Ear, Nose, Throat
Ear Nose Throat
In our Ear Nose and Throat Polyclinic, ear diseases such as ear infections, hearing loss, balance disorders and tinnitus, nasal congestion, nasal discharge, olfactory disorders, sinusitis, nasal diseases such as allergic rhinitis, throat diseases such as pharyngitis, tonsillitis, other rare diseases of the mouth and throat ; In addition to hoarseness, dysphagia and speech disorders, cancer diagnosis and treatment of the neck are performed. Our ENT polyclinic is equipped with devices and equipment that allow endoscopic examinations in addition to classical examination tools.
Nose Aesthetics (Rhinoplasty)
Rhinoplasty is an aesthetic operation performed to correct or reconstruct the appearance of the nose. Apart from visual purposes, rhinoplasty is also performed to eliminate structural defects that cause breathing problems. It is also a frequently performed surgery in the treatment of nasal fractures.
The size of the nose, shape and angle of the nose can be changed with Rhinoplasty (nose aesthetics), which is the most preferred operation among aesthetic surgeries and is performed to create a beautiful nose that is compatible with the face and liked by the person himself and his surroundings.
In which cases is rhinoplasty necessary?
• If the patient has aesthetic concerns
• If there are breathing problems due to various functional disorders
• In sinus problems
• In nasal fractures
• In case of cleft lip (with other operations)
• In severe facial burns
How Is Rhinoplasty Performed?
With the first examination to be performed by the surgeon, the patient's complaints, the desired visual changes and whether they are suitable for the nose or face structure are evaluated by sharing ideas between the doctor and the patient. With a detailed examination, it can be determined whether there is any problem in the nose that may prevent the rhinoplasty operation. In the absence of a structural problem, general health checks should also be carried out, and the presence of conditions that may interfere with the surgical operation, such as bleeding diseases, should be investigated. It is very important for the doctor and the patient to establish a good communication with the patient in terms of the shape changes to be made in the patients who are determined to be suitable for the operation, and to explain the patient's expectations to the doctor in a good way. The planning phase is completed by taking photographs of the nose from various angles.
When the day of the operation comes, general anesthesia is usually applied depending on the type of surgery. The duration of the operation also varies according to the procedures to be performed. On average, a rhinoplasty operation is expected to take approximately 1.5-2 hours. After the operation, which is performed by choosing the most suitable method for the patient, open or closed methods, the patients are discharged after being kept under observation for a certain period of time.
How long does the recovery process take in rhinoplasty?
After the rhinoplasty operation, it is of great importance to preserve the shape of the nose and the operation area in order to be successful in the treatment applications performed on the nose. Therefore, any trauma that will adversely affect the shape of the nose should be avoided. Apart from trauma, it is extremely important not to use heavy glasses, not to lie on your side or to apply pressure to the nose area for a period of time. After the surgery, resting adequately, especially for the first two or three days, and avoiding strenuous activities for a week will accelerate the healing process. In addition, medications prescribed by the physician should be used regularly. The control examinations given should not be interrupted, and if there is a dressing suggestion, they should be done regularly.
Today, rhinoplasty surgery gives extremely successful results thanks to the advanced techniques applied. Success in rhinoplasty means a nose that is both visually pleasing to the patient and performing its functions in a healthy way.
Who is suitable for Eyelid Aesthetics (Blepharoplasty)?
Eyelid aesthetics are mostly performed by individuals over the age of 35. It is possible for anyone with a medical need to have it done at any age. One of the first structures to show aging on the human face is the upper eyelid. Eyelid aesthetics (blepharoplasty) surgery cannot stop the ongoing aging of the eyelids; but the tired appearance on the face can be stopped for about 10 years.
How is upper eyelid aesthetics performed?
Upper eyelid aesthetics (blepharoplasty) or droopy eyelid surgery is the process of removing excess skin and fat tissue from the area due to the loss of tension in the skin. The surgical scar does not attract much attention as it will remain on the upper eyelid and will be open during the day. However, in order to avoid the scar, an incision is made from the eyelid fold line and aesthetic stitches are applied. Of course, this deformation of the skin does not occur only on the eyelid, so it gives better cosmetic results when applied together with forehead lift and eyebrow lifting operations.
