KULAK AMEL\u0130YATLARI:
T\u0130MPANOPLAST\u0130:
ORTA KULAK BO\u015eLU\u011eUNA CAVUM T\u0130MPAN\u0130 DEN\u0130LMEKTED\u0130R. ORTA KULAKTAK\u0130 YAPILARLA
\u0130LG\u0130L\u0130 CERRAH\u0130 \u0130\u015eLEMLERE DE T\u0130MPANOPLAST\u0130 AMEL\u0130YATI DEN\u0130LMEKTED\u0130R. SADECE KULAK
ZARINDAK\u0130 DEL\u0130\u011e\u0130N TAM\u0130R ED\u0130LMES\u0130 \u0130SE M\u0130R\u0130NGOPLAST\u0130 OLARAK ADLANDIRILMAKTADIR.
ORTA KULAK BO\u015eLU\u011eU DI\u015e TARAFDA KULAK ZARI, \u00c7EK\u0130\u00c7 (MALLEUS), \u00d6RS(\u0130NCUS) VE \u00dcZENG\u0130
(STAPES) ADLI KEM\u0130K YAPILAR SAYES\u0130NDE SES ENERJ\u0130S\u0130N\u0130N \u0130\u00c7 KULAKTA S\u0130N\u0130RSEL OLARAK \u0130LET\u0130YE
D\u00d6N\u00dc\u015eMES\u0130NE YARDIMCI OLAN YAPILARDAN OLU\u015eMAKTADIR. AYNI ZAMANDA \u00d6STAK\u0130 T\u00dcP\u00dc
ARACILI\u011eIYLA GEN\u0130ZLE (NAZOFARENKS) BA\u011eLANTILIDIR. ORTA KULAK BO\u015eLU\u011eUNDA SIVI YOKTUR.
KULAK ZARI, KEM\u0130K\u00c7\u0130K PROBLEMLER\u0130 VE HAVALANMA BOZUKLUKLARINDA SES \u0130LET\u0130M\u0130NDE AZALMA
MEYDANA GEL\u0130R. \u0130LT\u0130HAB\u0130 VEYA HAVALANMA BOZUKLU\u011eU DURUMLARINDA \u0130LA\u00c7LA TEDAV\u0130
M\u00dcMK\u00dcN OLAB\u0130L\u0130RKEN ZAR VE KEM\u0130K\u00c7\u0130KTE YAPISAL SORUNLAR VAR \u0130SE T\u0130MPANOPLAST\u0130 AMEL\u0130YATI
DEN\u0130LEN CERRAH\u0130 M\u00dcDAHALE GEREKL\u0130D\u0130R.
AMEL\u0130YAT RAHATSIZLI\u011eI YARATAN PATOLOJ\u0130K DURUMUN C\u0130DD\u0130YET D\u00dcZEY\u0130NE BA\u011eLI
OLARAK KAPALI VEYA A\u00c7IK TEKN\u0130KLERLE, M\u0130KROSKOB\u0130K VEYA ENDOSKOP\u0130K OLARAK
GER\u00c7EKLE\u015eT\u0130R\u0130L\u0130R.
GENEL ANESTEZ\u0130 ALTINDA YAPILMASI UYGUNDUR. \u0130Y\u0130LE\u015eME S\u00dcREC\u0130 EN AZ 3 HAFTA
GEREKT\u0130R\u0130R VE HASTALARIN DOKTORLARI \u0130Z\u0130N VERMED\u0130\u011e\u0130 S\u00dcRECE KULA\u011eA SU KA\u00c7IRMAMASI
GEREKL\u0130D\u0130R.
KULAK T\u00dcP\u00dc TAKILMASI:
ORTA KULAK BO\u015eLU\u011eU OLARAK ADLANDIRILAN KULAK ZARININ ARKA KISMINDA SIVI VEYA
\u0130LT\u0130HAB B\u0130R\u0130KMES\u0130 DURUMUNDA \u0130LA\u00c7LA TEDAV\u0130 BA\u015eARILI OLMAZ VEYA BERABER\u0130NDE GEN\u0130Z ET\u0130
SORUNU DA VAR \u0130SE SIVININ TAHL\u0130YE ED\u0130LMES\u0130 \u0130\u00c7\u0130N KULAK ZARINA K\u00dc\u00c7\u00dcK B\u0130R DEL\u0130K A\u00c7ILIR. A\u00c7ILAN
BU DEL\u0130KTEN ASP\u0130RASYONLA SIVI BO\u015eALTILIR VE ALTIN VEYA PLAST\u0130K YAPIDA HAVALANMAYI
SA\u011eLAYAN DEL\u0130\u011e\u0130 DE BULUNAN KULAK T\u00dcP\u00dc DEN\u0130LEN APARAT ZARDAK\u0130 DEL\u0130\u011eE OTURTULUR. T\u00dcP
ORTA KULAK TAMAMEN SA\u011eLI\u011eINA KAVU\u015eTU\u011eUNDA VE GEN\u0130ZDEN D\u00dcZG\u00dcN \u015eEK\u0130LDE
HAVALANDI\u011eINDA ZARDAN D\u00dc\u015eER VE DEL\u0130K KEND\u0130L\u0130\u011e\u0130NDE KAPANMI\u015e OLUR. T\u00dcP MUAEYENE
ODASINDA BAS\u0130T\u00c7E ALINIR. T\u00dcP GENELL\u0130KLE 3 AY \u0130LE 1,5 YIL ARASINDA KULAKTA KALIR VE BU S\u00dcRE
ZARFINDA KULA\u011eA SU KA\u00c7IRILMAMALIDIR.
\u0130\u015eLEM GENEL ANESTEZ\u0130 ALTIND AYAKLA\u015eIK 15 DAK\u0130KADA UYGULANIR VE HASTALAR 6 SAAT
SONRA EV\u0130NE G\u00d6NDER\u0130L\u0130R.
