anatomi facies
TRANSCRIPT
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Hasan Nyambe
indr khusus
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v
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FACIESCUTIS
SKELETON
OTOT-OTOT MIMIK
N.TRIGEMINUS (V)
N.FACIALIS (VII)
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BATAS
• g labella ke lateral,
melalui arcus
superci l iar is (tepi
o rb i ta), zygom aticus,
meatus acust icus
externus, tepi do rsal
ramus m and ibulae
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SURFACE ANATOMY
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FACIES ( Wajah )
PENDAHULUANo Adalah aspek anterior dari kepala
o Diantara dahi-dagu & antara kedua telinga
o FACIES beri tampilan
fisiologis untuk suatuEkspresi & fungsi indera
o Di dalam FACIES terdapat:
1. Cavum Orbita
2. Cavum Nasi3. Cavum Oris
4. Sinus Paranasalis
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STRUKTUR MEMBENTUK FACIES
1. Tulang Ossa Faciei2. Otot-otot Mm. Faciei
3. Kulit + Subcutan
4. Cartilago Cartilago Nasi5. Kelenjar Glandula Parotis
6. Organ Indera Orbita, Nasus
7. Syaraf, pembuluh darah dan sistem lymphe
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BENTUK & PERKEMBANGAN
Dipengaruhi sbb:
1. Struktur tulang (ossa faciei) dalam hal ini perkembangan/ pertumbuhan:
o Sinus Paranasaliso Mandibula
2. Jaring Lemak Subcutan, terutama pada buccae ( = pipi )
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REGIONES FACIALES
o Yaitu pembagian FACIES menjadi suatu daerah /area.
o Terdapat Regio sbb:
1. Regio Orbitalis terdapat Mata
2. Regio Nasalis terdapat Hidung
3. Regio Oralis terdapat Bibir
4. Regio Mentalis terdapat Dagu
5. Regio Facialis Lateralis
5.1. Regio Parotideomasseterica terdapat gld. parotis + m.masseter + art. temporomandibularis
5.2. Regio Buccalis terdapat pipi
5.3. Regio Zygomaticus terdapat pelipis
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STRUKTUR pada FACIES
A. STRUKTUR SUPERFICIALIS1. Supercilium (alis)
2. Palpebra (kelopak mata) + Rima palpebrarum
3. Nasus + Nares Anterior
4. Labia (Labium Superior + Inferior) + Rima Oris
5. Philtrum
6. Sulcus Nasolabialis
B. STRUKTUR PROFUNDA
1. Mm. Faciei
2. Mm. Masticatorii
3. Art. Temporomandibularis4. Glandula Parotis + Ductus Parotideus
5. Percabangan N. Facialis (VII)
6. Percabangan N. Trigeminus (V)
7. Pembuluh Darah
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OTOT
Otot-otot pada Caput terdiri kelompok :1. Otot-otot Mimik (= Mm. FACIEI)
2. Otot-otot Pengunyah (= Mm. MASTICATORII)
Mm. FACIEI (=otot-otot mimik)o Terletak pd wajah (Ventral Viscerocranium), kecuali
m. occipitalis
o Fungsi → mengatur EKSPRESI WAJAH
o Innervasi → N. FACIALIS (= N.Cranialis VII)o Berkelompok sekitar Mata, Hidung, Mulut danTelinga (kecuali M. Occipitalis → di craniodorsaloccipitale)
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Mm. FACIEI ( = otot-otot Wajah )
Semua otot wajah terletak Subcutan Otot Wajah berinsertio Subcutan atau pada/ke otot wajah
lainnya sehingga sanggup beri perubahan bentuk padapermukaan kulit wajah EKSPRESI
Semua otot wajah di persyarafi (motoris) oleh N. CranialisVII ( = N. Facialis )
Berperanan untuk EKSPRESI + kontrol lubang-lubang padaFACIES
Dapat dikelompokkan:
1. Otot-otot sekitar MATA
2. Otot-otot sekitar HIDUNG
3. Otot-otot sekitar MULUT
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OTOT SEKITAR MATA
Terdiri dari:1. m. Orbicularis Oculi (pars
palpebralis, orbitalis,lacrimalis)
2. m. Frontalis3. m. Corrugator Supercilii
Terdapat satu otot lainnya
pada Palpebra Superior, yaituM. LEVATOR PALPEBRAE
untuk buka mata. Diinnervasi N. III, bukan N. VII
seperti mm. faciei lainnya.
