organon auditivus
DESCRIPTION
ORGANON AUDITIVUS. dr. Subagjo,MS. ORGANON VESTIBULOCOCHLEAR. AURIUS EXTERNUS AURIUS MEDIUS AURIUS INTERNUS. AURIUS EXTERNUS. AURICULA MEATUS ACUSTICUS EXTERNUS. AURICULA. KERANGKA LEMPENGAN TULANG RAWAN ELASTIS TAK TERATUR HELIX-ANTIHELIX TRAGUS-ANTITRAGUS CONCHA LOBULUS. - PowerPoint PPT PresentationTRANSCRIPT
ORGANON AUDITIVUSORGANON AUDITIVUS
dr. Subagjo,MS.dr. Subagjo,MS.
ORGANON VESTIBULOCOCHLEARORGANON VESTIBULOCOCHLEAR
AURIUS EXTERNUSAURIUS EXTERNUS
AURIUS MEDIUSAURIUS MEDIUS
AURIUS INTERNUSAURIUS INTERNUS
AURIUS EXTERNUSAURIUS EXTERNUS
1.1. AURICULAAURICULA
2.2. MEATUS MEATUS ACUSTICUS ACUSTICUS EXTERNUSEXTERNUS
AURICULAAURICULA
KERANGKA KERANGKA LEMPENGAN TULANG LEMPENGAN TULANG RAWAN ELASTIS TAK RAWAN ELASTIS TAK TERATURTERATUR
HELIX-ANTIHELIXHELIX-ANTIHELIX
TRAGUS-ANTITRAGUSTRAGUS-ANTITRAGUS
CONCHACONCHA
LOBULUSLOBULUS
INNERVASI :INNERVASI : A. AURICULOTEMPORALISA. AURICULOTEMPORALIS
N.OCCIPITALIS MINORN.OCCIPITALIS MINOR
N.AURICULARIS MAGNUSN.AURICULARIS MAGNUS
ARTERIALISASI :ARTERIALISASI :
A. TEMPORALIS A. TEMPORALIS SUPERFICIALISSUPERFICIALIS
A.AURICULARIS POSTERIORA.AURICULARIS POSTERIOR
MEATUS ACUSTICUS MEATUS ACUSTICUS EXTERNUSEXTERNUS
25 MM25 MMANTARA CONCHA - MEMBRANA ANTARA CONCHA - MEMBRANA
TYMPANITYMPANIBENTUK S, 2 BAGIAN :BENTUK S, 2 BAGIAN :1. PARS CARTILAGENES (1/3 BAGIAN 1. PARS CARTILAGENES (1/3 BAGIAN
LUAR)LUAR)– CONCAV ANTERIORCONCAV ANTERIOR– TERTUTUP KULIT,FOLLICLE TERTUTUP KULIT,FOLLICLE
RAMBUT, GLANDULA RAMBUT, GLANDULA CEBACEA & CEROMINOUS CEBACEA & CEROMINOUS CERUMENCERUMEN
2. PARS OSEUS ( 2/3 BAGIAN DALAM)2. PARS OSEUS ( 2/3 BAGIAN DALAM)– TERTUTUP KULIT, TERDAPAT TERTUTUP KULIT, TERDAPAT
KELENJAR, TAK TERDAPAT KELENJAR, TAK TERDAPAT FOLLICLE RAMBUT FOLLICLE RAMBUT
PENYEMPITAN :PENYEMPITAN :1. PERALIHAN PARS OSSEUS 1. PERALIHAN PARS OSSEUS CARTILAGENESCARTILAGENES2. DEKAQT UJUNG MEDIAL : 2. DEKAQT UJUNG MEDIAL :
ISTHMUSISTHMUS
INNERVASI SENSORIC AURIS EXT. :INNERVASI SENSORIC AURIS EXT. :
1. N. AURICULO 1. N. AURICULO TEMPORALISTEMPORALIS