KEP\u00c7E KULAK AMEL\u0130YATI:
KEP\u00c7E KULAK TER\u0130M\u0130 KULAK KEP\u00c7ES\u0130NE \u015eEKL\u0130N\u0130 VEREN KIKIRDAK DOKULARDA \u015eEK\u0130L VE
BOYUT BOZUKLU\u011eUNA BA\u011eLI OLARAK KULAK KEP\u00c7ES\u0130N\u0130N KAFATASINA UZAKLI\u011eININ ARTMASI VE
KOZMET\u0130K OLARAK HASTADA RAHATSIZ ED\u0130C\u0130 G\u00d6R\u00dcNT\u00dcYE SEBEP OLMASIDIR.
AMEL\u0130YAT \u0130\u00c7\u0130N FARKLI TEKN\u0130KLER S\u00d6Z KONUSU OLMAKLA B\u0130RL\u0130KTE AMA\u00c7 KIKIRDA\u011eA D\u0130K\u0130\u015eLE
VEYA KIKIRDAK \u00c7IKARILARAK YEN\u0130DEN \u015eEK\u0130L VER\u0130LMES\u0130 VE KAFATASINA YAKLA\u015eTIRILMASIDIR. \u0130\u015eLEM
KULAK ARKASINDAN KES\u0130LERLE YAPILIR. GENELL\u0130KLE LOKAL ANESTEZ\u0130 VEYA SEDASYON E\u015eL\u0130\u011e\u0130NDE<\/p>\n
YAPILIR. \u00c7OCUKLARDA GENEL ANESTEZ\u0130 TERC\u0130H ED\u0130L\u0130R. \u0130\u015eLEM 2 KULAK \u0130\u00c7\u0130N YAKLA\u015eIK 45 DAK\u0130KA
S\u00dcRER.
AMEL\u0130YATTA SONRA 1 HAFTA PANSUMAN VE 4-8 HAFTA KULAK BANDAJI TAKILMASI
GEREKL\u0130D\u0130R.
NAD\u0130REN DE OLSA D\u0130K\u0130\u015eLERDE GEV\u015eEME VEYA YARA \u0130Y\u0130LE\u015eME SORUNLARINA BA\u011eLI OLARAK
REV\u0130ZYON GEREKEB\u0130L\u0130R.
BURUN AMEL\u0130YATLARI:
BURUN B\u00d6LMES\u0130 E\u011eR\u0130L\u0130\u011e\u0130:
BURNUMUZ \u0130K\u0130 DEL\u0130\u011e\u0130 ARASINDAK\u0130 B\u00d6LMEYE SEPTUM NAS\u0130 VE BU B\u00d6LMEDEK\u0130 E\u011eR\u0130L\u0130\u011eE DE
NAZAL SEPTUM DEV\u0130ASYONU DEN\u0130LMEKTED\u0130R.
BURUN B\u00d6LMES\u0130 \u00d6NDE KIKIRDAK GER\u0130DE KEM\u0130K YAPIDADIR VE BU \u0130K\u0130 KISIM B\u0130RB\u0130R\u0130N\u0130N
DEVAMI \u015eEKL\u0130NDED\u0130R.
E\u011eR\u0130L\u0130\u011e\u0130N D\u00dcZELT\u0130LMES\u0130 \u0130\u015eLEM\u0130NE SEPTOPLAST\u0130 AMEL\u0130YATI DEN\u0130L\u0130R. GENAL VEYA LOKAL
ANESTEZ\u0130 ALTINDA YAPILAB\u0130L\u0130R. AMEL\u0130YAT S\u00dcRES\u0130 YAKLA\u015eIK 30 DAK\u0130KADIR. KES\u0130LER G\u00d6R\u00dcNMEZ VE
D\u0130K\u0130\u015e ALMYA GEREK YOKTUR. AMEL\u0130YATTA E\u011eR\u0130L\u0130K D\u00dcZELT\u0130LD\u0130KTEN SONRA GENELL\u0130KLE S\u0130L\u0130KON
HAVA KANALLI TAMPONLAR YERLE\u015eT\u0130R\u0130L\u0130R VE BU TAMPONLAR AMEL\u0130YATTAN 1 VE YA 2 G\u00dcN SONRA
ALINIR. TAMPON ALINMASI \u0130\u015eLEM\u0130 SANILDI\u011eININ AKS\u0130NE HIZLI VE A\u011eRISIZ B\u0130R \u0130\u015eLEMD\u0130R.
HASTALAR AMEL\u0130YATTAN 1 HAFTA SONRA KONTROLE \u00c7A\u011eRILIR . BU S\u00dcRE ZARFINDA
ANT\u0130B\u0130YOT\u0130K, A\u011eRI KES\u0130C\u0130, ALLERJ\u0130 \u0130LACI, BURUN SPREY\u0130 KULLANILIR. 1 HAFTA S\u00dcRES\u0130NCE BURUNA
SU VER\u0130LMES\u0130 VE S\u00dcMK\u00dcR\u00dcLMES\u0130 \u00d6NER\u0130LMEZ.
RADYOFREKANS \u0130LE BURUN ET\u0130 K\u00dc\u00c7\u00dcLTME :
BURUN \u0130\u00c7ER\u0130S\u0130NDE YAN DUVARLARDA YER ALAN \u00dcST \u00dcSTE 3 ADET KEM\u0130K VE YUMU\u015eAK
DOKUDAN OLU\u015eAN KONKA ADI VER\u0130LEN YAPILAR VARDIR. BU YAPILAR BURUN \u0130\u00c7ER\u0130S\u0130NE G\u0130REN
HAVANIN ISITILMASI, NEMLEND\u0130R\u0130LMES\u0130 VE HAVA AKIMININ HIZININ ARTIRILMASI G\u0130B\u0130 \u0130\u015eLEVLERE
SAH\u0130PT\u0130R. AYNI ZAMANDA BURUN \u0130\u00c7ER\u0130S\u0130NDEK\u0130 SALGININ \u00dcRET\u0130M\u0130NDE DE PAY SAH\u0130B\u0130D\u0130RLER.
