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Otoplasti ameliyatında pratik bir saç ekartasyon yöntemi: saç jölesi

Year 2019, Volume: 2 Issue: 2, 141 - 145, 31.08.2019

Abstract

Otoplasti,
yüz germe ve skalp ameliyatlarında saçın cerrahi alana girmesi sık karşılaşılan
bir problemdir. Saçın cerrahi alana girmesi sterilite açısından sorun
yaratır.  Ayrıca cerrahın çalışma
konforunu azaltarak ve ameliyata odaklanmasını zorlaştırarak operasyon
süresinin uzamasına sebep olabilmektedir.

Skalp
operasyonlarında saçın ekartasyonu için metal tarak
1 ve metal toka2  kullanılmıştır.Yüz germe ameliyatlarında
postauriküler bölgedeki inziyon alanındaki saçların küçük demetler halinde
bağlayarak cerrahi alanı hazırlamak için eldiven parmaklarından kesilerek
hazırlanan lastik halkaların kullanılması ucuz ve pratik bir yöntemdir.
3 Saçı küçük
demetler halinde bağlamak için hemoroid band ligasyonunda kullanılan McGivney
aletiyle beraber ligasyon bandının kullanımı
4 veya klempin
boynuna ligasyon bandının geçirilip saç demetinin klemple tutulmasından sonra
bandın saç köküne doğru kaydırılması
5 gibi farklı
yöntemler de bildirilmiştir.

Otoplasti
ameliyatlarında saçların uzaklaştırılarak cerrahi alanın hazırlanması için
yapışkanlı cerrahi örtüler tercih edilmektedir. Bu örtüler saça yapıştığı için
çıkarılırken saç kopma kırılmasına sebep olabildiği gibi lokal anestezi altında
gerçekleştirilen operasyonlarda hastanın canı yanabilmektedir. Kayıran
6  sıvı geçiren yapışkanlı cerrahi örtüler
kullanılması durumunda operasyon bitiminde örtünün %70’lik alkol ile
ıslatıldığında kolayca çıktığını bildirmiştir.Kulak ameliyatlarında saçın saçın
ekartasyonu için yüzme bonesi
7 ve saçlı deriyi
ve boynu sarıp kulaklar ve yüzü açıkta bırakan, tapınak şövalyelerinin
başlığını andıran medikal elastik maske
8 kullanılması önerilmiştir.







Otoplasti
ameliyatlarında saçların cerrahi alandan uzaklaştıtlmasında saç jölesi
kullnmaktayız. Saçlar jöle yardımı ile kulaktan uzaklaşacak şekilde arkaya
yatırılmaktadır (Şekil 1). Takiben cerrahi alan boyanıp steril örtüler
örtülerek operasyon gerçekleştirilmektedir. Hastalara postoperatif ikinci günde
pansumanı açarak banyo yapması önerilmektedir. İki gün boyunca saçının jöleli
kalmasından şikayet eden hastamız olmamıştır. Otoplasti ameliyatlarında
saçların cerrahi alandan uzaklaştılması için saç jölesi kullanılması ucuz ve
pratik bir yöntemdir. 

References

  • Ersoy B, Sirinoglu H. Metal combs used for hair separation in scalp surgery. Aesthetic plastic surgery. 2011;35(4):666-667.
  • Laxmisha C, Thappa DM. Utility of hair clips for scalp surgeries. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al]. 2006;32(5):770.
  • Turkaslan T, Ozsoy Z. Surgical glove finger pieces for hair separation. Plastic and reconstructive surgery. 2004;114(2):621-622.
  • Heden P. A new and simple way to clear the hair from operating fields in the scalp. Plastic and reconstructive surgery. 1992;89(1):144-146.
  • O'Neill JK, Stone CA. A novel method of hair control during face-lift surgery--haemorrhoid bands. British journal of plastic surgery. 2005;58(5):741-742.
  • Kayiran O. Preventing hair interference during ear surgery. The Journal of craniofacial surgery. 2014;25(3):1124-1125.
  • Bovill ES, Wharton S. Not a hair out of place: a neat method of otoplasty preparation. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2009;62(12):e627-628.
  • Rinaldi V, Moffa A, Costantino A, Cassano M, Casale M. The (templar) knight cap: a new and simple way to prevent hair interference during ear surgery. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2018;275(11):2889-2891.

