Arif ŞANLI, Eda BEKMEZ, Gazi YILDIZ, Banu ATALAY ERDOĞAN, Hüseyin Baki YILMAZ, Gökhan ALTIN

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Sigara ve otorinolarengolojik semptomlar arasındaki ilişki

Amaç: Bu çalışmada sigara kullanan, sigara kullanmayan ve sigarayı bırakmış kişilerde sigara ve otorinolarengolojik semptomlar arasındaki muhtemel ilişki araştırıldı.Hastalar ve Yöntemler: 01 Mart 2014 - 31 Mart 2014 tarihleri arasında, kulak, burun, boğaz KBB polikliniğine başvuran toplam 1840 hasta 823 erkek, 1017 kadın çalışmaya alındı. En az beş yıl süreyle günde en az 10 sigara içen hastalar sigara içenler grubuna alındı n=514 . En az beş yıllık sigara kullanımından sonra en az bir yıldır sigara içmeyen hastalar sigarayı bırakanlar grubuna alındı n=268 . Hiç sigara içmemiş hastalar ise sigara içmeyenler grubuna alındı n=1058 . Hastaların tümüne KBB semptomlarını kapsayan bir form verildi ve hastalardan aynı hekim tarafından bilgilendirildikten sonra bu formu yakınmaları doğrultusunda doldurmaları istendi.Bulgular: Öksürük, nefes darlığı, reflü, boğaz kuruluğu, tahriş, tat alma bozukluğu, kötü ağız kokusu, diş ağrısı, burun tıkanıklığı, koku alma bozuklukları, horlama ve burun akıntısı hiç sigara içmemiş gruba kıyasla, sigara içen grupta anlamlı düzeyde yüksek bulundu. Öksürük, balgam, ses kısıklığı, disfaji, reflü, boğaz ağrısı, boğaz kuruluğu, tahriş, batma, oral aftlar, tat alma bozukluğu, diş ağrısı, diş etlerinde kanama ve kötü ağız kokusu hiç sigara içmeyen grupta anlamlı düzeyde daha düşüktü. Burun tıkanıklığı, burun kanaması, aksırma, burun akıntısı, koku alma bozuklukları, baş ağrısı, yüzde dolgunluk hissi, kulak akıntısı, işitme kaybı, ağrı, dolgunluk, baş dönmesi ve tinnitus sigarayı bırakan grupta istatistiksel olarak anlamlı düzeyde daha düşüktü.Sonuç: Çalışma bulgularımız sigaranın özellikle üst solunum yolu ile ilişkili semptomlara neden olduğunu ve bu semptomların sigarayı bırakanlarda devam edebileceğini göstermektedir
Anahtar Kelimeler:

Kulak, burun, sigara, semptom, boğaz

Relationship between smoking and otorhinolaryngological symptoms

Objectives: This study aims to investigate the possible relationship between smoking and otorhinolaryngological symptoms in smokers, nonsmokers and ex-smokers. Patients and Methods: Between March 01st, 2014 and March 31st, 2014, a total of 1,840 patients 823 males, 1,017 females over 25 years of age who were admitted to the ear nose, and throat ENT outpatient clinic were included in the study. The patients who were smoking at least 10 cigarettes daily for at least five years were included in the smokers group n=514 . The patients who did not smoke for at least one year following at least five years of smoking were included in the ex-smokers group n=268 . The patients who never smoked were included in the non-smokers group n=1,058 . A form containing all ENT symptoms was given to all patients and the patients were asked to fill the form with their complaints following being informed by the same doctor. Results: Cough, shortness of breath, reflux, dryness of throat, irritation, taste disorder, bad breath, toothache, nasal congestion, smell disorders, snoring, and nasal discharge were found to be significantly higher in the smokers group, compared to the non-smokers group. Cough, sputum, hoarseness, dysphagia, reflux, sore throat, dryness of throat, irritation, stinging, oral aphthae, taste disorder, toothache, bleeding gums, and bad breath were significantly lower in the ex-smokers group. Nasal congestion, nosebleeds, sneezing, nasal discharge, smell disorders, headache, feeling of facial fullness, ear discharge, hearing loss, pain, fullness, dizziness, and tinnitus were statistically significantly lower in the ex-smokers group. Conclusion: Our study results show that smoking causes symptoms particularly associated with upper respiratory tract and these symptoms may persist in ex-smokers.
Keywords:

Ear, nose, smoking, symptom, throat,

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The Turkish Journal of Ear Nose and Throat-Cover
  • ISSN: 2602-4837
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1991
  • Yayıncı: İstanbul Üniversitesi
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