RADYOFREKANS TEKNOLOJ\u0130S\u0130 ISI \u00dcRETEREK \u00c7EVRE DOKULARDA KONTROLL\u00dc DOKU HASARI
OLU\u015eTURARAK HAC\u0130M OLARAK K\u00dc\u00c7\u00dcLME SA\u011eLAMAKTADIR.
SEDASYON VEYA LOKAL ANESTEZ\u0130 \u0130LE BURUNDA EN ALT KISIMDA VE \u00d6NDE YERLE\u015e\u0130M
G\u00d6STEREN ALT KONKALARIN HAC\u0130M OLARAK \u0130R\u0130 KISIMLARINDA RADYOFREKANS ALET\u0130N\u0130N PROBU \u0130LE
ISI HASARI OLU\u015eTURULU VE BURUN TIKANIKLI\u011eININ G\u0130DER\u0130LMES\u0130 SA\u011eLANIR.
\u0130\u015eEM YAKLA\u015eIK 10 DAK\u0130KA S\u00dcRER VE A\u011eRISIZDIR. HASTA \u0130\u015eLEMDEN SONRA EV\u0130NE G\u0130DEB\u0130L\u0130R.
YAKLA\u015eIK 1 AY KADAR BURUN \u0130\u00c7ER\u0130S\u0130NDE KABUKLANMA OLAB\u0130L\u0130R . BU S\u00dcRE\u00c7 ZARFINDA SERUM
F\u0130ZYOLOJ\u0130K \u0130\u00c7EREN BURUN SPREYLER\u0130 KULLANILMASI \u00d6NER\u0130L\u0130R.<\/p>\n
ENDOSKOP\u0130K S\u0130N\u00dcZ\u0130T AMEL\u0130YATI:
S\u0130N\u00dcS, \u0130\u00c7\u0130 BO\u015e,TEK G\u0130R\u0130\u015e \u00c7IKI\u015eI OLAN YAPILARA VER\u0130LEN ADDIR. BURUN ETRAFINDAK\u0130
S\u0130N\u00dcSLERE PARANAZAL S\u0130N\u00dcS DEN\u0130LMEKTED\u0130R. BU BO\u015eUKLAR BURUN \u0130\u00c7ER\u0130S\u0130NDE YAN DUVARA
A\u00c7ILMAKTADIR. \u0130\u00c7ER\u0130S\u0130 MUKOZA \u0130LE KAPLIDIR VE BU MUKOZA SALGI \u00dcRETMEKTED\u0130R.
S\u0130N\u00dcZ\u0130T RAHATSIZLI\u011eINDA S\u0130N\u00dcS \u0130\u00c7ER\u0130S\u0130 \u0130LT\u0130HAPLI SIVI \u0130LE DOLAR VE \u00c7EVRE KEM\u0130K YAPILARA
BASKI YAPARAK A\u011eRI YAPAR.
AYNI ZAMANDA GEN\u0130Z AKINTISI, BURUNDAN RAHAT NEFES ALAMAMA, KOKU ALMADA
G\u00dc\u00c7L\u00dcK, Y\u00dcZDE BASIN\u00c7 H\u0130SS\u0130 VE KRON\u0130K \u00d6KS\u00dcR\u00dc\u011eE SEBEP OLAB\u0130L\u0130R.
S\u0130N\u00dcZ\u0130T AMEL\u0130YATI ENDOSKOP\u0130K Y\u00d6NTEMLERLE GENEL ANESTEZ\u0130 ALTINDA YAPILIR VE
YAKLA\u015eIK 1,5 SAAT \u0130LE 3 SAAT ARASINDA S\u00dcRER.
S\u0130N\u00dcZ\u0130T AMEL\u0130YATI KRON\u0130K S\u0130N\u00dcZ\u0130T DURUMUNDA YAN\u0130 UYGUN ANT\u0130B\u0130YOT\u0130K TEDAV\u0130S\u0130NE
RA\u011eMEN 3 AYDAN UZUN S\u00dcREN S\u0130N\u00dcZ\u0130T KRON\u0130K S\u0130N\u00dcZ\u0130T OLARAK ADLANDIRILIR VE AMEL\u0130YAT \u0130LE
TEDAV\u0130 ED\u0130L\u0130R.
BAZEN KOMPL\u0130KASYONA SEBEP OLAN AKUT S\u0130N\u00dcZ\u0130T HALLER\u0130NDE DE AMEL\u0130YAT TERC\u0130H
ED\u0130L\u0130R.
AMEL\u0130YATIN ERTES\u0130 G\u00dcN\u00dc HASTA TABURCU ED\u0130L\u0130R VE 1 HAFTA SONRA KONTROLE \u00c7A\u011eRILIR.
AMEL\u0130YATTA GENELL\u0130KLE ER\u0130YEN TAMPONLAR KONULUR. HASTALARIN 1 AY S\u00dcREYLE STERO\u0130DL\u0130
BURUN SPREY\u0130 VE TUZLU SU \u0130\u00c7EREN BURUN YIKAMA SPREYLER\u0130 KULLANMALARI YAPI\u015eIKLIK VE
KABUKLANMALARI ENGELLEMEK \u0130\u00c7\u0130N \u00d6NEML\u0130D\u0130R.
NAZAL POL\u0130P ADI VER\u0130LEN BURUN VE S\u0130N\u00dcS \u0130\u00c7ER\u0130S\u0130NDEK\u0130 MUKOZALARDA \u00d6DEM VE
PARMAKSI \u00c7IKINTILAR \u015eEKL\u0130NDE YUMU\u015eAK DOKU PATOLOJ\u0130LER\u0130N\u0130N OLU\u015eTU\u011eU KRON\u0130K S\u0130N\u00dcZ\u0130T
VAKALARINDA AMEL\u0130YATTAN SONRA TEKRAR OLU\u015eMA R\u0130SK\u0130 VARDIR. BU NEDENLE KORT\u0130ZONLU
BURUN SPREYLER\u0130N\u0130N EN AZ 1 YIL KULLANILMASI VE SIK TAK\u0130P UYGUNDUR.
