mastoidektomi & timpanoplasti

Upload: ahmad-nazirin

Post on 06-Apr-2018

225 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/3/2019 mastoidektomi & Timpanoplasti

    1/60

    %%$$&!%#$

    $%&%##&$%%#%%

    $

    &

    !

    7%055 ,79:- 4,7$5%%

  • 8/3/2019 mastoidektomi & Timpanoplasti

    2/60

    %%$$&!%#$

    P $:,9: 7,/,3 7438 903, 903, /03,3 507147,8

    202-7,3 925,3 /,37,,9 0:,73,80709

    /,7903,49470,0-/,7-:,3-,907:820307:8,9,:,392-:

  • 8/3/2019 mastoidektomi & Timpanoplasti

    3/60

    9,

    9I- -

    9-@-% @---9DD-,- D,

    ---

    @-% --,,;D@-

    99- I@-,-,,

    --%

    -% -

    9--% ,DD-@-,

    -,--,--- D@

  • 8/3/2019 mastoidektomi & Timpanoplasti

    4/60

    %$!#

  • 8/3/2019 mastoidektomi & Timpanoplasti

    5/60

    @9@9,, -- ,-

    9fff ,f ,f +,ff f

    9f -@ ,- @

    ff

    +

    D@

    -

    @@

  • 8/3/2019 mastoidektomi & Timpanoplasti

    6/60

    %

    f

    f f

    f

    f f ff f

    fn

    ff

    f f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    7/60

    !%$$31088,:7,33,1,8,9,8 -,9072030-,7/,73,841,7320,:9:-,:89,.:80903,903,3108903,903,

    81:38 9:-, :89,.:8 /,3503,91,3 70854382:3/903,903,

    !0720,-9,8 502-:: /,7, /,35030:,7,380709 2033,9 /903, 903,

    !033,9,3 89430249,9,3/,8,32:48,903,903,

    :2:,88080507,/,3,35,/,903,903, 502-039:,380709

  • 8/3/2019 mastoidektomi & Timpanoplasti

    8/60

    $%%

    W 40890,942,/,,0590 0503 /,3 /0-789:25:,3

    5030:5,8,3 07,93,39070-, / /,,2 743,

    925,342,894/

  • 8/3/2019 mastoidektomi & Timpanoplasti

    9/60

    @ 9 D@

    5.5.: @ff f ffff ff

    f ff f ff f f

    9.: &3 7;3 4.:2 2 134 2.4;47.543.3 7969.:

    ;.73.: &3 2/61 :3 7;3 /93.7:75 /929.;5

  • 8/3/2019 mastoidektomi & Timpanoplasti

    10/60

    $%$$

    !07147,8202-7,3

    925,3

    !07147,8202-7,3

    925,3

    947740947740

    ,3:,3503/03,7,3

    ,3:,3503/03,7,3

    -808 ,9,: 189:,70974,:7:07

    -808 ,9,: 189:,70974,:7:07

    !45 ,9,:,73,37,3:,8

    !45 ,9,:,73,37,3:,8

  • 8/3/2019 mastoidektomi & Timpanoplasti

    11/60

    $%%&$$

    ,3,8 ,::89:8 089073,W $0709 -,8,3, :33-8, 03.07 /,3 039, 3,3,/,3

    -07-,: -:8:

    02-7,3 925,3

    W !07147,8 80397, 2,73,,9W430419-8, /,3

    #0974,:7:07

    W 07 90,3 2,894/

    %08 503/03,7,3

    %08 ,:/42097 9: 43/:91%: .,25:7

  • 8/3/2019 mastoidektomi & Timpanoplasti

    12/60

    !#$!&

    W #43903$.:07

  • 8/3/2019 mastoidektomi & Timpanoplasti

    13/60

    W % 8.,33434397,8

  • 8/3/2019 mastoidektomi & Timpanoplasti

    14/60

    425,8$

    425,8/903,903,

    !07147,850788903

    7489:,3503/03,7,3

    !,7,88307;:81,8,

    425,8903,/,,2

    890,-73

    ,-73988:5:7,91

    %:8,7,180384730:7,

    425,80897,/:7,

    -8080897,/:7,

    %742-48883:8

    ,907,8

    !0974898

    425,808:8:3,3

    8,7,15:8,903398

    -80849,

    /74801,:84998/,28/

  • 8/3/2019 mastoidektomi & Timpanoplasti

    15/60

  • 8/3/2019 mastoidektomi & Timpanoplasti

    16/60

    #%$#!%$$

    02,2307 903, 0-,98,9 05,,

    8025443,3;0794-03, 809,7 903,

    !,803 /03,3 49470, 23:0-

    %/,

    ,

    $03,74 503,9,,8,3,,3

    !,803 /03,3 49470,-0:2 5073, /4-,9

    5078, 9,3/, 839/, ,3, 0,,

    ,3,2308, /03,3 909

    5078, /03,3 3,9, 202-7,3 925,3

    ,85,/, 9,3/, -,,, ,,7 5,803503,, .,7, 202-078,3 ,3 903, 5,/,

    :3:3,3 5079,2,

    -078,3 /,3 073,3 ,3 903,-, 9/, 2:33

    5,8,3 9,254343,7

    7:: 9,5 5,803 /03,3 02:33,3 $:39:

