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ORGANON AUDITIVUS

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.

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ORGANON AUDITIVUS

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  1. ORGANON AUDITIVUS dr. Subagjo,MS.

  2. ORGANON VESTIBULOCOCHLEAR • AURIUS EXTERNUS • AURIUS MEDIUS • AURIUS INTERNUS

  3. AURIUS EXTERNUS • AURICULA • MEATUS ACUSTICUS EXTERNUS

  4. AURICULA • KERANGKA  LEMPENGAN TULANG RAWAN ELASTIS TAK TERATUR • HELIX-ANTIHELIX • TRAGUS-ANTITRAGUS • CONCHA • LOBULUS

  5. INNERVASI : • A. AURICULOTEMPORALIS • N.OCCIPITALIS MINOR • N.AURICULARIS MAGNUS ARTERIALISASI : • A. TEMPORALIS SUPERFICIALIS • A.AURICULARIS POSTERIOR

  6. MEATUS ACUSTICUS EXTERNUS 25 MM ANTARA CONCHA - MEMBRANA TYMPANI BENTUK S, 2 BAGIAN : 1. PARS CARTILAGENES (1/3 BAGIAN LUAR) • CONCAV ANTERIOR • TERTUTUP KULIT,FOLLICLE RAMBUT, GLANDULA CEBACEA & CEROMINOUS  CERUMEN 2. PARS OSEUS ( 2/3 BAGIAN DALAM) • TERTUTUP KULIT, TERDAPAT KELENJAR, TAK TERDAPAT FOLLICLE RAMBUT PENYEMPITAN : 1. PERALIHAN PARS OSSEUS  CARTILAGENES 2. DEKAQT UJUNG MEDIAL : ISTHMUS

  7. INNERVASI SENSORIC AURIS EXT. : 1. N. AURICULO TEMPORALIS 2. PLEXUS CERVICALIS:  N. AURICULARIS MAGNUS 3. N. CRANIALIS 7, 10

  8. ARTERIALISASI AURIS EXT : 1. A. AURICULARIS POSTERIOR 2. A. TEMPORALIS SUPERFICIALIS

  9. MEMBRANA TYMPANI BAGIAN : • PARS TENSA • PARS FLACCIDA STRUKTUR : 1. LAPISAN CUTICULAR • CONE OF LIGHT • OTOSCOPI OTOSCOPE • PARACENTESA 2. LAPISAN FIBROUS • LUAR  RADIER • DALAM  CIRCULAR 3. LAPISAN MUCOSA Innervasi : Lateral N. V & X Medial  N. IX

  10. AURIUS MEDIUS CAVUM TYMPANI • EPITYMPANICUM • ADITUS AD ANTHRUM • ANTHRUM MASTOIDEA • CELLULAE MASTOIDEA • MESOTYMPANICUM • MEMBRANA TYMPANI • CHORDA TYMPANI • HYPOTYMPANICUM • TUBAPHARYNGO -TYMPANICA

  11. BATAS CAVUM TYMPANI 1. LATERAL : MEMBRANA TYMPANI 2. SUPERIOR :TEGMEN TYMPANI 3. INFERIOR 4. ANTERIOR : • OSTIUM TYMPANICA TUBA AUDITIVA • SEMICANAL M. TENSOR TYMPANI 5. POSTERIOR: • ADITUS AD ANTHRUM • EMINENTIA PYRAMIDALIS  M. STAPEDIUS 6. MEDIAL : • PROMINENTIA : - CANALIS FACIALIS - CANALIS SEMICIRCULARIS LATERALIS • FENESTRA VESTIBULI ( OVALIS ) • FENESTRA COCHLEA ( ROTUNDA ) • PROMONTORIUM

  12. ISI CAVUM TYMPANI • OSSICULA AUDITUS • MALLEUS • INCUS • STAPES • Mm. OSSICULORUM AUDITUS • M. TENSOR TYMPANI- V3 • M. STAPEDIUS-VII • CHORDA TYMPANI

