Post on 05-Jul-2018
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ENT Department Periode 11 Maret -7 April 2013
S O A POTITIS EKSTERNA DIFSA
1! N"eri telin#a2! T$li3! Tinnit$%
&! Otorr'ea (ental p$r$len)(roni%* %e+ret, #$mpalan
! .atal
K$lit MAE edema/'"peremia/ %e+ret)/ (r$%ta )/
inltrat)N"eri ila da$ntelin#a ditari(/tra#$% dite(an!
Otiti%E(%ternaDi4$%a
1! MAE dier%i'(an den#an (apa% er%i'2! Tampon 5 +am 6 +m lar$tan $ro8i 39 ditete%i 2-3 :am d 2 'ari %e(ali
3! Ata$ otopain 3 #tt 1&! ila p%e$domona% tete% neomi%in 'idro(orti%on! ;am$r a%am %ali%ilat 2-9 dalam al(o'ol 209
OMSA- Tanda radan# a($t * n"eri/
demam/ tinnit$%/ t$li/ telin#atera%a pen$'/ (el$ar +airan
- Predi%po%i%i* ISPA/ %erin#(ore(-(ore( telin#a/
Oto%(opi* MTretra(%i/ '"peremia/oman/ per4ora%i!Se+ret )
OMSA Stadi$m o(l$%i• De+on#e%tan oral• Anal#e%i(/ antipireti(/
Stadi$m 'iperemia• Anal#e%i(• Antiioti(
Stadi$m %$p$rati4• Antiioti(a• ila dalam 2 'ari tida( ada tanda re%ol$%i mirin#otom
Stadi$m per4ora%i• Oat +$+i telin#a >2O2 39 %elama 3- 'ari• Antiioti( %ampai 3 min##$
OMSK - eni#n otoroe tida(
era$/ #an##$anpenden#aran rin#an%edan#
- Mali#na otore ter$%mener$%,($mat-($matan?
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m$(o%a MT/ %e+ret- FRNKEC MAE
• Otal#i
• Otore p$r$lent
• Penden#aran men$r$n
• Palpa%i n"eri
• te(an tra#$%
• MAE oedema/
• 'iperemi
• MT inta(
• N"eri er) ila manip$la%ida$n telin#a
F$r$n(elMAE
Tampon lar!$ro8i*a%a'i 16,2-3:am/tampon dilepa% ila %$da' 2-3 'aila m%' n"eri tampon la#i
SERMEN OSTRAN1! t$li2! tinnit$%3! ra%a terte(an/ -#ree#-
#ree#
Oto%(opididapat(an ma%%a%er$men
Ser$menO%t$ran
Pemer%i'an %er$men * Ter#ant$n# (on%i%ten%i! ila +air/ er%i'(an den#an (apa% "an# dililit pelilit (apa%! Ser$men (era% di(el$ar(an den#an ($ret ata$ pen#ait! ila %$(ar di(el$ar(an/ dapat dil$na((an d$l$ den#an (aro#li%erin 1 >2O2 39/ %elama 3 'ari!
Ata$ den#an iri#a%i telin#a men##$na(an air den#an %$'$ %e%$ai %$' Tida( ole' :i(a terdapat ri8a"at per4ora%i memran timpani!