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OTOT SEKITAR HIDUNG
1. m. Depressor Septi Nasi
2. m. Compressor Nasi
3. m. Procerus
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OTOT SEKITAR MULUT – LABIUM SUP
1. m. Orbicularis Oris (membentuk LABIA ORIS)2. m. Buccalis (membentuk BUCCAE)
3. m. Levator Labii Superioris Alaeque Nasi
4. m. Levator Labii Superioris
5. m. Levator Anguli Oris
6. m. Zygomaticus Minor
7. m. Zygomaticus (Major)
3 + 4 + 5 + 6 disebut M. QUADRATUS LABIISUPERIOR
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OTOT SEKITAR MULUT – LABIUM INF
1. m. Depressor Anguli Oris ( = m. Triangularis )
2. m. Depressor Labii Inferior ( = m. Quadratus LabiiInferior )
3. m. MENTALIS
4. m. RISORIUS
5. Platysma Myodes (lanjutan dari leher)
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OTOT
Mm. MASTICATORII (=otot-otot
pengunyah)
o Terdiri dari 4 otot berpasangan
1. M. MASSETER
2. M. TEMPORALIS
3. M. PTERYGOIDEUS MEDIALIS/INTERNUS
4. M. PTERYGOIDEUS LATERALIS/EXTERNAo Innervasi N. MANDIBULARIS (cabang
N.TRIGEMINUS = N.Cranialis V)
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INNERVASI FACIES
Terdapat Innervasi SENSORIS + MOTORIS
SENSORIS N. TRIGEMINUS + N. AuricularisMagnus (dari Plexus Cervicalis )
Innervasi seluruh wajah sampai Atas kepala bagianAnterior
MOTORIS untuk Mm. Faciei oleh N. FACIALIS
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N. FACIALIS ( = N. VII )
Pada wajah N. Facialis innervasi MOTORISsemua Mm. Faciei KECUALI m. Levator palpebrae(N. III)
Bagian N. Facialis yang terdapat pada FACIESmerupakan percabangannya, yaitu:
1. Ramus Temporalis
2. Ramus Zygomaticus
3. Ramus Buccalis
4. Ramus Mandibularis
5. Ramus Cervicalis / Colli
N. Facialis mencapai FACIES dibawah TRACTUS(bagian TELINGA) masuk ke dalam GlandulaParotis.
Di dalam Glandula Parotis kemudian bercabang.
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N.TRIGEMINUS = N.V
• RADIX MAJOR = SENSIBEL
• RADIX MINOR = MOTORIS
• GANGLION SEMILUNARE GASSERI• N.V 1 = N.OPHTHALMICUS
• N.V 2 = N.MAXILLARIS
• N.V 3 = N.MANDIBULARIS
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N. TRIGEMINUS (N. V)
Innervasi wajah SENSORIS dilakukan olehpercabangan N. TRIGEMINUS.
Cabang N. V ini terjadi dalam cavum cranii.
Cabang N. TRIGEMINUS1. N. OPHTHALMICUS
2. N. MAXILLARIS
3. N. MANDIBULARIS
Dari ketiga cabang tersebut, keluar cabang-cabangkecil yang akan mencapai FACIES
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N. TRIGEMINUS (N. V)
Cabang N. Ophthalmicus mencapai wajah melaluiCavum Orbita, ke dahi + palpebra Superior
1. N. Supraorbitalis 4. N.Ethmoidalis anterior
2. N. Supratrochlearis 5. N. Nasalis externa
3. N. Lacrimalis
Cabang-cabang N. Maxillaris terdiri dari:1. N. Infraorbitalis
2. N. Zygomaticus
Cabang-cabang N. Mandibularis terdiri dari:1. N. Buccalis
2. N. Mentalis
3. N. Auriculotemporalis
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N.OPHTHALMICUS – N.V 1
• SINUS CAVERNOSUS
• FISSURA ORBITALIS SUPERIOR –
ORBITA
• CABANG :
N.LACRIMALIS
N.FRONTALISN.NASOCILIARIS
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N.MAXILLARIS = N.V 2
• SINUS CAVERNOSUS
• FORAMEN ROTUNDUM
• FISSURA ORBITALIS INFERIOR• SULCUS INFRA ORBITALIS ( N.INFRA
ORBITALIS )
• FORAMEN INFRA ORBITALIS• SENSIBEL WAJAH bag.MEDIAL, dsb
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N.MANDIBULARIS = N.V 3
• FORAMEN OVALE
• RADIX MAJOR - SENSIBEL
• RADIX MOTORIS ( RADIX MINOR ) :
m.mylohyoideus, m.digastricus venteranterior, m.tensor veli palatini, m.tensor
tympani
• OTOT MASTIKASI : m.temporalis,
m.masseter, m.pterygoideus lateralis ei
medialis
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ARTERI pada FACIES
Arteri pada facies berasal dar cabang-cabang A.CarotisExterna.
