{"id":7434,"date":"2024-10-11T18:49:17","date_gmt":"2024-10-11T16:49:17","guid":{"rendered":"https:\/\/ivrt.de\/?p=7434"},"modified":"2025-08-25T17:22:21","modified_gmt":"2025-08-25T15:22:21","slug":"otoskleroz","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/schwindelerkrankungen\/otosklerose\/","title":{"rendered":"Otoskleroz"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"7434\" class=\"elementor elementor-7434\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3a669e56 e-flex e-con-boxed e-con e-parent\" data-id=\"3a669e56\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6585c73a e-con-full e-flex e-con e-child\" data-id=\"6585c73a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-106e3da5 elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"106e3da5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Vestib\u00fcler hastal\u0131k<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c9db6cd elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"4c9db6cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Otoskleroz<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bdeaed0 elementor-widget elementor-widget-text-editor\" data-id=\"bdeaed0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i>Bu bilgiler, bu konuya genel bir giri\u015f niteli\u011findedir.<\/i> <i>Her insan denge ve ba\u015f d\u00f6nmesi sorunlar\u0131ndan farkl\u0131 \u015fekillendi\u011finden, ki\u015fiselle\u015ftirilmi\u015f tavsiye almak i\u00e7in doktorunuzla konu\u015fmal\u0131s\u0131n\u0131z.<\/i><\/p><p><i>Daha iyi okunabilirlik sa\u011flayabilmek amac\u0131yla genel erkek formu (jenerik maskulinum) kullan\u0131lmakta olup, erkek, kad\u0131n ve farkl\u0131 (e\/k\/d) dil bi\u00e7imlerinin e\u015f zamanl\u0131 kullan\u0131m\u0131ndan ka\u00e7\u0131n\u0131lm\u0131\u015ft\u0131r. Bu hasta bilgilendirme metninde kullan\u0131lan ki\u015fi adlar\u0131, aksi belirtilmedi\u011fi s\u00fcrece t\u00fcm cinsiyetleri kapsamaktad\u0131r.<\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aadb673 elementor-invisible elementor-widget elementor-widget-image\" data-id=\"4aadb673\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Otosklerose-1024x682.jpg\" class=\"attachment-large size-large wp-image-14081\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Otosklerose-1024x682.jpg 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Otosklerose-300x200.jpg 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Otosklerose-768x512.jpg 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Otosklerose-1536x1023.jpg 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Otosklerose.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55f9932b elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"55f9932b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Otoskleroz nedir?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-185a100 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"185a100\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Otoskleroz, orta kulaktaki anormal kemik b\u00fcy\u00fcmesinin karma\u015f\u0131k bir bozuklu\u011fudur. Genellikle minik \u00dczengi kemi\u011finin \u00e7evreleyen kemikle kayna\u015fmas\u0131yla ortaya \u00e7\u0131kar. Otoskleroz genellikle yava\u015f, ilerleyici bir iletim tipi i\u015fitme kayb\u0131na yol a\u00e7ar.<\/p><p>\u00dczengi kemik\u00e7i\u011fi art\u0131k titremedi\u011finde, i\u015fitme duyusu olumsuz etkilenir. Ses dalgalar\u0131 art\u0131k kulak zar\u0131ndan i\u00e7 kula\u011fa verimli bir \u015fekilde hareket edemez. \u0130lerlemi\u015f otoskleroz, \u00f6zellikle anormal kemik b\u00fcy\u00fcmesi i\u00e7 kula\u011fa kadar ula\u015ft\u0131\u011f\u0131nda, ba\u015f d\u00f6nmesine neden olabilir ve dengeyi olumsuz etkileyebilir.<\/p><p>Otosklerozda i\u015fitme kayb\u0131 bazen nispeten hafiftir ve \u00f6yle kal\u0131r. Ancak genellikle sinsi bir \u015fekilde k\u00f6t\u00fcle\u015fir. Bu durum h\u0131zl\u0131 bir \u015fekilde veya uzun y\u0131llar boyunca ger\u00e7ekle\u015febilir. Otoskleroz \u015fiddetli i\u015fitme kayb\u0131na yol a\u00e7abilir, ancak nadiren tam sa\u011f\u0131rl\u0131\u011fa neden olur.<\/p><p>Vakalar\u0131n yakla\u015f\u0131k \u201380\u2019inde otoskleroz her iki kula\u011f\u0131 da etkiler (bilateral). Hastal\u0131\u011f\u0131n erken evrelerinde hastalar genellikle sadece bir kulakta i\u015fitme kayb\u0131 ya\u015fad\u0131klar\u0131n\u0131 bildirirler (unilateral).<\/p><p>Otoskleroz, gen\u00e7 yeti\u015fkinlerde i\u015fitme kayb\u0131n\u0131n en yayg\u0131n nedenlerinden biridir. \u00c7o\u011funlukla i\u015fitme kayb\u0131 ilk olarak ergenlik d\u00f6neminde ve yirmili ya\u015flarda fark edilir. Otoskleroz \u00e7ocuklarda ve ya\u015fl\u0131larda da ortaya \u00e7\u0131kabilir. Kad\u0131nlar\u0131n otoskleroz olma olas\u0131l\u0131\u011f\u0131 erkeklere g\u00f6re yakla\u015f\u0131k iki kat daha fazlad\u0131r. Hamilelik, otosklerozun daha h\u0131zl\u0131 ilerlemesine neden olabilir.<\/p><p>Otoskleroz nadir g\u00f6r\u00fclen bir hastal\u0131kt\u0131r ve yakla\u015f\u0131k her 1.000 ki\u015fiden 3\u2019\u00fcnde g\u00f6r\u00fcl\u00fcr. Ara\u015ft\u0131rma sonu\u00e7lar\u0131, otoskleroz hastalar\u0131n\u0131n \u2013 50\u2019sinde bu hastal\u0131\u011f\u0131n aile \u00f6yk\u00fcs\u00fc oldu\u011funu g\u00f6stermektedir.<\/p><p>Otoskleroz kelimesi Yunancadan gelmektedir. Kulakta (oto) dokunun anormal bir \u015fekilde sertle\u015fmesi (skleroz) anlam\u0131na gelir.