ENDOSKOP\u0130K G\u00d6Z YA\u015eI TIKANIKLI\u011eI AMEL\u0130YATI ( DSR):
G\u00d6Z YA\u015eI KANALLARI G\u00d6Z K\u00dcRES\u0130N\u0130N \u0130\u00c7 KISMINDA YER ALIR VE BURUN BO\u015eLU\u011eUNDA ALT
KONKA DEN\u0130LEN YUMU\u015eAK DOKU YAPILARIN ALT KISMINDA BURUN \u0130\u00c7ER\u0130S\u0130NE D\u00d6K\u00dcL\u00dcR. G\u00d6Z
HASTALIKLARININ \u0130LG\u0130 ALANINA G\u0130REN B\u0130R HASTALIK OLMASINA RA\u011eMEN G\u00d6Z YA\u015eI KANAL
S\u0130STEM\u0130N\u0130N BURUN \u0130LE OLAN BU YAKIN \u0130L\u0130\u015eK\u0130S\u0130 NEDEN\u0130YLE ENDOSKOP\u0130K Y\u00d6NTEMLE OLAN KANAL
TIKANIKLI\u011eININ A\u00c7ILMASI AMEL\u0130YATI KBB HEK\u0130MLER\u0130 TARAFINDAN YAPILMAKTADIR. G\u00d6Z
HEK\u0130MLER\u0130N\u0130N UYGULADI\u011eI VE Y\u00dcZDE YAPILAN KES\u0130N\u0130N AKS\u0130NE HERHANG\u0130 B\u0130R KES\u0130 YOKTUR.
AMEL\u0130YATTA G\u00d6Z YA\u015eI KANALININ BURUN \u0130\u00c7ER\u0130S\u0130NDEK\u0130 KEM\u0130K DUVARI \u00c7IKARILIR VE KANALA
YERLE\u015eT\u0130R\u0130LEN S\u0130L\u0130KON T\u00dcP\u00dcN 6 AY ORADA TUTULMASI \u0130LE B\u0130RL\u0130KTE YEN\u0130DEN KANAL
OLU\u015eTURULMU\u015e OLUR.
AMEL\u0130YAT GENEL ANESTEZ\u0130 ALTINDA YAKLA\u015eIK 45 DAK\u0130KALIK B\u0130R S\u00dcREDE GER\u00c7EKLE\u015eT\u0130R\u0130L\u0130R
VE HASTA ERTES\u0130 G\u00dcN TABURCU ED\u0130L\u0130R<\/p>\n
R\u0130NOPLAST\u0130 ( ESTET\u0130K AMA\u00c7LI BURUN AMEL\u0130YATI):
BURUN \u015eEKL\u0130NDE TRAVMAT\u0130K OLSUN OLMASIN HASTAYI RAHATSIZ EDEN VEYA
BERABER\u0130NDE SOLUNUM BOZUKLU\u011eUNA DA SEBEP OLAN G\u00d6R\u00dcNT\u00dc SORUNLARININ CERRAH\u0130
OLARAK D\u00dcZELT\u0130LMES\u0130 \u0130\u015eLEM\u0130NE R\u0130NOPLAST\u0130 AMEL\u0130YATI ADI VER\u0130LMEKTED\u0130R.
BURUN \u0130\u00c7ER\u0130S\u0130NDEK\u0130 KEM\u0130K B\u00d6LMEDE DE E\u011eR\u0130L\u0130K VARSA YAPILAN \u0130\u015eLEME SEPTOR\u0130NOPLAST\u0130
ADI VER\u0130L\u0130R.
R\u0130NOPLAST\u0130 AMEL\u0130YATINDA BURUN \u015eEKL\u0130N\u0130 OLU\u015eTURAN VE KIKIRDAK, KEM\u0130K VE YUMU\u015eAK
DOKUDAN OLU\u015eAN YAPILARA M\u00dcDAHALE ED\u0130L\u0130R.
AMA\u00c7 HASTANIN Y\u00dcZ\u00dcYLE UYUMLU, ESTET\u0130K ORAN, BOYUT VE A\u00c7ILARA SAH\u0130P AYNI
ZAMANDA NEFES ALMAYI KOLAYLA\u015eTIRAN B\u0130R BURUN OLU\u015eTURMAKTIR.
KADINLAR VE ERKEKLER ARASINDA ESTET\u0130K VE G\u00dcZEL BURUN G\u00d6R\u00dcNT\u00dcS\u00dc A\u00c7ISINDAN BAZI
FARKLAR VARDIR. BAYANLARDA BURUN UCU DAHA K\u00dc\u00c7\u00dcK VE S\u0130VR\u0130, BURUN SIRTI DAHA AL\u00c7AK VE
KAV\u0130SL\u0130 VE BURUN DUDAK A\u00c7ISI DAHA FAZLA B\u0130R BURUN TERC\u0130H ED\u0130L\u0130RKEN ERKEKLERDE DAHA D\u00dcZ
HATLARA SAH\u0130P VE Y\u00dcZLE UYUMU DAHA \u00d6NEM ARZ EDEN B\u0130R BURUN TERC\u0130H ED\u0130L\u0130R.
AMEL\u0130YAT \u00d6NCES\u0130NDE HASTANIN BURUN VE Y\u00dcZ ANAL\u0130Z\u0130 \u00d6NEML\u0130D\u0130R VE S\u00dcRE\u00c7 HASTA \u0130LE
D\u0130YALOG HAL\u0130NDE Y\u00dcR\u00dcT\u00dcLMEL\u0130D\u0130R. HASTANIN C\u0130LD\u0130 AMEL\u0130YAT SONRASI S\u00dcRE\u00c7TE EN \u00d6NEML\u0130
FAKT\u00d6RD\u00dcR.
