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

dBHL (ANSI, 1969)

125
-10
0
10
20
30
40
50
60
70
80
90
100
110
120

250

<
O

500

<O

1000

2000

<O

<O

4000

<O

8000

12,000

dBHL (ANSI, 1969)

125
-10
0
10
20
30
40
50
60
70
80
90
100
110
120

250

<

500

<

1000

<

2000

<
O

4000

8000

<

<

12,000

HEARING LOSS
CHL :

- Telinga luar
- Telinga tengah

SNHL :

- Telinga dalam

MHL :
dalam

- Telinga luar-temgah-

COCHLEAR RETRO
COCHLEAR

DALAM
SNHL
LUAR

CHL

TENGAH
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