4. Tes Garpu Tala & Audiometri (Dr Rosa Falerina.,Sp.tht-KL)

Rosa Falerina, dr., Sp.THTSp.THT -KL Rumah Sakit Universitas Airlangga

!

Tes Garpu Tala (GT) ! !

"#$%&$'( "#$ %&$'( )*+,*+)*+,*+-$. $.$+ $+ '*/$. '*/$.$ $ 01$ 01$%(2$2(3  %(2$2(3 

!

4*+*+2&0 4*+*+ 2&0$+ $+ 5*+( 5*+('' 0*2&%( *2&%($+ $+

!

6*. *.%& %& 0*. *.5$ 5$'$7 '$7$ $ 8$ 8$+$0 +$09$ 9$+$0 +$0 0$,$ $,$++- '&%(2 '&%(2::

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;%$2 ;% $2 '*, '*,*. *. !IAL PQ ,$+ AILO PQ 83.*01*+'( =(/$.$: U(0$ ,> 2(,$0 2(, $0 =D% =D%*< *< 7* 7*+ +F(+ F(+---&+&+- ,$ ,$&+ &+ 2*% 2*%(+(+-$ $

X

!

!I

Tes Garpu Tala ! !B K*' =$2$' $2$' N =$2$' =$1$< AB K*' Y(++* JB K*' Z*=*. LB K*' C/ ,(2$+F$ 7$+$ F$+- %*=(< 0*.$'B =(%$ %*=(< 0*.$' ,( ,*)$+ ,('*=&2  !"##$ %&'"(") B =(%$ %*=(< 0*.$' ,(=*%$0$+- ,('*=&2  !"##$ #$*+(") B !W

Interpretasi ! "Y(++* )D'(2(3

M \D.7$% $2$& C\P]

"Y(++* +*-$2(3 M

2&%( 0D+,&0'(

"K&%( /$7)&.$+ M '&%(2 "^$,$+-90$,$+- 2*.5$,( 3$%'* Y(++* 8)'*&,D )D'(2(3

$2$& )'*&,D +*-$2(3: 2*.5$,( =(%$ =&+F( VK ,(2$+-0$) D%*< 2*%(+-$ 0D+2.$%$2*.$% F$+)*+,*+-$.$++F$ 5$&< %*=(< =$(0B !O

Kesalahan tes ! "VK 2(,$0 2*.)$+/$+- ,*+-$+ =$(0 )$,$ 7$'2D(,

$2$& 7(.(+-> 0*+$ .$7=&2> 5$. %*7$0 2*=$% '* 7&+-0(+ ,(,*+-$. 7*%$%&( '*/*)$2+F$ VK ,()(+,$ 25 dB ada air bone gap

RS

Tuli Konduksi !

RW

Tuli Sensorineural ! BC > 25 dB AC > 25 dB tidak ada air bone gap (berhimpit)

RO

Tuli Sensorineural !

RX

Tuli campuran ! BC > 25 dB AC > 25 dB ada air bone gap

SI

Tuli Campuran !

S!

Interpretasi audiogram ! !

 @*.$5$2 -$+--&$+ )*+,*+-$.$+ T+2&0 7*+*+2&0$+ ,*.$5$2 -$+--&$+ )*+,*+-$.$+ ,(-&+$0$+ (+,*0' g%*2/ 90 dB SJ

! "Pada

diagnosis dapat ditulis hasil pemeriksaan 1. Normal 2. Tuli Konduksi 3. Tuli Sensorineural 4. Tuli Campuran Sertakan nilai derajat ambang dengarnya. SL

Kesimpulan ! "K*' -$.)& 2$%$ ,(-&+$0$+ &+2&0 *#$%&$'( )*+,*+-$.$+ 8 '*,*. 7&,$ 7&.$< ,$+ /*)$2: "K*' -$.)& 2$%$

2*.,(.( ,$.(M

!B K*' =$2$' $2$' ,$+ =$2$' =$1$< AB  K*' Y(++* JB  K*' Z*=*. LB  K*' C/ 2&%( '*+'D.(+*&.$%> 2&%( /$7)&.$+ ,$+ '*.2$0$+ +(%$( ,*.$5$2 $7=$+- ,*+-$.+F$ SS