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ORGANON
VISUS
Dr. Thontowi Djauhari NS, MKesFK Univ. Muhammadiyah Malang
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ORGANON
VISUS
Oculi accessorius
Alis mata
Palpebra - conjungtia
Musculi e!trinsi"
Apparatus lacrimalis
#ulbus Occuli Nerus opticus
Oculi
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$A%&M
O'#(TA
BENTUK
Pirami)a * sisi
APEX
+ #AS(S
anterior
inerior
Din)ing Me)ial
os gomaticusos gomaticus
os ma!illaos ma!illa
os palatinaos palatina
os rontal
os lacrimal
os ethmoi)ale
Os rontal
Ala magnaos sphenoi)ale
os gomaticus
Din)ing /ateral
ATAP ATAP
os rontalos rontalala para os sphenoi)alisala para os sphenoi)alis
0posterior1 canalis opticus
superior
os rontal
os gomaticus
os ma!illa
Os sphenoi)alis
os lacrimal
os ethmoi)alis
os palatina
canalis opticus
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Isi avum O!"i#a
2 #ulbus oculi2 Sara N. opticus 0N. ((1 N. occulomotorius 0N. (((1 N. trochlearis 0N. (%1 N. ab)ucens 0N. %(1 N. opthalmica 0N. %31
beserta cabangna2 Pembuluh )arah %asa opthalmica
beserta cabangna2 Musculi oculi2 /ema"
2 Apparatus lacrimalis
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4oramen opticum
N. opticus, a. opthalmica
4issura orbitalis superior
N. occulomotorius,
N. trochlearis,
N. ab)ucens, N.opthalmica
0N.lacrimalis, N.rontalis,
N.nasociliaris1
. opthalmica superior
4issura orbitalis inerior N. ma!illaris, asa inraorbitalis
4oramen ethmoi)alis anterior et posterior Neri )an asa ethmoi)alis
4issura
orbitalis superior
4issura
orbitalis inerior
4oramen
ethmoi)alis
4oramen opticum
4oramen 5 4issura
dalam $aum Orbita
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$UBUNGAN %ENGAN SEKITARN&A '
ATAP 4ossa cranii anterior
Sinus rontalis
DASA' Sinus ma!illaris
M6D(A/ $ellulae ethmoi)alis
Sinus sphenoi)alis
/AT6'A/ 4ossa temporalis0anterior1
4ossa cranii me)ia
0posterior1
Sinus rontalis
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O$&/( A$6SSO'(A
#ola mata ter)apat )alam caum orbita )an )itutupi olehpalpebrae. Di atas palpebrae superior tumbuh alis matasepanjang arcus superciliaris ang berungsi melin)ungimata )ari "eringat
Oculi accessoria meliputi 7
Alis mata
Palpebrae - $onjungtia Musculi e!trinsi" Apparatus lacrimalis
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Mus(uli E)#!insi*O(uli di Pal+,"!a,
Nama -#-# Fungsi Inn,!vasi
M. Orbicularis occuli
2 Pars palpebralis2 Pars orbicularis
2 Pars lacrimalis
Menutup mataMenutup mata
Mengatur pengeluaran air mata
N. 4ascialis
M. /eator palpebrasuperioris
Membu"a mata N. occulomotorius
m. l,va#-! +al+,"!alis m. O!"i(ula!is -(uli
Oculi Accessorius
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Ta!sus
Pal+,"!a, di+,!*ua# -l,h
a!ingan i*a# *-lag,n
- Ta!sus su+,!i-!
- Ta!sus in/,!i-!
Ta!sus su+,!i-!
Ta!sus in/,!i-!
%il,*a#*an *, #,+i -!"i#a -l,h
- 0ig. +al+,"!al, la#,!al,
- 0ig. +al+,"!al, m,dial,
0ig. +al+,"!al, la#,!al,
0ig. +al+,"!al, m,dial
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-nun(#iva
Pal+,"!a (-nun(#iva
2 Melapisi )in)ing )alam
palpebrae orni!
conjungtia
2 sangat ascular 2 Muara gl). lacrimalis,
gl). su)oriera, gl).
cebacea
Bul"a! (-nun(#iva 2 Dari orni! conjungtia permu"aan anterior bola mata
limbus cornea
2 Transparan
Pal+,"!a
(-nun(#iva
Bul"a!
