VARIABILITAS ANATOMI TELINGA LUAR MANUSIA: TINJAUAN LITERATUR TENTANG DIMENSI, BENTUK, DAN SIGNIFIKANSI KLINISNYA
DOI:
https://doi.org/10.70248/jophs.v2i2.2308Keywords:
Telinga luar, variasi anatomi, morfometri, forensik aurikula, rekonstruksi telingaAbstract
Latar belakang: Variasi morfologis di telinga luar manusia sangat kompleks dan beragam pada tingkat individu dan populasi. Dimensi pinna, lobulus, dan kanal auditorius eksternus sangat penting untuk identifikasi forensik dan dalam bidang klinis seperti desain alat bantu dengar, bedah plastik, dan rekonstruksi aurikula. Metode: Kajian ini merupakan tinjauan literatur sistematis terhadap publikasi ilmiah open-access dalam lima tahun terakhir yang membahas variabilitas anatomi telinga luar berdasarkan parameter morfometrik dan implikasi klinisnya. Hasil: Studi menunjukkan bahwa variasi bentuk telinga diklasifikasikan ke dalam bentuk oval, bulat, segitiga, dan persegi, dengan bentuk oval sebagai yang paling umum di berbagai populasi. Selain itu, ada bukti bahwa variasi dalam bentuk kanal auditorius eksternus, seperti silindris dan hourglass, berperan dalam perkembangan otitis eksterna kronis. Diskusi: Peran telinga sebagai penanda morfologis dalam antropologi dan forensik diperkuat oleh pemahaman variasi ini, selain mendukung pendekatan individualisasi dalam intervensi klinis. Kesimpulan: Pemetaan morfometrik yang menyeluruh diperlukan untuk mendukung praktik medis berbasis bukti, dan variasi anatomis telinga luar memiliki nilai klinis dan forensik yang signifikan.
References
T. Rani, D., Krishan, K., & Kanchan, “Association among the morphological characteristics of the human ear – An approach towards forensic identification,” Forensic Sci. Int. Reports, vol. 6, 2022, doi: https://doi.org/10.1016/j.fsir.2022.100295.
B. Neupane, K. Iyer, C. Bhattarai, and B. Sigdel, “External Ear Features: Role in Tracing Inheritance,” J. Coll. Med. Sci., vol. 16, no. 4, 2020, doi: DOI: 10.3126/jcmsn.v16i4.33279.
A. Ocakoglu, G., Ozdemir, S., Ercan, I., & Etöz, “The Shape of the Human Outer Ear: A Geometric Morphometric Study.,” Turkiye Klin. Tip Bilim. Derg., vol. 33, pp. 184-190., 2013, doi: https://doi.org/10.5336/MEDSCI.2012-30150 .
K. I. Sarbada Makaju, Sonam Chaudhary, “Evaluation of Morphological Variations of External Ear between the Nepalese and Indian Students of A Medical College,” J Nepal Med Assoc, vol. 56, no. 214, pp. 936–939, 2018, doi: https://doi.org/10.31729/jnma.3912.
A. L. P. Verma , H. Sandhu , K. Verma, S. Goyal , M. Sudan, “Morphological Variations and Biometrics of Ear: An Aid to Personal Identification,” J. Clin. Diagnostic Res., vol. 10, no. 5, pp. 138–142, 2016, doi: DOI: 10.7860/JCDR/2016/18265.7876.
A. Kala, “Comparative Assessment of External Ear: Morphometric Study and Sexual Dimorphism in Medical Student in SMS Medical College, Jaipur,” J. Med. Sci. Clin. Res., 2019, doi: https://doi.org/10.18535/JMSCR/V7I5.131.
S. Anikin, I., Eremin, S., Shinkareva, A., & Sitnikov, “Features of external auditory canal anatomy,” Sci. Pract. J. Med., vol. 20, no. 1, pp. 72–77, 2021, doi: DOI: https://doi.org/10.18692/1810-4800-2021-1-72-77.
R. S. R. Yadav Vishva Deepak, Agarwal Chandra Kala, “Comparative Assessment of External Ear: Morphometric Study and Sexual Dimorphism in Medical Student in SMS Medical College, Jaipur,” Joutnal Med. Sci. Clin. Res., vol. 7, 2019, doi: DOI: https://dx.doi.org/10.18535/jmscr/v7i5.131.
A. P. Acharya S, Gupta C, Palimar V, Guruprasad Kalthur S, “Morphological And Morphometric analysis of Human External Ear with Its Implications in Sex and Stature Estimation -- A Preliminary Observational Study,” F1000Res, vol. 14, p. 119, 2025, doi: doi: 10.12688/f1000research.160629.2.
