{"id":1626,"date":"2023-01-22T18:42:30","date_gmt":"2023-01-22T15:42:30","guid":{"rendered":"https:\/\/drparvizaslanov.com\/tr\/?page_id=1626"},"modified":"2023-09-19T18:46:29","modified_gmt":"2023-09-19T15:46:29","slug":"revizyon-rinoplasti-modern-inceleme","status":"publish","type":"page","link":"https:\/\/drparvizaslanov.com\/tr\/revizyon-rinoplasti-modern-inceleme","title":{"rendered":"REV\u0130ZYON R\u0130NOPLAST\u0130YE MODERN YAKLA\u015eIM"},"content":{"rendered":"<div id='av-layout-grid-1'  class='av-layout-grid-container av-1c8375-d819e7cdfeced3cc90c10484db209eee entry-content-wrapper main_color av-flex-cells  avia-builder-el-0  el_before_av_section  avia-builder-el-first   container_wrap sidebar_right'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-d6rb09-0c805f0118a29c5d2370e19578120966\">\n.flex_cell.av-d6rb09-0c805f0118a29c5d2370e19578120966{\nvertical-align:middle;\nheight:500px;\nmin-height:500px;\npadding:80px 80px 80px 80px;\nbackground:url(https:\/\/drparvizaslanov.com\/tr\/wp-content\/uploads\/2023\/01\/revizyon-rinoplasti-modern-inceleme-845x671.jpg) 0% 0% no-repeat scroll #22689e;\n}\n<\/style>\n<div class='flex_cell av_one_half av-d6rb09-0c805f0118a29c5d2370e19578120966 no_margin  avia-builder-el-1  el_before_av_cell_one_half  avia-builder-el-first  avia-full-stretch' ><div class='flex_cell_inner'><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-cljbx5-eb4dd344a002d6f10677329cb4aa75fd\">\n.flex_cell.av-cljbx5-eb4dd344a002d6f10677329cb4aa75fd{\nvertical-align:middle;\nheight:500px;\nmin-height:500px;\npadding:80px 80px 80px 80px;\nbackground-color:#7c7c7c;\n}\n<\/style>\n<div class='flex_cell av_one_half av-cljbx5-eb4dd344a002d6f10677329cb4aa75fd no_margin  avia-builder-el-2  el_after_av_cell_one_half  avia-builder-el-last ' ><div class='flex_cell_inner'><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-czsx49-4f20ec0fdd0c293896e412af77b0dc2c\">\n#top .av-special-heading.av-czsx49-4f20ec0fdd0c293896e412af77b0dc2c{\npadding-bottom:25px;\ncolor:#ffffff;\nfont-size:34px;\n}\nbody .av-special-heading.av-czsx49-4f20ec0fdd0c293896e412af77b0dc2c .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-czsx49-4f20ec0fdd0c293896e412af77b0dc2c .av-special-heading-tag{\nfont-size:34px;\n}\n.av-special-heading.av-czsx49-4f20ec0fdd0c293896e412af77b0dc2c .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-czsx49-4f20ec0fdd0c293896e412af77b0dc2c .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-czsx49-4f20ec0fdd0c293896e412af77b0dc2c av-special-heading-h3 custom-color-heading blockquote modern-quote  avia-builder-el-3  el_before_av_textblock  avia-builder-el-first  av-inherit-size'><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >REV\u0130ZYON R\u0130NOPLAST\u0130YE MODERN YAKLA\u015eIM<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1a4tbl-03925d075f89295056f7076efbaf986a\">\n#top .av_textblock_section.av-1a4tbl-03925d075f89295056f7076efbaf986a .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-1a4tbl-03925d075f89295056f7076efbaf986a'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><\/div><\/section><\/p>\n<\/div><\/div><\/div><div id='av_section_1'  class='avia-section av-chxza9-13bb36b8de50b4635e8307af8a3786d9 main_color avia-section-huge avia-no-border-styling  avia-builder-el-5  el_after_av_layout_row  avia-builder-el-last  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-1626'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-cbfhxd-5069537efd4a01d98e94b770cac001f3 sc-av_one_third av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-cbfhxd-5069537efd4a01d98e94b770cac001f3\">\n#top .flex_column_table.av-equal-height-column-flextable.av-cbfhxd-5069537efd4a01d98e94b770cac001f3{\nmargin-top:-200px;\nmargin-bottom:0px;\n}\n.flex_column.av-cbfhxd-5069537efd4a01d98e94b770cac001f3{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\npadding:40px 40px 40px 40px;\n}\n<\/style>\n<div class='flex_column av-cbfhxd-5069537efd4a01d98e94b770cac001f3 av_one_third  avia-builder-el-6  el_before_av_one_third  avia-builder-el-first  first no_margin flex_column_table_cell av-equal-height-column av-align-top '   ><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-c8b89d-f7d0a695e06bfb188535d6aa0396b0e0\">\n#top .flex_column_table.av-equal-height-column-flextable.av-c8b89d-f7d0a695e06bfb188535d6aa0396b0e0{\nmargin-top:-200px;\nmargin-bottom:0px;\n}\n.flex_column.av-c8b89d-f7d0a695e06bfb188535d6aa0396b0e0{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\npadding:40px 40px 40px 40px;\nbackground-color:#303030;\n}\n<\/style>\n<div class='flex_column av-c8b89d-f7d0a695e06bfb188535d6aa0396b0e0 av_one_third  avia-builder-el-7  el_after_av_one_third  el_before_av_one_third  no_margin flex_column_table_cell av-equal-height-column av-align-top '   ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-c1vq5l-2274565a42cc97c9c00d90364d9dc172\">\n.av_font_icon.av-c1vq5l-2274565a42cc97c9c00d90364d9dc172{\ncolor:#ffffff;\nborder-color:#ffffff;\n}\n.av_font_icon.av-c1vq5l-2274565a42cc97c9c00d90364d9dc172 .av-icon-char{\nfont-size:60px;\nline-height:60px;\n}\n<\/style>\n<span  class='av_font_icon av-c1vq5l-2274565a42cc97c9c00d90364d9dc172 avia_animate_when_visible av-icon-style- avia-icon-pos-center avia-icon-animate'><span class='av-icon-char' aria-hidden='true' data-av_icon='' data-av_iconfont='medical' ><\/span><\/span><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bvg9ld-767587c0c005dfd658211b8e78d4bddc\">\n#top .hr.hr-invisible.av-bvg9ld-767587c0c005dfd658211b8e78d4bddc{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-bvg9ld-767587c0c005dfd658211b8e78d4bddc hr-invisible  avia-builder-el-9  el_after_av_font_icon  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bmb9gh-c94a05315c7f24fea9dd6606c03abbbb\">\n#top .av_textblock_section.av-bmb9gh-c94a05315c7f24fea9dd6606c03abbbb .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-bmb9gh-c94a05315c7f24fea9dd6606c03abbbb'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bha0rl-79b42d53be6b50935fac841c15c56b6e\">\n#top .hr.hr-invisible.av-bha0rl-79b42d53be6b50935fac841c15c56b6e{\nheight:8px;\n}\n<\/style>\n<div  class='hr av-bha0rl-79b42d53be6b50935fac841c15c56b6e hr-invisible  avia-builder-el-11  el_after_av_textblock  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-b7okt5-2c94ce7e18e69f9d379beb7e2b2d3041\">\n#top .flex_column_table.av-equal-height-column-flextable.av-b7okt5-2c94ce7e18e69f9d379beb7e2b2d3041{\nmargin-top:-200px;\nmargin-bottom:0px;\n}\n.flex_column.av-b7okt5-2c94ce7e18e69f9d379beb7e2b2d3041{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\npadding:40px 40px 40px 40px;\n}\n<\/style>\n<div class='flex_column av-b7okt5-2c94ce7e18e69f9d379beb7e2b2d3041 av_one_third  avia-builder-el-12  el_after_av_one_third  el_before_av_one_full  no_margin flex_column_table_cell av-equal-height-column av-align-top '   ><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-aggsfl-e50d94f2d94a0469a74b5ee2589970a2\">\n.flex_column.av-aggsfl-e50d94f2d94a0469a74b5ee2589970a2{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-aggsfl-e50d94f2d94a0469a74b5ee2589970a2 av_one_full  avia-builder-el-13  el_after_av_one_third  avia-builder-el-last  first flex_column_div  av-animated-generic