laringologi

8/18/2019 laringologi

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LARYNGOLOGI

Dr. Dony Hartanto, Sp THT, MKesKULIAH I.P. THT FK UMS


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Anatomi Fisio!o"i Larin"


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Anatomi


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Fisio!o"i

#. $a!an napas prote%si &a!an napas 'a" 'a(a)Re*!e% 'at+%

. Proses 'er'i-ara Generator / pro0+%si 0r +0ara e1pirasi men""etar%an p!i%a 2o%a!is

3 Fonasi 4Larin"5 3 Resonansi 4Farin", Ka2+m nasi Ka2+m oris5

3 Arti%+!asi 4La'i+m, pa!at+m "i"i5


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Fisio!o"i Larin"


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Pemeri%saan Larin" In0ire%


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Larin"os%opi Dire%


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LARINGITIS AKUT (NON SPESIFIK)

6ATASANIn*e%si a%+t pa0a m+%osa !arin".


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7TIOLOGI

8 Penye'a' +tama a0a!a) 2ir+s.

8 Terserin" 2ir+s Parain*!+en9a tipe #

8 :ir+s penye'a' y" !ain Parain*!+en9a A 6, serta"o!on"an A0eno2ir+s.

8 Km0n ter&a0i in*e%si se%+n0er o!e) %+man H.in*!+en9ae Pne+mo%o%+s sp, Strepto%o%+s sp Sta*i!o%o%+s sp.


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PATOFISIOLOGI

8 Ter&a0i 0i!atasi %api!er, in*i!trasi !e%osit p0 m+%osa s+'m+%osa trans+0asi -airan !im*e ser+m, s)"!arin" tampa% )iperemi +0em.


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DIAGNOSIS

Anamnesis

8 6iasanya 0i0a)+!+i 0"n panas 'a0an 4S+'*eri!5, 'at+%0an pi!e%.

8 Kem+0ian 0ii%+ti 0"n s+ara mem'esar, %m0n para+.

8 Dpt sampai a*oni 4t0% a0a s+ara sama se%a!i5

8 Serin" 0i0apat%an sesa% na*as.


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Pemeri%saan *isi%

8 S+ara para+, 'i!a 'erat 0pt a*oni

8 Panas 'a0an s+'*e'ris

8 Serin" ter0apat "e&a!a s+m'atan &a!an napas atas,yait+

; Stri0or inspirasi ; Sesa% napas inspirasi ; Retra%si s+pra%!a2i%+!er, inter%osta!, epi"astri+m ; Ana% tampa% sa%it 'erat 0an "e!isa).


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Pemeri%saan tam'a)an

8 Larin"os%opi 0ire% 0i!a%+%an 'i!a s+ara sera% t0%mem'ai% 0"n pen"o'atan, 0i!a%+%an st!) sesa% s0)'er%+ran" / s0) 0i!a%+%an tra%eostomi.

8 Tampa% ; e0ema Kor0a 2o%a!is m+%osa !arin" 0isertai

)iperemis ; Rima "!ottis sempit


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DIAGNOSIS 6ANDING

8 Larin"itis 0i*teri

; Ter0apat pse0omem'ran

; Sesa% t0% 'er%+ran" 0"n %orti%osteroi0


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P7NYULIT

8 Peny+m'atan !arin"

8 Tra%eitis

8 6ron-)itis

8 Pne+moni


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T7RAPI8 Korti%osteroi0 De%sametason


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LARINGITIS KRONIK SPESIFIK TUBERKULOSA

(LARINGITIS TUBERKULOSA)

6ATASANIn*e%si my-o'a-teri+m t+'er-+!osis p0 m+-osa !arin",ter+tama p0 0aera) p!i-a 2o-a!is 0aera) s+pra"!oti%serin" me!+as %e 0aera) !arin"o *arin" s)" menim'+!%an"e&a!a o0ino*a"i se!ain s+ara sera%.


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Larin"itis Kronis


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Papi!oma Larin" Karsinoma Larin"


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Larin"ea! ?e' No0+! P!i%a :o%a!is


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7TIOLOGI

In*e%si t+'er-+!osis p0 !arin" 0ise'a'%an my-o'a-teri+mt+'er-+!osis y" 'erasa! 0r in*e%si t+'er-+!osis p0 &arin"anpar+.

PATOFISIOLOGI

6a%teri my-o'a-teri+m T6@ y" a0a 0i par+ 0pt men-apai0aera) !arin" me!a!+i 0rop!et in*e-tion se(%t pen0erita'at+% s)" se'a"ian 0a)a% tersan"%+t menempe! 0ip!i%a2o%a!is s+pra"!oti%. In*e%si p0 m+%osa !arin" serin"ter&a0i +!-erasi s)" ter&a0i nyeri te!an se!ain s+ara sera%.


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DIAGNOSIS

Anamnesis

8 6at+% %ronis 0isertai "e&a!a sistemi% in*e%si T6@ Par+.

8 S+ara sera%

8 Nyeri te!an

8 Ka0an" 0isertai 'at+% 0ara)


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DIAGNOSIS 6ANDING

8 Larin"itis Kronis Nonspesi*i%8 Karsinoma Larin"

T7RAPI

8 Terapi stan0ar0 +nt+% t+'er-+!osis par+ se!ama '+!an8 Terapi pen+n&an" +nt+% per'ai%an %ea0aan +m+m

pen0erita


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Tra%)ea36ron%)+s

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