ASLA UNUTULMAMALIDIR K\u0130 R\u0130NOPLAST\u0130 SONRASI \u0130Y\u0130LE\u015eME VE N\u0130HA\u0130 SONUCUN ORTAYA
\u00c7IKMASI \u0130\u00c7\u0130N SABIR VE EMEK GEREKL\u0130D\u0130R. AMEL\u0130YATTA K\u00dc\u00c7\u00dcLT\u00dcLEN VE DE\u011e\u0130\u015eT\u0130R\u0130LEN KIKIRDAK VE
KEM\u0130K \u0130SKELET\u0130N \u00dcZER\u0130NE TEKRAR OTURTULAN C\u0130LD\u0130N KAL\u0130TES\u0130 YAPILMI\u015e OLAN \u0130\u015e\u00c7\u0130L\u0130\u011e\u0130 HER ZAMAN
ORANTILI B\u0130R \u015eEK\u0130LDE G\u00d6STERMEYEB\u0130L\u0130R.
R\u0130NOPLAST\u0130 AMEL\u0130YATINDA \u0130K\u0130 ANA TEKN\u0130K MEVCUTTU. KAPALI VE A\u00c7IK TEKN\u0130K OLARAK
ADLANDIRILAN BU TEKN\u0130KLER BURUN UCUNDA KES\u0130 YAPILIP YAPILMAMASINA G\u00d6RE FARKLILIK
ARZEDER.
KAPALI TEKN\u0130K R\u0130NOPLAST\u0130DE KES\u0130LER TAMAMEN BURUN \u0130\u00c7ER\u0130S\u0130NDED\u0130R VE BURUN UCUNU
BESLEYEN ANA DAMAR VE S\u0130N\u0130RLER KORUNUR. A\u00c7IK TEKN\u0130K R\u0130NOPLAST\u0130YE G\u00d6RE DOKUYA DAHA AZ
ZARAR VER\u0130R VE BURUNUCUNDA DAHA HIZLI VE DO\u011eAL TOPARLANMA SUNAR. A\u00c7IK TEKN\u0130\u011eE G\u00d6RE
B\u0130R M\u0130KTAR DAHA ZORDUR ANCAK TECR\u00dcBEL\u0130 ELLERDE ZORLUK S\u00d6Z KONUSU DE\u011e\u0130LD\u0130R.
AMEL\u0130YAT TEKN\u0130\u011e\u0130NE HASTANIN BURNU, CERRAHIN TERC\u0130H VE TECR\u00dcBES\u0130NE G\u00d6RE KARAR
VERMEK EN DO\u011eRUSUDUR. HER HASTA \u0130\u00c7\u0130N STANDART TEKN\u0130K VE CERRAH\u0130 PROSED\u00dcR YOKTUR.
HER HASTANIN BURNU VE \u0130STEKLER\u0130 \u00d6ZG\u00dcLD\u00dcR VE TERC\u0130HTE ASIL BEL\u0130RLEY\u0130C\u0130 OLAN BUDUR.
\u0130Y\u0130 B\u0130R CERRAH T\u00dcM TEKN\u0130KLERE HAK\u0130M OLMALI VE G\u00dcNCEL CERRAH\u0130 GEL\u0130\u015eMELER\u0130 TAK\u0130P
ETMEL\u0130D\u0130R. \u00c7\u00dcNK\u00dc R\u0130NOPLAST\u0130 AMEL\u0130YATIYLA \u0130LGL\u0130 YEN\u0130 F\u0130K\u0130RLER VE TEKN\u0130KLER \u00dcRET\u0130LMEYE
DEVAM ETMEKTED\u0130R.
AMEL\u0130YAT OLAN HASTALARIN EN AZ %10 LUK KISMINDA MEMNUN\u0130YETS\u0130ZL\u0130K S\u00d6Z KONUSU
OLAB\u0130L\u0130R. BAZEN YANLI\u015e CERRAH\u0130 TEKN\u0130K VE UYGULAMA TERC\u0130HLER\u0130 BAZEN \u0130Y\u0130LE\u015eME VE C\u0130LT<\/p>\n
SORUNLARI BAZEN DE HASTALARIN OBSESYONLARI BU SORUNA SEBEP OLUR. BU AMEL\u0130YAT ESTET\u0130K
AMA\u00c7LIDIR VE G\u00dcZELL\u0130K G\u00d6RECEL\u0130 B\u0130R KAVRAMDIR. BU NEDENLE % 100 MEMNUN\u0130YET YOKTUR.
AMEL\u0130YAT GENEL ANESTEZ\u0130 ALTINDA YAPILMAKTADIR VE 1 SAAT \u0130LE 5 SAAT ARASINDA
S\u00dcREB\u0130L\u0130R . BU CERRAHIN TECR\u00dcBES\u0130NE VE BURUNDAK\u0130 PATOLOJ\u0130N\u0130N C\u0130DD\u0130YET\u0130NE BA\u011eLI OLARAK
DE\u011e\u0130\u015e\u0130R. HASTALAR 1 G\u00dcN SONRA TABURCU ED\u0130L\u0130R. BURUN \u0130\u00c7ER\u0130S\u0130NE GENELL\u0130KLE S\u0130L\u0130KON HAVA
KANALLI TAMPON KONULUR VE 1-5 G\u00dcN SONRA \u00c7IKARILIR. AMEL\u0130YATTAN 1 HAFTA SONRA VARSA
D\u0130K\u0130\u015eLER ALINIR, ATEL \u00c7IKARILIR VE YEN\u0130DEN BANDAJ YAPILIR. 2. BANDAJ DA 1 HAFTA TUTULDUKTAN
SONRA \u00c7IKARILIR VE MASAJ UYGULAMA TEKN\u0130KLER\u0130 \u00d6\u011eRET\u0130LEREK BURUN C\u0130LD\u0130N\u0130N D\u00dcZG\u00dcN B\u0130R
\u015eEK\u0130LDE HAC\u0130M KAYBETMES\u0130 VE \u0130Y\u0130LE\u015eMES\u0130 SA\u011eLANMI\u015e OLUR.
AMEL\u0130YAT SONRASINDA BURUN ETRAFINDA MORLUK OLU\u015eAB\u0130L\u0130R. BUNU EGELLEMEK \u0130\u00c7\u0130N
BUZ TATB\u0130K\u0130 VE MORLUK G\u0130DER\u0130C\u0130 KREMLER S\u00dcR\u00dcL\u00dcR. MORLUK OLU\u015eMU\u015e \u0130SE GENELL\u0130KLE 1 HAFTA
SONUNDA TAMAMEN KAYBOLUR.
