I N T R O D U C T I O N
I N T O
E N T D I S E A S E
Dr. H. Wahjoe Widajatno, Sp.THT, FS.
ILMU PENYAKIT TELINGA - HIDUNG - TENGGOROK
1. Dr. H. Wahjoe Widajatno, Sp.THT, FS. :
- INTRODUKSI ILMU PENYAKIT THT
- ANAMNESIS DAN PEMERIKSAAN THT
- N E U R O – O T O L O G I
- KAPITA SELEKTA
2. Dr. Fauzan Abdillah, Sp.THT : - L A R I N G – F A R I N G
- B R O N K O L O G I
- E S O F A G O L O G I
3. Dr. Sri Susilawati, Sp.THT. : O T O L O G I
4. Dr. Toha Ibrahim, Sp.THT : R I N O L O G I
D O S E N
RS. PENDIDIKAN THT
1. RSUP FATMAWATI
2. RSUD BUDHI ASIH
3. RSUD KOJA
4. RUSPAU Dr. ESNAWAN ANTARIKSA
5. RS DR. H. MARZOEKI MAHDI - BOGOR
6. RS OTORITA BATAM, BATAM
BUKU AJAR 1. Iskandar N. dan Soepardi E.A :
“ BUKU AJAR ILMU PENYAKIT THT ” FKUI - Jakarta
2. Adams GL. Boies L.C. And Hilger P.A. : “FUNDAMENTALS OF OTOLARYNGOLOGY”.
3. Ballantyne Y. And Grove Y. : “ SCOTT BROWN’S DISEASE OF THE EAR, NOSE AND THROAT “
4. Soepardi E.A., Hadjat F. dan Iskandar N. : “ PENATALAKSANAAN PENYAKIT DAN KELAINAN THT ” FKUI – Jakarta
5. Ballenger : “DISEASE OF THE NOSE, THROAT AND EAR”
OBYEKTIF PENDIDIKANILMU PENYAKIT THT
1. Memahami penyakit-penyakit THT yang sering terjadi
2. Memperagakan teknik diagnostik penyakit THT
3. Memahami dasar terapi penyakit THT
4. Mengidentifikasi kasus THT yang perlu dirujuk
5. Mengenal dampak sosial penyakit THT
6. Menetapkan prognosis penyakit THT
INTRODUKSI I.P. THT
T H T
O R L
E N T
K N O
H N O
E N T – H N STHT – Bedah kepala dan leher
T H T – K L
O T O L O G I
CHINA MESIR KUNO Cara-cara Pengobatan Penyakit Telinga
INDIA
HIPOCRATES Gendang Telinga 460 SM
OMA + Meningitis ANATOMI
Teknologi Mikroskop Organ Corti 1852
R I N O L O G I MESIR KUNO Lebih ke arah Estetika
Pengawetan Jenazah
MANUEL GARCIA (1854)
Laringoskopi Indirek
LARINGOLOGI
VON BRUNS, 1861 POLIP PITA SUARA
BILLROTH, 1873 LARINGEKTOMI
JELLINEK, 1884 OPERASI INTRA LARING
KIRSTEIN, 1895 LARINGOSKOPI DIREK
Killian + Bruening
T r a k e o s k o p i
B r o n k o s k o p i
E s o f a g u s k o p i
1. O T O L O G Y
2. R H I N O L O G Y
3. L A R Y N G O L O G Y
4. NEURO – OTOLOGY
5. A L L E R G Y
6. O N C O L O G Y
7. PLASTIC AND RECONSTRUCTIVE SURGERY
8. BRONCHOESOPHAGOLOGY
9. T H T - KOMUNITAS
SUBDIVISION OF OTOLARYNGOLOGY
OTOLARYNGOLOGYHEAD & NECK SPESIALTY
OTOLARYNGOLOGY AND THE MEDICAL SPECIALTIES IT OVERLAPS
THORACIC SURGERY
GENERAL SURGERY GENERAL
PLASTIC SURGERY
ORAL SURGERY
DERMA TOLOGY
MAXILLO FACIAL
OPHTHALMO LOGY
NEURO SURGERY
ALLERGY
MATA AJARAN IP. THT KIPDI II
1. Introduction to ENT Disease
2. Anamnesis dan Pemeriksaan Telinga
3. Anatomi dan Fisiologi Telinga
4. Perikondritis dan Otitis Eksterna
5. Gangguan Fungsi Tuba, Otitis Media Akut, Otitis Media
Serosa, Barotrauma
6. Otitis Media Kronik dan Komplikasi, Otosklerosis
7. Tumor Telinga, Benda Asing di Telinga
8. Komplikasi di Telinga Akibat Trauma Kepala, N. Facialis
9. Anatomi dan Fisiologi Hidung, Rinitis Akut dan Kronik
10. Kelainan Kongenital Hidung, Rinitis Akut dan Kronik
11. Rinitis Alergi dan Rinitis Vasomotor
12. Rinitis Medikamentosa dan Rinitis Atrofi
13. Kelainan Septum dan Penatalaksanaan
14. Epistaksis dan Penatalaksanaan
