faringo-laringologi 2

8/18/2019 Faringo-Laringologi 2

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UNDIP becomes an axcellent research universi UNIVERSITASDIPONEGORO

MATERI THT-KL

MATERI 1

FARIN!-LARIN!L!I


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T!"IK #AHA$AN

1. Hipertrofi Adenoid : 2

2. Tonsilitis : 4

3. Faringitis : 4

4. Abses Peritonsil : 2

5. Parotitis Supuratif : 3 A6. Angina Ludig : 3 A

!. "SA : 1


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"EN%AH&L&AN

# Intro'uction( anatomi) *siolo+i)histolo+i su'ah ,a'a semestersebelumnya

uliah .arin+olo+i tentan+ea'aan ,atolo+i/,enyait-,enyait'i .arin+

# TI&

# TIK


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ANATOMI FARING

$asofaring %

&pifaring

'esofaring %

"rofaring

Laringofaring% Hipofaring


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Orofaring (Mesofaring)

Batas :

%e,an ( Kavum !risAtas ( "alatum Mole#elaan+ ( 0ertebra servial 3)4Lateral ( %in'in+ me'2 leher

#aah ( E,i+lotis

Bangunan :12 Tonsila ,alatina32 Fosa su,ra tonsil42 Tonsila lin+ualis


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aringofaring (!i"ofaring)

Batas :%e,an ( E,i+lotisAtas ( !ro.arin+

7Te,i atas e,i+lotis8#elaan+ ( 0ertebra servial 4)5)6)9Lateral ( %in'in+ me'2 leher#aah ( #a+2 %e,an ( !s2 Krioi'

#a+2 #l2 ( "ortaeso.a+us

Bangunan :12 Larin+ 7%e,an832 Fosa 7sinus8 ,iri.ormis42 0aleula


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MU#OSA FARING

Naso.arin+ ($u,erior (

In.erior (

(olu)ner pseudo*o)ple* bersilia

Transisional % *olu)ner *o)ple*s


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!ro.arin+ : Larin+o.arin+

S*ua)us*o)ple*s non *eratin

MU#OSA FARING


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OTOT$OTOT FARING

12 Eternal ( Konstritor .arin+- $u,erior- Me'ia- In.erior

32 Internal- $tilo.arin+- "alato.arin+

- $al*n+o.arin+- "alato+losus- Levator vili ,alatini


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%aringan i&fe

12 A'enoi' (- Tonsila Lusha- Tonsila naso.arin+ea

32 Tonsila ,alatina- Fausial tonsil- Aman'el

42 Tonsila lin+ualis2


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%ia+ram yan+mem,erlihatan.arin+ seba+ai suatu,ersim,an+an >alan (crossroad) 'en+an,intu masu 'aneluar yan+'iontrol olehs*n+ter 1. $asop+ar,ngeal1. $asop+ar,ngeal2. "rop+ar,ngeal2. "rop+ar,ngeal

3. -riop+ar,ngeal3. -riop+ar,ngeal4. Lar,ngeal4. Lar,ngeal


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Mu'ut anoro"ar*n+

7tam,a 'e,an812 "alatum %urum32 &vula42 "alato,haryn+eal

.ol'52 "alato+lossal .ol'62 Tonsila "alatina92 %in'in+ ,osterior .arin+?2 Li'ah


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ambaran esensial su,lai 'arah menu>utonsil

# A2 "alatina 'ecen'en

# A2 "alatina ascen'en

# A2 Tonsilaris

# A2 %orsalis lin+ua

# A2 Farin+eaascen'en


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Fungsi faring

12 $aluran na.as

32 $aluran cerna

42 "ertahanan tubuh

52 Resonator


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#EAINAN FARING

I, -ONGENITA- Atresia Koana- "alatosisis

II, RADANG- Aut- Kroni

Tana .tana (

- Kalor - %olor- Rubor - Fun+siolesa- Tumor


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ADENOIDITIS #RONI#

Ga&/aran 0'ini0 :

- Hi'un+ tersumbat na.as leat mulut- Ti'ur men'en+ur

- Rinore

- #atu-batu

- Kuran+ ,en'en+aran- Facies a'enoi'es (

@ Mulut selalu membua 7n+ooh8

@ Hi'un+ ecil

@ Tam,a bo'oh2

- "alatal ,henomena ( ne+ati.