YEN\u0130DEN \u015eEK\u0130LLEND\u0130R\u0130LEN BURUN KEM\u0130KLER\u0130N\u0130N KAYNAMASI VE \u0130Y\u0130LE\u015eMES\u0130 \u0130\u00c7\u0130N 4-6 HAFTA
GEREKL\u0130D\u0130R. KIKRDAK DOKULARDA \u0130Y\u0130LE\u015eME C\u0130LT \u0130Y\u0130LE\u015eMES\u0130 \u0130LE PARALEL OLARAK 6 AY S\u00dcREB\u0130L\u0130R.
AMEL\u0130YAT SONRASINDA DARBELERDEN KES\u0130NL\u0130KLE SAKINMAK GEREK\u0130R.
HASTALARIN 2. AYDA KEM\u0130K \u0130Y\u0130LE\u015eMES\u0130 VE 6. AYDA C\u0130LT \u0130Y\u0130LE\u015eMES\u0130 \u0130\u00c7\u0130N KONTROLLER
YAPILIR.
HASTA MEMNUN\u0130YETS\u0130ZL\u0130\u011e\u0130 DURUMUNDA BAZEN REV\u0130ZYON AMEL\u0130YATLAR GEREKL\u0130D\u0130R
BAZEN DE SORUN DOLGU ENJEKS\u0130YONLARI \u0130LE G\u0130DER\u0130LEB\u0130LECEK KADAR HAF\u0130F OLAB\u0130L\u0130R.
REV\u0130ZYON \u0130\u015eLEM\u0130 \u0130\u00c7\u0130N GENELL\u0130KLE C\u0130LT \u0130Y\u0130LE\u015eMES\u0130N\u0130N TAMAMLANMASI BEKLEN\u0130R. ANCAK
AMEL\u0130YATINIZI YAPAN HEK\u0130M DAHA ERKEN B\u0130R S\u00dcREY\u0130 TERC\u0130H EDEB\u0130L\u0130R.
SES BOZUKLUKLARININ TEDAV\u0130S\u0130:
GIRTLA\u011eIMIZDA V HARF\u0130 \u015eEKL\u0130NDE \u00d6NDE B\u0130RLE\u015e\u0130K SEDEF RENG\u0130NDE KAS VE MUKOZADAN
OLU\u015eAN 2 ADET SES TEL\u0130M\u0130Z MEVCUTTUR. BOYUTU VE T\u0130RE\u015e\u0130M FREKANSI KADIN VE ERKEKLER
ARASINDA FARKLIDIR. BOYUTU KADINLARDA DAHA KISA T\u0130TRE\u015e\u0130M FREKANSI \u0130SE DAHA FAZLADIR.
SES TELLER\u0130 KAYNAKLI SES BOZUKLUKLARINA D\u0130SFON\u0130 ADI VER\u0130LMEKTED\u0130R. D\u0130SFON\u0130 SES
TELLER\u0130NDEK\u0130 YAPISAL VEYA FONKS\u0130YONEL BOZUKLUKLARDAN KAYNAKLI OLAB\u0130LMEKTED\u0130R. \u00d6DEM,
NOD\u00dcL, POL\u0130P, KANSER\u2026VB G\u0130B\u0130 YAPISAL BOZUKLUKLAR VE SES TEL\u0130 FELC\u0130, FALSETTO MUTASYON\u2026
VB G\u0130B\u0130 FONKS\u0130YONEL BOZUKLUKLAR MEVCUTTUR.
\u00d6NCEL\u0130KLE SES TELLER\u0130N\u0130N ENDOSKOP\u0130K MUAYENES\u0130 \u015eARTTIR. DAHA SONRA BOZUKLU\u011eUN
KAYNA\u011eINA Y\u00d6NEL\u0130K \u0130NCELEMELER YAPILARAK TEDAV\u0130 PLANLANIR.
TEDAV\u0130DE PATOLOJ\u0130YE G\u00d6RE SES \u0130ST\u0130RAHAT\u0130, SES TERAP\u0130S\u0130, \u0130LA\u00c7 TEDAV\u0130S\u0130, M\u0130N\u0130MAL
G\u0130R\u0130\u015e\u0130MSEL \u0130\u015eLEMLER VE M\u0130KROKOP\u0130K VEYA A\u00c7IK CERRAH\u0130 TEKN\u0130KLER UYGULANAB\u0130L\u0130R.
M\u0130N\u00d6R SORUNLARDA YAPILACAK CERRAH\u0130 \u0130\u015eLEM GENEL VEYA LOKAL ANESTEZ\u0130 \u0130LE
M\u0130KROSKOP\u0130K VEYA ENDOSKOP\u0130K OLARAK UYGULANIR VE OPERASYON S\u00dcRE\u0130 YAKLA\u015eIK 45
DAK\u0130KADIR. HASTA 1 G\u00dcN SONRA TABURCU ED\u0130L\u0130R VE EN AZ 1 HAFTA KONU\u015eMA YASA\u011eI
UYGULANIR.<\/p>\n
SES\u0130N\u0130N KALINLI\u011eINDAN VEYA \u0130NCEL\u0130\u011e\u0130NDEN \u015e\u0130KAYET\u00c7\u0130 OLAN HASTALAR \u0130\u00c7\u0130N CERRAH\u0130
M\u00dcDAHALE S\u00d6Z KONUSUDUR. BU \u0130\u015eLEM A\u00c7IK TEKN\u0130KLE BOYUNA YAPILAN K\u00dc\u00c7\u00dcK B\u0130R KES\u0130DEN
GER\u00c7EKLE\u015eT\u0130R\u0130L\u0130R VE SES TELLER\u0130N\u0130N UZUNLU\u011eU DE\u011e\u0130\u015eT\u0130R\u0130LEREK YAPILIR.
