Upload
rizalestari
View
219
Download
0
Embed Size (px)
Citation preview
8/19/2019 Sindroma Hidung Kosong
1/2
Sindroma Hidung Kosong
Sindroma Hidung Kosong adalah suatu kondisi medis di mana konka nasalis (struktur
seperti kulit di rongga hidung) diangkat seluruhnya atau sebagian melalui pembedahan.
Konka nasalis membantu menghangatkan dan melembabkan udara yang kita hirup.
Sindroma Hidung Kosong biasanya terjadi ketika konka nasalis ini rusak oleh karenasuatu penyakit dan tidak dapat berfungsi lagi. Hal ini juga dapat terjadi karena
pembengkakan konka. Berbagai macam gejala dapat timbul, seperti peradangan
hidung, mimisan, dan berkurangnya indera penciuman. Pasien dengan Sindroma
Hidung Kosong biasanya harus menjalani pembedahan untuk mengangkat konka
nasalis yang rusak. Akan tetapi, setelah diangkat, konka nasalis tidak lagi dapat
menghasilkan lendir, silia dan enzim-enzim untuk melindungi terhadap infeksi.
Disamping itu, infeksi sekunder dapat terjadi secara teratur dan mungkin memerlukan
pembedahan tambahan untuk membersihkan proses infeksi tersebut. Pasien biasanya
memerlukan 3 atau 4 operasi berikutnya.Kurang detil
Empty Nose Syndrome
Empty Nose Syndrome (ENS) is a complex, sometimes misunderstood, disorder often caused
byoverly aggressive sinus and nasal surgery. It usually occurs when turbinates are removed
fromthe nasal passages. hese turbinates, which warm and humidify air, pro!ect into the nosefromthe nasal sidewall. here are usually three or four pairs" inferior, middle, and superio
andsometimes even a supreme turbinate. #ggressive removal of the inferior turbinate is usually
theculprit in empty nose syndrome.he $ scan of a patient with %Empty Nose Syndrome& loo'sempty
this is usually secondary to previously excised sinonasal structures. Sometimes, sufficient
turbinate tissue may seem to be present, however patients may still experience classic symptomsof this disorder.atients with ENS feel as though their nose is always bloc'ed and that they
cannot get insufficient air through their nose to breathe ade*uately. hey can feel as though they
have nasalobstruction and sometimes even feel short of breath. atients may also experiencechronicinfections, pain, and severe nasal crusting.+any physicians confuse ENS with #trophic
hinitis some will refer to ENS as secondaryatrophic rhinitis due to the similarity. #trophic
hinitis is a separate disease entity with a similaranatomic appearance to ENS. It is caused by an
infection, typically -lebsiella oenae, whichcauses tissue atrophy, crusting, and terrific odor.his disease is more common inunderdeveloped countries. ENS is not atrophic rhinitis.
Diagnosing ENS
/iagnosing ENS relies upon a patient0s symptoms, along with several physician observations.#history of nasal turbinate surgery is usually present. # $ scan or nasal endoscopy will
oftenreveal tissue loss. # cotton test (moist cotton placed into the nasal cavity to selectively limit
andredirect the airflow without complete obstruction) will usually improve symptoms.
Managing ENS
https://www.persify.com/id/perspectives/medical-conditions-diseases/sindroma-hidung-kosong-_-951000103427https://www.persify.com/id/perspectives/?q=otolaringologi%20(tht)https://www.persify.com/id/perspectives/?q=otolaringologi%20(tht)https://www.persify.com/id/perspectives/medical-conditions-diseases/sindroma-hidung-kosong-_-951000103427
8/19/2019 Sindroma Hidung Kosong
2/2
Saline sinonasal irrigations and humidification are paramouint to treating this difficult
disorder.Surgical options are also available. #n implant of acellular dermis (#lloderm) can be
placedunder the lining of the nasal cavity or septum. his implant provides additional resistancefor breathing, lessening the sensation of obstruction. he location of the implant is based
uponhistory, exam, $ findings, and the results of a cotton test in the office. 1nfortunately relief
of pain has not been very successful with implantation.