kuliah laring i

Anatomy of the LarynxAnatomy of the Larynx

LARING

• ANATOMI

• FISIOLOGI

• PEMERIKSAAN

• SIMTOMATOLOGI

• PATOLOGI

I. ANATOMI (Penjelasan gambar)

• Kartilago Thyroid, Cricoid, Arytenid, epigloticum, Corniculata, Cuneiformis.

• Kartilago hyalin Thyroid, Cricoid, Aritenoid.

• Kartilago fibroelastika.

Larynx framework:Larynx framework:1 (one) os hyoid1 (one) os hyoid

6 (six) cartilages :6 (six) cartilages :

Thyroid cartilageThyroid cartilage Cricoid cartilageCricoid cartilage

Epiglottis cartlagEpiglottis cartlagArytenoid cartilageArytenoid cartilage

Corniculate cartilageCorniculate cartilage Cuneiform cartilageCuneiform cartilage

Larynx framework:Larynx framework:1 (one) os hyoid1 (one) os hyoid

6 (six) cartilages :6 (six) cartilages :

Thyroid cartilageThyroid cartilage Cricoid cartilageCricoid cartilage

Epiglottis cartlagEpiglottis cartlagArytenoid cartilageArytenoid cartilage

Corniculate cartilageCorniculate cartilage Cuneiform cartilageCuneiform cartilage

LARYNX MOVEMENTLARYNX MOVEMENTEXTRINSIC MUSCLESEXTRINSIC MUSCLES

Larynx movement:Larynx movement:- Extrinsic Muscles : Extrinsic Muscles :

Suprahyoid Group Suprahyoid Group Elevator laring.Elevator laring.

innervated by N.V,VII,IX innervated by N.V,VII,IX m. Digastrikusm. Digastrikus

m. Geniohyoidm. Geniohyoid m. Stilohyoidm. Stilohyoid m. Milohyoid m. Milohyoid

Infrahioid Group Infrahioid Group Depresor larynxDepresor larynx

innervated C2-3innervated C2-3 m. Sternohyoidm. Sternohyoid

m. Omohyoidm. Omohyoid m. Thyrohyoidm. Thyrohyoid

Larynx movement:Larynx movement:- Extrinsic Muscles : Extrinsic Muscles :

Suprahyoid Group Suprahyoid Group Elevator laring.Elevator laring.

innervated by N.V,VII,IX innervated by N.V,VII,IX m. Digastrikusm. Digastrikus

m. Geniohyoidm. Geniohyoid m. Stilohyoidm. Stilohyoid m. Milohyoid m. Milohyoid

Infrahioid Group Infrahioid Group Depresor larynxDepresor larynx

innervated C2-3innervated C2-3 m. Sternohyoidm. Sternohyoid

m. Omohyoidm. Omohyoid m. Thyrohyoidm. Thyrohyoid

LARYNX MOVEMENTLARYNX MOVEMENTINTRINSIC MUSCLESINTRINSIC MUSCLES

Abductor Group : Abductor Group : m. Cricoarytenoid postm. Cricoarytenoid post

AdAddducctor Group : ucctor Group : m. Lateral Cricoarytenoidm. Lateral Cricoarytenoid

m. Oblique Interarytenoidm. Oblique Interarytenoid m. Interarytenoid Tranversa.m. Interarytenoid Tranversa.

m. Tiroarytenoid Exterrnam. Tiroarytenoid Exterrna

Tensor Group : Tensor Group : m. Tiroarytenoid Internam. Tiroarytenoid Interna

m. Cricothyroidm. Cricothyroid

Abductor Group : Abductor Group : m. Cricoarytenoid postm. Cricoarytenoid post

AdAddducctor Group : ucctor Group : m. Lateral Cricoarytenoidm. Lateral Cricoarytenoid

m. Oblique Interarytenoidm. Oblique Interarytenoid m. Interarytenoid Tranversa.m. Interarytenoid Tranversa.

m. Tiroarytenoid Exterrnam. Tiroarytenoid Exterrna

Tensor Group : Tensor Group : m. Tiroarytenoid Internam. Tiroarytenoid Interna

m. Cricothyroidm. Cricothyroid

LARYNX INNERVATEDLARYNX INNERVATED

N. Vagus branches :N. Vagus branches :

Superior Laryngeal NerveSuperior Laryngeal Nerve eksterna branch eksterna branch

interna branchinterna branch

Inferior Laryngeal NerveInferior Laryngeal Nerve anterior branchanterior branch

posterior branchposterior branch

N. Vagus branches :N. Vagus branches :

Superior Laryngeal NerveSuperior Laryngeal Nerve eksterna branch eksterna branch

interna branchinterna branch

Inferior Laryngeal NerveInferior Laryngeal Nerve anterior branchanterior branch

posterior branchposterior branch

BLOOD SUPPLY

- Pendarahan laring :

+ AV. Laringis Superior, Cabang A.Tiroid Superior

+ AV.Laringis Inferior, Cabang A. Tiroid Inferior

FISIOLOGI– PROTEKSI– RESPIRASI– SIRKULASI– DIGLUTISI– FONASI– FIKSASI– EMOSI– BATUK

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SIMTOMATOLOGI– AFONI– DISFONI– STRIDOR– ODINOFAGI– DISFAGIA– Gg. SENSIBEL

• KERING• GATAL

PATOLOGIA. KONGENITAL

1. ATRESIA LARING2. EPIGLOTIS BIFIDA3. WEB4. STENNOSIS SUB GLOTIS5. HEMANGIOMA6. KISTA7. LARINGOMALASIA8. PARALISIS PITA SUARA9. FISTULA TRAKEO-OSOFAGUS

B. RADANG

1. RADANG AKUT NON SPESIFIK

– LARINGITIS AKUT NON SPESIFIK– LARING AKUT SPASMODIK (CROUP)– LARING AKUT SUPRAGLOTIK– LARING AKUT MEMBRANOSA– LARINGO TRAKEOBRONKITIS

2. RADANG AKUT SPESIFIK- DIFTERI

1. RADANG KRONIS NON SPESIFIK– DIFUS SIMPLEK– DIFUS HIPERPLASTIK

2. RADANG KRONIS SPESIFIK– TB– SIPILIS

Pemeriksaan Laring dengan Nasoendoskopi

Glottis

True vocal Fold

False Vocal Fold(vestibular)

EpiglottisInner lining of

trachea

Tops of Arytenoid Cartilage

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- Pembuluh Limfe : Pembuluh Limfe :

+ Bagian Superior , + Bagian Superior , menuju Lnn Servikal Dalam Superiormenuju Lnn Servikal Dalam Superior

+ Bagian Inferior , + Bagian Inferior , menuju Lnn Servikal Dalam Media menuju Lnn Servikal Dalam Media Lnn Subklavia, Paratrakea, Tr - EsoLnn Subklavia, Paratrakea, Tr - Eso