<\/p><p><u>Nas\u0131l i\u015fitiriz?<\/u><\/p><p>Otosklerozun neden i\u015fitme kayb\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131 anlamak i\u00e7in, nas\u0131l i\u015fitti\u011fimiz konusunda temel bir bilgiye sahip olmak \u00f6nemlidir. \u0130\u015fitmenin normal \u015fekilde \u00e7al\u0131\u015fabilmesi i\u00e7in bir sesin kula\u011f\u0131n \u00fc\u00e7 k\u0131sm\u0131ndan da ge\u00e7mesi gerekir: d\u0131\u015f, orta ve i\u00e7 kulak. D\u0131\u015f ve orta kulak hava ile doluyken, i\u00e7 kulak s\u0131v\u0131 ile doludur.<\/p><p>D\u0131\u015f kulak, kulak kep\u00e7esi ve huni \u015feklindeki d\u0131\u015f kulak yolundan olu\u015fur. Kulak kep\u00e7esi ses dalgalar\u0131n\u0131 (titre\u015fimleri) toplar ve kulak yolu arac\u0131l\u0131\u011f\u0131yla kulak zar\u0131m\u0131za iletir. Bu sayede kulak zar\u0131 titre\u015fime ge\u00e7er ve ses dalgalar\u0131 mekanik titre\u015fimlere d\u00f6n\u00fc\u015ft\u00fcr\u00fcl\u00fcr.<\/p><p>Bu titre\u015fimler, orta kulaktaki hava dolu bo\u015flukta bulunan \u00fc\u00e7 minik kemik\u00e7\u00fc\u011fe (\u00e7eki\u00e7, \u00f6rs ve \u00dczengi) aktar\u0131l\u0131r. \u0130\u015fitme kemik\u00e7ikleri olarak da adland\u0131r\u0131lan bu kemikler, titre\u015fimleri g\u00fc\u00e7lendirecek \u015fekilde d\u00fczenlenmi\u015ftir.<\/p><p>\u00dczengi kemi\u011fi, en i\u00e7teki kemik, i\u00e7 kulaktaki salyangoz (koklea) ile ba\u011flant\u0131l\u0131d\u0131r. Salyangozun i\u00e7inde \u00e7ok k\u00fc\u00e7\u00fck t\u00fcyc\u00fckler ve s\u0131v\u0131 bulunur. \u00dczengi kemi\u011fi koklean\u0131n duvar\u0131ndaki bir \u201epencereye\u201c do\u011fru titre\u015fti\u011finde, s\u0131v\u0131 hareket eder. Bu sayede t\u00fcyc\u00fckler b\u00fck\u00fcl\u00fcr ve elektriksel sinyaller \u00fcretir. Bu sinyaller i\u015fitme ve denge siniri (8. kranial sinir) arac\u0131l\u0131\u011f\u0131yla beyne g\u00f6nderilir ve ses olarak yorumlan\u0131r.<\/p><p>Otosklerozda i\u015fitme, \u00fczengi kemi\u011finin orta kulaktaki \u00e7evre kemiklerle kayna\u015fmas\u0131 durumunda bozulur. \u00dczengi art\u0131k titre\u015femez ve ses, kulak zar\u0131ndan i\u00e7 kula\u011fa art\u0131k verimli bir \u015fekilde iletilemez.<\/p><p><strong>Otosklerozda i\u015fitme kayb\u0131 t\u00fcrleri<\/strong><\/p><p>Otosklerozda farkl\u0131 i\u015fitme kayb\u0131 t\u00fcrleri vard\u0131r:<\/p><ul><li>\u0130letim tipi i\u015fitme kayb\u0131, orta kula\u011f\u0131n kemiklerinden birinde veya t\u00fcm\u00fcnde kemik yeniden modellenmesi s\u00fcre\u00e7leri nedeniyle mekanik ses iletiminin bozuldu\u011fu otosklerozun erken evresinde ortaya \u00e7\u0131kar. Otosklerozlu ki\u015filerin \u00e7o\u011fu iletim tipi i\u015fitme kayb\u0131ndan muzdariptir. Bu s\u00fcre\u00e7 genellikle etkilenenler otuzlu ya\u015flar\u0131ndayken zirvesine ula\u015f\u0131r.<\/li><li>Ses alg\u0131s\u0131 kaynakl\u0131 i\u015fitme kayb\u0131, i\u00e7 kula\u011f\u0131 (otik kaps\u00fcl) \u00e7evreleyen kemi\u011fin yeniden yap\u0131land\u0131r\u0131lmas\u0131yla daha ge\u00e7 bir a\u015famada ortaya \u00e7\u0131kar. Bu s\u00fcrece otosponjiyoz denir. Yeniden yap\u0131lanma s\u0131ras\u0131nda mineral yo\u011funlu\u011fu azal\u0131r ve kemik s\u00fcngerimsi bir yap\u0131ya b\u00fcr\u00fcn\u00fcr. Kemikten i\u00e7 kula\u011fa ge\u00e7en enzimlerin sens\u00f6rin\u00f6ral i\u015fitme kayb\u0131na neden oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir. Koklea kanal\u0131 (spiral \u015ferit) d\u0131\u015f duvar\u0131ndaki atrofi (k\u00fc\u00e7\u00fclme) ve kan damarlar\u0131n\u0131n (stria vaskularis) bozulmas\u0131 da otosklerozda sens\u00f6rin\u00f6ral i\u015fitme kayb\u0131na katk\u0131da bulunur.<\/li><li>\u0130letim ve alg\u0131 tipinin kar\u0131\u015f\u0131k t\u00fcrde i\u015fitme kayb\u0131:<\/li><\/ul><p>Otoskleroz, i\u00e7 kula\u011f\u0131 (otik kaps\u00fcl) veya i\u00e7 kula\u011f\u0131n kemik labirentini \u00e7evreleyen kemi\u011fe yay\u0131ld\u0131\u011f\u0131nda, t\u00fcm frekanslarda kar\u0131\u015f\u0131k tipte i\u015fitme kayb\u0131 en son, ileri a\u015famada ortaya \u00e7\u0131kar.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61c9686c e-con-full e-flex e-con e-child\" data-id=\"61c9686c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-278c4f9a e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"278c4f9a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c83fc7f elementor-widget elementor-widget-heading\" data-id=\"4c83fc7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">\u00d6zet<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-541c049 elementor-icon-list-ico-position-0 elementor-widget__width-inherit elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"541c049\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-search-3\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Orta kulakta anormal kemik b\u00fcy\u00fcmesiyle seyreden karma\u015f\u0131k bir bozukluk.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-compass\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Sesi iletmekle g\u00f6revli minik kemikler, \u00e7evrelerindeki kemiklerle kayna\u015f\u0131yor.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-clipboard\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Genellikle her iki kula\u011f\u0131 da etkiler.