Muhammed Gazi YILDIZ, İsrafil ORHAN, Dogan ÇAKAN, Mustafa PAKSOY, Adem DOĞANER

Türk Pediatri Popülasyonunda Adenotonsiller Boyut Dağılımı ve Orta Kulak Üzerine Etkisi

Çalışmanın amacı Türk pediatri popülasyonunda adenoid doku ve palatin tonsil büyüklüğünün dağılımı ve bu dokuların orta kulak patolojileri üzerine etkisini araştırmaktır. Çalışma retrospektif planlamış olup 2017-2020 yılları arasında Kahramanmaraş Sütçü İmam üniversitesi Tıp Fakültesi Kulak Burun Boğaz polikliniğine başvuran 500 pediatrik hastanın dosyaları incelenerek gerçekleştirildi. Çalışmaya dahil edilen hastaların muayene bulguları ve timpanogram sonuçları SPSS versiyon 22 kullanılarak incelendi. Yaş ortalaması 6.5 ve Erkek / Kız oranı 1:1 idi. Torus tubarius ile ilişkili adenoid hipertrofisinin orta kulak patolojileri üzerine etkisi istatistiksel açıdan anlamlı idi. Koanal obstrüksiyonla ilişkili adenoid hipertrofisi ve palatin tonsil hipertrofisi ile orta kulak patolojileri arasında ilişki saptanmadı. Adenotonsiller hipertrofisi ve efüzyonlu otitis media başta olmak üzere orta kulak patolojisi pediatrik dönemde yaygın sorunlardan olup tanı, tedavi ve takip sürecinin iyi yönetilmesi gerekmektedir.

Anahtar Kelimeler:

Orta kulak, Palatin tonsil, Adenoid

Adenotonsillar Size Distribution and Effect on Middle Ear in Turkish Pediatrics Population

The aim of this study is to investigate the distribution of adenoid tissue and palatine tonsil growth in the Turkish pediatric environment and the effect of these tissues on middle ear pathologies. The study was planned retrospectively. It was carried out by examining the files of 500 pediatric patients who applied to Kahramanmaraş Sütçü İmam University Faculty of Medicine Ear, Nose and Throat polyclinic between 2017-2020. Examination findings and tympanogram results of the patients included in the study were analyzed using SPSS version 22. The mean age was 6.5 years and the Boy/Female ratio was 1:1. The effect of adenoid hypertrophy associated with the torus tubarius on middle ear pathologies was statistically significant. No correlation was found between choanal obstruction-related adenoid hypertrophy and palatine tonsil hypertrophy with middle ear pathologies. Middle ear pathologies, especially otitis with effusion and adenotonsillar hypertrophy are common important problems in the pediatric period. Diagnosis, treatment and follow-up process should be well managed.

Keywords:

Middle Ear, Adenoid, Palatine Tonsil,

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