{"id":59814,"date":"2025-08-04T08:00:44","date_gmt":"2025-08-04T06:00:44","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=59814"},"modified":"2025-08-04T08:00:44","modified_gmt":"2025-08-04T06:00:44","slug":"otoplastika-je-hrazena-ze-zdravotniho-pojisteni-jen-u-deti-do-10-let","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=59814","title":{"rendered":"Otoplastika je hrazena ze zdravotn\u00edho poji\u0161t\u011bn\u00ed jen u d\u011bt\u00ed do 10 let"},"content":{"rendered":"\n<p>TV POLAR<\/p>\n\n\n\n<p>Nemocnice ve Fr\u00fddku-M\u00edstku, konkr\u00e9tn\u011b porodnice, zavedla \u0159adu novinek. A ve studiu si budeme s l\u00e9ka\u0159kou tamn\u00edho odd\u011blen\u00ed ORL pov\u00eddat o otoplastice. Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL, Nemocnice ve F-M.<\/p>\n\n\n\n<p>P\u0159edstavme, co to otoplastika je.<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Otoplastika neboli plastick\u00e1 operace u\u0161\u00ed je chirurgick\u00fd z\u00e1krok slou\u017e\u00edc\u00ed ke korekci ne\u017e\u00e1douc\u00edho postaven\u00ed, tvaru nebo velikosti u\u0161n\u00edch boltc\u016f. Prov\u00e1d\u00ed se v celkov\u00e9 nebo lok\u00e1ln\u00ed anestezii. C\u00edlem operace je dosa\u017een\u00ed esteticky vyhovuj\u00edc\u00edho a p\u0159edev\u0161\u00edm p\u0159irozen\u00e9ho vzhledu u\u0161\u00ed. Na prvn\u00ed pohled by nem\u011blo b\u00fdt poznat, \u017ee pacient podstoupil plastick\u00fd z\u00e1krok.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Je otoplastika vhodn\u00e1 pro ka\u017ed\u00e9ho pacienta, p\u0159\u00edpadn\u011b v jak\u00e9m v\u011bku se doporu\u010duje?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Otoplastiku lze prov\u00e9st v ka\u017ed\u00e9m v\u011bku. U n\u00e1s na ORL odd\u011blen\u00ed nemocnice ve Fr\u00fddku-M\u00edstku nej\u010dast\u011bji operujeme d\u011bti ve v\u011bku 5 a\u017e 8 let. U\u0161n\u00ed boltce jsou v\u0161ak pln\u011b vyvinut\u00e9 u\u017e kolem \u010dtvrt\u00e9ho roku \u017eivota, a proto doporu\u010dujeme operaci prov\u00e9st ide\u00e1ln\u011b v p\u0159ed\u0161koln\u00edm v\u011bku. V tomto obdob\u00ed jsou d\u011bti u\u0161et\u0159eny p\u0159\u00edpadn\u00e9ho \u0161k\u00e1dlen\u00ed nebo posm\u011bchu ze strany spolu\u017e\u00e1k\u016f. D\u016fle\u017eit\u00e9 ale je, aby d\u00edt\u011b samo bylo k operaci motivov\u00e1no. Rodi\u010de by jej do z\u00e1kroku nem\u011bli nutit, pokud o n\u011bj samo nestoj\u00ed, proto\u017ee po operaci je nezbytn\u00e1 spolupr\u00e1ce d\u00edt\u011bte a d\u016fsledn\u00e1 hygiena u\u0161n\u00edch boltc\u016f. D\u011bti, kter\u00e9 si sv\u016fj hendikep uv\u011bdomuj\u00ed, obvykle l\u00e9pe spolupracuj\u00ed a maj\u00ed z v\u00fdsledku operace velkou radost.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Stane se n\u011bkdy, \u017ee pr\u00e1v\u011b rodi\u010de na to t\u0159eba v\u00edce tla\u010d\u00ed, \u017ee tomu d\u00edt\u011bti vlastn\u011b to ani nijak nevad\u00ed, nen\u00ed t\u0159eba ani ter\u010dem posm\u011bchu a zda se mu to t\u0159eba i zbyte\u010dn\u00e9?