Çocuklarda adenoid hiperplazisinin maksiller sinüzit etyolojisindeki rolü

Amaç: Çocuklarda adenoid hiperplazisinin maksiller sinüzit etyolojisindeki yerini tespit etmek. Yöntem: Adenoid hiperplazisi bulunan 100 çocukta yumuşak doku dozunda lateral kafa grafisi ve Water's grafisi çekildi. Bir hasta maksiller sinüslerde havalanma olmadığı için çalışmaya dahil edilmedi. Lateral kafa grafisinde adenoidal-nazofarengeal oran (ANO) hesaplandı. ANO ile maksiller sinüzit arasındaki ilişki araştırıldı. Bulgular: ANO 0.74± 0.08 idi. 45 hastada sinüzit bulundu. ANO sinüziti olan hastalarda ANO 0.73± 0.07, sinüziti olmayanlarda ise 0.74± 0.08 idi (P> 0.05). Sonuç: Adenoid hiperplazisinin maksiller sinüzit oluşumunda etkisi yoktur.

Anahtar Kelimeler:

Çocuk, Enfeksiyon, Burun tıkanıklığı, Maksiller sinüzit, Paranazal sinüs hastalıkları, Solunum yolu enfeksiyonları, Sinüzit, Tonsillit, Hiperplazi, Adenoidler

The role of adenoid hyperplasia in etiology of maxillary sinusitis in children

Objective: To determine the role of adenoid hyperplasia in the etiology of maxillary sinusitis in children. Methods: In a hundred children with adenoid hyperplasia lateral skull graphy with soft tissue dose and Water's graphy were taken. One patient was discarded because of maxillary sinus without aeration. Adenoid hyperplasia was evaluated according to adenoidal-nasopharyngeal ratio (ANR) and relation to maxillary sinusitis was investigated. Results: The average value of ANR was 0.74± 0.08 in 99 children. There was sinusitis in 45 patients. In the patients with sinusitis the average value of ANR was found 0.73± 0.07. In the patients without sinusitis the average value of ANR were 0.74± 0.08 (P>0.05). Conclusion: Adenoid hyperplasia is not an efficient factor in the development of maxillary sinusitis.

Keywords:

Child, Infection, Nasal Obstruction, Maxillary Sinusitis, Paranasal Sinus Diseases, Respiratory Tract Infections, Sinusitis, Tonsillitis, Hyperplasia, Adenoids,

PDF

___

Fukuda K, Matsune S, Ushikai M, Imamura Y, Ohyama M. A study on the relationship between adenoid vegetation and rhinosinusitis. Am J Otolaryngol 1989;10:214-6.
Parsons DS. Chronic sinusitis: A medical or surgical disease? Otolaryngol Clin North Am 1996;29:1-9.
Pransky SM, Low WS. Pediatric ethmoidectomy. Otolaryngol Clin North Am 1996;29:131-42.
Lee D, Rosenfeld RM. Adenoid bacteriology and sinonasal symptoms in children. Otolaryngol-Head Neck Surg 1997;116:303-7.
Fujioka M, Young LW, Girdang BB. Radiographic evaluation of adenoidal size in children: Adenoidal- nasopharyngeal ratio. Am J Radiol 1979;133:401-4.
Diament MJ. The diagnosis of sinusitis in infants and children: X-ray, computed tomography and magnetic resonance imaging (Diagnostic imaging of pediatric sinusitis). J Allergy Clin Immunol 1992;90:442-4.
Kovatch AL, Wald ER, Ledesma-Medina J, Chiponis DM, Bedingfield B. Maxillary sinus radiographs in children with nonrespiratory complaints. Pediatrics 1984;73:306-8.
Haapaniemi JJ. Adenoids in school-aged children. J Laryngol Otol 1995;109:196-202.
Rodney PL. Functional endoscopic sinus surgery. 3th edition. Cummings CW, editor. Pediatric otolaryngology head and neck surgery. St. Louis: Mosby. 1998. p.104-115.
Takahashi T, Fujita A, Honjo I. Effect of adenoidectomy on otitis media with effusion, tubal function and sinusitis. Am J Otolaryngol 1989;10:208-13.
Fujita A, Takahashi H, Honjo I. Etiological role of adenoids upon otitis media with effusion. Acta Otolaryngol (Stockholm) (suppl);454:210-3.