Sebagian kecil dari cabang A.Caroti Interna.
Cabang A.Carotis Externa untuk Facies:
1. A. Facialis & cabang-cabangnya:• A. Labialis Superior
• A. Labialis Inferior
• A. Nasalis Lateralis
• A. Angularis
2. A. Maxillaris (Interna) A. Mentalis + A. Infraorbitalis
3. A. Temporalis Superficialis A. Transvera faciei
Cabang A.Carotis Interna A. OphthalmicaA.Supraorbitalis + A.Supratrochlearis + A.EthmoidalisAnterior
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VENA pada FACIES
Vena pada Facies:1. V. SupraorbitalisV. Ophthalmica Sup + Inf
2. V. Supratrochlearis
3. V. Angularis V. Opht. Inf + V. Facialis
4. V. Facialis V. Retromandibularis + V. Jugularis Interna
5. V. Temporalis Superficialis V. Retromandibularis
6. Plexus Pterygoideus V. Maxillaris V. Retromandibularis
7. V. Infraorbitalis plexus pterygoideus
Dengan demikian darah vena dari FACIES padaakhirnya terkumpul pada:
1. V. Ophthalmica Sup. Sinus Cavernosus akhirnya
V. Jugularis Interna
2. V. Retromandibularis V. Jugularis Externa
3. V. Jugularis Interna
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Bagian Anatomi UNHAS 53
Department of AnatomyHasanuddin University
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SISTEM INDERA
1. ORGANA AUDITORIA (pendengaran)2. ORGANA VISUALE (penglihatan)
3. ORGANA OLFACTORIA (penciuman)
4. ORGANA GUSTATORIA (pengecapan)
5. INTEGUMENTUM COMMUNE (kulit/perabaan)
Bagian Anatomi UNHAS 54
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SISTEM INDERA
PEMAHAMAN
o Organ / struktur tubuh yang dapat menerima
stimulus dari LUAR
o
Dihantar ke SSP untuk disadario Berfungsi sebagai RECEPTOR (penerima) atau
terdapat receptor tertentu padanya.
Pada prinsipnya sangat terkait dengan SISTEM
SYARAF
Bagian Anatomi UNHAS 55
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ORGANA
VISUALE
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ORGANA VISUALE
Terletak pada FACIES (wajah)
Di dalam Cavum Orbita
Untuk itu dibahas:
1. ORBITA
2. Organa Visuale
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CAVUM ORBITA
Suatu ruang berbentuk LIMAS/Pyramid denganAPEX pada bagian dalam.
Dibentuk oleh bagian dari tulang-tulang CRANIUM:1. Os Frontale
2. Os Ethmoidale3. Os Sphenoidale
4. Os Zygomaticum
5. Os Lacrimale
6. Maxilla
Bagian depannya LUBANG = ADITUS ORBITAETepi sekeliling Aditus Orbitae MARGOORBITALIS
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ADITUS ORBITAE
Aditus Orbitae TERTUTUP karena adanyastruktur
1. PALPEBRA SUPERIOR + INFERIOR
2. SEPTUM ORBITAE
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CAVUM ORBITA
Terdapat lubang-lubang keluar masuknya struktur (arteri,vena, nervus) ke dalam Cavum Orbita.
Lubang-lubang tsb:1. Foramen Ethmoidale Anterior + Posterior
2. Foramen Opticum
3. Fissura Orbitale Superior + Inferior
4. Foramen ZYGOMATICOFACIALE + ZYGOMATICOORBITALE
5. CANALIS NASOLACRIMALIS
Dinding Cavum Orbita terdiri dari dinding MEDIAL,
LATERAL, SUPERIOR, dan INFERIOR.PALING TIPIS dinding MEDIAL + INFERIOR.
Dinding tulang Cavum Orbita dilapisi periosteum disebutPERIORBITAE.
