{"id":4181,"date":"2025-08-05T09:53:10","date_gmt":"2025-08-05T06:53:10","guid":{"rendered":"https:\/\/www.dryunuskaplan.com\/?p=4181"},"modified":"2026-10-03T01:18:20","modified_gmt":"2026-10-02T22:18:20","slug":"burun-koprusu","status":"publish","type":"post","link":"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/","title":{"rendered":"Burun K\u00f6pr\u00fcs\u00fc Nedir? Burun K\u00f6pr\u00fcs\u00fc \u00c7e\u015fitleri Nelerdir?"},"content":{"rendered":"<p>Burun k\u00f6pr\u00fcs\u00fc, burnun \u00fcst k\u0131sm\u0131nda yer alan ve iki burun deli\u011fini birbirine ba\u011flayan kemik ve k\u0131k\u0131rdak yap\u0131n\u0131n birle\u015fim b\u00f6lgesidir. Nazal kemiklerle \u00fcst lateral k\u0131k\u0131rdaklar\u0131n olu\u015fturdu\u011fu bu yap\u0131, hem estetik g\u00f6r\u00fcn\u00fcm\u00fcn hem de burun fonksiyonlar\u0131n\u0131n korunmas\u0131nda \u00f6nemli rol oynar. Y\u00fcz profilinde denge ve simetri sa\u011flayan temel anatomik unsurlardan biridir.<\/p>\n<p>Burun k\u00f6pr\u00fcs\u00fcnde \u015fekil bozukluklar\u0131 do\u011fu\u015ftan olabilece\u011fi gibi travmalar, cerrahi i\u015flemler veya ya\u015fa ba\u011fl\u0131 doku de\u011fi\u015fimleri sonucunda da geli\u015febilir. D\u00fc\u015f\u00fck veya \u00e7\u00f6k\u00fck burun k\u00f6pr\u00fcs\u00fc estetik g\u00f6r\u00fcn\u00fcm\u00fc etkilerken, baz\u0131 durumlarda solunum fonksiyonlar\u0131n\u0131 da bozabilir. Bu t\u00fcr yap\u0131sal farkl\u0131l\u0131klar genellikle rinoplasti veya rekonstr\u00fcktif cerrahi ile d\u00fczeltilir.<\/p>\n<p>Burun k\u00f6pr\u00fcs\u00fc y\u00fcksekli\u011fi ve geni\u015fli\u011fi, etnik k\u00f6ken, genetik fakt\u00f6rler ve bireysel y\u00fcz oranlar\u0131na g\u00f6re de\u011fi\u015fkenlik g\u00f6sterir. \u00c7ok y\u00fcksek veya kemerli burun k\u00f6pr\u00fcleri, estetik a\u00e7\u0131dan belirgin bir profil olu\u015fturabilir. G\u00fcn\u00fcm\u00fczde cerrahi planlamalarda, bu b\u00f6lgenin y\u00fcz hatlar\u0131yla uyumlu hale getirilmesi hedeflenir.<\/p>\n<p>Tedavi veya d\u00fczeltme ama\u00e7l\u0131 uygulamalarda, burun k\u00f6pr\u00fcs\u00fcne k\u0131k\u0131rdak greft eklenebilir ya da fazla kemik dokusu t\u00f6rp\u00fclenebilir. Cerrahi d\u0131\u015f\u0131 \u00e7\u00f6z\u00fcmler aras\u0131nda dolgu enjeksiyonlar\u0131yla k\u00f6pr\u00fc hatt\u0131n\u0131n \u015fekillendirilmesi yer al\u0131r. T\u00fcm m\u00fcdahalelerde, fonksiyonel b\u00fct\u00fcnl\u00fc\u011f\u00fcn korunmas\u0131 ve do\u011fal g\u00f6r\u00fcn\u00fcm\u00fcn sa\u011flanmas\u0131 temel ilkedir.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_Sirtinin_Yapisi_Nedir_ve_Neden_Bu_Kadar_Onemlidir\" >Burun S\u0131rt\u0131n\u0131n Yap\u0131s\u0131 Nedir ve Neden Bu Kadar \u00d6nemlidir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_Sirtinda_Hangi_Estetik_Sorunlar_Gorulur\" >Burun S\u0131rt\u0131nda Hangi Estetik Sorunlar G\u00f6r\u00fcl\u00fcr?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_Kemeri_Ameliyatinda_Hangi_Yontemler_Kullanilir\" >Burun Kemeri Ameliyat\u0131nda Hangi Y\u00f6ntemler Kullan\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Cokuk_veya_Basik_Bir_Burun_Sirti_Nasil_Yukseltilir\" >\u00c7\u00f6k\u00fck veya Bas\u0131k Bir Burun S\u0131rt\u0131 Nas\u0131l Y\u00fckseltilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Genis_Burun_Kemikleri_Nasil_Daraltilir\" >Geni\u015f Burun Kemikleri Nas\u0131l Daralt\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Revizyon_Ameliyatiyla_Burun_Sirti_Duzeltmek_Neden_Daha_Zordur\" >Revizyon Ameliyat\u0131yla Burun S\u0131rt\u0131 D\u00fczeltmek Neden Daha Zordur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Ameliyatsiz_Dolgu_ile_Burun_Sirti_Duzeltilebilir_mi\" >Ameliyats\u0131z Dolgu ile Burun S\u0131rt\u0131 D\u00fczeltilebilir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Sikca_Sorulan_Sorular\" >S\u0131k\u00e7a Sorulan Sorular<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_nedir_ve_burun_anatomisinde_hangi_gorevi_ustlenir\" >Burun k\u00f6pr\u00fcs\u00fc nedir ve burun anatomisinde hangi g\u00f6revi \u00fcstlenir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_neden_cokebilir_ve_hangi_faktorler_bu_duruma_yol_acabilir\" >Burun k\u00f6pr\u00fcs\u00fc neden \u00e7\u00f6kebilir ve hangi fakt\u00f6rler bu duruma yol a\u00e7abilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_egriligi_nefes_alma_problemlerine_neden_olabilir_mi\" >Burun k\u00f6pr\u00fcs\u00fc e\u011frili\u011fi nefes alma problemlerine neden olabilir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_kemeri_neden_olusur_ve_estetik_acidan_nasil_degerlendirilir\" >Burun k\u00f6pr\u00fcs\u00fc kemeri neden olu\u015fur ve estetik a\u00e7\u0131dan nas\u0131l de\u011ferlendirilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_estetigi_hangi_durumlarda_tercih_edilmektedir\" >Burun k\u00f6pr\u00fcs\u00fc esteti\u011fi hangi durumlarda tercih edilmektedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_dolgusu_cerrahiye_alternatif_bir_secenek_olabilir_mi\" >Burun k\u00f6pr\u00fcs\u00fc dolgusu cerrahiye alternatif bir se\u00e7enek olabilir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_ameliyati_sonrasi_iyilesme_sureci_nasil_ilerler\" >Burun k\u00f6pr\u00fcs\u00fc ameliyat\u0131 sonras\u0131 iyile\u015fme s\u00fcreci nas\u0131l ilerler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_travmalari_hangi_belirtilerle_kendini_gosterebilir\" >Burun k\u00f6pr\u00fcs\u00fc travmalar\u0131 hangi belirtilerle kendini g\u00f6sterebilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_sekli_yuz_estetigini_nasil_etkiler\" >Burun k\u00f6pr\u00fcs\u00fc \u015fekli y\u00fcz esteti\u011fini nas\u0131l etkiler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.dryunuskaplan.com\/tr\/burun-koprusu\/#Burun_koprusu_ile_ilgili_sorunlarda_ne_zaman_doktora_basvurulmalidir\" >Burun k\u00f6pr\u00fcs\u00fc ile ilgili sorunlarda ne zaman doktora ba\u015fvurulmal\u0131d\u0131r?