Burun e\u011frili\u011fi \u00e7ocuklarda b\u00fcy\u00fcme-geli\u015fmeyi engelleyen ve okul ba\u015far\u0131s\u0131n\u0131 d\u00fc\u015f\u00fcren \u00f6nemli sebepler aras\u0131ndad\u0131r.\u00c7ocuklarda b\u00fcy\u00fcyen nazal septuma y\u00f6nelik cerrahi giri\u015fim neredeyse y\u00fcz y\u0131ld\u0131r tart\u0131\u015fmalar\u0131n oda\u011f\u0131 olmu\u015ftur. \u00c7ocuklarda bu giri\u015fim septumun geli\u015fimini engelleyece\u011fi kayg\u0131s\u0131yla uzun y\u0131llard\u0131r TABU olarak kalm\u0131\u015ft\u0131r. G\u00fcn\u00fcm\u00fczde bu probleme y\u00f6nelik ameliyatlar genel olarak t\u00fcm d\u00fcnyada az say\u0131da Kulak Burun Bo\u011faz cerrah\u0131 taraf\u0131ndan yap\u0131lmaktad\u0131r. Burun e\u011frili\u011fine ba\u011fl\u0131 yeterli oksijen alamayan ve bu nedenle b\u00fcy\u00fcme-geli\u015fmesi geri kalm\u0131\u015f \u00e7ocuklarda do\u011fru tan\u0131 ve uygun ameliyat ile \u00e7ocuklar\u0131n b\u00fcy\u00fcme ve geli\u015fmesi h\u0131zlan\u0131p, okul ba\u015far\u0131s\u0131 artabilir.<\/p>\n
Burun septumu nedir?<\/strong><\/p>\n Burun septumu burun i\u00e7ini ortadan ikiye ay\u0131ran ve havan\u0131n e\u015fit olarak akci\u011ferlere ula\u015ft\u0131r\u0131lmas\u0131n\u0131 sa\u011flayan k\u0131k\u0131rdak ve kemik yap\u0131dan olu\u015fan bir duvard\u0131r.<\/p>\n Burun septumu e\u011frili\u011finin nedenleri nelerdir?<\/strong><\/p>\n \u00c7e\u015fitli fakt\u00f6rler burun b\u00fcy\u00fcmesini etkiler ve burun septumu e\u011friliklerine yol a\u00e7ar. Do\u011fum esnas\u0131nda travma, erken \u00e7ocukluk d\u00f6neminde buruna darbe al\u0131nmas\u0131 ve bunlar\u0131n en \u00f6nemlisi anne-babadan ge\u00e7en kal\u0131t\u0131msal \u00f6zelliklerdir.<\/p>\n Burun septumu e\u011frili\u011finde hastalar\u0131n yak\u0131nmalar\u0131 nelerdir?<\/strong><\/p>\n Burun t\u0131kan\u0131kl\u0131\u011f\u0131, burun ak\u0131nt\u0131s\u0131, geniz ak\u0131nt\u0131s\u0131, burunda kabuklanma, koku alma duyusunda azalma, horlama, a\u011fz\u0131 a\u00e7\u0131k uyuma, a\u011f\u0131zda kuruluk, uyku kalitesinde azalma, gece yata\u011fa i\u015feme, ba\u015f ve y\u00fcz a\u011fr\u0131s\u0131 burun septumu e\u011frili\u011fi olan hastalar\u0131n ba\u015fl\u0131ca yak\u0131nmalar\u0131d\u0131r. Burun septumu e\u011frili\u011fi \u00fcst ve alt solunum yolu enfeksiyonlar\u0131na zemin haz\u0131rlar ve ya\u015fam kalitesini d\u00fc\u015f\u00fcr\u00fcr. Anormal solunum sonucunda sin\u00fcslerin havalanmas\u0131nda azalmaya ba\u011fl\u0131 olarak y\u00fcz geli\u015fimi asimetri ile sonlan\u0131r. A\u011f\u0131z solunumu alt-\u00fcst \u00e7ene ve di\u015flerin yap\u0131s\u0131n\u0131n bozulmas\u0131na yol a\u00e7ar. Buna ilaveten, yeterince oksijen al\u0131namamas\u0131 \u00e7ocuklar\u0131n entellekt\u00fcel ve fiziksel geli\u015fiminde ciddi problemlere neden olur; okul ba\u015far\u0131s\u0131nda d\u00fc\u015fme ve b\u00fcy\u00fcmede gerili\u011fe yol a\u00e7abilir.<\/p>\n \u00c7ocuklarda burun septumu e\u011frili\u011finde ameliyat yap\u0131lmal\u0131 m\u0131d\u0131r?<\/strong><\/p>\n \u00c7ocuklarda burun septumu cerrahisi b\u00fcy\u00fcmekte olan septumun geli\u015fimini engelleyece\u011fi kayg\u0131s\u0131yla uzun y\u0131llard\u0131r tabu olarak kalm\u0131\u015ft\u0131r. Bununla birlikte, 1950 y\u0131l\u0131ndan itibaren koruyucu cerrahi tekniklerin geli\u015fimiyle bu d\u00fc\u015f\u00fcnce ge\u00e7mi\u015fte kalm\u0131\u015ft\u0131r. D\u00fcnya \u00e7ap\u0131nda \u00e7ok k\u0131ymetli kulak burun bo\u011faz cerrahlar\u0131n\u0131n \u00e7al\u0131\u015fmalar\u0131 sonucunda burun septumunun erken d\u00f6nemde d\u00fczeltilmesinin burun ve y\u00fcz b\u00fcy\u00fcmesini olumlu olarak etkiledi\u011fi bildirilmi\u015ftir.