- A'enoi' membesar


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Tera"i :

- Konservati. (@ %eon+estan

@ Antibiotia

- !,erati. ( a'enoi'etomiLebih-lebih bila (

@ !bstrusi nasi

@ an++uan ,en'en+aran@ !titis me'ia berulan+

@ !ME


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TONSIITIS A#UT

- Foliularis- Launaris

Ge1a'a$ge1a'a :

- $ait telan / o'ino.a+i

- Lesu

- $uhu nai

- $ait e,ala 'an sait 'i otot-otot- Ka'an+-a'an+ batu) sera) na.as bau

- !tal+ia


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Tana$tana :

Tonsil ( - hi,eremi - e'ema - ,ermuaan / ri,te tertutu, 'etritus2

&vula ( hi,eremis 'an e'emaFarin+ ( Hi,erseresi

Tera"i :#ausatif: sesuai etiolo+i 7antibioti8Si&"to&ati0: Anti,ireti / anal+esi/ muolitiU&u&2su""ortif:

- Istirahat cuu,- Intae cairan cuu,) 'iet luna- Kumur han+at air +aram- Roboransia


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Tonsilitis Aut Foliularis


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Tonsilitis Aut Launaris


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TONSIITIS #RONI#

Ga&/aran 0roni0 :

- Discomfort - $ait telan rin+an 7,ancin+en8- Lesu- Kuran+ na.su maan- $ait e,ala- N+antuan- "anas n+lemen+/merian+/sub.ebril- Tonsil (

@ Hi,eremis) e'ema @ Kri,te melebar) 'etritus

@ "ermuaan ben>ol3 @ Atro,i/hi,ertro*

Tera"i ( Tonsiletomi 7HTA 3BB58


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Tonsilitis Kroni Hi,ertro*


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FARINGITIS A#UT

# Ge1a'a- Farin+ terasa erin+- o'ino.a+i- !tal+ia-re.ere' ,ain

- #er'aha ( Encer Muoi'

Len+et- $ait e,ala- .ebris- Lesu 'an na.su maan beruran+


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# Tana$tana

- Muosa .arin+ (

12 #en+a 7u'em8 32 Merah 7hi,eremi8

42 Len'ir ( serus

- $uhu ba'an nai

- Kel2 Lim.e leher

membesar


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# Tera"i

0ausatif: antibioti

si&"to&ati0:anti,ireti/anal+esi

u&u&2su""ortif:

- Istirahat

- %iet cair / luna

- #anya minum

- Roborantia

- ;uci mulut sebelum 'an sesu'ah maan /

minum susu2


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FARINGITIS #RONI#

Fa0tor$fa0tor "reis"osisi- Aler+i- Iritasi- In.esi aut- an++uan metaboli ( %M

- Anemia- Kelainan 'i,rosimalnya (

@ %eviasi se,tum@ $inusitis roni*Hi,ertro* ona@ A'enoi'itis roni

*

Rinitis roni- Ra'an+ roni 'i 'istalnya- astritis- Kelainan +i+i


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Ga&/aran 0'ini0 :

- %isom.ort 'i ten++oro

- Rasa erin+ 'i ten++oro ti,e atro*

- Rasa selalu a'a len'ir 'i ten++oro ti,e hi,ertro*

- #atu-batu

- Kemerahan muosa .arin+- "embesaran el2 Lim.e leher


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Farin+itis Kroni


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Bentu0 faringitis 0roni0 :3, Atro4

7Farin+itis atro*an C .arin+itis sia8@ Muosa erin+@ Muosa atro*

@ Muosa men+ilat

32 !i"ertro4 7Farin+itis hi,ertro*an C .arin+itis +ranulosa8@ Muosa banya len'ir@ M&osa ti'a rata

Tera"i :

- Men+hilan+an .ator ,re'is,osisi- Kumur / tablet isa,- Darin+an +ranuler austi


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ABSES PERITONSI (5uins*)