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-users\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Gen\u00e7 yeti\u015fkinlerde iletim tipi i\u015fitme kayb\u0131n\u0131n en yayg\u0131n nedenlerinden biridir. \u0130\u015fitme kayb\u0131n\u0131n h\u0131z\u0131 ve derecesi \u00f6ng\u00f6r\u00fclemezdir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-balance1\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Kemik b\u00fcy\u00fcmesi i\u00e7 kula\u011fa kadar uzand\u0131\u011f\u0131nda ba\u015f d\u00f6nmesine ve denge sorunlar\u0131na neden olur.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-medicine-1\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">\u0130\u015fitme cihazlar\u0131 normalde tedavide ilk tercihtir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-doctor\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">80% grubundaki hastalarda, minimal invaziv bir ameliyat\u0131n ard\u0131ndan i\u015fitme yetene\u011finde iyile\u015fme g\u00f6r\u00fclmektedir.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-heart\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Sa\u011fl\u0131kl\u0131 bir ya\u015fam tarz\u0131, genellikle beklenmedik bir i\u015fitme kayb\u0131na uyum sa\u011flaman\u0131n getirdi\u011fi zorluklarla daha iyi ba\u015fa \u00e7\u0131kmaya yard\u0131mc\u0131 olur.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a1cb7b4 elementor-widget__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"2a1cb7b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/ivrt.de\/wp-content\/uploads\/2025\/07\/IVRT-Patienteninformation-Otosklerose.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PDF olarak indir - Almanca<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60fa8fc elementor-widget__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"60fa8fc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/ivrt.de\/wp-content\/uploads\/2025\/06\/IVRT\u00ae-patienteninformatie-Otosclerose.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PDF olarak indir \u2013 Nederlands<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-43ef592a e-flex e-con-boxed e-con e-parent\" data-id=\"43ef592a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-55cc4507 e-con-full e-flex e-con e-child\" data-id=\"55cc4507\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a9f9fb1 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"6a9f9fb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Otosklerozun nedeni nedir?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-582b34b4 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"582b34b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Kemik, s\u00fcrekli olarak y\u0131k\u0131lan ve yeniden yap\u0131lan ya\u015fayan bir dokudur. Otosklerozda kemik yeniden \u015fekillenme s\u00fcreci d\u00fczg\u00fcn \u00e7al\u0131\u015fmaz ve anormal kemik olu\u015fur. Bilim hen\u00fcz bunun nedenini tam olarak bilmemektedir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-135c4d1f elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"135c4d1f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Olas\u0131 nedenler \u015funlard\u0131r:<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6afb6394 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"6afb6394\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Ebeveynden ge\u00e7en kusurlu bir gen. Ara\u015ft\u0131rmac\u0131lar yak\u0131n zamanda otoskleroza neden olabilecek SERPINF1 geninde bir dizi de\u011fi\u015fiklik tespit ettiler.<\/li><li>K\u0131zam\u0131k vir\u00fcs\u00fcne maruz kalmak, otosklerozdan sorumlu bir genin aktive edilmesinde \u00f6nemli bir rol oynayabilir. K\u0131zam\u0131\u011f\u0131n otosklerozun ortaya \u00e7\u0131k\u0131\u015f\u0131ndaki ve ilerlemesindeki tam rol\u00fc hen\u00fcz netlik kazanmam\u0131\u015ft\u0131r. A\u015f\u0131lama sayesinde k\u0131zam\u0131k vakalar\u0131ndaki d\u00fc\u015f\u00fc\u015f, otoskleroz hastas\u0131 insan say\u0131s\u0131n\u0131n daha da azalmas\u0131na katk\u0131da bulunabilir.<\/li><li>Kulaktaki kemiklerin ve i\u00e7 kula\u011f\u0131 \u00e7evreleyen kemik dokusunun stres k\u0131r\u0131klar\u0131.<\/li><li>Baz\u0131 \u00e7al\u0131\u015fmalar, \u00e7evresel veya genetik fakt\u00f6rlerle ba\u011flant\u0131l\u0131 olabilen v\u00fccudun otoimm\u00fcn tepkisinin otoskleroz ile ili\u015fkilendirilebilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir.<\/li><\/ul><p>\u00a0<\/p><p>Hamilelik s\u0131ras\u0131nda hormon d\u00fczeylerindeki de\u011fi\u015fiklikler, otosklerozun \u015fiddetlenmesinde rol oynayabilir. Bir \u00e7al\u0131\u015fmada, her iki kula\u011f\u0131nda otoskleroz bulunan kad\u0131nlarda, tek bir hamilelik sonras\u0131nda i\u015fitme yetene\u011finin azald\u0131\u011f\u0131 tespit edilmi\u015ftir.<\/p><p>Otoskleroz, s\u0131kl\u0131kla kemik erimesi hastal\u0131\u011f\u0131 (osteogenesis imperfecta) ad\u0131 verilen nadir bir hastal\u0131kla birlikte g\u00f6r\u00fcl\u00fcr.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ea9d450 elementor-invisible elementor-widget elementor-widget-elementskit-accordion\" data-id=\"4ea9d450\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"elementskit-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n        <div class=\"elementskit-accordion accoedion-primary\" id=\"accordion-6abf182a511b2\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-4ea9d450\" role=\"heading\" aria-level=\"3\">\n                        <a href=\"#collapse-a6e33056abf182a511b2\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" role=\"button\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e33056abf182a511b2\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e33056abf182a511b2\">\n                            \n                            <span class=\"ekit-accordion-title\">Otoskleroz belirtileri<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-a6e33056abf182a511b2\" class=\"collapse\" role=\"region\" aria-labelledby=\"primaryHeading-0-4ea9d450\" data-parent=\"#accordion-6abf182a511b2\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Otosklerozun belirtileri \u015funlard\u0131r:<\/p><ul><li>Yava\u015f yava\u015f ilerleyen i\u015fitme kayb\u0131.