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\u0130\u00e7 kulak anomalileri geni\u015f bir yelpazede yer ald\u0131\u011f\u0131ndan, literat\u00fcrde bir\u00e7ok s\u0131n\u0131fland\u0131rma mevcuttur. Jackler ve arkada\u015flar\u0131 1987’de ilk kapsaml\u0131 s\u0131n\u0131fland\u0131rmay\u0131 yapm\u0131\u015f, 1995’te g\u00fcncellemi\u015ftir. G\u00f6r\u00fcnt\u00fcleme teknolojileri ve histopatolojik incelemelerin geli\u015fmesiyle, Sennaro\u011flu ve \u00e7al\u0131\u015fma arkada\u015flar\u0131 2002, 2006, 2013 ve 2017’de detayl\u0131 yeni s\u0131n\u0131fland\u0131rmalar geli\u015ftirmi\u015ftir.<\/p>\n\n\n\n
Bu s\u0131n\u0131flamaya g\u00f6re i\u00e7 kulak anomalileri be\u015f ana grupta incelenir:<\/p>\n\n\n\n
- \n
- Koklear malformasyonlar<\/li>\n\n\n\n
- Vestib\u00fcler anomaliler<\/li>\n\n\n\n
- Yar\u0131m daire kanal\u0131 anomalileri<\/li>\n\n\n\n
- \u0130\u00e7 i\u015fitsel kanal anomalileri<\/li>\n\n\n\n
- Vestib\u00fclokoklear akuadukt anomalileri<\/li>\n<\/ul>\n\n\n\n
Koklear malformasyonlar i\u00e7inde altta yatan \u00e7e\u015fitler:
komplet labirent aplazisi (Michel aplazisi), rudimenter otokist, koklear aplazi, ortak kavite, inkomplet partisyon tipleri (IP-I, IP-II, IP-III), koklear hipoplazi tipleri (Tip I-IV), geni\u015f vestib\u00fcler akuadukt ve koklear a\u00e7\u0131kl\u0131k anomalileri.<\/p>\n\n\n\nTan\u0131, Bulgular ve Tedavi Se\u00e7enekleri<\/h2>\n\n\n\n
- \n
- Total labirent aplazide (Michel Deformitesi) i\u00e7 kulak yap\u0131lar\u0131 olu\u015fmaz. \u0130\u015fitsel de\u011ferlendirmede i\u015fitsel uyarana cevap al\u0131nmaz veya sadece vibrotaktik cevaba rastlan\u0131r. Koklear implant<\/a> m\u00fcmk\u00fcn de\u011fildir, tek tedavi i\u015fitsel beyin sap\u0131 implant\u0131d\u0131r.<\/li>\n\n\n\n
- Rudimenter otokistte benzer bulgular olur, i\u015fitsel beyin sap\u0131 implant\u0131 tedavi se\u00e7ene\u011fidir.<\/li>\n\n\n\n
- Koklear aplazide koklea yoktur; koklear sinir yeterince geli\u015fmemi\u015fse, beyin sesi alg\u0131layamaz. \u0130\u015fitsel beyin sap\u0131 implantlar\u0131 uygulan\u0131r.<\/li>\n\n\n\n
- Ortak kavitede vestib\u00fcl dilate olur, genellikle ileri sens\u00f6rin\u00f6ral i\u015fitme kayb\u0131 vard\u0131r. Koklear implant<\/a> yeterli olmazsa kontralateral tarafta beyin sap\u0131 implant\u0131 gerekebilir.<\/li>\n\n\n\n
- Koklear hipoplazide i\u015fitme kayb\u0131 hafif, orta veya \u015fiddetli olabilir; i\u015fitme cihazlar\u0131<\/a>, stapes cerrahisi veya koklear implantla<\/a> rehabilitasyon yap\u0131labilir. Koklear sinir eksikse i\u015fitsel beyin sap\u0131 implant\u0131 gereklidir.<\/li>\n\n\n\n
- \u0130nkomplet partisyon tipleri (IP-I, IP-II, IP-III) i\u015fitme kayb\u0131 ve cerrahi yakla\u015f\u0131mlar a\u00e7\u0131s\u0131ndan farkl\u0131l\u0131k g\u00f6sterir. \u00d6rne\u011fin IP-I kistik malformasyon, baz\u0131 vakalarda koklear implant <\/a>adaylar\u0131 olmayabilir.<\/li>\n\n\n\n
- Geni\u015flemi\u015f vestib\u00fcler akuadukt, i\u00e7 kulak yap\u0131lar\u0131 normaldir, ancak vestib\u00fcler akuadukt geni\u015ftir. \u0130\u015fitme kayb\u0131 IP-II’ye benzetilebilir.<\/li>\n\n\n\n
- Koklear apert\u00fcr anomalisi MRG ile te\u015fhis edilir. Koklear sinirin olmamas\u0131 implantasyon i\u00e7in kontrendikasyondur.<\/li>\n<\/ol>\n\n\n\n
Sonu\u00e7 ve Takip S\u00fcreci<\/h2>\n\n\n\n