15. Sinusitis Paranasal Akut dan Klinik
16. Tumor Hidung dan Sinus Paranasal, Benda Asing di Hidung,
Trauma Hidung dan Muka
17. Anatomi dan Fisiologi Faring, Proses Menelan
18. Tonsilofaringitis Akut dan Kronik, Tonsilitis Difteri
19. Abses Sekitar Faring dan Mulut, Abses Leher Dalam, Benda
Asing di Tonsil dan Dasar Lidah
20. Anatomi dan Fisiologi Laring, Kelainan Kongentital Laring,
Laringitis Akut dan Kronis
21. Tumor Nasofaring, Tumor Lidah dan Tumor Laring,
Obstruksi Laring, Trakeostomi
22. Benda Asing di Saluran Nafas Atas, Trauma Laring dan
Trakea
23. Fisiologi Mendengar dan Uji Pendengaran, Audiogram Nada
Murni, Jenis dan Derajat Ketulian
24. Audiogram Khusus, Pemeriksaan Pendengaran pada Anak,
ABD, Penyakit Ketulian Akibat Kerja
25. Anatomi dan Fisiologi Keseimbangan, Pemeriksaan
Keseimbangan, Gangguan / Penyakit Keseimbangan
26. Anatomi dan Fisiologi Trakea dan Bronkus, Benda Asing
dalam Trakea dan Bronkus, Tumor Bronkus dan Tumor
Trakea
27. Anatomi Dan Fisiologi Esofagus, Benda Asing Di Dalam
Esofagus
28. Disfagia, Esofagitis Korosif, Tumor Esofagus
PENYAKIT-PENYAKIT THT YANG BERDAMPAK PSIKOSOSIAL
1. TULI BERAT BILATERAL
2. A F O N I A
3. A N O S M I A
4. N A S O L A L I A
5. DEFORMITAS WAJAH
6. F O E T O R
1. Clinical Anatomy and Physiology
A . T H E E X T E R N A L E A R
1. Clinical Anatomy and Physiology
1. Clinical Anatomy and Physiology
B . T H E M I D D L E E A R
1. Clinical Anatomy and Physiology
1. Clinical Anatomy and Physiology
1. Clinical Anatomy and Physiology
C. T H E I N N E R E A RT h e c o c h l e a
1. Clinical Anatomy and Physiology
1. Clinical Anatomy and Physiology
1. Clinical Anatomy and Physiology
1. Clinical Anatomy and Physiology
The vestibular labirinth
1. Clinical Anatomy and Physiology
SENSORY INNERVATION OF THE EAR
External Ear Great auricular (C2 and C3), Laser occipital (C2)
Auriculo temporal (Cranial nerve V)Sensory branch of Facial (Cranial nerve VII)
Vagus (Cranial nerve X)
Middle EarGlossopharyngeal (Cranial Nerve IX)
Inner EarNo somatic sensory innervation
1. Clinical Anatomy and Physiology
2. History and Examination
2. History and Examination
2. History and Examination
2. History and Examination
2. History and Examination
2. History and Examination
2. History and Examination
2. History and Examination
2. History and Examination
3. Investigation of auditory, vestibular, and facial nerve function
PURE TONE AUDIOMETRY
STAPEDIAL REFLEXES
T Y M P A N O M E T RY
3. Investigation of auditory, vestibular, and facial nerve function
ELECTRICAL RESPONSE AUDIOMETRY
Electrocochleography
( ECohG )
Auditory Brainstem Responses
( ABR )
Auditory Cortical Response
( ACR )
OTOACOUSTIC EMISSION
CALORIC TESTING
ELECTRONISTAGMOGRAPHY
ELECTRONEURONOGRAPHY (ENoG)
RADIOLOGY- Plain Films
- Computed Tomographic (CT) Scanning- Magneting Resonance Imaging (MRI)
3. Investigation of auditory, vestibular, and facial nerve function
4. Common Problems of the External EarAURICULAR HAEMATOMA
CAULIFLOWER EARIMPACTED WAX
4. Common Problems of the External Ear
OTITIS EXTERNA
- Reactive- Infective
S y m p t o m s
T r e a t m e n t
4. Common Problems of the External Ear