<\/li><li>Baz\u0131 insanlar daha derin veya daha sessiz sesleri ve f\u0131s\u0131lt\u0131lar\u0131 duymakta zorluk \u00e7ekti\u011fini bildiriyor.<\/li><li>Baz\u0131 insanlar, arka plandaki g\u00fcr\u00fclt\u00fc varken duyman\u0131n kendileri i\u00e7in daha kolay oldu\u011funu bildirmektedir. Buna Paracusis Willisii denir.<\/li><li>Sesinizin size \u00e7ok y\u00fcksek gelmesi nedeniyle al\u00e7ak sesle konu\u015fma.<\/li><li>Kulak sertle\u015fmesi olan ki\u015filerin \u2019sinden fazlas\u0131nda kulak \u00e7\u0131nlamas\u0131 g\u00f6r\u00fcl\u00fcr.<\/li><li>Ba\u015f d\u00f6nmesi ve denge bozukluklar\u0131, hastalar\u0131n yakla\u015f\u0131k &#x27;unda g\u00f6r\u00fcl\u00fcr. Ba\u015f d\u00f6nmesi, otosklerozun i\u00e7 kula\u011fa yay\u0131lmas\u0131 ve mak\u00fcla organlar\u0131n\u0131 ve\/veya yar\u0131m daire kanallar\u0131n\u0131 hasar vermesi durumunda ortaya \u00e7\u0131kar.<\/li><\/ul><p>Otosklerozun belirtilerini, i\u015fitme kayb\u0131n\u0131n di\u011fer nedenlerinden ay\u0131rt etmek zor olabilir. Bunlar aras\u0131nda orta kulak kemik\u00e7iklerinin \u00e7e\u015fitli mekanik bozukluklar\u0131, orta kulakta s\u0131v\u0131 (ef\u00fczyonlu otitis media veya ser\u00f6z otitis media) ve hatta yar\u0131m daire kanal\u0131 dehisans\u0131 (SCD sendromu) gibi di\u011fer i\u00e7 kulak hastal\u0131klar\u0131 yer al\u0131r.<strong>.<\/strong><\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                                        <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73351f3 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"73351f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Otoskleroz Tan\u0131s\u0131 \n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe0cd6b elementor-invisible elementor-widget elementor-widget-elementskit-accordion\" data-id=\"fe0cd6b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"elementskit-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n        <div class=\"elementskit-accordion accoedion-primary\" id=\"accordion-6abf182a51fe2\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-fe0cd6b\" role=\"heading\" aria-level=\"3\">\n                        <a href=\"#collapse-75926e16abf182a51fe2\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" role=\"button\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-75926e16abf182a51fe2\" aria-expanded=\"false\" aria-controls=\"Collapse-75926e16abf182a51fe2\">\n                            \n                            <span class=\"ekit-accordion-title\">Bu hastal\u0131\u011f\u0131 kim te\u015fhis eder?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-75926e16abf182a51fe2\" class=\"collapse\" role=\"region\" aria-labelledby=\"primaryHeading-0-fe0cd6b\" data-parent=\"#accordion-6abf182a51fe2\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>\u0130\u015fitme duyunuzla ilgili endi\u015feleriniz varsa aile hekiminize gidin. Aile hekiminiz sizi daha sonra ayr\u0131nt\u0131l\u0131 olarak muayene edecek bir KBB uzman\u0131na y\u00f6nlendirecektir. KBB uzmanlar\u0131, i\u015fitme cihaz\u0131 akustisyenleriyle yak\u0131n bir \u015fekilde \u00e7al\u0131\u015f\u0131r.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-1-fe0cd6b\" role=\"heading\" aria-level=\"3\">\n                        <a href=\"#collapse-a6e33056abf182a51fe2\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" role=\"button\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e33056abf182a51fe2\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e33056abf182a51fe2\">\n                            \n                            <span class=\"ekit-accordion-title\">Otoskleroz nas\u0131l te\u015fhis edilir?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-a6e33056abf182a51fe2\" class=\"collapse\" role=\"region\" aria-labelledby=\"primaryHeading-1-fe0cd6b\" data-parent=\"#accordion-6abf182a51fe2\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Muhtemelen bu tan\u0131 testlerinden baz\u0131lar\u0131n\u0131 yapt\u0131rman\u0131z gerekecektir:<\/p><ul><li>\u0130\u015fitme hassasiyetini (odyogram) ve orta kulaktaki ses iletimini (timpanogram) \u00f6l\u00e7meye y\u00f6nelik testler dahil olmak \u00fczere kapsaml\u0131 i\u015fitme muayenesi.<\/li><li>Kula\u011f\u0131n\u0131zdaki \u00fczengi kemi\u011finin hareketini analiz etmek i\u00e7in stapedius refleksi testi. Bu test s\u0131ras\u0131nda incelenen kula\u011fa y\u00fcksek sesler verilir. Test h\u0131zl\u0131 ve a\u011fr\u0131s\u0131zd\u0131r.<\/li><\/ul><p>Y\u00fcksek \u00e7\u00f6z\u00fcn\u00fcrl\u00fckl\u00fc bilgisayarl\u0131 tomografi (BT), otoskleroz te\u015fhisi ve ameliyat planlamas\u0131nda giderek daha fazla kullan\u0131lmaktad\u0131r. Bu y\u00f6ntem, kohlear tutulum dahil olmak \u00fczere hastan\u0131n anatomisindeki varyantlar\u0131 ve hastal\u0131\u011f\u0131n \u015fiddetini g\u00f6stermektedir.