bottom-to-top av-zero-column-padding column-top-margin'   ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-aaafsx-df956ba45ae77337088475865649f6f9\">\n#top .av-special-heading.av-aaafsx-df956ba45ae77337088475865649f6f9{\npadding-bottom:20px;\nfont-size:34px;\n}\nbody .av-special-heading.av-aaafsx-df956ba45ae77337088475865649f6f9 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-aaafsx-df956ba45ae77337088475865649f6f9 .av-special-heading-tag{\nfont-size:34px;\n}\n.av-special-heading.av-aaafsx-df956ba45ae77337088475865649f6f9 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-aaafsx-df956ba45ae77337088475865649f6f9 av-special-heading-h3 blockquote modern-quote  avia-builder-el-14  el_before_av_textblock  avia-builder-el-first  av-inherit-size'><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >REV\u0130ZYON R\u0130NOPLAST\u0130YE MODERN YAKLA\u015eIM<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-a4l989-1b0585bab80d85802d80dc227be69d31'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Revizyon Rinoplasti \u2013 burun esteti\u011fi y\u00fcz estetik cerrahisinin en zor ameliyatlar\u0131ndand\u0131r. Burun y\u00fcz\u00fcn tam orta b\u00f6lgesinde oldu\u011fu i\u00e7in e\u011fer d\u00fczg\u00fcn \u015fekillendirilmedi\u011fi takdirde estetik sorunlarla birlikte fonksiyonel sorunlar da ortaya \u00e7\u0131kar.<\/p>\n<p>Rinoplasti Rekonstr\u00fcktif bir prosed\u00fcr olarak ba\u015flam\u0131\u015f ve 1800`lerin sonlar\u0131ndan beri k\u00fc\u00e7\u00fcltme ameliyat\u0131 olarak geli\u015fmi\u015ftir.Amerikal\u0131 kulak-burun-bo\u011faz cerrah\u0131 Joseph Roe 1887 y\u0131l\u0131nda rinoplastide ilk intranazal (kapal\u0131 rinoplasti) yakla\u015f\u0131m\u0131 ile bilinir.<\/p>\n<p>Burun ucunun yeniden \u015fekillendirilmesi skorlama, rezeksiyon ve transeksiyon ile ba\u015flam\u0131\u015ft\u0131r. Estetik burun ameliyatlar\u0131n\u0131n say\u0131 artt\u0131k\u00e7a ikincil deformasyonlar \u2013 burun esteti\u011fi sorunlar\u0131 ortaya \u00e7\u0131km\u0131\u015ft\u0131r. Rinoplasti ameliyatlar\u0131ndan sonra en deneyimli cerrahlar bile 3-15% durumda revizyon rinoplasti (sekonder rinoplasti) ameliyat\u0131 ihtiya\u00e7 duyula biliyor.<\/p>\n<p>1970-1980 y\u0131llar\u0131nda sekonder deformasyonlar\u0131 ameliyat ederken yeni rinoplasti teknikleri geli\u015ftirmi\u015ftir.<br \/>\nGerekenden fazla burun k\u00fc\u00e7\u00fclmesini d\u00fczeltmek i\u00e7in dorsal greftleme, tip greftleme ve spreader greftlerin ve di\u011fer tekniklerin yaranmas\u0131nda en fazla katk\u0131da bulunan Jack Sheen`dir.<br \/>\nRevizyon rinoplasti ile u\u011fra\u015fan cerrahlara tekrar ameliyat i\u00e7in ba\u015fvuru yapan hastalar\u0131n aras\u0131nda en fazla kar\u015f\u0131la\u015f\u0131lan sorunlar ve te\u015fhisler a\u015fa\u011f\u0131daki \u015fekildedir :<br \/>\nPinching ve hanging kolumella, \u201csaddle nose\u201d defermasyonu,yara dokusu,asimetrik dorsum rezeksiyonu, \u201copen roof\u201d defermasyonu, art\u0131r\u0131lm\u0131\u015f ve azalt\u0131lm\u0131\u015f tip projeksiyonu, b\u00fcll\u00f6z veya geni\u015f burun ucu, tip asimetrisi, \u201cBossae\u201d, \u201cPollybeak\u201d, eksternal ve internal valv \u00e7\u00f6kmesi, burun deliklerinde asimetriler vb.<\/p>\n<p>\u0130kincil rinoplasti ile ilgilenen hastalarda psikoloji de\u011ferlendirme, anatomik de\u011ferlendirme, y\u00fcz analizi, fiziksel muayene, foto\u011fraf analizi yap\u0131lmal\u0131d\u0131r.