{"id":3649,"date":"2025-07-31T21:45:14","date_gmt":"2025-07-31T21:45:14","guid":{"rendered":"https:\/\/odyolojipusulasi.com\/?p=3649"},"modified":"2025-07-31T21:45:15","modified_gmt":"2025-07-31T21:45:15","slug":"superior-semisirkuler-kanal-dehissansi-nedir","status":"publish","type":"post","link":"https:\/\/odyolojipusulasi.com\/en\/superior-semisirkuler-kanal-dehissansi-nedir\/","title":{"rendered":"Superior Semisirk\u00fcler Kanal Dehissans\u0131 Nedir?"},"content":{"rendered":"<p>superior semis\u00fcrk\u00fcler kanal\u0131 \u00f6rten otik kaps\u00fcl\u00fcn dehissans\u0131 sonucunda ortaya \u00e7\u0131kan \u00fc\u00e7\u00fcnc\u00fc pencere etkisiyle olu\u015fan bir patolojidir. Bu patoloji hem i\u015fitsel hem de vestib\u00fcler semptomlar g\u00f6sterdi\u011fi i\u00e7in odyovestib\u00fcler bir patolojidir. Superior semisirk\u00fcler kanal dehissans\u0131 geli\u015fen hastalarda i\u00e7 kulakla ili\u015fkili bir \u201c\u00fc\u00e7\u00fcnc\u00fc pencere\u201d olu\u015fmaktad\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/odyolojipusulasi.com\/wp-content\/uploads\/2025\/07\/Resim1.png\" alt=\"\" class=\"wp-image-3650\"\/><\/figure>\n\n\n\n<p>Superior semisirk\u00fcler kanal dehissans\u0131 etiyolojisi tam olarak bilinmemektedir. Yap\u0131lan \u00e7al\u0131\u015fmalarda geli\u015fimsel, konjenital ve cinsiyete ba\u011fl\u0131 (Kad\u0131nlarda menopoz durumunun etkileme durumu d\u00fc\u015f\u00fcn\u00fclmektedir.) oldu\u011funu g\u00f6steren \u00e7al\u0131\u015fmalar vard\u0131r.<\/p>\n\n\n\n<p><strong>Superior Semisirk\u00fcler Kanal Dehissans\u0131 Semptomlar\u0131 Nelerdir?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hastalar\u0131n bir\u00e7o\u011funda g\u00f6r\u00fclen ve ay\u0131r\u0131c\u0131 tan\u0131da \u00f6enmli role sahip Hennebert Belirtisi ve Tullio Fenomeni g\u00f6r\u00fcl\u00fcr. Temelde seslerin neden oldu\u011fu bir ba\u015f d\u00f6nmesi varl\u0131\u011f\u0131nda tullio fenomeni, d\u0131\u015f kulak yoluna negatif veya pozitif olarak uygulanan bas\u0131n\u00e7 sonras\u0131nda nistagmus, vertigo gibi bulgular g\u00f6r\u00fcld\u00fc\u011f\u00fcnde ise Hennebert belirtisi varl\u0131\u011f\u0131 s\u00f6z konusudur.<\/li>\n\n\n\n<li>Hiperakuzi<\/li>\n\n\n\n<li>Otofoni<\/li>\n\n\n\n<li>Pulsatil tinnitus<\/li>\n\n\n\n<li>Kulakta dolgunluk hissi<\/li>\n\n\n\n<li>Osilopsi<\/li>\n<\/ul>\n\n\n\n<p><strong>Yap\u0131lan Testlerde Hangi Sonu\u00e7lar\u0131 Elde Ederiz?<\/strong><\/p>\n\n\n\n<p>Do\u011fru tan\u0131 odyolojik tetkikler, vestib\u00fcler test bataryalar\u0131 ve radyolojik g\u00f6nrt\u00fcleme y\u00f6ntemleri sonu\u00e7lar\u0131na g\u00f6re konulur. Peki yap\u0131lan testlerde hangi sonu\u00e7lar\u0131 elde ederiz?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Otoskopik Muayene: D\u0131\u015f kulak yolu ve zar normal.