{"id":2402,"date":"2025-06-27T05:23:59","date_gmt":"2025-06-27T05:23:59","guid":{"rendered":"https:\/\/www.drpectus.com\/pectus-arcuatum\/"},"modified":"2026-02-13T16:39:47","modified_gmt":"2026-02-13T16:39:47","slug":"pectus-arcuatum","status":"publish","type":"page","link":"https:\/\/www.drpectus.com\/tr\/pectus-arcuatum\/","title":{"rendered":"Pektus Arkuatum"},"content":{"rendered":"[vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”1647″ image_size=”large” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default”][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text css=”” text_direction=”default”]\n
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Pectus Arcuatum Nedir?<\/strong><\/p>\n

Pectus Arcuatum, kabaca pectus carinatum (g\u00fcvercin g\u00f6\u011f\u00fcs)<\/strong> ve pectus excavatum (Kundurac\u0131 g\u00f6\u011fs\u00fc)<\/strong> deformitelerinin bir arada bulundu\u011fu bir g\u00f6\u011f\u00fcs duvar\u0131 bozuklu\u011fu olarak tan\u0131mlanabilir.
Bu deformiteyi daha iyi anlayabilmek i\u00e7in \u00f6nce normal sternum (iman tahtas\u0131) anatomisini<\/strong> kavramak gerekir.<\/p>\n

Sternumun Anatomik Yap\u0131s\u0131<\/strong><\/h3>\n

Sternum kemi\u011fi \u00fc\u00e7 b\u00f6l\u00fcmden olu\u015fur:<\/p>\n

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    \u00dcstteki k\u0131s\u0131m manubrium<\/strong>,<\/p>\n<\/li>\n

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    Ortadaki k\u0131s\u0131m corpus<\/strong>,<\/p>\n<\/li>\n

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    Alttaki k\u0131s\u0131m ise xiphoid<\/strong> olarak adland\u0131r\u0131l\u0131r.<\/p>\n<\/li>\n<\/ul>\n

    Bu \u00fc\u00e7 par\u00e7a hareketsiz eklemlerle<\/strong> birbirine ba\u011flanm\u0131\u015ft\u0131r.
    Ancak bu par\u00e7alar d\u00fcz de\u011fil<\/strong>, hafif d\u0131\u015fa do\u011fru kavisli (konveks)<\/strong> \u015fekilde birle\u015fir.
    Bu nedenle, yandan bak\u0131ld\u0131\u011f\u0131nda sternum kemi\u011fi \u201cmuz \u015feklinde\u201d klasik bir e\u011frilik<\/strong> g\u00f6sterir.
    \u0130deal bir g\u00f6\u011f\u00fcs kafesi yap\u0131s\u0131nda da bu \u201cmuz \u015fekli\u201d korunmal\u0131d\u0131r.<\/strong><\/p>\n

    Anatomide, manubrium<\/strong> ile corpus<\/strong> aras\u0131ndaki a\u00e7\u0131ya \u201cLouis a\u00e7\u0131s\u0131\u201d<\/strong> denir ve bu a\u00e7\u0131n\u0131n 162 derece<\/strong> olmas\u0131 ideal kabul edilir.<\/p>\n

    Pectus Arcuatum\u2019ta G\u00f6r\u00fclen Deformasyon<\/strong><\/h3>\n
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      Pectus excavatum<\/strong> veya carinatum<\/strong> deformitelerinde, sternumun corpus<\/strong> ve xiphoid<\/strong> k\u0131s\u0131mlar\u0131 genellikle olmas\u0131 gerekenden daha i\u00e7e<\/strong> veya daha d\u0131\u015fa<\/strong> yerle\u015fmi\u015ftir.<\/p>\n<\/li>\n