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Burun_Sirtinin_Yapisi_Nedir_ve_Neden_Bu_Kadar_Onemlidir\"><\/span>Burun S\u0131rt\u0131n\u0131n Yap\u0131s\u0131 Nedir ve Neden Bu Kadar \u00d6nemlidir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u0131\u015far\u0131dan tek bir par\u00e7a gibi g\u00f6r\u00fcnen burun s\u0131rt\u0131m\u0131z, asl\u0131nda birbiriyle m\u00fckemmel bir uyum i\u00e7inde \u00e7al\u0131\u015fan kemik ve k\u0131k\u0131rdaklardan olu\u015fan katmanl\u0131 bir mimariye sahiptir. Bunu bir evin \u00e7at\u0131s\u0131na benzetebiliriz; \u00e7at\u0131n\u0131n hem sa\u011flam hem de estetik olmas\u0131, onu olu\u015fturan t\u00fcm par\u00e7alar\u0131n birbiriyle olan kusursuz ili\u015fkisine ba\u011fl\u0131d\u0131r. Bu yap\u0131y\u0131 anlamak, estetik ve fonksiyonel sorunlar\u0131n nedenini ve \u00e7\u00f6z\u00fcm\u00fcn\u00fc anlaman\u0131n ilk ad\u0131m\u0131d\u0131r.<\/p>\n<p>Bu yap\u0131y\u0131 olu\u015fturan temel bile\u015fenler \u015funlard\u0131r:<\/p>\n<ul>\n<li>Kemik \u00c7at\u0131<\/li>\n<li>K\u0131k\u0131rdak \u00c7at\u0131<\/li>\n<li>Kilit Ta\u015f\u0131 B\u00f6lgesi<\/li>\n<li>Yumu\u015fak Doku \u00d6rt\u00fcs\u00fc<\/li>\n<\/ul>\n<p>Burun s\u0131rt\u0131n\u0131n \u00fcst \u00fc\u00e7te birlik, yani dokundu\u011fumuzda en sert hissetti\u011fimiz k\u0131sm\u0131 &#8220;kemik \u00e7at\u0131&#8221; veya &#8220;kemik piramit&#8221; olarak adland\u0131r\u0131l\u0131r. Bu yap\u0131 burnun temel dire\u011fidir ve t\u00fcm burun profiline sa\u011flam bir destek sa\u011flar. \u0130ki adet d\u00f6rtgen \u015feklindeki burun kemi\u011finden olu\u015fur ve bu kemikler yukar\u0131da al\u0131n kemi\u011fimizle birle\u015fir. Yanlarda ise \u00fcst \u00e7ene kemi\u011fimizin uzant\u0131lar\u0131yla eklem yaparlar. Burnun geni\u015fli\u011fini daraltmak veya burun kemeri al\u0131nd\u0131ktan sonra olu\u015fan &#8220;a\u00e7\u0131k \u00e7at\u0131&#8221; dedi\u011fimiz bo\u015flu\u011fu kapatmak i\u00e7in yap\u0131lan kontroll\u00fc kemik \u015fekillendirme i\u015flemleri (osteotomiler) i\u015fte bu birle\u015fim hatlar\u0131 \u00fczerinden ger\u00e7ekle\u015ftirilir.<\/p>\n<p>Burun s\u0131rt\u0131n\u0131n orta ve alt k\u0131s\u0131mlar\u0131na do\u011fru ilerledi\u011fimizde ise daha esnek olan &#8220;k\u0131k\u0131rdak \u00e7at\u0131&#8221; ile kar\u015f\u0131la\u015f\u0131r\u0131z. Bu yap\u0131 burnun tam ortas\u0131nda bir direk gibi uzanan &#8220;septum&#8221; k\u0131k\u0131rda\u011f\u0131n\u0131n s\u0131rt k\u0131sm\u0131 ve ona iki yanda birer kanat gibi yap\u0131\u015f\u0131k duran &#8220;\u00fcst yan k\u0131k\u0131rdaklar&#8221;dan meydana gelir. Bu \u00fc\u00e7 par\u00e7a asl\u0131nda ayr\u0131 gibi g\u00f6r\u00fcnse de kesit al\u0131nd\u0131\u011f\u0131nda tek ve b\u00fct\u00fcnle\u015fik bir &#8220;T&#8221; harfi \u015feklinde yap\u0131 olu\u015ftururlar. \u0130\u015fte bu anatomik birliktelik, cerrahi a\u00e7\u0131dan hayati bir \u00f6neme sahiptir. \u00d6rne\u011fin bir burun kemerini d\u00fc\u015f\u00fcrmek i\u00e7in septumun s\u0131rt\u0131ndaki y\u00fcksekli\u011fi azaltt\u0131\u011f\u0131n\u0131zda, ona bir kanat gibi yap\u0131\u015f\u0131k olan yan k\u0131k\u0131rdaklar\u0131n pozisyonunu da ka\u00e7\u0131n\u0131lmaz olarak etkilemi\u015f olursunuz. Bu hassas dengeyi korumak veya bozulduysa yeniden kurmak, modern burun esteti\u011finin temelini olu\u015fturur.<\/p>\n<p>Bu iki \u00e7at\u0131n\u0131n, yani sert kemik \u00e7at\u0131 ile daha esnek olan k\u0131k\u0131rdak \u00e7at\u0131n\u0131n birle\u015fti\u011fi, i\u00e7 i\u00e7e ge\u00e7ti\u011fi bir ge\u00e7i\u015f alan\u0131 vard\u0131r ki buras\u0131 &#8220;kilit ta\u015f\u0131 (keystone) b\u00f6lgesi&#8221; olarak adland\u0131r\u0131l\u0131r. T\u0131pk\u0131 tarihi ta\u015f k\u00f6pr\u00fclerin ortas\u0131nda duran ve t\u00fcm k\u00f6pr\u00fcn\u00fcn a\u011f\u0131rl\u0131\u011f\u0131n\u0131 ta\u015f\u0131yan o kilit ta\u015f\u0131 gibi, bu b\u00f6lge de burun s\u0131rt\u0131n\u0131n b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc ve deste\u011fini sa\u011flayan en kritik yap\u0131d\u0131r. Geleneksel burun kemeri alma tekniklerinde bu b\u00f6lge kesilip at\u0131ld\u0131\u011f\u0131ndan, burun s\u0131rt\u0131n\u0131n orta k\u0131sm\u0131nda \u00e7\u00f6kmeler ve hem estetik hem de fonksiyonel sorunlar ortaya \u00e7\u0131kabiliyordu. Modern rinoplasti tekniklerinin geli\u015ftirilmesinin en temel sebebi, bu kritik b\u00f6lgenin b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc ya ameliyat s\u0131ras\u0131nda titizlikle yeniden olu\u015fturmak ya da en ba\u015f\u0131ndan hi\u00e7 bozmamakt\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Burun_Sirtinda_Hangi_Estetik_Sorunlar_Gorulur\"><\/span>Burun S\u0131rt\u0131nda Hangi Estetik Sorunlar G\u00f6r\u00fcl\u00fcr?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hastalar\u0131n bir estetik cerraha ba\u015fvurmas\u0131n\u0131n en yayg\u0131n nedenleri, burun s\u0131rt\u0131nda g\u00f6r\u00fclen \u015fekil bozukluklar\u0131d\u0131r. Bu sorunlar sadece bir &#8220;g\u00f6r\u00fcn\u00fcm&#8221; meselesi de\u011fil ayn\u0131 zamanda altta yatan kemik ve k\u0131k\u0131rdak yap\u0131n\u0131n durumunu yans\u0131tan \u00f6nemli ipu\u00e7lar\u0131d\u0131r. Do\u011fru bir te\u015fhis, do\u011fru bir cerrahi planlaman\u0131n temelidir.