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RELASI CAVUM ORBITA
o Di cranial Fossa Cranii Anterioro Di caudal Sinus Maxillaris
o Di lateral Fossa Infratemporalis
o Di medial Sinus Ethmoidalis
o Di dorsal Fossa Cranii Media
o Di depan membentuk FACIES
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ORGANA VISUALE
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ORGANA VISUALE
( Indera Penglihatan )
Terdiri :1. BULBUS OCULI ( = bola mata )
2. Alat Accessoria Oculi ( alat tambahan mata )
o PALPEBRAE ( kelopak mata )
o CONJUNCTIVA
o OTOT-OTOT MATA
o APPARATUS LACRIMALIS
3. Struktur Penunjang
o Septum Orbitae
o Corpus Adiposum Orbitaeo Fascia Balbi
Terletak dalam CAVUM ORBITA
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BULBUS OCULI
Bentuk agak bulat, diameter ± 2,5 cm
antero – posterior > panjang
Terdiri dari 3 lapisan, dari luar ke dalam :
1. TUNICA FIBROSA ( = SCLERA )
2. TUNICA VASCULOSA ( = UVEA / chorioidea )
3. RETINA
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BULBUS OCULI
SCLERAo Suatu jaringan ikat fibrosa keras, kuat, putih
o Ada lubang pada :
─ Posterior masuk N. OPTICUS + Pembuluh darah
(av. Centralis Retinae)
─ Anterior berhubungan dengan Ruang CAMERA
POSTERIOR
o Tempat melekatnya otot-otot mata
o Bagian luar Sclera dibungkus oleh Fascia Bulbi kecualiCornea dan N. Opticus.
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BULBUS OCULI
UVEA ( CHORIOIDEA )o Suatu lapisan pembuluh darah + muscular
o Kedepan membentuk
─ Corpus Ciliare + Processus Ciliaris
─ Iris
o Corpus Ciliare + Processus Ciliare
─ Dari Proe. Ciliare terdapat serabut-serabut yangMenggantung Lensa Mata ZONULA CILIARE
─ Atur AKOMODASI LENSA
o
Iris ─ Terdapat otot sirkuler (m. sphincter pupillae) + radier
(m. dilator pupillae)
─ Terdapat lubang PUPIL
─ Atur AKOMODASI CAHAYA
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BULBUS OCULI
RETINAo Suatu lapisan sel-sel nervosa sebagai
FOTORESEPTOR
o Pada bagian dalam posterior ( = FUNDUS OCULI ),terdapat :
1. Tonjolan PAPILLA N. OPTICUS ( = blind spot )
2. MACULA LUTEA tonjolan dilateral papilla, oval,terdiri sel CONE, sensitif cahaya
3. FOVEA CENTRALIS lekukan pada Central MaculaLutea, paling sensitif cahaya
Ruang Bulbus Oculi bagian Posterior isicairan kental = CORPUS VITREUS
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BULBUS OCULI Bagian ANTERIOR Bulbus Oculi, terdiri :
1. CORNEA
2. CAMERA ANTERIOR ( Ruang antara Cornea – Iris )
3. IRIS
4. CAMERA POSTERIOR ( Ruang antara Iris – Lensa )
Camera Anterior + Posterior berisi cairan gel HUMORAQUEOUS
LENSA CRYSTALINAo Struktur bening BIKONKAF, lebih cembung pada bagian
anterioro Terletak:
– Antara Camera Post terhadap Corpus Vitreus
– Digantung / fiksasi oleh ZONULA CILIARE terhadapProcessus Ciliare
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ALUR PENGLIHATAN
1. Gambar / cahaya melalui Bulbus Oculi, sbb :
Cornea Camera Anterior Pupil
Camera Posterior Lensa Corpus Vitreus
Retina N. Opticus
2. Selanjutnya, di luar Bulbus Oculi, sbb :
N. Opticus Chiasma Opticum Tractus
Opticus Mesencephalon + area Visualispada Lobus Occipitalis Cerebri gambar
dilihat / disadari
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PALPEBRAE, CONJUNCTIVA dan
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,
CORNEA (1)
PALPEBRAEo Terdiri Palpebra Superior dan Inferior
o Dibentuk lempeng jaringan ikat = TARSUS
─ Bagian luar ditutupi KULIT + otot wajah untuk mata (m.