2. PLEXUS 2. PLEXUS CERVICALIS: CERVICALIS:
N. AURICULARIS N. AURICULARIS MAGNUSMAGNUS
3. N. CRANIALIS 7, 3. N. CRANIALIS 7, 10 10
ARTERIALISASI AURIS EXT :ARTERIALISASI AURIS EXT :
1. A. AURICULARIS POSTERIOR1. A. AURICULARIS POSTERIOR
2. A. TEMPORALIS 2. A. TEMPORALIS SUPERFICIALISSUPERFICIALIS
MEMBRANA TYMPANIMEMBRANA TYMPANIBAGIAN :BAGIAN : PARS TENSA PARS TENSA PARS FLACCIDAPARS FLACCIDA
STRUKTUR :STRUKTUR :1. LAPISAN CUTICULAR1. LAPISAN CUTICULAR
– CONE OF LIGHTCONE OF LIGHT– OTOSCOPIOTOSCOPI OTOSCOPE OTOSCOPE– PARACENTESAPARACENTESA
2. LAPISAN FIBROUS2. LAPISAN FIBROUS LUAR LUAR RADIER RADIER DALAM DALAM CIRCULAR CIRCULAR
3. LAPISAN MUCOSA3. LAPISAN MUCOSA Innervasi :Innervasi :LateralLateral N. V & X N. V & XMedial Medial N. IX N. IX
AURIUS MEDIUSAURIUS MEDIUS
CAVUM TYMPANICAVUM TYMPANI1.1. EPITYMPANICUMEPITYMPANICUM
– ADITUS AD ANTHRUMADITUS AD ANTHRUM– ANTHRUM MASTOIDEAANTHRUM MASTOIDEA– CELLULAE MASTOIDEACELLULAE MASTOIDEA
2.2. MESOTYMPANICUMMESOTYMPANICUM– MEMBRANA TYMPANIMEMBRANA TYMPANI– CHORDA TYMPANICHORDA TYMPANI
3.3. HYPOTYMPANICUMHYPOTYMPANICUM– TUBAPHARYNGO -TUBAPHARYNGO -
TYMPANICATYMPANICA
BATAS CAVUM TYMPANIBATAS CAVUM TYMPANI1. LATERAL1. LATERAL ::
MEMBRANA TYMPANIMEMBRANA TYMPANI2. SUPERIOR2. SUPERIOR :: TEGMEN TYMPANITEGMEN TYMPANI3. INFERIOR3. INFERIOR4. ANTERIOR4. ANTERIOR ::
OSTIUM TYMPANICA TUBA OSTIUM TYMPANICA TUBA AUDITIVAAUDITIVA
SEMICANAL M. TENSOR SEMICANAL M. TENSOR TYMPANITYMPANI
5. POSTERIOR:5. POSTERIOR: ADITUS AD ANTHRUMADITUS AD ANTHRUM EMINENTIA PYRAMIDALIS EMINENTIA PYRAMIDALIS M. STAPEDIUSM. STAPEDIUS
6. MEDIAL6. MEDIAL ::– PROMINENTIA :PROMINENTIA :
- - CANALIS FACIALIS CANALIS FACIALIS - CANALIS SEMICIRCULARIS - CANALIS SEMICIRCULARIS
LATERALISLATERALIS– FENESTRA VESTIBULI FENESTRA VESTIBULI
( OVALIS )( OVALIS )– FENESTRA COCHLEAFENESTRA COCHLEA
( ROTUNDA )( ROTUNDA )– PROMONTORIUMPROMONTORIUM
ISI CAVUM TYMPANIISI CAVUM TYMPANI
1.1. OSSICULA OSSICULA AUDITUSAUDITUS
MALLEUSMALLEUS INCUSINCUS STAPESSTAPES
2.2. Mm. Mm. OSSICULORUM OSSICULORUM AUDITUSAUDITUS
M. TENSOR M. TENSOR TYMPANI- V3TYMPANI- V3