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      Pectus Arcuatum<\/strong> deformitesinde ise, manubrium<\/strong> k\u0131sm\u0131 ve ona kom\u015fu k\u0131k\u0131rdak kaburgalar a\u015f\u0131r\u0131 derecede d\u0131\u015fa do\u011fru \u00e7\u0131k\u0131nt\u0131 yapar.<\/strong><\/p>\n<\/li>\n

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      Sadece manubrium \u00e7\u0131k\u0131nt\u0131s\u0131 de\u011fil, ayn\u0131 zamanda Louis a\u00e7\u0131s\u0131<\/strong> da bozulmu\u015ftur \u2014 normalde 162 derece olmas\u0131 gereken bu a\u00e7\u0131 belirgin \u015fekilde daralm\u0131\u015ft\u0131r.<\/strong><\/p>\n<\/li>\n

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      Bu durum, sternumda keskin bir a\u00e7\u0131 olu\u015fmas\u0131na<\/strong> ve kemi\u011fin g\u00f6vde ile kuyruk k\u0131sm\u0131n\u0131n i\u00e7e do\u011fru y\u00f6nelmesine<\/strong> neden olur.<\/p>\n<\/li>\n<\/ul>\n

      Sonu\u00e7 olarak Pectus Arcuatum<\/strong>, sternumun \u00fcst k\u0131sm\u0131n\u0131n d\u0131\u015fa, alt k\u0131sm\u0131n\u0131n ise i\u00e7e y\u00f6nelmesiyle ortaya \u00e7\u0131kan karma bir deformitedir<\/strong> ve yap\u0131sal olarak hem Carinatum<\/em> hem Excavatum<\/em> \u00f6zelliklerini ta\u015f\u0131r.<\/p>\n<\/div>\n<\/div>\n[\/vc_column_text][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid” column_padding_type=”default” gradient_type=”default”][image_with_animation image_url=”1522″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default”][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” top_padding=”2%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” gradient_type=”default” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”562″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default”][\/vc_column][vc_column column_padding=”padding-10-percent” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid” column_padding_type=”default” gradient_type=”default”][vc_column_text css=”” text_direction=”default”]Dolay\u0131s\u0131yla, ba\u015fta da belirtti\u011fimiz gibi, hem pectus carinatum hem de excavatum’un birlikte g\u00f6r\u00fcld\u00fc\u011f\u00fc bir deformite t\u00fcr\u00fc olarak d\u00fc\u015f\u00fcn\u00fclebilir. Ancak Pectus Arcuatum, pectus deformitelerinin %1’inden az\u0131n\u0131 olu\u015fturur.[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”564″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default”][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text css=”” text_direction=”default”]\n

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      Pectus Arcuatum Tedavisi<\/strong><\/p>\n

      T\u0131bbi literat\u00fcrde Pectus Arcuatum<\/strong> i\u00e7in tan\u0131mlanm\u0131\u015f cerrahi d\u0131\u015f\u0131 (non-surgical)<\/strong> bir tedavi y\u00f6ntemi bulunmamaktad\u0131r.
      Ancak bu ameliyat, \u00e7ocuklarda b\u00fcy\u00fcme ve geli\u015fme tamamlanmadan \u00f6nce uygulanmad\u0131\u011f\u0131 i\u00e7in, erken ya\u015fta tespit edilen Pectus Arcuatum deformitelerinde<\/strong>, hastay\u0131 \u201chi\u00e7bir \u015fey yapmadan b\u00fcy\u00fcmeye b\u0131rakmak\u201d yerine, eri\u015fkin ya\u015fa kadar cerrahi d\u0131\u015f\u0131 d\u00fczeltme<\/strong> f\u0131rsat\u0131 sunuyoruz.
      Bu konuda yapt\u0131\u011f\u0131m\u0131z uygulamalardan fayda g\u00f6rm\u00fc\u015f \u00e7ok say\u0131da hastam\u0131z<\/strong> bulunmaktad\u0131r.<\/p>\n

