Kelainan Telinga Dalam 4 Labirinitis2 q Difinisi infeksi
Kelainan Telinga Dalam
4. Labirinitis-2 q Difinisi : infeksi di telinga dalam yang disebabkan bakteri , virus dan jamur. q “Sumber infeksi “ - Intra kranial : Meatus akustikus Internus (MAI) - Telinga Tengah : Foramen rotundum - Perinatal : Trans plasenta - Infeksi saluran nafas atas (ISNA)
Labirinitis : q Bakteri : -Sifilis/Lues q Virus - CMV : - Rubella - HIV - Varisella, -Measles q Jamur : - Aspergilus, candida Albicans
Diagnosis Labirinitis: q Anamnesis : - Kurang dengar- vertigo mendadak - Riwayat ISNA - Riwayat infeksi kehamilan (TORCH) - Riwayat immunocompromise - Riwayat cacar - Riwayat infeksi telinga tengah
Diagnosis Labirinitis: q Px Fisik : - Px THT : sebagian besar dbn, kecuali otitis media - Rubela : Katarak kongenital Kurang dengar kongenital Speech delay q Px Penunjang : - Audiometri : SNHL - OAE-BERA : kelainan koklear/retrokoklear
5. Bell Palsy (3 A) • Facial weakness of the peripheral type • idiopathic • outside the central nervous system • without any other cranial nerve palsies •
![[Etiology and pathology] Etiology • the cause is unclear • exposure to chill pathology](http://slidetodoc.com/presentation_image_h2/8b4e517dfaf3828e8d51204ddeb35e3b/image-7.jpg "[Etiology and pathology] Etiology • the cause is unclear • exposure to chill pathology")
[Etiology and pathology] Etiology • the cause is unclear • exposure to chill pathology • a viral infection • edema • degeneration.
Anatomicophysiology
![[Clinical features] • Occurs at any age and any time. • unilateral • The](http://slidetodoc.com/presentation_image_h2/8b4e517dfaf3828e8d51204ddeb35e3b/image-9.jpg "[Clinical features] • Occurs at any age and any time. • unilateral • The")
[Clinical features] • Occurs at any age and any time. • unilateral • The onset is acute. attain maximum paralysis in 48 h --5 days. • pain behind the ear.
![[Diagnosis] • based on the acute onset and the peripheral facial palsy. • distinguished](http://slidetodoc.com/presentation_image_h2/8b4e517dfaf3828e8d51204ddeb35e3b/image-13.jpg "[Diagnosis] • based on the acute onset and the peripheral facial palsy. • distinguished")
[Diagnosis] • based on the acute onset and the peripheral facial palsy. • distinguished from facial paralysis due to other causes • distinguished from the supranuclear one (such as in a stroke)
Treatment • surgical decompression may be harmful. • take some corticosteroids, such as prednisone (40 to 60 mg/day). • Vitamin B • antiviral agents may be useful. • physiatrics and motoric therapy • a shield to protect the eye.
Prognosis • usually good. recover within a few weeks or in a month or two. • But if there is evidence of denervation after 10 days, one may expect a long delay in the onset of recovery.
TERIMA KASIH
- Slides: 16
