kelainan kongenital pada bayi dan anak

• 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