      Dr. Pectus Klini\u011finde Uygulanan Cerrahi D\u0131\u015f\u0131 Tedavi Y\u00f6ntemi<\/strong><\/h3>\n

      Dr. Pectus Klini\u011fi olarak ortez (orthosis)<\/strong> ve vakum (vacuum bell)<\/strong> y\u00f6ntemlerini birlikte kulland\u0131\u011f\u0131m\u0131z \u00f6zel bir tedavi yakla\u015f\u0131m\u0131 sunmaktay\u0131z.<\/p>\n

      Genellikle d\u0131\u015fa do\u011fru belirgin \u00e7\u0131k\u0131nt\u0131 yapan k\u0131s\u0131mlar, ortez ile bast\u0131r\u0131lmayacak kadar sert<\/strong> bir yap\u0131ya sahiptir.
      Ancak burada hedefimiz, ortez ile bu b\u00f6lgeye bas\u0131n\u00e7 uygulayarak kemi\u011fin o y\u00f6nde b\u00fcy\u00fcmesini durdurmak<\/strong>, ayn\u0131 zamanda ortezin temas etmedi\u011fi k\u0131s\u0131mlar\u0131n do\u011fal olarak b\u00fcy\u00fcmesine izin vermektir.<\/strong><\/p>\n

      Buna ek olarak, vakum cihaz\u0131n\u0131n \u00e7ekme etkisiyle<\/strong>, g\u00f6\u011f\u00fcs duvar\u0131n\u0131n i\u00e7e \u00e7\u00f6km\u00fc\u015f k\u0131s\u0131mlar\u0131n\u0131n d\u0131\u015fa do\u011fru geli\u015fmesini te\u015fvik etmeyi<\/strong> ama\u00e7l\u0131yoruz.<\/p>\n

      Tedavi S\u00fcresi ve Etki Mekanizmas\u0131<\/strong><\/h3>\n

      Bu y\u00f6ntem, \u00e7ocu\u011fun devam eden b\u00fcy\u00fcme ve geli\u015fim potansiyelinden yararlan\u0131r.<\/strong>
      Ancak yaln\u0131zca ortezin bas\u0131nc\u0131 ya da vakumun \u00e7ekme g\u00fcc\u00fcyle h\u0131zl\u0131 bir d\u00fczelme beklenmez.<\/strong>
      Bu nedenle, Pectus Excavatum veya Carinatum<\/strong> gibi deformitelere uygulanan cerrahi d\u0131\u015f\u0131 tedavilere k\u0131yasla, sonu\u00e7 al\u0131nmas\u0131 daha uzun zaman (birka\u00e7 y\u0131l)<\/strong> alabilir.<\/p>\n

      Cerrahi Se\u00e7enekler<\/strong><\/h3>\n

      Literat\u00fcrde tan\u0131mlanm\u0131\u015f cerrahi tedaviler \u015funlard\u0131r:<\/p>\n

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        Ravitch Y\u00f6ntemi<\/strong><\/p>\n<\/li>\n

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        \u00d6nen Y\u00f6ntemi<\/strong> \u2014 taraf\u0131m\u0131zdan literat\u00fcre kazand\u0131r\u0131lm\u0131\u015ft\u0131r.<\/em><\/p>\n<\/li>\n<\/ul>\n

        Bu iki y\u00f6ntem, Pectus Arcuatum\u2019un kal\u0131c\u0131 ve ileri d\u00fczey deformitelerinde uygulanabilen etkin cerrahi \u00e7\u00f6z\u00fcmlerdir.<\/strong><\/p>\n<\/div>\n[\/vc_column_text][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][carousel script=”flickity” flickity_formatting=”default” desktop_cols_flickity=”1″ desktop_small_cols_flickity=”1″ tablet_cols_flickity=”1″ phone_cols_flickity=”1″ flickity_controls=”default” color=”accent-color” flickity_overflow=”hidden” flickity_wrap_around=”wrap” pagination_alignment_flickity=”default” flickity_spacing=”default” flickity_column_vertical_alignment=”default” column_padding=”0″ flickity_element_spacing=”default” border_radius=”none”][item simple_slider_bg_image_position=”default” simple_slider_overlay_strength=”0.3″ simple_slider_bg_image_loading=”default” id=”1755870415-1-26″][image_with_animation image_url=”1628″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default”][vc_column_text css=”” text_direction=”default”]\n