M. STAPEDIUS-VIIM. STAPEDIUS-VII
3.3. CHORDA TYMPANICHORDA TYMPANI
INNERVASI CAVUM TYMPANI :INNERVASI CAVUM TYMPANI :
N. AURICULO TEMPORALIS (N.V)N. AURICULO TEMPORALIS (N.V)
N. TYMPANICUS (N.IX)N. TYMPANICUS (N.IX)
ARTERIALISASI :ARTERIALISASI :
A.A. AURICULARIS POST AURICULARIS POST A. A. STYLOMASTOIDEUSSTYLOMASTOIDEUS
B.B. A. MAXILLARIS A. MAXILLARIS A. TYMPANICA A. TYMPANICA ANTERIORANTERIOR
AURIS INTERNUS ( LABYRINTH )AURIS INTERNUS ( LABYRINTH )
1.1. LABYRINTHUS OSSEUSLABYRINTHUS OSSEUS PERILYMPHAPERILYMPHA
2.2. LABYRINTHUS LABYRINTHUS MEMBRANACEUSMEMBRANACEUS
ENDOLYMPHAENDOLYMPHA
LABYRINTHUS OSSEUSLABYRINTHUS OSSEUS1.1. CAN. SEMICIRCULARISCAN. SEMICIRCULARIS
– POST, SUP, LATPOST, SUP, LAT– CRUS COMMUNECRUS COMMUNE– AMPULAAMPULA
2.2. VESTIBULUMVESTIBULUMHUBUNGAN ;HUBUNGAN ;– POST. : CAN. SEMICIRC. OSSEUSPOST. : CAN. SEMICIRC. OSSEUS– LAT. : FENESTRA VESTIBULILAT. : FENESTRA VESTIBULI– ANT. : SCALA VESTIBULIANT. : SCALA VESTIBULI– MED.: AQUAEDUCTUS VESTIBULIMED.: AQUAEDUCTUS VESTIBULI
3.3. COCHLEACOCHLEA– MODIOLUS - N.COCHLEARISMODIOLUS - N.COCHLEARIS– SCALA TYMPANISCALA TYMPANI
FENESTRA COCHLEA – FENESTRA COCHLEA – MEMBRANA TYMPANI MEMBRANA TYMPANI SECUNDARIASECUNDARIA
AQUAEDUCTUS COCHLEAAQUAEDUCTUS COCHLEA– SCALA VESTIBULI SCALA VESTIBULI
VESTIBULUMVESTIBULUM– HELICOTREMAHELICOTREMA
COCHLEACOCHLEA
LABYRINTHUS LABYRINTHUS MEMBRANACEUSMEMBRANACEUS
1.1. DUCTUS SEMICIRCULARISDUCTUS SEMICIRCULARIS– AMPULLA AMPULLA CRISTA CRISTA
AMPULLARISAMPULLARIS
2.2. UTRICULUS & SACCULUSUTRICULUS & SACCULUS– DUCTUS DUCTUS
UTRICULOSACCULARISUTRICULOSACCULARIS– DUCTUS DUCTUS
ENDOLYMPHATICUSENDOLYMPHATICUS– SACCUS SACCUS
ENDOLYMPHATICUSENDOLYMPHATICUS– MACULA UTRICULIMACULA UTRICULI– MACULA SACCULIMACULA SACCULI– DUCTUS REUNIENSDUCTUS REUNIENS
3.3. DUCTUS COCHLEARIS DUCTUS COCHLEARIS ( SCALA MEDIA )( SCALA MEDIA )– MEMBRANA VESTIBULARISMEMBRANA VESTIBULARIS– MEMBRANA BASILARISMEMBRANA BASILARIS– ORGAN SPIRALE ( CORTI )ORGAN SPIRALE ( CORTI )
N. VESTIBULOCOCHLEAR N. VESTIBULOCOCHLEAR ( N.VIII )( N.VIII )
