Timpanoplasti orta kulak yap\u0131lar\u0131nda uygulanan kulak zar\u0131 y\u0131rt\u0131\u011f\u0131, kemik\u00e7ik erimesi , kemik\u00e7ik fiksasyonu ve kulak zar\u0131 \u00e7\u00f6kmesi gibi patolojileri onararak i\u015fitmeyi normalle\u015ftirmeye \u00e7al\u0131\u015fan cerrahi giri\u015fimin genel ad\u0131d\u0131r. En s\u0131k m\u00fczminle\u015fen orta kulak hastal\u0131klar\u0131n\u0131n onar\u0131m\u0131 i\u00e7in yap\u0131l\u0131r.<\/p>\n
Sadece kulak zar\u0131 y\u0131rt\u0131\u011f\u0131n\u0131n onar\u0131ld\u0131\u011f\u0131 kulak ameliyat\u0131na mirengoplasti ad\u0131 verilir.<\/p>\n
Timpanoplastide onar\u0131lan yap\u0131 sadece kulak zar\u0131, sadece kemik\u00e7ik zinciri veya her ikisi birden olabilir.<\/p>\n
Timpanoplasti ameliyat\u0131nda kulak zar\u0131 onar\u0131m\u0131 i\u00e7in en yayg\u0131n kullan\u0131lan materyal temporal kas derin fasyas\u0131d\u0131r. Ayr\u0131ca perikondrium, k\u0131k\u0131rdak, perikondriumlu k\u0131k\u0131rdak, periost, ven gibi otolog dokular kullan\u0131labilir.<\/p>\n
Greft olarak al\u0131nan materyal underlay (perfore kulak zar\u0131 alt\u0131na) veya overlay ( perfore kulak zar\u0131 \u00fcst\u00fcne) olarak yerle\u015ftirilebilir.<\/p>\n
Operasyon s\u0131ras\u0131nda kulak arkas\u0131ndan, kulak \u00f6n\u00fcnden veya kanal i\u00e7inden kesi yap\u0131labilir.<\/p>\n
Bazen kronik enfeksiyon zaman i\u00e7inde kemik\u00e7ik zincirde bir erozyona neden olabilir. Bu erozyon daha s\u0131kl\u0131kla kolesteatomaya sekonder geli\u015febilir. Kolesteatom \u00f6zellikle \u00f6rs kemik\u00e7i\u011finin uzun koluna hasar verir. \u00c7\u00fcnk\u00fc kanlanman\u0131n en zay\u0131f oldu\u011fu yer buras\u0131d\u0131r. \u00d6zengi kemik\u00e7i\u011fi 2. derecede hasara maruz kal\u0131r. \u00c7eki\u00e7 kemik\u00e7i\u011fi ise 3. derecede hasar g\u00f6r\u00fcr. Kemik\u00e7iklerin rekonstr\u00fcksiyonunda otogreft kemik\u00e7ikler en s\u0131k tercih edilen materyaldir. Son y\u0131llarda biyo uyumlu alloplastik materyaller kemik\u00e7ik zincir rekonstr\u00fcksiyonunda kullan\u0131lmaya ba\u015flanm\u0131\u015ft\u0131r. Ayr\u0131ca titanium protezler de kullan\u0131lmaya ba\u015flanm\u0131\u015ft\u0131r.<\/p>\n
Timpanoplasti de enfeksiyon kulak arkas\u0131 mastoid kemi\u011fi tutmu\u015fsa operasyon s\u0131ras\u0131nda mastoid kemik dril ile turlanarak hastal\u0131kl\u0131 t\u00fcm h\u00fccreler temizlenir. Mastoid bo\u015fluk ile orta kulak bo\u015flu\u011fu aras\u0131nda ge\u00e7i\u015f sa\u011flanmaya \u00e7al\u0131\u015f\u0131l\u0131r.<\/p>\n
Enfeksiyon kulak kemik\u00e7iklerini ve mastoid kemik h\u00fccrelerini ileri derecede tutmu\u015f ise o takdirde operasyon s\u0131ras\u0131nda \u00f6ncelikle hastal\u0131\u011f\u0131n eradikasyonuna \u00e7al\u0131\u015f\u0131l\u0131r. Sekonder olarak i\u015fitmeye a\u011f\u0131rl\u0131k verilir.<\/p>\n
Operasyondan 7 g\u00fcn sonra diki\u015fler al\u0131narak zar \u00fczerine konulan materyaller bo\u015falt\u0131lmaya ba\u015flan\u0131r. Operasyon b\u00f6lgesinde sa\u011fl\u0131kl\u0131 g\u00f6r\u00fcn\u00fcm elde edilene kadar belirli aral\u0131klarla pansumanlar s\u00fcrd\u00fcr\u00fcl\u00fcr. Operasyondan yakla\u015f\u0131k 8 hafta sonra kulak i\u015fitme testleri yap\u0131larak ameliyat \u00f6ncesiyle ameliyat sonras\u0131 durum kar\u015f\u0131la\u015ft\u0131r\u0131l\u0131p i\u015fitme kazanc\u0131n\u0131n ne durumda oldu\u011fu tespit edilir.<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Orta kulak yap\u0131lar\u0131nda uygulanan kulak zar\u0131 y\u0131rt\u0131\u011f\u0131: timpanoplasti! Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[228,63,90,505,151],"class_list":["post-2904","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-kemik","tag-kulak","tag-kulak-zari","tag-materyal","tag-operasyon"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2904","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=2904"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2904\/revisions"}],"predecessor-version":[{"id":2905,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2904\/revisions\/2905"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=2904"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=2904"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=2904"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}