Dr. Zulfikar Naftali SpTHT-KL, Msi.MedDivisi Otologi-Neurootologi

Departemen THT-KL FK Undip/SMF K THT-KL Rs Dr. KariadiSemarang

PARAKTIKUM PEMERIKSAAN FISIK

DIAGNOSTIK THT-KL

Serumen hak

Kapas aplikator

Xylonor spray

Suction

Alat yang dibutuhkan

Usapan dengan aplikator-kapas

9. Pembersihan MAE- Usapan

10.Pengambilan Serumen : Kait/kuret

a. Cara memegang serumen hak

10.Pengambilan Serumen : Kait/kuret

b. Cara mengambil serumen: sejajar CAE- xylocain spray

GA atau Lokal (Xylocain spray di CAE )

Forcep Hartman, suction, serumen hak

Benda asing organik : olleum coccum

11. Pengambilan benda asing telinga

Caution

11. Pengambilan Benda asing Telinga

Insisi membran timpani

Indikasi :

1. Otitis media akut (Bulging)

2. Otitis media akut stadium resolusi/glue ear

3. Otitis media dengan efusi ( prosedur awal)

3.Parasentesis = miringotomi (2)

Lokasi : antero-inferior (paling aman)

3.Parasentesis = miringotomi (2)

Insersi pipa ventilasi di membran timpani =

drainase

Berbagai macam tipe

4.Insersi gromet ( 1)

Insersi pipa ventilasi

Indikasi:

- Otitis media dengan efusi

- disfungsi tuba

- Otitis media akut berulang

4.Insersi gromet ( 1)

Video

4.Insersi gromet ( 1)

Performed by moderately forceful attempted exhalation

against a closed airway, usually done by closing one's

mouth, pinching one's nose shut while pressing out as if

blowing up a balloon

8.Manuver valsava ( 4 A)

menilai fungsi tuba, dengan cara

- melihat pergerakan membran timpani

- timpanometri ( ETF-2) video

8.Manuver valsava ( 4 A)

Video

8.Manuver valsava ( 4 A)