FONKSİYONEL ENDOSKOPİK SİNÜS CERRAHİSİ HİSTOPATOLOJİ SONUÇLARIMIZ

Year 2016, , 64 - 67, 31.08.2016

Hatice Güzelküçük Akay Gökçe Şimşek , Rahmi Kılıç

https://doi.org/10.24938/kutfd.252678

Abstract

Giriş: Kliniğimizde Temmuz 2012 ile Ağustos 2015 tarihleri arasında
fonksiyonel endoskopik sinüs cerrahisi uygulanan hastaların histopatolojik ve
klinik verilerinin sunulması ve dağılım yüzdelerinin değerlendirilmesi
amaçlanmıştır.

Gereç ve Yöntem:
Çalışma
Kırıkkale Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Anabilim Dalında Temmuz
2012 ile Temmuz 2015 tarihleri arasında fonksiyonel endoskopik sinüs cerrahisi
yapılan hasta dosyalarının retrospektif olarak değerlendirilmesi ile
gerçekleştirilmiştir.

Bulgular: Ortalama yaşları 43.4 olan toplam 135 hastanın verileri
incelendi. Hastaların 30’u (%22) kadın 105’i (%78) erkek idi. Hastaların
93’ünde (%68.8) bilateral, 42’sinde (%31.1) tek taraflı Fonksiyonel endoskopik
sinüs cerrahisi uygulanmıştı. Hastaların histopatoloji sonuçları 92 (%68.1)
nazal polip, 20 (%14.8) kronik sinüzit, 10 (%7.4) antrokonal polip, 6 (%4.4)
inverted papillom, 2 (%1.4) osteom, 2 (%1.4) hemanjiom, 2 (%1.4) hipofiz
adenomu ve 1 (%0.7) yabancı cisim (saçma) olarak kaydedildi.

Sonuç: Fonksiyonel
endoskopik sinüs cerrahisi uygulanan hastaların histopatoloji sonuçlarında en
sık non-neoplastik lezyonlarla karşılaşılmaktadır. Non-neoplastik lezyonlar
içinde ise nazal polipler en sık olarak görülen lezyonlardır. Her kliniğin
fonksiyonel endoskopik sinüs cerrahisi sonuçlarının değerlendirilmesi ile
ülkemizdeki fonksiyonel endoskopik sinüs cerrahisi histopatoloji sonuçlarının
dağılımı ile ilgili veriler oluşturulabilir.

Keywords

Dağılım fonksiyonel endoskopik sinüs cerrahisi, histopatoloji, nazal polip, rinosinüzit

Histopathological Results of Functional Endoscopic Sinus Surgery

Abstract

Introduction: Our aim is to display pathological and clinical data
and to interpret the distribution of the percentages of the patients to whom we
performed functional endoscopic sinus surgery between July 2015 and August 2015
in our clinic.

Material and Methods: The
present study was performed with the files
of the patients who got functional endoscopic sinus surgery in
Otorinolaryngology Department at Kirikkale University Faculty of Medicine
between July 2015 and August 2015.

Results: We examined data from 135 patients whose mean age is 43.4.
Thirty patients (22%) were female and 105 patients (78%) were male. Bilateral
functional endoscopic sinus surgery was performed in 93 patients (68.8%) and
unilateral functional endoscopic sinus surgery was performed in 42 patients (31.2%).
According to the histopathological results of the patients the numbe of nasal
polyps were 92 (68.1%), chronic sinusitis was 20 (14.8%), anthracoanal polyps
were 10 (7.4%), inverted papilloma was 6 (4.4%), osteoma was 2 (1.4%),
hemangioma was 2 (1.4%), hypophisis adenoma were 2 (1.4%) and foreign body (gun
bullet) were 1 (0.7%).

Conclusion: According to the histopathological results of the patients,
to whom functional endoscopic sinus surgery was performed, the most commonly
seen lesion was non-neoplastic lesions. The nasal polyps were the most commonly
seen lesions in the non-neoplastic lesions. Data from different clinics in
which functional endoscopic surgery was performed may be helpful to interpret
the distribution of the histopathological results of the surgery. 

Keywords

Distribution, functional endoscopic sinus surgery, hispathology, nasal polyp, rhinosinusitis

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