<\/p>\n<p>En s\u0131k kar\u015f\u0131la\u015f\u0131lan burun s\u0131rt\u0131 sorunlar\u0131 \u015funlard\u0131r:<\/p>\n<ul>\n<li>Burun Kemeri (Kemerli Burun)<\/li>\n<li>Semer Burun (\u00c7\u00f6k\u00fck Burun)<\/li>\n<li>E\u011fri Burun<\/li>\n<li>\u00d6nceki Ameliyatlara Ba\u011fl\u0131 Geli\u015fen Sorunlar<\/li>\n<\/ul>\n<p>Burun Kemeri, halk aras\u0131nda en bilinen sorundur ve profilden bak\u0131ld\u0131\u011f\u0131nda burun s\u0131rt\u0131nda d\u0131\u015fa do\u011fru bir \u00e7\u0131k\u0131nt\u0131n\u0131n olmas\u0131d\u0131r. Bu durum burnun daha b\u00fcy\u00fck, kaba ve sert bir ifadeye sahip olmas\u0131na neden olur. Genellikle genetiktir ancak ge\u00e7mi\u015fte ya\u015fanan bir travma sonras\u0131 iyile\u015fme s\u00fcrecinde de olu\u015fabilir. Kemer, sadece kemikten, sadece k\u0131k\u0131rdaktan veya en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi hem kemik hem de k\u0131k\u0131rdak bile\u015fenden olu\u015fabilir. Ameliyat planlamas\u0131nda bu ayr\u0131m\u0131 yapmak, kullan\u0131lacak tekni\u011fi belirlemek a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemlidir.<\/p>\n<p>Semer Burun ise kemerin tam tersi olarak burun s\u0131rt\u0131nda bir \u00e7\u00f6kme veya &#8220;eyer&#8221; benzeri bir girintinin oldu\u011fu durumdur. Bu estetik bir sorundan \u00f6te, ciddi bir yap\u0131sal destek kayb\u0131n\u0131n i\u015faretidir. Genellikle \u015fiddetli burun travmalar\u0131, daha \u00f6nceki bir ameliyatta k\u0131k\u0131rda\u011f\u0131n a\u015f\u0131r\u0131 al\u0131nmas\u0131 veya k\u0131k\u0131rda\u011f\u0131 eriten baz\u0131 t\u0131bbi durumlar sonucu ortaya \u00e7\u0131kar. Bu deformite sadece burun s\u0131rt\u0131nda \u00e7\u00f6kmeye de\u011fil ayn\u0131 zamanda burun ucunun k\u0131sal\u0131p a\u015f\u0131r\u0131 kalk\u0131k bir g\u00f6r\u00fcn\u00fcme b\u00fcr\u00fcnmesine ve ciddi nefes alma zorluklar\u0131na da yol a\u00e7abilir. Tedavisi, eksik olan iskeleti yeniden in\u015fa etmek, yani k\u0131k\u0131rdak yamalar\u0131 (greftler) kullanarak burun s\u0131rt\u0131n\u0131 doldurmak ve g\u00fc\u00e7lendirmektir.<\/p>\n<p>E\u011fri Burun, burun s\u0131rt\u0131n\u0131n orta hattan sa\u011fa veya sola do\u011fru kaym\u0131\u015f olmas\u0131 durumudur. Bu asimetri en \u00e7ok \u00f6nden bak\u0131ld\u0131\u011f\u0131nda fark edilir ve &#8220;C&#8221; veya &#8220;S&#8221; harfi \u015feklinde olabilir. Neredeyse her zaman altta yatan neden, burun orta b\u00f6lmesi olan septumdaki bir e\u011friliktir. E\u011fri bir septum, t\u0131pk\u0131 bir evin temelindeki kayma gibi, \u00fczerine oturan k\u0131k\u0131rdak \u00e7at\u0131y\u0131 da bir tarafa do\u011fru iterek t\u00fcm burun s\u0131rt\u0131n\u0131n e\u011fri g\u00f6r\u00fcnmesine neden olur. Bu nedenle e\u011fri bir burnun d\u00fczeltilmesi, sadece g\u00f6r\u00fcnen e\u011frili\u011fi de\u011fil alttaki temel sebep olan septumu da d\u00fczelten kapsaml\u0131 bir ameliyat gerektirir.<\/p>\n<p>Bazen de sorunlar, daha \u00f6nceki bir ameliyat\u0131n istenmeyen sonu\u00e7lar\u0131 olarak kar\u015f\u0131m\u0131za \u00e7\u0131kar. Bunlar rastgele olu\u015fan sorunlar de\u011fil genellikle uygulanan eski veya yetersiz tekniklerin \u00f6ng\u00f6r\u00fclebilir sonu\u00e7lar\u0131d\u0131r. Bunlardan en s\u0131k g\u00f6r\u00fclenler:<\/p>\n<ul>\n<li>Ters V Deformitesi: Burun kemi\u011finin bitti\u011fi yerde, k\u0131k\u0131rdak \u00e7at\u0131n\u0131n ba\u015flad\u0131\u011f\u0131 noktada beliren, kar\u015f\u0131dan bak\u0131ld\u0131\u011f\u0131nda ters &#8220;V&#8221; \u015feklinde bir g\u00f6lge olu\u015fmas\u0131d\u0131r. Genellikle burun kemeri al\u0131nd\u0131ktan sonra, k\u0131k\u0131rdak \u00e7at\u0131n\u0131n orta k\u0131sm\u0131n\u0131n yeterince desteklenmeden b\u0131rak\u0131lmas\u0131 sonucu i\u00e7e do\u011fru \u00e7\u00f6kmesiyle olu\u015fur.<\/li>\n<li>A\u00e7\u0131k \u00c7at\u0131 Deformitesi: B\u00fcy\u00fck bir burun kemeri al\u0131nd\u0131ktan sonra, burun kemiklerinin \u00fcst kenarlar\u0131 aras\u0131nda olu\u015fan bo\u015flu\u011fun kapat\u0131lmamas\u0131d\u0131r. Bu burun s\u0131rt\u0131n\u0131n a\u015f\u0131r\u0131 geni\u015f, d\u00fcz ve bas\u0131k g\u00f6r\u00fcnmesine neden olur.<\/li>\n<li>Pollybeak (Papa\u011fan Gagas\u0131) Deformitesi: Burun ucunun hemen \u00fczerindeki b\u00f6lgede a\u015f\u0131r\u0131 bir dolgunluk olmas\u0131d\u0131r. Bu k\u0131k\u0131rdak kemerin yetersiz al\u0131nmas\u0131 veya \u00f6zellikle kal\u0131n derili hastalarda o b\u00f6lgede a\u015f\u0131r\u0131 yara dokusu olu\u015fmas\u0131 gibi nedenlerden kaynaklanabilir.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Burun_Kemeri_Ameliyatinda_Hangi_Yontemler_Kullanilir\"><\/span>Burun Kemeri Ameliyat\u0131nda Hangi Y\u00f6ntemler Kullan\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Burun kemerinin d\u00fczeltilmesi, burun esteti\u011finin belki de en bilinen ad\u0131m\u0131d\u0131r. Ancak bu basit gibi g\u00f6r\u00fcnen i\u015flem cerrahi felsefenin zaman i\u00e7inde nas\u0131l b\u00fcy\u00fck bir evrim ge\u00e7irdi\u011fini en iyi g\u00f6steren yerdir. Eskiden sadece &#8220;fazlal\u0131\u011f\u0131 atma&#8221; odakl\u0131 teknikler kullan\u0131l\u0131rken, g\u00fcn\u00fcm\u00fczde burun yap\u0131s\u0131n\u0131 koruyan veya titizlikle yeniden in\u015fa eden \u00e7ok daha sofistike ve g\u00fcvenli y\u00f6ntemler tercih edilmektedir.<\/p>\n<p>Geleneksel y\u00f6ntemde yani &#8220;En Blok Rezeksiyon&#8221; tekni\u011finde, kemik ve k\u0131k\u0131rdaktan olu\u015fan kemerin tamam\u0131 bir keski veya testere yard\u0131m\u0131yla tek bir par\u00e7a halinde kesilerek \u00e7\u0131kar\u0131l\u0131rd\u0131. Bu h\u0131zl\u0131 bir y\u00f6ntem olsa da ciddi dezavantajlar\u0131 vard\u0131. Bu teknik, burun s\u0131rt\u0131n\u0131n en kritik destek noktas\u0131 olan &#8220;kilit ta\u015f\u0131&#8221; b\u00f6lgesini tamamen yok eder, k\u0131k\u0131rdak \u00e7at\u0131y\u0131 desteksiz b\u0131rak\u0131r ve &#8220;a\u00e7\u0131k \u00e7at\u0131&#8221; denilen geni\u015f bir bo\u015fluk olu\u015fturur. Bu anatomik y\u0131k\u0131m, e\u011fer sonras\u0131nda \u00e7ok dikkatli bir onar\u0131m yap\u0131lmazsa, ilerleyen zamanlarda burun orta k\u0131sm\u0131nda \u00e7\u00f6kme, nefes alma sorunlar\u0131 ve &#8220;Ters V deformitesi&#8221; gibi ciddi riskler ta\u015f\u0131yordu. Bu y\u00fcksek risk profili nedeniyle modern cerrahlar taraf\u0131ndan art\u0131k neredeyse hi\u00e7 tercih edilmemektedir.