TCI MENDADAK 1! T$li "an# mendada(2! i%a di%ertai den#an
tinnit$% dan erti#o3! .e:ala dan tanda dari
in4e(%i ir$%
-Te% Pelana *Rinne po%iti4/ 8eerlaterali%a%i (etelin#a "an# %e'at/%+'8aa'memende(-A$diometri * t$li%en%orine$ral
T$liMendada(
-Total ed re%t 2 mi##$-Ga%odilator * +omplamin in:-Predni%on &610 m#-Git = 26100 m#-Ne$roion 361ta-Diet renda' #aram/ renda' (ole%terol-O(%i#en 2lpm
R>INOSINSITIS MAKSICARIS AKT
• In#$% m$(op$r$len• >id$n# $nt$
• Pile( lei' dari 'ari
• N"eri di daera' pipi
• at$(-at$(
• Feri%
• =ep'al#ia memeratpada %ire 'ari dari padapa#i 'ari
• RA P$% di Meat$%
Medi$% M$(o%a dan
(on(a edema >iperemi =a$m na%i
lei' %empit• Ttran%l$mina%i
#elap pada %i%i
R'ino%in$%iti% Ma(%ilari%A($t
• De(on#e%tan• Antiioti(
1! Amo(%i%ilin2! =o amo(%i(la3! Se4alo%porin #en III
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"an# %a(it• Foto 8ater%
tampa(per%el$$n#andan air B$id
leel pada %i%i"an# %a(it
R>INOSINSITIS MAKSICARIS KRONIS
• .e:ala-#e:ala a($t "an#lei' rin#an
• Po%t na%al drip
• RA P$% di Meat$%
Medi$% M$(o%a dan
(on(a edema >iperemi =a$m na%i
lei' %empit•
Ttran%l$mina%i#elap pada %i%i"an# %a(it
• Foto 8ater%tampa(per%el$$n#anpada %i%i "an#%a(it
R'ino%in$%iti% Ma(%ilari%Kroni%
• Iri#a%i
• Antiioti(de(on#e%tan
RINITIS ACER.IKA
1!er%in ?6 tiap %eran#an2!In#$% en+er H an"a(3!>id$n# $nt$&!Ra%a #atal di 'id$n#/ mata/
dan di%ertai la(rima%i!! Ri8a"at aler#i ai( in'alant
ata$ in#e%tan
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8a:a'&! Aller#i+ +rea%e
)tim$l #ari% didor%$m na%i
(orti(o%teroid topi(al Ma%t +ell %taili%ator- Riniti% aler#i(a per%i%ten %edan# erat* anti'i%tamin de(on#e%ta (orti(o%teroid topi(al (orti(o%teroid oral Ma%t +ell %taili%ator tatala(%ana (ompli(a%i )polip na%i/ %in$%iti% parana%ale%/ otiti% me
Tinda(an medi%,operati4*- =a$teri%a%i +on+'a in4erior- =on+'otomi +on+'a in4erior- Imm$not'erap" )'ipo%en%iti%a%i, de%en%iti%a%i
OAENA1! Napa% a$2! >id$n# ter%$mat3! F$n#%i indera pen#'id$
men$r$n&! In#$% (ental 'i:a$ di%ertai
(era( )+r$%tae! Predi%po%i%i* 8anita $%ia
m$da )(elainan 'ormonal/%in$%iti% (roni%/ #e:alade%ien%i it! A, de%ien%i Fe
Rino%(opi anteriortampa(*-=a$m Na%ilon##ar , lapan#/tert$t$p ole'+r$%tae H %e(reter8arna 'i:a$!
-a$ $%$(-=on+'a in4erior,media>ipotropi,Atropi
-M$+o%a =a$mNa%i Atropi
Riniti%='roni+aAtro+an%Foetida)OJaena
- Antiioti(a %pe(tr$m l$a% )%e%$ai +$lt$rel,%en%itiit"Te%t- Men#'ilan#(an a$ $%$(, +r$%tae den#an lar$tan i%otoni% 'an#at $ +$+i 'id$n#/- Preparat e%tro#en lo(al , %i%temi(- Gitamin A- Preparat Fe- Operati4 * Men"empit(an +a$m na%i den#an*
- Pen$t$pan l$an# 'id$n# %ementara- Mema%an# Inplant pada S$m$+o%a Sept$m Na%i ata$ pada S$mo+
R>INITIS AKTPerm$laan pen"a(it ini ia%an"atia-tia dan ditandai den#anra%a (erin#/ #atal/ ata$ ra%apana% di 'id$n# ata$ na%o4arin#!
Se#era tim$l men##i#il danmalai%e/ di%ertai den#an er%indan in#$% en+er! Pada %aat iniia%an"a tida( di%ertai demam!Serin# tera%a n"eri (epalarin#an ata$ pera%aan pen$' diantara (ed$a mata!