In addition, interventions such as almond eye aesthetics along with upper eyelid aesthetics (blepharoplasty) are frequently preferred by patients.
How is lower eyelid aesthetics performed?
The fat pads located on the cheekbones atrophy (weak) with the effect of gravity along with the aging process. This causes signs of aging in the form of slumping or edema under the lower eyelid and prominent smile lines around the mouth. The lower eyelid should be evaluated by your physician and checked for bagging and sagging. The form of treatment should be evaluated. If surgery is required, the specialist physician should initiate the planning and process. In lower eyelid aesthetics, the surgical incision is made just below the eyelashes. The skin is lifted and the fat packets are removed. If the under-eye sunkenness continues after the surgery, an under-eye fat injection may be required after recovery.
How long does it take for Eyelid Aesthetics (Blepharoplasty) surgery and post-operative recovery?
After Eyelid Aesthetic Surgery, patients do not have serious pain. Movement is allowed, provided that it is nourished and not heavy. The patient, who is discharged on the same day, is evaluated again the next day and 5 days later. Stitches are often dissolving stitches. However, when necessary, the stitches are removed painlessly without waiting for them to dissolve. After the 5th day, it is allowed to shower and return to normal life. In order to reduce scars in Eyelid Aesthetics, scar reducing creams are sometimes recommended to patients.
Medical Aesthetic
Natural and artificial factors, especially aging, can cause the skin to lose its old appearance and become deformed. Surgical and non-surgical methods continue to be frequently preferred by people who are dissatisfied with their external appearance.
Hüma Hospital offers you health and beauty together in its Medical Aesthetics Clinic, which prioritizes professionalism and high-level technology.
BOTOX PROCESSES
What is Botox?
Botox , botulinum It is an abbreviation of the word toxin . Bacteria is a condensed type of protein. By acting on a substance called acetylcholine , which provides this communication between the brain and muscle , Botox prevents the contraction of small muscle groups that cause the appearance of wrinkles on the face and ensures that wrinkles are minimized.
It provides a more aesthetic appearance to the person by showing the effect of eliminating the appearance of wrinkled and old skin in a short time. Botox also provides expression design.
Because of the lines on the face, people who have an angry and stressful stance can easily get rid of this situation with botox .
How is Botox applied?
Botox application is done through a thin needle tip. Specially designed small injectors are used with a thin needle. The application is made to the muscle layer. During the Botox procedure, a slight burning sensation, like a needle stick, is felt. Other than that, no pain is felt. However, local anesthetic cream and ice are applied to sensitive individuals during the procedure.
How Long Does Botox Effect Last?
of Botox lasts up to 4-6 months. In repetitive botox applications, this period is prolonged in many patients. The effect of Botox does not end abruptly 4-6 months after it is made, it disappears over time. A person who has had botox for a long time will have fewer wrinkles than if he has never had botox, even after the procedure has lost its effect. That's why botox is also used as an anti-wrinkle treatment.
Facial Botox
Eye area Botox
Forehead Botox
Between Eyebrows Botox
Upper lip (Smoking lines) Botox
Lip Edge (sad face) Botox
Gummy Smile (The appearance of the gums when smiling) Botox
Upper Nose (Rabbit lines) Botox
Masseter (Chewing) Botox
Nefertiti (Neck and Decollete) Botox
Hands and palms Botox
Sweating Botox
Migraine Botox
FILLING PROCESSES
Nose Filling: It is a painless and painless procedure that provides an aesthetic nose appearance without the need for surgery in people who have problems such as curvature and symmetry in the nose area, droopy nose tip .
anesthetic cream is applied to the area to be applied, waiting for 15-20 minutes and the area is disinfected, and the filling material is injected under the skin in appropriate doses.
After this procedure, which lasts for an average of 1-1.5 years and takes about 15-20 minutes, the person can return to his daily life immediately.
The biggest advantage of nasal filling is that the desired shape can be given to the nose of the person. A better profile view can be obtained by filling the gaps in the main bone. In the same way, nasal tip deformities can be eliminated to a certain extent and the nose can be given a more upturned appearance.