- "enimbunan ,us 'i >arin+an lon++ar antaratonsil 'an otot onst2 Farin+ su,erior2

- $erin+ ( - 'i .osa su,ra tonsil

- 'easa mu'a

Ge1a'a$ge1a'a :- Panas

- N*eri te'an (s"ontan)- Bu0a &u'ut ter/atas (tris&us)- Ngi'er (ro'ing8


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Abses "eritonsil


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Tana$tana :- Hot ,otatos voice- %rolin+

- &vula u'em) 'eviasi e sisi sebelah- Tonsil membesar 7serin+ sebelah8- Trismus- Kel2 Lim.e 'i baah an+ulus man'ibula

membesar eras 'an sait tean2

Tera"i :- Insisi 'an 'rainase- Antibiotia 'osis tin++i

- Tonsiletomi bila me'iamentosa+a+al


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PAROTITIS SUPURATIF

# %itan'ai ,emben+aan yan+menyaitan ,re/,ost auriulasu'utrahan+ baah ) 'ischar+e ,urulen 'ari

'utus elen>ar yan+ terena) 'ys+eusia'an lim.a'eno,ati servial

# Ketia ,enyait ,arah) mun+in a'ayan+ 'isertai 'emam) malaise 'anrisio ,embentuan abses ,a'a ruan+,ara.arin+eal) termasu an+ina Lu'i+s


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,ato+enesis

12 Retro+ra'e ontaminasi saluranlu'ah 'an >arin+an ,arenim olehbateri ,en+huni ron++a mulut2

32 $tasis aliran saliva ,a'a saluranlu'ah 'an ,arenim memicu in.esisu,urati. aut


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Tiba-tiba men+alami eritematosa,emben+aan 'aerah auriularis

,re / ,ost meman>an+ e su'ut


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,enatalasanaan

om,res han+at) memasimalan !H)memberian sialo+o+ues 7lemon tetes8

"i>at esternal elen>ar lu'ah >ia

'a,at 'itoleransiAntibiotiG

?B 'ari or+anisme men+hasilan #-

latamase atau ,enisilinase"erlu #-latamase inhibitor


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"embe'ahan untu "arotitis su,rati.Aut

#ila abses teri'enti*asi'rainasebe'ah 'ilauan


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ABSES SUBMANDIBUA(u6ig7s Angina)

- #iasanya 'i'ahului aries +i+i MI IIIRahan+ baah ,erio'ontitis abses,erio'ontal2

Ge1a'a an tana- $ait +i+i M I M III baah- #en+a subman'ibula (

@ Keras 7$"T-,a,an8@ &nilateral- $ait s,ontan- Trismus


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#o&"'i0asi :

- &'em larin+ %is,nea

- Me'iastinitis Abses me'iastinum

- Trombo,lebitis Trombus e ota

Tera"i :

- Insisi J %RAINA$E- Antibiotia


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OBSTRU-TIVE SEEP APNEUS8NDROME(OSAS)

!bstructive $lee, A,nea $yn'rome7!$A$8

$uatu elainan yan+ 'itan'ai (

"erna.asan abnormal selama ti'ur

Kantu berlebih sian+ hari


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# 3 6 ,o,ulasi ( semua umur) lai-lai lebih serin+

# Ana (

/3-4 !$A

/A'enotonsilar hi,ertro*

/A'enoi'etomi : atau tonsiletomi ,erbaian linis


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etiolo+i!bstrusi 'a,at ter>a'i ,a'a bebera,a level

7multilevel 8(

12Kelainan-elainan nasal yan+menyebaban obstrusi nasal(

Rinitis"oli, nasal

$tenosis nasal

Atresia oanal

Hi,ertro* a'enoi'


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32 Kelainan-elainan .arin+eal

Hi,ertro* tonsil ,alatina

Hi,ertro* tonsil lin+ual

!besitas 7,enimbunan

lema 'i 'aerah leher8


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42 Kelainan-elainan larin+eal(Larin+omalasia

"aralise ,lia voalis

Masa tumor larin+

52 Kelainan-elainanneurolo+is/on+enital

62 Farmaolo+i(


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DIAGNOSIS

Meto'e menilai !$A$ ana meli,uti (

12Anamnesis / riayat linis32"emerisaan *si

42"emerisaan ,enun>an+ : husus


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PENATAA#SAAN Tu>uan (

# menurunan e,iso'e na.as abnormal

# menin+atan ualitas hi'u, ana

# menurunan risio om,liasi2

Tera,i (

12 Konservati. "erubahan ,erilau

Me'iamentosa32!,erati.