Pen"a(it ini a(an er(eman#pe%at dalam 8a(t$ &@ :am dan
Pemeri(%aan %i(ter'adap pa%ienpada 'ari-'aripertama
men$n:$((anm$(o%a 'id$n#"an# 'iperemi%tetapi tida( terlal$memen#(a(! Pada :am-:am pertamam$(o%a men:adi(erin# dan (adan#-(adan# %epertimen#(ilat!
PD6*Pemeri(%aan dara' dila($(an apaila #e:ala %$da' erlan#%$n# %elamata$ den#an demam ? 37/@=!
PT6*• Tida( ada terapi %pe%i( $nt$( r'initi% a($t/ %elain i%tira'at dan
oat-oat %imtomati(/ %eperti anal#eti(a/ antipireti(a dan oat de Antiioti( 'an"a dieri(an ila terdapat in4e(%i %e($nder ole' a(• Pemerian oat %imtomati( oral %an#at e4e(ti4 den#an dieri(a %$at$ (ap%$l "an# terdiri dari *2
• E4edrin %$l4at 0/01 #
• Pentoarital 0/01 #
• A%am a%etil %ali%ilatL 0/300 #Ldapat di#anti(an den#an 300 m# A%etamino4en!
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ditandai den#an %$ara %era(/mata erair/ in#$% en+er daner($ran# ata$ 'ilan#n"apen+i$man dan pen#e+apan!.e:ala "an# palin# men##an##$
pada pa%ien ini iala' 'id$n#"an# ter%$mat! Ra%a n"eri"an# tida( terlal$ erat di%e(itarda'i/ mata dan (adan#-(adan#pipi/ er'$$n#an den#anpemen#(a(an m$(o%a 'id$n#
Kem$dian m$(o%amen:adi edem danmen#el$ar(anin#$% "an# en+erata$ m$(oid! Pada
(eadaan ini m$(o%ap$+at/ %ema dana%a' men"er$pai(eadaan aler#i!Dian##ap aler#i ilapada pe8arnaan%e(ret 'id$n#ditem$(an an"a(eo%inol! Serin#tampa( (emera'andan e(%(oria%i padanare% anterior!
• Preparat anal#eti(-antipireti( dapat merin#an(an #e:ala/ dimana a terpili' adala' a%etamino4en!
POCIP NASI1!Rinorea ter$%-ter$%an2!$nt$ 'id$n#3!S$ara inden#&!Karie% #i#i
1! Pelearan =N*?polip era%aldr et'moid
2! RA*Tampa(%e(ret m$($%dan polip
3! RP*Polip +oanal&! P!tama'an*
• Te%t Aller#i
• p'otoSin$% Po%i%i
ater%
Polip Na%id!d1! AN;2!Inerted=ellPapiloma3!Menin#o(el
nt$( polip edemato%a/ dapat dieri(an pen#oatan (orti(o%teroid *1! Oral/ mi%aln"a predni%on 0 m#,'ari ata$ de(%ameta%on %elama 10
(em$dian do%i% dit$r$n(an perla'an la'an )tapperin# oQ! 2! S$nti(an intrapolip/ mi%aln"a triam%inolon a%etonid ata$ predni%olo tiap 7 'ari %e(ali/ %ampai polipn"a 'ilan#! 3! Oat %emprot 'id$n# "an# men#and$n# (orti(o%teroid!
Penatala(%anaan eri($tn"a*1!E6tra(%i Polip
a!Ane%te%i lo(al%ilo(ain 29!Polip di:erat %ede(at m$n#(in pada da%ar tan#(ai
+!ditampon2!Et'moide(tomi3!Opera%i =ald8ell-l$+Polip i%i Sin$% Ma6ilari%
A%e% Periton%ilar
• N"eri telan H n"eri %pontan$nilateral
• Tri%m$%
• Foetor e6 ore
• Kepala mirin# (e %i%i "an#%a(it)%pa%me m!