T. Schulz, B., Thali, M., Kubik-Huch, R., & Niemann, “Auricular dimensions in computed tomography: Revealing the relationship between ear dimensions, age, and gender using three-dimensional volume visualization reconstruction,” World J. Radiol., vol. 16, pp. 760–774, 2024, doi: https://doi.org/10.4329/wjr.v16.i12.760 .
K. T. Rani D, Krishan K, Sahani R, Baryah N, “Variability in human external ear anthropometry- Anthropological and forensic applications,” Clin Ter, vol. 172, no. 6, pp. 531–541, 2021, doi: doi: 10.7417/CT.2021.2374. PMID: 34821348.
K. K. Rani D, Chitara N, Kanchan T, “3D printed bionic ear and microtia-anotia: Medical and forensic implications,” Congenit Anom, vol. 63, no. 3, pp. 60–65, 2023, doi: doi: 10.1111/cga.12507.
N. A. M. Al-Dabis, N. M. J., & Al-Rashedi, “Morphological markers of ear print in Iraqi population,” Int. J. Health Sci. (Qassim)., vol. 6, no. 56, pp. 6915–6925, 2022, doi: https://doi.org/10.53730/ijhs.v6nS6.11952.
T. M. Sushmita Salam, “Morphologic Variations In External Ear Among Ethnic Meiteis: A Hospital-Based Cross-Sectional Study,” Indian J. Forensic Med. & Toxicol., vol. 19, 2024, doi: DOI: https://doi.org/10.37506/s6xt2b82.
et al Biwasaka H, Usui A, Takamiya M, Angelakopoulos N, Cameriere R, “Validation of morphological ear classification devised by principal component analysis using three-dimensional images for human identification.,” PLoS One, vol. 19, no. 10, 2024, doi: https://doi.org/10.1371/journal.pone.0306843.
S. j. Al-Moussawi and N. A. M. Al-Rashedi, “Study association among the morphological landmark of Ear print to personal identification in forensics in the Iraqi population,” Muthanna J. Pure Sci., vol. 11, no. 2, 2024, doi: DOI: 10.52113/2/11.02.2024/98-108.
V. Agrawal, M., Yadav, M., Harshey, A., Srivastava, A., & Yadav, “A Study of External Ear Morphological Variation in Central Indian Population for Genealogical Purposes.,” Arab J. Forensic Sci. Forensic Med., 2023, doi: https://doi.org/10.26735/kexu1412.
M. Nightingale, R., Ross, M., Cruz, R., Allenby, M., Powell, S., & Woodruff, “Frugal 3D scanning using smartphones provides an accessible framework for capturing the external ear,” J. Plast. Reconstr. Aesthet. Surg., 2021, doi: https://doi.org/10.1016/j.bjps.2021.03.131.
A. Hennig, L., Krüger, M., Bülow, R., Ittermann, T., Ihler, F., Krohn-Jäger, F., Krey, K., & Daboul, “Morphology and Anatomical Variability of the External Auditory Canal: A Population-Based MRI Study.,” Ann. Anat., 2024, doi: https://doi.org/10.1016/j.aanat.2024.152319.
P. Yin, D., Li, C., Juan, H., Li, J., Yang, L., Zhang, T., & Dai, “Morphological Characteristics of Osseous External Auditory Canal and Its Relationship With External Auditory Canal Cholesteatoma in Patients With Congenital Aural Stenosis,” Otol. Neurotol., 2017, doi: https://doi.org/10.1097/MAO.0000000000001600.
S. M. Jan, Shah Sumaya; Sobiya, ; Shah, Bashir Ahmad; Saleem, “Morphological variations and biometrics of ear: First documented evidence from ethnic Kashmiri Population (Northern India),” Curr. Med. Issues, vol. 21, no. 2, pp. 88–92, 2023, doi: DOI: 10.4103/cmi.cmi_89_22.
M. Dedhia, K., Yellon, R., Branstetter, B., & Best, “External auditory canal: Inferior, posterior-inferior, and anterior canal wall overhangs,” Int. J. Pediatr. Otorhinolaryngol., vol. 109, pp. 138–143, 2018, doi: https://doi.org/10.1016/j.ijporl.2018.03.038.
R. Sudan, M., John, P., Kaur, B., Goyal, G., Verma, R., & Verma, “Morphological variations and Ear Biometrics as an aid in identification among populations of Punjab, Haryana and Jammu and Kashmir – A Comparative Study,” journal Indo Pacific Acad. Forensic Odontol., 2020, doi: https://doi.org/10.53275/inapfo.2231-1092-2231-15721019.















