The Importance of Nasofrontal Angle in Recurrent Childhood Idiopathic Epistaxis

Year 2019, Volume: 5 Issue: 3, 1788 - 1795, 31.12.2019

İbrahim Hakan Bucak Mehmet Karataş Habip Almış Sedat Doğan Mehmet Turgut

https://doi.org/10.30569/adiyamansaglik.638799

Abstract

Aim: Epistaxis is a common, usually self-limiting, clinical
condition in childhood. Many factors have been identified in the etiology of
epistaxis although one third of epistaxis called idiopathic. Anatomical
structure of nose should be taken into account in the evaluation of patients
with recurrent idiopathic epistaxis. Aim of this study to reveal whether or not
there is any correlation between nasofrontal angle and recurrent idiopathic
epistaxis in children.

Methods: The patients referred to the pediatric and ear-nose-throat outpatient
clinics for recurrent epistaxis between October 2014–April 2015 were enrolled
in the study and accepted as study group. The control group was chosen from
patients without epistaxis. The NFA was measured with a commercial angle meter
under normal anatomic position by the same researcher.

Results: Sixty-two subjects with recurrent idiopathic epistaxis and ninety subjects
without epistaxis were enrolled in this study and named as the study group and
the control group, respectively. The mean NFA of the study group was 139.29 ± 6
(125-159)º while the mean NFA of the control group was 133.8 ± 4.8 (123-146)º.
The NFA in the study group was significantly higher than that in the control
group (p<0.001).

Conclusion: Increased NFA can be accepted as one of the abnormalities in the anatomical
structure of the nose in the etiologic classification of epistaxis. More
researches will be needed to identify the importance of NFA for recurrent
idiopathic epistaxis.

Keywords

epistaxis, children, nasofrontal angle

Thanks

We are grateful to Ayse Bayram and Esra Bucak for support with the Figure 1.

Çocukluk dönemi tekrarlayan idiopatik epistaksiste nazofrontal açının önemi

Abstract

Amaç: Epistaksis çocukluk çağında yaygın, genellikle kendi kendini
sınırlayan klinik bir durumdur. Epistaksis etyolojisinde birçok faktör
kanıtlanmış olsa da, üçte biri idiopatik olarak değerlendirilmektedir.
Tekrarlayan idiopatik epistaksis vakalarının değerlendirilmesinde anatomik yapı
dikkate alınmalıdır. Bu çalışmanın amacı, çocuklarda nazofrontal açı (NFA) ile
tekrarlayan idiyopatik epistaksis arasında bir ilişki olup olmadığını ortaya
koymaktır.

Yöntem: Ekim 2014-Nisan 2015 tarihleri arasında tekrarlayan epistaksis nedeniyle
pediatrik ve kulak burun boğaz polikliniğine başvuran hastalar çalışmaya alındı
ve çalışma grubu olarak kabul edildi. Kontrol grubu, burun kanaması olmayan
hastalardan seçildi. NFA, aynı araştırmacı tarafından normal anatomik
pozisyonda ticari bir açı ölçer ile ölçülmüştür.

Bulgular: Tekrarlayan idiyopatik epistaksisi olan altmış iki olgu ve epistaksisi
olmayan doksan olgu çalışmaya alındı ve sırasıyla çalışma grubu ve kontrol
grubu olarak adlandırıldı. Çalışma grubunun ortalama NFA değeri 139,29 ± 6
(125-159) º iken, kontrol grubunun ortalama NFA değeri 133,8 ± 4,8 (123-146) º
idi. NFA, çalışma grubunda kontrol grubundan anlamlı olarak yüksekti (p<0.001).

Sonuç: NFA’nın artışı epistaksis etyolojisi sınıflamasında burnun anatomik yapı
bozukluklarından biri olarak kabul edilebilir. NFA'nın tekrarlayan idiyopatik
epistaksis için önemini belirlemek için daha fazla araştırmaya ihtiyaç
duyulmaktadır.

Keywords

Epistaksis, Çocuk, Nazofrontal Açı

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