İŞİtme kayiplari
DESCRIPTION
İŞİTME KAYIPLARI. Doç. Dr. Sarp SARAÇ. İşitme-Orta kulak. Orta kulak kaldıraçları. Hidrolik: x21 Ossiküler: x1.15 Catenary: x2. Desibel (dB). dB= 10 log (ölçülen ses şiddeti/referans ses şiddeti). İşitme – Membranöz labirent. İşitme- İç kulak. İşitme – Santral yollar. E. COLI - PowerPoint PPT PresentationTRANSCRIPT
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İŞİTME KAYIPLARI
Doç. Dr. Sarp SARAÇ
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İşitme-Orta kulak
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Orta kulak kaldıraçları
• Hidrolik: x21
• Ossiküler: x1.15
• Catenary: x2
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Desibel (dB)
• dB= 10 log (ölçülen ses şiddeti/referans ses şiddeti)
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İşitme – Membranöz labirent
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İşitme- İç kulak
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İşitme – Santral yollar
E. COLI• E: Eighth nerve• C: Cochlear nucleus• O: Sup olivary
complex• L: Lateral lemniscus• I: Inferior colliculus
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İşitme kayıpları
• İletim tipi
• Sensorinöral tip
• Mikst tip
• Fonksiyonel (psödohipoakuzi)– Bilinçli (temaruz)– Bilinç dışı
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İletim tipi işitme kaybı
• Auriküla
• Dış kulak yolu
• Orta kulak
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Auriküla
• Auriküla aplazisi• Auriküla hipoplazisi• Aurikülada şekil
bozuklukları
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İTİK- Dış kulak yolu
• Buşon
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İTİK- Dış kulak yolu
• Diffüz otitis eksterna
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İTİK- Dış kulak yolu
• Otomikoz
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İTİK- Dış kulak yolu
• Ekzostoz
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İTİK- Dış kulak yolu
• Yabancı cisim
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İTİK- Dış kulak yolu
• Tümör
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İTİK- Timpanik membran
• Büllöz mirinjit
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İTİK- Timpanik membran
• Granüler mirinjit
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İTİK- Timpanik membran
• Timpanoskleroz
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İTİK- Timpanik membran
• Travmatik perforasyon
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İTİK- Orta kulak
• Akut otitis media
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İTİK- Orta kulak
• Sekretuar otitis media
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İTİK- Orta kulak
• Sekretuar otitis media (ventilasyon tüpü tatbik edilmiş)
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İTİK- Orta kulak
• Adheziv otitis media
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İTİK- Orta kulak
• Kronik otitis media (kuru)
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İTİK- Orta kulak
• Kronik otitis media (infekte)
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İTİK- Orta kulak
• Kronik otitis media (kolesteatomlu)
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İTİK- Orta kulak
• Hemotimpanum
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İTİK- Orta kulak
• Glomus timpanikum
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İTİK- Orta kulak
• Timpanoskleroz
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Otoskleroz• Labirent kapsülün primer otosponjiozisi
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Otoskleroz
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Sensorinöral işitme kaybı
• Genetik
• İnfeksiyöz
• Travmatik
• Ototoksisite
• Neoplastik
• Meniere hastalığı
• Ani işitme kaybı
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Genetik SNİK
• İç kulak yapısal anomalileri– Michel aplazisi– Mondini deformitesi– Scheibe aplazisi– Alexander aplazisi– Geniş vestibüler aquaduct
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İç kulak yapısal anomalileri
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Genetik SNİK
• Otozomal dominant – Waardenburg sendromu– Treacher Collins sendromu– Stickler sendromu– Branchio-oto-renal sendrom– Nörofibramatozis
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Genetik SNİK
• Otozomal resesif– Usher sendromu– Pendred sendromu– Jarvell ve Lange-Nielsen sendromu
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İnfeksiyöz SNİK• Sistemik infeksiyonlar
– Viral• Perinatal (CMV, rubella)• Postnatal (Kabakulak, EBV, VZ, Influenza, Coxsackie)
– Bakteriyal• Perinatal (Sifiliz)• Postnatal (Lyme hastalığı)
• Komşu infeksiyonların yayılması– Menenjit-ensefalit– Otitis media
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Menenjit-ossifiye koklea
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Ototoksisite
• Aminoglikozidler• Vancomycine• Cisplatin• Loop diüretikleri• Salisilat
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Travmatik
• Direkt travma
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Travmatik SNİK
• Ses travması– Akut– Kronik
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Neoplastik SNİK
• Akustik nörinom
• Menenjiom
• Fasiyel sinir schwannomaları
• Vasküler tümörler
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Endolenfatik hidrops
• Başdönmesi
• Çınlama
• Kulakta basınç hissi
• SNİK
• Yüksek seslerden rahatsız olma
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SNİK tedavisi
• İşitme cihazları
• Koklear implantasyon
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