o t o l o g i
TRANSCRIPT
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O T O L O G I
dr WAHYU BM, SpTHT-KL, MSiMed
FAKULTAS KEDOKTERANUNIVERSITAS MUHAMMADIYAH SEMARANG
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SERUMEN
KELENJAR SERUMINOSA/SERUMEN DIHASILKAN DI LIANG TELINGA
MELINDUNGI LIANG TELINGACAIR, LEMBEK, LUNAK, KERING,
PADAT/KERASPUTIH, KUNING, COKLAT,
KEHITAMANKADANG BISA KELUAR SENDIRIJIKA BERLEBIHAN AKAN
MENYUMBAT
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BANYAK SEDIKITNYA TIMBUNAN TERGANTUNG PADA :
ANATOMI LIANG TELINGALINGKUNGANBANYAK SEDIKITNYA DESKUAMASIDLL
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HEMATOM / ABSES AURIKULA
HEMATOM : DARAHABSES : PUS
KOMPLIKASI : DEFORMITAS
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INFEKSI TELINGA LUAR
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ABSES AURIKULA
INFEKSI TELINGA LUAR
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INFEKSI TELINGA LUAR
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OTITIS EKSTERNA
PERADANGAN TELINGA LUAR
ETIOLOGIINFEKSI : KUMAN, VIRUS, JAMUR,
PARASITNON INFEKSI : IRITASI, ALERGI
SERING PADA TELINGA YG SELALU LEMBAB
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GEJALA DAN TANDA
PANASNYERI TELINGA/NYERI KEPALATELINGA TERASA PENUH GEMREBEG(TINITUS) KEMERAHANLIANG TELINGA MENYEMPIT/EDEMNYERI TEKAN/NYERI SENTUHKRUSTASEKRET/CAIRAN
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INFEKSI TELINGA LUAR
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INFEKSI TELINGA LUAR
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OTITIS EKSTERNA DENGAN JARINGAN GRANULASI
INFEKSI TELINGA LUAR
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OTOMIKOSIS
DISEBABKAN OLEH JAMURPADA TELINGA YANG SELALU
LEMBAB : MEDIA/EKSTERNA YG SERING BERULANG, PERENANG
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INFEKSI TELINGA LUAR
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OTITIS EKSTERNA MALIGNA
DIESEBKAN OLEH PSEUDOMONAS AERUGINOSA
PADA ORANG DENGAN DEFISIENNSI IMUN : DM (>>), LEUKEMI, AIDS
MENYEBAR KE INTRA KRANIAL MENYEBABKAN KEMATIAN
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OTITIS MEDIA
OTITIS MEDIA AKUT(OMA)OTITIS MEDIA KRONIK(OMK)OTITIS MEDIA DENGAN EFUSI(OME)
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OTITIS MEDIA AKUT (OMA)
DIDAHULUI INFEKSI SALURAN NAPAS ATAS (ADENOTONSILITIS, FARINGITIS, SINUSITIS), KUMAN/LENDIR MASUK TELINGA TENGAH MELALUI TUBA ESTACHII, SEHINGGA TERJADI OTITIS MEDIA AKUT
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STADIUM OTITIS MEDIA AKUT :1. SALPINGITIS
GEMREBEG, TELINGA TERASA PENUH
2. PRESUPURASITELINGA NYERI
3. SUPURASINYERI HEBAT, PANAS, KEJANGLAKUKAN PARASENTESIS
4. KEMUNGKINAN 1. PERFORASI KEMUNGKINAN 2. RESOLUSI :
SEMBUH ATAU MENJADI OME
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INFEKSI TELINGA TENGAH
1 2
3 4
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PENANGANAN
MEDIKAMENTOSAPENANGANAN ETIOLOGINYASTADIUM 3 HARUS DILAKUKAN
PARASENTESISSTADIUM PERFORASI BILA TIDAK
DITANGANI DENGAN BAIK AKAN MENJADI OMK
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OTITIS MEDIA KRONIK (OMK)
KELANJUTAN OMA STD PERFORASI YG TIDAK BISA MENUTUP SPONTAN, KRN PENANGANAN YG KURANG TEPAT/INFEKSI BERULANG