Orbicularis Oculi)
─ Dilekatkan ke angulug Oculi oleh ligamentum Palpebralis
medialis + lateralis
─ Bagian dalam terdapat GLANDULA TARSALIS +
CONJUNCTIVA ─ Terdapat m. Tarsalis Superior + Inferior
─ Tepi dalamnya melekat Septum Orbitae + m. levator
palpebrae (pada palp. Sup)
PALPEBRAE, CONJUNCTIVA dan
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,
CORNEA (2)
CONJUNCTIVAo Lapisan bening menutupi bagian depan Bulbus Oculi (Conjunctiva
bulbi) + bagian dalam Palpebra (Conjunctiva palpebra)
o Sehingga antara Bulbus Oculi dengan Palpebra terdapat ruang =
SACCUS CONJUNCTIVALIS (Sup + Inf)
o Sudut dari Saccus tsb FORNIX CONJUNCTIVAE (Sup + Inf)
o Kaya pembuluh darah
CORNEAo Membrana cembung di depan Bulbus Oculi
o Tidak punya pembuluh darah
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OTOT OTOT MATA (1)
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OTOT-OTOT MATA (1) OTOT BULBUS OCULI + GERAKAN
1. M. Rectus Superior Elevasi (+ Adduksi)
2. M. Rectus Inferior Depresi (+ Adduksi)
3. M. Rectus Lateralis Abduksi
4. M. Rectus Medialis Adduksi
5. M. Obliquus Superior Rotasi medial (abd + depr)6. M. Obliquus Inferior Rotasi lateral (abd + elev)
o Menggerakkan Bulbus Oculi
o Insertio pada sclera bulbus Oculi dan melalui Anulustendineus ke sekeliling For. Opticum
o Dibungkus oleh Fascia Bulbi
o Semua otot bola mata diinnervasi N. III, kecuali m.Rectus Lat (N. VI) dan m. Obliquus Superior (N. IV)
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OTOT OTOT MATA (2)
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OTOT-OTOT MATA (2)
OTOT PALPEBRA
1. M. LEVATOR PALPEBRALIS
Untuk mengangkat Palpebra Superior ( = buka mata )
Innervasi oleh N. Oculomotoris (III)
APPARATUS LACRIMALIS
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APPARATUS LACRIMALIS
1. GLANDULA LACRIMALIS
o Terletak di sudut Craniolateral Cavum Orbita
o Terdiri dari 2 bagian Terletak di atas palpebra — PARS ORBITALIS
Terletak di bawah palpebra — PARS PALPEBRALIS
o Produksi Air mata disalurkan ke Fornix Conjunctivalis Sup
2. DUCTUS & SACCUS LACRIMALISo Suatu saluran + kantong di sudut medial mata
o Terdapat 2 Canaliculus (Sup + Inf)
o Pada ujung bebas (lateral) Canaliculus terdapat lubang PUNCTUMLACRIMALIS
o Menampung + mengalirkan Air mata
3. DUCTUS NASOLACRIMALIS
o Saluran dari Saccus Lacrimalis ke Cavum Nasi (pada meatus nasiInferior)
o Terletak dalam Maxilla
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ARTERI DALAM ORBITA
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ARTERI DALAM ORBITA
Arteri dalam Orbita, berasal dari:1. A. OPHTHALMICA (arteri utama)
o Masuk Cavum Orbita melalui For. Opticum
o Bercabang: 1. A. Centralis Retinae
2. A. Supraorbitalis
3. A. Supratrochlearis
4. A. Lacrimalis
5. A. Dorsalis Nasi
6. A. Ethmoidalis Anterior
7. A. Ethmoidalis Posterior
8. A. Ciliaris Anterior
9. A. Ciliaris Posterior Longi
2. A. INFRAORBITALISo Cabang A. Maxillaris
o Masuk ke cavum orbita pada Fissura Orbitale Inferior
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VENA DALAM ORBITA
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VENA DALAM ORBITA
Terdapat 2 Vena Utama:
1. V. OPHTHALMICA SUPERIOR — via Fissura OrbitaleSup.
2. V. OPHTHALMICA INFERIOR — via Fissura OrbitaleInf.
V. Ophthalmica Inferior
o Ke V. Ophth. Sup + Plexus pterygoideus
o Anastomose dengan V. Angularis / V. Facialis
V. Ophthalmica Superior Sinus Cavernosus
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SYARAF DALAM ORBITA
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SYARAF DALAM ORBITA
Ke dalam Orbita, masuk:
1. N. OPTICUS — via For. Opticum2. N. OPHTHALMICUS (cabang N. V) — via fissura Orbitale Superior
N. OPTICUS masuk dalam Bulbus Oculi
N. OPHTHALMICUS bercabang intraorbital:1. N. Frontalis
2. N. Lacrimalis
3. N. Nasociliaris, cabang – N. ethmoidalis ant
– N. ethmoidalis post
–
N. Ciliaris Breves – N. Ciliaris Longus
N. Oculomotoris (III), N. Trochlearis (IV), N. Abducens (VI) — viaFissura Orbitale Superior
SYARAF DALAM ORBITA
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SYARAF DALAM ORBITA
Innervasi Bulbus Oculi oleh N. Nasociliaris via N.Ciliaris longus + breves
o Sensoris dari Cornea
o Motoris sympathis + parasympathis
• Sympathis m. dilator pupillae, Vasoconstrictor, m. tarsalis
• Parasympathis m. Sphincter pupillae & Corpus Ciliare
o Serabut parasympathis berasal dari N. III yangbergabung ke N. Nasociliaris via Ganglion Ciliare.
