ORGANON AUDITIVUSORGANON AUDITIVUS

dr. Subagjo,MS.dr. Subagjo,MS.

ORGANON VESTIBULOCOCHLEARORGANON VESTIBULOCOCHLEAR

AURIUS EXTERNUSAURIUS EXTERNUS

AURIUS MEDIUSAURIUS MEDIUS

AURIUS INTERNUSAURIUS INTERNUS

AURIUS EXTERNUSAURIUS EXTERNUS

1.1. AURICULAAURICULA

2.2. MEATUS MEATUS ACUSTICUS ACUSTICUS EXTERNUSEXTERNUS

AURICULAAURICULA

KERANGKA KERANGKA LEMPENGAN TULANG LEMPENGAN TULANG RAWAN ELASTIS TAK RAWAN ELASTIS TAK TERATURTERATUR

HELIX-ANTIHELIXHELIX-ANTIHELIX

TRAGUS-ANTITRAGUSTRAGUS-ANTITRAGUS

CONCHACONCHA

LOBULUSLOBULUS

INNERVASI :INNERVASI : A. AURICULOTEMPORALISA. AURICULOTEMPORALIS

N.OCCIPITALIS MINORN.OCCIPITALIS MINOR

N.AURICULARIS MAGNUSN.AURICULARIS MAGNUS

ARTERIALISASI :ARTERIALISASI :

A. TEMPORALIS A. TEMPORALIS SUPERFICIALISSUPERFICIALIS

A.AURICULARIS POSTERIORA.AURICULARIS POSTERIOR

MEATUS ACUSTICUS MEATUS ACUSTICUS EXTERNUSEXTERNUS

25 MM25 MMANTARA CONCHA - MEMBRANA ANTARA CONCHA - MEMBRANA

TYMPANITYMPANIBENTUK S, 2 BAGIAN :BENTUK S, 2 BAGIAN :1. PARS CARTILAGENES (1/3 BAGIAN 1. PARS CARTILAGENES (1/3 BAGIAN

LUAR)LUAR)– CONCAV ANTERIORCONCAV ANTERIOR– TERTUTUP KULIT,FOLLICLE TERTUTUP KULIT,FOLLICLE

RAMBUT, GLANDULA RAMBUT, GLANDULA CEBACEA & CEROMINOUS CEBACEA & CEROMINOUS CERUMENCERUMEN

2. PARS OSEUS ( 2/3 BAGIAN DALAM)2. PARS OSEUS ( 2/3 BAGIAN DALAM)– TERTUTUP KULIT, TERDAPAT TERTUTUP KULIT, TERDAPAT

KELENJAR, TAK TERDAPAT KELENJAR, TAK TERDAPAT FOLLICLE RAMBUT FOLLICLE RAMBUT

PENYEMPITAN :PENYEMPITAN :1. PERALIHAN PARS OSSEUS 1. PERALIHAN PARS OSSEUS CARTILAGENESCARTILAGENES2. DEKAQT UJUNG MEDIAL : 2. DEKAQT UJUNG MEDIAL :

ISTHMUSISTHMUS

INNERVASI SENSORIC AURIS EXT. :INNERVASI SENSORIC AURIS EXT. :

1. N. AURICULO 1. N. AURICULO TEMPORALISTEMPORALIS

2. PLEXUS 2. PLEXUS CERVICALIS: CERVICALIS:

N. AURICULARIS N. AURICULARIS MAGNUSMAGNUS

3. N. CRANIALIS 7, 3. N. CRANIALIS 7, 10 10

ARTERIALISASI AURIS EXT :ARTERIALISASI AURIS EXT :

1. A. AURICULARIS POSTERIOR1. A. AURICULARIS POSTERIOR

2. A. TEMPORALIS 2. A. TEMPORALIS SUPERFICIALISSUPERFICIALIS

MEMBRANA TYMPANIMEMBRANA TYMPANIBAGIAN :BAGIAN : PARS TENSA PARS TENSA PARS FLACCIDAPARS FLACCIDA

STRUKTUR :STRUKTUR :1. LAPISAN CUTICULAR1. LAPISAN CUTICULAR

– CONE OF LIGHTCONE OF LIGHT– OTOSCOPIOTOSCOPI OTOSCOPE OTOSCOPE– PARACENTESAPARACENTESA

2. LAPISAN FIBROUS2. LAPISAN FIBROUS LUAR LUAR RADIER RADIER DALAM DALAM CIRCULAR CIRCULAR

3. LAPISAN MUCOSA3. LAPISAN MUCOSA Innervasi :Innervasi :LateralLateral N. V & X N. V & XMedial Medial N. IX N. IX

AURIUS MEDIUSAURIUS MEDIUS

CAVUM TYMPANICAVUM TYMPANI1.1. EPITYMPANICUMEPITYMPANICUM

– ADITUS AD ANTHRUMADITUS AD ANTHRUM– ANTHRUM MASTOIDEAANTHRUM MASTOIDEA– CELLULAE MASTOIDEACELLULAE MASTOIDEA

2.2. MESOTYMPANICUMMESOTYMPANICUM– MEMBRANA TYMPANIMEMBRANA TYMPANI– CHORDA TYMPANICHORDA TYMPANI

3.3. HYPOTYMPANICUMHYPOTYMPANICUM– TUBAPHARYNGO -TUBAPHARYNGO -

TYMPANICATYMPANICA

BATAS CAVUM TYMPANIBATAS CAVUM TYMPANI1. LATERAL1. LATERAL ::