2 HAFTAYI GE\u00c7EN S\u00dcREL\u0130 SES BOZUKLUKLARI \u00d6NEML\u0130D\u0130R. \u00c7\u00dcNK\u00dc KANSER DE SES
BOZUKLU\u011eUNUN SEBEPLER\u0130NDEND\u0130R.
\u00c7OCUK VE ERGENL\u0130K \u00c7A\u011eINDAK\u0130 HASTALARDA \u0130Y\u0130 HUYLU PATOLOJ\u0130LERE BA\u011eLI SES
BOZUKLUKLARINDA CERRAH\u0130 M\u00dcDAHALE SES\u0130N OLGUNLA\u015eMA S\u00dcREC\u0130DEVAM ETT\u0130\u011e\u0130 \u0130\u00c7\u0130N TERC\u0130H
ED\u0130LMEZ. SES \u0130ST\u0130RAHAT VE TERAP\u0130S\u0130 FAYDALIDIR.
BOYUNDA K\u0130TLE:
BOYNUMUZDA YER ALAN GIRTLAK, T\u0130RO\u0130D BEZ\u0130, LENF NODLARI, T\u00dcKR\u00dcK BEZLER\u0130, DAMAR VE
S\u0130N\u0130R YAPILARI VE YUMU\u015eAK DOKULARDAN KAYNAKLI OLARAK BAZENDE DO\u011eUMSAL ANOMAL\u0130LERE
BA\u011eLI \u015e\u0130\u015eL\u0130K VE K\u00dcTLELER MEYDANA GELEB\u0130L\u0130R. BU PATOLOJ\u0130LER \u0130Y\u0130 HUYLU DA OLAB\u0130L\u0130R KANSER
G\u0130B\u0130 K\u00d6T\u00dc HUYLU DA OLAB\u0130L\u0130R.
BOYNUNDA K\u0130TLE FARK EDEN HASTANIN VAK\u0130T KAYBETMEDEN KBB HEK\u0130M\u0130NE G\u00d6R\u00dcNMES\u0130
VE K\u0130TLEN\u0130N SEBEB\u0130N\u0130N ARA\u015eTIRILMASI \u0130\u00c7\u0130N KAN TETK\u0130KLER\u0130, ENDOSKOP\u0130K MUAYENE, USG, CT, MR
VE GEREKT\u0130\u011e\u0130NDE B\u0130YOPS\u0130 \u0130LE SEBEB\u0130N\u0130N ORTA KONULMASI \u015eARTTIR.
\u0130Y\u0130 HUYLU K\u0130TLELER\u0130N TAK\u0130B\u0130, ENFEKS\u0130Y\u00d6Z K\u0130TLELER\u0130N \u0130LA\u00c7LA TEDAV\u0130S\u0130, B\u00dcY\u00dcK VE K\u00d6T\u00dc
HUYLU VEYA BASKI YAPAN K\u0130TLELER\u0130N CERRAH\u0130 TEDAV\u0130S\u0130 GEREKL\u0130D\u0130R.
HORLAMA VE UYKU APNES\u0130:
HORLAMA UYKU SIRASINDA SOLUNUM G\u00dc\u00c7L\u00dc\u011e\u00dcNE BA\u011eLI G\u00dcR\u00dcLT\u00dcL\u00dc SOLUK ALIP VERME,
APNE \u0130SE UYKU SIRASINDA ER\u0130\u015eK\u0130NLERDE 10 SAN\u0130YE \u00c7OCUKLARDA \u0130SE 5 SN S\u00dcREL\u0130 ARALIKLI NEFES
DURMALARIDIR. HORLAMA SOSYAL APNE \u0130SE C\u0130DD\u0130 KOMPL\u0130KASYONLARA SEBEP OLAB\u0130LECEK HAYAT\u0130
B\u0130R SORUNDUR.
GENELL\u0130KLE YORGUN UYANMA, G\u00dcN \u0130\u00c7ER\u0130S\u0130NDE UYKU HAL\u0130, BA\u015e A\u011eRISI, D\u0130KKAT EKS\u0130KL\u0130\u011e\u0130,
\u0130\u015eTAH BOZUKLUKLARI, KALP, AKC\u0130\u011eER VE N\u00d6ROLOJ\u0130K SORUNLARA NEDEN OLAN B\u0130R DURUMDUR.
HORLAMA A\u015eIRI K\u0130LO HAL\u0130, HAVA YOLUNDA DARLIK VE Y\u00dcZ \u00c7ENE BOZUKLUKLARINA BA\u011eLI
OLARAK MEYDAN GEL\u0130R. BAZEN A\u015eIRI YORUNLUK, ALKOL VE SAK\u0130NLE\u015eT\u0130R\u0130C\u0130 \u0130LA\u00c7 KULLANIMI DA
SEBEP OLAB\u0130L\u0130R. ANCAK UYKU APNES\u0130 BAZEN N\u00d6ROLOJ\u0130K KAYNAKLI DA GER\u00c7EKLE\u015eEB\u0130L\u0130R.
HAVA YOLUNDA UYKU SIRASINDA DARLIK VEYA TAM KAPANMAYA BA\u011eLI UYKU APNES\u0130NE
TIKAYICI UYKU APNES\u0130 ( OSAS: OBSTRUCT\u0130VE SLEEP APNEA SYNDROME) ADI VER\u0130LMEKTED\u0130R.
APNE TEDAV\u0130S\u0130NDE YA\u015eAM TARZI VE BESLENME DE\u011e\u0130\u015e\u0130KL\u0130KLER\u0130, CPAP C\u0130HAZI \u0130LE SOLUNUM
DESTE\u011e\u0130 VE CERRAH\u0130 TEDAV\u0130 SE\u00c7ENEKLER\u0130 S\u00d6Z KONUSUDUR.