1. N. VESTIBULARIS1. N. VESTIBULARISIMPULS IMPULS KESEIMBANGANKESEIMBANGAN DUCTUS DUCTUS
SEMICIRCULARISSEMICIRCULARIS SACCULUSSACCULUS UTRICULUSUTRICULUS
2. N. COCHLEARIS2. N. COCHLEARISIMPULS IMPULS PENDENGARANPENDENGARAN DUCTUS DUCTUS
COCHLEARISCOCHLEARIS
N. VESTIBULARISN. VESTIBULARIS
SIFAT : SPESIAL SOMATIC AFFERENTSIFAT : SPESIAL SOMATIC AFFERENT RESEPTOR :RESEPTOR :
– CRISTA AMPULARIS CRISTA AMPULARIS KESEIMBANGAN KESEIMBANGAN DINAMISDINAMIS
– MACULA UTRICULI & SACCULI MACULA UTRICULI & SACCULI KESEIMBANGAN STATISKESEIMBANGAN STATIS
CELL BODY : GANGLION CELL BODY : GANGLION VESTIBULARISVESTIBULARIS
KONDUKSI N. VESTIBULARISKONDUKSI N. VESTIBULARIS– MACULA & CRISTAMACULA & CRISTA ↓ ↓– GANGLION VESTIBULARISGANGLION VESTIBULARIS ↓ ↓– NUCLEI VESTIBULARISNUCLEI VESTIBULARIS
SUPERIOR SUPERIOR (BECHTEREW)(BECHTEREW) FLM FLM N. III,IV,VIN. III,IV,VI
LATERALLATERAL (DEITERS) (DEITERS) TRACT. TRACT. VESTIBULOSPINALIS VESTIBULOSPINALIS SKELETAL MUSCLE SKELETAL MUSCLE TRUNCUS & EXTREMITASTRUNCUS & EXTREMITAS
INFERIORINFERIOR FLM FLM NUCLEUS N.XI & OTOT NUCLEUS N.XI & OTOT LEHERLEHER
MEDIALMEDIAL (SCHWALBE) (SCHWALBE) FLM & TRACTUS FLM & TRACTUS RETICULOSPINAL RETICULOSPINAL (OTONOM) (OTONOM) N.X N.X
N. COCHLEARISN. COCHLEARIS
SIFAT : SPESIAL SOMATIC AFFERENTSIFAT : SPESIAL SOMATIC AFFERENT RECEPTOR : ORGAN CORTI RECEPTOR : ORGAN CORTI
DUCTUS COCHLEARISDUCTUS COCHLEARIS CELLBODY GANGLION SPIRALECELLBODY GANGLION SPIRALE
KONDUKSI PENDENGARANKONDUKSI PENDENGARANORGAN CORTIORGAN CORTI
↓↓ GANGLION SPIRALEGANGLION SPIRALE
↓↓NUCLEUS COCHLEARIS VENT & DORSNUCLEUS COCHLEARIS VENT & DORS
STRIA ACUSTICA & CORPUS TRAPEZOIDSTRIA ACUSTICA & CORPUS TRAPEZOID
NUCLEUS OLIVARY SUPERIORNUCLEUS OLIVARY SUPERIOR
LEMNISCUS LATERALISLEMNISCUS LATERALIS
NUCLEUS LEMNISCUS LATERALISNUCLEUS LEMNISCUS LATERALIS
COLLICULUS INFERIORCOLLICULUS INFERIOR
BRACHIUM COLLICULUS INFERIORBRACHIUM COLLICULUS INFERIOR
CORPUS GENICULATUM MEDIALECORPUS GENICULATUM MEDIALE
RADIATIO ACUSTICARADIATIO ACUSTICA
GYRUS TEMPORALIS TRANSVERSUS ( HESCHLE / GYRUS TEMPORALIS TRANSVERSUS ( HESCHLE /
AREA 41,42 )AREA 41,42 )