Cheek-Cheek Filling : With the cheek filling technique, which is made to find practical and quick solutions to aesthetic problems on the face, volume deficiencies in the cheeks of the person can be successfully treated with an operation that takes 15 minutes. Hyaluronic acid filling , which is found in the natural structure of the skin, is generally preferred as a filling material.
Lip Filling : Lip augmentation, which is applied to add volume to the lips and increase their aesthetic appearance, is a painless filling process that takes 10-15 minutes.
Nasolabial Filling: Nasolabial lines , which are known as laugh lines among the people, appear more clearly when people laugh. With the nasolabial filling process, the appearance of deep pits is eliminated and the tissues in this area have a more vivid and fuller appearance.
Under-Eye Light Filling: Under-eye bags, bruises and swellings, depending on the genetic structure of the person, usually begin to become more pronounced in the 30s . With under-eye light filling, people's under-eyes get a healthy appearance without pain and pain. The permanence of this process, which is made by allowing the gel with a high water content of hyaluronic acid to dissolve in the body, is 1-1.5 years.
Chin and Jawline Filling:It is a method applied to people whose forward or backward stance in the chin impairs facial aesthetics or who want a more pronounced chin appearance. It is done by anesthetizing the person's chin area and injecting the appropriate dose of hyaluronic acid filler . The chin filling session takes about 15 minutes and the healing process is fast.
Temple Filling: It is a botox procedure that is performed to ensure facial harmony and makes the temples more pronounced .
PINK GLOW:
One of the most popular applications of the last period, which ensures the renewal of the skin, Paris Shine is one of the aesthetic applications performed to make the face shadow look younger and healthier.
How to Apply Paris Shine?
Local After skin cleansing, anesthetic cream is applied to sensitive individuals and waited for 20 minutes. It is then injected with a mesotherapy needle by forming a papule (with a slight swelling of the skin).
It can be applied to points of aging such as face, neck, décolleté and hands to give a fresher and brighter appearance. With the Paris glow, which can be repeated with certain sessions, the differences in your skin will show itself as vitality, brightness and youth, and you will feel more beautiful.
Face Lift with Rope Strap (French Strap): It is one of the non-surgical face rejuvenation methods with flexible ropes compatible with the human body to raise the tissue under the skin surface. People who are dissatisfied with their facial features and have complaints of wrinkles and sagging can make their choices with expert opinion Rope Strap alternatives according to their skin conditions.
Rope Axis Application Areas
In this method, although the application areas of the rope hanger may vary according to mimic movements, they are mostly the same. We can list the rope suspension application areas on the face and body as follows:
• cheeks
• Gill
• cheekbones
• oval line of the face
• forehead lines
• crow's feet
• Kas region
• Neck
Process time
• The patient does not feel pain or pain during the rope suspension application under local anesthesia.
• Depending on the procedure to be performed, the time may vary. However, it is usually completed in 20 minutes.
• There is no need for stitches in the rope suspension application applied to the patient.
• During the procedure, it is ensured that the threads are attached to the ear inside the head.
• In case of stretching for the body, rope hangers are attached to different areas.
• No clinical rest or home rest is required after the procedure.
• Individuals can return to their daily life.
Breast Augmentation
Although breasts are an important part of aesthetics because they are a symbol of femininity, breast aesthetics are surgical procedures frequently preferred by women. Breast augmentation surgery is an aesthetic procedure used by women whose breasts are smaller than the desired size. Breast enlargement surgeries are operations that can be performed very easily and have become almost ordinary today.
With breast augmentation aesthetics, it is possible to obtain natural-looking breasts in women who have completed their breast development, are not satisfied with their breast size, and have asymmetrical breast sizes.
Breast silicone can be placed under the breast, at the tip or under the armpit. It is performed under general anesthesia in the operating room and the entire procedure takes around 45- 60 minutes in total. The patient may need to stay in the hospital on the day of the surgery.
The patient can stand up and return home the day after surgery. After a 3-4 day rest period at home, the person can return to her daily life without any problems.