(-nun(#iva
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(nnerasi
(nnerasi sensoris- $abang N.opthalmicus
N. supraorbita,
N. supratrochlear
N. inratrochlear,
N. lacrimalis- $abang N.ma!illaris
N. inraorbitalis
(nnerasi motoris N. acialis 0pars palpebralis m. orbicularis oculi1
N. occulomotorius 0m. leator palpebrae superior1 Serabut simpatis 0m. tarsalis superior1
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Glandula la(!imalis
%u(#us ,)(!,#-!ius la(!imalis
F-!ni) (-nung#iva
P,!mu*aan an#,!i-! "ul"us -(uli
0a(us la(!imalis
Pun(#a#a la(!imalis
anali(uli la(!imalis
Sa((us la(!imalis
%u(#us nas-la(!imalis
Apparatus lacrimalis
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BU0BUS OU0I
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ISI BU0BUS OU0I
2 8&MO' A9&6&S
2 /6NSA
$':STA/(NA
2 $O'P&S
%(T'6&M
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$O'N6A
S$/6'A
$8O'O(D$O'P&S $(/(A'(S
('(S
'6T(NA
TUNIA FIBROSA TUNIA VASU0OSA TUNIA NERVOSA
PEMBUNGKUS BU0BUS OU0I
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TUNIA FIBROSA OU0I
2 3;< bagian anterior transparan
$O'N6A
2 =;< bagian post. non transparan
S$/6'A
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ORNEA
2 4ungsi M6D(A '64'AKS(
2 Aascular T'ANSPA'AN
2 4ree nere en)ing S>T S6NS(T(%6
2 (nnerasi 7 '. $(/(A'(S N. OPT8A/M($&S
2 Tonjolan en)othel ? /(>.P6$T(NAT&M
AN>&/( ('(DO$O'N6A/(S membentu"SPAT(&M 4ONTANA
berhubungan )g$ANA/(S S$8/6MM ; S(N&S %6NOS&S S$/6'A6
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S0ERA
2 Ter)iri )ari S6'A#&T
$O//A>6N )an 6/AST(S
2 4ungsi 7 Menesuai"an )iri th)te"anan )ari )alam bulbus oculi
2 #agian sclera g )itembus olehn. opticus
/AM(NA $'(#'OSA S$/6'A
4ungsi74ungsi7
Mempertahan"an bentu" bola mataMempertahan"an bentu" bola mata
Melin)ungi traumaMelin)ungi trauma
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TUNIA VASU0OSA OU0I1 h-!-id 2 -!+us (ilia!is 2 I!is 3
$OROI%2 #ana" mengan)ung
pembuluh )arah
0 A. ciliaris post.
breis1 , pigmen, )an
ena 0menuju .
%orticosa 12 4ungsi 7 nutrisi retina,
corpus ciliaris, iris
2 Terleta" )iantara sclera
)engan retina
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ORPUS I0IARE
Menghubung"an
choroi) )engan iris,
ter)iri )ari 7
- P'O$$. $(/(A'(S
mempro)u"si humora@ueus
- M. $(/(A'(S
proses a"omo)asi
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P!-((,sus (ilia!is
am,!a -(uli+-s#,!i-!
Pu+il
am,!a -(ulian#,!i-!
S+a#ia F-n#ana
analis S(hl,mm
V,na v-!#i(-sa
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IRIS '
2 4ungsi 7 sebagai )iaphragma2 #erpigmen
2 Membagi ruang antara cornea lensa 7
$amera oculi anterior 5 $amera oculiposterior
2 $elah antara B iris ? P&P(/
2 M. sphincter pupillae 0PS1 miosis2 M. )ilatator pupillae 0S1 mi)riasis
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Pupils & depth of field
The diameter of the pupils is controlled by theautonomic nervous system
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Accommodation
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Accommodation
When the cilary musclesare relaxed, the zonaluspulls tight and keeps thelens flattened for distantvision
When the cilary musclescontract, it releases thetension on the zonalusand the elastic lens returnsto a more rounded shapesuitable for near vision
MEKANISME
AKOMO%ASI
M.$iliaris"ontra"si
$orpus ciliare "eentral
Conula ciliaris"en)ur
#agian )epanlensa
cembung
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TUNIA INTERNA4NERVOSA
RETINA
Ter)iri )ari 72 PA'S OPT($A2 PA'S $(/(A'(S2 PA'S ('(D(S
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Retinal layers
Ganglion cell axons form the optic nerve
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A peek with an ophthalmoscope
%ISUS OPTIUS 4 B0IN% SPOT
FOVEA ENTRA0IS
4 FOVEO0A
MAU0A 0UTEA
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MAU0A 0UTEA '
- Daerah berpigmen retina p) sisi temporal
)iscus opticus
- Ter)apat ce"ungan aitu 4oea $entralis
FOVEA ENTRA0IS 4 FOVEO0A '
- Aascular
- Ter)apat receptor cones- #erungsi untu" penglihatan )etail
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%ISUS OPTIUS 4 B0IN% SPOT
- Ti)a" ter)apat receptor - 8ana ter)apat N. opticus
- Ti)a" sensitie terha)ap cahaa
VASU0ARISASI RETINA '
3. A. centralis retina berjalan bersama
n. opticus melalui blin) spotB. A. ciliaris posterior breis
