referat sinusitis tht - presentasi
TRANSCRIPT
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REFERAT THT
SINUSITISDisusun oleh:
07120100023 Merisa Noviliany Rachmad
07120110090 Willy Jefri
Pemimin!:
dr" Muhammad #!us $"% $&"'(')*+
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BAB I
Pendahuluan
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PendahuluanGangguan kesehatan tersering
5th antibiotik (+)
DEPKES RI 25 dari 50 (2003)
THT RSMC 435 pt (69%)
Predileksi: Sinus Etmoid
Sinus Maksilaris
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BAB IISINUS PARANASALIS
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Anatomi
Grup Anterior:
-Frontal, Maksila, Ethmoidalis anterior-Ostia di Meatus Medius
-Pus dalam meatus medius faringGrup Posterior:
-Ethmoidalis posterior dan sinus sphenoidalis
-Ostia di Meatus Superior
-Pus dalam meatus superior faring
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Fisiologi PengaturKondisi Udara
Penahan Suhu
Keseimbangan
Kepala
ResonansiSuara
Peredam
PerubahanTekanan Udara
ProduksiMukus
Pendapat – Sinustidak memilikifungsi (hanyaakibat daripertumbuhantulang muka.
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SINUSITIS
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Definisi• $inus, ron!!a -ecil erisi udara yan! .erle.a- di
ela-an! .ulan! &i&i dan dahi
• /i.is , &eradan!an
•
$inusi.is vs Rhinosinusi.is
• 1 sinus% mul.isinusi.is
• $emua sinus% &ansinusi.is
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Epidemiologi• anya- .eradi di #meri-a $eri-a.
• *ondisi lema seru- un!a
• 145 dari 1000 &o&ulasi yan! .er-ena"
• Meru&a-an salah sa.u &enya-i. .erserin! -e 6yan! memu.uh-an an.iio.i-"
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Etiologi• #ler!i
• ri.an lin!-un!an
• nfe-si 8iruso ommon cold% adenovirus% inuen;a virus% &arainuen;a virus
• nfe-si a-.erio Streptococcus pneumoniae
o Haemophilus infuenzae
o Staphylococcus aureus
o Moraxella catarrhalis
• nfe-si Jamur
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Klasifikasi
Sinusitis Akut
<4 Minggu
Sinusitis Subakut
4 – 12 Minggu
Sinusitis Kronis
>12 Minggu
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Patofisiologi
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Patofisiologi
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Diagnosis
Anamnesis•Trias Sinusitis (Sefalgia,FacialPain, Demam)
•Onset + gejala persisten•Virus•Demam 24 – 48 jam |Mukus purulen hari 4 / 5.
•Bakteri•Demam menetap 3 – 4 hari| Mukus purulen sejak
awal.
P.F•Rinoskopi anterior dan posterior•Pus pada:•Meatus Medius (M, E.A, F)•Meatus Superior (E.P, S)•Edema Mukosa•Transiluminasi
P.P•Lab•Sedimentasi, Leukosit, danC-reaktif protein•Kultur•Imaging:•Radiologi•Caldwell•Waters• CT Scan•MRI
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Kriteria Mayor Kriteria Minor
a. Sekret nasal yang purulen
b. Drainase faring yang purulenc. Purulent Post Nasaldrip
d. Batuk
e. oto rontgen !"ater#sradiograph atau
air fluid le$el% & Penebalan lebih '()
dari antru*
f. +oronal +, Scan & Penebalan atau
opaksifikasi dari *ukosa sinus
a. -de* periorbital
b. Sakit kepalac. Nyeri di a/ah
d. Sakit gigi
e. Nyeri telinga
f. Sakit tenggorok
g. Nafas berbau !0alitosis%
h. Bersin1bersin berta*bah sering
i. De*a* !Subakut atau sinusitis kronik%
/. ,es sitologi nasal !s*ear% & neutrofil
dan bakteri
k. Ultrasound
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Posisi Caldwell Posisi Waters Posisi Waters
Posisi Lateral
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Tatalaksana• 'era&i: )#n.iio.i- dan 'amahan
) Pemedahan
• Dosis: #mo-sisilin)-lavulana.
dosis: 2<2 !r a.au 90 m!=-!=hari
ndi-asi : )ana- dan de>asa di daerah endemis.in!!i ?@10AB
)infe-si era.
