Professional Documents
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A. HIDUNG LUAR
( Piramid hidung )
B. HIDUNG DALAM
( Rongga hidung )
NOSE
EXTERNAL INTERNAL
Radiks
Dorsum
Tip
Alar
Kolumela
INTERNAL NOSE ( nasal cavity )
- SINUS MAKSILA
• Inferior meatus
6 • Inferior concha
4 (turbinate)
3 • Middle meatus
• Middle concha
• Superior meatus
1
• Superior concha
Anterior ethmoid
Posterior ethmoid Internal carotid
Greater palatine
Sphenopalatine
External carotid
Superior labial
BLOOD SUPPLY
Nasal septum :
Internal carotid :
Anterior ethmoid
Posterior ethmoid
External carotid :
Sphenopalatine
Greater palatine
Superior labial
Blood Supply
BLOOD SUPPLY
Lateral wall :
Internal carotid :
Anterior ethmoid
Posterior ethmoid
External carotid :
Sphenopalatine
Greater palatine
Anterior superior
dental
(infraorbital )
Facial artery
Blood Supply
Lateral wall :
PLEXUS KIESSELBACH ( LITTLE’S AREA )
Sensory supply
Trigeminal
nerve
General
sensation
Autonomic
Olfactory nerve
Nerve Supply
Autonomic (vasodilator
secretomotor;
vasoconstrictor)
Nerve Supply
Olfactory nerve : SERABUTNYA HIDUNG MELALUI LAMINA KRIBROSA
(DI PUNCAK HIDUNG) SEPTUM NASI BAGIAN ATAS
DAN KONKA SUPERIOR DI SISI MEDIAL
Autonomic :
Parasympathetic greater superficial petrosal vidian
Sympathetic upper thoracic vidian
Nerve Supply
PEMBULUH LIMFATIK
NASAL MUCOSA
Vestibule skin
Olfactory region thin pale mucosa
Respiratory psudostratified SQE
MUKOSA HIDUNG
MUKOSA HIDUNG
NOSE PHYSIOLOGY
Functions of the nose:
1. Respiration
2. Air conditioning of the inspired air
3. Filtration
4. Vocal resonance
5. Nasal reflex functions
6. Olfaction
RESPIRATION
HIDUNG SALURAN
PERNAFASAN YANG PERTAMA
INSPIRASI : UDARA ATAS
BELAKANG MELALUI KONKA
MEDIA MELENGKUNG
NASOFARING ( NARES POST. )
EKSPIRASI : SEBALIKNYA,
KOANA PERPUTARAN
DISEKITAR KONKA MEDIA
NARES ANTERIOR /
NASOFARING
AIR CONDITIONING
FUNGSI :
ENZIM LISOZIM
VOCAL RESONANCE
CONTOH :
TERHENTI
PANKREAS
OLFACTION
KONKA SUPERIOR
Inspection
Palpation
Airway assessment
Anterior Rhinoscopy nasal speculum
- KOANA
- NASOFARING : ADENOID
- FOSSA ROSENMULLER
Nasal Endoscopy endoscope
TRANSILLUMINASI ( = DIAPHANOSCOPY)
PRINSIP
DAYA TEMBUS CAHAYA DARI DINDING SINUS.
DINILAI : 0 - 3
Ka Ki 3 = TERANG SEKALI
S.F S.F 0 = GELAP
S.M S.M
3 3 SEMUA TERANG TIDAK ADA KELAINAN
3 3