Innervasi Motoris Otot Mata — N. III, IV, VI
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ORGANA
AUDITORIA
ORGANA AUDITORIA
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(Indera Pendengaran)
Sebenarnya, telinga tidak hanya berfungsiSensoris Auditoris tetapi juga SensorisKeseimbangan (Vestibularis)
Oleh karena itu dinamakan jugaORGANA VESTIBULOCOCHLEARIS
Cochlea = organ pendengaran
Terdiri :
1. AURIS EXTERNA ( = Telinga luar )2. AURIS MEDIA ( = Telinga tengah )
3. AURIS INTERNA ( = Telinga dalam )
Bagian Anatomi UNHAS
103
Hearing & Equilibrium
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Hearing & Equilibrium
Bagian Anatomi UNHAS 1042 other names??
AURIS EXTERNA
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AURIS EXTERNA
( Telinga Luar )
AURICULA ( = daun telinga )o dibentuk oleh Cartilago Auriculare
berbentuk seperti ―Daun‖ dibungkus kulit
o Cartilago ini sekaligus membentuk bagian CartilagoMeatus Acusticus Externus
o Terdapat bagian-bagian :
1. Tragus dan Antitragus
2. Helix dan Antihelix
3. Scapha
4. Concha
5. Lobulus Auriculare
Bagian Anatomi UNHAS
105
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Bagian Anatomi UNHAS 106
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Bagian Anatomi UNHAS 107
AURIS EXTERNA
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( Telinga Luar )
MEATUS ACUSTICUS EXTERNUS ( = liang telinga )
o Suatu saluran ± 2 – 3 cm
o Terdiri : - 1/3 luar, dibentuk Cartilago
- 2/3 dalam, dibentuk tulang ( parspetrosa os temporalis )
o BUKAN saluran lurus bentuk ―S‖
o Dilapisi kulit
o Terdapat : - Rambut-rambut
- Glandula Ceruminosae CERUMEN
o Ujung dalam terdapat MEMBRANA TYMPANI
Bagian Anatomi UNHAS 108
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Bagian Anatomi UNHAS 109
AURIS EXTERNA
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( Telinga Luar )
• MEMBRANA TYMPANIo Sekat jaringan ikat yang pisahkan Auris Externa terhadap
Auris Media.
o Melekat pada tepi tulang ujung dalam MAE
o Difiksasi oleh perlekatan “manubrium mallei”
o Terdiri :
1. PARS FLACCIDA bagian kecil di Supero-Anterior
2. PARS TENSA bagian luas di Infero-Posterior
o Bentuk Oval, konkaf kelateral, bagian centralnya disebut
UMBOo Permukaan :
1. Luar dilapisi kulit
2. Dalam dilapisi Mucosa (=Cavum Tympani)
Ba ian Anatomi UNHAS
110
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Bagian Anatomi UNHAS 111
AURIS MEDIA
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( Telinga Tengah )
Disebut juga CAVUM YMPANI
Terletak di dalam pars petrosa os temporalis
Dipisahkan dari MAE oleh Membrana Tympani
Berhubungan dengan NASOPHARYNX
TUBA
AUDITIVA EUSTACHIUS
Terdapat tulang-tulang pendengaran dari
lateral medial :1. MALLEUS
2. INCUS
3. STAPES
Bagian Anatomi UNHAS 112
Middle Ear
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Bagian Anatomi UNHAS 113
AURIS MEDIA
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AURIS MEDIA Tulang pendengaran dikontrol / diatur oleh otot :
1. M. STAPEDIUS2. M. TENSOR TYMPANI
Auris Media dipisahkan dari AURIS INTERNAoleh lubang-lubang FENESTRA VESTIBULI(ditutupi/menempel Basis Stapedius) danFENESTRA COCHLEAE (ditutupi olehMembrana Tympanica Secundaria)
Berhubungan dengan ANTRUM MASTOIDEAdan SINUS MASTOIDEUS ( di dalam Processus
Mastoideus ) Di dalam Cavum Tympani, berjalan cabang
N. Facialis yaitu CHORDA TYMPANI
Bagian Anatomi UNHAS
114
AURIS MEDIA
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AURIS MEDIA
• Cavum Tympani seperti suatu kotak yang tinggi, dengan
batas-batas/struktur di :
o Lateral Membrana Tympani
o Medial dinding tulang Labyrinthis Osseus Pars petrosa os
temporalis, terdapat
Fenestra Vestibuli (Oval Window)
Fenestra Cochleae (Round Window)
Promontorium
o Anterior dinding tulang dari Canalis Caroticus + lubang lateral
Tuba Eustachius
o Posterior suatu lubang Aditus ad Antrum + Prominentia Canalis
Facialis
