Kelainan Telinga Dalam

4. Labirinitis-2

Difinisi : infeksi di telinga dalam yang disebabkan

bakteri , virus dan jamur.

“Sumber infeksi “

- Intra kranial : Meatus akustikus Internus (MAI)

- Telinga Tengah : Foramen rotundum

- Perinatal : Trans plasenta

- Infeksi saluran nafas atas (ISNA)

Labirinitis :

Bakteri : -Sifilis/Lues

Virus : - CMV

- Rubella

- HIV

- Varisella,

-Measles

Jamur : - Aspergilus, candida Albicans

Diagnosis Labirinitis:

Anamnesis :

- Kurang dengar- vertigo mendadak

- Riwayat ISNA

- Riwayat infeksi kehamilan (TORCH)

- Riwayat immunocompromise

- Riwayat cacar

- Riwayat infeksi telinga tengah

Diagnosis Labirinitis:

Px Fisik :

- Px THT : sebagian besar dbn, kecuali otitis media

- Rubela : Katarak kongenital

Kurang dengar kongenital

Speech delay

Px Penunjang :

- Audiometri : SNHL

- OAE-BERA : kelainan koklear/retrokoklear

5. Bell Palsy (3A)

• Facial weakness of the peripheral type

• idiopathic• outside the central nervous system • without any other cranial nerve

palsies

•

[Etiology and pathology]

• the cause is unclear • exposure to chill

• a viral infection

• edema • degeneration.

Etiology

pathology

Anatomicophysiology

[Clinical features]

• Occurs at any age and any time. • unilateral• The onset is acute. attain maximum paralysis

in 48h --5 days. • pain behind the ear.

[Diagnosis]

• based on the acute onset and the peripheral facial palsy.

• distinguished from facial paralysis due to other causes

• distinguished from the supranuclear one (such as in a stroke)

Treatment

• surgical decompression may be harmful. • take some corticosteroids, such as

prednisone (40 to 60mg/day). • Vitamin B • antiviral agents may be useful. • physiatrics and motoric therapy • a shield to protect the eye.

Prognosis

• usually good. recover within a few weeks or in a month or two.

• But if there is evidence of denervation after 10 days, one may expect a long delay in the onset of recovery.

TERIMA KASIH