<\/p><p>Tan\u0131 testlerinin baz\u0131lar\u0131 di\u011fer hastal\u0131klar\u0131 veya sa\u011fl\u0131k sorunlar\u0131n\u0131 d\u0131\u015flamak i\u00e7in yap\u0131l\u0131r. Benzer semptomlara sahip durumlar aras\u0131nda t\u00fcm\u00f6rler (akustik n\u00f6rom dahil), superior kanal dehisans\u0131 (SCD sendromu) ve M\u00e9ni\u00e8re hastal\u0131\u011f\u0131 yer al\u0131r. Doktorunuz bir tan\u0131 koymadan ve bir tedavi plan\u0131 olu\u015fturmadan \u00f6nce t\u00fcm olas\u0131l\u0131klar\u0131 g\u00f6z \u00f6n\u00fcnde bulundurmal\u0131d\u0131r.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                                        <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e56d0d1 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"7e56d0d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Otoskleroz Tedavisi<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-00ed500 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"00ed500\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Otosklerozun tedavisi i\u015fitme kayb\u0131n\u0131n \u015fiddetine ve t\u00fcr\u00fcne, ya\u015fa, genel sa\u011fl\u0131k durumuna ve hastan\u0131n tercihlerine ba\u011fl\u0131d\u0131r. Doktorunuz sizinle her bir tedavinin risklerini ve faydalar\u0131n\u0131 tart\u0131\u015facakt\u0131r.<\/p><p>Otoskleroz tedavisine y\u00f6nelik yakla\u015f\u0131mlar \u015funlard\u0131r:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7b64c756 e-grid e-con-full e-con e-child\" data-id=\"7b64c756\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-59c4d100 e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"59c4d100\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:400,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1aa3b18a elementor-widget elementor-widget-heading\" data-id=\"1aa3b18a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">tedavi se\u00e7ene\u011fi<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6ed895 elementor-widget elementor-widget-image\" data-id=\"b6ed895\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"2048\" height=\"2048\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-2048x2048.png\" class=\"attachment-2048x2048 size-2048x2048 wp-image-4626\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-2048x2048.png 2048w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-300x300.png 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-1024x1024.png 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-150x150.png 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-768x768.png 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-1536x1536.png 1536w\" sizes=\"(max-width: 2048px) 100vw, 2048px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f0709fe elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3f0709fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a52e343 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"1a52e343\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>G\u00f6zlem<\/u><\/p><p>Otosklerozun ilerlemesi ki\u015fiden ki\u015fiye farkl\u0131 \u015fiddette ve h\u0131zda ger\u00e7ekle\u015fir. Baz\u0131 insanlarda yaln\u0131zca hafif bir i\u015fitme kayb\u0131 g\u00f6r\u00fcl\u00fcr. Baz\u0131lar\u0131nda ise i\u015fitmenin k\u00f6t\u00fcle\u015fmesi uzun y\u0131llar al\u0131r. Doktorunuz, i\u015fitmenizi y\u0131lda en az bir kez test ettirmenizi \u00f6nerebilir. \u0130\u015fitmenizin k\u00f6t\u00fcle\u015fmeye devam etmesi durumunda size bir i\u015fitme cihaz\u0131 tavsiye edebilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-16ab2fc e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"16ab2fc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75a17764 elementor-widget elementor-widget-heading\" data-id=\"75a17764\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">tedavi se\u00e7ene\u011fi<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-824c63 elementor-widget elementor-widget-image\" data-id=\"824c63\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-1024x1024.png\" class=\"attachment-large size-large wp-image-4629\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-1024x1024.png 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-300x300.png 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-150x150.png 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-768x768.png 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-1536x1536.png 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg.png 1563w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ef7dcbf elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3ef7dcbf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d041e8b elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"3d041e8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>T\u0131bbi tedavi<\/u><\/p><p>Otosklerozu olan ki\u015filerin i\u015fitme yetene\u011fini kan\u0131tlanm\u0131\u015f \u015fekilde iyile\u015ftiren herhangi bir ila\u00e7 yoktur. Flor\u00fcr tedavisi ge\u00e7mi\u015fte kullan\u0131lm\u0131\u015ft\u0131r, ancak kal\u00e7a ve di\u011fer kemikler \u00fczerindeki olumsuz etkileri nedeniyle art\u0131k tavsiye edilmemektedir. Sodyum flor\u00fcr al\u0131m\u0131n\u0131n otosklerozda yard\u0131mc\u0131 oldu\u011funa dair \u00e7ok az kan\u0131t vard\u0131r veya mevcut kan\u0131tlar \u00e7eli\u015fkilidir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-553f2444 e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"553f2444\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7eb3d1f7 