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Ur\u010dit\u011b. P\u00e1r takov\u00fdch p\u0159\u00edpad\u016f jsme u\u017e m\u011bli \u2013 kdy rodi\u010d na operaci tla\u010dil, ale d\u00edt\u011b sed\u011blo na k\u0159esle a plakalo, \u017ee \u017e\u00e1dnou operaci nechce. V takov\u00fdch chv\u00edl\u00edch jsme skepti\u010dt\u00ed, jestli v\u016fbec z\u00e1krok indikovat. V\u011bt\u0161inou doporu\u010d\u00edme, a\u0165 si to v klidu rozmysl\u00ed a p\u0159ijdou t\u0159eba za p\u016fl roku. D\u00edt\u011b, kter\u00e9 nen\u00ed vnit\u0159n\u011b p\u0159esv\u011bd\u010den\u00e9, pak \u010dasto \u0161patn\u011b spolupracuje a cel\u00fd poopera\u010dn\u00ed pr\u016fb\u011bh m\u016f\u017ee b\u00fdt komplikovan\u011bj\u0161\u00ed.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>A kdy\u017e t\u0159eba se te\u010f zam\u011b\u0159\u00edme na ty dosp\u011bl\u00e9, tak je ta operace vhodn\u00e1 pro ka\u017ed\u00e9ho?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Jedn\u00e1 se p\u0159ev\u00e1\u017en\u011b o kosmetick\u00fd a estetick\u00fd probl\u00e9m. Odst\u00e1t\u00e9 u\u0161n\u00ed boltce samy o sob\u011b nezp\u016fsobuj\u00ed \u017e\u00e1dn\u00e9 zdravotn\u00ed pot\u00ed\u017ee. U dosp\u011bl\u00fdch jde \u010dasto \u010dist\u011b o estetickou z\u00e1le\u017eitost a pacienti k n\u00e1m p\u0159ich\u00e1zej\u00ed z vlastn\u00ed iniciativy, proto\u017ee se pod\u00edvaj\u00ed do zrcadla a nen\u00ed jim to p\u0159\u00edjemn\u00e9. Z hlediska estetiky jsou u\u0161i stejn\u011b d\u016fle\u017eit\u00fdm prvkem obli\u010deje jako nos, o\u010di nebo \u00fasta.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Jak n\u00e1ro\u010dn\u00e1 je teda ta operace, ten z\u00e1krok, co pacienta \u010dek\u00e1?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Samotn\u00e1 operace trv\u00e1 p\u0159ibli\u017en\u011b 60 a\u017e 90 minut a u d\u011bt\u00ed ji zpravidla prov\u00e1d\u00edme v celkov\u00e9 anestezii. U dosp\u011bl\u00fdch nebo star\u0161\u00edch d\u011bt\u00ed je mo\u017en\u00e9 z\u00e1krok prov\u00e9st i v lok\u00e1ln\u00ed anestezii. Ko\u017en\u00ed \u0159ez vedeme na zadn\u00ed stran\u011b boltce, tak\u017ee jizva je velmi diskr\u00e9tn\u00ed a skryt\u00e1 b\u011b\u017en\u00e9mu pohledu. N\u00e1sledn\u011b modelujeme chrupavku tak, abychom dos\u00e1hli hezk\u00e9ho a p\u0159irozen\u00e9ho vzhledu, p\u0159it\u00e1hli boltec bl\u00ed\u017ee k hlav\u011b a pot\u00e9 \u0159ez se\u0161ili. Pou\u017e\u00edv\u00e1me vst\u0159ebateln\u00fd steh, kter\u00fd nen\u00ed nutn\u00e9 n\u00e1sledn\u011b vytahovat. Na z\u00e1v\u011br operace p\u0159ikl\u00e1d\u00e1me na ucho steriln\u00ed kompresn\u00ed kryt\u00ed a elastick\u00fd obvaz.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Jak dlouho pacient z\u016fst\u00e1v\u00e1 u v\u00e1s v nemocnici po z\u00e1kroku?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Pokud se jedn\u00e1 o star\u0161\u00ed d\u00edt\u011b nebo dosp\u011bl\u00e9ho pacienta a z\u00e1krok je prov\u00e1d\u011bn v lok\u00e1ln\u00ed anestezii, odch\u00e1z\u00ed po operaci dom\u016f. U mal\u00fdch d\u011bt\u00ed, kter\u00e9 jsou u n\u00e1s hospitalizov\u00e1ny, prov\u00e1d\u00edme prvn\u00ed den po z\u00e1kroku p\u0159evaz, nasazujeme nov\u00fd \u010dist\u00fd elastick\u00fd obvaz a n\u00e1sledn\u011b je d\u00edt\u011b propu\u0161t\u011bno do dom\u00e1c\u00ed p\u00e9\u010de.