• Ton%il terdoron#(eanteroanterior
• Ton%il edema H'iperemi
• Ar+$% po%terior
A%e%Periton%ilar
• In%i%i a%e% tanpa ane%te%i
• Antiioti(
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Sterno+leidoma%toide$% 'iperemi• $la mirin# (e
%i%i %e'at• Ptiali%m$%
• Edema H
'iperemipalat$m mole
A%e% Retro4arin#
• Serin# pada ana()(arenaan"a( (elen:ar diretro4arin#
• Ter(adan# %e%a( (ernaedema %e'in##a ana(er$%a'a (ompen%a%iden#an 'ipere(%ten%i(epala)men#ada' a#ar :alan
napa% lon##ar• N"eri telan di ten#a'
ela(an#
• Dindin#retro4arin#oman%
A%e%Retro4arin#
• In%i%i retro4arin#
• Antiioti+
• Anal#e%i(
A=>ACASIA
• S$%a' menelan
• Re#$r#ita%i ma(anan
• E%o4a#o%(opi
• ari$me%op'a#o#ram)ird% ea(
• E%op'a#ealmanometr"
A+'ala%ia • =al+i$m +'annel lo+(er )ni4edipine/ Nitrate )i%o%orid dinitrate
• ot$lin$m to6in
• alloon dilatation
• E%op'a#om"otom"/ >eller m"otom"
ENDA ASIN. ESOFA.S
• S$lit,%a(it menelan tia-tia
• Ada ri8a"at tertelan %e%$at$
• Ra%a men##an:al
•
• Te% min$m danma(an• O%tr$(%itotal * m$nta'• O%tr$(%ipar%ial * i%amin$m %edi(it-%edi(it
• Carin#o%(opiindire(ta)terdapat
enda A%in#
E%o4a#$%• E%o4a#o%(opi e(%tra(%i
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#enan#an %aliadi %in$%piri4ormi%
• E%o4a#o%(opie(%plora%i
• Foto polo% le'erAP,lateral ilaenda a%in#radio-opa$e
=A CARIN.'ot potato oi+eU/ %$matan :alan na4a%/ %era(/ di%4a#ia
Carin#o%(opiindire(ta/larin#o#ram/larin#o%(opi dire(ta/ 4otoPA dan lateral ie8/iop%"pemeri(%aan
patolo#i anatomi
=a Carin# • opera%i larin#e(tomi/ (emoterapi/ radia%i
ENDA ASIN. TONSICDi%4a#ia/ n"eri (arenatert$%$( t$lan# i(an ata$ada %i%a ma(anan "an#ter%an#($t!
'ipertro ton%il/+orp$% alien$mpada ton%il
=orp$%Alien$m Ton%il
anti-inBama%i/ e(%tra(%i +orp$% alien$m
PAPICOMA CARIN.
• m$mn"a pada ana(-ana(
• Se%a( na4a%
• Retra(%i epi#a%tri$m/inter+o%tal% dan
%$pra(lai($lar/• S$ara para$
• .eli%a'
CI t$mor padalarin#
PapilomaCarin#
• E(%terpa%i den#an CM
• Antiiral )(ala$ pen"ea ir$% >PG
• Serin# re%idi
PARESE M! AD=TOR CARIN.
• Karena Para%e N!lar"in#e$%
• nilateral %$ara para$
• ilateral a4oni
• ia%a ter:adi po%t opera%idiarea larin#
CI ='orda o(ali%tida( i%a t$t$prapat
Pare%e M!Ad$+torCarin#
• S$nti( TeBon pada +'orda o(ali%
• Tiropla%ti mediali%a%i
POCIP CARIN.
