{"id":158,"date":"2024-04-27T00:00:07","date_gmt":"2024-04-26T21:00:07","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=158"},"modified":"2024-04-27T00:00:07","modified_gmt":"2024-04-26T21:00:07","slug":"endoskopik-gozyasi-kesesi-ameliyati","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/endoskopik-gozyasi-kesesi-ameliyati\/","title":{"rendered":"Endoskopik g\u00f6zya\u015f\u0131 kesesi ameliyat\u0131"},"content":{"rendered":"<figure><img decoding=\"async\" src=\"https:\/\/odyova.com\/haberler\/wp-content\/uploads\/2024\/04\/endoskopik-gozyasi-kesesi-ameliyati-0-4rCsGsvN.jpg\"><\/figure>\n<p>G\u00f6zya\u015f\u0131 kesesi ameliyatlar\u0131 (dakriosistorinostomi) g\u00f6z ya\u015f\u0131n\u0131n toplanarak buruna aktar\u0131lmas\u0131n\u0131 sa\u011flayan g\u00f6zya\u015f\u0131 kesesinin (lakrimal sak) ve veya g\u00f6zya\u015f\u0131 kanal\u0131n\u0131n (lakrimal duct) \u00e7e\u015fitli nedenlerle t\u0131kand\u0131\u011f\u0131 hastalarda uygulanmaktad\u0131r.<\/p>\n<p><span>G\u00f6z ya\u015f\u0131n\u0131n d\u0131\u015far\u0131 akmas\u0131 (epifora) ve tekrarlayan g\u00f6zya\u015f\u0131 kesesi iltihaplar\u0131 olan hastalarda t\u0131bbi tedaviye ve dilatasyona (geni\u015fletme) ra\u011fmen kanallar\u0131n a\u00e7\u0131lmamas\u0131 ve g\u00f6zya\u015f\u0131n\u0131n yeterli miktarda buruna transferinin sa\u011flanamamas\u0131 durumunda g\u00f6zya\u015f\u0131 kesesi cerrahi olarak buruna a\u011f\u0131zla\u015ft\u0131r\u0131lmaktad\u0131r.<\/span><\/p>\n<p>G\u00f6zya\u015f\u0131 kesesi hastal\u0131klar\u0131n\u0131n tetkik, ay\u0131r\u0131c\u0131 tan\u0131 ve tedavisi g\u00f6z hastal\u0131klar\u0131 uzmanlar\u0131 taraf\u0131ndan yap\u0131lmakta ve cerrahi karar\u0131 yine g\u00f6z hastal\u0131klar\u0131 uzmanlar\u0131 taraf\u0131ndan verilmektedir.<\/p>\n<p>  Klasik olarak uygulanan cerrahi teknik d\u0131\u015far\u0131dan yap\u0131lan bir kesi gerektirmekte ve g\u00f6z ya\u015f\u0131 kesesi bulunarak i\u00e7 duvar\u0131 buruna a\u011f\u0131zla\u015ft\u0131r\u0131lmaktad\u0131r.<\/p>\n<p>100 Y\u0131ldan uzun zaman \u00f6nce tan\u0131mlanm\u0131\u015f ancak o devirde g\u00f6r\u00fc\u015f yetersizli\u011fi nedeni ile pop\u00fclarite kazanmam\u0131\u015f olan burun yolu ile yap\u0131lan g\u00f6zya\u015f\u0131 kesesi ameliyatlar\u0131 yakla\u015f\u0131k 20 y\u0131l \u00f6nce endoskopik sin\u00fcs cerrahisinin uygulamaya girmesini takiben tekrar g\u00fcndeme gelmi\u015f ve giderek artan s\u0131kl\u0131kla kullan\u0131lmaya ba\u015flanm\u0131\u015ft\u0131r.<\/p>\n<p>G\u00f6z hastal\u0131klar\u0131 uzman\u0131 ve endoskopik cerrahide tecr\u00fcbeli kulak burun bo\u011faz uzman\u0131n\u0131n birlikte ger\u00e7ekle\u015ftirdi\u011fi endoskopik ameliyat ile (endoskopik dakriosistorinostomi) g\u00f6z ya\u015f\u0131 kesesi ile burun aras\u0131nda bulunan lakrimal kemi\u011fe burun yolu ile ula\u015f\u0131lmakta ve kemik ge\u00e7ilerek g\u00f6zya\u015f\u0131 kesesi bulunduktan sonra kese i\u00e7 duvar\u0131 a\u00e7\u0131lmakta alt ve \u00fcst g\u00f6z kapaklar\u0131n\u0131n burna yak\u0131n kenar\u0131nda yer alan g\u00f6z ya\u015f\u0131 kanallar\u0131ndan ge\u00e7irilen silikon t\u00fcpler burun i\u00e7inden al\u0131n\u0131p tespit edilmektedir. T\u00fcplerin kal\u0131\u015f s\u00fcresi hastal\u0131\u011f\u0131n durumuna g\u00f6re belirlenmekle beraber 2-12 ay aras\u0131nda olabilmektedir.