THT EXAMINATION

Fitria Amanda
N 101 14 019
 CHECKLIST

1. Developping interpersonal relationship

(introducing name and role, asking
patient’s identity)
2. Explaning the objective of the Exam. to
the Patient
3. Put the headlamp on head examer by the
right position
4. Sitting in the right Position
Materials
 EAR
• Auris externa
– Auricula (helix, lobulus)
– Canalis auditorius externus - cerumen
– Membrana tympani
• Auris Media
– Malleus
– Incus
– Stapes
• Auris interna
– Canalis semicircularis
– Vestibula
– Cochlea (35 mm, 2 ¾ lingkaran)
 EAR EXAMINATION
5. Checking auricle of ear and the surrounding
6. Pressing the Tragus and the back of the ears
7. Setting the auricle's and canal Position to see ear canal and
Tympanic Membrane well
8. Putting ear speculum gently in the ear canal to see Tympanic
membrane well
9. Use otoscope gently to see ear canal and tympanic membrane well
 Hearing Test (Garputala)
10. Rinne: compares air and bone conduction
• Rinne test positive when the sound of air conduction is
louder than the bone conduction
• Rinne test negative if bone conduction is more louder
than air conduction
11. Weber Test :comparison sensorineural deafness and
conductivity
- If lateralitazion leads to disturbed/sick ear it means deaf
conduction
- If lateralization leads to normal ear it means deaf
sensorineural

12. Scwabach Test :Comparing bone conduction

patients with normal hearing examiner
- Conduction deaf: Lengthwise schwabach
- Sensorineural deaf: Shortness schwabach
Nose
 Nose Examination
13. Adjust the position of the examiner sitting with patient
14. Perform inspection and palpation on the outside of the
nose
15. Choosing the appropriate speculum
16. Adjust the position of the patient's head
17. Gently insert a speculum into the patient's nose
18. Checking the anterior portion of the nose
19. Checking mucosa, Konka, and septum
20. Issued a speculum in the open position
 paranasal sinuses
21. palpation of the maxillary sinuses using
the thumb on both cheeks
22. palpation frontal sinus by pressing on the
medial brow
Mouth and Pharynx
 Mouth and Pharynx
Examination
23. checking the lips
24. Asking the patient to open his/her
mouth
25. Inspecting the buccal mucous membrane
using tonge spatule
26. Checking gums, teeth, tongue and palate
27. Asking the patient to say " aah"
28. Checking Tonsil and Pharyngeal by Pressing
tongue using the spatula
29. cheking nasopharynx and chonae by
nasopharyngeal mirror (indirect
nasopharyngoscope)
30. Checking hypopharynx and larynx by Mirror
throat (indirect laryngoscope)
31. Removing the used spatula and mirror throat
to be cleaned and sterilized
32. Checking neck regional limf by palpating
jugular limf area
33. Interpreting and explaining the result of the
examination to the patient
Thank You 