Md. ERSAD BATMAZ
MD. ERSAD BATMAZ, has graduated from GATA Military Medical Faculty. He completed his specialty training at GATA Haydarpaşa Training Hospital. He started to work as a Gynecology and Obstetrics specialist in Erzincan Military Hospital in 1990. After 3 years of duty at Erzincan Military Hospital, he served in Kayseri Military Hospital and Ankara Mevki Military Hospital.
Ersad Batmaz, who served as the Head Physician in Kayseri Maternity Hospital in 2002, established Private Hüma Hospital, which is the first and only Gynecology and Maternity Hospital in Kayseri, in 2004.
Since 2004, he has been working as the Chairman of the Board of Directors and Obstetrics and Gynecology Specialist at Hüma Hospital with 31 years of experience as a physician.
In addition to his successful operations in gynecological and oncological surgery, he has performed 8.195 surgeries and 7.168 deliveries so far. Successful operations in female gynecological cancers, especially Wertheim (Radical Hysterectomy) Operations and Lymph Dissection, are in the first place.
In addition to this, laparoscopic surgeries, Vaginal Hysterectomy, surgery to repair structural defects of the uterus, removal of intrauterine polyps and fibroids, diagnostic laparoscopy for infertility diagnosis and treatment, hysteroscopic operations, endometriosis surgeries, ovarian cysts operations, postpartum vaginal incontinence operations. With its success, it is often mentioned
All the operations performed by MD. Ersad Batmaz
GYNECOLOGICAL OPERATIONS;
• Wertheim (Radical Hysterectomy) Operations
• Abdominal Hysterectomy
• Vaginal Hysterectomy
• Laparoscopic Hysterectomy
• Ovarian cyst operations
• TAH BSO
• Vaginal cuff prolapse repair
• Myomectomy
UROGINECOLOGICAL OPERATIONS;
• Rectocele
• Cystocele (Urinary Incontinence)
• Rectosystocele
• Operation Marshall- Marcetti Kranz
CLOSED SURGERY
• Laparoscopic surgeries
• Laparoscopic myoma removal
• Laporoscopic Removal of Ovarian Cysts
• Laparoscopic Endometriosis surgeries
• Diagnostic laparoscopy for infertility diagnosis and treatments
HYSTEROSCOPIC SURGERIES
• Surgery for Repairing Structural Disorders of the Uterus
• Surgery to remove intrauterine polps, myomas
GENITAL AESTHETIC OPERATIONS
• Perinoplasty
• Labiaplasty
• Enlargement of Vaginal Stenosis
OBSTETRIC OPERATIONS
• Normal birth
• Birth in water
• Cesarian section
Stomach Botox
The application of Botulinum toxin (botox) to the stomach is a relatively new weight loss method based on the endoscopic injection of Botulinum toxin into certain parts of the stomach. Gastric botox, which provides "weight loss" without the need for surgical intervention, is the most preferred among the non-surgical slimming options.
Who is Stomach Botox suitable for?
Stomach botox can actually be applied to anyone who wants to lose weight. This procedure is not an obesity surgery. Our patients who meet the following criteria can choose it.
Our patients, who cannot lose weight properly with diet and sports,
Our patients with a body mass index below 40,
For our patients with stomach ulcers or gastritis, they can have stomach botox after the treatment process is completed.
Who can't be applied stomach botox?
Like every application, there are people who should not be treated with stomach botox. Stomach botox should not be applied to cancer patients, especially pregnant women, those who are undergoing cancer treatment, those who have had recent surgery and those who have gastrointestinal system diseases. Also; It is not recommended to apply stomach botox alone to people whose body mass index is above 35 kg/m2. Because it will not be appropriate to reduce the targeted weight only with stomach botox, combined treatments or bariatric surgery will be more suitable for these patients.
WHAT IS COMPREHENSIVE CHROMOSOME SCREENING (NGS)?
IVF treatments are supported by a wide range of tests and analyzes to get a healthy result. With the help of these tests, problems that may occur before and after pregnancy are also detected and planning is carried out in this direction. NGS, a genetic analysis technology that allows comprehensive chromosome screening to be performed in embryos, is a test that gives extremely effective results as technological developments gain momentum. With NGS, embryos are scanned quickly and effectively, and genetic problems at the chromosome level are detected before pregnancy. The aim of this method is to select a healthy embryo by performing genetic analysis on embryos before the transfer process and to increase the chances of a healthy pregnancy. You can continue reading our article for the details of the NGS test.
