Kadri İLA, Murat TOPDAĞ, Murat ÖZTÜRK, Mete İŞERİ, Ömer AYDIN, Gürkan KESKİN

Koanal poliplerin cerrahi tedavisinin retrospektif analizi

Amaç: Bu çalışmada, koanal polibi olan hastalarda uygulanan cerrahi yöntemin etkinliği literatür ışığında tartışıldı.Hastalar ve Yöntemler: Çalışmaya Kocaeli Üniversitesi Kulak Burun Boğaz kliniğinde Ocak 2005 - Aralık 2013 tarihleri arasında sinonazal bölgede koanal polip tanısı konulmuş 76 hasta 42 erkek, 34 kadın; ort. yaş 25.36 yıl; dağılım 7-73 yıl dahil edildi. Hastaların yaş, cinsiyet ve kliniğe başvuru yakınmaları ile beraber poliplerin özellikleri yerleşim yeri, yönü retrospektif olarak araştırıldı.Bulgular: Koanal polibi olan hastaların büyük çoğunluğu %98.68 burun tıkanıklığı ile başvurdu; bunu horlama, ağzı açık uyuma %25.0 ve burun akıntısı %21.05 izledi. Yerleşim yerlerine göre polipler 65 hastada maksiller sinüs, altı hastada sfenoid sinüs, iki hastada orta konka, iki hastada septum ve bir hastada etmoid sinüs kaynaklıydı.Sonuç: Endoskopik yaklaşım koanal polip tedavisinde güvenilir ve etkili bir işlemdir. Endoskopik yaklaşım ve kombine yaklaşımların başarı oranları arasında anlamlı farklılık yoktu

Anahtar Kelimeler:

Caldwell-Luc işlemi, koanal polip, endoskopik cerrahi, paranazal sinüs

Retrospective analysis of surgical treatment of choanal polyps

Objectives: This study aims to discuss the efficacy of the surgical method performed in patients with choanal polyp in the light of the literature. Patients and Methods: The study included 76 patients 42 males, 34 females; mean age 25.36 years; range 7 to 73 years diagnosed with choanal polyp in the sinonasal region between January 2005 and December 2013 in the otorhinolaryngology clinic of Kocaeli University. Age, sex, and presenting complaints of the patients, as well as the characteristics of the polyps localization, direction were retrospectively investigated. Results: The majority 98.68% of the patients with choanal polyp presented with nasal obstruction, followed by snoring, sleeping with the mouth open 25.0% , and nasal discharge 21.05% . According to their localizations, the origin of the polyps was the maxillary sinus in 65 patients, sphenoid sinus in six patients, middle turbinate in two patients, septum in two patients, and ethmoid sinus in one patient. Conclusion: Endoscopic approach is a safe and effective procedure for choanal polyp treatment. There was no significant difference between the success rates of the endoscopic approach and combined approaches.

Keywords:

Caldwell-Luc procedure, choanal polyp, endoscopic surgery, paranasal sinus,

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