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• S$ara para$ ata$ %$araer$a' %eperti %edan#ernapa% dan lela'
• Per$a'an nada %$araden#an limita%i pada o(al
• at$( (erin#• S$%a' menelan
• Tera%a lela' %e8a(t$men#el$ar(an %$ara
• CI Ditem$(anpolip "an#%e%%ile ata$ped$n+$lated$nilateral/ ata$
(adan#-(adan#ilateral padalarin# )pita%$ara
Polip Carin# Terapi (tergantung dari ukuran polip)• Terapi i+ara )I%tira'at i+ara dan lati'an $nt$( men#$ran#(an int d$ra%i dari pen#el$aran %$ara• In'ala%i %teroid
• Opera%i pen#an#(atan polip
BENDA ASING LARINGStadi$m Perm$laan• at$(-at$( 'eat %e+ara
tia-tia )iolent paro6"%m%i4 +o$#'in#/
• ra%a ter+e(i( )+'o(in#/
• ra%a ter%$mat diten##oro(an )#a##in#/
• i+ara #a#ap )%p$tterin#dan
• o%tr$(%i :alan napa% "an#ter:adi den#an %e#era!
Stadi$m Ked$a dii($ti interala%imtomati(! >al ini (arenaenda a%in# ter%e$tter%an#($t/ reBe(%-reBe(% a(anmelema' dan #e:ala ran#%an#an
a($t men#'ilan#! Stadi$m iniera'a"a/ %erin# men"ea(an(eterlamatan dia#no%i% ata$+ender$n# men#aai(an(em$n#(inan a%pira%i endaa%in# (arena #e:ala dan tandatida( :ela%!
Stadi$m Keti#a (ompli(a%iden#an o%tr$(%i/ ero%i ata$
• Foto polo%anteropo%terior, lateral
• GideoBo$ro%(opi
enda A%in#Carin#
• Pada ana( den#an %$matan total pada larin#/ dapat di+oa menol meme#an# ana( den#an po%i%i terali(/ (epala (e a8a'/ (em$di p$n##$n#,ten#($( dip$($l/ %e'in##a di'arap(an enda a%in# dap (e l$ar!• >eimli+' )>eimli+' mane$er
• Men#amil den#an larin#o%(opi
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in4e(%i %ea#ai a(iat rea(%iter'adap enda a%in#/ %e'in##atim$l at$(-at$(/ 'emopti%i%/dan a%e% par$!ENDA ASIN. >IPOFARIN.
ra%a n"eri pada 8a(t$ menelan)odino4a#ia/ ai( ma(ananma$p$n l$da'
CI tampa(enda a%in#dan tanda-tanda(eradan#ana($t di ale($la/%in$% piri4ormi%
enda A%in#>ipo4arin#
E(%tra(%i enda a%in#
DEVIASI SEPTUM NASI
1! >id$n# ter%$mat / a8aln"a%at$ %i%i tetapi i%a :adiilateral (arena 'ipertro(on(a (ompen%atoir!
2! N"eri (epala )a+$$m 'ead3! Pen#'id$an men$r$n
)'ipo%mia&! Epi%ta(%i%! Ada ri8a"at tra$ma
RA1!Pada %i%i deia%i
terdapat (on(a'ipotro/ dan
%eela'n"a i%a(on(a 'ipertroa(iat(ompen%a%i
2! C$a% ron##a'id$n# (anandan (iri tida(%ama
3!i%a tampa(deia%i %ept$ment$( = ata$ S/di%lo(a%i/
penon:olant$lan# ata$ra8an/ erent$((ri%ta ata$ %pinaata$ perle(atan)%ine(ia
1! Deia%i%ept$mna%i tipeo%tr$(ti4
2! Deia%i%ept$mna%i tipenono%tr$(ti4
Ter#ant$n# pada erat rin#ann"a (el$'anV ;i(a o%tr$(%i rin#an/ dapat dila($(an (a$teri%a%i pada +on+'a in4erioV ;i(a o%tr$(%i erat/ dila($(an opera%i pel$r$%an %ept$m den#an :ala