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MUSU0I OU0I
EKSTRINSIK '
3. M. O'#($&/A'(S O$&/(
B. M. /6%ATO' PA/P6#'A6S&P6'(O'
. M. '6$T&' S&P6'(O'
*. M. '6$T&S (N46'(O'=. M. '6$T&S /AT6'A/(S
<. M. '6$T&S M6D(A/(S
E. M. O#/(9&&S S&P6'(O'
F. M. O#/(9&SS (N46'(O'
INTRINSIK '3. M. $(/(A'(S
B. M. ('(D(S 7 - M. Sphincter pupillae
- M. Dilatator pupillae
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Nama -#-# Fungsi Inn,!vasi
M. 'ectus superior A))u"si, eleasi, rotasime)ial
N. occulomotorius
(((
M. 'ectus me)ial A))u"si
M. 'ectus inerior A))u"si, )epresi, rotasilateral
M. Obli@uus
inerior
Ab)u"si, eleasi, rotasi
lateral
M. 'ectus lateralis Ab)u"si N. Ab)ucens %(
M. Obli@uussuperior
Ab)u"si, )epresi, rotasime)ial
N. Trochlearis (%
MUSU0I OU0I
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(((
(((
(((
(((
%(
(%
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VASU0ARISASI MATA '
Arteri 7 0 cabang A. opthalmica 1
A. centralis retina A. ciliaris posterior longus et breis
A. ciliaris anterior
%ena 7melalui ena opthalmica menuju "e Sinus
caernosus
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A. centralis retina
A. ciliaris posterior longus et breis
A. ciliaris anterior
A. opthalmica
A. $arotis interna
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M,dia R,/!a*si
2 $ornea
2 8umor a@uoues
2 /ensa cristallina2 8umor itreus
'era"si a)alah pembiasan cahaa )ari u)ara
untu" )ihantar"an menuju retina
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kmr/ppds/05 40
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Visual Pa#h5ay
12-64
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Anatomy of vision
2x binocular vision
plus accessorystructures
Neural pathway
for vision
Optic disk blood supplyoptic nerve
Retina
Retinal cells
ANATOM( K/(N(S
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ANATOM( K/(N(S
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Lurus kedepan
Melirik Kekanan
Parese N VI ODParese N ?? D /S
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Ptosis , Midriasis ,Diplopia
Strabismus Divergen
Lurus kedepan
Parese N III
OD
?
?
?
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Parese N IV ODOtot
mObli!Sup
Kelu"an #- Diplopia $ Strabismus
saat melirik
keba%a" / saat miring ke sakit
- &akut turun tangga
?
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Lurus kedepan
Melirik Ke KI'I
Melirik Ke K(N(N
Miring Keara" sakit
Strabism. >>>
Miring Keara" se"at
Strabism (-) Parese N IV OD
?
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)ambar# *piskleritis
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Non ne+rotiing s+leritis
Nodulars+leritis
Di-uses+leritis
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Tumor sa"us la"rimal
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Tumor retrobulbar
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Katara" senilis hipermatur
2 Katara" hipermatur
)engan tan)a glau"oma
se"un)er
(nje"si siliar 6)ema "ornea
Pupil lebar
/ensa "eruh total
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Katara" senilis
2 /ensa "eruh )i bela"ang pupil
2 Mata tenang
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. )ambar # 'etinitis Pigmentosa
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Ne+rotiing s+leritis %it" inamation
i
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*sotropia
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Orbital blowout fractures
There is often an implosion of
the orbital contents by thetrauma and the regions of least
structural integrity will give out
and that tends to be the orbital
floor and the medial orbital wallas these soft tissues try to find a
place to go when the trauma is
impacted. This is the typical
appearance of a blowout
fracture into the maxillary sinus
with a trapdoor sort of
appearance.
http//www.vh.org/adult/provider/radiology/!"O#$/%acialTrauma/#aptions/image&5'.html
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E L I N G A
Dr. Thontowi Djauhari NS, MKes4a"ultas Ke)o"teran
&niersitas Muhamma)iah Malang
ORGAN AU%ITORIUS
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ORGAN AU%ITORIUS
N.Au)itorius T,linga $orte! cerebri
0lobus temporalis1
AURIS EXTERNA AURIS ME%IA AURIS INTERNA
Auricula $aum tmpani $ochlea
Meatus acusticus %estibulum
e!ternus &)ara $analis semicirc.