A practical method for hair seperation at otoplasty surgery: hair gel

Year 2019, Volume: 2 Issue: 2, 141 - 145, 31.08.2019

Abstract

Hair interference is a
common problem at otoplasty, facelift and scalp surgeries and it is a threat
for sterility. Also it discomforts the surgeon and  makes difficulty for concentrating on
operation. In this manner it can result in longer operation time.

At scalp operations
metal combs
1 and hair clips2 have been used
for hair seperation. At facelift operations, 
using rubber bands that are made by cutting surgical gloves fingers for
bunching hairs at the incison lines at the postuaricular area is a cheap and
practical  method.
3 McGivney
instrument, that has been designed for rubber band ligation of  hemorrhoids, has been used for bunching hairs
4. Also an  artery clip and haemorrhoid band can be used
for same purpose: The band is mounted on to an artery clip that grasps the hair
section while the band is rolled down over the clip.
5

At ear surgeries,
surgical drapes are preferred worldwide for preparing surgical site.While
removing the drape it can cause rupture or fracture of  hair strands and also patients operated under
local anesthesia can feel pain. Kayıran
6 has used a
postauricular adhesive tape to prevent hair interference and he reported that the
tape was easily removed by peeling it off after 70% alcohol was sprayed on. Latex
or silicone swimming cap has been used for tucking the hair into cap behind the
ears.
7 A medical elastic
stocking open at the ears and at the face has been used for preventing hair
interference.
8







We are using hair gel
for preventeing hair interference at otoplasty surgeries.Hairs are reclined
posteriorly by the help of hair gel (Figure 1). Afterwards surgical site is
cleaned with povidone iodine and closed with sterile clothes. Not a hair strand
goes out of sterile clothes and interferes with operation. Patients are told to
remove dreessing and have a shower  at the
postoperative second day. None of the patients complain about keeping hair gel
on hairs for 2 days. Using hair gel for hair seperation at otoplasty surgery is
a cheap and practical method.

References

  • Ersoy B, Sirinoglu H. Metal combs used for hair separation in scalp surgery. Aesthetic plastic surgery. 2011;35(4):666-667.
  • Laxmisha C, Thappa DM. Utility of hair clips for scalp surgeries. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al]. 2006;32(5):770.
  • Turkaslan T, Ozsoy Z. Surgical glove finger pieces for hair separation. Plastic and reconstructive surgery. 2004;114(2):621-622.
  • Heden P. A new and simple way to clear the hair from operating fields in the scalp. Plastic and reconstructive surgery. 1992;89(1):144-146.
  • O'Neill JK, Stone CA. A novel method of hair control during face-lift surgery--haemorrhoid bands. British journal of plastic surgery. 2005;58(5):741-742.
  • Kayiran O. Preventing hair interference during ear surgery. The Journal of craniofacial surgery. 2014;25(3):1124-1125.
  • Bovill ES, Wharton S. Not a hair out of place: a neat method of otoplasty preparation. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2009;62(12):e627-628.
  • Rinaldi V, Moffa A, Costantino A, Cassano M, Casale M. The (templar) knight cap: a new and simple way to prevent hair interference during ear surgery. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2018;275(11):2889-2891.
There are 8 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section Letter to Editor
Authors

Ömer Kokaçya

Publication Date August 31, 2019
Acceptance Date August 31, 2019
Published in Issue Year 2019 Volume: 2 Issue: 2

Cite

APA Kokaçya, Ö. (2019). Otoplasti ameliyatında pratik bir saç ekartasyon yöntemi: saç jölesi. Journal of Cukurova Anesthesia and Surgical Sciences, 2(2), 141-145.

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