REFERAT

MYRINGITIS BULLOSA
ELPIS HUSAIN
12 16 777 14 136

PEMBIMBING
dr. BASTIANA, M.Kes, Sp.THT-KL
ANATOMI
FISIOLOG PENDENGARAN

Nugroho. SP, Wiyadi. HMS. 2009. Anatomi dan Fisiologi Pendengaran Perifer. Fakultas Kedokteran Universitas
Airlangga RSUD Dr. Soetomo Surabaya.
MYRINGTIS BULLOSA
 MYRINGITIS BULLOSA

(ICD-10)  inflamasi atau peradangan membran timpani tanpa

disertai efusi telinga tengah jika ditemukan maka diagnosisnya
adalah Otitis Media Akut

Myringitis Bullosa (BM) merupakan suatu keadaan nyeri akut

pada telinga yang disebabkan oleh pembentukan bula pada
membrane timpani

Kotikoski M. Acute Myringitis in Children Less Than Two Years of Age [dissertation]. Medical School Of University
Tampere. Finland. 2004;Hal 17-9,24,29-30,34,37-9.
 ETIOLOGI

Virus Influenza

Mycoplasma pneumoniae
Strepotococcus pneumoniae

Chanock dan Rifkind  Mycoplasma

pneumoniae

Wetmore dan Ambrason  Mycoplasma

pneumoniae

Schweinfurth J. Myringitis (Middle ear, timpanic membran, infections).

Kotikoski M. Acute Myringitis in Children Less Than Two Years of Age [dissertation]. Medical School Of University.
Tampere. Finland. 2004;Hal 17-9,24,29-30,34,37-9.
Cont”…

74 anak dgn myringitis bulosa : S.pneumonia

24 (32%), H. Infulenza 22 (30%), dan
M. catarrhalis 9 (12%)

1 anak dgn miringitis hemeragik : S.pneumonia 8

(44%), H. Infulenza 2 (11%)

Kotikoski M. Acute Myringitis in Children Less Than Two Years of Age

[dissertation]. Medical School Of University Tampere. Finland.
2004;Hal 17-9,24,29-30,34,37-9.
 EPIDEMIOLOGI

Amerika seritkat  8% anak (6 bln – 12 tahun)

Mortality/ Sex
Age
Morbidity
Males and females
Morbidity from myringtis is are affected by People of all ages are
correlated with morbidity disease of the TM affected
in cases of otitis media, equal frequency
externa otits, and foreigh
bodies in the ear

Schweinfurth J. Myringitis (Middle ear, timpanic membran, infections).

 PATOFISIOLOGI

Dihubungkan dengan Infeksi virus  ggn

otitis ekterna atau epitel dan disfungsi
otitis media. tuba eustachius

Kotikoski M. Acute Myringitis in Children Less Than Two Years of Age [dissertation]. Medical School Of
University Tampere. Finland. 2004;Hal 17-9,24,29-30,34,37-9.
 MANIFESTASI KLINIS

Nyeri teling tiba- Bulla dpt menutup

tiba biasanya sebagian/seluruh
berdenyut. permukaan MT

Bulla bisa tuggal Otorhea, sedikit

ataupun multiple berair

Isi bula dpt berupa Gejala infeksi saluran

darah atau cairan napas atas (93%
(serous) rhinitis, 73% batuk
 DIAGNOSIS
Nyeri pada daerah telinga yang onsetnya 2-3
hari terakhir
ANAMNESIS Gangguan pendengaran
Riwayat demam serta gejala infeksi saluran
napas atas

Tanda inflamasi pada membran impani

PEM. FISIK Refleks cahaya memendek atau bahkan
TELINGA menghilang
Abulla pada membran timpani
Önerci, T.M., 2009, Diagnosis in otorhinolaryngology, Springer Dordrecht Heidelberg: London
New York
 Arrowhead pada membran
timpani kanan

Elzir L, Saliba I. Bullous Hemorrhagic Myringitis. 27 November 2012; [Di akses tanggal 25
Februari 2019]. Available from: URL: http://oto.sagepub.com/conte nt/148/2/347
Pemeriksaan Penunjang

Tes Garpu Tala

Timpanometri

Timpanosintesis
 PENATALAKSANAAN
• Terapi Lokal
Larutan alkohol yang mengandung asam salisilat merangsang
pertumbuhan epitel
Larutan burowi

• Terapi Medikamentos
1. Antibiotika
2. Analgetik
3. Kortikosteroid

• Myringotomi / incision of the bulla

Kotikoski M. Acute Myringitis in Children Less Than Two Years of Age [dissertation].
Medical School Of University Tampere. Finland. 2004;Hal 17-9,24,29-30,34,37-9.
Mohammad M, Suhail. M. 2007. Textbook of Ear Nose and Throat Diseases. Examination of the Ear,
Diseases of the Exernal Ear and Deafness. Eleventh edition.