Tulang
Membrana tmpani Otot
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(uricula(uricula
)eatus)eatus acusticus externusacusticus externus
)embrana tympani)embrana tympani
#avum tympani#avum tympani#ochlea#ochlea
*estibulum*estibulum
#analis semicirc#analis semicirc
AURIS EXTERNA
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AURIS EXTERNA
6. AURIU0A
2 T)). Tulang rawan
2 Menang"ap gelombang suara Meatus
acusticus e!ternus
2 Musculi intrinsi" 7 M. helicis major M. helicis minor
M. tragices
M. anti tragices M. obli@ues auriculae
M. transersus auriculae
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M. helicis majorM. helicis major
M. helicis minorM. helicis minor
). tragices). tragices
). anti tragices). anti tragices
). obli+ues auriculae). obli+ues auriculae
). transversus auriculae). transversus auriculae
M li " t i i" M i l i t i
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2 Musculi e"strinsi" 7 M. auricularis anterior
M. auricularis posterior
M. auricularis superior
2 (nnerasi Auricula7
sensori" 7 N. occipitalis minor
N. auricularis magnus
N. auricularis temporalis '. auricularis nn. agi
motori" 7 cabang n. agus
2 %ascularisasi Auricula7 A. auricularis posterior
A. temporalis superisialis
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). auricularis anterior ). auricularis anterior
). auricularis superior ). auricularis superior
). auricularis anterior ). auricularis anterior
M. helicis majorM. helicis major
M. helicis minorM. helicis minor
). tragices). tragices
). anti tragices). anti tragices
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7. MEATUS AUSTIUS EXTERNUS
2 T)p. "elenjar ceruminosa 5cebacea
2 #era"hir p) membrana tmpani
2 Sebelah luar ? cartilago2 Sebelah )alam ? tulang
2 Menempit pa)a 7 perbatasancartilago )engan tulang, isthmus
2 (nnerasi 7 N. auriculotemporalis'. auricularis n. agus
2 %ascularisasi 7
2 A. auricularis posterior
A. temporalis superisialis
MEMBRANA T&MPANI
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MEMBRANA T&MPANI
2 Mele"at p) -s #,m+-!alis
2 Memisah"an auris e!terna)engan caum tmpani
2 Permu"aan lateral cembung
pusatna ? Um"-
2 Permu"aan me)ial mele"at
mall,us
2 Ter)iri )ari 7 +a!s #,nsa )an
+a!s /la((ida2 #ila terja)i ruptur membrana
tmpani tuli
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AURIS ME%IA 1AVUM T&MPANI3
avum #ym+ani '
rongga u)ara )i )alam ostemporal berisi tulang
pen)engaran
Ba#as (avum #ym+ani '
cranial 7 pars tegmentalis
cau)al 7 pars jugularislateral 7 pars membranacea
me)ial 7 pars labrinthicus
posterior 7 pars mastoi)ea
anterior 7 pars coraticus
pars tegmentalis pars tegmentalis
pars ,ugularis pars ,ugularis
-ars-ars coraticuscoraticus
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2 (si $aum Tmpani 7- &)ara
- Tulang pen)engaran 7
MA//6&S (N$&S
STAP6S
- Otot 7 M. tensor tmpani
M. stape)ius
2 4oramen )alam caumTmpani 7
- muara meatus acusticuse!ternus
- enestra oalis
- enestra rotun)um
- sinus mastoi)
- tuba au)itia
T&#A A&D(T(%A 7
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2 Menghubung"an auris me)ia nasopharn!
