2.

Patologi
Rongga dan Sinus
Hidung
Dr Drh WIWIN WINARSIH, MSi,APVet

Divisi Patologi – FKH - IPB

 PATOLOGI HIDUNG DAN SINUS

1. Anomali Kongenital
Anomali bentuk kepala (Cyclopia, Anencephali,
palatoschisis) ; Kelainan genetik ; Keracunan
tumbuhan / Infeksi intrauteri

2. Gangguan Metabolisme
Amiloidosis
3. Gangguan Sirkulasi
Epistaxis , Hiperemi dan Kongesti
4. Peradangan
Rhinitis dan Sinusitis
5. Tumor
Tumor asal kelenjar, epitel olfaktorius, tulang rawan,
epitel kulit, jaringan ikat, pembuluh darah
Histology of the conducting system (nose to
bronchi):
• Pseudo-stratified ciliate epithelium with numerous goblet
cells (arrows)
• The submucosa contains many blood vessels (bv) and
glands (arrowheads)
 1. Anomali Kongenital

Palatoschisis Cyclopia
Palatoschisis

Cheiloschisis
3. Gangguan Sirkulasi

Epistaxis
Epistaxis
 3. Gangguan Sirkulasi

Hiperemi dan Kongesti

Nasal congestion and hemorrhage are commonly seen in
animals exposed to irritant gases (ammonia, H2S, NO2, etc.),
shock, bloat, and of course in rhinitis
 Inflammatory hyperemia : Note the a markedly
congested mucosa with excessive exudate on the
surface of conchae
 4. Peradangan : Rhinitis dan Sinusitis
Diagnosa peradangan selalu diikuti oleh
keterangan tipe eksudat, keterangan keadaan
mukosa, durasi dan derajat keparahan
Tipe Eksudat:
Serous : jernih, encer
Kataral : agak keruh, agak kental
Purulent : keruh kekuningan, kental
Fibrinosa : kental, berfibrin
Keadaan Mukosa: Durasi: Derajat Keparahan:
Hiperplasia Akut Parah
Hemoragi Sub akut Sedang
Ulseratif Kronis Ringan
Reaksi Peradangan oleh Virus dan Bakteri
Proliferasi Sel Infiltrasi neutrofil
Goblet Deskuamasi epitel

Kongesti dan Edema

INFEKSI VIRUS INFEKSI BAKTERI
Viral : Canine Distemper virus ;Herpes virus : (EHV-
4 ; FHV-1 ; BHV-1 ; MCF ) ; Influenza virus :( Avian
Influenza, Swine Influenza, Equine Influenza);
Feline calicivirus ; Porcine cytomegalovirus
(Inclusion Body Rhinitis).
Bakterial : Streptococcus equi; Pseudomonas mallei;
Pseudomonas pseudomallei; Bordetella bronchiseptica;
Pasteurella multocida; Actinobacillus bovis.
Mikal : Cryptococcus neoformans; Aspergillus sp. ;
Rhinosporibium seeberi
Insekta : Oestrus ovis ; Linguatula serrata ;
Pneumonyssus caninum ; Rhinophagus papionis.
Helminth :Schistosoma nasalis, Habronema sp.;
Anatrichosoma sp.
 4. Peradangan

Sinusitis Kataral
Mycoplasma Gallisepticum
 4. Peradangan

Fibrinous Rhinitis
 4. Peradangan

Swine
Atrophic
Rhinitis

Infeksi campuran Cytomegalovirus, Bordetella

bronchiseptica, Pasteurella multocida
Swine Atrophic Rhinitis
Badan Inklusi Cytomegalovirus
 Purulent rhinitis in a calf

purulent exudate on the surface of dorsal and

ventral conchae and meatuses
 Mucopurulent
rhinitis

Viral infections can also

predispose dogs to
secondary bacterial
rhinitis (Bordetella
bronchiseptica, E. coli,
Streptococci,
Staphylococci).
Radang Granuloma  nasal polyp : padat,
berbungkul

Nasal Granuloma
 Nasal granuloma tissue in sheep

Sheep with nasal cryptococcosis.

The histologic section of the nose shows numerous
yeast of Cryptococcus neoformans and few
inflammatory cells. PAS. X40.
4. Peradangan

Sereus Sinusitis
 Sinusitis and
Sinus Empyema
Bovine
accumulation of
purulent exudate in
paranasal sinuses

Accumulation of pus
is referred as
empyema,

while accumulation
of mucus is known as
mucocele
Nasal Tumor