<\/p>\n<p>G\u00fcn\u00fcm\u00fczde ise iki ana modern yakla\u015f\u0131m \u00f6n plana \u00e7\u0131kmaktad\u0131r. Birincisi &#8220;Bile\u015fenlerine Ay\u0131rarak D\u00fczeltme (Component Dorsal Hump Reduction)&#8221; y\u00f6ntemidir. Bu y\u00f6ntem adeta bir yap-boz gibi, burun s\u0131rt\u0131n\u0131 olu\u015fturan her bir par\u00e7an\u0131n ayr\u0131 ayr\u0131 ele al\u0131nmas\u0131na dayan\u0131r. Kemer tek bir b\u00fct\u00fcn olarak \u00e7\u0131kar\u0131lmaz. Bunun yerine;<\/p>\n<p>\u00d6nce \u00fcst yan k\u0131k\u0131rdaklar, orta direkteki septum k\u0131k\u0131rda\u011f\u0131ndan dikkatlice ayr\u0131l\u0131r.<\/p>\n<p>Ard\u0131ndan, yeni ve ideal burun profili hatt\u0131n\u0131 olu\u015fturmak i\u00e7in septum k\u0131k\u0131rda\u011f\u0131n\u0131n s\u0131rt k\u0131sm\u0131 bir bist\u00fcri ile katman katman, milimetrik olarak ve kontroll\u00fc bir \u015fekilde al\u00e7alt\u0131l\u0131r.<\/p>\n<p>Daha sonra kemik k\u0131s\u0131m, genellikle hassas bir t\u00f6rp\u00fc veya ultrasonik ses dalgalar\u0131yla \u00e7al\u0131\u015fan Piezo cihaz\u0131 kullan\u0131larak yeni k\u0131k\u0131rdak seviyesine tam uyacak \u015fekilde p\u00fcr\u00fczs\u00fczce indirilir.<\/p>\n<p>Son ve en kritik ad\u0131mda ise ayr\u0131lan par\u00e7alar yeniden birle\u015ftirilerek \u00e7at\u0131 yeniden in\u015fa edilir. Ayr\u0131lan \u00fcst yan k\u0131k\u0131rdaklar, &#8220;spreader greft&#8221; (geni\u015fletici greft) ad\u0131 verilen k\u00fc\u00e7\u00fck k\u0131k\u0131rdak par\u00e7alar\u0131 arac\u0131l\u0131\u011f\u0131yla yeni yerine sabitlenir. Bu greftler hem burun orta k\u0131sm\u0131n\u0131n \u00e7\u00f6kmesini engeller, hem burun s\u0131rt\u0131na do\u011fal ve estetik bir geni\u015flik verir, hem de en \u00f6nemlisi nefes alma fonksiyonu i\u00e7in kritik olan &#8220;i\u00e7 nazal valv&#8221; a\u00e7\u0131s\u0131n\u0131 koruyarak fonksiyonel bir iyile\u015fme sa\u011flar.<\/p>\n<p>\u0130kinci modern yakla\u015f\u0131m ise &#8220;Koruyucu Rinoplasti (Dorsal Preservation Rhinoplasty)&#8221; felsefesidir. Bu teknik, son y\u0131llarda pop\u00fclerlik kazanan devrimci bir yakla\u015f\u0131md\u0131r. Felsefesi, burun s\u0131rt\u0131n\u0131 k\u0131rmak, kesmek veya yok etmek yerine, onu bir b\u00fct\u00fcn olarak koruyarak a\u015fa\u011f\u0131ya do\u011fru indirmektir. Yani kemerin kendisi al\u0131nmaz; bunun yerine, burun piramidinin tamam\u0131 y\u00fcz\u00fcn i\u00e7ine do\u011fru bir miktar itilerek veya indirilerek (Push-down\/Let-down teknikleri) burun s\u0131rt\u0131n\u0131n y\u00fcksekli\u011fi azalt\u0131l\u0131r. Bu i\u015flem burun s\u0131rt\u0131n\u0131n do\u011fal estetik hatlar\u0131n\u0131 ve en kritik b\u00f6lge olan &#8220;kilit ta\u015f\u0131&#8221; alan\u0131n\u0131 tamamen korur. Bu sayede &#8220;a\u00e7\u0131k \u00e7at\u0131&#8221; veya &#8220;Ters V deformitesi&#8221; gibi riskler teorik olarak ortadan kalkar. Ancak bu teknik her hasta i\u00e7in uygun de\u011fildir. \u00d6zellikle ciddi e\u011frili\u011fi veya asimetrisi olan burunlarda uygulanmas\u0131 zordur ve teknik olarak olduk\u00e7a hassasiyet gerektirir.<\/p>\n<p>Se\u00e7im, hastan\u0131n burun yap\u0131s\u0131na ve cerrah\u0131n tecr\u00fcbesine ba\u011fl\u0131d\u0131r. \u00d6nemli olan cerrah\u0131n her iki felsefeye de hakim olarak hasta i\u00e7in en do\u011fru ve en g\u00fcvenli yakla\u015f\u0131m\u0131 belirleyebilmesidir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cokuk_veya_Basik_Bir_Burun_Sirti_Nasil_Yukseltilir\"><\/span>\u00c7\u00f6k\u00fck veya Bas\u0131k Bir Burun S\u0131rt\u0131 Nas\u0131l Y\u00fckseltilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Semer burun gibi \u00e7\u00f6km\u00fc\u015f bir burun s\u0131rt\u0131n\u0131 onarmak veya yap\u0131sal olarak bas\u0131k bir burnu y\u00fckseltmek, temel bir yeniden in\u015fa (rekonstr\u00fcksiyon) i\u015flemidir. Ama\u00e7 eksik olan hacmi ve deste\u011fi, &#8220;greft&#8221; ad\u0131n\u0131 verdi\u011fimiz doku yamalar\u0131 kullanarak yerine koymakt\u0131r. Bu greftler, burnun yeni iskeletini olu\u015fturur. Do\u011fru greft materyalini se\u00e7mek, ameliyat\u0131n uzun vadeli ba\u015far\u0131s\u0131 ve do\u011fal g\u00f6r\u00fcn\u00fcm\u00fc i\u00e7in hayati \u00f6nem ta\u015f\u0131r.<\/p>\n<p>Kullan\u0131lan greft materyalleri temelde \u00fc\u00e7 gruba ayr\u0131l\u0131r.<\/p>\n<p>Otogreftler (Ki\u015finin Kendi V\u00fccudundan Al\u0131nanlar): Bunlar hastan\u0131n kendi v\u00fccudundan al\u0131nan dokulard\u0131r ve burun rekonstr\u00fcksiyonunda her zaman alt\u0131n standart kabul edilir. V\u00fccut taraf\u0131ndan m\u00fckemmel bir \u015fekilde kabul edildikleri i\u00e7in enfeksiyon, erime veya d\u0131\u015far\u0131 at\u0131lma riskleri yok denecek kadar azd\u0131r. Ba\u015fl\u0131ca kaynaklar \u015funlard\u0131r:<\/p>\n<ul>\n<li>Septum K\u0131k\u0131rda\u011f\u0131<\/li>\n<li>Kulak K\u0131k\u0131rda\u011f\u0131<\/li>\n<li>Kaburga K\u0131k\u0131rda\u011f\u0131<\/li>\n<\/ul>\n<p>Allogreftler (\u0130\u015flenmi\u015f Kadavra K\u0131k\u0131rda\u011f\u0131): Bunlar insan kadavralar\u0131ndan al\u0131nan ve \u00f6zel t\u0131bbi i\u015flemlerden (\u00f6rne\u011fin radyasyonla sterilizasyon) ge\u00e7irilerek kullan\u0131ma haz\u0131r hale getirilen dokulard\u0131r. En yayg\u0131n olan\u0131, kaburgadan elde edilen ve &#8220;I\u015f\u0131nlanm\u0131\u015f Homolog Kostal K\u0131k\u0131rdak&#8221; (IHCC) olarak bilinen greftlerdir. Bu greftler, hastan\u0131n v\u00fccudunda ikinci bir kesi yapmadan, bol miktarda ve g\u00fc\u00e7l\u00fc bir k\u0131k\u0131rdak kayna\u011f\u0131 sunma avantaj\u0131na sahiptir. Yap\u0131lan b\u00fcy\u00fck bilimsel \u00e7al\u0131\u015fmalar bu i\u015flenmi\u015f k\u0131k\u0131rdaklar\u0131n erime, b\u00fck\u00fclme veya enfeksiyon oranlar\u0131n\u0131n, ki\u015finin kendi kaburga k\u0131k\u0131rda\u011f\u0131 ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda anlaml\u0131 bir fark g\u00f6stermedi\u011fini ortaya koymu\u015ftur. Bu da onlar\u0131, \u00f6zellikle kendi kaburgas\u0131ndan k\u0131k\u0131rdak al\u0131nmas\u0131n\u0131 istemeyen veya buna engel bir durumu olan hastalar i\u00e7in \u00e7ok g\u00fcvenli ve etkili bir alternatif haline getirmektedir.