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Ilustrasi Kasus

# $eoran+ lai-lai 1 th 'atan+ e,usesmas '+n eluhan 1 min++u nyeritelan 'isertai 'emam)main bertambah

berat2 #ua mulut a+a terbatas2 1 hari y+lalu atu melu'ah eluar nanah cam,ur'arah2 Riayat serin+ nyeri telan2

# "F ( K& nyeri telan 0A$ 9) T0 'bn ecuali

tem, 4; ) bua mulut ter+an++u) banyalu'ah 'i oro.arin+2

# %% Etiolo+i "" y+ 'ian>uran


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# Abses ,eritonsil# %%

/ Abses retro.arin+ / Abses sub-man'ibular

# Etiolo+i / #acterial 7aerob : nonaerob8 / T>' arena om,liasi tonsilitis aut / $eluruh bateri ,enyebab tonsilitis aut 'an roni

'a,at menyebaban abses ,eritonsil) most( #etahemolytic stre,tococcus

# "" y+ 'ian>uran / As,irasi 'en+an >arum ,a'a 'aerah ,alin+ utuati.)

lauan A$T / ;T $can Rin+ enhancement / &$ / Foto ronsen ,olos


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"EN&T&"#

Re.erensi(#allan+er DD2 "enyait THT : Leher e'2142 Daarta2 #inaru,a

Asara)1OO?2

#ailey #D2 Hea' an' Nec $ur+ery !tolaryn+olo+y2 E'232"hila'el,hia 2Li,,incott-raven2 1OO

KatPun+ #2 3BB52 #asic an' ;linical "harmacolo+y2 Oth e'ition2 $in+a,ore( Mc ra Hill Inc

A'ams) #oeis)Hil+er2 1OO2 #oeis Fun'amentals o.!tolarin+olo+y( Textboo o. Ear) Nose) an' Throat %iseases2 9th e'ition2 "hilla'el,hia(


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INDI#ASI TONSIE#TOMI


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INDI#ASI TONSIE#TOMI(!TA 9;)

Ini0asi a/so'ut tonsi'e0to&i

a2 Hi,ertro* tonsil yan+ menyebaban(

-!bstrusi saluran na,as misal ,a'a !$A$

7Obstructive Sleep Apnea Syndrome8 -%is.a+ia berat yan+ 'isebaban obstrusi

-an++uan ti'ur

-an++uan ,ertumbuhan 'ento.acial -an++uan bicara 7hi,onasal8

-Kom,liasi ar'io,ulmoner


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b2 Riayat abses ,eritonsil2

c2 Tonsilitis yan+ membutuhan bio,si untumenentuan ,atolo+i anatomi terutama

untu hi,ertro* tonsil unilateral2'2 Tonsilitis roni atau berulan+ seba+ai

.oal in.esi untu ,enyait-,enyait lain2


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Ini0asi re'atif

a2 Ter>a'i ? e,iso'e atau lebih in.esi tonsil

,a'a tahun sebelumnya) atau 6 e,iso'e atau

lebih in.esi tonsil tia, tahun ,a'a 3 tahun

sebelumnya atau 4 e,iso'e atau lebih in.esi

tonsil tia, tahun ,a'a 4 tahun sebelumnya

'en+an tera,i antibioti a'euat2

b2 Ke>an+ 'emam berulan+ yan+ 'isertai

tonsilitis2


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c2Halitosis aibat tonsilitis roni yan+ ti'a

membai 'en+an ,emberian tera,i me'is2

'2 Tonsilitis roni atau berulan+ ,a'a arier

stre,toous #-hemolitius yan+ ti'a

membai 'en+an ,emberian antibioti

resisten -latamas


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#ontra ini0asi

12 Ra'an+ aut32 "enyait-,enyait ,er'arahan (

- Leuemia

- Hemo*lia

- Anemia

- Hemora+ia 'iastesa

42 K& ( >ele

52 E,i'emi ,olio62 Kehamilan / menstruasi

92 $tatus asmatius


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Teni0 O"erasi (!TA 9;):