elementor-widget elementor-widget-heading\" data-id=\"7eb3d1f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">tedavi se\u00e7ene\u011fi<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f7aee7a elementor-widget elementor-widget-image\" data-id=\"7f7aee7a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-1024x1024.png\" class=\"attachment-large size-large wp-image-4630\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-1024x1024.png 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-300x300.png 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-150x150.png 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-768x768.png 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-1536x1536.png 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-2048x2048.png 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e5bb9d7 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4e5bb9d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5834df3b elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"5834df3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>\u0130\u015fitme cihaz\u0131<\/u><\/p><p>Otoskleroz orta kula\u011f\u0131n d\u0131\u015f\u0131na ilerlemedi\u011fi s\u00fcrece, iletim tipi i\u015fitme kayb\u0131n\u0131 d\u00fczeltmek i\u00e7in genellikle i\u015fitme cihazlar\u0131 ilk tercihtir. Ameliyata k\u0131yasla daha az riskli bir alternatiftirler.<\/p><p>Bir i\u015fitme cihaz\u0131 se\u00e7ti\u011finizde, uygun bir cihaz se\u00e7mek ve ayarlamak i\u00e7in bir i\u015fitme cihaz\u0131 uzman\u0131 ile birlikte \u00e7al\u0131\u015facaks\u0131n\u0131z. \u0130\u015fitme cihazlar\u0131, i\u015fitme testlerinize dayanarak yaln\u0131zca ihtiya\u00e7 duydu\u011funuz frekanslar\u0131 g\u00fc\u00e7lendirecek \u015fekilde ayarlanabilir. Hastal\u0131k ilerledik\u00e7e, ihtiya\u00e7 duyuldu\u011funda g\u00fc\u00e7lendirme art\u0131r\u0131labilir.<\/p><p>Kemik iletimli i\u015fitme cihazlar\u0131 veya kemi\u011fe monte i\u015fitme cihazlar\u0131 (\u00f6rn. BAHA), \u015fu hastalar i\u00e7in bir se\u00e7enektir:<\/p><ul><li>otoskleroz nedeniyle ameliyat olamamak veya olmak istememek<\/li><li>geleneksel i\u015fitme cihaz\u0131 kullanmakta zorluk ya\u015fayan veya bunlardan fayda g\u00f6rmeyen<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8a6deab e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"8a6deab\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-17e7fb9 elementor-widget elementor-widget-heading\" data-id=\"17e7fb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">tedavi se\u00e7ene\u011fi<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eedff4e elementor-widget elementor-widget-image\" data-id=\"eedff4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/zahlen-ohne-hg-1024x1024.webp\" class=\"attachment-large size-large wp-image-5721\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/zahlen-ohne-hg-1024x1024.webp 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/zahlen-ohne-hg-300x300.webp 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/zahlen-ohne-hg-150x150.webp 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/zahlen-ohne-hg-768x768.webp 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/zahlen-ohne-hg-1536x1536.webp 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/zahlen-ohne-hg-2048x2048.webp 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-219eedb elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"219eedb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-389fe9e elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"389fe9e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>Operasyon<\/u><\/p><p>\u00dczengi kemik\u00e7ili\u011fi ameliyat\u0131 (stapes plasti), sesin orta kulak yoluyla mekanik iletimini yeniden sa\u011flayarak iletim tipi i\u015fitme kayb\u0131n\u0131 d\u00fczeltir. Ancak sens\u00f6rin\u00f6ral (i\u00e7 kulak kaynakl\u0131) i\u015fitme kayb\u0131n\u0131 d\u00fczeltemez. \u00dczengi ameliyat\u0131 g\u00fcn\u00fcm\u00fczde giderek daha nadir yap\u0131lmakte olup, kural olarak ancak bir hastada daha az invaziv tedaviler ba\u015far\u0131s\u0131z oldu\u011funda d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p><p>\u00dczengi kemi\u011fi ameliyat\u0131 (stapes plasti) minimal invaziv bir giri\u015fim olarak kabul edilir. \u0130ki cerrahi varyant\u0131 vard\u0131r:<\/p><ul><li>Stapedotomi\u00a0<br \/>Cerrah, kulak kanal\u0131n\u0131n hemen \u00fczerinde k\u00fc\u00e7\u00fck bir kesi yapar (endaural yakla\u015f\u0131m). Orta kula\u011fa ula\u015fmak i\u00e7in kulak zar\u0131 kald\u0131r\u0131l\u0131r. \u00dczengi kemi\u011finin \u00fcst yar\u0131s\u0131 \u00e7\u0131kar\u0131l\u0131r. \u00dczengi kemi\u011finin alt k\u0131sm\u0131na (taban\u0131na) k\u00fc\u00e7\u00fck bir delik a\u00e7\u0131l\u0131r ve kusurlu kemi\u011fin yerine bir protez (yapay yedek) yerle\u015ftirilir.<\/li><li>Stapedektomi<br \/>Bu m\u00fcdahale stapedotomiye benzer. Aradaki temel fark, kesinin daha b\u00fcy\u00fck olmas\u0131, kulak kanal\u0131n\u0131n i\u00e7inde yer almas\u0131 ve \u00fczengi kemi\u011finin tamamen \u00e7\u0131kar\u0131lmas\u0131d\u0131r.<\/li><\/ul><p>\u0130ki y\u00f6ntemden genellikle stapidotomi tercih edilir. Daha az invazivdir, daha az komplikasyonu vard\u0131r ve y\u00fcksek frekanslarda daha iyi i\u015fitme sonu\u00e7lar\u0131 sa\u011flar.