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THT KL
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Otitis Eksterna
OEF : an infection of a hair follicle in the outher ear canal.
TRAUMA ABRASION / MACERATION STAPHY. SP (DM) INFECTION SPONTANEUS / RECURRENCY
O E F : 1/3 ext.canal Furuncel Punctum in hair folikel Otalgia TM normal
O E D : CAE skin all Oedema Narrow ear canal Erythematous TM erytematous
CLINICAL FEATURES :(GRAY,1992)
Irritation Pain Trismus Deafness Regional lymphadenitis
SPREAD INFECTION (Gray) BACKWARD : Superficial to the periosteum over
the mastoid, with obliteration of the postauricular sulcus.
FORWARD : Into parotid region INWARD : Through the notch of rivinus, to
infect the tympanic cavity
COMPLICATION :(Bailey,1998)
Cellulitis Erysipelas Perichondritis Chondritis Chronic
TREATMENT : Antibiotics : Applied Local Analgetics Incision : seldom required Aural toilet : cleansing spontaneus
discharge
(GRAY, 1992)
Otitis Eksterna DifusaHot wheater ear, singapore ear, hongkong ear, swimmer’s ear.
DefinisiInfeksi bakteri kanalis kerusakan kulit normal / barier pelindung serumen yg terlepas kelembaban & temperatur
Patogenese Manipulasi liang telinga hilangnya
lapisan lemak muara kelenjar terbuka resorbsi cairan dari luar oedem sekresi kelenjar sebacea & sudorifera permukaan kulit kering rasa gatal pada liang telinga ingin menggaruk & laserasi kulit mempermudah invasi kuman (Mawson 1974 )
Empat prinsip dasar OED: Pembersihan liang telinga secara
teratur Penggunaan antibiotika yang tepat Pengobatan inflamasi dan nyeri Pencegahan infeksi berulang
Thank you