Kuliah Laring I
description
Transcript of Kuliah Laring I
Anatomy of the LarynxAnatomy of the Larynx
LARING
• ANATOMI
• FISIOLOGI
• PEMERIKSAAN
• SIMTOMATOLOGI
• PATOLOGI
I. ANATOMI (Penjelasan gambar)
• Kartilago Thyroid, Cricoid, Arytenid, epigloticum, Corniculata, Cuneiformis.
• Kartilago hyalin Thyroid, Cricoid, Aritenoid.
• Kartilago fibroelastika.
Larynx framework:Larynx framework:1 (one) os hyoid1 (one) os hyoid
6 (six) cartilages :6 (six) cartilages :
Thyroid cartilageThyroid cartilage Cricoid cartilageCricoid cartilage
Epiglottis cartlagEpiglottis cartlagArytenoid cartilageArytenoid cartilage
Corniculate cartilageCorniculate cartilage Cuneiform cartilageCuneiform cartilage
Larynx framework:Larynx framework:1 (one) os hyoid1 (one) os hyoid
6 (six) cartilages :6 (six) cartilages :
Thyroid cartilageThyroid cartilage Cricoid cartilageCricoid cartilage
Epiglottis cartlagEpiglottis cartlagArytenoid cartilageArytenoid cartilage
Corniculate cartilageCorniculate cartilage Cuneiform cartilageCuneiform cartilage
LARYNX MOVEMENTLARYNX MOVEMENTEXTRINSIC MUSCLESEXTRINSIC MUSCLES
Larynx movement:Larynx movement:- Extrinsic Muscles : Extrinsic Muscles :
Suprahyoid Group Suprahyoid Group Elevator laring.Elevator laring.
innervated by N.V,VII,IX innervated by N.V,VII,IX m. Digastrikusm. Digastrikus
m. Geniohyoidm. Geniohyoid m. Stilohyoidm. Stilohyoid m. Milohyoid m. Milohyoid
Infrahioid Group Infrahioid Group Depresor larynxDepresor larynx
innervated C2-3innervated C2-3 m. Sternohyoidm. Sternohyoid
m. Omohyoidm. Omohyoid m. Thyrohyoidm. Thyrohyoid
Larynx movement:Larynx movement:- Extrinsic Muscles : Extrinsic Muscles :
Suprahyoid Group Suprahyoid Group Elevator laring.Elevator laring.
innervated by N.V,VII,IX innervated by N.V,VII,IX m. Digastrikusm. Digastrikus
m. Geniohyoidm. Geniohyoid m. Stilohyoidm. Stilohyoid m. Milohyoid m. Milohyoid
Infrahioid Group Infrahioid Group Depresor larynxDepresor larynx
innervated C2-3innervated C2-3 m. Sternohyoidm. Sternohyoid
m. Omohyoidm. Omohyoid m. Thyrohyoidm. Thyrohyoid
LARYNX MOVEMENTLARYNX MOVEMENTINTRINSIC MUSCLESINTRINSIC MUSCLES
Abductor Group : Abductor Group : m. Cricoarytenoid postm. Cricoarytenoid post
AdAddducctor Group : ucctor Group : m. Lateral Cricoarytenoidm. Lateral Cricoarytenoid
m. Oblique Interarytenoidm. Oblique Interarytenoid m. Interarytenoid Tranversa.m. Interarytenoid Tranversa.
m. Tiroarytenoid Exterrnam. Tiroarytenoid Exterrna
Tensor Group : Tensor Group : m. Tiroarytenoid Internam. Tiroarytenoid Interna
m. Cricothyroidm. Cricothyroid
Abductor Group : Abductor Group : m. Cricoarytenoid postm. Cricoarytenoid post
AdAddducctor Group : ucctor Group : m. Lateral Cricoarytenoidm. Lateral Cricoarytenoid
m. Oblique Interarytenoidm. Oblique Interarytenoid m. Interarytenoid Tranversa.m. Interarytenoid Tranversa.
m. Tiroarytenoid Exterrnam. Tiroarytenoid Exterrna
Tensor Group : Tensor Group : m. Tiroarytenoid Internam. Tiroarytenoid Interna
m. Cricothyroidm. Cricothyroid
LARYNX INNERVATEDLARYNX INNERVATED
N. Vagus branches :N. Vagus branches :
Superior Laryngeal NerveSuperior Laryngeal Nerve eksterna branch eksterna branch
interna branchinterna branch
Inferior Laryngeal NerveInferior Laryngeal Nerve anterior branchanterior branch
posterior branchposterior branch
N. Vagus branches :N. Vagus branches :
Superior Laryngeal NerveSuperior Laryngeal Nerve eksterna branch eksterna branch
interna branchinterna branch
Inferior Laryngeal NerveInferior Laryngeal Nerve anterior branchanterior branch
posterior branchposterior branch
BLOOD SUPPLY
- Pendarahan laring :
+ AV. Laringis Superior, Cabang A.Tiroid Superior
+ AV.Laringis Inferior, Cabang A. Tiroid Inferior
FISIOLOGI– PROTEKSI– RESPIRASI– SIRKULASI– DIGLUTISI– FONASI– FIKSASI– EMOSI– BATUK
26 Nop 2007 21 laringo - HTN-MLG
SIMTOMATOLOGI– AFONI– DISFONI– STRIDOR– ODINOFAGI– DISFAGIA– Gg. SENSIBEL
• KERING• GATAL
PATOLOGIA. KONGENITAL
1. ATRESIA LARING2. EPIGLOTIS BIFIDA3. WEB4. STENNOSIS SUB GLOTIS5. HEMANGIOMA6. KISTA7. LARINGOMALASIA8. PARALISIS PITA SUARA9. FISTULA TRAKEO-OSOFAGUS
B. RADANG
1. RADANG AKUT NON SPESIFIK
– LARINGITIS AKUT NON SPESIFIK– LARING AKUT SPASMODIK (CROUP)– LARING AKUT SUPRAGLOTIK– LARING AKUT MEMBRANOSA– LARINGO TRAKEOBRONKITIS
2. RADANG AKUT SPESIFIK- DIFTERI
1. RADANG KRONIS NON SPESIFIK– DIFUS SIMPLEK– DIFUS HIPERPLASTIK
2. RADANG KRONIS SPESIFIK– TB– SIPILIS
Pemeriksaan Laring dengan Nasoendoskopi
Glottis
True vocal Fold
False Vocal Fold(vestibular)
EpiglottisInner lining of
trachea
Tops of Arytenoid Cartilage
26 Nop 2007 29 laringo - HTN-MLG
26 Nop 2007 30 laringo - HTN-MLG
26 Nop 2007 32 laringo - HTN-MLG
26 Nop 2007 33 laringo - HTN-MLG
- Pembuluh Limfe : Pembuluh Limfe :
+ Bagian Superior , + Bagian Superior , menuju Lnn Servikal Dalam Superiormenuju Lnn Servikal Dalam Superior
+ Bagian Inferior , + Bagian Inferior , menuju Lnn Servikal Dalam Media menuju Lnn Servikal Dalam Media Lnn Subklavia, Paratrakea, Tr - EsoLnn Subklavia, Paratrakea, Tr - Eso