G\u00fcn\u00fcm\u00fczde\u00a0 kep\u00e7e kulak deformitesi, toplumun %5\u2019inden daha \u00e7o\u011funu etkiler. Her ne kadar hasta \u00fczerindeki fizyolojik etkisi \u00f6nemsiz olsa da, psikolojik ve estetik olarak ciddi etkileri olur. Kep\u00e7e kulak deformitesi temelde, kulak kep\u00e7esinin kafatas\u0131yla yapt\u0131\u011f\u0131 a\u00e7\u0131n\u0131n fazla olmas\u0131ndan, d\u0131\u015f kulak k\u0131vr\u0131m\u0131n\u0131n olu\u015fmamas\u0131ndan ve kulak kep\u00e7esinin derinli\u011finden olu\u015fur.<\/p>\n
Kula\u011f\u0131n geli\u015fimi:<\/strong> 1 ya\u015f\u0131nda, eri\u015fkin kulak geni\u015fli\u011finin %90\u2019\u0131na, 10 ya\u015f\u0131nda % 97-99\u2019una ula\u015f\u0131l\u0131r. Kula\u011f\u0131n uzunluk geli\u015fimi daha yava\u015f olur. \u015e\u00f6yle ki 1 ya\u015f\u0131nda kulak uzunlu\u011funun %75\u2019i, 10 ya\u015f\u0131nda %93\u2019\u00fcne ula\u015f\u0131l\u0131r.<\/p>\n Ameliyat zaman\u0131n\u0131n planlanmas\u0131: Ameliyat zaman\u0131n\u0131n se\u00e7iminde, kulak geli\u015fiminin yeterlili\u011fi, deformiteden kaynaklanan psikolojik stres, kulak k\u0131k\u0131rda\u011f\u0131n\u0131n esnekli\u011fi g\u00f6z \u00f6n\u00fcne al\u0131n\u0131r. 6 ya\u015f\u0131ndan sonra kulak k\u0131k\u0131rda\u011f\u0131 sertle\u015fmeye ba\u015flar. Yap\u0131lan bir ara\u015ft\u0131rmada g\u00f6sterilmi\u015ftir ki 6 ya\u015f\u0131ndan \u00f6nce ameliyat edilen hastalarda, prosed\u00fcrden 10 y\u0131l sonra n\u00fcks oran\u0131 (tekrarlama riski) % 1.8; bununla beraber 6 ya\u015f\u0131ndan sonra ameliyat edilen hastalarda ise % 30\u2019dur. Bu sebeplerle s\u0131kl\u0131kla okula ba\u015flamadan \u00f6nce bu hastalar\u0131n ameliyat edilmesini \u00f6nerilir. Ayn\u0131 zamanda, \u00e7ocuk okulda arkada\u015flar\u0131n\u0131n alaylar\u0131na maruz kalarak stres ya\u015famaz.<\/p>\n Ameliyat tekni\u011fi:<\/strong> Kep\u00e7e kulak ameliyat\u0131 \u00e7ocuklarda genel anestezi, eri\u015fkinlerde ise b\u00f6lgesel anestezi ile yap\u0131l\u0131r. Kulak arkas\u0131ndan yap\u0131lan kesi ile \u00e7al\u0131\u015f\u0131l\u0131r. Ameliyattan sonra 3-5. g\u00fcn pansuman a\u00e7\u0131l\u0131r. Bir hafta -10 g\u00fcn aras\u0131 diki\u015fler al\u0131n\u0131r. Daha sonra hastan\u0131n 3 hafta s\u00fcrekli, ard\u0131ndan 1 ay da geceleri tenis\u00e7i bandaj\u0131 kullanmas\u0131 istenir.<\/p>\n Komplikasyonlar (\u0130stenmeyen sonu\u00e7lar):\u00a0<\/strong> A\u015fa\u011f\u0131da sayd\u0131\u011f\u0131m komplikasyonlar kitabi bilgi olup, hastan\u0131n bilgilendirilmesi mutlaka gereklidir. Ancak pratikte, kendi hastalar\u0131mda neredeyse hi\u00e7biri ile kar\u015f\u0131la\u015fmamaktay\u0131m.<\/p>\n -Enfeksiyon:<\/strong> Ameliyat s\u0131ras\u0131 ve sonras\u0131nda antibiotik kullan\u0131m\u0131 ile bu komplikasyon engellenir.<\/p>\n -Hematom (Kan toplanmas\u0131):<\/strong> Bu b\u00f6lge kan toplanmas\u0131n\u0131n \u00e7ok s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc bir b\u00f6lge\u00a0 olmamakla beraber, ameliyattan sonra kulaklarda olu\u015fabilen \u015fiddetli a\u011fr\u0131n\u0131n s\u0131kl\u0131kla sebebidir. Bu durumda pansuman\u0131n a\u00e7\u0131l\u0131p i\u00e7eride birikmi\u015f kan\u0131n bo\u015falt\u0131lmas\u0131 gerekir. Ancak ameliyatta titiz \u00e7al\u0131\u015f\u0131lmas\u0131, en ufak damarlar\u0131n bile tutulmas\u0131 ile bu komplikasyona pek s\u0131k rastlanmaz.