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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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