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        7 ya\u015f\u0131ndaki hastada 9 ayda cerrahi olmayan sonu\u00e7 elde edildi.<\/h4>\n<\/blockquote>\n<\/div>\n<\/div>\n[\/vc_column_text][\/item][item simple_slider_bg_image_position=”default” simple_slider_overlay_strength=”0.3″ simple_slider_bg_image_loading=”default” id=”1755870415-2-97″][image_with_animation image_url=”1634″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default”][vc_column_text css=”” text_direction=”default”]\n
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        6 ya\u015f\u0131ndaki hastada 1 y\u0131l i\u00e7erisinde cerrahi olmayan sonu\u00e7 elde edildi.<\/h4>\n<\/blockquote>\n[\/vc_column_text][\/item][item simple_slider_bg_image_position=”default” simple_slider_overlay_strength=”0.3″ simple_slider_bg_image_loading=”default” id=”1755870415-2-97″][image_with_animation image_url=”1629″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default”][vc_column_text css=”” text_direction=”default”]\n
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        6 ya\u015f\u0131ndaki hastada 1 y\u0131l i\u00e7erisinde cerrahi olmayan sonu\u00e7 elde edildi.<\/h4>\n<\/blockquote>\n[\/vc_column_text][\/item][item simple_slider_bg_image_position=”default” simple_slider_overlay_strength=”0.3″ simple_slider_bg_image_loading=”default” id=”1755870415-3-60″][image_with_animation image_url=”1626″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default”][vc_column_text css=”” text_direction=”default”]\n
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        13 ya\u015f\u0131nda tedaviye ba\u015flad\u0131\u011f\u0131m\u0131z ve 3 y\u0131ld\u0131r cerrahi olmayan tedavi uygulad\u0131\u011f\u0131m\u0131z at nal\u0131 tipi Pectus Arcuatum vakas\u0131nda \u00f6nemli bir de\u011fi\u015fiklik g\u00f6zlemlendi. Hastan\u0131n b\u00fcy\u00fcmesinin yakla\u015f\u0131k 18 ya\u015f\u0131na kadar devam etmesi beklendi\u011finden, istenen sonucun %100’\u00fcne ula\u015fmay\u0131 umarak tedaviye devam ediyoruz.<\/h4>\n<\/blockquote>\n<\/div>\n[\/vc_column_text][\/item][item simple_slider_bg_image_position=”default” simple_slider_overlay_strength=”0.3″ simple_slider_bg_image_loading=”default” title=”Section” id=”7edc9c2d-f82e-6″][image_with_animation image_url=”1632″ image_size=”full” max_width=”100%” max_width_mobile=”default” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default”][vc_column_text css=”” text_direction=”default”]\n
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        13 ya\u015f\u0131nda tedaviye ba\u015flad\u0131\u011f\u0131m\u0131z ve 3 y\u0131ld\u0131r cerrahi olmayan tedavi uygulad\u0131\u011f\u0131m\u0131z at nal\u0131 tipi Pectus Arcuatum vakas\u0131nda \u00f6nemli bir de\u011fi\u015fiklik g\u00f6zlemlendi. Hastan\u0131n b\u00fcy\u00fcmesinin yakla\u015f\u0131k 18 ya\u015f\u0131na kadar devam etmesi beklendi\u011finden, istenen sonucun %100’\u00fcne ula\u015fmay\u0131 umarak tedaviye devam ediyoruz.<\/h4>\n<\/blockquote>\n<\/div>\n
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