gangguan laring

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GANGGUAN LARING GANGGUAN LARING 1. KEL.CONGENITAL 2. INFEKSI 3. TRAUMA 4. BENDA ASING 5. TUMOR 6. PARALISIS PITA SUARA

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Page 1: GANGGUAN LARING

GANGGUAN LARINGGANGGUAN LARING

1. KEL.CONGENITAL

2. INFEKSI

3. TRAUMA

4. BENDA ASING

5. TUMOR

6. PARALISIS PITA SUARA

Page 2: GANGGUAN LARING

KEL.CONGENITALKEL.CONGENITAL

E/ - OSNA

- GG.FONASI

- DISFAGIA

- GG.PERTUMBUHAN

Page 3: GANGGUAN LARING

1. ATRESIA LARING1. ATRESIA LARING

JARANG STILL BORN GG : EP.PRIMORDIUM V.C tdk membelah sagital TDD :a. A.SUPRAGLOTIK

b. A.GLOTTIK c. A.INFRAGLOTTIK

TH/ TRACHEOSTOMY CRICOTHYROTOMI TH/ DEFINITIF

Page 4: GANGGUAN LARING

2.EPIGLOTTIS BIFIDA2.EPIGLOTTIS BIFIDA

JARANGEPIG TERBAGI DUA SAMA BESAR &

FLACCID PROLAPSD/ -X-RAY LEHER

-DLTH/ AMPUTASI BAG.FLACCID

DG APP.TRANSORAL

Page 5: GANGGUAN LARING

33.LARINGOMALACIA.LARINGOMALACIA

STRUKTUR LARING LEMBEK INSPIRASI

MENUTUP LUMEN LARING

STRIDOR TERSERING D/ -X-RAY LEHER

-DL TH/ KONSERVATIF

Page 6: GANGGUAN LARING

4.CONG.SUBGLOTTIC STENOSIS4.CONG.SUBGLOTTIC STENOSIS

= PERSEMPITAN SIRKUMFERENSIAL LARING 2-3 CM DI BAWAH V.C

K/ - SOFT TISSUE >>

- CART >>- G/ STRIDOR AT CROUP BERULANG- TH/ TRACHEOSTOMY

Page 7: GANGGUAN LARING

5.CONGENITAL WEB5.CONGENITAL WEB= TUMBUH JAR IKAT BARU TDPT DI : GLOTTIS (75%)

SUB GLOTTIS (12%)SUPRA GLOTTIS (12%)

G/ -GG NAPAS -FONASI SEJAK LAHIR

D/ ENDOSKOPITH/ EKSISI

DILATASI LARYNGEAL INSERTA

Page 8: GANGGUAN LARING

6. CONGENITAL CYST6. CONGENITAL CYST

G/ OSNA &/ GG.TUMBUHLOKASI : - BASIS LIDAH

- ARYEPIG. FOLD

- VENT. BANDTH/ : - EKSISI

- ASPIRASI-MARSUPIALISASI

- EKSTERNAL

Page 9: GANGGUAN LARING

7. CONGENITAL HAEMANGIOMA7. CONGENITAL HAEMANGIOMA

TDP DI SUBGLOTTIC WANITA, INFANT < 6 BLN DISERTAI H DI TEMPAT LAIN G/ : OSNA, STRIDOR D/ : X-RAY, ENDOSCOPI Th/: - OBS, REGRESI SPONTAN

- RAD - OP.VIA TRAKHEA

Page 10: GANGGUAN LARING

8. LARYNGOCELE8. LARYNGOCELE

3 TIPE : INTERNAL

EKSTERNAL

MIX

= SISA APPENDIX AT SACCUS

VENTR LARINGTH/ EKSISI

Page 11: GANGGUAN LARING

9. CRI DU CHAT SYNDROME9. CRI DU CHAT SYNDROME

= SUARA TANGIS ~ KUCING

STRIDOR

MR

HYPERTHYROIDSM

ANTIMONGOLOID

GG.PERTUMBUHAN

E/ KERUSAKAN KROM 5 (SHORT ARM)

TH/ TDK ADA YG SPESIFIK

Page 12: GANGGUAN LARING

10. PIERE ROBIN SYNDROME10. PIERE ROBIN SYNDROME

FAMILIAR G/ : - MIKROGNATHIA

- GLOSSOPTOSIS - PALATOSCHISIS

DAGU KECIL

- OBST LARING K/ BALL VALVE OBSTR

=EPISODIK

Page 13: GANGGUAN LARING

- + CYANOSIS- + CYANOSIS STRIDOR STRIDOR

INDRAWING INDRAWINGTERJADI PD : - TERLENTANG

- MAKAN - TIDUR

TH/ - PRONE POSITION - TRACHEOSTOMY - GLOSSOPEXY - OPR : DOUGLAS OP

KIRSCHNER WIRE DUHANEL SUTURE