W re%e(%i %$m$(o%a )%$m$+o$% %ept$m re%e+tion
W %eptopla%ti , repo%i%i %ept$m
!RPUS ALIENUM "IDUNG1! >id$n# ter%$mat2! Se(ret m$(op$r$len "an#
an"a( dan a$ $%$( di %i%i
1! Edema m$(o%a'id$n#$nilateral dan
=orp$%Alien$m>id$n#
Prin%ip penatala(%anaann"a adala'*• enda a%in# (a%ar * di+oa di(el$ar(an den#an 4or%ep
• enda a%in# 'al$% * di#$na(an pen#ait den#an $:$n# t$mp$l! Dila(
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"an# terdapat enda a%in#3! Kadan# di%ertai n"eri/
demam/ epi%ta(%i% dan er%in&! Pile( "an# tida( %em$'2/
ter$tama pada ana(-ana(
$l%era%i!2! Ditem$(an
enda a%in#padapemeri(%aan
radiolo#i%
)r'inolit' men"$%$ri dindin# 'id$n# den#an pen#ait %ampai (e ela(an# o (em$dian ditari( (el$ar• enda a%in# inatan# )ter%erin#* linta' * ditete%(an air tema(a$
linta' lepa% dari m$(o%a/ ar$ (em$dian dapat ditari( (el$ar men• Antiioti( * 'an"a :i(a didapat(an (ompli(a%i in4e(%i 'id$n# dan %in
• Tida( dian:$r(an mendoron# enda a%in# (e na%o4arin# den#an t$: ma%$( (e m$l$t/ (arena i%a ma%$( (e larin# dan :alan na4a% a8• ila tida( ada alat "an# %e%$ai %eai(n"a %e#era dir$:$( a#ar end ma%$( %ema(in dalam!
EPI.COTITIS AKT1! S$%a' Menelan2! Demam3! N#iler&! S$ara Sera(! Ada Ri8a"at at$( Pile(
1! Epi#loti% danaritenoider8arna mera'%eperti $a'+'err" danen#(a( )CI
2! Pada 'a%il4oto tampa(pemen#(a(anepi#loti%
Epi#lotiti%d!d! =ro$pd!dPeriton%ilerA%e% d!dRetro4arin#eal A%e%
1. Penanan#an underlying disease.2. Antiioti(3. Kadan# diperl$(an int$a%i tra(eal %e%e#era m$n#(in!
FARIN.ITIS AKT1! S$lit menelan2! Demam3! M$al&! N"eri ten##oro(an! Kadan# di%ertai r'inor'ea
Farin# dan ton%il'iperemi! i%adidapat(ane(%$dat/lim4adenopati a($tdi le'er/ i%a tim$ler+a( pete+'iae
pada palat$m dan4arin#
Farin#iti%iral d!dFarin#iti%a(teri d!dFarin#iti%4$n#al
1! Antiioti(a #olon#an peni%ilin per oral/2! Korti(o%teroid per oral/3! Anal#eti(/&! K$m$r den#an air 'an#at
FARIN.ITIS KRONIS
• N"eri telan
• Ra%a men##an:al diten##oro(an
• Ten##oro(an erlendir)po%t na%al drip
• .ran$l padadindin#larin#
• .ran$lmenealdan mera'
Farin#iti%Kroni%
• >ilan#(an pen"ea
• =a$ter #ran$l "an# men##an##$ den#an A#NO3 09
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TONSICITIS AKT
• Ten##oro( tera%a pana% dan(erin#
• Di%$%$li tim$ln"a n"eritelan "an# %ema(in 'eat
• N"eri dapat men:alar (etelin#a )re4erred pain
• Demam )dapat %an#attin##i/ n"eri (epala/ malai%e
Pe#erik$aan(%aring)
• S$ara penderita%eperti m$l$t
pen$' ma(anan)pl$mm"mo$t'
• M$l$t era$$%$( )4oetor e6+ore
• Ptiali%m$%
• Ton%il 'iperemidanmemen#(a(/an"a( detrit$%