  13. INNERVASI CAVUM TYMPANI : • N. AURICULO TEMPORALIS (N.V) • N. TYMPANICUS (N.IX) ARTERIALISASI : • AURICULARIS POST  A. STYLOMASTOIDEUS • A. MAXILLARIS  A. TYMPANICA ANTERIOR

  14. AURIS INTERNUS ( LABYRINTH ) • LABYRINTHUS OSSEUS • PERILYMPHA • LABYRINTHUS MEMBRANACEUS • ENDOLYMPHA

  15. LABYRINTHUS OSSEUS • CAN. SEMICIRCULARIS • POST, SUP, LAT • CRUS COMMUNE • AMPULA • VESTIBULUM HUBUNGAN ; • POST. : CAN. SEMICIRC. OSSEUS • LAT. : FENESTRA VESTIBULI • ANT. : SCALA VESTIBULI • MED.: AQUAEDUCTUS VESTIBULI • COCHLEA • MODIOLUS - N.COCHLEARIS • SCALA TYMPANI  FENESTRA COCHLEA – MEMBRANA TYMPANI SECUNDARIA •  AQUAEDUCTUS COCHLEA • SCALA VESTIBULI  VESTIBULUM • HELICOTREMA

  16. COCHLEA

  17. LABYRINTHUS MEMBRANACEUS • DUCTUS SEMICIRCULARIS • AMPULLA  CRISTA AMPULLARIS • UTRICULUS & SACCULUS • DUCTUS UTRICULOSACCULARIS • DUCTUS ENDOLYMPHATICUS • SACCUS ENDOLYMPHATICUS • MACULA UTRICULI • MACULA SACCULI • DUCTUS REUNIENS • DUCTUS COCHLEARIS ( SCALA MEDIA ) • MEMBRANA VESTIBULARIS • MEMBRANA BASILARIS • ORGAN SPIRALE ( CORTI )

  18. N. VESTIBULOCOCHLEAR ( N.VIII ) 1. N. VESTIBULARIS IMPULS KESEIMBANGAN • DUCTUS SEMICIRCULARIS • SACCULUS • UTRICULUS 2. N. COCHLEARIS IMPULS PENDENGARAN • DUCTUS COCHLEARIS

  19. N. VESTIBULARIS • SIFAT : SPESIAL SOMATIC AFFERENT • RESEPTOR : • CRISTA AMPULARIS KESEIMBANGAN DINAMIS • MACULA UTRICULI & SACCULI  KESEIMBANGAN STATIS • CELL BODY : GANGLION VESTIBULARIS

  20. KONDUKSI N. VESTIBULARIS • MACULA & CRISTA ↓ • GANGLION VESTIBULARIS ↓ • NUCLEI VESTIBULARIS • SUPERIOR (BECHTEREW) FLM N. III,IV,VI • LATERAL (DEITERS)  TRACT. VESTIBULOSPINALIS SKELETAL MUSCLE TRUNCUS & EXTREMITAS • INFERIOR  FLM  NUCLEUS N.XI & OTOT LEHER • MEDIAL (SCHWALBE)  FLM & TRACTUS RETICULOSPINAL (OTONOM)  N.X

  21. N. COCHLEARIS • SIFAT : SPESIAL SOMATIC AFFERENT • RECEPTOR : ORGAN CORTI  DUCTUS COCHLEARIS • CELLBODY GANGLION SPIRALE

  22. KONDUKSI PENDENGARAN ORGAN CORTI ↓ GANGLION SPIRALE ↓ NUCLEUS COCHLEARIS VENT & DORS  STRIA ACUSTICA & CORPUS TRAPEZOID  NUCLEUS OLIVARY SUPERIOR  LEMNISCUS LATERALIS  NUCLEUS LEMNISCUS LATERALIS  COLLICULUS INFERIOR  BRACHIUM COLLICULUS INFERIOR  CORPUS GENICULATUM MEDIALE  RADIATIO ACUSTICA  GYRUS TEMPORALIS TRANSVERSUS ( HESCHLE / AREA 41,42 )

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