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Telinga
Desease : - congenital - acquisital Fungsional : - Pendengaran - Keseimbangan
Audiovestibuler
AUDIOLOGI
(Pendengaran)
Syarat mendengar ?
GANGGUAN PENDENGARAN
Hearing Loss (ketulian) - jenis CHL, SNHL, MHL - derajat Tinnitus Recriutment dll
Sensorineural (SNHL) inner ear Mixed (MHL) outer, mid, innner ear
Conductive (CHL)
Anamnesa Pemeriksaan fisik THT Pemeriksaan tambahan (fungsional) - tes bisik - Garpu tala - Audiometri nada murni (pure tone) - Audiometri tutur (speech audiometry) - Tympanometri - BERA
Diagnostic
Tes bisik
Mendengar/tidak ?
Audiogram Puretones --? Air bone Speech-- ? Diagnostic imaging CT scan MRI
Right Ear
125 -10 0 10 20 30 40 50 60 70 80 90 100 110 120 250 500 1000 2000 4000 8000 12,000
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HEARING LOSS
CHL : - Telinga luar - Telinga tengah - Telinga dalam
- Telinga luar-temgah-
SNHL :
MHL : dalam
DALAM SNHL
LUAR TENGAH CHL
CHL
CHL
LUAR
CHL
TENGAH
Middle Ear
Absence of ossicles (middle ear bones) Stiffness of ossicles Otosclerosis Tympanosclerosis Dislocation of ossicles (trauma) Cholesteatoma Tumors
Tes penala .?
Treatment
Hearing Aids
Behind the ear In the ear In the canal Completely in the canal
Surgery
Treat underlying (serious) cause
Cholesteatoma TM perforation Acoustic neuroma Encephalocele
Improve hearing
Stapedectomy Cochlear implant Fully implantable hearing aids
Cochlear Implants