{"id":79,"date":"2019-01-07T13:02:15","date_gmt":"2019-01-07T10:02:15","guid":{"rendered":"https:\/\/www.drserkanpolat.com\/?p=79"},"modified":"2020-08-27T23:32:06","modified_gmt":"2020-08-27T20:32:06","slug":"dis-hekimliginde-piezocerrahi","status":"publish","type":"post","link":"https:\/\/www.drserkanpolat.com\/index.php\/2019\/01\/07\/dis-hekimliginde-piezocerrahi\/","title":{"rendered":"Di\u015f Hekimli\u011finde Piezocerrahi"},"content":{"rendered":"<p><strong>Piezocerrahi nedir?<\/strong><\/p>\n<p>Piezocerrahi, piezoelektrik kemik cerrahisi olarak da bilinir ve piezoelektrik titre\u015fimlerle yumu\u015fak dokuya zarar vermeden kemi\u011fi kesmeye veya a\u015f\u0131nd\u0131rmaya yarayan bir sistemdir. Piezoelektrik; baz\u0131 kristaller, seramikler veya kemi\u011fe uygulanan bas\u0131n\u00e7 ile elektrik olu\u015fmas\u0131 prensibine dayan\u0131r. Kar\u015f\u0131t piezoelektrik etkisi ise kristale elektrik uygulanmas\u0131 ile \u015fekil de\u011fi\u015fikli\u011fi olu\u015fmas\u0131d\u0131r. Piezocerrahi bu prensibe dayanmaktad\u0131r.<\/p>\n<p><!--more--><\/p>\n<p><strong>Piezocerrahi neden yumu\u015fak dokuya zarar vermez?<\/strong><\/p>\n<p>Piezocerrahi cihaz\u0131n\u0131n ucunun titre\u015fim miktar\u0131 60-200 mikron aral\u0131\u011f\u0131ndad\u0131r. Yani milimetrenin 1\/20 ile 1\/5 kadar hareket eder. Bu aral\u0131kta titre\u015fim say\u0131s\u0131 ise saniyede 25-35 bin aral\u0131\u011f\u0131ndad\u0131r. Bu frekans (20Hz-20kHz) olan duymas\u0131 aral\u0131\u011f\u0131n\u0131n \u00fcst\u00fcnde oldu\u011fu i\u00e7in ultrasonik frekans olarak isimlendirilir. Bu titre\u015fim aral\u0131\u011f\u0131nda ve h\u0131z\u0131nda hareket eden bir u\u00e7, yumu\u015fak dokuya zarar vermeden sadece kemik dokuyu kesmektedir.<\/p>\n<p><strong>Piezocerrahi hangi alanlarda kullan\u0131lmaktad\u0131r?<\/strong><\/p>\n<p>Piezocerrahi; di\u015f hekimli\u011fi (implantoloji, g\u00f6m\u00fcl\u00fc di\u015f cerrahisi, atravmatik di\u015f \u00e7ekimi, sin\u00fcs lifting, blok greft ameliyatlar\u0131, distraksiyon osteogenezisi, ortognatik cerrahi, apikal rezeksiyon, ortodontik cerrahi vb), KBB, ortopedi, beyin ve sinir cerrahisi gibi alanlarda kullan\u0131lmaktad\u0131r.<\/p>\n<p>\u00d6zellikle alveolar split osteotomi ve blok greft elde edilirken, \u00e7ok ince, kontroll\u00fc ve sinir hasar\u0131 riskini en aza indirecek \u015fekilde kemik kesisi yap\u0131labilmesi b\u00fcy\u00fck avantaj olmaktad\u0131r.<\/p>\n<p>Son y\u0131llarda implant yuvas\u0131n\u0131n haz\u0131rlanmas\u0131 veya implant \u00e7\u0131kart\u0131lmas\u0131nda kullan\u0131lmaktad\u0131r. Osteojenik etkisi nedeniyle osseoentegrasyon daha olmaktad\u0131r.