• Helix• Antihelix• Cymba
conchae• conchae • Crus of helix• Tragus• Antitragus• lobulus
LOP EAR (BAT EAR)
daun telinga tampak tidak normal, lebih lebar & berdiri. Konka pinna >>> & antihelix yang kecil
Dominan….letak didepan traguskeluar sekret kadang2
infeksi, obstruksi
operasi?? Keluhan (+)keluhan (-) biarkan saja
Fistula Preauricular
Large>>> pinna tidak sempurna,
lebih kecil <<<
Anotia (-) daun telinga
Microtia
Anotia
Macrotia
Cause?? Failure of canalisation of the ectodermal core that fills the dorsal part of the branchial cyst
Single outer ear obliterated by fibrous tissue or bone
Associated congenital abnormalities of inner ear, middle ear & another structure
Atresia liang
telinga
Atresia Choanal
Due to persistence of bucconasal membrane
Complete or incompleteBony (90%) or membranous (10%)
Atresia koana
Presence of mucoid discharge in the noseAbsence of air bubble in the nasal dischargeFailure to pass catheter from nose to pharynxPutting a few drops of dye (methylene blue) in to the nose and seeing its to passage in to pharynx
Surgery
Trans nasal approachTrans palatal Approach
Usually bilateralAirway obstruction
TRACHOESTOMY
LARYNGOMALACIA
>>>>cause: weak epiglotis in earlycharacterised by flaccidity supraglotic larynxstridor & sometimes cyanosisdirect laryngoscopy: epiglottis omega shapedno need tracheostomy
Laringomalasia
Cause???? Hipertrofi jaringan submukosa dgn
hiperplasia kelenjar mukus Kelainan bentuk tulang rawan krikoid
dgn lumen yang kecil Bentuk tulang rawan krikoid normal ttp
ukuran lebih kecil Pergeseran cincin trakea pertama
Stridor Dispnoe Retraksi suprasternal, epigastrium Sianosis & apnoe Gagal nafas
Atasi primernya
Kelainan submukosa: dilatasi operatifKelaianan bentuk tulang: rekonstruksi
Selaput tipis pada vocal cord
Inkomplete rekanalisasi laring
Obstruksi airway, menangis lemah, aphonia
CO2 laser dan eksisi mikrolaring
Laryngeal Web