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كما توجد في المجال التجميلي أيضًا رغبة في الحصول على كتفين أعرض قليلًا أو أضيق قليلًا.",[],[],{"_uid":339,"text":340,"component":322,"text_style":341,"component_style":342},"535646af-7ea7-4e75-a8fb-38d1f8d8b3e5","## متى ينبغي التفكير في إطالة الترقوة من جانب واحد؟\n\nإذا كان المرفق يبتعد عن الجسم عندما تكون الذراع متدلية، أو إذا شعر المرء باستمرار بوجود وسادة في الإبط، فينبغي التحقق، عن طريق قياس عظمتي الترقوة، مما إذا كان هناك عدم تناسب مع القفص الصدري العظمي. وقد تحل إطالة الترقوة المشكلة عند الاقتضاء.\n\n## إطالة الترقوة أو تقصيرها في الجانبين - عندما يبدو الكتفان ضيقين جدًا أو عريضين جدًا\n\nلا يوجد استطباب طبي لتوسيع الكتفين إلا في حالات نادرة، عندما يكون هناك عدم تناسب خلقي بين عرض الكتفين وعرض القفص الصدري. وفي أغلب الأحيان تصدر الرغبة في توسيع الكتفين عن رجال غير راضين عن مظهرهم، وبذلك يندرج العلاج ضمن المجال التجميلي. وعلى العكس من ذلك، ترى بعض النساء أن الكتفين العريضين جدًا \"ذكوريان أكثر من اللازم\"، فيرغبن في تضييقهما. ويؤدي تغيير قدره 1-2 سم فقط في كل جانب إلى تغيير واضح في المظهر، سواء في حالة التوسيع أو التضييق. وفي حالة التضييق تحديدًا يمثل ذلك على أي حال الحد الأقصى الممكن، لأنه بخلاف ذلك قد تحدث اضطرابات وظيفية بسبب القفص الصدري.",[],[],{"_uid":344,"text":345,"component":322,"text_style":346,"component_style":347},"a343ae22-7ad4-4cd8-af6b-efd487294a0f","## كيف يُغيَّر طول الترقوة جراحيًا؟\nتندرج تصحيحات طول الترقوة الجراحية أيضًا ضمن مجال اختصاص ZEM-Germany. وفي معظم الحالات يكفي 1-2 سم لتحقيق مكسب وظيفي أو لتغيير المظهر تغييرًا دائمًا. ويمكن إجراء هذه التصحيحات دفعة واحدة بتقنية طفيفة التوغل خلال عملية جراحية واحدة، وذلك بقطع عظم الترقوة وتثبيت صفيحة صغيرة لتحقيق الثبات. وإذا كانت هناك حاجة إلى إطالة أكبر، كما هو الحال بعد حادث مثلًا، فلا بد من استخدام مثبت خارجي يمكنه المباعدة بين طرفي عظم الترقوة بشكل مستمر. وتُجرى إطالة الترقوة أو تقصيرها لأغراض تجميلية في الغالب دفعة واحدة في الجانبين خلال عملية جراحية واحدة، وهو ما يُعد أفضل أيضًا من حيث تكوّن الندبات.\n",[],[],{"_uid":349,"text":350,"component":322,"text_style":351,"component_style":352},"f4e86070-41b6-41f4-ace0-3cf61ce12ac8","## ما تكلفة تصحيح الترقوة في الجانبين في ZEM-Germany؟\n\nتتراوح تكلفة تصحيح طول عظمتي الترقوة في الجانبين (تقصيرًا أو إطالةً) بين 25.000 يورو و35.000 يورو، وذلك بحسب الحالة الأولية ودرجة الصعوبة. وفي حالة الاستطباب التجميلي تُستحق أيضًا ضريبة القيمة المضافة السارية.\n",[],[],{"id":100,"alt":100,"name":9,"focus":100,"title":100,"filename":9,"copyright":100,"fieldtype":11},"بعد كسر الترقوة أو في حالة ضيق خلقي في الكتف من جانب واحد أو من الجانبين، يبرز العضد بعيدًا عن الجسم ويشعر المريض باستمرار وكأن هناك وسادة تحت ذراعه، مما يؤدي إلى اضطرابات وظيفية. ولأن عرض الكتفين يتحدد بطول عظمتي الترقوة، فإن إطالة الترقوة قد تكون هي الحل.","Page",[],[],"يؤدي قِصَر الترقوة في جانب واحد إلى عدم تناظر الكتفين، وفي الجانبين إلى ضيق الكتفين. ومن الممكن إجراء إطالة الترقوة.","schluesselbeinverlaengerung","ar\u002Ftyf-alalaj\u002Fitalh-azm-altrqwh",60,[],780693,"7cdc4451-ca99-437e-a02d-f21ead75a2e9","2021-05-17T15:59:52.000Z",[],"spezialgebiete\u002Fschluesselbeinverlaengerung",[369,373,377,380,384],{"path":370,"name":371,"lang":372,"published":21},"expertise\u002Fcollarbone-lengthening","Collarbone lengthening","en",{"path":374,"name":375,"lang":376,"published":21},"espectro-de-tratamiento\u002Falargamiento-de-la-clavicula","Alargamiento de la clavícula","es",{"path":378,"name":379,"lang":202,"published":21},"tyf-alalaj\u002Fitalh-azm-altrqwh","إطالة عظم الترقوة",{"path":381,"name":382,"lang":383,"published":21},"spektr-lecheniya\u002Fudlinenie-klyuchicy-klyuchichnogo-sustava","Удлинение ключицы (ключичного сустава)","ru",{"path":385,"name":386,"lang":387,"published":21},"zhi4-liao2-fan4-wei2\u002Fsuo3-gu3-yan2-zhang3-shu4","锁骨延长术","zh",1793682344179]