<\/li>\n\n\n\n<li>Saf Ses Odyometrisi: Odyogramda \u00f6zellikle al\u00e7ak frekanslarda belirgin olmak \u00fczere a\u00e7\u0131klanamayan bir hava kemik aral\u0131\u011f\u0131 mevcuttur. Bu patolojilerin varl\u0131\u011f\u0131ndan \u015f\u00fcphelend\u011fimiz hastalarda iletim komponentini daha belirgin g\u00f6zlemlemek ad\u0131na 250 Hz frekansta kemik e\u015fik bak\u0131lmal\u0131d\u0131r. Konu\u015fmay\u0131 ay\u0131rt etme skorlar\u0131 genellikle normaldir. Yap\u0131lan i\u015fitme testi sonucuna g\u00f6re elde etti\u011fimiz sonu\u00e7 genellikle al\u00e7ak frekanslarda belirgin olan iletim tipi i\u015fitme kayb\u0131d\u0131r.<\/li>\n\n\n\n<li>\u0130mmitansmetrik De\u011ferlendirme: Tip A timpanogram ve normal akustik refleks bulgular\u0131 elde edilir.<\/li>\n\n\n\n<li>Weber Testi: \u0130letim tipi i\u015fitme kayb\u0131 oldu\u011fu i\u00e7in Weber testi etkilenen kula\u011fa lateralize olur.<\/li>\n\n\n\n<li>Elektrokokleografi: Superior semisirk\u00fcler kanal dehissans\u0131 olan hastalarda Summasyon Potansiyeli (SP) \/ Aksiyon Potansiyeli (AP) oran\u0131 artar. Bu oran\u0131n artmas\u0131 3.pencere etkisini d\u00fc\u015f\u00fcnd\u00fcr\u00fcr. Bundan dolay\u0131 SP\/AP oran\u0131 art\u0131\u015f\u0131 sadece superior semisir\u00fck\u00fcler kanal dehissans\u0131 i\u00e7in de\u011fil, 3.pencerenin var oldu\u011fu di\u011fer patolojiler i\u00e7in de g\u00f6r\u00fclen bir durumdur.<\/li>\n\n\n\n<li>Vestib\u00fcler Uyar\u0131lm\u0131\u015f Miyojenik Potansiyeller (VEMP): Superior semisirk\u00fcler kanal dehissans\u0131 patolojisi i\u00e7in hem tan\u0131 hem de takibinde \u00f6nemli bir yere sahiptir. Normal de\u011ferlerde latans aral\u0131\u011f\u0131na sahip, d\u00fc\u015f\u00fck e\u015fiklerde artm\u0131\u015f amplit\u00fcdl\u00fc VEMP cevaplar\u0131 elde edilir.<\/li>\n\n\n\n<li>G\u00f6r\u00fcnt\u00fcleme Y\u00f6ntemleri: Tan\u0131n\u0131n do\u011fru ve kesin bir \u015fekilde konulmas\u0131nda \u00f6nemli yere sahiptir. Bilgisayarl\u0131 tomogrofi (BT) ile dehissans\u0131n anatomik yeri ortaya konur. Y\u00fcksek \u00e7\u00f6z\u00fcn\u00fcrl\u00fckl\u00fc temporal kemik BT tercih edilir. Manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MRG), BT\u2019ye alternatif olarak g\u00f6sterilmi\u015ftir, dehissans\u0131n do\u011frulanmas\u0131nda direkt katk\u0131 sa\u011flamaz.<\/li>\n<\/ul>\n\n\n\n<p><strong>Superior Semisirk\u00fcler Kanal Dehissans\u0131 Tedavisi Nas\u0131l olur?<\/strong><\/p>\n\n\n\n<p>Superior Semisirk\u00fcler Kanal Dehissans\u0131 olan hastalar\u0131n \u00e7o\u011funda semptomlar hafif d\u00fczeydedir ve cerrahiye gerek yoktur. Semptomlar\u0131 tetikleyen durumlardan (ani bas\u0131n\u00e7 de\u011fi\u015fiklikleri, y\u00fcksek sesler, vb.) ka\u00e7\u0131n\u0131lmas\u0131 \u00f6nerilir. Kulak i\u00e7i bas\u0131nc\u0131 art\u0131ran hareketlerden (\u00f6rne\u011fin, \u0131k\u0131nma, a\u011f\u0131r kald\u0131rma) uzak durulmas\u0131 faydal\u0131 olabilir.<\/p>\n\n\n\n<p>Spesifik bir ila\u00e7 tedavisi yoktur. E\u011fer semptomlar ileri d\u00fczeyde ve hastan\u0131n ya\u015fam kalitesini d\u00fc\u015f\u00fcr\u00fcyorsa ba\u015fl\u0131ca cerrahi y\u00f6ntemlere ba\u015fvurulabilir.