audiology

Telinga
Desease : - congenital
- acquisital

Fungsional :
- Pendengaran Audiovestibuler
- Keseimbangan

Kosmetik --- plastic surgery

AUDIOLOGI
(Pendengaran)
Bagaimana bisa mendengar ?
Syarat mendengar ?
GANGGUAN PENDENGARAN

Hearing Loss (ketulian)

- jenis CHL, SNHL, MHL
- derajat
Tinnitus
Recriutment
dll
 Classification of Hearing Loss

Conductive (CHL) Outer and mid ear

Sensorineural (SNHL) inner ear

Mixed (MHL) outer, mid, innner ear

Conductive (CHL)

Treatable
Medicamentosa
Surgery
Sensoryneural Hearing Loss
(SNHL)

Untreatable
Hearing aid
Bagaimana cara mengetahui
adanya hearing loss ???
 Anamnesa
Pemeriksaan fisik THT
Pemeriksaan tambahan
(fungsional)
- tes bisik
- Garpu tala
- Audiometri nada murni (pure tone)
- Audiometri tutur (speech audiometry)
- Tympanometri
- BERA
Diagnostic
 Tes bisik

Mendengar/tidak
?
 Garpu tala
(Rinne Weber Schwabach)

- normal
- jenis ketlian :
- CHL
- SNHL
 Audiogram
Puretones --?
Air
bone
Speech-- ?
Diagnostic imaging
CT scan
MRI
 Right Ear

125 250 500 1000 2000 4000 8000 12,000

-10
0
10 <
O <O <O
dBHL (ANSI, 1969)

20
30 <O
40 <O O
50
60
70
80
90
100
110
120
 125 250 500 1000 2000 4000 8000 12,000

-10
0 < <
10 < < <
<
dBHL (ANSI, 1969)

20
30
40
50 O O O
60 O O O
70
80
90
100
110
120
 HEARING LOSS
CHL : - Telinga luar
- Telinga tengah

SNHL : - Telinga dalam

MHL : - Telinga luar-temgah-

dalam
 COCHLEAR RETRO
COCHLEAR

DALAM

SNHL
LUAR
TENGAH
CHL CHL
 Conductive Hearing Loss
(CHL)

External auditory canal

Eardrum
Middle ear
CHL

LUAR
 External Auditory Canal
Cerumen (wax)
impaction
Tes penala .. ? R/W/S

Stenosis (narrowing)
Infection
Surgery
Skin disorders
Congenital
CHL

TENGAH
 Tympanic Membrane
(Eardrum)

Perforation (hole)
Retraction
Tympanosclerosis
(stiffness)

Tes penala ? R/W/S

 Middle Ear
Absence of ossicles
(middle ear bones)
Stiffness of ossicles
Otosclerosis
Tympanosclerosis
Dislocation of ossicles
(trauma)
Cholesteatoma
Tumors
 Sensorineural Hearing Loss
(SNHL)

Sensory Neural
Noise Trauma
Noise-induced Degeneration
hearing loss Tumors
Acoustic trauma
Medications
Infection
Hereditary/Genetic

Tes penala .?
 Treatment

Hearing aids (SNHL)

Medical treatment (CHL)
Surgery (CHL)
 Hearing Aids
Behind the ear
In the ear
In the canal
Completely in the
canal
 Hearing Aids (ctd.)
Implantable
Fully
Partially
Bone-conduction aids
Traditional
Baha
 Medical Treatment
(CHL)
Disease-specific treatment
Infections
Autoimmune diseases

Steroids
 Surgery
Treat underlying Improve hearing
(serious) cause
Stapedectomy
Cholesteatoma Cochlear implant
TM perforation Fully implantable
Acoustic hearing aids
neuroma
Encephalocele
Cochlear Implants