ANATOMI

HIDUNG
 BAHASAN
Struktur :
‒ Nasus eksternus
‒ Nasus internus
• Cavum nasi
• Konkha
• septum
‒ Sinus Paranasalis
Infra struktur:
‒ Inervasi
‒ Vaskularisasi
‒ Mukosa
1. NASUS EKSTERNUS
Bentuk piramid
1. Pangkal (radix)
2. Batang (dorsum)
3. Puncak (apex)
4. Ala nasi
5. Kolumela
6. Lubang (nares
anterior)

APERTURA PIRIFORMIS

Lubang pd tengkorak ~ buah pir

1. Os nasal D et S
2. Proc Frontalis Os Maxilla D et S
3. Proc Alveolaris Os Maxilla
 KERANGKA TULANG

1.Os nasal D et S
2.Proc Frontalis Os Maxilla D et S
3.Proc Nasalis Os Frontal D et S

KERANGKA TULANG RAWAN

1.Kartilago Lateralis Superior D et S

2.Kartilago Lateralis Inferior D et S (
alaris mayor )
3.Kartilago Ala Minor D et S
4.Tepi anterior Kartilago Septum
2. HIDUNG DALAM (Nasus Internus)

VESTIBULUM NASI
 Dari nares anterior ke belakang atas
(lumen nasi) ke cavum nasi
 Epitel kulit dg vibriae & kelenjar sebasea

CAVUM NASI
‒ Dibatasi oleh vestibulum nasi (anterior) & nares
posterior /koana ( posterior)
‒ Terbagi 2 bagian kanan & kiri oleh septum nasi di
tengah
‒ Mempunyai: dasar (lantai), atap, dinding lateral &
medial
 ...cavum nasi...
DASAR
1. Proc. Palatinus Os Maxilla
( ¾ depan )
2. Proc. Horizontalis Os
Palatinus ( ¼ blkg )
ATAP
1. Proc. Nasalis Os Frontalis
( depan )
2. Lamina Cribosa Os
Ethmoidalis ( tengah )
3. Os Sphenoidalis (belakang)
MEDIAL  SEPTUM NASI
Bagian Tulang
1. Lamina Perpendikularis Os Ethmoid
2. Vomer
3. Krista Nasalis Os Maxilla
4. Krista Nasalis Os Palatina
Bagian Tulang Rawan
1. Lamina Kuadrangularis (kartilago
septum)
2. Kolumela
 ...cavum nasi...

KONKA NASI MEDIUS

Dibawahnya ada Meatus Nasi Medius muara Sinus Frontalis,
LATERAL Etmoid Anterior & Maxillaris
Berbatasan dg dinding medial Sinus Maxillaris Os Kompleks Ostiomeatal ( KOM )
Maxilla a. Proc. Unsinatus
b. Infundibulum Ethmoid
Terdapat 4 konka
c. Hiatus Semilunaris
d. Bula Ethmoid
e. Agger Nasi
f. Recessus Frontal

KONKA NASI INFERIOR

Terbesar & terpanjang

Kaya pembuluh darah  Plx.
Cavernosus Concharum
KONKA NASI SUPERIOR
Dibawahnya ada Meatus Nasi Superior muara Sinus Ethmoid
Dibawahnya ada Meatus Nasi Posterior & Sphenoid
Inferior muara Duct.
Nasolacrimalis KONKA NASI SUPREMA
Terkecil & biasanya rudimenter
(Katub Hasner)
 Dinding Lateral Rongga Hidung
Konka (tonjolan tulang, dilapisi mukosa):
• konka inferior (KI),
• medius (KM)
• superior (KS)

Meatus nasi:
• Meatus nasi inferior: antara dasar rongga hidung
dengan konka inferior
• Meatus nasi medius: antara konka inferior dan
medius
septum • Meatus nasi superior: antara konka medius dan
KM superior

KI

9
 Dinding Lateral Rongga Hidung . . . .

LATERAL
Berbatasan dg dinding medial Sinus Maxillaris Os
Maxilla

Terdapat 4 konka
‒ Konka nasi inf. (KI)
‒ Konka nasi med. (KM)
‒ Konka nasi sup. (KS)
‒ Konka supreme