<br \/>\nRevizyon rinoplastide en fazla kullan\u0131lan yakla\u015fma kaburgadan k\u0131k\u0131rdak al\u0131narak a\u00e7\u0131k rinoplasti uygulama y\u00f6ntemidir. \u0130kincil (\u00fc\u00e7\u00fcnc\u00fcl) burun ameliyatlar\u0131 ne zaman uygulanmal\u0131d\u0131r sorusuna cevap verirsek,s\u00f6ylemeliyim ki,minor deformasyonlar son ameliyattan 3-6 ay sonra, major deformasyonlar ve genel olarak revizyon rinoplasti ise son ameliyattan en az 1 y\u0131l sonra uygulanmas\u0131 \u00f6nerilir.<\/p>\n<p>Deri ve yumu\u015fak dokular\u0131n y\u00fckseli\u015fi s\u0131ras\u0131nda kan deste\u011finin daha fazla kesilmemesi i\u00e7in \u00f6nceki ameliyat s\u0131ras\u0131nda yerle\u015ftirilen greftleri ve ya d\u00fczensizlikleri tahmin ederek k\u0131k\u0131rda\u011fa \u00e7ok yak\u0131n uygulanmal\u0131d\u0131r. Revizyon rinoplastide gereken durumlarda otojen k\u0131k\u0131rdak ve Eren Ta\u015ftan\u2019\u0131n \u201cOblique split Method\u201du ile 6-7. kaburgadan al\u0131nan greftler kullan\u0131l\u0131yor. E\u011fer alloplastik malzeme ihtiyac\u0131 varsa bazen kullan\u0131labilir.<\/p>\n<p>Gerekenden fazla ince deri ve g\u00fc\u00e7l\u00fc k\u0131k\u0131rdak kombinasyonu ile kar\u015f\u0131la\u015f\u0131l\u0131rsa deri alt\u0131 doku fasya, perikondrium veya ezilmi\u015f k\u0131k\u0131rdak greftleri ile kal\u0131nla\u015fd\u0131rmak iyi sonu\u00e7 verir. Ameliyatla tam d\u00fczeltilemeyen \u00e7arp\u0131k burunlar yay\u0131c\u0131 (spreader) veya eksternal yan burun duvar greftleri ile kamufle edilebilir. Kal\u0131n derili burun esteti\u011finde ameliyat s\u0131ras\u0131nda k\u0131k\u0131rdak deste\u011fine daha fazla ihtiya\u00e7 oluyor.<\/p>\n<p>Nazal tipi kal\u0131nla\u015ft\u0131rmak,desteklemek veya konturunu d\u00fczeltmek i\u00e7in alloplastik implantlar kontrendikedir.<\/p>\n<p>G\u00fc\u00e7l\u00fc t\u00f6rp\u00fc ile \u00e7evrelenmi\u015f ve k\u00fc\u00e7\u00fck kesikten girilerek yumu\u015fak dokuya zarar vermeden kemi\u011fi d\u00fczle\u015ftirebiliriz. Orta ku\u015fak \u00e7\u00f6kmesi (Ters \u201cV\u201d deformasyonu) iki kesikten iki tarafl\u0131 bir ay\u0131r\u0131c\u0131 greft yerle\u015ftirilerek veya buruna a\u00e7\u0131k bir yakla\u015f\u0131mla d\u00fczeltilir.<\/p>\n<p>Sefalik alar \u00e7eki\u015fi varsa, tedavisi kompozit kulak grefti kullan\u0131lmal\u0131d\u0131r.<\/p>\n<p>Revizyon rinoplasti ameliyat\u0131nda en iyisi kapal\u0131 rinoplasti ile burunda s\u0131n\u0131rlanm\u0131\u015f kesik ve \u00e7evre dokulara olabildi\u011fince az zarar vermekle veya rekonstr\u00fcksiyon ihtiyac\u0131ndan a\u00e7\u0131k rinoplasti yolu ile ameliyat\u0131 uygularken do\u011fru karar verilmelidir. Revizyon rinoplasti ve septorinoplasti ameliyatlar\u0131nda piezo rinoplasti \u2013 ultrasonik rinoplasti teknolojisi de m\u00fckemmel bir ara\u00e7t\u0131r.<\/p>\n<\/div><\/section><\/p><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='after_section_1'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-1626'><div class='entry-content-wrapper clearfix'><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/drparvizaslanov.com\/tr\/wp-json\/wp\/v2\/pages\/1626"}],"collection":[{"href":"https:\/\/drparvizaslanov.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drparvizaslanov.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drparvizaslanov.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drparvizaslanov.com\/tr\/wp-json\/wp\/v2\/comments?post=1626"}],"version-history":[{"count":4,"href":"https:\/\/drparvizaslanov.com\/tr\/wp-json\/wp\/v2\/pages\/1626\/revisions"}],"predecessor-version":[{"id":1767,"href":"https:\/\/drparvizaslanov.com\/tr\/wp-json\/wp\/v2\/pages\/1626\/revisions\/1767"}],"wp:attachment":[{"href":"https:\/\/drparvizaslanov.com\/tr\/wp-json\/wp\/v2\/media?parent=1626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}