• I%m$% 4a$%i$mmen"empit
• Palat$m molle/ar($% anteriordan po%teriorton%il edemadan 'iperemi
• Kelen:ar #eta'enin# :$#$lodi#a%tri($% meme%ardan n"eri te(an
Ton%iliti%A($t
• I%tire'at/ma(an l$na( dan min$m 'an#at
• Oat ($m$r )#ar#ari%ma (an
• Anal#e%i(,Antipireti(* Para+etamol 3-&00 m#/ 3- 'ari )ana(-ana3-&6 'ari
• Antiioti( )$nt$( ton%illiti% "an# di+$ri#ai (arena in4e(%i Strepto+o++Peni+illin
&00m#,'ari/ -10 'ari )ana(-ana(* 7/-12/ m#,(#,do%i%/ &6• ila aler#i peni+illin dapat di#anti ma(rolid )er"t'rom"+in/ %piram"+ Er"t'rom+ine &00 m#,'ari/ -10 'ari )ana(-ana(* 12/ m#,(#
TONSICITIS KRONIS1! Ra%a men##an:al2! Rada tida( ena( dalam
m$l$t3! Ra%a (erin#&! N"eri telan! a$ $%$( dalam m$l$t
ole' (arena detrit$% dariton%il
Ten##oro(
>iperemi ,Kripta melear ,Detrit$% )&,-,)&,-
Ton%iliti%Kroni%
PD61! K$lt$r dan $:i %en%itiita% ($man Ton%il S8a!2! Caoratori$m )Dara' len#(ap/ Faal >emo%ta%i%/ re$m/ =reatinin/ S3! Ront#ent T'ora6!
PT61! Amo6i+illin 3600 m# ta!2! Para+etamol 3600m#3! pro Ton%ile(tomi den#an .A Adenoton%ile(tomi
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ENT Department Periode 11 Maret -7 April 2013
7! Malai%e/ anore(%ia Moilita% & Ton%il meme%ar)
Adenoid 4a+eU
RAPalat$m Mole )-,-dan (adan#tert$t$p %e+retm$(op$r$len
PMo1! tanda-tanda ital2! %$:e(ti4 )(omplain
PEd1! S$rat Per%et$:$an Opera%i/2! P$a%a @ :am %eel$m opera%i3! Po%t opdilaran# ma(an ma(anan (era%/ pana% dan min$m pa(ai
CARIN.ITIS AKT NON SPESIFIK Carin#iti% A($t S$pra#lotti%)P%e$do+ro$p• Demam
• ISPA
• N"eri telan• Ra%a (erin# di ten##oro(
• at$(
• Se%a( d#n %tidorin%piratoirHretra%i%$pra(lai($ler/ I=S
• Para$ %ampai a4oniCarin#iti% A($t S$#lotti%• Demam
• ISPA
• Para$
• Se%a( den#an %tidorin%iratoirHretra(%i%$pra(lai($ler/ I=S/epi#a%trial
Carin#iti% ron+'iti% A($t )=ro$p• Can:$tan larin#iti% %$#lotti%
• Pana% tin##i
• Se%a( %tidor in%piratoir He(%pira%i retra(%i%$pra(lai+$ler/ I=S/epi#a%trial
CI dan CD*• Korda o+ali%
'iperemia danedema
Rima #lotti%men"empit
Carin#iti%A($t NonSpe%i(
• .# penipi%an,penealan pita %$ara%$ara para$,%$matan :alan na4 ISTIRA>AT I=ARA• Rima #lotti% H %$#lotti% men"empitETT TRA=KEOTOMI DAN 02 NE KORTISTEROIDS$matan :alan na4a%
• LDe6amet'a%one 0!1-0!2m#,(#,'r• Ampi%ilin & 6 2m#,(#
L%elama -10'r
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ENT Department Periode 11 Maret -7 April 2013
• Siano%i%
• Ke%adaran men$r$n
NODC GOKAC
• S$ara %era( • Dia#no%i%dite#a((an
erda%ar(an#e:ala dan 'a%ilpemeri(%an%i(!Nod$l tampa(%ea#ai %$at$pert$m$'an"an# er(ap$r!
