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Outer Ear
Auricle (pinna)
External Auditory C
anal
The Auricle
Cartilage of Auricle
(cranial aspect)
Derivation
Region Supplied
Greater
auricular
Cervical plexus
C2.3
Lesser
occipital
Cervical plexus
C2.3
Auricular
Vagus
Auriculotemp
oral
Mandibular (N.
V3)
Middle cranial
TMJ
fossa
MEDIAL
ANTERIOR
Superficial temporal A & V
Auriculotemporal nerve
Parotid gland
Preauricular lymph node
Middle ear
Outside world
LATERAL
Mastoid
POSTERIOR
Parotid Gland
Digastric muscle
Jugular Bulb Facial nerve
Styloid process
Carotid
INFERIOR
Adapted from: Wright, Scott-Browns Otolaryngology,1992
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C3
Parent Artery
Superficial
temporal artery
Maxillary artery
Deep
auricular
Region Supplied
Roof & anterior portion
of the canal
Anterior meatal wall
skin, epithelium of the
outer surface of the
tympanic membrane
Auricular
Posterior
Posterior portion of the
auricular artery canal
Veins : drains into the external jugular veins,
maxillary veins, and
Pterygoid Plexus
Lymphatics same as the auricle
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Telinga Luar
Auricula:
mengumpulkan suara
lokalisasi suara
CAE:
menghantarkan suara
ke membran timpani
berbentuk huruf S
Telinga Tengah
Membran Timpani
Ossicles
Cavum Timpani
Resonator
Ossicles
Muscles : Tensor tympani & Stapedius muscle
Tensor tympani
Eustachian tube
MEDIAL
External auditoryLATERAL
meatus
Inner Ear
Aditus to
mastoid
POSTERIOR
Mastoid
Carotid
Jugular bulb
INFERIOR
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INNER SURFACE
Promontory
The Ossicles
ANTERIOR
Middle Ear
External Auditory Meatus
Facial Nerve
MEDIAL
Post Aural SkinLATERAL
Posterior
Cranial Fossa
Sigmoid Sinus
POSTERIOR
Sternocleidomastoid
Digastric Muscle
Jugular Bulb
INFERIOR
Parent Artery
Region Supplied
Anterior
Tympanic
Maxillary Artery
Tympanic membrane,
malleus and incus,
anterior part of tympanic
cavity
Stylomastoid
Posterior
Auricular
Mastoid
Stylomastoid
Petrosal
Middle Meningeal
Superior
Tympanic
Middle Meningeal
Inferior
Tympanic
Ascending
Pharyngeal
Mesotympanum
Branch from
Artery of
Pterygoid Canal
Tympanic
Internal Carotid
Hearing Process
Outer
Middle
Inner
Transmission
Sound localization
Sound Collection
Transformation
Protection
Transduction
Luas Membran
timpani (A1) lebih
besar dari luas
footplate
stapes
P= F/A
(A2)
maka
P2 > P1
Pembesaran Energi
sebanyak 1,3 kali
Transduksi
Beda potensial
antara endolimf
dan intrasel
Fisiologi pendengaran
sigmoid
sinus
anterior canal
endolymphatic
sac
cupula
brain
operculum
dura mater
horizontal canal
macula
endolymphatic
duct
cupula
utriculus
cochlear
aquaduct
posterior canal
sacculus
cupula
organ of
Corti
stapes
middle ear
scala media
round window
scala vestibulum
scala tympani
ductus reuniens
Audiologi Dasar
- Fisiologik 20 - 18.000Hz.
- Pendengaran sehari-hari 500 - 2.000Hz
Cara Pemeriksaan :
- Rinne : Penala digetarkan tangkai di
prosessus mastoid bunyi(-)
letakkan 2,5cm didepan telinga
suara (+) Rinne (+)
suara (-) Rinnie (-)
- Weber : penala getar tangkai digaris
tengah kepala ( vertex, dahi,
pangkal, hidung, dagu, tengah2 gigi seri
Lateralisasi : bunyi terdengar > keras
pada salah satu telinga
Schwabach :
Penala getar prosessus mastoid bunyi
(-)
pindah prosessus mastoid pemeriksa
pemeriksa dengar (+) schwabach
memendek ulang mulai pemeriksa
bunyi (-)pindah ke pasien bunyi (+)
schwabach memanjang
Ambang Dengar :
Derajat :
0 25 dB : normal
26 40 dB : ringan
41 60 db : sedang
60 90 dB : berat
Gap : apabila antara AC & BC terdapat perbedaan
>10 dB minimal pada 2 frekuensi berdekatan
Bila beda >=45 dB antara telinga kanan & kirimasking
Macam Tuli :
- konduktif : telinga luar s/d tengah
- sensorineural : telinga dalam
- campuran