Effects of adenoid and nasal pathologies in pediatric epistaxis

Year 2022, Volume: 6 Issue: 3, 242 - 249, 31.12.2022

Oğuzhan Dikici , Osman Durgut

https://doi.org/10.30565/medalanya.1127833

Abstract

Aim: The aim of this study was to investigate the effects of adenoid and nasal pathologies in paediatric patients with recurrent epistaxis.

Methods: A total of 100 (61 boys, 39 girls) individuals aged 2–17 years (mean age: 8.9 ± 3.6 years) were included in this study. Anterior rhinoscopy and flexible nasal endoscopy were used to examine all the patients. The epistaxis duration, treatment in active epistaxis by parents, medical history, medical treatment and interventions were recorded. The location of the epistaxis site, nasal mucosa type, the presence of nasal vestibulitis, nasal septum deviation location and type, adenoid size and the degree of inferior turbinate hypertrophy were recorded.

Results: The deviation was present in 31 (62%) patients with recurrent epistaxis and in 14 (28%) patients without epistaxis. The presence of deviation was significantly higher in the epistaxis group than in the control group (p < 0.05). The nasal mucosa type was friable mucosa in 37 (74%) patients, vascularised mucosa in 11 (22%) patients and friable-vascularised mucosa in 2 (4%) patients in recurrent epistaxis group. A significant relationship was detected between nasal mucosa type and age, the presence of the deviation, deviation location, the Mladina type in epistaxis group (p < 0.05, p < 0.05, p < 0.05, p < 0.05).

Conclusion: Nasal septum deviation, inferior turbinate hypertrophy and nasal mucosa type are associated with paediatric recurrent epistaxis. 

Keywords

paediatric, epistaxis, nasal septum deviation, treatment

Thanks

The authors would like to thank Assoc. Prof. Güven Özkaya for helping to statistical analysis of the manuscript.

Adenoid ve Nazal Patolojilerin Pediatrik Epistaksisteki Etkileri

Abstract

Amaç: Bu çalışmanın amacı, tekrarlayan epistaksisi olan çocuk hastalarda adenoid ve nazal patolojilerin etkilerini araştırmaktır.

Yöntemler: Bu çalışmaya 2-17 yaşları arasında (ortalama yaş: 8.9 ± 3.6 yıl) 100 (61 erkek, 39 kız) birey dahil edildi. Tüm hastaların muayenesinde anterior rinoskopi ve fleksibl nazal endoskopi kullanıldı. Hastanın tıbbi öyküsü, epistaksis süresi, aktif epistaksiste ebeveynler tarafından uygulanan tedavi yöntemi, tıbbi tedavi ve müdahaleler kaydedildi. Epistaksisin yeri, nazal mukoza tipi, nazal vestibülit varlığı, nazal septum deviasyonu yeri ve tipi, adenoid dokunun boyutu ve alt konka hipertrofisi derecesi kaydedildi.

Bulgular: Tekrarlayan epistaksisi olan 31 (%62) hastada ve epistaksisi olmayan 14 (%28) hastada deviasyon mevcuttu. Epistaksis grubunda deviasyon varlığı kontrol grubuna göre anlamlı derecede yüksekti (p < 0.05). Epistaksis grubunda; 37 (%74) hastada nazal mukoza frajil mukoza, 11 (%22) hastada vaskülarize mukoza ve 2 (%4) hastada frajil – vaskülarize mukoza mevcuttu. Epistaksis grubunda burun mukozasının tipi ile yaş, deviasyon varlığı, deviasyon yeri, Mladina tipi arasında anlamlı bir ilişki saptandı (p < 0.05, p < 0.05, p < 0.05, p < 0.05).

Sonuç: Nazal septum deviasyonu, alt konka hipertrofisi ve nazal mukoza tipi pediatrik tekrarlayan epistaksis ile ilişkilidir.

Keywords

pediatrik, epistaksis, nazal septum deviasyonu, tedavi

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