Nod$l Go(al • Pada ana(-ana(/ nod$l ia%an"a a(an men#'ilan# 'an"a den#an me o(al!• Pada de8a%a/ nod$l 'ar$% dian#(at melal$i pemeda'an!• Sat$-%at$n"a +ara men+e#a' t$m$'n"a nod$l adala' er'enti men %$ara!
TRAMA CARIN. Per$a'an %$ara N"eri Di%4onia Di%pnea Di%4a#ia Od"nop'a#ia at$( A%pira%i >emopt"%i% Ena( pada po%i%i
d$d$(
Stridor ) K$lit le'er
(on%t$tio/ ara%i Em%ema
%$($tan Deia%i Tra(ea Open o$nd-
air $le% Katila#o tra(ea
"an# terdeda'
Tra$maCarin#
PD6Foto -ra"/ =T-S+an/ ari$m S8allo8/ Dire( Carin#o%(opi/ ron(o%(opi/
PT6• Goi+e re%t• Elea%i (epala 30-&o
• Amo6i+illin 3600 m# ta In:e(%i*• Ranitidine 26 1 amp i• OmepraJole 361 amp i• De6amet'a%one 26&0m# i• Tra(eo%tomi• Int$a%i Endotra(eal
Endo%(opi TRAMA NASI- Ri8a"at tra$ma pada daera'
'id$n# 8a:a'- Per$a'an ent$( 'id$n#
)de4ormita%- Di%lo(a%i (e %at$ %i%i
)A%imetri% ata$ datar- >ematoma pada ($lit 'id$n#
dan (adan#-(adan# palpera- O%tr$(%i na%i- >ipo%mia , Ano%mia
- Pada palpa%itera%a n"eri danteraa (repita%i
- R'ino%(opianterior a(antampa( dara'dalam +a$mna%i dan +a$mna%i %empit
Tra$ma Na%i -Repo%i%i 'id$n# den#an CA! Ata$ .A!-;i(a edema dan 'ematoma l$a% dit$nda &-7 'ari tapi tida( lei' dari (arena %$da' terent$( (al$%-ila ada (al$% dila($(an o%teotomi )R'inopla%t"
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ENT Department Periode 11 Maret -7 April 2013
- Epi%ta6i%R>INOSINSITIS DENTO.EN
-Ra%a n"eri , te(anan , pen$'di 8a:a'
-O%tr$(%i 'id$n#
- Se(ret 'id$n# , po%t na%al- >ipo%mia , A%omia- Demam- Sa(it (epala- Na4a% era$- Cela'- Sa(it #i#i (arie% #i#i- at$(- .e:ala telin#a
- Pada palpa%i/n"eri te(anpada daera'
%in$%- Tran%l$mina%i pada %in$% "an#%a(it +a'a"a#elap
- Foto ater%*tampa(per%ele$n#anpada %in$% "an#%a(it
R'ino%in$%iti% Dento#en
- Pemeri(%aan pen$n:an# * -ra" / =T-%+an- Ata%i ma%ala' #i#i! Kon%$l do(ter #i#i- Kon%erati4 * dieri antiioti(/ de(on#e%tan/ anti'i%tamin/ (orti(o%t
iri#a%i %in$%- Operati4* eda' %in$% endo%(opi 4$n#%ional/ antro%tomi meat$% in4 =ad8ell-C$+
KISTA CARIN.
• S$ara para$• ila e%ar mer$pa(an
tanda o%tr$(%i
Ki%ta pada Kordao(ali%
Ki%ta Carin# E(%tirpa%i melal$i CM )eda' Carin# Mi(ro%(opi(
KARSINOMA PAN.KAC CIDA>
• N"eri telan di depanle'er
• Sema(in lama %ema(in%$lit menelan
Ma%%a di pan#(allida'
=ar%inomapan#(allida'
Radioterapi
=OROSSIGE IN;RXN"eri telan pada %el$r$' a#ian Ker$%a(an pada
area "an# ter(ena
=orro%ie
In:$r"
• >indari a'an-a'an (oro%i4
• Pema(aian alat pen#aman pada ind$%tr" "an# rentan terpapar a' (oro%i4