<\/p><p>Hastalar\u0131n \u2019i ameliyat sonras\u0131nda i\u015fitme yetene\u011finde belirgin bir iyile\u015fme g\u00f6sterir. \u0130\u015fitme yetene\u011findeki bu iyile\u015fme, ameliyattan hemen sonra fark edilmeyebilir. \u0130\u015fitme yetene\u011fi genellikle ameliyattan sonraki ilk \u00fc\u00e7 hafta i\u00e7inde \u015fi\u015fli\u011fin azalmas\u0131yla birlikte d\u00fczelir. \u0130\u00e7 kulak ve kulak zar\u0131n\u0131n tamamen iyile\u015fmesi \u00fc\u00e7 aya kadar s\u00fcrebilir. Maksimum i\u015fitme yetene\u011fine yakla\u015f\u0131k alt\u0131 ay sonra ula\u015f\u0131l\u0131r.<\/p><p>Ancak ameliyatla kulak \u00e7\u0131nlamas\u0131 (tinnitus) giderilemez. Salyangozdaki (koklea) t\u00fcy h\u00fccreleri otosklerozdan etkilendiyse, bu ameliyat i\u015fitme yetisini de iyile\u015ftirmez.<\/p><p>Bir stapes plastik ameliyat\u0131 i\u00e7in uygun olabilmek i\u00e7in hastalar\u0131n bir dizi i\u015fitme testinde her iki kula\u011f\u0131 da ilgilendiren iyi bir bilateral i\u00e7 kulak fonksiyonu kan\u0131tlamas\u0131 gerekir.<\/p><p>Ameliyat\u0131 d\u0131\u015flayan \u201ek\u0131rm\u0131z\u0131 bayraklar\u201c (tehlike i\u015faretleri) aras\u0131nda \u015funlar yer al\u0131r:<\/p><ul><li>k\u00f6t\u00fc bir fiziksel durum<\/li><li>Ba\u015f d\u00f6nmesi ile birlikte dalgal\u0131 i\u015fitme kayb\u0131<\/li><li>Y\u0131rt\u0131k kulak zar\u0131<\/li><li>Enfeksiyon<\/li><li>Normal d\u0131\u015f\u0131 i\u015fitme testleri<\/li><\/ul><p>Cerrahi riskler ve komplikasyonlar nadirdir, ancak ortaya \u00e7\u0131kabilir:<\/p><ul><li>\u0130\u015fitme bozuklu\u011funun bir ba\u015fka t\u00fcr\u00fc, vakalar\u0131n yakla\u015f\u0131k 2 %\u2019sinde g\u00f6r\u00fcl\u00fcr ve \u00e7e\u015fitli nedenlere ba\u011fl\u0131 olabilir.<\/li><li>Timpanik zarda bir delik (perforasyon) sadece vakalar\u0131n yakla\u015f\u0131k 1 %\u2019sinde g\u00f6r\u00fcl\u00fcr. Bu durum genellikle bir enfeksiyona ba\u011fl\u0131d\u0131r ve kendili\u011finden iyile\u015fir. \u0130yile\u015fmezse, delik cerrahi bir m\u00fcdahaleyle (miringoplasti) onar\u0131labilir.<\/li><li>Y\u00fcz siniri yaralanmas\u0131 genellikle ge\u00e7icidir. Beyin bo\u015flu\u011fuyla anormal bir ba\u011flant\u0131 bulunmas\u0131 nedeniyle beyin omurilik s\u0131v\u0131s\u0131n\u0131n cerrahi a\u00e7\u0131kl\u0131ktan d\u0131\u015far\u0131 s\u0131zmas\u0131 durumunda, i\u00e7 kulaktan s\u0131v\u0131 s\u0131z\u0131nt\u0131s\u0131 (\u201egusher fenomeni\u201c olarak bilinir) m\u00fcmk\u00fcnd\u00fcr. Bu durum \u00e7ok nadirdir ve lomber drenaj (bel omurgas\u0131na yerle\u015ftirilen k\u00fc\u00e7\u00fck, esnek bir t\u00fcp) ile d\u00fczeltilebilir.<\/li><li>Ameliyat\u0131n ard\u0131ndan ilk haftalarda tat bozukluklar\u0131 ve a\u011f\u0131z kurulu\u011fu s\u0131k g\u00f6r\u00fcl\u00fcr. Bu bozukluklar vakalar\u0131n yakla\u015f\u0131k 5 %\u2019sinde devam eder.<\/li><li>Kulak \u00e7\u0131nlamas\u0131 geli\u015febilir veya k\u00f6t\u00fcle\u015febilir.<\/li><li>Genellikle zamanla d\u00fczelen ve vestib\u00fcler rehabilitasyonla tedavi edilebilen ba\u015f d\u00f6nmesi ve denge bozukluklar\u0131. Bu s\u00fcre\u00e7te beyin, yeniden dengede durmay\u0131 ve vestib\u00fcler ile g\u00f6rsel sistemin sinyallerine uygun \u015fekilde tepki vermeyi \u00f6\u011frenir.<\/li><li>Protez zamanla yer de\u011fi\u015ftirebilir. Kemiksi i\u00e7 kulak labirentinin orta k\u0131sm\u0131na (vestibulum) n\u00fcfuz edebilir ve ani i\u015fitme kayb\u0131na neden olabilir.<\/li><\/ul><p>\u00c7o\u011fu hastada otoskleroz, ameliyattan sonra da ilerlemeye devam eder. Bu nedenle, hastalar\u0131n ila \u2019si ikinci kez ameliyat olmak zorunda kal\u0131r (revizyon). Revizyon ameliyat\u0131n\u0131n ba\u015far\u0131 oran\u0131 yakla\u015f\u0131k \u2019tir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3a4a550 e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"3a4a550\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0c18dce elementor-widget elementor-widget-heading\" data-id=\"0c18dce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">tedavi se\u00e7ene\u011fi<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1489744 elementor-widget elementor-widget-image\" data-id=\"1489744\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/5-ohne-hg-1024x1024.webp\" class=\"attachment-large size-large wp-image-5722\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/5-ohne-hg-1024x1024.webp 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/5-ohne-hg-300x300.webp 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/5-ohne-hg-150x150.webp 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/5-ohne-hg-768x768.webp 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/5-ohne-hg-1536x1536.webp 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/5-ohne-hg.webp 1563w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c7c2ac elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7c7c2ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc8b3d6 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"dc8b3d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>Koklear implant<\/u><\/p><p>Koklear implant nadir bir tedavi se\u00e7ene\u011fidir ve genellikle ba\u015far\u0131s\u0131z otoskleroz ameliyatlar\u0131ndan sonra kullan\u0131l\u0131r. Koklear implant (CI), sensorin\u00f6ral i\u015fitme kayb\u0131n\u0131 k\u0131smen eski haline getiren elektronik bir cihazd\u0131r. Dengeyi olumsuz etkileme riski ta\u015f\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6284fbb