12 %isesi

32 $lu'er / uillotine

42 Eletrosur+ery 7 #e'ah listri8

52 Ra'io.reuensi

62 $al,el Harmoni92 ;oblation

?2 Intraca,sular "artial Tonsillectomy

2 Laser Tonsil Ablation 7;!3-KT"8


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Kom,liasi 7 HTA 3BB58

Kom,liasi yan+ timbul meru,aan +abun+anom,liasi tin'aan be'ah 'an anestesi

12 Kom,liasi Anestesi

-Larin+os,asme-elisah ,asca o,erasi

-Mual muntah

-Kematian saat in'usi ,a'a ,asien hi,ovolemi

-Hi,ersensiti. terha'a, obat anestesi

-Hi,otensi 'an henti >antun+


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32 Kom,liasi #e'ah3, Peraraan Meru,aan om,liasi terserin+A2 Early blee'in+ 7 ,er'arahan ,rimer)

reactionary haemorra+e8#2 Late/ 'elaye' blee'in+ 7 ,er'arahan

seun'er8

35 >am ,ost o,x9, N*eri

Karena erusaan muosa 'an serabut sara.+loso.arin+eus atau va+al) inamasi) 'an

s,asme otot .arin+eus yan+ menyebabanisemia

#iasanya berlan>ut sam,ai 15-31 hari setelaho,erasi


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=, #o&"'i0asi 'ain(

'ehi'rasi) 'emam) esulitan berna.as)

+an++uan terha'a, suara) as,irasi)otal+ia) ,emben+aan uvula) insu*siensi

velo.arin+eal) stenosis .arin+) lesi 'i bibir)

li'ah) +i+i) 'an ,neumonia


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$tan'ar Kom,etensi (

%a,at men'ia+nosis elainan 'ilarin+ ber'asaran anamnesis),emerisaan *si) 'an ,emerisaan

,enun>an+ serta men+atasie+aat'aruratan 'an memberiantera,i yan+ te,at


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"oo #ahasan (

12 "seu'ocrou,

32 E,i+lotitis Aut

42 Larin+itis %i.teri

52 As,irasi Traea

62 Traeitis

92 #en'a Asin+ Traea

ANAT!MI LARIN


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ANAT!MI LARIN

Anatomi Larin+


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Anatomi Larin+

!tot Estrinsi Larin+!tot Estrinsi Larin+


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!tot Estrinsi Larin+!tot Estrinsi Larin+

Anterior view

!tot Intrinsi Larin+!tot Intrinsi Larin+


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!tot Intrinsi Larin+!tot Intrinsi Larin+

Arteri 'an 0ena Larin+Arteri 'an 0ena Larin+


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Arteri 'an 0ena Larin+Arteri 'an 0ena Larin+

Aliran Lim.e Larin+Aliran Lim.e Larin+


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++

FI$I!L!I


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FI$I!L!IFungsi laring :

1. Fonasi % Suara

2. 0espirasi : 'onitor dg perasat a*son

3. Prote*si : ggn fungsi batu* 7 terseda*

4. Tusif

5. &*spe*toran

6. 8eglutasi

!. Fi*sasi

9. Sir*ulasi fi*sasi

. &)osi

SUARA


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S,arat ter;adin,a suara:

1. Aliran udara ,ang u*up

2. diatas dan di baa+ glotis.

