PARAKTIKUM PEMERIKSAAN FISIK

DIAGNOSTIK THT-KL

Dr. Zulfikar Naftali SpTHT-KL, Msi.Med

Divisi Otologi-Neurootologi
Departemen THT-KL FK Undip/SMF K THT-KL Rs Dr. Kariadi
Semarang

Alat yang dibutuhkan

Serumen hak

Kapas aplikator

Xylonor spray

Suction

9. Pembersihan MAE- Usapan

Usapan dengan aplikator-kapas

10.Pengambilan Serumen : Kait/kuret

a. Cara memegang serumen hak

10.Pengambilan Serumen : Kait/kuret

b. Cara mengambil serumen: sejajar CAExylocain spray

11. Pengambilan benda asing telinga

GA atau Lokal (Xylocain spray di CAE )

Forcep Hartman, suction, serumen hak

Benda asing organik : olleum coccum

11. Pengambilan Benda asing Telinga

Caution

3.Parasentesis = miringotomi (2)

Insisi membran timpani

Indikasi :
1. Otitis media akut (Bulging)
2. Otitis media akut stadium resolusi/glue ear
3. Otitis media dengan efusi ( prosedur awal)

3.Parasentesis = miringotomi (2)

Lokasi : antero-inferior (paling aman)

4.Insersi gromet ( 1)

Insersi pipa ventilasi di membran timpani =

drainase

Berbagai macam tipe

4.Insersi gromet ( 1)

Insersi pipa ventilasi

Indikasi:
- Otitis media dengan efusi
- disfungsi tuba
- Otitis media akut berulang

4.Insersi gromet ( 1)

Video

8.Manuver valsava ( 4 A)

Performed by moderately forceful attempted exhalation

against a closed airway, usually done by closing one's
mouth, pinching one's nose shut while pressing out as if
blowing up a balloon

8.Manuver valsava ( 4 A)

menilai fungsi tuba, dengan cara

- melihat pergerakan membran timpani
- timpanometri ( ETF-2) video

8.Manuver valsava ( 4 A)

Video