İzole sfenoid sinüs patolojileri: 7 olgunun retrospektif analizi

Eskişehir Yunus Emre Devlet Hastanesi KBB Kliniği’nde izole sfenoid sinüs hastalığı için endoskopik sfenoid sinüs cerrahisi yapılan hastaların klinik özelliklerini ve tedavi stratejilerini paylaşıp yaklaşım önerilerinde bulunmak. İzole sfenoid sinüs patolojisi için endoskopik sfenoid sinüs cerrahisi yapılan 7 hastanın klinik özellikleri, fizik muayeneleri, radyolojik bulguları ve tedavi yaklaşımları retrospektif olarak incelendi. Ocak 2015 ve Ocak 2016 arasında Eskişehir Yunus Emre Devlet Hastanesi KBB Kliniği’nde 7 hasta izole sfenoid sinüs hastalığı için tedavi edildi. Bu hastaların 3 tanesinde fungal enfeksiyon, 2 tanesinde sfenokoanal polip ve 2 tanesinde mukosel mevcuttu ve tüm hastalar endoskopik sfenoidotomi tekniği ile tedavi edildi. İzole sfenoid sinüs hastalıkları klinik pratikte nadir karşılaşılan bir klinik antitedir. Hastalığın tanısı; hikaye, endoskopik muayene ve bilgisayarlı tomografi bulguları ile konulur. Endoskopik sfenoidotomi günümüzde bu patolojiler için altın standart olarak kabul gören güvenli ve efektif bir tedavi seçeneğidir.

Anahtar Kelimeler:

sfenoid sinus, sfenoidotomi

Isolated sphenoid sinus pathology: retrospective analysis of 7 cases

To investigate the clinical characteristics of the patients who underwent endoscopic sphenoid sinus surgery for isolated sphenoid sinus disease and to evaluate the management skills of ENT Department of Eskisehir Yunus Emre State Hospital in isolated sphenoid pathologies. 7 patients who underwent endoscopic sphenoid sinus surgery for isolated sphenoid sinus disease are included in the study. Clinical characteristics and main symptoms of patients, physical examination, radiologic findings and management aproaches were investigated retrospectively. We identified 7 cases of isolated sphenoid sinus disease between January 2015 and January 2016 in ENT Department of Eskisehir Yunus Emre State Hospital. 3 cases with fungal infection of sphenoid sinus, 2 cases with with sphenochoanal polyp and 2 cases with mucocele were treated by endoscopic sphenoidotomy. Isolated sphenoid sinus pathologies are rare clinical entities. Diagnosis is based on the history, endoscopic examination and computed tomography findings. Endoscopic sphenoidotomy is a safe and easy treatment option and represented the gold standard for this disease at the present time.

Keywords:

sphenoid sinus, sphenoidotomy,

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