Laporan Kasus

HIPERTROFI KONKA INFERIOR DEXTRA ET SINISTRA

ET CAUSA

RINITIS VASOMOTOR

Oleh :

Prija Razunip I1A005040R.Wiken Pramudita S. I1A007072Eva Arifin I1A007092

Pembimbingdr. Ida Bagus Ngurah Swabawa, Sp.THT.

BAGIAN/SMF ILMU TELINGA HIDUNG DAN TENGGOROKAN (THT)RSUD ULIN BANJARMASIN

FAKULTAS KEDOKTERAN UNLAMBANJARMASIN

DESEMBER, 2012

DAFTAR ISI

Halaman

HALAMAN JUDUL ...............................................................................................i

DAFTAR ISI...........................................................................................................ii

DAFTAR GAMBAR..............................................................................................iv

DAFTAR TABEL....................................................................................................v

BAB I PENDAHULUAN........................................................................................1

BAB II TINJAUAN PUSTAKA

II.1. Anatomi dan Histologi...........................................................................2

II.2. Hipertrofi Konka....................................................................................4

II.2.1. Etiologi........................................................................................4

II.2.2. Patofisioogi.................................................................................4

II.2.3. Diagnostik Hipertrofi Konka.......................................................7

II.2.4. Penilaian Konka Inferior dengan Tomografi Komputer.............9

II.2.5. Hipertrofi Konka pada Tomografi Komputer dan

Histopatologi.............................................................................10

II.2.6. Penatalaksanaan........................................................................12

II.3. Rinitis Vasomotor................................................................................29

II.3.1. Epidemiologi............................................................................29

II.3.2. Etiologi.....................................................................................30

II.3.3. Patofisiologi.............................................................................30

II.3.4. Patogenesis...............................................................................32

II.3.5. Gejala Klinis............................................................................33

II.3.6. Diagnosis..................................................................................34

II.3.7. Diagnosis Banding...................................................................35

II.3.8. Penatalaksanaan.......................................................................36

II.3.9. Komplikasi...............................................................................37

II.3.10Prognosis..................................................................................38

ii

BAB III LAPORAN KASUS................................................................................39

BAB IV PEMBAHASAN.....................................................................................44

PENUTUP..............................................................................................................53

DAFTAR PUSTAKA

iii

DAFTAR GAMBAR

Halaman

Gambar 1. Anatomi dinding laterl hidung berdasarkan Probst (2006)........... 2

Gambar 2. Rinoskopi anterior hipertrofi konka berdasarkan Yanez (2008)... 8

Gambar 3. Nasoendoskopi hipertrofi konka berdasarkan Yanez (2008)…… 8

Gambar 4. Lateroposisi konka inferior berdasarkan Scheithauer (2010)....... 14

Gambar 5. Turbinektomi total berdasarkan Scheithauer (2010)..................... 15

Gambar 6. Turbinektomi parsial berdasarkan Scheithauer (2010)………..... 16

Gambar 7. Turbinektomi submukosa berdasarkan Scheithauer (2010).......... 18

Gambar 8. Reseksi submukosa dengan mikrodebrider berdasarkan Scheithauer (2010)…………………………………………........ 19

Gambar 9. Turbinoplasti inferior berdasarkan Scheithauer (2005)................ 20

Gambar 10. Elektrokoagulasi konka inferior berdasarkan Scheithauer (2010)…………………………………………………………… 26

Gambar 11. Hipertrofi konka………................................................................ 46

iv

DAFTAR TABEL

Halaman

Tabel 1. Gambaran klinis dan pemeriksaan pada rinitis vasomotor................30

Tabel 2. Perbedaan rinitis alergi dengan rinitis vasomotor..............................36

Tabel 3. Terapi operatif terhadap rinitis vasomotor.........................................37

v