Fahrettin Kalabalık, Emre Aytuğar, Ceren Çiftçi

KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ KULLANILARAK EGE BÖLGESİ’NDE TONSİLOLİT PREVALANSININ ARAŞTIRILMASI

Amaç: Bu çalışmanın amacı, konik ışınlı bilgisayarlı tomografi kullanarak Ege Bölgesi’nde yaşayan bir Türk popülasyonundaki tonsillolit prevalansını ve özelliklerini araştırmaktır. Yöntem: Fakültemiz Ağız, Diş ve Çene Radyolojisi Anabilim Dalı arşivindeki 399 hastanın konik ışınlı bilgisayarlı tomografi kayıtları retrospektif olarak incelenmiştir. Tonsillolit prevalansı ve özellikleri değerlendirilmiştir. Hastalar yaşlarına gore: (1) ≤20 yaş; (2) 21-40 yaş; (3) yaş ≥41 yaş olacak şekilde üç gruba ayrılmıştır: Hastaların demografik özellikleri ile tonsillolitin görülme sıklığı ve sayısı arasındaki ilişki araştırılmıştır. Bulgular: Toplam 399 hasta (184 erkek, 215 kadın; ortalama yaş 34,3) incelendiğinde tonsillolit prevalansı %25,8 olarak hesaplanmıştır. Erkek ve kadın hastalar arasında tonsilolit görülme sıklığı bakımından anlamlı bir farklılık görülmemiştir (p=0,57). Tonsillolit sayısı ile yaş arasında pozitif bir korelasyon saptanmıştır (p=0,002). Tonsiller kalsifikasyon oranı Grup 3'te Grup 1 ve 2'den anlamlı derecede fazlayken, Grup 1'de diğer gruplardan anlamlı derecede düşük bulunmuştur (p=0,036). Sonuç: Çalışmada elde edilen bulgulara göre tonsillolit Ege nüfusunun yaklaşık dörtte birini etkilemektedir. Tonsillolit görülme sıklığı yaşa bağlı değişim göstermekte ancak cinsiyet faktöründen etkilenmemektedir. Bu kalsifikasyonlar en fazla 40 yaş üzerindeki hastalarda görülmektedir.

INVESTIGATION OF THE PREVALENCE OF TONSILLOLITH IN THE AEGEAN REGION USING CONE-BEAM COMPUTED TOMOGRAPHY

Objective: The purpose of this research was to investigate the prevalence rate and characteristics of tonsilloliths in a Turkish population sample livingin the Aegean region of Turkey using cone-beam computed tomography.Methods: Three hundred ninety-nine consecutive cone-beams computed tomography data was obtained at the Department of Oral andDentomaxillofacial Radiology were retrospectively analyzed for the characteristics and presence of tonsilloliths. The subjects were divided into threegroups according to age: (1) age ≤20 years; (2) age 21-40 years; (3) age ≥41 years. The correlation between subject demographics and the characteristics(number and prevalence) of tonsilloliths was investigated.Results: The prevalence rate of palatine tonsilloliths in 399 subjects (184 males, 215 females; mean age of 34.3 years) was 25.8%; the prevalenceshowed no significant difference between male and female genders (p=0.57). A positive correlation was observed between the number of tonsillotihsand age (p=0.002). Tonsillar calcification was significantly more common in Group 3 than Group 1 and 2, while it was significantly lower in Group 1than the other groups (p=0.036).Conclusion: According to our results, tonsilloliths affect approximately a quarter of the Aegean population. Tonsilloliths are age-related but sexindependent. These calcifications are more common in people older than 40 years of age.

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