What is Comprehensive Chromosome Screening (NGS)?
It is extremely important that the embryos obtained in IVF treatments are successfully transferred to the uterus. But in some cases, pregnancy may not be achieved. One of the most important reasons why a healthy pregnancy cannot be achieved despite embryo transfer in treatment has been identified as chromosome disorders that occur in embryos. In order to achieve a healthy and successful result in IVF treatments, it is necessary to analyze the embryos in detail and detect chromosomal abnormalities. Previously, the multidimensional and complex structure of chromosomes would have made multiple tests necessary. While this situation is quite time consuming and costly, the NGS (Next Generation Sequencing) test appears as a result of the developing technology today. The NGS method is a newly developed genetic analysis technology that allows comprehensive chromosome screening of embryos. The NGS method allows all embryos to be screened within a short period of time. With NGS, which offers a quick and detailed scan, chromosome-related problems are diagnosed before pregnancy. All 24 chromosomes are scanned with the NGS test.
Comprehensive chromosomal screening practices performed by the NGS method play an extremely important role in diagnosing disorders and have an effect on facilitating healthy outcomes in IVF treatments.
What are the Features of the NGS Technique?
Chromosomal abnormalities are determined by screening with the NGS method. Embryos containing more than two or more cell communities with different chromosomal structures are called “mosaic embryos”. Mosaic embryos are detected more easily with the NGS technique. After these chromosomal abnormalities detected by the NGS test are detected accurately and in detail, the process is advanced by including them in the treatment planning. Compared to the different PGD methods used to date and known, the NGS method provides a high-intensity scanning area, allowing you to detect even some genetic disorders, as well as numerical changes occurring in chromosomes.
What Genetic Defects Can Be Detected with NGS-Based PGS?
Embryos obtained in IVF treatment are evaluated according to various criteria in terms of the characteristics they have, and a healthy result is sought by ensuring the transfer of the embryo with the best developmental characteristics to the uterus. Examination of the developmental characteristics of the embryo under a microscope by classical methods does not give a clear information about the chromosomal state of the embryo. This information is only reached by performing a genetic screening with PGS. Even if the embryos have a good quality structure, they can contain various chromosomal problems, and this can also lead to problems such as early miscarriages, some structural disorders in the developing fetus, or the embryo does not hold on to the uterus. The main purpose of using the PGS method, which is an NGS-based method, is to increase the adhesion of the embryo to the uterus, which is found to have a chromosomally normal structure, to reduce the likelihood of miscarriage that may occur later, and as a result, to increase the likelihood of couples having healthy babies. The NGS-based PGS operation is performed by embryologists who have the necessary education and experience in this regard. The process takes a short time and does not cause any harm to the embryo. The PGS process begins by combining the egg taken from the expectant mother and the sperm taken from the expectant father outside the body. 5. Development of embryos from formed embryos. or 6. on the day when the blastocyst is at the stage, several cells are taken by biopsy without damaging the embryo. These received cells are sent to the genetic laboratory for a scan of 24 chromosomes, while the embryos are frozen. At this point, it is extremely important that the procedure is performed by a qualified embryologist so that the embryo does not get damaged. At the end of this examination, the embryo or embryos whose genetic structure has been determined to be healthy are transferred after completion of intrauterine preparation and pregnancy results that reach higher rates are obtained, especially.
To summarize briefly; NGS-based PGS is a genetic screening method and can be used to detect numerical and structural imbalances in chromosomes. However, single gene diseases, especially those with familial transmission, cannot be detected with the PGS method.
Who are the Groups of Patients Who Can Be Administered NGS?
The benefits of the NGS method, which is a new generation genetic analysis technology, also raises the question of which patient groups this technique can be applied to. Before answering this question, we can state that the intended point of the NGS method is to be able to detect numerical and structural changes in chromosomes. Therefore, we can address the question of which people have these changes more often for groups of patients who can be administered NGS. Groups of patients for whom NGS can be applied can be listed as follows;
· In cases of repeated miscarriage,
· in expectant mothers over the age of 38,
· In severe male infertility,
* In cases of infertility, the cause of which is unknown,
· It is applied in cycles of continuous self-recurring treatment failures.