e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"6284fbb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ef14d97 elementor-widget elementor-widget-heading\" data-id=\"ef14d97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Otosklerozla Ya\u015fam<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f03df24 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"f03df24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d7d1303 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"d7d1303\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Otosklerozu kabul etmek ve onunla ya\u015famak, \u00f6zellikle gen\u00e7 yeti\u015fkinler i\u00e7in zorlay\u0131c\u0131 olabilir. Sa\u011fl\u0131kl\u0131 bir ya\u015fam tarz\u0131 genellikle beklenmedik i\u015fitme kayb\u0131n\u0131n beraberinde getirdi\u011fi zorluklarla daha iyi ba\u015fa \u00e7\u0131kmaya yard\u0131mc\u0131 olur. Bu nedenle faydal\u0131 stratejiler \u015funlar\u0131 i\u00e7erir:<\/p><ul><li>Gev\u015feme teknikleri<\/li><li>Dengeli beslenme<\/li><li>Yeterli uyku<\/li><li>Fiziksel aktivite<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1f01ac4f e-flex e-con-boxed e-con e-parent\" data-id=\"1f01ac4f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-706f85 e-con-full e-flex e-con e-child\" data-id=\"706f85\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-125a4cda elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"125a4cda\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nas\u0131l devam ediliyor?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2a6e54 elementor-widget__width-initial elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"e2a6e54\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Gelecekte sizi nelerin bekleyebilece\u011fi.\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b952bbc elementor-widget elementor-widget-text-editor\" data-id=\"b952bbc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Otosklerozun ilerlemesi ki\u015fiden ki\u015fiye de\u011fi\u015fir. \u0130\u015fitmenin ne kadar h\u0131zl\u0131 veya hangi \u00f6l\u00e7\u00fcde etkilenece\u011fi \u00f6ng\u00f6r\u00fclemez. Hastal\u0131\u011f\u0131n\u0131z\u0131 en iyi nas\u0131l tedavi edebilece\u011finiz ve kontrol alt\u0131na alabilece\u011finiz konusunda d\u00fczenli i\u015fitme testleri ve dan\u0131\u015fmanl\u0131k \u00f6n\u00fcm\u00fczdeki y\u0131llarda da gerekli olacakt\u0131r.<\/p><p>Tam ekzom dizilimi (Whole Exome Sequencing - k\u0131saca WES) ad\u0131 verilen yeni bir DNA dizileme tekni\u011fi sayesinde ara\u015ft\u0131rmac\u0131lar k\u0131sa s\u00fcre \u00f6nce otosklerozun geli\u015fiminde rol oynayan ilk gen tan\u0131mlamay\u0131 ba\u015fard\u0131lar. Ara\u015ft\u0131rma ekibi di\u011fer otoskleroz genlerini tan\u0131mlamak i\u00e7in \u00e7al\u0131\u015fmalar\u0131na devam etmektedir. Ayr\u0131ca, tan\u0131mlanan genlerdeki mutasyonlar\u0131n otoskleroza nas\u0131l neden oldu\u011funu ara\u015ft\u0131rmaktad\u0131rlar.<\/p><p>Di\u011fer ara\u015ft\u0131rma \u00e7al\u0131\u015fmalar\u0131 \u015funlar\u0131 ele almaktad\u0131r:<\/p><ul><li>otosklerozda enflamatuar veya otoimm\u00fcn hastal\u0131klar\u0131n rol\u00fc<\/li><li>Kemik yo\u011funlu\u011fu kayb\u0131n\u0131 durduran bir ila\u00e7 s\u0131n\u0131f\u0131 olan bifosfonatlar ve olas\u0131 tedavi y\u00f6ntemleri olarak D vitamini takviyesi<\/li><\/ul><p>Otosklerozun tedavi edilmesi veya \u00f6nlenmesi i\u00e7in ara\u015ft\u0131rmalar yoluyla ila\u00e7lar\u0131n geli\u015ftirilebilece\u011fi umulmaktad\u0131r.<\/p><p>\u00a0<\/p><p><strong>Bu hasta bilgilendirme metnini m\u00fcmk\u00fcn oldu\u011funca k\u0131sa tutmak amac\u0131yla ayr\u0131nt\u0131l\u0131 bir referans listesine yer verilmemi\u015ftir. Ancak bu liste her zaman info@ivrt.de adresinden talep edilebilir.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a312143 elementor-widget__width-auto elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"a312143\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:600}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/tr\/vestibueler-hastaliklar\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Di\u011fer hastal\u0131klar<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Vestibul\u00e4re Erkrankung Otosklerose Diese Informationen sind als allgemeine Einf\u00fchrung in dieses Thema gedacht. Da jeder Mensch anders von Gleichgewichts- und Schwindelproblemen betroffen ist, solltest du mit deinem Arzt oder deiner \u00c4rztin sprechen, um dich individuell beraten zu lassen. Aus Gr\u00fcnden der besseren Lesbarkeit wird das\u00a0generische Maskulinum verwendet und auf die gleichzeitige Verwendung der Sprachformen m\u00e4nnlich, [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":14081,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":2105,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[297],"tags":[],"class_list":["post-7434","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-schwindelerkrankungen"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/7434","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=7434"}],"version-history":[{"count":0,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/7434\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/14081"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=7434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=7434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=7434"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}