    494845 909

    :, ,398059 /,3 ,39-49 945, 5,/, :3:3,3

    5079,2, 5,89,3 4-,9 203.,5, 903, 903,

    $03,74 503,9,,8,3,,3

    !,803 /03,3 49470, 70:703903,

    -03,/02,2307

    W 7:: 02:33,3 2,894/0942 8007,

    W:, ,39-49 /488 93

    W 5 07,/,8 3108 -0/, 8,25,

    7043897:8 903, 903,

  • 8/3/2019 mastoidektomi & Timpanoplasti

    17/60

    9470, ,3 8090, 23: 5034-,9,3

    %/,

    ,

    $03,74 503,9,,8,3,,3

    !,803 /03,3 49470, -,7:90, /4-,9 9,5 -0:2 802-: 50792-,3,3 02:33,3 70889038 274-,

    !078, 05,9:,3 5,803 /,,2 .,7, 502-07,3 4-,9 / 7:2,

    #:: :39: 43172,8 494845

    !0792-,3,3 502-07,3 ,39-49 5,703907,

    ,85,/, 9,3/, -,,,

    !07,9,3 02:33,3 0,2-:,3

    W , 49470, ,2-: 803,74 5034-,9,3 W , 49470, ,2-: /03,3 8,9 05,,

    /02,2;0794 803,74 5034-,9,3

    9470, ,3

    %/,

  • 8/3/2019 mastoidektomi & Timpanoplasti

    18/60

    02,2307 903, 0-,98,9 05,,

    8025443,3;0794-03, 809,7 903,

    %/,

    ,

    $03,74 503,9,,8,3,,3

    !,803 /03,3 49470,-07:,3/03,3 ,9,: 9,35, 7,,9

    503-,9,3 80-0:23,

    W 2:, 502-07,3 ,39274-, /,3 502-078,3 903,W 7:: 8007, :39: 494845 /,3 02:33,3 4507,8

    W !092-,3,3 50,,3,3 2,894/0942

    W 50792-,3,3 02:/,,3 50,,3,3 4944

    $03,74 503,9,,8,3,,3

    !,803 /03,3 49470, 70:703903,

    -03, /02,2307

    W 7:: 02:33,3 2,894/0942 8007,

    W:, ,39-49 /488 93

    W 5 07,/,8 3108 -0/, 8,25,

    7043897:8 903, 903,

    9470, ,3

    %/,

    ,

    W #:: :39: 02:33,3 2,894/0942

    W 3:7,3 07,/,8 4507,91 907,/,5 3108

    8,25, 7043897:8 503/03,7,3

    $03,74 503,9,,8,3,,3

    !,803 9,35, 49470, 909,5 /03,3 :7,3

    503/03,7,3W %,,7,3 4507,8 7043897:8 ,9,: ,,9

    -,39:/03,7

  • 8/3/2019 mastoidektomi & Timpanoplasti

    19/60

    #%%##$

    ,@f

    f

    ,@

    W/1:8

    W942488

    W2,3,

    W072,998

    $

    425,8 425,8

    3809570/8548814:83108/

    4792,

    4792,

    4792,

    40890,942

    40890,942

  • 8/3/2019 mastoidektomi & Timpanoplasti

    20/60

    @@,%

    %,--

    ,@-- ,@

    f ff

    f

    9

    ,-D@D9

    9

    ,-@9

    D@-

    f $

    @@9@,-@9

    ,-D

    fff

    9ff ,

    ,-@9D-

    f,f +

    @ff

    @D-D@% @D-D@%+

    f,f f

    ff ff @ff

    ,f

    %n Of

    @,

  • 8/3/2019 mastoidektomi & Timpanoplasti

    21/60

    4792,

    $950 -,,, -0781,9

    5747081

    40890,942, ,3802,3 :,8

    ,,3 203/0897:8 9:,3 ,3

    /0,93,

    3108 80:3/07 ,,32030-,-,3 0,/,,3 8059 4,

    0749 8059 / ,73,3 :3,

    ,3/,: 40890,942, /,3 /

    ,73,3 809,73, :,

    2030-,-,3 /0897:8 ,73,3

    :3, ,3203,3.,2 ,,3

    907,/3, 425,8425,8

    $,9:8,9:3, .,7, 5034-,9,3

    ,/,, -0/,

    !,3

    94942 ,390747

    %25,345,89 /3/3 :9:,3,,:5925,345,89

    %25,345,89 /3/3 7:39:

    ,3,,/43925,345,89

    99.4,39745,89 489045,89

    05925,34942

    %25,345,89 -:,9:9:54503,3/.480925,345,89

    ,380-,,3,

  • 8/3/2019 mastoidektomi & Timpanoplasti

    22/60

    4792,

    $425,8

    397,902547,

    -808 8:-5074890,

    ,-7398

    !,7088,8,8

    !0974898

    39-49 /488 93

    ,894/0942

    0425708 '

