Sevde GÖKSEL, Hülya ÇAKIR KARABAŞ, Beliz GÜRAY, Sedef Ayşe TAŞYAPAN, İlknur ÖZCAN

KONKA BÜLLOZA GÖRÜLME SIKLIĞININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE ANALİZİ VE MAKSİLLER SİNÜZİT İLE İLİŞKİSİ

Amaç: Konka pnömatizasyonu konka bülloza olarak adlandırılmakla birlikte sıklıkla orta nazal konkada görülen bir varyasyondur. Konka bülloza, kronik sinüzite neden olan faktörler arasında yer almaktadır. Bu çalışmanın amacı konka bülloza sıklığını ve maksiller sinüzit ile ilişkisini araştırmaktır.Gereç ve Yöntem: Bu retrospektif çalışma, 2016-2018 yılları arasında İstanbul Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Radyolojisi Anabilim Dalı’na başvuran ve farklı dental şikayetler nedeniyle konik ışınlı bilgisayarlı tomografi çektiren 621 hastanın görüntüleri değerlendirilerek yapılmıştır.Bulgular: Konka bülloza 621 hastanın 413’ünde (%66,5) görülmüş olup bunların %43,58’inde unilateral, %56,41’inde ise bilateral olarak izlenmiştir. Sol konka büllozanın cinsiyet ile ilişkisi değerlendirildiğinde istatistiksel olarak anlamlı bir fark bulunmuştur (p=0.08) (Kadın erkek oranı 1.14:1). Maksiller sinüzit görülen hastaların sağ tarafta %51,71’inde, sol tarafta %49,14’ünde konka bülloza tespit edilmiş olup maksiller sinüzit ile konka bülloza arasında istatistiksel olarak anlamlı fark bulunamamıştır (p>0.05).Sonuç: Patolojik bulgularla ilişkili olabilen anatomik varyasyonların tespiti doğru tanı için önemlidir. Konka büllozanın kronik sinüzitle ilişkisinde rol oynayabilecek diğer faktörlerin de araştırılması gerekmektedir.

Anahtar Kelimeler:

Nazal konka, konka bülloza, ; kronik sinüzit, anatomik varyasyon, konik ışınlı bilgisayarlı tomografi

Analysis of the Frequency of Concha Bullosa Using Cone Beam Computed Tomogrphy and Relationship with Maxillary Sinusitis

Aim: Although concha pneumatization is called concha bullosa, it is a variation often seen in the middle nasal concha. Concha bullosa is among the factors causing chronic sinusitis. The aim of this study is to evaluate the frequency of concha bullosa and its relationship with the maxillary sinusitis. Material and Method: This retrospective study was carried out by evaluating the images of 621 patients who applied to the Department of Oral, Dental and Maxillofacial Radiology at Istanbul University, Faculty of Dentistry between 2016-2018 and had cone beam computed tomography due to different dental complaints. Results: Concha bullosa was seen in 413 (66.5%) out of 621 patients, of whom 43.58% were unilateral, and 56.41% were bilateral. When the relationship of left concha bullosa with gender was evaluated, a statistically significant difference was found (p=0.08) (Female to male ratio 1.14: 1). Among the patients with maxillary sinusitis, concha bullosa was detected on the right side in 51.71% of the patients and on the left side in 49.14%, and there was no statistically significant difference between maxillary sinusitis and concha bullosa (p> 0.05). Conclusion: Detection of anatomical variations that may be associated with pathological findings is important for correct diagnosis. Other factors that may play a role in the relationship between concha bullosa and chronic sinusitis should be investigated.

Keywords:

Nasal concha, concha bullosa, chronic sinusitis, anatomic variation, cone-beam computed tomography,

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