2 Menjaga te"anan p) membrana tmpani
2 Sebagai jalan ine"si g menebar )ari
tenggoro"an auris me)ia sinus
mastoi)
2Tetap tertutup "ecuali wa"tumengunah;menelan
2 #ila terbu"a u)ara )r hi)ung atau mulut
te"anan p) permu"aan )alam membrana
tmpani ? te"anan p) permu"aan luar membranatmpani
ti)a" terja)i ruptur membrana tmpani
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2 Vas(ula!isasi #,linga #,ngah
A. tmpanica anterior
A. auricularis posterior
2 Inn,!vasi #,linga #,ngah
N. auriculotemporalis
'. auricularis n. agus
N. tmpanicus
AURIS INTERNA 1 0AB&RINT$ 3
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AURIS INTERNA 1 0AB&RINT$ 3
/abrinthus Osseus /abrinthus Membranaceus
- )ibt" oleh os petrossa - )lm labrinthus osseus- isi ? perilmphe - isi ? en)olmphe
$ANA/(S S6M($('$&/A'(S D&$T&S S6M($('$&/A'(S
%6ST(#&/&M &T'($&/&S
$O$8/6A SA$$&/&S
D&$T&S $O$8/6A'(S
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0AB&RINT$ OSSEUS
$ANA/(S S6M($('$&/A'(S%6ST(#&/&M
$O$8/6A
6. ANA0IS SEMIIRU0ARIS
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A)a saluran 0anterior;superior,posterior,lateral1
&jung sara p) AMP&//A terangsang oleh getaran
cairan
three canals at right angles
ampulla
swelling of membranous
labyrinth that communicates
with the vestibule crista ampullaris
sensory organ of ampulla
hair cells and supporting
cells
rapid turns of head or body
stimulate hair cells12-!
7. VESTIBU0UM Ter)iri )ari 7
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- &T'($&/&S - SA$&//&S
Serabut N. %estibularis bera"hir )i utriculus )anSacullus
"tricle
communicates with
saccule and membranousportion of semicircular
canals
#accule
communicates with
cochlear duct
Mucula
hair cells of utricle and
saccule12-$
E ili" i
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E8uili"!ium
#tatic %&uilibrium
vestibule
sense position ofhead when body is
not moving
'ynamic %&uilibrium
semicircular canals
sense rotation andmovement of head and
body
12-6
Ma( la
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Ma(ula
responds to
changes in headposition
bending of hairs
results in generation
of nerve impulse
12-(
i # A ll i
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!is#a Am+ulla!is
12-4)
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O / #i
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O!gan -/ -!#i
group of hearing receptor cells
*hair cells+
on upper surface of basilar
membrane different fre&uencies of vibration
move different parts of basilar
membrane
particular sound fre&uencies cause
hairs of receptor cells to bend
nerve impulse generated
12-2
9. O$0EA
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9. O$0EA
Saluran berbentu" spiral
Membrana #asillaris
S$A/A %6ST(#&/( S$A/A T:MPAN(
Membrana %estibularis
S$A/A %6ST(#&/(
S$A/A M6D(A ; D&$T&S $O$8/6A'(S
4isiologi $ochlea
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4isiologi $ochlea
!ochlea !ilia
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hl
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-(hl,a
#cala vestibuli
upper compartment
leads from oval window to
apex of spiral part of bony labyrinth
#cala tympani
lower compartment
extends from apex of the
cochlea to round window
part of bony labyrinth
12-)
hl
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-(hl,a
,ochlear duct
portion of membranous
labyrinth in cochleaestibular membrane
separates cochlear duct
from scala vestibuli
asilar membrane
separates cochlear duct
from scala tympani
12-1
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0AB&RINT$ MEMBRANAEUS
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0AB&RINT$ MEMBRANAEUS
D&$T&S S6M($('$&/A'(S
&T'($&/&S
SA$&/&S
D&$T&S $O$8/6A'(S
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T"!#1T"!#1
1(#11(#1
2#T1 #O#$3("!12#T1 #O#$3("!1
2#T12#T1
13)!#!"#("!113)!#!"#("!1
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2#T12#T1
13)!#!"#("!113)!#!"#("!1
T"!#1T"!#1
1(#11(#1
2#T1 #O#$3("!12#T1 #O#$3("!1
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Alat Keseimbangan 7
3. Macula utriculiB. Macula sacculi
. $rista ampullaris
Alat Pen)engaran 7
O!gan-n -!#i 0)i )asar )ustus cochlearis1
(nnerasi oleh N. %((( 0N .estibulocochlearis1
%ascularisasi oleh A. Au)itia (nterna
(nner 6ar7 structures G unctions
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(nner 6ar7 structures G unctions
Tulang )embranous %unction of )embranous
abyrinth abyrinth abyrinth
&. 1emicircular 1emicircular 3+uilibrium rotational
canals ducts acceleration of head
. *estibule tricle 6 1accule 3+uilibrium static e+uilib
6 linear e+uilib of head
7. #ochlea #ochlear duct $earing
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Noise !onvection and
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!onduction
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Operation of the Cochlea
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Operation of the Cochlea
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Audi#-!y N,!v, Pa#h5ays
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Audi#-!y N,!v, Pa#h5ays
12-4
Summa!y -/ #h, G,n,!a#i-n -/
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Summa!y -/ #h, G,n,!a#i-n -/
S,ns-!y Im+uls,s /!-m #h, Ea!
12-/
Terima "asih
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