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Rinoplasti ameliyatlar\u0131nda burun ucunu k\u00fc\u00e7\u00fcltmek i\u00e7in bu b\u00f6lgede yer alan k\u0131k\u0131rdaklardan (lateral alar k\u0131k\u0131rdaklar) genellikle bir miktar \u00e7\u0131kart\u0131l\u0131r, e\u011fer \u00e7\u0131kart\u0131lan miktar fazla ise zamanla burnun t\u0131p k\u0131sm\u0131n\u0131n, burun ucunun a\u011f\u0131rl\u0131\u011f\u0131n\u0131 ta\u015f\u0131yamamas\u0131ndan dolay\u0131 burun kanatlar\u0131nda i\u00e7eriye do\u011fru mandalla s\u0131k\u0131\u015ft\u0131r\u0131lm\u0131\u015f gibi bas\u0131k bir g\u00f6r\u00fcnt\u00fc olu\u015fturur. Bu deformiteyi \u201cp\u0131nch nose\u201d diye tarifleriz.<\/p>\n
Bundan dolay\u0131 hem estetik olarak problemler olu\u015fur, hem de bu durumdan burun kanatlar\u0131n\u0131n a\u00e7\u0131kl\u0131\u011f\u0131 azald\u0131\u011f\u0131 i\u00e7in buruna giren hava ak\u0131\u015f\u0131 azalarak nefes almada problemler ba\u015flar. Burun kanatlar\u0131n\u0131z\u0131 yana do\u011fru parma\u011f\u0131n\u0131zla \u00e7ekti\u011finiz zaman daha rahat nefes ald\u0131\u011f\u0131n\u0131z\u0131 g\u00f6rebilirsiniz (cottle testi).<\/p>\n
Revizyon Rinoplastilerde burun i\u00e7inde yeterli k\u0131k\u0131rdak bulunamazsa bu k\u0131k\u0131rdaklar \u00f6ncelikle kulak arkas\u0131ndan elde edilir. T\u0131p b\u00f6lgesinde olu\u015fabilen di\u011fer \u00f6nemli bir s\u0131k\u0131nt\u0131 burun ucunun d\u00fc\u015f\u00fck, gere\u011finden y\u00fcksek veya geni\u015f olas\u0131na ba\u011fl\u0131 s\u0131k\u0131nt\u0131lard\u0131r. Burun ucu d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc genellikle s\u0131k g\u00f6rd\u00fc\u011f\u00fcm\u00fcz b\u00fcr s\u0131k\u0131nt\u0131d\u0131r, hastalar genellikle ilk ameliyattaki sonu\u00e7tan memnun olduklar\u0131n\u0131 ama zamanla burun ucunun d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc s\u00f6ylerler. Bunun bir\u00e7ok nedeni olabilir.<\/p>\n
Burun E\u011frili\u011fi, Burun Ax\u0131ndaki Problemler <\/strong><\/p>\n Burunda sa\u011fa, sola \u201cC\u201d \u015feklinde veya \u201cS\u201d \u015feklinde her iki tarafa do\u011fru e\u011frilik olabilir.<\/p>\n Bu e\u011friliklerin nedeni yaln\u0131z kemik, k\u0131k\u0131rdak veya her ikisi birlikte olabilir. Kemikteki e\u011frilikler, ilk ameliyatta tam k\u0131r\u0131lamama, yetersiz (ya\u015f k\u0131r\u0131k) veya yanl\u0131\u015f seviyeden k\u0131r\u0131lma ve ameliyat sonras\u0131 buruna ald\u0131\u011f\u0131n\u0131z travmalardan dolay\u0131 olabilir. E\u011fri burunlarda burun her zaman ameliyat sonras\u0131 daha \u00f6nce e\u011fri oldu\u011fu b\u00f6lgeye do\u011fru y\u00f6nelme e\u011filimindedir.<\/p>\n Burun kemi\u011fi tekrar lateral osteotom\u0131 dedi\u011fimiz y\u00f6ntemle k\u0131r\u0131lmal\u0131 ve orta hatta getirilmelidir. K\u0131k\u0131rdakta olan e\u011friliklerde bu e\u011fri k\u0131k\u0131rdaklar bunlar\u0131 destekleyecek k\u0131k\u0131rdaklarla (spreader greft) tekrar desteklenmelidir.<\/p>\n Burun S\u0131rt K\u0131sm\u0131ndaki D\u00fc\u015f\u00fckl\u00fckler, \u00c7\u00f6kmeler ve D\u00fczensizlikler <\/strong><\/p>\n Burun s\u0131rt k\u0131sm\u0131ndaki kemerli k\u0131sm\u0131n fazla al\u0131nmas\u0131 sonucu zamanla baz\u0131 s\u0131k\u0131nt\u0131lar g\u00f6zlenebilir.<\/p>\n Bunlardan en ciddi olan\u0131 burun s\u0131rt\u0131ndaki i\u00e7e do\u011fru \u00e7\u00f6kmelerdir (saddle nose), bu ciddi ve d\u00fczeltilmesi de zor olan bir s\u0131k\u0131nt\u0131d\u0131r. Hafif \u00e7\u00f6kmeler bu k\u0131sma k\u0131k\u0131rdak greftler koyarak d\u00fczeltilebilir.<\/p>\n Fakat ciddi \u00e7\u00f6kmelerde genellikle kulaktan veya kaburgadan al\u0131nan k\u0131k\u0131rdaklar haz\u0131rlanarak kullan\u0131l\u0131r. Bu k\u0131k\u0131rdaklar bazen al\u0131nan fasia\u2019larla desteklenerek etkinlikleri artt\u0131r\u0131l\u0131r.[\/vc_column_text]<\/div><\/div>