The NGS method, which is a rapidly developing field, is actively used in many countries today due to its possibilities and facilitating and accelerating effects for the process.
What are the Advantages of Preimplantastone Genetic Screening with NGS?
NGS, a new genetic examination method used to screen for 24 chromosomes in embryos, provides the opportunity to examine and sequence the entire human genome both numerically and structurally in a short period of time, such as a single day. It offers us a revolutionary technology in this aspect. The improved NGS method can detect mosaic embryos better than other PGD methods. The main advantages of Preimplantastone Genetic Screening with NGS are that it allows you to quickly scan a large area of genes, both numerically and structurally. In addition to scanning gene fields numerically and structurally, the NGS method also has advantages such as obtaining a more accurate result with a low margin of error, achieving faster results, and having a lower cost. With this method, 24 chromosome screening can also be performed simultaneously with the study of single gene diseases and HLA typing.
Does NGS Damage the Embryo?
IVF treatments are an extremely exciting period for couples. During this period, in order to obtain a healthy result, various tests are applied to the embryos obtained to determine the success rate. In some cases, couples may have a high risk of genetically abnormal embryo development. Advanced maternal age is one of these conditions. Embryos that are not genetically normal are not suitable for transfer. In order to be able to determine the chromosomal status of embryos and to obtain a healthy result, process planning is carried out in the light of the NGS result. Another confusing situation for couples at this point is whether NGS causes any damage to the embryo during the application phase. Doctors who specialize in their field and NGS performed under appropriate conditions do not pose a danger risk to the embryo. At this point, managing and planning the process in accordance with the needs with a reliable specialist and institution will also be an extremely important step.
Does Pregnancy Always Occur With a Smoothly Detected Embryo?
After the tests and examinations, embryos that do not carry any genetic abnormalities are placed in the uterus. The probability of the occurrence of pregnancy after this procedure develops due to various factors. These factors;
· Women's age
· The amount of ovarian reserve of the woman
* Sperm quality
· Embryo quality
· Ensuring a proper intrauterine environment
· The presence of hydrosalpinx
· Conditions encountered during embryo transfer
it can be sorted as follows. All these factors are among the dec that affect the occurrence of pregnancy. From this point of view, it is impossible to say that pregnancy always occurs with an embryo that is detected without problems.
Studies have shown that age-related embryos are less likely to be chromosomally normal. For this reason, pregnancy rates are also decreasing due to the increasing age of women, especially in IVF trials that have not been applied to PGS. In women under the age of forty, NGS-based PGS normal embryos vary between 40 and 60 percent probability with the results of the analysis, the rate falls below twenty percent in people over the age of 40.
In women over the age of forty, a low pregnancy rate is achieved by transferring an embryo that has not been genetically screened with NGS, while this rate is increased by transferring an embryo that has been diagnosed with NGS and is chromosomally normal.
How Many Days Do NGS Results Come Out?
The embryos that have been biopsied are 5 or 6 until they reach the blastocyst stage. by following it up to the day, only embryos that have not been detected as abnormalities are transferred to the expectant mother's uterus (uterus). The NGS process applied to the embryos is completed within the same day. In this way, treatment planning is quickly directed.
What are the NGS Test Prices?
The information obtained from the results of the NGS test gives a comprehensive information for the IVF process. At this point, NGS, a new generation genetic screening test, has entered our lives as a result of high technology. It is a method that also has many advantages, especially if it provides a quick and wide information about the chromosomal state of the embryo. In addition to the advantages it provides, NGS is a method that also has an extremely low cost. This is a situation that also increases the availability of the test. As the Huma IVF family, we continue to be there for our couples during this exciting process. For all your questions about NGS, you can review our site and contact us for detailed information.
In this article, we have included details about the NGS method. It is important to detect embryos that do not have chromosomal abnormalities, as well as to successfully transfer the embryos obtained in IVF treatments to the uterus. Comprehensive chromosomal screening practices performed by the NGS method play an extremely effective role in detecting chromosomal disorders in embryos and increase the risk of a positive outcome of the process.