\u0130\u00e7 kulak anomalileri, i\u015fitme ve denge fonksiyonlar\u0131n\u0131 etkileyen karma\u015f\u0131k yap\u0131sal bozukluklard\u0131r. Genetik ve \u00e7evresel fakt\u00f6rlerden kaynaklanabilirler. Erken tan\u0131 ve uygun g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri tedavi ve rehabilitasyonun ba\u015far\u0131s\u0131nda kritik rol oynar.<\/p>\n\n\n\n
Odyologlar, tan\u0131 alan hastalar i\u00e7in uzun d\u00f6nem takip yapmal\u0131d\u0131r:<\/p>\n\n\n\n
- \n
- Periyodik odyolojik kontroller,<\/li>\n\n\n\n
- \u0130\u015fitme cihaz\u0131<\/a>, koklear implant<\/a> ve i\u015fitsel beyin sap\u0131 implant ayarlar\u0131,<\/li>\n\n\n\n
- \u0130\u015fitsel rehabilitasyon ve konu\u015fma-dil geli\u015fimi takibi,<\/li>\n\n\n\n
- Denge rehabilitasyonu.<\/li>\n<\/ul>\n\n\n\n
Hem i\u015fitsel hem vestib\u00fcler rehabilitasyon bu grup i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n
Prof. Dr. Levent SENNARO\u011eLU Kimdir?<\/h5>\n\n\n\n
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<\/figure>\n\n\n\nLevent Sennaro\u011flu, Kulak Burun Bo\u011faz (KBB) hastal\u0131klar\u0131<\/strong> alan\u0131nda, \u00f6zellikle kulak hastal\u0131klar\u0131<\/strong> ve n\u00f6rotoloji (kulak ve sinir cerrahisi)<\/strong> konusunda uzmanla\u015fm\u0131\u015f tan\u0131nm\u0131\u015f bir T\u00fcrk Profes\u00f6r Doktor<\/strong>‘dur.<\/p>\n\n\n\n
\u00d6ne \u00c7\u0131kan Bilgiler:<\/strong><\/p>\n\n\n\n
- \n
- Uzmanl\u0131k Alan\u0131:<\/strong> Esas olarak i\u015fitme kay\u0131plar\u0131n\u0131n cerrahi tedavisi<\/strong>, koklear implantasyon (biyonik kulak)<\/strong>, i\u015fitsel beyin sap\u0131 implantasyonu<\/strong> ve i\u00e7 kulak anomalileri<\/strong> ile ilgilenmektedir.<\/li>\n\n\n\n
- Akademik G\u00f6revi:<\/strong> Hacettepe \u00dcniversitesi T\u0131p Fak\u00fcltesi Kulak Burun Bo\u011faz Anabilim Dal\u0131<\/strong> \u00f6\u011fretim \u00fcyesi olarak g\u00f6rev yapmaktad\u0131r.<\/li>\n\n\n\n
- \u00d6nemli Katk\u0131s\u0131:<\/strong> \u0130\u00e7 kulak anomalilerinin s\u0131n\u0131fland\u0131r\u0131lmas\u0131 konusunda uluslararas\u0131 alanda kabul g\u00f6rm\u00fc\u015f yeni bir s\u0131n\u0131fland\u0131rma<\/strong> sistemi geli\u015ftirmi\u015f ve yay\u0131mlam\u0131\u015ft\u0131r (“A new classification for cochleovestibular malformations,” Laryngoscope 2002). Bu, sizin y\u00fckledi\u011finiz g\u00f6rseldeki gibi malformasyon \u015femalar\u0131n\u0131n temelini olu\u015fturan \u00f6nemli bir \u00e7al\u0131\u015fmad\u0131r.<\/li>\n\n\n\n
- Uluslararas\u0131 Deneyim:<\/strong> 1997 y\u0131l\u0131nda ABD’de House Ear Institute<\/strong>‘ta “Research Scholar” olarak \u00e7al\u0131\u015fm\u0131\u015ft\u0131r.<\/li>\n\n\n\n
- Cerrahi Ba\u015far\u0131lar:<\/strong> \u00c7ocuklarda ve yeti\u015fkinlerde i\u015fitme kayb\u0131 tedavisinde \u00f6nemli say\u0131da koklear implant ve beyin sap\u0131 implantasyonu ameliyat\u0131n\u0131 ba\u015far\u0131yla ger\u00e7ekle\u015ftirmi\u015ftir.<\/li>\n<\/ul>\n\n\n\n
Kaynaklar<\/h2>\n\n\n\n
\n
- \n
- Sennaro\u011flu L, Bajin MD. Classification and Current Management of Inner Ear Malformations. Balkan Med J 2017;34:397-411<\/li>\n\n\n\n
- Kaya, \u015e., Sennaro\u011flu, G., & Sennaro\u011flu, L. (2019). Konjenital \u0130\u00e7 Kulak Anomalileri Tipleri ve G\u00f6r\u00fclme S\u0131kl\u0131\u011f\u0131. T\u00fcrk Odyoloji ve \u0130\u015fitme Ara\u015ft\u0131rmalar\u0131 Dergisi, 2(2), 6-11.<\/li>\n\n\n\n