<\/p>\n<p>Klasik ameliyat ve endoskopik ameliyat aras\u0131nda <strong>ba\u015far\u0131 oran\u0131<\/strong> a\u00e7\u0131s\u0131ndan anlaml\u0131 bir fark saptanmam\u0131\u015f olup her iki i\u015flem i\u00e7in de bu oran <strong>%90-95 civar\u0131ndad\u0131r<\/strong>. G\u00f6z ya\u015f\u0131 kesesinde sert iyile\u015fme dokusu olu\u015fumu ve t\u0131kan\u0131kl\u0131\u011f\u0131n tekrarlamas\u0131 en s\u0131k kar\u015f\u0131la\u015f\u0131lan komplikasyonlard\u0131r. Endoskopik ameliyatlarda ek olarak burun kanamas\u0131 ba\u015fta olmak \u00fczere endoskopik cerrahiye ait komplikasyonlar nadir de olsa izlenebilmektedir.<\/p>\n<p>  Son y\u0131llarda ilerleyen endoskopik cerrahi teknolojisi ile burun i\u00e7inden lakrimal kemi\u011fi ge\u00e7me a\u015famas\u0131n\u0131 son derece kolay hale getiren laserler ve mikrodebriderler geli\u015ftirilmi\u015f, \u00f6zellikle ameliyat\u0131n anatomik yap\u0131lar\u0131n yeri tam olarak g\u00f6r\u00fclerek yap\u0131lmas\u0131n\u0131 sa\u011flayan <strong>cerrahi navigasyon<\/strong> sistemlerinin kullan\u0131ma girmesi burun yolu ile yap\u0131lan endoskopik ameliyatlar\u0131n komplikasyon oran\u0131n\u0131 azalt\u0131rken cerrahi s\u00fcresinin \u00f6nemli \u00f6l\u00e7\u00fcde k\u0131salmas\u0131n\u0131 sa\u011flam\u0131\u015ft\u0131r.<\/p>\n<p><strong>Endoskopik dakriosistorinostomi ameliyat\u0131n\u0131n en \u00f6nemli avantajlar\u0131;<\/strong><\/p>\n<p><span>Y\u00fczde yara izi olu\u015fmamas\u0131<\/span><\/p>\n<p>G\u00f6z ya\u015f\u0131 kesesi fonksiyonlar\u0131n\u0131n fazla etkilenmemesi<\/p>\n<p>Ameliyat s\u00fcresinin k\u0131sa olmas\u0131<\/p>\n<p>\u0130yile\u015fme ve normal hayata d\u00f6nme s\u00fcresinin k\u0131sa olmas\u0131d\u0131r .<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Endoskopik g\u00f6zya\u015f\u0131 kesesi ameliyat\u0131 Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":159,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[44,32,52,51],"class_list":["post-158","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kulak-burun-bogaz","tag-ameliyat","tag-burun","tag-cerrahi","tag-goz"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/158","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/comments?post=158"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/158\/revisions"}],"predecessor-version":[{"id":161,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/158\/revisions\/161"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media\/159"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=158"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=158"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=158"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}