<\/p>\n<p>Lefort I veya sagital split osteomilerde de ba\u015far\u0131yla kullan\u0131lmaktad\u0131r. Ancak \u00f6zellikle uzun kesilerin yap\u0131ld\u0131\u011f\u0131 bu t\u00fcr cerrahilerde operasyon s\u00fcresi uzamaktad\u0131r.<\/p>\n<p><strong>Piezocerrahinin avantajlar\u0131 nelerdir?<\/strong><\/p>\n<p>Piezocerrahinin en \u00f6nemli avantaj\u0131 sadece kemik dokuyu kesmesidir. Yumu\u015fak dokuya zarar vermeden kesi yapmas\u0131 \u00f6zellikle sinir hasar\u0131n\u0131 \u00f6nlemede \u00e7ok \u00f6nemli bir avantaj olu\u015fturmaktad\u0131r. Steril serum ile b\u00f6lgenin s\u00fcrekli y\u0131kanmas\u0131 ve kanama durdurucu \u00f6zelli\u011fi cerraha \u00e7ok iyi bir g\u00f6r\u00fc\u015f sa\u011flamaktad\u0131r. Klasik aletlere g\u00f6re \u00e7ok kontroll\u00fc ve ince kemik kesileri yap\u0131labilmektedir. Kavitasyon etkisi ile bakteri h\u00fccre duvar\u0131n\u0131 par\u00e7alayarak antibakteriyel etkisi oldu\u011fu da g\u00f6sterilmi\u015ftir.<\/p>\n<p>Piezocerrahi ile yap\u0131lan g\u00f6m\u00fcl\u00fc di\u015f ve implant cerrahilerinden sonra daha az a\u011fr\u0131 ve \u015fi\u015flik olu\u015fmaktad\u0131r. \u0130mplant cerrahisinde geleneksel y\u00f6ntemlere g\u00f6re osseoentegrasyon (implant ve kemi\u011fin kayna\u015fmas\u0131) s\u00fcrecinin daha h\u0131zl\u0131 oldu\u011fu g\u00f6sterilmi\u015ftir.<\/p>\n<p>Piezocerrahi, ortodontik tedavilerde di\u015flerin \u00e7ok daha h\u0131zl\u0131 hareket ettirilmesini sa\u011flayabilmektedir.<\/p>\n<p><strong>Piezocerrahinin dezavantajlar\u0131 var m\u0131d\u0131r?<\/strong><\/p>\n<p>Piezocerrahinin en \u00f6nemli dezavantaj\u0131 sistemin pahal\u0131 olmas\u0131d\u0131r. Di\u011fer bir dezavantaj ise operasyon s\u00fcresinin bir miktar artmas\u0131d\u0131r. Kullan\u0131m\u0131 tecr\u00fcbe gerektirir ve uygun irrigasyon yap\u0131lmay\u0131p, fazla bas\u0131n\u00e7 uyguland\u0131\u011f\u0131nda \u0131s\u0131 art\u0131\u015f\u0131na sebep olur.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Piezocerrahi nedir? Piezocerrahi, piezoelektrik kemik cerrahisi olarak da bilinir ve piezoelektrik titre\u015fimlerle yumu\u015fak dokuya zarar vermeden kemi\u011fi kesmeye veya a\u015f\u0131nd\u0131rmaya yarayan bir sistemdir. Piezoelektrik; baz\u0131 kristaller, seramikler veya kemi\u011fe uygulanan bas\u0131n\u00e7 ile elektrik olu\u015fmas\u0131 prensibine dayan\u0131r. Kar\u015f\u0131t piezoelektrik etkisi ise kristale elektrik uygulanmas\u0131 ile \u015fekil de\u011fi\u015fikli\u011fi olu\u015fmas\u0131d\u0131r. Piezocerrahi bu prensibe dayanmaktad\u0131r.<\/p>\n","protected":false},"author":1,"featured_media":81,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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