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 SF
RSE KS MS
KM
MM

SS
KI

OT MI

Sinus Sfenoid (SS), Sinus Frontal (SF),konka Inferior (KI), Konka Medius (KM), Konka Superior (KS),
Meatus Superior (MS), Meatus Medius (MM), Meatus Inferior (MI), Ostium Tuba Eust. (OT), Resesus
Sfeno-etmoid (RSE)
KERANGKA SEPTUM NASI
Kartilago
kuadrangularis
(anterior) (KK)
LP

Lamina
KK V
Perpendikularis
tulang etmoid
x
(atas) (LP)
KP
KM

Krista maksila dan

Krista palatina
Tulang vomer (V) (bawah)(KM,KP)
(Belakang) Kaki medial KAM (x)
12
KERANGKA SEPTUM NASI

LP

V KK

KP KM
13
VASKULARISASI
 Pleksus Kiesselbach
(Little’s area)
 anastomose a. sfenopalatina. A.
etmoid anterior, a. labialis superior &
a. palatina mayor yg terletak
superfisial di bagian depan septum

Pleksus Woodruff
 anastomose a. sfenopalatina &
a. faringeal posterior yg terletak di
bawah posterior ujung akhir konka
inferior
 INERVASI

1. Saraf Pembau : N. Olfactorius

2. Saraf Sensoris : cab. N. Trigeminus
● N. Opthalmicus  N. Ethmoidalis Anterior
● N. Maxillaris melalui Ganglion Sphenopalatina
3. Saraf Otonom
■ Simpatis : Ganglion Cervikalis Superior
 Ganglion Sphenopalatina
■ Parasimpatis : N. Facialis
 Ganglion Sphenopalatina
 N. Vidianus
Gambar : Suplai Saraf
 MUKOSA OLFAKTORIUS
Septum nasi 1/3 atas
MUKOSA Atap cavum nasi
Konka superior
Epitel Pseudostratified Columnar
Non Ciliated (Epitel Torak berlapis
MUKOSA RESPIRATORIUS semu tanpa silia)
Septum Nasi 2/3 bawah Tdd 3 sel
Dasar cavum nasi 1.Supporting Cell
Dinding lateral cavum nasi 2.Basal Cell
dibawah Konka Superior 3.Olfactory Cell
Nasofaring ½ atas
Sinus Paranasalis
 Epitel Pseudostratified
Columnar Ciliated (Epitel Torak
berlapis semu bersilia)
Jar. Ikat sub epitel longgar
kaya kavernosa erektil & sel
goblet
 Diatur saraf Otonom
Mukosa respirasi

Mukosa Respiratori = Epitel Kolumnar

berlapis semu bersilia
 Jaringan ikat sub epitel longgar ;
banyak pembuluh darah (jaringan
kavernosus) ➜ mudah vasodilatasi
/vasokontriksi yg diatur oleh saraf
otonom) berfungsi pada pengaturan
volume, temperatur, kelembaban
 Terdapat sel-sel Goblet (sel kelenjar
mukus). Pergerakan silia yg
diselimuti selaput lendir (mucosal
Blanket) berperan pada auto
clearance
 Meliputi - 2/3 bag bawah septum
nasi, dinding lateral kavum nasi
dibawah konkha superior, dasar
cavum nasi, 1/2 bag atas
Nasopharynx dan sinus Paranasalis
T ERIMA K ASIH
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Hello!

I AM JAYDEN SMITH
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1 TRANSITION HEADLINE
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 Quotations are commonly printed as a
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White Black
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Yellow Blue Red

Is the color of gold, butter and Is the colour of the clear sky and Is the color of blood, and
ripe lemons. In the spectrum of the deep sea. It is located because of this it has historically
visible light, yellow is found between violet and green on the been associated with sacrifice,
between green and orange. optical spectrum. danger and courage.

Yellow Blue Red

Is the color of gold, butter and Is the colour of the clear sky and Is the color of blood, and
ripe lemons. In the spectrum of the deep sea. It is located because of this it has historically
visible light, yellow is found between violet and green on the been associated with sacrifice,
between green and orange. optical spectrum. danger and courage.

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