<\/p>\n<p>Alloplastlar (Sentetik \u0130mplantlar): Bunlar silikon veya Gore-Tex gibi tamamen sentetik materyallerden yap\u0131lm\u0131\u015f implantlard\u0131r. S\u0131n\u0131rs\u0131z miktarda bulunmalar\u0131 ve ek bir kesi gerektirmemeleri gibi avantajlar\u0131 olsa da v\u00fccut i\u00e7in &#8220;yabanc\u0131 cisim&#8221; olduklar\u0131ndan uzun vadede enfeksiyon, yerinden kayma veya deriyi delerek d\u0131\u015far\u0131 \u00e7\u0131kma gibi riskleri biyolojik greftlere g\u00f6re \u00f6nemli \u00f6l\u00e7\u00fcde daha y\u00fcksektir.<\/p>\n<p>Bu greftleri kullanman\u0131n en modern ve rafine yollar\u0131ndan biri de &#8220;K\u0131y\u0131lm\u0131\u015f K\u0131k\u0131rdak ve Fasya Grefti (Diced Cartilage Fascia &#8211; DCF)&#8221; tekni\u011fidir. Bu y\u00f6ntemde hastan\u0131n kendisinden veya kadavradan al\u0131nan k\u0131k\u0131rdak, \u00e7ok k\u00fc\u00e7\u00fck (pirin\u00e7 tanesi gibi) par\u00e7ac\u0131klar halinde k\u0131y\u0131l\u0131r. Daha sonra bu k\u0131k\u0131rdak par\u00e7ac\u0131klar\u0131, genellikle \u015fakak b\u00f6lgesindeki kastan al\u0131nan &#8220;fasya&#8221; ad\u0131 verilen ince ve sa\u011flam bir zar\u0131n i\u00e7ine adeta bir sosis gibi doldurulur. Bu i\u015flem sonucunda, istenen burun s\u0131rt\u0131 \u015fekline g\u00f6re kal\u0131planabilen, p\u00fcr\u00fczs\u00fcz ve \u015fekillendirilebilir bir greft elde edilir. K\u0131y\u0131lm\u0131\u015f k\u0131k\u0131rdak par\u00e7ac\u0131klar\u0131 kal\u0131c\u0131 ve erimeyen hacmi sa\u011flarken, fasya k\u0131l\u0131f\u0131 ise p\u00fcr\u00fczs\u00fcz bir y\u00fczey olu\u015fturarak alttaki d\u00fczensizlikleri gizler. Bu teknik, \u00f6zellikle ince derili hastalarda burun s\u0131rt\u0131n\u0131 y\u00fckseltmek i\u00e7in idealdir, \u00e7\u00fcnk\u00fc kat\u0131 bir k\u0131k\u0131rdak greftinin kenarlar\u0131n\u0131n d\u0131\u015far\u0131dan belli olma riskini tamamen ortadan kald\u0131r\u0131r ve son derece do\u011fal bir sonu\u00e7 sa\u011flar.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Genis_Burun_Kemikleri_Nasil_Daraltilir\"><\/span>Geni\u015f Burun Kemikleri Nas\u0131l Daralt\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Burun esteti\u011finde s\u0131k\u00e7a yap\u0131lan i\u015flemlerden biri de &#8220;osteotomi&#8221;dir. Bu geni\u015f bir burun taban\u0131n\u0131 daraltmak, burun kemeri al\u0131nd\u0131ktan sonra olu\u015fan &#8220;a\u00e7\u0131k \u00e7at\u0131&#8221; deformitesini kapatmak veya e\u011fri duran burun kemiklerini d\u00fczeltmek amac\u0131yla burun kemiklerinin kontroll\u00fc bir \u015fekilde kesilerek yeniden konumland\u0131r\u0131lmas\u0131d\u0131r. Bu i\u015flem burun kemiklerinin yanakla birle\u015fti\u011fi hat boyunca yap\u0131l\u0131r. Kontroll\u00fc bir \u015fekilde serbestle\u015ftirilen kemik duvarlar\u0131, ortaya do\u011fru yakla\u015ft\u0131r\u0131larak \u00e7at\u0131 kapat\u0131l\u0131r ve burun s\u0131rt\u0131na daha zarif, dar ve estetik olarak ho\u015f bir \u00fc\u00e7gen g\u00f6r\u00fcn\u00fcm kazand\u0131r\u0131l\u0131r.<\/p>\n<p>Bu hassas i\u015flemi ger\u00e7ekle\u015ftirmek i\u00e7in kullan\u0131lan aletler de zamanla geli\u015fmi\u015ftir. Kullan\u0131lan temel enstr\u00fcmanlar \u015funlard\u0131r:<\/p>\n<ul>\n<li>Geleneksel Aletler: Y\u0131llard\u0131r osteotomiler, k\u00fc\u00e7\u00fck ve keskin osteotom veya keski ad\u0131 verilen aletlerin bir \u00e7eki\u00e7 yard\u0131m\u0131yla hafif\u00e7e vurularak ilerletilmesiyle yap\u0131l\u0131yordu. Tecr\u00fcbeli ellerde etkili bir y\u00f6ntem olsa da bu y\u00f6ntem \u00e7evre yumu\u015fak dokulara daha fazla istemsiz travma yaratarak ameliyat sonras\u0131 daha fazla morluk ve \u015fi\u015fli\u011fe neden olabilmektedir.<\/li>\n<li>Piezo Cerrahi (Ultrasonik Kemik \u015eekillendirme): Son y\u0131llar\u0131n en \u00f6nemli teknolojik yeniliklerinden biri, kemik kesme i\u015fleminin ultrasonik ses dalgalar\u0131yla yap\u0131lmas\u0131d\u0131r. Piezo cihaz\u0131, y\u00fcksek frekansl\u0131 titre\u015fimler \u00fcreten bir uca sahiptir. Bu u\u00e7, sadece sert doku olan kemi\u011fi hassas bir \u015fekilde keserken, etraf\u0131ndaki damar, sinir, mukoza ve k\u0131k\u0131rdak gibi yumu\u015fak dokulara kesinlikle zarar vermez. Bu teknolojinin en b\u00fcy\u00fck avantaj\u0131, kemik kesim hatt\u0131nda \u00e7ok daha hassas ve kontroll\u00fc bir i\u015flem sa\u011flamas\u0131, \u00e7evre doku travmas\u0131n\u0131 minimuma indirmesi ve bu sayede kanama, morarma ve \u015fi\u015fli\u011fi \u00f6nemli \u00f6l\u00e7\u00fcde azaltmas\u0131d\u0131r. Bu da hastan\u0131n ameliyat sonras\u0131 iyile\u015fme s\u00fcrecini daha konforlu ve h\u0131zl\u0131 hale getirir.