MEMBRANA TYMPANIMEMBRANA TYMPANI2. SUPERIOR2. SUPERIOR :: TEGMEN TYMPANITEGMEN TYMPANI3. INFERIOR3. INFERIOR4. ANTERIOR4. ANTERIOR ::

OSTIUM TYMPANICA TUBA OSTIUM TYMPANICA TUBA AUDITIVAAUDITIVA

SEMICANAL M. TENSOR SEMICANAL M. TENSOR TYMPANITYMPANI

5. POSTERIOR:5. POSTERIOR: ADITUS AD ANTHRUMADITUS AD ANTHRUM EMINENTIA PYRAMIDALIS EMINENTIA PYRAMIDALIS M. STAPEDIUSM. STAPEDIUS

6. MEDIAL6. MEDIAL ::– PROMINENTIA :PROMINENTIA :

- - CANALIS FACIALIS CANALIS FACIALIS - CANALIS SEMICIRCULARIS - CANALIS SEMICIRCULARIS

LATERALISLATERALIS– FENESTRA VESTIBULI FENESTRA VESTIBULI

( OVALIS )( OVALIS )– FENESTRA COCHLEAFENESTRA COCHLEA

( ROTUNDA )( ROTUNDA )– PROMONTORIUMPROMONTORIUM

ISI CAVUM TYMPANIISI CAVUM TYMPANI

1.1. OSSICULA OSSICULA AUDITUSAUDITUS

MALLEUSMALLEUS INCUSINCUS STAPESSTAPES

2.2. Mm. Mm. OSSICULORUM OSSICULORUM AUDITUSAUDITUS

M. TENSOR M. TENSOR TYMPANI- V3TYMPANI- V3

M. STAPEDIUS-VIIM. STAPEDIUS-VII

3.3. CHORDA TYMPANICHORDA TYMPANI

INNERVASI CAVUM TYMPANI :INNERVASI CAVUM TYMPANI :

N. AURICULO TEMPORALIS (N.V)N. AURICULO TEMPORALIS (N.V)

N. TYMPANICUS (N.IX)N. TYMPANICUS (N.IX)

ARTERIALISASI :ARTERIALISASI :

A.A. AURICULARIS POST AURICULARIS POST A. A. STYLOMASTOIDEUSSTYLOMASTOIDEUS

B.B. A. MAXILLARIS A. MAXILLARIS A. TYMPANICA A. TYMPANICA ANTERIORANTERIOR

AURIS INTERNUS ( LABYRINTH )AURIS INTERNUS ( LABYRINTH )

1.1. LABYRINTHUS OSSEUSLABYRINTHUS OSSEUS PERILYMPHAPERILYMPHA

2.2. LABYRINTHUS LABYRINTHUS MEMBRANACEUSMEMBRANACEUS

ENDOLYMPHAENDOLYMPHA

LABYRINTHUS OSSEUSLABYRINTHUS OSSEUS1.1. CAN. SEMICIRCULARISCAN. SEMICIRCULARIS

– POST, SUP, LATPOST, SUP, LAT– CRUS COMMUNECRUS COMMUNE– AMPULAAMPULA

2.2. VESTIBULUMVESTIBULUMHUBUNGAN ;HUBUNGAN ;– POST. : CAN. SEMICIRC. OSSEUSPOST. : CAN. SEMICIRC. OSSEUS– LAT. : FENESTRA VESTIBULILAT. : FENESTRA VESTIBULI– ANT. : SCALA VESTIBULIANT. : SCALA VESTIBULI– MED.: AQUAEDUCTUS VESTIBULIMED.: AQUAEDUCTUS VESTIBULI

3.3. COCHLEACOCHLEA– MODIOLUS - N.COCHLEARISMODIOLUS - N.COCHLEARIS– SCALA TYMPANISCALA TYMPANI

FENESTRA COCHLEA – FENESTRA COCHLEA – MEMBRANA TYMPANI MEMBRANA TYMPANI SECUNDARIASECUNDARIA

AQUAEDUCTUS COCHLEAAQUAEDUCTUS COCHLEA– SCALA VESTIBULI SCALA VESTIBULI

VESTIBULUMVESTIBULUM– HELICOTREMAHELICOTREMA

COCHLEACOCHLEA

LABYRINTHUS LABYRINTHUS MEMBRANACEUSMEMBRANACEUS

1.1. DUCTUS SEMICIRCULARISDUCTUS SEMICIRCULARIS– AMPULLA AMPULLA CRISTA CRISTA

AMPULLARISAMPULLARIS

2.2. UTRICULUS & SACCULUSUTRICULUS & SACCULUS– DUCTUS DUCTUS

UTRICULOSACCULARISUTRICULOSACCULARIS– DUCTUS DUCTUS

ENDOLYMPHATICUSENDOLYMPHATICUS– SACCUS SACCUS

ENDOLYMPHATICUSENDOLYMPHATICUS– MACULA UTRICULIMACULA UTRICULI– MACULA SACCULIMACULA SACCULI– DUCTUS REUNIENSDUCTUS REUNIENS

