01. introduction into ent disease

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