PRESENTASI KASUS

Oleh:
Ricky Tantular
Ikhsan Kurniawan
Kesavan Chandrasekar
Riana Sriwijayanti
Novia Winardi
Melly Ratna Sari
Norawaty Maas
Fatimah Tuzahra
Rully Maya Enda

04124708037
04124708038
04124708068
04124705116
04124708040
04124708059
04124708047
04054881317002
04124708071

Pembimbing
Letkol CKM. Dr. Bima Wisnu Nugraha, Sp.THT-KL, M.Kes

BAGIAN/DEPARTEMEN ILMU KESEHATAN

TELINGA HIDUNG TENGGOROK KEPALA LEHER
FAKULTAS KEDOKTERAN UNIVERSITAS SRIWIJAYA
RUMAH SAKIT Dr. MOHAMMAD HOESIN PALEMBANG
2014

HALAMAN PENGESAHAN
PRESENTASI KASUS
Disusun Oleh:
Ricky Tantular
Ikhsan Kurniawan
Kesavan Chandrasekar
Riana Sriwijayanti
Novia Winardi
Melly Ratna Sari
Norawaty Maas
Fatimah Tuzahra
Rully Maya Enda

04124708037
04124708038
04124708068
04124705116
04124708040
04124708059
04124708047
04054881317002
04124708071

Telah diterima dan disetujui sebagai salah satu syarat dalam mengikuti
Kepaniteraan Klinik Senior di Bagian Telinga Hidung Tenggorok Kepala Leher
Fakultas Kedokteran Univesitas Sriwijaya Rumah Sakit Mohammad Hoesin
periode 17 November 2014 22 Desember 2014.

Palembang, Desember 2014

Pembimbing

Letkol CKM. Dr. Bima Wisnu Nugraha, Sp.THT-KL, M.Kes

ii

KATA PENGANTAR
Segala puji dan syukur kehadirat Allah S.W.T. yang telah melimpahkan
rahmat dan karunia-Nya sehingga penulis dapat menyelesaikan presentasi kasus
ini. Tugas ini merupakan salah satu syarat Kepaniteraan Klinik Senior (KKS) di
bagian Bagian Telinga Hidung Tenggorok Kepala Leher Fakultas Kedokteran
Univesitas Sriwijaya Rumah Sakit Mohammad Hoesin Palembang.
Penulis mengucapkan terima kasih kepada Letkol CKM. Dr. Bima Wisnu
Nugraha, Sp.THT-KL, M.Kes selaku pembimbing yang telah memberikan
bimbingan selama penulisan dan penyusunan presentasi kasus ini serta serta
semua pihak yang telah membantu hingga selesainya presentasi kasus ini.
Penulis menyadari masih banyak kekurangan dalam penyusunan
presentasi kasus ini disebabkan keterbatasan kemampuan penulis. Oleh karena itu,
kritik dan saran yang membangun dari berbagai pihak sangat penulis harapkan
demi perbaikan di masa yang akan datang. Mudah-mudahan presentasi kasus ini
dapat memberi manfaat bagi yang membacanya.

Palembang, Desember 2014

Penulis

iii

DAFTAR ISI
Halaman
JUDUL.......................................................................................................................
i
HALAMAN PENGESAHAN....................................................................................
ii
KATA PENGANTAR.................................................................................................
iii
DAFTAR ISI..............................................................................................................
iv
DAFTAR GAMBAR..................................................................................................
vi
DAFTAR TABEL.......................................................................................................
vii
BAB I PENDAHULUAN..........................................................................................
1
1.1. Latar Belakang..................................................................................................
1
1.2. Rumusan Masalah.............................................................................................
2
1.3. Tujuan Penulisan...............................................................................................
2
1.4. Manfaat Penulisan............................................................................................
2
BAB II TINJAUAN PUSTAKA................................................................................
3
2.1. Anatomi Telinga................................................................................................
3
2.1.1. Telinga Luar......................................................................................................
3
iv

2.1.2. Telinga Tengah..................................................................................................

5
2.1.3. Membran Timpani............................................................................................
5
2.1.4. Tulang-tulang Pendengaran..............................................................................
7
2.1.5. Otot-otot telinga Tengah...................................................................................
8
2.1.6. Tuba Eustachius................................................................................................
9
2.1.7. Antrum Mastoid................................................................................................
9
2.1.8. Telinga Dalam...................................................................................................
9
2.1.9. Telinga Dalam Osseus......................................................................................
10
2.1.10.Telinga Dalam Membranaceus........................................................................
11
2.1.11.Perdarahan Telinga..........................................................................................
12
2.1.12.Persyarafan Telinga.........................................................................................
13
2.2. Fisiologi Pendengaran......................................................................................
15
2.3. Fisiologi Tuba Eustachius.................................................................................
15
2.4. Oklusi Tuba Eustachius....................................................................................
18
2.5. Patogenesis.......................................................................................................
23

2.6. Diagnosis..........................................................................................................
24
2.6.1. OMA.................................................................................................................
24
2.6.2. Blockages (KNF)..............................................................................................
24
2.6.3. ISPA..................................................................................................................
25
2.6.4. Alergi................................................................................................................
25
2.6.5. Penerbangan/Menyelam (Barotrauma).............................................................
25
2.7. Tatalaksana........................................................................................................
26
2.8. Prognosis...........................................................................................................
27
BAB III PENUTUP....................................................................................................
30
3.1. Kesimpulan.......................................................................................................
30
3.2. Saran.................................................................................................................
30
DAFTAR PUSTAKA.................................................................................................
31

vi

DAFTAR GAMBAR
Gambar
Halaman
1.

Telinga luar, telinga tengah, dan telinga dalam...................................................

3

2.

Bagian-bagian dari auricula telinga luar.............................................................

4

3.

Membran Timpani...............................................................................................
7

4.

Tulang-Tulang Pendengaran...............................................................................
8

5.

Telinga Dalam.....................................................................................................
9

6.

Fisiologi Pendengaran.........................................................................................
14

7.

Potongan Koklea.................................................................................................
15

8.

Organ Corti..........................................................................................................
15

vii

9.

Tuba Eustachius..................................................................................................
15

10. Perbedaan Tuba Eustachius Anak dan Dewasa...................................................

16
11. Ketidakberhasilan Pembukaan Tuba Pada Anak.................................................
18
12. Obstruksi Tuba Eustachius Akibat Barotrauma..................................................
23

DAFTAR TABEL
Tabel
Halaman
1.

Otot-Otot Telinga Tengah........................................................................................8

viii