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Revizyon_Ameliyatiyla_Burun_Sirti_Duzeltmek_Neden_Daha_Zordur\"><\/span>Revizyon Ameliyat\u0131yla Burun S\u0131rt\u0131 D\u00fczeltmek Neden Daha Zordur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Revizyon rinoplasti, yani daha \u00f6nce bir veya birka\u00e7 kez ameliyat edilmi\u015f bir burnun d\u00fczeltilmesi, ilk ameliyata g\u00f6re \u00e7ok daha farkl\u0131 ve zorlu bir s\u00fcre\u00e7tir. Cerrah, bu durumda do\u011fal ve el de\u011fmemi\u015f bir anatomiyle de\u011fil iyile\u015fme s\u00fcrecinde tamamen de\u011fi\u015fime u\u011fram\u0131\u015f, yara dokusuyla kapl\u0131, zay\u0131flam\u0131\u015f ve genellikle eksik bir yap\u0131yla kar\u015f\u0131 kar\u015f\u0131yad\u0131r.<\/p>\n<p>Revizyon cerrahisini zorla\u015ft\u0131ran temel nedenler \u015funlard\u0131r:<\/p>\n<ul>\n<li>Yo\u011fun Yara Dokusu: \u0130lk ameliyattan sonra v\u00fccudun do\u011fal iyile\u015fme s\u00fcreciyle olu\u015fturdu\u011fu sert ve yap\u0131\u015f\u0131k yara dokusu (nedbe veya skar), normal anatomik planlar\u0131 tamamen ortadan kald\u0131r\u0131r. Bu cildi alttaki iskeletten ay\u0131rmay\u0131 bir hayli zorla\u015ft\u0131r\u0131r, kanama riskini art\u0131r\u0131r ve deriyi delme gibi riskleri y\u00fckseltir.<\/li>\n<li>Bozulmu\u015f Anatomi ve Kay\u0131p \u0130\u015faret Noktalar\u0131: Do\u011fal yap\u0131lar ve cerraha yol g\u00f6steren anatomik i\u015faret noktalar\u0131 kaybolmu\u015ftur. \u0130skelet genellikle zay\u0131flam\u0131\u015f, bozulmu\u015f veya baz\u0131 k\u0131s\u0131mlar\u0131 eksiktir. Cerrah, adeta haritas\u0131 olmayan bir arazide yolunu bulmaya \u00e7al\u0131\u015f\u0131r.<\/li>\n<li>T\u00fckenmi\u015f Greft Kaynaklar\u0131: En ideal ve kolay ula\u015f\u0131labilir greft kayna\u011f\u0131 olan septum k\u0131k\u0131rda\u011f\u0131, genellikle ilk ameliyatta kullan\u0131lm\u0131\u015f veya hasar g\u00f6rm\u00fc\u015ft\u00fcr. Bu durum cerrah\u0131 kulak veya kaburga gibi ek greft kaynaklar\u0131na y\u00f6nelmeye zorlar, bu da ameliyat\u0131n karma\u015f\u0131kl\u0131\u011f\u0131n\u0131 art\u0131r\u0131r.<\/li>\n<\/ul>\n<p>Bu nedenlerle revizyon cerrahisi, basit bir \u015fekillendirmeden \u00e7ok, \u00e7o\u011fu zaman burun yap\u0131s\u0131n\u0131 temelden, tamamen yeniden in\u015fa etme ameliyat\u0131d\u0131r. Burun s\u0131rt\u0131ndaki d\u00fczensizlikleri, \u00e7ukurlar\u0131 veya asimetrileri y\u00f6netmek i\u00e7in genellikle iki a\u015famal\u0131 bir yakla\u015f\u0131m gerekir. \u0130lk olarak genellikle kaburga k\u0131k\u0131rda\u011f\u0131 kullan\u0131larak sa\u011flam, d\u00fcz ve g\u00fc\u00e7l\u00fc bir ana iskelet (\u00e7at\u0131) olu\u015fturulur. Ancak bu iskelet ne kadar p\u00fcr\u00fczs\u00fcz yap\u0131l\u0131rsa yap\u0131ls\u0131n, \u00fczerindeki ince deri ve yara dokusu nedeniyle k\u00fc\u00e7\u00fck kusurlar belli olabilir. \u0130\u015fte bu noktada ikinci a\u015fama olan kamuflaj devreye girer. \u0130nce bir fasya tabakas\u0131, ezilmi\u015f k\u0131k\u0131rdak veya dermal matriks gibi materyaller, yeniden in\u015fa edilen iskeletin \u00fczerine bir &#8220;\u00f6rt\u00fc&#8221; gibi serilerek kalan t\u00fcm p\u00fcr\u00fczleri gizler ve son derece p\u00fcr\u00fczs\u00fcz, do\u011fal bir d\u0131\u015f kontur sa\u011flar.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Ameliyatsiz_Dolgu_ile_Burun_Sirti_Duzeltilebilir_mi\"><\/span>Ameliyats\u0131z Dolgu ile Burun S\u0131rt\u0131 D\u00fczeltilebilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Son y\u0131llarda &#8220;likit rinoplasti&#8221; olarak da bilinen, enjektabl dermal dolgularla yap\u0131lan ameliyats\u0131z burun esteti\u011fi olduk\u00e7a pop\u00fcler hale gelmi\u015ftir. Bu y\u00f6ntem belirli durumlar i\u00e7in harika bir se\u00e7enek olabilir, ancak bir ameliyat\u0131n yerini tutmad\u0131\u011f\u0131n\u0131 ve s\u0131n\u0131rlar\u0131n\u0131 iyi bilmek gerekti\u011fini unutmamak gerekir.<\/p>\n<p>Bu y\u00f6ntem ad\u0131ndan da anla\u015f\u0131laca\u011f\u0131 gibi, tamamen hacim eklemeye dayal\u0131 bir kamuflaj i\u015flemidir. Yani burnu asla k\u00fc\u00e7\u00fcltemez, inceltemez veya daraltamaz. Etkili oldu\u011fu ba\u015fl\u0131ca durumlar \u015funlard\u0131r:<\/p>\n<ul>\n<li>K\u00fc\u00e7\u00fck veya orta dereceli bir burun kemerini kamufle etmek.<\/li>\n<li>Bas\u0131k veya d\u00fc\u015f\u00fck bir burun k\u00f6k\u00fcn\u00fc (radiks) y\u00fckseltmek.<\/li>\n<li>Burun s\u0131rt\u0131ndaki k\u00fc\u00e7\u00fck \u00e7\u00f6k\u00fcnt\u00fcleri veya asimetrileri doldurmak.<\/li>\n<li>Ameliyat sonras\u0131 olu\u015fmu\u015f \u00e7ok k\u00fc\u00e7\u00fck d\u00fczensizlikleri r\u00f6tu\u015flamak.<\/li>\n<\/ul>\n<p>Bu i\u015flemde genellikle hyal\u00fcronik asit bazl\u0131 dolgular kullan\u0131l\u0131r ve etkileri ge\u00e7icidir (ortalama 6 ila 18 ay s\u00fcrer). Bu ge\u00e7ici do\u011fas\u0131, hem bir avantaj (sonu\u00e7 be\u011fenilmezse geri d\u00f6nd\u00fcr\u00fclebilir) hem de bir dezavantajd\u0131r (etkinin s\u00fcrmesi i\u00e7in d\u00fczenli olarak tekrarlanmas\u0131 gerekir).<\/p>\n<p>Ancak bu basit gibi g\u00f6r\u00fcnen i\u015flemin \u00e7ok ciddi riskleri vard\u0131r. Burun, y\u00fcze ve g\u00f6ze giden damarlarla \u00e7ok zengin ve karma\u015f\u0131k bir a\u011fa sahiptir. Dolgunun yanl\u0131\u015fl\u0131kla bir atardamar i\u00e7ine enjekte edilmesi, kan ak\u0131\u015f\u0131n\u0131 t\u0131kayarak burun veya y\u00fcz derisinde doku \u00f6l\u00fcm\u00fcne (nekroz) veya en korkuncu, g\u00f6z\u00fc besleyen ana damara geri ka\u00e7arak kal\u0131c\u0131 k\u00f6rl\u00fc\u011fe neden olabilir. Bu nedenle bu i\u015flemi sadece burun anatomisine, katmanlar\u0131na ve damar yap\u0131lar\u0131na cerrahi d\u00fczeyde hakim olan tecr\u00fcbeli uzman hekimlerin yapmas\u0131 hayati \u00f6nem ta\u015f\u0131r. Bir cerrahi pratikte dolgu, ameliyattan \u00e7ekinen bir hastan\u0131n yeni bir profili &#8220;test s\u00fcr\u00fc\u015f\u00fc&#8221; yapmas\u0131na olanak tan\u0131yan bir ara\u00e7 olarak da kullan\u0131labilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Sikca_Sorulan_Sorular\"><\/span>S\u0131k\u00e7a Sorulan Sorular<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<div class=\"accordion\">\n\t<div id=\"accordion-2454490662\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2454490662-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-nedir-ve-burun-anatomisinde-hangi-g\u00f6revi-\u00fcstlenir?