o Superior Tegmen Tympani (pada Facies Posterior Pars Petrosa)
o Inferior dinding tulang dari Fossa Bulbus V.Jugularis Interna
Bagian Anatomi UNHAS
115
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Bagian Anatomi UNHAS 116
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Bagian Anatomi UNHAS 117
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Bagian Anatomi UNHAS 118
AURIS INTERNA
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( Telinga Dalam )
Terletak dalam pars petrosa os temporalisdalam rongga LABYRINTHUS OSSEUS, terdiri
o Canalis Semicircularis (3) Anterior, Posterior,Lateralis
o Canalis Spiralis Cochleae (1)o Vestibulum (1)
Berisi LABYRINTHUS MEMBRANACEUS
(terdiri dari : Organa vestibularis/keseimbangan,Organa Cochlearis/pendengaran) dan CairanPERILYMPHE
Bagian Anatomi UNHAS 119
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Bagian Anatomi UNHAS 120
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Bagian Anatomi UNHAS 121
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Bagian Anatomi UNHAS 122
AURIS INTERNA
( T li D l )
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( Telinga Dalam )
• Cairan Perilympheo Mengisi ruang (Spatium Perilymphaticus) dalam Labyrinthus
Osseus bersama Labyrinthus Membranaceus
o Menerima getaran dari Basis Stapedius pada Fenestra Vestibuli
pada Vestibulum
o Getaran lanjut dalam Perilymphe melalui Canalis Spiralis
Cochlea ke Fenestra Cochlea/Membrana Tympani Secundaria
o Terdapat hubungan ke Spatium Subarachnoideum (pada tepi
posterior pars petrosa) dari basis canalis Spiralis sebagai
Canaliculus Cochleae/ductus Perilymphaticus
o Labyrinthus Membranaceus TERENDAM dalam cairan
Perilymphe didalam Labyrinthus Osseus
Bagian Anatomi UNHAS
123
AURIS INTERNA
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U S N N
Organa Vestibularis, terdiri dari1. 3 Ductus Semicircularis Anterior, Posterior,
Lateralis dalam Canalis Semicircularis
2. 1 Utriculus dalam Vestibulum
3. 1 Sacculus dalam Vestibulum
Organa Cochlearis yaituo Ductus Cochlearis terletak dalam Canalis
Spiralis Cochlea
Bagian Anatomi UNHAS 124
AURIS INTERNA
( Telinga Dalam )
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( Telinga Dalam )
Ductus Semicirculariso Yaitu bagian Labyrinthus Membranaceus yang dinamakan
DUCTUS SEMICIRCULARIS ada 3 Anterior +Posterior + lateralis
o Bentuk 2/3 Circular ujung-ujungnya bermuara pada
UTRICULUSo Berisi cairan ENDOLYMPHE
o Salah satu ujung tersebut melebar = AMPULLASEMICIRCULARIS
o Dalam Ampulla terdapat Receptor keseimbangan CRISTA AMPULLARIS
o Dari Crista Ampullaris Dendrit N. Vestibularis Ggl.Vestibularis Axon N.vestibularis N. Vestibulocochlearis(=N.Octavus) lewat MAI Truncus Cerebri
125
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Bagian Anatomi UNHAS 126
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Bagian Anatomi UNHAS 127
AURIS INTERNA
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• UTRICULUS + SACCULUS (1) – Utriculus + Sacculus berisi cairan Endolymphe
– UTRICULUS
• Terletak di postero-lateral dalm Vestibulum Labyrinthus
Osseus• Bermuara Ductus semisircularis Ant, Post, Lat
• Berhubungan dgn Sacculus melalui Ductus
Utriculosaccularis
• Terdapat Struktur utk receptor vestibularis MACULA
UTRICULI
Bagian Anatomi UNHAS 128
AURIS INTERNA
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• UTRICULUS + SACCULUS (2) – SACCULUS
• Terletak di antero –medial dalam vestibulum Labyrinthus osseus
• Ductus Cochlearis melalui DUCTUS REUNIENS
• Terdapat struktur utk receptor vestibularis MACULA SACCULI
– Utriculus + Sacculus berhubungan ke Fossa Cranii
posterior oleh Ductus Endolymphaticus yg ujungnya
disuperficial Duramater melebar Saccus
Endolymphaticus
– Dari Macula Utriculi + Sacculi N. Vestibularis N.Vestibulocochlearis (N. Octavus) Lewat MAI
Truncus Cerebri
Bagian Anatomi UNHAS 129
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Bagian Anatomi UNHAS 130