- Sennaroglu, L. ve Saatci, I. (2002). A new classification for cochleovestibular malformations. The Laryngoscope, 112, 2230-2241.<\/li>\n\n\n\n
- Sennaroglu, L. (2003). Konjenital sens\u00f6rin\u00f6ral isitme kay\u0131plar\u0131. Akyol, M.U. (Ed.) Pediatrik Kulak Burun Bo\u011faz Hastal\u0131klar\u0131. Ankara: G\u00fcnes Yay\u0131nevi.<\/li>\n\n\n\n
- Sennaroglu, L., Ozkan, HB., & Aslan, F. (2013) Impact of Cochleovestibular Malformations in Treating Children with Hearing Loss. Audiology & Neurotology, 18 (suppl 1), 3-31.<\/li>\n\n\n\n
- Sennaro\u011flu, L. (2010). Cochlear Implantation In Inner Ear Malformations-a review article. Cochlear Implants Internationals, 11 (1), 4-41.<\/li>\n\n\n\n
- Sennaroglu, L. (2015) Histopathology of inner ear malformations: Do we have enough evidence to explain pathophysiology? Cochlear Implants International.<\/li>\n<\/ol>\n<\/blockquote>","protected":false},"excerpt":{"rendered":"
\u0130\u00e7 kulak anomalileri konusunda akademik d\u00fcnyada \u00f6nemli bir referans olan Prof. Dr. Levent Sennaro\u011flu\u2019nun s\u0131n\u0131flamas\u0131 ve tedavi yakla\u015f\u0131mlar\u0131yla i\u00e7 kulak malformasyonlar\u0131n\u0131n t\u00fcrleri, tan\u0131 ve y\u00f6netimi hakk\u0131nda detayl\u0131 bilgi al\u0131n.<\/p>","protected":false},"author":2,"featured_media":3725,"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":[229],"tags":[226,225,217,215,219,227,216,218,222,228,220,223],"class_list":["post-3723","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ic-kulak-anomalileri","tag-ic-kulak-anomalileri","tag-jackler-siniflamasi","tag-koklear-aplazi","tag-koklear-hipoplazi","tag-michel-deformitesi","tag-mikst-tip-isitme-kaybi","tag-ortak-kavite","tag-rudimenter-otokist","tag-semisirkuler-kanal-anomalileri","tag-sensorinoral-tip-isitme-kaybi-2","tag-vestibuler-anomali","tag-vestibulokoklear-akuadukt-anomalileri"],"blocksy_meta":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts\/3723","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=3723"}],"version-history":[{"count":3,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts\/3723\/revisions"}],"predecessor-version":[{"id":3728,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/posts\/3723\/revisions\/3728"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/media\/3725"}],"wp:attachment":[{"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/media?parent=3723"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/categories?post=3723"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyolojipusulasi.com\/en\/wp-json\/wp\/v2\/tags?post=3723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- Akademik G\u00f6revi:<\/strong> Hacettepe \u00dcniversitesi T\u0131p Fak\u00fcltesi Kulak Burun Bo\u011faz Anabilim Dal\u0131<\/strong> \u00f6\u011fretim \u00fcyesi olarak g\u00f6rev yapmaktad\u0131r.<\/li>\n\n\n\n
- Total labirent aplazide (Michel Deformitesi) i\u00e7 kulak yap\u0131lar\u0131 olu\u015fmaz. \u0130\u015fitsel de\u011ferlendirmede i\u015fitsel uyarana cevap al\u0131nmaz veya sadece vibrotaktik cevaba rastlan\u0131r. Koklear implant<\/a> m\u00fcmk\u00fcn de\u011fildir, tek tedavi i\u015fitsel beyin sap\u0131 implant\u0131d\u0131r.<\/li>\n\n\n\n