Sinus Paranasal & Sinusitis
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Transcript of Sinus Paranasal & Sinusitis
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SINUS PARANASAL & SINUSITIS
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SINUS PARANASAL
• SINUS MAKSILA• SINUS FRONTAL• SINUS ETHMOID• SINUS SFENOID
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SINUS PARANASAL
• SINUS PARANASAL MERUPAKAN HASIL PNEUMATISASI TULANG-TULANG KEPALA, SEHINGGA TERBENTUK RONGGA DIDALAM TULANG
• SEMUA SINUS MEMPUNYAI MUARA (OSTIUM) KE DALAM RONGGA HIDUNG
• SINUS PARANASAL BERASAL DARI INVAGINASI MUKOSA RONGGA HIDUNG DAN PERKEMBANGANNYA DIMULAI PADA FETUS USIA 3-4 BULAN
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Anatomy
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Anatomy
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SINUS MAKSILA
• SINUS PARANASAL TERBESAR
• DASAR SINUS MAKSILA BERDEKATAN DENGAN AKAR GIGI RAHANG ATAS
• DAPAT MENIMBULKAN KOMPLIKASI ORBITA
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SINUS FRONTALIS
• TERBENTUK SEJAK BULAN KE-4 FETUS, BERASAL DARI SEL RESESUS FRONTAL / DARI SEL INFUNDIBULUM ETMOID
• SINUS FRONTALIS KANAN-KIRI BIASANYA TIDAK SIMETRIS. DIPISAHKAN OLEH SEKAT DI GARIS TENGAH
• BERSEKAT-SEKAT DAN TEPI SINUS BERLEKUK LEKUK
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SINUS ETMOID
• BERDASARKAN LETAKNYA:
– SINUS ETMOID ANTERIOR (BERMUARA KE MEATUS MEDIUS). SEL-SEL KECIL DAN BANYAK
– SINUS ETMOID POSTERIOR (BERMUARA KE MEATUS SUPERIOR). SEL LEBIH BESAR DAN LEBIH SEDIKIT JUMLAHNYA
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SINUS SFENOID
• TERLETAK DALAM OS SFENOID DI BELAKANG SINUS ETMOID POSTERIOR
• TERBAGI 2 OLEH SEKAT = SEPTUM INTERSFENOID
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KOMPLEKS OSTEO-MEATAL (KOM)
• 1/3 TENGAH DINDING LATERAL HIDUNG (MEATUS MEDIUS), MERUPAKAN MUARA SALURAN DARI SINUS MAKSILA, SINUS FRONTAL, DAN SINUS ETMOID ANTERIOR
• TERDIRI DARI INFUNDIBULUM ETMOID, RESESUS FRONTALIS, BULA ETMOID DAN SEL ETMOID ANTERIOR DAN OSTIUMNYA DAN OSTIUM SINUS MAKSILA
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FUNGSI SINUS PARANASAL
• PENGATUR KONDISI UDARA (AIR CONDITIONING)
• SEBAGAI PENAHAN SUHU (THERMAL INSULATORS)
• MEMBANTU KESEIMBANGAN KEPALA • MEMBANTU RESONANSI SUARA• PEREDAM PERUBAHAN TEKANAN UDARA• MEMBANTU PRODUKSI MUKUS
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Sinus Drainage Pathways
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Pathogenesis of Sinusitis
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Diagnostic Predictive Factors of Sinusitis
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PEMERIKSAAN SINUS PARANASAL
• INSPEKSI – PEMBENGKAKAN PADA MUKA– PEMBENGKAKAN PADA PIPI
• PALPASI– NYERI TEKAN PADA PIPI– NYERI KETUK DI GIGI– NYERI TEKAN DI DASAR SINUS
FRONTAL (MEDIAL ATAP ORBITA)– NYERI TEKAN DI DAERAH
KANTUS MEDIUS
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PEMERIKSAAN SINUS PARANASAL
• TRANSILUMINASI– HANYA UNTUK
MEMERIKSA SINUS MAKSILA DAN SINUS FRONTAL
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PEMERIKSAAN RADIOLOGIK
• POSISI RUTIN : – POSISI WATERS SINUS MAKSILARIS, SINUS
FRONTAL, SINUS ETMOID– POSISI PA SINUS FRONTAL– POSISI LATERAL SINUS SFENOID, SINUS
FRONTAL, SINUS ETMOID
• CT SCAN (POTONGAN KORONAL DAN AKSIAL)
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PROYEKSI LATERAL
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WATERS
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OPEN MOUTH WATERS
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Chronic Sinusitis
• MMT: mucous membrane thickening
• OFS: opacified frontal sinus
• OES: opacified ethmoid sinus
• OMS: opacified maxillary sinus
• M: mucocoele
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CT scan showing fluid with pockets of air in frontal air cells from frontal sinusitis in a six year old male
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CT scan showing right maxillary sinusitis
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SINOSKOPI
• MENGGUNAKAN ENDOSKOP• DIMASUKKAN MELALUI
LUBANG YANG DIBUAT DI MEATUS INFERIOR / FOSA KANINA
• UNTUK MELIHAT :– SEKRET– POLIP– JARINGAN GRANULASI– MASSA TUMOR / KISTA– KEADAAN MUKOSA
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TATALAKSANA
• TUJUAN TERAPI SINUSITIS :– MEMPERCEPAT PENYEMBUHAN– MENCEGAH KOMPLIKASI
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Symptomatic Treatment• Analgesics and Antipyretics for Pain and Fever
• Topical or Systemic Decongestants for Symptomatic ReliefNeither have been proven to prevent a URI from becoming ABRS
• Topical Better Than Systemic for Congestion Relief3 Day Maximum – Longer Rebound Concern
• Systemic Steroids Have Shown No Effectiveness
• Antihistamines Have No Studies As To Effectiveness
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KOMPLIKASI
• KOMPLIKASI ORBITA• MUKOKEL• KOMPLIKASI INTRAKRANIAL – MENINGITIS AKUT– OSTEOMIELITIS DAN ABSES SUBPERIOSTEAL