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Jak\u00e1 je ta dom\u00e1c\u00ed p\u00e9\u010de, co \u010dek\u00e1 rodi\u010de? Jak se starat o r\u00e1ny?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>V prvn\u00edch dnech po operaci, kdy je nasazen elastick\u00fd kompresn\u00ed obvaz, je velmi d\u016fle\u017eit\u00e9 obvaz nesund\u00e1vat a nechat jej pevn\u011b p\u0159ilo\u017een\u00fd na hlav\u011b. \u010ctvrt\u00fd a\u017e p\u00e1t\u00fd den prov\u00e1d\u00edme druh\u00fd p\u0159evaz. Na tento p\u0159evaz je vhodn\u00e9 p\u0159in\u00e9st si s sebou pl\u00e1t\u011bnou elastickou \u010delenku, ide\u00e1ln\u011b dv\u011b, aby je pacient mohl st\u0159\u00eddat \u2013 jednu na den, druhou na noc. D\u00edt\u011b pak nos\u00ed \u010delenku po dobu jednoho a\u017e dvou m\u011bs\u00edc\u016f. D\u016fle\u017eit\u00e9 je tak\u00e9 vyh\u00fdbat se aktivit\u00e1m, p\u0159i kter\u00fdch by mohlo doj\u00edt k poran\u011bn\u00ed ucha. Nedoporu\u010dujeme r\u00e1nu nam\u00e1\u010det a po dobu dvou a\u017e t\u0159\u00ed t\u00fddn\u016f by d\u00edt\u011b nem\u011blo cvi\u010dit ani se nadm\u011brn\u011b potit. Kontaktn\u00ed sporty nedoporu\u010dujeme p\u0159ibli\u017en\u011b po dobu \u0161esti a\u017e osmi t\u00fddn\u016f, v n\u011bkter\u00fdch p\u0159\u00edpadech i d\u00e9le.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Je samotn\u00fd z\u00e1krok a potom i ta rekonvalescence bolestiv\u00e1?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>V prvn\u00edch poopera\u010dn\u00edch dnech mohou d\u011bti poci\u0165ovat bolest nebo tlak v oblasti u\u0161\u00ed, ale tyto obt\u00ed\u017ee b\u00fdvaj\u00ed zpravidla dob\u0159e zvl\u00e1dnuteln\u00e9 b\u011b\u017en\u00fdmi l\u00e9ky proti bolesti. M\u016f\u017ee se tak\u00e9 objevit otok nebo drobn\u00e9 mod\u0159iny, kter\u00e9 v\u0161ak obvykle b\u011bhem dvou t\u00fddn\u016f samy vymiz\u00ed.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Jak\u00e9 jsou mo\u017en\u00e1 rizika? Co m\u016f\u017ee nastat po operaci?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Rizika jsou mal\u00e1, ale m\u016f\u017ee se vyskytnout poopera\u010dn\u00ed infekce, otok nebo zm\u011bn\u011bn\u00e1 citlivost boltce. Tyto komplikace se v\u0161ak v\u011bt\u0161inou uprav\u00ed b\u011b\u017enou l\u00e9\u010dbou. M\u016f\u017ee tak\u00e9 doj\u00edt k vytvo\u0159en\u00ed hypertrofick\u00fdch nebo keloidn\u00edch jizev. V dne\u0161n\u00ed dob\u011b ale pou\u017e\u00edv\u00e1me atraumatick\u00fd a \u0161etrn\u00fd materi\u00e1l, tak\u017ee k t\u011bmto komplikac\u00edm doch\u00e1z\u00ed jen velmi z\u0159\u00eddka. V\u00fdjime\u010dn\u011b m\u016f\u017ee doj\u00edt k n\u00e1vratu odst\u00e1vaj\u00edc\u00edho boltce nebo k asymetrii, a v takov\u00fdch p\u0159\u00edpadech je n\u011bkdy nutn\u00e1 reoperace. U v\u011bt\u0161iny d\u011bt\u00ed i dosp\u011bl\u00fdch je v\u0161ak efekt z\u00e1kroku trval\u00fd.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Pokud je nutn\u00e9 prov\u00e9st reoperaci, tak p\u0159istupuje se k n\u00ed ihned po tom prvn\u00edm z\u00e1kroku?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Ne v\u017edy je dobr\u00e9 \u010dekat, a\u017e si ty u\u0161i kompletn\u011b zhoj\u00ed a prov\u00e9st reoperaci s odstupem alespo\u0148 p\u016fl roku a nejl\u00e9pe roku a v\u00edce.