audiology

Telinga
Desease : - congenital - acquisital Fungsional : - Pendengaran - Keseimbangan

Audiovestibuler

Kosmetik --- plastic surgery

AUDIOLOGI
(Pendengaran)

Bagaimana bisa mendengar ?

Syarat mendengar ?

GANGGUAN PENDENGARAN
Hearing Loss (ketulian) - jenis CHL, SNHL, MHL - derajat Tinnitus Recriutment dll

Classification of Hearing Loss

Conductive (CHL) Outer and mid ear

Sensorineural (SNHL) inner ear Mixed (MHL) outer, mid, innner ear

Conductive (CHL)

Treatable Medicamentosa Surgery

Sensoryneural Hearing Loss (SNHL)

Untreatable Hearing aid

Bagaimana cara mengetahui adanya hearing loss ???

 Anamnesa Pemeriksaan fisik THT Pemeriksaan tambahan (fungsional) - tes bisik - Garpu tala - Audiometri nada murni (pure tone) - Audiometri tutur (speech audiometry) - Tympanometri - BERA

Diagnostic

Tes bisik

Mendengar/tidak ?

Garpu tala (Rinne Weber Schwabach)

- normal - jenis ketlian : - CHL - SNHL

Audiogram Puretones --? Air bone Speech-- ? Diagnostic imaging CT scan MRI

Right Ear
125 -10 0 10 20 30 40 50 60 70 80 90 100 110 120 250 500 1000 2000 4000 8000 12,000

dBHL (ANSI, 1969)

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HEARING LOSS
CHL : - Telinga luar - Telinga tengah - Telinga dalam
- Telinga luar-temgah-

SNHL :
MHL : dalam

COCHLEAR RETRO COCHLEAR

DALAM SNHL
LUAR TENGAH CHL

CHL

Conductive Hearing Loss (CHL)

External auditory canal Eardrum Middle ear

CHL
LUAR

External Auditory Canal

Cerumen (wax) impaction
Tes penala .. ? R/W/S

Stenosis (narrowing) Infection Surgery Skin disorders Congenital

CHL

TENGAH

Tympanic Membrane (Eardrum)

Perforation (hole) Retraction Tympanosclerosis (stiffness) Tes penala ? R/W/S

Middle Ear
Absence of ossicles (middle ear bones) Stiffness of ossicles Otosclerosis Tympanosclerosis Dislocation of ossicles (trauma) Cholesteatoma Tumors

Sensorineural Hearing Loss (SNHL)

Sensory Noise Noise-induced hearing loss Acoustic trauma Medications Infection Hereditary/Genetic Neural Trauma Degeneration Tumors

Tes penala .?

Treatment

Hearing aids (SNHL) Medical treatment (CHL) Surgery (CHL)

Hearing Aids
Behind the ear In the ear In the canal Completely in the canal

Hearing Aids (ctd.)

Implantable Fully Partially Bone-conduction aids Traditional Baha

Medical Treatment (CHL)

Disease-specific treatment Infections Autoimmune diseases
Steroids

Surgery
Treat underlying (serious) cause
Cholesteatoma TM perforation Acoustic neuroma Encephalocele

Improve hearing
Stapedectomy Cochlear implant Fully implantable hearing aids

Cochlear Implants