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Bagian Anatomi UNHAS 131
AURIS INTERNA
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• Ductus Cochlearis (1) – Bagian Labyrinthus Membranaceus yang terdapat dlm Canalis Spiralis
Cochlea
– Berisi cairan endolymphe
– Saluran ini diameternya tdk bulat ttp segitiga, batas :
• Sudut medial
ujung dalam lamina spiralis ossea dari Modiolus• Lengkungan lateral ligamentum Spiralis
• Batas superior membrana vestibularis
• Batas inferior lamina basilaris
– Ductus Cochlearis berbentuk spiral
• Ujung basalis buntu berakhir pada Fenestra cochleae/MembranaTymphani secundaria disebut Caecum Vestibulare
• Ujung Apex membentuk Cupula Cochleae, buntu disebut
Caecum Cupulae
Bagian Anatomi UNHAS 132
AURIS INTERNA
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Ductus Cochlearis (2)◦ Berhubungan dengan Sacculus Ductus Reuniens
◦ Saluran sisa dalam Canalis Spiralis
1. Di atas Ductus Cochlearis / Membrana Vestibularis
Scala Vestibuli2. Di bawah Ductus Cochlearis / Lamina Basilaris Scala
Tymphani
Keduanya berisi cairan Perilymphaticus
Scala Vestibuli + Tymphani berhubungan pada Cupula Cochlearis
◦ Pada Lamina Basilaris terletak ORGANON CORTI
Organ cochlearis sebenarnya
Bagian Anatomi UNHAS 133
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Bagian Anatomi UNHAS 134
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Bagian Anatomi UNHAS 135
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Bagian Anatomi UNHAS 136
ORGANA OLFACTORIA
( Indera Penciuman ) 1(1)
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( Indera Penciuman ) 1(1)
Dibentuk oleh ujung-ujung N.OLFACTORIUS sebagai Chemoreceptor.
Terletak pada Mucosa :1. Atap Cavum Nasi
2. 1/3 atas Cavum Nasi
Anatomi Atap Cavum Nasi / 1/3 atas CavumNasi, dibahas pada penjelasan HIDUNG (NASUS )
Alur penciuman :
N. Olfactorius Bulbus OlfactoriusStriae Olfactorius bgnRHINENCEPHALON Cerebri
Bagian Anatomi UNHAS 137
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Bagian Anatomi UNHAS 138
ORGANA GUSTATORIA
( Indera Pengecapan ) 1(1)
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( Indera Pengecapan ) 1(1)
Pengecapan dirasakan oleh TASTE BUDS yang terdapat padaPAPILLAE LINGUALIS (dibahas pada sistem Digestivus), sebagaichemoreceptor.
Ada 4 macam Papillae pada Corpus + Apex Linguae1. Papilla Circumvallatae
2. Papilla Fungiformis3. Papilla Foliata
4. Papilla Filiformis
Lokasi pengecapan :1. Rasa manis apex linguae ( ujung )
2. Rasa pahit pangkal lidah
3. Rasa asam sisi lidah4. Rasa asin sisi lidah
Rasa tersebut diantar N. FACIALIS
Bagian Anatomi UNHAS 139
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Bagian Anatomi UNHAS 140
Gustatory Pathway
Cranial nerves VII IX and X to nucleus solitarius
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Bagian Anatomi UNHAS 141
Cranial nerves VII, IX and X to nucleus solitariusin medulla oblongata to gustatory cortex
Fig 18.8
INTEGUMENTUM COMMUNE
( Kulit / Indera Peraba ) 1(2)
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( Kulit / Indera Peraba ) 1(2)
Kulit melapisi seluruh tubuh, kecuali bagian tubuhyang terdapat lubang
Terdiri dari 3 lapisan
1. Epidermis Lapisan epithel, terdapat melanosit
2. Dermis - Lapisan jaringan ikat
- Terdapat pembuluh darah dan limfe,
kelenjar, follikel rambut, ujung syaraf /
Reseptor Raba + nyer i
3. Subcutis Lapisan lemak, terdapat juga pembuluh
darah dan limfe, follikel rambut, kelenjar keringat,
ujung saraf / reseptor suhu+ tekanan
Bagian Anatomi UNHAS 142
INTEGUMENTUM COMMUNE
( Kulit / Indera Peraba ) 2(2)
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( Kulit / Indera Peraba ) 2(2)
STRUKTUR ACCESSORIUS KULIT
1. PILI (Rambut) + M. ERECTOR PILI
2. GLD. SUDORIFERA (Kelenjar Keringat)
3. GLD. SEBACEA (Kelenjar minyak)
4. UNGUES (kuku)
Bagian Anatomi UNHAS 143
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