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>A co se t\u00fd\u010de nap\u0159\u00edklad p\u00e9\u010de o ty jizvy, kdy\u017e m\u00e1 n\u011bkdo t\u0159eba hor\u0161\u00ed ten sr\u016fst, tak co se aplikuje?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>B\u011b\u017en\u00e1 jizva nen\u00ed viditeln\u00e1 a nen\u00ed nutn\u00e1 n\u011bjak\u00e1 speci\u00e1ln\u00ed p\u00e9\u010de. Pokud vznikne hypertrofick\u00e1 jizva je mo\u017en\u00e9 aplikovat lok\u00e1ln\u011b Depo-Medrol, kter\u00fd tu jizvu m\u016f\u017ee zmen\u0161it. Pokud to nejde, tak pak odes\u00edl\u00e1me k laserov\u00e9 \u00faprav\u011b jizvy.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Jak\u00e9 m\u00e1te odezvy od pacient\u016f? Proto\u017ee ur\u010dit\u011b je to pro n\u011b i takov\u00fd psychick\u00fd efekt, ne jen estetick\u00fd.<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Ur\u010dit\u011b, u d\u011bt\u00ed je zm\u011bna viditeln\u00e1 u\u017e na prvn\u00ed pohled. V\u017edycky jim r\u00e1da pod\u00e1m zrcadlo a zept\u00e1m se, jestli se cht\u011bj\u00ed pod\u00edvat. Velmi \u010dasto je u\u017e p\u0159i prvn\u00edm pohledu vid\u011bt radost, zejm\u00e9na pokud se d\u0159\u00edve setk\u00e1valy s posm\u011b\u0161ky ze strany spolu\u017e\u00e1k\u016f. Tyto d\u011bti se na v\u00fdsledek opravdu t\u011b\u0161\u00ed. Efekt z\u00e1kroku pak nen\u00ed jen vizu\u00e1ln\u00ed \u2013 d\u00edt\u011b nejen\u017ee vypad\u00e1 jinak, ale tak\u00e9 se jinak c\u00edt\u00ed, co\u017e mu v\u00fdrazn\u011b usnad\u0148uje za\u010dlen\u011bn\u00ed do kolektivu.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Hrad\u00ed otoplastiku poji\u0161\u0165ovna?<\/p>\n\n\n\n<p><strong>Monika Vyoral Gur\u010d\u00edkov\u00e1, l\u00e9ka\u0159ka odd\u011blen\u00ed ORL:&nbsp;<\/strong>Ano, otoplastika je hrazena ze zdravotn\u00edho poji\u0161t\u011bn\u00ed u d\u011bt\u00ed do 10 let. Star\u0161\u00ed pacienti a dosp\u011bl\u00ed si v\u0161ak tento z\u00e1krok mus\u00ed hradit sami.<\/p>\n\n\n\n<p><strong>Jana Lipowsk\u00e1, TV POLAR:&nbsp;<\/strong>Pan\u00ed doktorko, j\u00e1 v\u00e1m moc d\u011bkuji za n\u00e1v\u0161t\u011bvu.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>TV POLAR Nemocnice ve Fr\u00fddku-M\u00edstku, konkr\u00e9tn\u011b porodnice, zavedla \u0159adu novinek. A ve studiu si budeme s l\u00e9ka\u0159kou tamn\u00edho odd\u011blen\u00ed ORL pov\u00eddat o otoplastice. Monika Vyoral <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=59814\" title=\"Otoplastika je hrazena ze zdravotn\u00edho poji\u0161t\u011bn\u00ed jen u d\u011bt\u00ed do 10 let\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":23552,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-59814","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/59814","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=59814"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/59814\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/23552"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=59814"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=59814"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=59814"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}