    !097480942

    897,902547,

    -808 0897, /:7,

    -808 50783:8

    %742-410-98 83:8,907,

    03398

    -808 49,

    0339849:8

    #,,9 3,5

    !078, 80709 903,

    39-49 ;/488 93

    ,7438: $5$,7,18,7,1

    ,3,

    ,894/0942 ,308908

    4,:2:2

    507,8 -0/, 8,7,1

  • 8/3/2019 mastoidektomi & Timpanoplasti

    23/60

    ,@@,-

    @,9-9@

  • 8/3/2019 mastoidektomi & Timpanoplasti

    24/60

    -

    ff ff f ff f

    f ff f f

    9f ff

    -@-

    @f ff f

    fff f @ff f

    f % f ,ff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    25/60

    9ff ff ,,9

    --

    ,,-9@ @,9-9@

    9 ,@9,-

    , ,-

    @@,

    ,D

    , +

    @@,

    @@9

    D,,D

    ID,@,9-

    -@D ,@

    ,@9,-

    +D-

    @

    , @9,-

    -@

    ,----

    9-@-

    ,,-@

    9,- D-

    ,@

    9@

    -

    ,@ID,@,9-

    -

    9@

    @ -@

    @-D

    -@-

    @-

    D-@D-

    DD-

    ,@

    -

    --9@

    -@-

    --

    -@D

    D-9 ,@

    -9

    @DD-

    -@--

    @-@-

    @

    D-,D

    9@

    ,9

    -@-

    D-,D

    --

    9@

    -,@

    ,-D--

    -@-

    @-9,

    @9,---

    9-

    ,--@9

    ,-,D-

    9-@-

    ,,9

    9---

    9--- @ 9

    @9

    %@

    --D,D

    D9

    9@-- 9 9

  • 8/3/2019 mastoidektomi & Timpanoplasti

    26/60

    @,9-9@ --9-@--

    9, @9$,-----

    -D-D

    ,,- @@,----D

    ID,@,9--,D-%,-

    99@D,D-@-@---

    ,@--,D-@,9-@,9@

    @DD- ,-,D- 9-@@-9D-,

    9--- 9

  • 8/3/2019 mastoidektomi & Timpanoplasti

    27/60

    @,9-9@

    -

    ,fffffff

    f

    ,ffffffff

    &@DD- fffff

    ffffff

    &@@@I@I

    &9f@fnff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    28/60

    ff @ff

    W J %

    @ffW @,fffnnf nf

    @ffW ,f ffW @,+$ f ffn

    @ffW ,f fn f

    W @,fffn

    @IffW ffn fW @,fff

    @I@ffW @,ffffnnfnff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    29/60

    %!!$%

    %03 &3/07,

  • 8/3/2019 mastoidektomi & Timpanoplasti

    30/60

    9 ,ff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    31/60

    f f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    32/60

    9fnf

  • 8/3/2019 mastoidektomi & Timpanoplasti

    33/60

    9ff f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    34/60

    ff f f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    35/60

    nf,

  • 8/3/2019 mastoidektomi & Timpanoplasti

    36/60

    ,ff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    37/60

    ,f f f

    W @f,ff f f ff f f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    38/60

    I9@,9-,@W ,f ff ff ,@

    W ,f f @f

    W

    W f

    J

    @ff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    39/60

    ,ff f ff f

    f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    40/60

    ,ff ff ff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    41/60

    ,ff ffff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    42/60

    !%&

  • 8/3/2019 mastoidektomi & Timpanoplasti

    43/60

    %#$

  • 8/3/2019 mastoidektomi & Timpanoplasti

    44/60

    ,ffff@ff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    45/60

    %9f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    46/60

    %9f f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    47/60

    fff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    48/60

    9fnf

  • 8/3/2019 mastoidektomi & Timpanoplasti

    49/60

    9ff ff ,@f

    9f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    50/60

    f ff ff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    51/60

    fff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    52/60

    9f f f ,@9f f f

    f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    53/60

    fff f ,@

  • 8/3/2019 mastoidektomi & Timpanoplasti

    54/60

    , f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    55/60

    ,ff ff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    56/60

    %#$

  • 8/3/2019 mastoidektomi & Timpanoplasti

    57/60

    f ff

    W f%

    f f

    W f f f ff

    W f f ff

    W f f

    fff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    58/60

    f ff

    W f% ,ff ff Df

    ff

    W f

    f f

    f ff ff

    W Df

    9f f

    ff ff

  • 8/3/2019 mastoidektomi & Timpanoplasti

    59/60

    f ff

    W %

    ,ff ff

    f

    W 9f f f f

  • 8/3/2019 mastoidektomi & Timpanoplasti

    60/60

    ff

    W %

    f 9f f f ff

    f f

    W Df 9f

    W Df f ff ff

    W ff f

    W ff