# Tinggirenda+? pan;angpende* suara ditentu*an

ole+ @olu)e dan aliran udara dala) rongga dada

SUARA

….Suara


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Ad. 2 Generator


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Ad." #esonator ada di :

1. 0ongga faring suara

2. 0ongga +idung nada suara

3. 0ongga )ulut arna suara

pe)bentu*an

Ad. $ Fungsi %oordinasi & %ontrolTer;adi di ota* dan saraf perifer

"emerisaan larin+


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"emerisaan larin+1. Ana)nesis sera* 7 sesa* stridor

2. nspe*si defor)itas? *etegangan3. Palpasi

# Laringos*opi indire* : inspe*si laring dengan

*aa laring !°

# Laringos*opi dire* : inspe*si laring denganlaringos*op (leisesser )eli+at langsung

# Strobos*opi

# 'i*ros*op laring# Foto 0ontgen

"erasat Dacson


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"erasat Dacson

I. Sesak nafas dan stridorII.Sesak nafas dan stridor

Retraksi suprasternum, supraklavikula &infraklavikula. retraksi epigastrium ringan.

Sianosis +

III.Sesak nafas dan stidor berat

Retraksi suprasternum, supraklavikula &

infraklavikula berat, retraksi interkostaterlihat & epigastrium dalam. Sianosis ++

IV perasat III hebat, retraksi interkosta hebat,sianosis hebat.


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Ra'an+ larin+ 7larin+itis8Ra'an+ larin+ 7larin+itis8

non s,esi*

aut

s,esi*

Larin+itis

non s,esi*

roni

s,esi*


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# $uatu ,era'an+an ,a'a larin+ 'aerah sub+lotis)yan+ bersi.at aut

# Aut 4-? hari

# $erin+ ,a'a ana 6th

# ;ausa viral sel. limitin+ 'isease

- InuenPa virus

- "arainuenPa virus

- Rhinovirus

- R$0

# #ateri seun'er in.esi

"$E&%!;R!&"


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&'em 'i.use 'i sub+lotis s, +lotis rima +lotis sem,it

Hi,eremis rin+an ,a'a ,lia voalis

$tri'or retrasi interosta)su,ralaviula


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U- .oto colli A"

$tee,le $i+n


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EPIGLOTITIS


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EPIGLOTITIS

# $uatu ,era'an+an ,a'a larin+ 'aerahsu,ra+loti 'an e,i+lotis) bersi.at aut

# ;ausa bateri H2 InuenPa ti,a #

# &'em ,a'a strutur su,ra+lotis# $erin+ ,a'a ana 3-5 th) lai-lai

anita

#e>ala beremban+ san+at ce,at) t's,esi* $DNA men'a'a emer+ency case


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&'em e,i+lotis) ,lia arie,i+lotia) aritenoi''an su,ra+lotis

"ro+resi. +a+al na.as

E,i+lotis terlihat san+at u'em 'an merah

cherry re' a,,2"enimbunan saliva 'i

hi,o.arin+

%aerah ,lia voalis 'an

sub+lotis normal


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# Ti'a 'isaranan melauan larin+oso,iin'irect memicu obstrusi airay

# Larin+oso,i 'irect cherry re' a,,

# U- .oto so.t tissue colli lateral Thumbsi+n


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Larin+itis %i.teri


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Larin+itis %i.teri

# Etiolo+i ( Corynebacteriumdiphteriae uman +ram 7J8

# Masa inubasi 3-9hr

# Daran+ ,rimer 'i larin+ lan>utan 'ari .arin+itis 'antonsilitis 'i.teri2

# Esotosin en'oar'itis)

neuritis# $erin+ ana 1Bth) 'easacarier


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Anatomi Traea


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Anatomi Traea

# Berupa pipa saluran

napas antara laring sp

bifuratio tra*ealis

# Leta* di bela*ang

sternu) setinggi - 5s%d tepi atas T+ 5

# A*an berabang 2

)en;adi bron*us pri)er

*anan dan *iri.

