Trauma Aurikuler &

Inflamasi pada
Aurikuler
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 01

Trauma Aurikuler
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 Anatomi Aurikuler

Trauma aurikuler adalah cedera pada telinga luar (misalnya pukulan

tumpul) yang bisa menyebabkan memar, oedem, robekan diantara
kartilago dan perikondrium.
 Etiologi
1. Penyebab utama dari trauma telinga
antara lain: 2. Penyebab trauma telinga yaitu:
• Kecelakaan lalu lintas • Kompresi mendadak udara di liang telinga.
• Perkelahian • Adanya benda-benda asing
• Kecelakaan dalam bidang olahraga (misal: kapas lidi atau ranting-ranting pohon).
• Luka tembak • Trauma kapatis yang menyebabkan fraktur
• Kebiasaan mengorek kuping os temporale.

3. Penyebabnya antara lain:

• Kebiasaan mengorek kuping dengan jari atau suatu alat seperti jepit
rambut/klip kertas.
• Perubahan tekanan mendadak-barotrauma, trauma ledakan- atau karena
benda asing dalam liang telinga (aplikator berujung kapas, ujung pena, klip
kertas, dll).
• Terpapar bising/suara industri yang berintensitas tinggi dan lamanya
paparan.
 Patofisiologi
Bisa karena benda-benda tumpul maupun benda tajam

memar diantara kartilago dan perikondrium

penimbunan darah

perubahan bentuk telinga luar dan tampak massa berwarna ungu kemerahan.
 Komplikasi
● Laserasi
dapat diakibatkan oleh suatu trauma
misalnya: persentuhan
dengan benda tajam (pisau, dll),
kecelakaan, dsb.

 Pada kedaan ini tindakan pertama yang harus segera dilakukan adalah
menghentikan perdarahan.

● Luka akibat trauma tajam baik di tulang rawan maupun di kulit

dijahit kembali
● Frostbite
Sengatan pada suhu yang dingin pada aurikula yang timbul dengan cepat
pada lingkungan bersuhu rendah dengan angin dingin yang kuat.

 gambaran klinisnya didapatkan vasokonstriksi hebat pembuluh darah

telingatelinga bagian luar yang diikuti periode dilatasi yang berlangsung
lebih lama.
● Hematom
Sering ditemukan pada pegulat, petinju atau suatu kecelakaan, akibatnya
timbul hematom dibawah kulit

 Hematom terbentuk diantara perikondrium dan kondrium

 Diagnosis
● Anamnesa
- Riwayat trauma
- Rasa nyeri
- Keluhan pendengaran terganggu
● Untuk Othematom:
- Tes dengan garpu tala
- Audiogram

● Pemeriksaan fisik
 inspeksi dijumpai benjolan kemerahan pada daun telinga
 dapat juga terdapat robekan daun telinga
 Pada othematom, pemeriksaan palpasi terdapat fluktuasi tanpa adanya
nyeri tekan atau nyeri tekan yang ringan
 Pada kasus yang telah lama dan berulang dapat timbul pengerutan pada
daun telinga (cauliflower ear)
 02

Inflamasi Aurikuler
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 Definisi

● Inflamasi aurikula merupakan suatu reaksi tubuh terhadap invasi bahan

infeksi, antigen atau karena cedera fisik terdapat pada kulit, kartilago serta
lapisan jaringan ikat sekitarnya atau perikondrium aurikula
 Klasifikasi
1. Selulitis Aurikula
Selulitis Infeksi bakteri pada aurikula paling sering berhubungan dengan komorbiditas
pasien (misal, diabetes) dan trauma. Penyebab trauma tersering adalah Tindikan
anting, Pukulan, Luka bakar

- Gejala dan tanda biasanya terdapat

• Indurasi,
• Hangat,
• Eritema,
• Nyeri tekan dan demam.
2. Perikondritis dan Kondritis
Perikondritis adalah infeksi perikondrium pada pinna dimana pus terkumpul
diantara kartilago telinga luar dan perikondrium.
Infeksi yang terjadi pada jaringan mesenkim pada aurikula akibat tindikan, luka
bakar, pembedahan, trauma tumpul atau tajam yang menyebabkan vascular
compromise.

Gejala Klinis : Daun Telinga membengkak,

kemerahan dan nyeri.
Tampak Perikondrium terangkat dan
menjadi kaku jika berlanjut dapat terjadi
abses diantara kartilago dengan perikondrium
 Komplikasi
● Nanah yang terkumpul
diantara kartilago dan
perikondrium akan
menyebabkan terputusnya
aliran darah ke kartilago
sehingga menimbulkan
kerusakan kartilago dan pada
akhirnya menyebabkan
kelainan bentuk telinga
menjadi berkerut
(Cauliflower ear).
Patofisiologi
 Tata Laksana

● Kortikosteroid sebagai antiinflamasi dan analgetik.