)ri>aya. aru dira>a. )&en!!unaan a< 1 ulan .era-hir
• Durasi: de>asa : 6)7 hari
ana- : 10)14 hari
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Dewasa
Re!imen an.iio.i- un.u- Acute Bacterial Rhinosinusitis de>asa
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Re!imen an.iio.ic un.u- #cu.e ac.erial Rhinosinusi.is ana-
Anak-anak
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• 'era&i .amahan:
o ri!asi hidun! den!an saline ?de>asaB
o #n.i&ire.i- dan anal!esi-
o
'ida- dianur-an &emerian de-on!es.an.o&i-al = oral &ada &asien rhinosinusi.is a-.eria-u.
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• Pemedahan
Non Radikal:Teknik Operasi Bedah Sinus Endoskopi
Fungsional (BSEF) / (FESS)
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• Pemedahan
Radikal:Caldwel - Luc
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Komplikasi
• Peradangan• Selulitis Orbita• Abses Subperiosteal• Abses Orbita• Trombosis Sinus Kavernosus
KomplikasiOrbita
• Definisi: Kista yang mengandung mukus yangtimbul dalam sinus
• Predileksi : Sinus MaksilarisMukokel
•
Meningitis Akut•Abses Dura•Abses Subdural•Abses Otak
KomplikasiIntrakranial
• Akibat dari Infeksi Sinus FrontalisOsteomielitisdan absesSubperiosteal
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BAB III
KESIMPULAN
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• $inusi.is salah satu keadaan paling umum yan!da&a. di.emu-an di &ra-.i- -lini- seoran! do-.erumum"
• $inusi.is meru&a-an penyakit urutan kelima yan!&alin! umum memu.uh-an pemberian antibiotikdalam .era&inya"
• er!una .eru.ama a!i -ami sela-u calon do-.er.eru.ama a!ar da&a. memeda-an dia!nosissinusi.is a-ia. a-.eri den!an virus% danmemeri-an .era&i an.iio.i- yan! sesuai &edomansu&aya da&a. mence!ah -om&li-asi a-ia. sinusi.is"
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DAFTAR PUSTAKA• Man!un-usumo C% $oe.i&.o D" Sinusitis dalam u-u #ar lmu *eseha.an 'elin!a
(idun! 'en!!oro- *e&ala Dan +eher" *E" Ja-ar.a 2007F160)3"
• PCR(#'" un!sional endosco&ic sinus sur!ery" ('# ndonesia" 2005"
• Rosenfeld RM% Piccirillo J% handrase-har $$% e. al" linical &rac.ice !uideline
?u&da.eB: adul. sinusi.is" G.olaryn!ol (ead Nec- $ur!" 2016 #&rF162?2 $u&&lB:$1)$39
• #non J% Jacos MR% Poole MD% e. al"F $inus and #ller!y (eal.h Par.nershi& ?$#(PB"#n.imicroial .rea.men. !uidelines for acu.e ac.erial rhinosinusi.is H&ulishedcorrec.ion a&&ears in Otolaryngol Head and Neck Surg. 2004F131?5B:794)795I"
Otolaryngol Head Neck Surg" 2004F130 ?1 su&&lB:$1)$46"
• #rin! #M% han MM" #cu.e Rhinosinusi.is in #dul.s" Am am !hysician"2011F3?9B:1067)1053"
• ho> e. al" D$# linical Prac.ice Kuideline for #cu.e ac.erial Rhinosinusi.is inhildren and #dul.s" lin nfec. Dis 2012 #&rF64?B:e72)e112"
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• Mel.;er CG% (amilos D+% (adley J#% e. al" Rhinosinusi.is:es.alishin! deLni.ions for clinical research and &a.ien. care" J#ller!y lin mmunol 2004F 114:116)212
• #merican #cademy of G.olaryn!olo!y / (ead and Nec-$ur!ery ounda.ion" Primary are G.olaryn!olo!y" 'hirdedi.ion" 2011"
• Pleis JR% +ucas JW" $ummary heal.h s.a.is.ics for E"$" adul.s:Na.ional (eal.h n.ervie> $urvey% 2007" 8i.al (eal.h $.a. 10"
2009 May" 1)169"
• $hah #R% (airs.on J#% 'ami '#" $inusi.is in (8: microiolo!yand .hera&y" urr #ller!y #s.hma Re&" 2006 Nov" 6?5B:496)9
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