Tek taraflı sinonazal cerrahi: semptomlar ve patolojik tanıların analizi

Amaç: Çalışmanın amacı tek taraflı sinonazal semptomlarla başvuran ve opere edilen hastaların klinik semptom ve histopatolojik tanılarını analiz etmektir.Materyal ve Metot: Haziran 2013- Mayıs 2017 tarihleri arasında ikinci basamak tek merkezde tek taraflı sinonazal hastalık nedeniyle opere edilen ve patolojik tanısı bulunan 54 hastanın dosyaları retrospektif analiz edildi. Hastaların başvuru şikayetleri ve histopatolojik tanıları analiz edildi.Bulgular: Elli dört hastanın tamamına endoskopik sinonazal cerrahi uygulandı. Hastaların 40’ında tümöral olmayan patolojiler saplanırken 14 hastada tümöral patoloji saptandı. Tümöral olmayan lezyonlardan 29 hastada kronik sinüzit- nazal polip, 5 hastada izole alt konka mulberry hipertrofisi, 3 hastada rinolit, 2 hastada mukosel, 1 hastada ise aksesuar orta konka tespit edildi. Tümöral patolojilerden 6 hastada hemanjiom, 5 hastada inverted papillom, 2 hastada osteom ve 1 hastada malign melanom tespit edildi. En sık görülen başvuru nedeni burun tıkanıklığı iken, tümöral patolojilerde epistaksis daha sık tespit edildi.Sonuç: Tek taraflı sinonazal patolojilerin çoğunluğunu benign lezyonlar oluşturmasına rağmen tümöral patolojiler iki taraflı hastalıklara göre daha yaygındır. Bizim çalışmamızda önemli bir bulgu alt konka mulberry hipertrofisi ve nazal hemanjiomların nadir görülmeyip tek taraflı nazal lezyonların önemli bir kısmını oluşturmasıdır.

Anahtar Kelimeler:

Tek taraflı sinonazal hastalık, endoskopi, polip, burun tıkanıklığı

Unilateral sinonasal surgery: analysis of symptoms and pathologic diagnoses

Background: The aim of the study is to analyze the clinical symptoms and histopathologic diagnoses of patients with unilateral sinonasal symptoms who have been operated on in our clinic.Methods: We performed a retrospective review of the medical records of 54 patients with unilateral sinus disease who underwent surgical intervention and had pathological specimens between June 2013 and May 2017. Presenting symptoms, medical histories, and previous treatments were analyzed.Results: Fifty-four patients were diagnosed pathologically by endoscopic sinonasal surgery. In 40 of the patients non-tumoral pathologies were stabbed and in 14 patients tumoral pathology was detected. Of the non-tumoral lesions, 29 patients had chronic sinusitis-nasal polyps, 5 patients had isolated inferior turbinate mulberry hypertrophy, 3 patients had rhinolitis, 2 patients had mucocele, and 1 patient had accessory middle turbinate. In tumoral pathologies, 6 patients had hemangiomas, 5 patients had inverted papillomas, 2 patients had osteomas and 1 patient had malignant melanomas. Epistaxis was more frequently detected in tumoral pathologies, while the most frequent cause was nasal obstruction. Conclusion: Although the majority of unilateral sinonasal pathologies are benign lesions, tumoral pathologies are more common than bilateral diseases. An important finding in our study is that inferior turbinate mulberry hypertrophy and nasal hemangiomas are not uncommon and constitute a significant part of unilateral nasal lesions.

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