Anatomi Traea


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Anatomi Traea Terdiri dari 2 inin

*artilago? berbentu* - Tiap u;ung *artilago

di+ubung*an ole+ otot

dan ;ar i*at Lebar dan pan;ang

tra*ea a*an berta)ba+

saat inspirasi dan

*e)bali u*uran se)ulasaat e*spirasi


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# Muosa ( E,itel olumner ,seu'ostrati*e'2

# 0asularisasi a2 tiroi'ea in.eriora2 bronus

# Aliran el2 lim.e ,aratrahea :,retrahea2

# "ersara.an n2 reuren larin+

7sensori untu muosa trahea : sim,atis'ari +an+lion servialis me'ia8


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FISIOOGI TRA#EA

# Fun+si utama ( hantaran u'ara res,irasie ,aru : men+eluaran u'ara ,' saates,irasi2

# ;incin ( ,ertahanan lumen

# !tot ( men'eatan artila+o# Li+amen ( mence+ah ,ere+an+an

# Muosa ( men+han+atan u'arains,irasi ,rotesi

A$"IRA$I TRAKEA


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# Masunya suatu material 7seresi .arin+) maanan)minuman) isi 'ari lambun+8 e 'alam larin+ 'antraea

# Fator risio (

- ,enurunan esa'aran

- ,enurunan +a+ ree

- L"R

- obesitas- Kehamilan

- Traeostomi) ETT 'll

A$"IRA$I TRAKEA

A$"IRA$I TRAKEA


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# Ree batu 'an menelan .un+si,roteti.

# Dia ter+an++u as,irasi 'i traea

# Material asam reasi imia iritasimasi. 'i traea inamasi sumbatan

>alan na.as

A$"IRA$I TRAKEA


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Tan'a Klinis

Res,irasi rate

$tri'or ins,irasi retrasi interostal sianosis


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12 U- .oto thorax A"/Lat

32 Analisa +as 'arah


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TRAKEITI$


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# $uatu ,era'an+an ,a'a traea yan+'isebaban oleh in.esi bateri

# #ateri sta,iloous aerius2

# Aibat seun'er in.esi ,a'a I$"Aarena virus

# Ana u'em traea sumbatan

>ln na.as

TRAKEITI$


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Res,irasi rate $tri'or ins,irasi

Retrasi interostal

$ianosis &'em 'an hi,eremis ,a'a traea


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12 U- .oto traea A"/Lat

32 Analisa +as 'arah

42 Kultur 'ari traea


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#en'a Asin+


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+

# 'aterial : padat % setenga+ padat

# Asal : endogen % e*sogen

laring%Tra*ea % bron*us % seg)en

# Ban,a* di bron*us *anan: dia)eter lebar

sudut lebi+ *eil lebi+ *e )edial?

*arina lebi+ *e ara+ *iri

# &fe* : rea*si lo*al

aerogenasi paru

trau)a pneu)otora*s

Benda asing


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…….Benda asing

# Diagnosis : Ana&nesis > Pe&eri0saan# A6a' : Sesa0 2 ter?e0i0 (?o0ing

2gaging)

Batu0 e/at ( "aro0sis&a' )

Tana9 su&/atan 1a'an nafas

(sianosis as40sia )

# Ge1a'a an Tana

Tergantung o0asi@ 1enis@ sifat@ /entu0an u0uran

…….Benda asing


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e>ala 'an Tan'a

# Traea ( - #atu ,arosimal men'a'a

- $ianosis / as*sia

- #isin+ / heePin+- Au'ibel sla, 7 ben'a ber+era 8

- Flutter atau ,al,atory thrill

- Retrasi 'in'in+ 'a'a

- $term .remitus 'an ausultasilemah

…….Benda asing


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e>ala 'an Tan'a

# #ronus (- Rasa tersumbat / tercei

- #atu ,arosismal

- #isin+ 'i bronus

- $tem .remitus anan 'an iribe'a

- Ausultasi lemah ,a'a bronusyan+ tersumbat

…..Benda asing


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g

# $e+men ( "erasaan tersumbat 'antercei

#atu ,arosismal

#isin+ ,a'a se+men yan+ ena

Ausultasi melemah ,a'a se+menyan+ ena

S*&to&'ess intera'C

#en'a asin+


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#en'a asin+

#en'a asin+


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#en'a asin+

…..Benda asing


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…..Benda asing

# "emerisaan "enun>an+ (

Foto ron+en ,aru

#ronoso,i

# "enan+anan (

Non en'oso,i 7Heimlich Manuever 8

Traeostomi

#ronoso,i

Heimlich Manuever


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faringo-laringologi 2

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