<\/p>\n -Asimetri:<\/strong> \u00c7ift organlar\u0131n hi\u00e7biri tamamen simetrik olmay\u0131p, minimal asimetrilerin olmas\u0131 normaldir.\u00a0 E\u011fer ciddi asimetri varsa bu\u00a0 d\u00fczeltilmelidir. \u0130yi bir planlama ile bu komplikasyonla da kar\u015f\u0131la\u015fm\u0131yoruz.<\/p>\n – Overcorrection (Fazla d\u00fczeltme)<\/strong>: Kulaklar\u0131n kep\u00e7eli\u011finin giderilirken kafaya \u00e7ok fazla yap\u0131\u015ft\u0131r\u0131lmas\u0131d\u0131r. Bu son derece do\u011fal olmayan bir g\u00f6r\u00fcn\u00fcme yol a\u00e7ar. Tamamen cerrah\u0131n yetene\u011fi ve tekni\u011fi ile ilgili bir sonu\u00e7tur. Bence bu deformite ile kar\u015f\u0131la\u015f\u0131laca\u011f\u0131na, yeterli miktarda d\u00fczeltilerek do\u011fal bir sonuca ula\u015fmak \u00e7ok daha do\u011frudur.<\/p>\n – N\u00fcks (Tekrarlama riski)<\/strong>: Bu risk, kullan\u0131lan tekni\u011fe, cerrah\u0131n kulak biomekani\u011fini ve k\u0131k\u0131rda\u011f\u0131n\u0131 do\u011fru de\u011ferlendirmesine, ameliyat sonras\u0131 bandaj\u0131n d\u00fczenli kullan\u0131l\u0131p kullan\u0131lmamas\u0131na g\u00f6re %1-30 aras\u0131nda de\u011fi\u015fir.<\/p>\n Sonu\u00e7:<\/strong> K\u0131k\u0131rda\u011f\u0131 b\u00fckme, e\u011fme, diki\u015fle \u015fekillendirme,\u00a0 k\u0131k\u0131rdak \u00e7\u0131kar\u0131lmas\u0131, zay\u0131flat\u0131lmas\u0131 ve \u015fekillendirilmesi gibi y\u00fczlerce ameliyat tekni\u011fi tan\u0131mlanm\u0131\u015ft\u0131r.\u00a0 Kulak yap\u0131s\u0131 ve anatomisinin, hastan\u0131n deformitesinin klinik olarak do\u011fru de\u011ferlendirilmesi, cerrah\u0131n yetene\u011fi ve hastaya uygun tekni\u011fin se\u00e7ilmesi, operasyonun m\u00fcmk\u00fcnse okul \u00f6ncesi d\u00f6nemde yap\u0131lmas\u0131, ameliyat sonras\u0131 maksimum estetik sonucun al\u0131nmas\u0131n\u0131 sa\u011flar.<\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" G\u00fcn\u00fcm\u00fczde\u00a0 kep\u00e7e kulak deformitesi, toplumun %5\u2019inden daha \u00e7o\u011funu etkiler. Her ne kadar hasta \u00fczerindeki fizyolojik etkisi \u00f6nemsiz olsa da, psikolojik ve estetik olarak ciddi etkileri olur. Kep\u00e7e kulak deformitesi temelde, kulak kep\u00e7esinin kafatas\u0131yla yapt\u0131\u011f\u0131 a\u00e7\u0131n\u0131n fazla olmas\u0131ndan, d\u0131\u015f kulak k\u0131vr\u0131m\u0131n\u0131n olu\u015fmamas\u0131ndan ve kulak kep\u00e7esinin derinli\u011finden olu\u015fur. Kula\u011f\u0131n geli\u015fimi: 1 ya\u015f\u0131nda, eri\u015fkin kulak geni\u015fli\u011finin %90\u2019\u0131na, 10 […]<\/p>\n","protected":false},"author":1,"featured_media":345,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-344","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/posts\/344","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/comments?post=344"}],"version-history":[{"count":0,"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/posts\/344\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/media\/345"}],"wp:attachment":[{"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/media?parent=344"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/categories?post=344"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.esracelik.com\/de\/wp-json\/wp\/v2\/tags?post=344"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}