SANTRAL APNEDE CPAP C\u0130HAZI \u0130LE HAVAYOLUNU S\u00dcREKL\u0130 A\u00c7IK TUTARAK OKS\u0130JEN DESTE\u011e\u0130
SA\u011eLAMAK B\u0130R\u0130NC\u0130L TEDAV\u0130 \u0130KEN OSAS DA CERRAH\u0130 TEDAV\u0130 VE K\u0130LO VERMEK \u00d6NE \u00c7IKMAKTADIR<\/p>\n
CERRAH\u0130 TEDAV\u0130DE AMA\u00c7 HAVA YOLUNDA BURUN G\u0130R\u0130\u015e\u0130NDEN GIRTLA\u011eA KADAR OLAN \u00dcST
HAVAYOLUNDA KIKIRDAK, KEM\u0130K, YUMU\u015eAK DOKU G\u0130B B\u00dcY\u00dcKL\u00dcK VE \u015eEK\u0130L OLARAK DARLI\u011eA SEBEP
OLAB\u0130LECEK DOKULARA Y\u00d6NEL\u0130K G\u0130R\u0130\u015e\u0130MLER S\u00d6Z KONUSUDUR.
AMEL\u0130YAT KARARI VERMEDEN \u00d6NCE HASTANIN DETAYLI OLARAK ENDOSKOP\u0130K KBB
MUAYENES\u0130 RADYOLOJ\u0130K G\u00d6R\u00dcNT\u00dcLEMES\u0130N\u0130N YAPILMASI VE UYKU TEST\u0130N\u0130N (PSG:
POL\u0130SOMNOGRAF\u0130) YAPILMASI DO\u011eRU TEDAV\u0130 TERC\u0130H\u0130 \u0130\u00c7\u0130N \u015eARTTIR.
M\u0130N\u0130MAL FASYAL ESTET\u0130K UYGULAMALAR:
Y\u00dcZDE ESTET\u0130K VE G\u00dcZEL B\u0130R G\u00d6R\u00dcN\u00dcM SA\u011eLAMAK \u0130\u00c7\u0130N HER ZAMAN CERRAH\u0130
M\u00dcDAHALEYE GEREK YOKTUR. BAZI G\u0130R\u0130\u015e\u0130MSEL \u0130\u015eLEMLER KL\u0130N\u0130K ORTAMINDA LOKAL ANESTEZ\u0130 \u0130LE
UYGULANAB\u0130L\u0130R.BUNLARIN BA\u015eINDA Y\u00dcZE BOTOKS UYGULANMASI GELMEKTED\u0130R.
BOTOKS UYGULAMASI G\u00dcN\u00dcM\u00dcZDE D\u00dcNYADA EN \u00c7OK YAPILAN ESTET\u0130K AMA\u00c7LI
UYGULAMADIR.
BOTOKS ASLINDA B\u0130R BAKTER\u0130 ZEH\u0130R\u0130D\u0130R VE \u0130STEML\u0130 \u00c7ALI\u015eAN \u00c7\u0130ZG\u0130L\u0130 KASLARIMIZI GE\u00c7\u0130C\u0130
OLARAK FEL\u00c7 EDEREK Y\u00dcZDE C\u0130LTTE OLU\u015eAN KIRI\u015eIKLIKLARIN ORTADAN KALKMASINI SA\u011eLAR. ETK\u0130S\u0130
4-6 AY S\u00dcREL\u0130D\u0130R VE TEKRAR UYGULAMA GEREKT\u0130R\u0130R.
T\u00dcRK\u0130YEDE BOTOX VE DYSPORT OLMAK \u00dcZERE 2 G\u00dcVEN\u0130L\u0130R MARKA BULUNMAKTADIR.
BUNLARIN HAR\u0130C\u0130NDE \u00c7\u0130N KAYNAKLI BOTOKS \u0130\u00c7EREN \u00dcR\u00dcNLER DE MEVCUTTUR.
BOTOKS UYGULAMASINDA AMA\u00c7 Y\u00dcZDE YA\u015eLANMA VE M\u0130M\u0130K HAREKETLER\u0130NE BA\u011eLI
OLARAK C\u0130LTTE OLU\u015eAN KIRI\u015eIKLIKLARIN G\u0130DER\u0130LMES\u0130N\u0130 SA\u011eLAMAKTIR. ALIN, BURUN K\u00d6K\u00dc, G\u00d6Z
ETRAFI, DUDAK VE \u00c7ENE B\u00d6LGES\u0130NE UYGULAMA S\u00d6Z KONUSUDUR. AYRICA D\u0130\u015e SIKMAYA BA\u011eLI \u00c7ENE
VE YANAK B\u00d6LGES\u0130NDEK\u0130 A\u011eRI VE \u015e\u0130\u015e G\u00d6R\u00dcN\u00dcM\u00dc G\u0130DERMEK \u0130\u00c7\u0130N MASSETER KAS BOTOKSU
UYGULAMASI DA VARDIR.
BOTOKSUN YANINDA BURUN, DUDAK VE NAZOLAB\u0130AL B\u00d6LGELERE HYALURON\u0130K AS\u0130T \u0130\u00c7EREN
DOLGULARIN ENJEKS\u0130YONU \u0130LE HAC\u0130M KAZANDIRMA VE BURUN \u015eEKL\u0130N\u0130 DE\u011e\u0130\u015eTERMEK
M\u00dcMK\u00dcND\u00dcR. BU UYGULAMALARIN ETK\u0130 S\u00dcRES\u0130 DE BOTOKS G\u0130B\u0130 GE\u00c7\u0130C\u0130 OLMAKLA B\u0130RL\u0130KTE
ETK\u0130NL\u0130\u011e\u0130 DAHA UZUN S\u00dcREL\u0130D\u0130R VE TAMAMEN KAYBOLMAMAKTADIR.
HER TIBB\u0130 \u0130\u015eLEM\u0130N BAS\u0130T OLSUN KOMPLEKS OLSUN YAN ETK\u0130 R\u0130SKLER\u0130 VARDIR VE BU
NEDENLE UYGUN ORTAMLARDA YETERL\u0130 TIBB\u0130 B\u0130LG\u0130 VE TECR\u00dcBEYE SAH\u0130P HEK\u0130MLER TARAFINDAN
YAPILMALIDIR.<\/p>\n","protected":false},"excerpt":{"rendered":"
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