● Obat anti pseudomonas, amino glikosid (gentamisin) fluor kinolon
(quinolon) seperti siprofloksasin.
● abses perikondrial>> harus dilakukan insisi abses dan dipasngkan drain
selama 24-72 jam.
 FEELING ALONE VS BEING ALONE

When you are alone, you can be very happy You can be home alone, but you don't
but you hate every second that you are with experience loneliness. On the other hand, if
your friends. It is usually a disorder that is you feel alone, you end up isolating yourself
neglected. and you are left alone.
Epidemiologi

Insidensinya sekitar 1:100

dan 1:250 dari seluruh
populasi, dengan variasi
regional berdasarkan usia
dan letak geografis.
“The most connected generation in history is
also the loneliest”
—MATT HAIG
 PATIENT MEDICAL HISTORY

Doesn’t like to interact with other

2005 people

Less and less predisposed to

2008 attend social gatherings

He or she gets away from all his

2014 friends and from himself
PHYSICAL EXAMINATION

SADNESS
Discouragement to perform any
activity

CRYING
Crying from time to time without
being able to control it

BODY DISORDER
Feeling immobile, fatigue, as if
gained weight
 SOCIAL PAIN

In the first civilizations, in order not to

be excluded from your group, the
body developed social pain

CONCEPT
This pain is an alarm system that
makes you stop the behavior that will
isolate you
A PICTURE ALWAYS
REINFORCES
THE CONCEPT
Images reveal large amounts of
data and meanings
 REVIEW OF SYSTEMS

ANXIETY UNHAPPINESS WEAKNESS UNHEALTHY

Despite being red, Mercury is the Venus has a beautiful Saturn is a gas giant
Mars is a cold place smallest planet name and has rings
 Patofisiologi

Bisa karena benda-benda tumpul maupun benda tajam

memar diantara kartilago dan perikondrium

penimbunan darah
FIRST WESTERN MODERN
CIVILIZATIONSperubahan bentukSOCIETY
telinga luar dan tampak massa WORLD
berwarna ungu kemerahan
You grew up and lived in Started talking about High sociability doesn’t
groups of 150 people individualism as a person mean less loneliness
 THE DOWNSIDE OF
02 THE MODERN WORLD
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 EPIDEMIC OF LONELINESS

DEPOPULATION
RAPID GROWTH INDUSTRIAL
IN THE
OF CITIES REVOLUTION
VILLAGES
When modern life arrived, Cities grew. We moved away Loneliness was more likely
people left cattle jobs and from collectivism and than ever: work, love, daily
left the villages focused on the self routine, etc.
IF YOU WANT TO LIVE LONGER,
SPEND LESS TIME ALONE
 FINDINGS

The average number of close

friends in the US
1988
The average number of close
friends is three
2011
Years later, this average drops
to two
2016
Finally, the average of close To modify this graph, click on it, follow the link, change
friends is one the data and paste the new graph here
STRESS CAUSED BY CHRONIC
LONELINESS DANGEROUSLY
AFFECTS HEALTH
CHRONIC LONELINESS

01 NO TIME
You don't have time to see
your friends

02 WORK & STUDIES

These factors take up a lot
of time every day

03 FAMILY
You dedicate your free time
to the family only
 03

HOW
LONELINESS KILLS
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 HOW LONELINESS KILLS

INSOMNIA APATHY OBESITY

Insomnia or hypersomnia, Disinterest in doing any Due to sedentary lifestyle or
frequent problems social activities inactivity

DEPRESSION DISCOMFORT DEPENDENCE

Feelings of excessive guilt Continuous reliance on
Headaches may be persistent
about yourself social networking sites
 SELF-PRESERVATION MODE

NEGATIVE EVIL
You turn Good intentions
everything into towards yourself
negative things are seen as bad

DISTRUST COLDNESS
You tend to You become a cold
mistrust your and unfriendly
friends and family person
 50,000
Our body and mind is as old as the human race and our
biology tells us that we need someone to be with us
 COMPARISON

RELAXE
HAPPY SAD ANGRY
D

Insomnia

Energy

Comfort
333,000.00
Earths is the Sun’s mass

24h 37m 01s

Is Jupiter’s rotation period

386,000 km
Between Earth and the Moon
 WHAT CAN WE DO
04 ABOUT IT?
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 DISCUSSION

DR. JENNA DR. JOHN DR. DANIEL DR. ROBERTA

DOE JAMES POTTER BLAESE
“Mercury is the “Venus has a “Saturn planet is a “It’s a gas giant
closest planet to beautiful name and gas giant and also the
the Sun” is very hot” of hydrogen” biggest planet”
 DISCUSSION
SUMMARY
Mercury is the smallest one in the
Solar System. The planet’s name
has nothing to do with the liquid
metal
 PATIENT MONITORING

WEEK 1 WEEK 3
Mars is a cold place Mercury is the closest

Venus is nice name Jupiter is the biggest

WEEK 2 WEEK 4
Mars

45% 60%
Venus
First Phase Second Phase
 TREATMENT

EXERCISE 1 EXERCISE 2
Contact someone today even if you feel Go somewhere that is usually
a little lonely. Brighten the day for the embarrassing for you, such as a social
other person event, for example
INDICATIONS & CONTRAINDICATIONS

● Go talk and have fun ● Loneliness makes you

with your friends age faster
● Spend one day a week ● Makes Alzheimer's
with your family progress faster
● Look at the bright side ● Your immune system
of things becomes weaker
 POST-PREVENTION

RECOGNIZE SELF-EXAMINATION
Let go of feelings of sadness so Analyze and focus your attention
that thoughts about yourself and on positive things. Don't add
others are not negative negativity to things

TO ACCEPT OPEN YOUR MIND

Accepting loneliness is a normal Open yourself to the world and
feeling and there is no need to be avoid protecting yourself. Avoid
ashamed excuses for not meeting people
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 CASE TIMELINE
MERCURY SATURN
Mercury is the closest Saturn is a gas giant and
planet to the Sun has rings

DAY 1 DAY 2 DAY 3 DAY 4

JUPITER VENUS
It’s a gas giant and also Venus has a very
the biggest planet beautiful name
 CONCLUSIONS

The goal is to open up a bit so that you

can exercise your muscles of
connection with others. This way,
you’ll be stronger over time or make
other people stronger
 REFERENCES

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● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

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