<\/p>\n \u00c7ocuklarda burun septumu e\u011frili\u011fi ameliyatlar\u0131 hangi ya\u015fta yap\u0131labilir?<\/strong><\/p>\n K\u0131k\u0131rdak septum hayat\u0131n ilk 2 y\u0131l\u0131nda \u00e7ok h\u0131zl\u0131 b\u00fcy\u00fcr, ard\u0131ndan b\u00fcy\u00fcme h\u0131z\u0131 yava\u015flar ve 5 ya\u015f civar\u0131nda neredeyse durma noktas\u0131na gelir. Bu nedenle bu ya\u015ftan itibaren \u00e7ocuklarda septum cerrahisi yap\u0131labilir. Ciddi derecede burun solunumunu bozan ve istirahatte bile a\u011f\u0131z solunumuna neden olan septal deformite \u00f6ncelikli olarak tedavi edilmelidir. \u00c7ok k\u00f6t\u00fc bir buruna m\u00fcdahale edilmedi\u011fi takdirde burun ve orta y\u00fcz geli\u015fimi olumsuz etkilenecektir. Hepsinden \u00f6nemlisi geli\u015fme d\u00f6neminde septum do\u011fru \u015fekle getirilirse sonras\u0131nda b\u00fcy\u00fcme do\u011fru \u015fekilde olacakt\u0131r. Giri\u015fim ne kadar geciktirilirse, \u00e7ocuk burun t\u0131kan\u0131kl\u0131\u011f\u0131 ve bunun getirece\u011fi olumsuz etkilere o kadar s\u00fcre boyunca katlanmak zorunda kalacakt\u0131r.<\/p>\n \u00c7ocuklarda uygulanan ameliyat eri\u015fkinlerle ayn\u0131 m\u0131d\u0131r?<\/strong><\/p>\n \u00c7ocuklarda eri\u015fkinlerde oldu\u011fu gibi kapal\u0131 teknikle (endoskopdan da faydalanarak) bu cerrahiyi uyguluyoruz ve sonu\u00e7lar\u0131 y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fcd\u00fcr. \u00c7ocu\u011fun burun geli\u015fimine zarar vermemek i\u00e7in sadece belli k\u0131s\u0131mlara m\u00fcdahale edilmekte ve m\u00fcmk\u00fcn oldu\u011funca az k\u0131k\u0131rdak \u00e7\u0131kar\u0131lmaktad\u0131r.<\/p>\n \u00c7ocuklarda bu ameliyat\u0131n ba\u015far\u0131 oranlar\u0131 nedir?<\/strong><\/p>\n \u00c7ocukluk \u00e7a\u011f\u0131nda septum ameliyat\u0131 esnas\u0131nda m\u00fcmk\u00fcn oldu\u011funca az k\u0131k\u0131rdak \u00e7\u0131kar\u0131ld\u0131\u011f\u0131ndan yakla\u015f\u0131k 1\/3\u2019\u00fcn\u00fcn eri\u015fkin d\u00f6nemde yeniden ameliyat olmalar\u0131 gerekebilir. Buradaki as\u0131l amac\u0131m\u0131z \u00e7ocu\u011fun eri\u015fkin olana kadar solunum fonksiyonunu kolayla\u015ft\u0131rmak, olas\u0131 b\u00fcy\u00fcme gerili\u011fi ve anormal burun-y\u00fcz geli\u015fimini \u00f6nlemek ve ya\u015fam kalitesini art\u0131rmakt\u0131r. Mecbur kalmad\u0131k\u00e7a bu cerrahinin ergenlik sonras\u0131 d\u00f6nemde yap\u0131lmas\u0131 d\u00fc\u015f\u00fcncesi hali haz\u0131rda ge\u00e7erlili\u011fini s\u00fcrd\u00fcrmektedir. Ancak, solunum s\u0131k\u0131nt\u0131s\u0131 olan \u00e7ocuklar\u0131n inatla puberte sonras\u0131na bekletilmemesi ve konservatif yakla\u015f\u0131mla b\u00fcy\u00fcme noktalar\u0131na dikkat edilerek septoplasti ameliyat\u0131 yap\u0131lmas\u0131 uygundur.<\/p>\n","protected":false},"excerpt":{"rendered":" \u00c7OCUKLARDA BURUN SEPTUM E\u011eR\u0130L\u0130\u011e\u0130 CERRAH\u0130S\u0130<\/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":[44,32,61,594,637],"class_list":["post-3619","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-ameliyat","tag-burun","tag-buyume","tag-cocuklarda","tag-gelisimi"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3619","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=3619"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3619\/revisions"}],"predecessor-version":[{"id":3620,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/3619\/revisions\/3620"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=3619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=3619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=3619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}