ADA 2 TIPE :TIPE AKTIF : KELUAR CAIRAN DARI
TELINGA TENGAH TIPE INAKTIF : TELINGA TENGAH
KERING (DRY EAR)
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PERFORASI AKUTTEPI PERFORASI TAK RATA, TAK
MENEBAL
PERFORASI KRONIKTEPI PERFORASI RATA, LICIN,
MENEBAL
EDUKASI PADA PASIEN PERFORASI MEMBRAN TIMPANI : TELINGA TAK BOLEH KEMASUKAN AIR
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PENANGANAN
TIPE AKTIF : MEDIKAMENTOSA (ANTIBIOTIK, SIMTOMATIK, AURAL TOILET)
TIPE INAKTIF : TIMPANOPLASTI
BILA TAK DITANGANI DG BAIK :
MASTOIDITISKOLESTEATOM
KOMPLIKASI INTRAKRANIAL
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INFEKSI TELINGA TENGAH
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MASTOIDITIS
PERADANGAN PADA MASTOID, MELIBATKAN MUKOSA MASTOID HINGGA JARINGAN TULANG DI DASARNYA
PERLUASAN DARI OMK YG TIDAK DITANGANI DENGAN BAIK MELALUI ADITUS AD ANTRUM
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GEJALA DAN TANDA
NYERI RETRO AURIKULAGANGGUAN PENDENGARANSEKRET KUNING BERBAUABSES RETRO AURIKULA (KEADAAN
PARAH)ASHERON’S SIGN/RESERVOIR SIGNGELE ABSES
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PEMERIKSAAN PENUNJANG
FOTO RONTGEN/CT SCAN MASTOIDAUDIOMETRI
PENANGANAN
MEDIKAMENTOSAMASTOIDEKTOMI
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INFEKSI TELINGA TENGAH
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INFEKSI TELINGA TENGAH
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KOLESTEATOM
BISA MERUPAKAN KELANJUTAN DARI OMK DAN ATAU BERSAMA-SAMA MASTOIDITIS
TUMOR JINAK SECARA HISTOPATOLOGIS, TETAPI GANAS SECARA KLINIS
BERSIFAT DESTRUKTIFWARNA KEABU-ABUAN, BERLAPIS-
LAPIS, BERBAU KHAS
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GEJALA DAN TANDASERUPA DG OMK DG MASTOIDITIS
PEMERIKSAAN PENUNJANGSAMA DENGAN MASTOIDITIS
PENANGANAN SAMA DG MASTOIDITIS
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OTITIS INTERNA
BIASANYA MERUPAKAN PERLUASAN OMK
ADA RIWAYAT OMK DISERTAI DENGAN VERTIGO HARUS CURIGA OTITIS INTERNA
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GANGGUAN PENDENGARAN
1. TINITUS2. KURANG PENDENGARAN
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TINITUS
SUARA-SUARA YG TERDAPAT PADA TELINGA
SUBJEKTIF : HANYA PENDERITA SAJA YG MENDENGAR
OBJEKTIF : PEMERIKSA JUGA DAPAT MENDENGAR
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FREKW RENDAH : GANGGUAN DI LUAR SISTEM SARAFBERDENGUNG, GEMREBEG, DLL
FREKW TINGGI : GANGGUAN PADA SISTEM SARAFMENDENGING, MENDESIS, DLL
ETIOLOGIPADA TELINGADI LUAR TELINGA
PENANGANAN TERHADAP ETILOGINYA
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KURANG PENDENGARAN(KP)/TULI
HANTARAN SUARAAIR CONDUCTION (AC)
DARI UDARA, TELINGA LUAR, TENGAH, DALAM (KOKLEA)
BONE CONDUCTION (BC)DARI TULANG LANGSUNG KOKLEA
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JENIS KP
CONDUCTIVE HEARING LOSS (CHL)GANGGUAN DI TELINGA LUAR DAN TENGAH
SENSORINEURAL HEARING LOSS (SNHL)GANGGUAN DI TELINGA DALAM
MIXED HEARING LOSS (MHL)CAMPURAN CHL & SNHL
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DERAJAT
RINGAN : 20 – 40 dBSEDANG : 40 – 60 dBBERAT : 60 – 80 dBBERAT SEKALI : > 80 dB
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PEMERIKSAAN RUTINOTOSKOPI
PEMERIKSAAN PENUNJANGAUDIOMETRI
PENANGANANATASI PENYEBABALAT BANTU DENGAR