<\/p>\n\n\n\n<p>KAYNAK\u00c7A:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Sendesen, E., \u00c7olak, H., \u00d6z, O., Y\u0131ld\u0131r\u0131m, S., \u015eahin, M., K\u0131l\u0131\u00e7, S., Din\u00e7er D&#8217; Alessandro, H., T\u00fcrky\u0131lmaz, MD (2022). Eri\u015fkinlerde s\u0131k g\u00f6r\u00fclen i\u00e7 kulaklarda odyolojik bulgular. Turk J Audiol \u0130\u015fitme Res, 5(2):54\u221260.<\/li>\n\n\n\n<li>Celil G\u00d6\u00c7ER ve ark., Superior Semisirk\u00fcler Kanal Dehissans\u0131, KBB ve BBC Dergisi 2019;27(2):70-5<\/li>\n\n\n\n<li>S.\u00a0 Turhan Et Al., &#8220;Eri\u015fkin Bireylerde Okuler Vestibuler Uyarilmis Miyojenik Potansiyel Test Bulgularinin Incelenmesi,\u201d GAZI MEDICAL JOURNAL, vol.32, pp.554-560, 2021\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/li>\n\n\n\n<li>\u00c7okkeser, Y., Bayaro\u011fullar\u0131, H., Kahraman, \u015e. \u015e., Tuncer, \u00dc., vd. (2011). S\u00fcperiyor semisirk\u00fcler kanal dehissans\u0131 sendromu: \u00dc\u00e7 olgu sunumu. The Turkish Journal of Ear Nose and Throat, 21(5).<\/li>\n\n\n\n<li>Celil G\u00d6\u00c7ER ve ark. KBB ve BBC Dergisi 2019;27(2):70-5<\/li>\n\n\n\n<li>\u00c7all\u0131,\u00a0\u00c7.,\u00a0P\u0131nar,\u00a0E.,\u00a0\u00d6ncel,\u00a0S.,\u00a0Erdo\u011fan,\u00a0N., &amp;\u00a0Sadullaho\u011flu,\u00a0K.\u00a0(2009).\u00a0Vertigo ve tinnituslu hastalarda s\u00fcperior semisirk\u00fcler kanal dehissans\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131.\u00a0<em>The Turkish Journal of Ear Nose and Throat<\/em>,\u00a0<em>19<\/em>(2),\u00a077-81.\u00a0<\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>superior semis\u00fcrk\u00fcler kanal\u0131 \u00f6rten otik kaps\u00fcl\u00fcn dehissans\u0131 sonucunda ortaya \u00e7\u0131kan \u00fc\u00e7\u00fcnc\u00fc pencere etkisiyle olu\u015fan bir patolojidir. Bu patoloji hem i\u015fitsel hem de vestib\u00fcler semptomlar g\u00f6sterdi\u011fi i\u00e7in odyovestib\u00fcler bir patolojidir. Superior [&hellip;]<\/p>","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_gspb_post_css":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"footnotes":""},"categories":[188],"tags":[48,19,25,190,189],"class_list":["post-3649","post","type-post","status-publish","format-standard","hentry","category-superior-semisurkuler-kanal-dehissansi","tag-ic-kulak-problemleri","tag-isitme-kaybi","tag-isitme-sagligi","tag-kulakta-dolgunluk","tag-ucuncu-pencere-sendromu"],"blocksy_meta":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts\/3649","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/comments?post=3649"}],"version-history":[{"count":1,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts\/3649\/revisions"}],"predecessor-version":[{"id":3652,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts\/3649\/revisions\/3652"}],"wp:attachment":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/media?parent=3649"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/categories?post=3649"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/tags?post=3649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}