4. Common Problems of the External Ear
NECROTIZING (‘MALIGNANT’) OTITIS EXTERNA
I n v e s t i g a t i o n s
T r e a t m e n t
Key PointBeware of otitis externa in diabetic petients
FURUNCLE OF THE EXTERNAL EAR
FOREIGN BODIES
EAR CANAL TRAUMA
TUMOURS 4. Common Problems of the External Ear
4. Common Problems of the External Ear
5. Common Conditions of the Middle Ear
MIDDLE EAR EFFUSION IN ADULTS
CHRONIC SUPPURATIVE OTITIS MEDIA
- SAFE / BENIGN MUCOSAL TYPE
- UNSAFE / MALIGNANT BONY TYPE
5. Common Conditions of the Middle Ear
CSOM - ’SAFE’ TYPEExamination
InvestigationsTreatment
CSOM - ’UNSAFE’ TYPECholesteatoma
ExaminationInvestigatisons
Treatment
5. Common Conditions of the Middle Ear
5. Common Conditions of the Middle Ear
6. Disorders of the Inner EarACOUSTIC NEUROMA
I n v e s t i g a t i o n s
T r e a t m e n t
6. Disorders of the Inner Ear
P R E S B Y A C U S I S
M a n a g e m e n t
6. Disorders of the Inner Ear
SUDDEN SENSORINEURAL HEARING LOSS
M a n a g e m e n t :- Early- Late
P r o g n o s i s
MENIERE’S DISEASE
Pathology
Investigations
T r e a t m e n t :- Medical : acute phase
- Prophylaxis- Surgery
6. Disorders of the Inner Ear
6. Disorders of the Inner Ear
ACUTE VESTIBULAR FAILURE (VESTIBULAR NEURONITIS)BENIGN POSITIONAL VERTIGO
(BPV)BAROTRAUMA AND PERILYMPH
FISTULA (BPV)
6. Disorders of the Inner Ear
6. Disorders of the Inner Ear
N I H L
6. Disorders of the Inner Ear
AIDS AND THE EAR
6. Disorders of the Inner Ear
O T O T O X I C I T Y
GLOMUS TUMOURS
HERPES ZOSTER OTICUS(RAMSAY HUNT SYNDROME)
Symptoms
ExaminationTreatment
T I N N I T U S
NON-ORGANIC HEARING LOSS 6. Disorders of the Inner Ear
7. The Facial Nerve
BELL’S PALSY
8. Pediatric OtologyEXAMINATION OF THE EAR
AUDIOLOGICAL ASSESSMENT
Parental Suspicion Health Visitor Conditioning Audiometry Electrical Response
Audiometry (ERA)
8. Pediatric Otology
ACUTE SUPPURATIVE OTITIS MEDIA
SymptomsExamination
Treatment
8. Pediatric Otology
RECURRENT OTITIS MEDIA
ACUTE MASTOIDISTIS AND
MASKED MASTOIDITIS
8. Pediatric Otology
A e t i o l o g y
S y m p t o m s
E x a m i n a t i o n
T r e a t m e n t
Ventilating tubes (grommets)
OTITIS MEDIA WITH EFFUSION ( O M E )
( CHRONIC SEROUS OTITIS MEDIA
/ C S O M = GLUE EAR )
8. Pediatric Otology
8. Pediatric Otology
SENSORYNEURAL HEARING LOSS
G e n e t i c
A c q u i r e d
M a n a g e m e n t
E d u c a t i o n
S i g n L a n g u a g e
8. Pediatric Otology8. Pediatric Otology
8. Pediatric Otology
8. Pediatric Otology
CONGENITAL DEFORMITIES OF THE EAR
Microtia
‘Bat’ Ears
Pre-auricular sinuses
9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers
HEARING AIDS
T Y P E S
Component Limitations Hearing therapy
Behind the ear (BE) Body worn (BW) ‘In the ear’ and ‘in the canal’ aids Bone anchored aids Implantable hearing aids
9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers
Fig. 119 - 124
9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers
COCHLEAR IMPLANTS
9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers
9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers
9. Hearing Aids, Cochlear Implats, and Tinnitus
Maskers
TINNITUS MASKERS