\" aria-expanded=\"false\" aria-controls=\"accordion-2454490662-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_nedir_ve_burun_anatomisinde_hangi_gorevi_ustlenir\"><\/span>Burun k\u00f6pr\u00fcs\u00fc nedir ve burun anatomisinde hangi g\u00f6revi \u00fcstlenir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2454490662-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2454490662-label\">\n\t\t\t\nBurun k\u00f6pr\u00fcs\u00fc, burnun \u00fcst k\u0131sm\u0131nda yer alan ve kemik ile k\u0131k\u0131rdak yap\u0131lar\u0131n olu\u015fturdu\u011fu b\u00f6lgedir. Y\u00fcz profilinin \u015fekillenmesinde \u00f6nemli rol oynarken burun deste\u011finin ve estetik g\u00f6r\u00fcn\u00fcm\u00fcn korunmas\u0131na katk\u0131 sa\u011flar.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2501309575\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2501309575-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-neden-\u00e7\u00f6kebilir-ve-hangi-fakt\u00f6rler-bu-duruma-yol-a\u00e7abilir?\" aria-expanded=\"false\" aria-controls=\"accordion-2501309575-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_neden_cokebilir_ve_hangi_faktorler_bu_duruma_yol_acabilir\"><\/span>Burun k\u00f6pr\u00fcs\u00fc neden \u00e7\u00f6kebilir ve hangi fakt\u00f6rler bu duruma yol a\u00e7abilir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2501309575-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2501309575-label\">\n\t\t\t\nTravmalar, \u00f6nceki burun ameliyatlar\u0131, enfeksiyonlar, do\u011fumsal yap\u0131sal sorunlar ve baz\u0131 hastal\u0131klar burun k\u00f6pr\u00fcs\u00fcnde \u00e7\u00f6kme olu\u015fmas\u0131na neden olabilir. Bu durum hem estetik hem de fonksiyonel problemlere yol a\u00e7abilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3587402503\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3587402503-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-e\u011frili\u011fi-nefes-alma-problemlerine-neden-olabilir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-3587402503-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_egriligi_nefes_alma_problemlerine_neden_olabilir_mi\"><\/span>Burun k\u00f6pr\u00fcs\u00fc e\u011frili\u011fi nefes alma problemlerine neden olabilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3587402503-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3587402503-label\">\n\t\t\t\nBurun k\u00f6pr\u00fcs\u00fcndeki e\u011frilikler baz\u0131 ki\u015filerde hava yolunu daraltarak nefes alma g\u00fc\u00e7l\u00fc\u011f\u00fcne yol a\u00e7abilir. \u00d6zellikle septum e\u011frili\u011fiyle birlikte g\u00f6r\u00fcld\u00fc\u011f\u00fcnde burun t\u0131kan\u0131kl\u0131\u011f\u0131 ve ya\u015fam kalitesinde azalma ortaya \u00e7\u0131kabilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1139261728\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1139261728-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-kemeri-neden-olu\u015fur-ve-estetik-a\u00e7\u0131dan-nas\u0131l-de\u011ferlendirilir?\" aria-expanded=\"false\" aria-controls=\"accordion-1139261728-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_kemeri_neden_olusur_ve_estetik_acidan_nasil_degerlendirilir\"><\/span>Burun k\u00f6pr\u00fcs\u00fc kemeri neden olu\u015fur ve estetik a\u00e7\u0131dan nas\u0131l de\u011ferlendirilir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1139261728-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1139261728-label\">\n\t\t\t\nBurun k\u00f6pr\u00fcs\u00fcndeki kemer yap\u0131s\u0131 genetik \u00f6zelliklere, travmalara veya kemik geli\u015fimine ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabilir. Ki\u015finin y\u00fcz yap\u0131s\u0131na g\u00f6re do\u011fal kabul edilebilse de baz\u0131 ki\u015filer estetik nedenlerle d\u00fczeltme talep edebilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1771895510\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1771895510-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-esteti\u011fi-hangi-durumlarda-tercih-edilmektedir?\" aria-expanded=\"false\" aria-controls=\"accordion-1771895510-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_estetigi_hangi_durumlarda_tercih_edilmektedir\"><\/span>Burun k\u00f6pr\u00fcs\u00fc esteti\u011fi hangi durumlarda tercih edilmektedir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1771895510-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1771895510-label\">\n\t\t\t\nBurun s\u0131rt\u0131nda kemer bulunmas\u0131, \u00e7\u00f6k\u00fckl\u00fck, asimetri veya travma sonras\u0131 olu\u015fan \u015fekil bozukluklar\u0131 estetik m\u00fcdahale nedenleri aras\u0131nda yer al\u0131r. Ama\u00e7 y\u00fcz hatlar\u0131yla uyumlu ve do\u011fal bir g\u00f6r\u00fcn\u00fcm elde etmektir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1668744055\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1668744055-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-dolgusu-cerrahiye-alternatif-bir-se\u00e7enek-olabilir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-1668744055-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_dolgusu_cerrahiye_alternatif_bir_secenek_olabilir_mi\"><\/span>Burun k\u00f6pr\u00fcs\u00fc dolgusu cerrahiye alternatif bir se\u00e7enek olabilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1668744055-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1668744055-label\">\n\t\t\t\nUygun adaylarda burun dolgusu ile hafif \u00e7\u00f6k\u00fckl\u00fckler ve \u015fekil d\u00fczensizlikleri kamufle edilebilir. Ancak her hasta i\u00e7in uygun de\u011fildir ve kal\u0131c\u0131 \u00e7\u00f6z\u00fcm sa\u011flamaz. De\u011ferlendirme uzman hekim taraf\u0131ndan yap\u0131lmal\u0131d\u0131r.