3.3. DUCTUS COCHLEARIS DUCTUS COCHLEARIS ( SCALA MEDIA )( SCALA MEDIA )– MEMBRANA VESTIBULARISMEMBRANA VESTIBULARIS– MEMBRANA BASILARISMEMBRANA BASILARIS– ORGAN SPIRALE ( CORTI )ORGAN SPIRALE ( CORTI )

N. VESTIBULOCOCHLEAR N. VESTIBULOCOCHLEAR ( N.VIII )( N.VIII )

1. N. VESTIBULARIS1. N. VESTIBULARISIMPULS IMPULS KESEIMBANGANKESEIMBANGAN DUCTUS DUCTUS

SEMICIRCULARISSEMICIRCULARIS SACCULUSSACCULUS UTRICULUSUTRICULUS

2. N. COCHLEARIS2. N. COCHLEARISIMPULS IMPULS PENDENGARANPENDENGARAN DUCTUS DUCTUS

COCHLEARISCOCHLEARIS

N. VESTIBULARISN. VESTIBULARIS

SIFAT : SPESIAL SOMATIC AFFERENTSIFAT : SPESIAL SOMATIC AFFERENT RESEPTOR :RESEPTOR :

– CRISTA AMPULARIS CRISTA AMPULARIS KESEIMBANGAN KESEIMBANGAN DINAMISDINAMIS

– MACULA UTRICULI & SACCULI MACULA UTRICULI & SACCULI KESEIMBANGAN STATISKESEIMBANGAN STATIS

CELL BODY : GANGLION CELL BODY : GANGLION VESTIBULARISVESTIBULARIS

KONDUKSI N. VESTIBULARISKONDUKSI N. VESTIBULARIS– MACULA & CRISTAMACULA & CRISTA ↓ ↓– GANGLION VESTIBULARISGANGLION VESTIBULARIS ↓ ↓– NUCLEI VESTIBULARISNUCLEI VESTIBULARIS

SUPERIOR SUPERIOR (BECHTEREW)(BECHTEREW) FLM FLM N. III,IV,VIN. III,IV,VI

LATERALLATERAL (DEITERS) (DEITERS) TRACT. TRACT. VESTIBULOSPINALIS VESTIBULOSPINALIS SKELETAL MUSCLE SKELETAL MUSCLE TRUNCUS & EXTREMITASTRUNCUS & EXTREMITAS

INFERIORINFERIOR FLM FLM NUCLEUS N.XI & OTOT NUCLEUS N.XI & OTOT LEHERLEHER

MEDIALMEDIAL (SCHWALBE) (SCHWALBE) FLM & TRACTUS FLM & TRACTUS RETICULOSPINAL RETICULOSPINAL (OTONOM) (OTONOM) N.X N.X

N. COCHLEARISN. COCHLEARIS

SIFAT : SPESIAL SOMATIC AFFERENTSIFAT : SPESIAL SOMATIC AFFERENT RECEPTOR : ORGAN CORTI RECEPTOR : ORGAN CORTI

DUCTUS COCHLEARISDUCTUS COCHLEARIS CELLBODY GANGLION SPIRALECELLBODY GANGLION SPIRALE

KONDUKSI PENDENGARANKONDUKSI PENDENGARANORGAN CORTIORGAN CORTI

↓↓ GANGLION SPIRALEGANGLION SPIRALE

↓↓NUCLEUS COCHLEARIS VENT & DORSNUCLEUS COCHLEARIS VENT & DORS

STRIA ACUSTICA & CORPUS TRAPEZOIDSTRIA ACUSTICA & CORPUS TRAPEZOID

NUCLEUS OLIVARY SUPERIORNUCLEUS OLIVARY SUPERIOR

LEMNISCUS LATERALISLEMNISCUS LATERALIS

NUCLEUS LEMNISCUS LATERALISNUCLEUS LEMNISCUS LATERALIS

COLLICULUS INFERIORCOLLICULUS INFERIOR

BRACHIUM COLLICULUS INFERIORBRACHIUM COLLICULUS INFERIOR

CORPUS GENICULATUM MEDIALECORPUS GENICULATUM MEDIALE

RADIATIO ACUSTICARADIATIO ACUSTICA

GYRUS TEMPORALIS TRANSVERSUS ( HESCHLE / GYRUS TEMPORALIS TRANSVERSUS ( HESCHLE /

AREA 41,42 )AREA 41,42 )