Pemeriksaan Telinga

dr Reno H Kelan Sp THT

dr. Pulo RS Banjarnahor,Sp.THT
Siloam Hospital Lippo Village
FK UPH
Examination
of the ear
Palpate the mastoid process
for tenderness or deformity.
Hold the otoscope with your
thumb and fingers so that the
ulnar aspect of your hand
makes contact with the
patient.
Insert the otoscope to a point
just beyond the protective
hairs in the ear canal. Use the
largest speculum that will fit
comfortably.
 Examination of the ear
Inspecting the tympanic membrane
(TM)1
Move the otoscope in order to see
several different views of the drum; it
is not always possible to see the whole
drum in one single view using an
otoscope. The drum is roughly circular
(~1cm in diameter). In a normal drum
the following structures can be
identified:
Handle/lateral process of the malleus
Light reflex/cone of light
Pars tensa and pars flaccida (attic)
Occasionally, in a healthy, thin drum, it
is possible to see the following:
Long process of incus
Chordatympani
Eustachian opening
Promontory of the cochlea
 Examination of the ear
Note the condition of the
canal skin, and the
presence of wax, foreign
tissue, or discharge.
The mobility of the
eardrum can be
evaluated using a
pneumatic speculum,
which attaches to the
otoscope.
The drum should move
on squeezing the balloon.
 Examination of the ear
Grndang telinga/membran timpani
Membran timpani normal
 Examination of the ear
Gendang telinga/membran timpani
Common pathological conditions related to
the middle ear include:
Perforations (note size, site and position)
Tympanosclerosis
Glue ear/ middle ear effusion
Retractions of the drum
Haemotympanum (blood in the middle ear)
 Examination of the ear
Gendang telinga/membran timpani
 Examination of the ear
Gendang telinga/membran timpani
Otitis Media Akut
 Examination of the ear
Gendang telinga
Otitis media
serosa
 Examination of the ear
Gendang telinga/membran timpani
Om serosa dg
ventilating tube
 Examination of the ear
Gendang telinga/membran timpani
Omsk benigna
(tenang)
 Examination of the ear
Gendang telinga/membran timpani
OMSK benigna
(aktif)
 Examination of the ear
Gendang telinga/membran timpani
Timpano sklerosis
 Examination of the ear
Gendang telinga/membran timpani
Glomus tumor
telinga tengah
 Examination of the ear
Gendang telinga/membran timpani
Omsk maligna
 Eustachian tube functions
Tests for Eustachian tube functions
Valsalva maneouver
Toynbee test
 Middle Ear Analyzer
Test obyektif utk
mengetahui keadaan
telinga tengah fungsi
tuba eustachius
Macam Timpanogram
 Hearing tests
Whispered speech test. Your GP will whisper a combination of numbers and letters
behind you and check if you can hear anything by asking you to repeat the
combination. Your GP will probably move further away from you each time to test
the range of your hearing.
Tuning fork test. Different tuning forks can be used to test your hearing at a variety
of frequencies. They can also help determine the type of hearing loss.
Pure tone audiometry. An audiometer produces sounds of different volumes and
frequencies. During the test, you're asked to indicate when you hear a sound in the
headphones. The level at which you can't hear a sound of a certain frequency is
known as your threshold.
If your hearing loss has a sensorineural cause, a number of tests can be performed
to pinpoint where the problem lies.
Otoacoustic emissions. This is used to measure your cochlear function by recording
signals produced by the hair cells.
Auditory brainstem response. This measures the activity of the cochlea, auditory
nerve and brain when a sound is heard.
 Tuning fork test/
Tes penala Rinne dan Weber
Rinne dan Weber
Menentukan jenis
tuli konduktif
/sensory neural
 Audiometri
Menentukan :
Jenis ketulian
Derajat ketulian
Masih semi obyektif
Dasar Audiometri
 Audiometri
Gambaran
Audiogram N, tuli
konduktif, Sensori
neural dan campur
Contoh Audiogram lengkap Tuli konduktif ringan/sedang
bilateral