperati !penderita "ang akan dioperasi dengan
narkose umum disarankan dira!at dandipuasakan sedikitn"a 9 jam sebelumoperasi untuk orang de!asa* sedangkanuntuk anak7anak ukup & jam
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ADENOIDEKTOMI
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