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1276361136\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1276361136-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-ameliyat\u0131-sonras\u0131-iyile\u015fme-s\u00fcreci-nas\u0131l-ilerler?\" aria-expanded=\"false\" aria-controls=\"accordion-1276361136-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_ameliyati_sonrasi_iyilesme_sureci_nasil_ilerler\"><\/span>Burun k\u00f6pr\u00fcs\u00fc ameliyat\u0131 sonras\u0131 iyile\u015fme s\u00fcreci nas\u0131l ilerler?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1276361136-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1276361136-label\">\n\t\t\t\nAmeliyat sonras\u0131nda \u015fi\u015flik ve morluklar g\u00f6r\u00fclebilir. \u0130lk haftalarda belirgin de\u011fi\u015fiklikler olu\u015furken burun dokular\u0131n\u0131n tamamen oturmas\u0131 birka\u00e7 ay s\u00fcrebilir. \u0130yile\u015fme s\u00fcreci ki\u015fisel fakt\u00f6rlere g\u00f6re de\u011fi\u015fiklik g\u00f6sterebilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-398352704\" class=\"accordion-item\">\n\t\t<a id=\"accordion-398352704-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-travmalar\u0131-hangi-belirtilerle-kendini-g\u00f6sterebilir?\" aria-expanded=\"false\" aria-controls=\"accordion-398352704-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_travmalari_hangi_belirtilerle_kendini_gosterebilir\"><\/span>Burun k\u00f6pr\u00fcs\u00fc travmalar\u0131 hangi belirtilerle kendini g\u00f6sterebilir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-398352704-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-398352704-label\">\n\t\t\t\nA\u011fr\u0131, \u015fi\u015flik, morarma, \u015fekil bozuklu\u011fu ve nefes alma g\u00fc\u00e7l\u00fc\u011f\u00fc burun k\u00f6pr\u00fcs\u00fc yaralanmalar\u0131n\u0131n s\u0131k g\u00f6r\u00fclen belirtileridir. Travma sonras\u0131nda olu\u015fan deformiteler uzman de\u011ferlendirmesi gerektirebilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2889663162\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2889663162-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-\u015fekli-y\u00fcz-esteti\u011fini-nas\u0131l-etkiler?\" aria-expanded=\"false\" aria-controls=\"accordion-2889663162-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_sekli_yuz_estetigini_nasil_etkiler\"><\/span>Burun k\u00f6pr\u00fcs\u00fc \u015fekli y\u00fcz esteti\u011fini nas\u0131l etkiler?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2889663162-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2889663162-label\">\n\t\t\t\nBurun k\u00f6pr\u00fcs\u00fc y\u00fcz profilinin en dikkat \u00e7ekici b\u00f6lgelerinden biridir. Burun s\u0131rt\u0131n\u0131n y\u00fcksekli\u011fi, d\u00fczl\u00fc\u011f\u00fc ve simetrisi y\u00fcz\u00fcn genel dengesi \u00fczerinde etkili olabilir ve estetik alg\u0131y\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde de\u011fi\u015ftirebilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-382810689\" class=\"accordion-item\">\n\t\t<a id=\"accordion-382810689-label\" class=\"accordion-title plain\" href=\"#accordion-item-burun-k\u00f6pr\u00fcs\u00fc-ile-ilgili-sorunlarda-ne-zaman-doktora-ba\u015fvurulmal\u0131d\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-382810689-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Burun_koprusu_ile_ilgili_sorunlarda_ne_zaman_doktora_basvurulmalidir\"><\/span>Burun k\u00f6pr\u00fcs\u00fc ile ilgili sorunlarda ne zaman doktora ba\u015fvurulmal\u0131d\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-382810689-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-382810689-label\">\n\t\t\t\nNefes alma g\u00fc\u00e7l\u00fc\u011f\u00fc, travma sonras\u0131 \u015fekil bozuklu\u011fu, a\u011fr\u0131, \u00e7\u00f6k\u00fckl\u00fck veya estetik kayg\u0131lar mevcutsa uzman de\u011ferlendirmesi al\u0131nmal\u0131d\u0131r. Erken muayene uygun tedavi se\u00e7eneklerinin planlanmas\u0131na yard\u0131mc\u0131 olabilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Burun k\u00f6pr\u00fcs\u00fc, burnun \u00fcst k\u0131sm\u0131nda yer alan ve iki burun deli\u011fini birbirine ba\u011flayan kemik ve k\u0131k\u0131rdak yap\u0131n\u0131n birle\u015fim b\u00f6lgesidir. Nazal kemiklerle \u00fcst lateral k\u0131k\u0131rdaklar\u0131n olu\u015fturdu\u011fu bu yap\u0131, hem estetik g\u00f6r\u00fcn\u00fcm\u00fcn hem de burun fonksiyonlar\u0131n\u0131n korunmas\u0131nda \u00f6nemli rol oynar. Y\u00fcz profilinde denge ve simetri sa\u011flayan temel anatomik unsurlardan biridir. Burun k\u00f6pr\u00fcs\u00fcnde \u015fekil bozukluklar\u0131 do\u011fu\u015ftan olabilece\u011fi gibi [&#8230;]\n","protected":false},"author":1,"featured_media":4191,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4181","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/posts\/4181","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/comments?post=4181"}],"version-history":[{"count":3,"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/posts\/4181\/revisions"}],"predecessor-version":[{"id":11152,"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/posts\/4181\/revisions\/11152"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/media\/4191"}],"wp:attachment":[{"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/media?parent=4181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/categories?post=4181"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dryunuskaplan.com\/tr\/wp-json\/wp\/v2\/tags?post=4181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}