ADENOİD HİPERTROFİ VE EFFÜZYONLU OTİTİS MEDİA BİRLİKTELİĞİNDE ALERJİK RİNİTİN ETKİSİNİN ALERJİK RİNİT SEMPTOM SKORU (SFAR) İLE DEĞERLENDİRİLMESİ

Abstract

AMAÇ Adenoid vejetasyon nedeniyle opere edilen hastalarda orta kulak patolojisi saptanmasında alerjik rinitin etkisi olup olmadığını SFAR kullanarak saptamaktır. GEREÇ VE YÖNTEMLER Bu çalışma adenoid hipertrofi nedeniyle 72 hastanın incelendiği retrospektif bir çalışmadır. 25 hastaya (Grup 1) Adenoidektomi+ventilasyon tüpü (VT) uygulaması, 47 hastaya (Grup 2) sadece Adenoidektomi uygulaması yapıldı. Adenoidektomi endikasyonu konulan hastalar yapılan fleksibl endoskopik muayenede nazofarinkste pasajı %70-100 arasında kapatan adenoid vejetasyonu saptanan hastalardan, VT uygulaması yapılan hastalar adenoid hipertrofi ile birlikte 3 aydan daha uzun süre aldığı tıbbi tedaviye rağmen gerilemeyen kronik effüzyonlu otitis mediaya (EOM) sahip hastalardan oluşmaktadır. Tüm hastaların değerlendirilmesi yapıldıktan sonra alerjik rinit semptom scoru (SFAR) kaydedildi. Grup 1 ve 2 hastalar SFAR değeri hesaplanarak karşılaştırıldı. BULGULAR Grup 1 ve Grup 2 hastalar SFAR ile alerji yönünden karşılaştırıldığında gruplar arasında istatistiksel olarak anlamlı bir farklılık saptanmamıştır. (p=0,150) Opere edilen hastalarda yaş ile birlikte alerjik rinit saptanması 7 yaşından büyük olan grupta istatistiksel olarak anlamlı artmıştır. (p=0,020) Cinsiyetin alerjik rinit saptanması üzerine etkisi saptanmamıştır. (p=0,829). Gruplar arasında SFAR değerlendirildiğinde Grup 1 ve 2 arasında istatistiksel olarak anlamlı değişiklik saptanmamıştır. (p=0,273) Grup 1 de ortalama SFAR 10,50 ±0,71 iken, Grup 2 de 9,00±2,16 saptanmıştır. SONUÇ Bu çalışmada adenoid hipertrofi ve adenoid hipertrofiye eşlik eden EOM lı hastaların SFAR kullanılarak karşılaştırılmasında alerjik rinitin etkisi olmadığı saptanmıştır. Ancak kesin bir yargıya varmak için arttırılmış hasta sayıları içeren, diagnostik invivo ve invitro testleri içeren prospektif çalışmalara ihtiyaç vardır.

Keywords

• Adenoid hipertrofi,alerji,SFAR,kronik effüzyonlu otitis media

EVALUATION OF THE EFFECT OF ALLERGIC RHINITIS ON ADENOID HYPERTROPHY AND OTITIS MEDIA WITH EFFUSION COMBINATION BY USING SCORE FOR ALLERGIC RHINITIS (SFAR)

Abstract

OBJECTIVE The aim of this study is to determine whether allergic rhinitis exerts any effect on middle ear pathology in patients undergoing operation for adenoid vegetation by using SFAR. MATERIAL AND METHODS In this study 72 patients with adenoid vegetation were analyzed retrospectively. Twenty five patients (Group 1) underwent adenoidectomy and ventilation tube, while 47 patients (Group 2) underwent only adenoidectomy. Patients with adenoidectomy indications included those who were found to have 70-100% obstruction due to adenoid vegetation in nasopharynx via flexible endoscope, and patients undergoing VT included those who had intractable otitis media despite more than three months of treatment along with adenoid hypertrophy. SFAR was recorded after assessment of all the patients. Group 1 and Group 2 patients were compared using SFAR. RESULTS No statistically significant difference was found between Group 1 and Group 2 in terms of allergic rhinitis score measured by SFAR. (p=0,150) In the operated patient group, the rate of allergic rhinitis was significantly higher in those who are older than 7 years. (p=0,020) No impact of gender was found on the rate of allergic rhinitis. (p=0,829) No significant difference was found between Group 1 and Group 2 in the evaluation made with SFAR. (p=0,273) Mean SFAR score was found to be 10,500+0,71 in Group 1 and 9,00+2,16 in Group 2. CONCLUSION In this study no impact of allergic rhinitis on adenoid hypertrophy and adenoid hypertrophy accompanied with otitis media with effusion was found using SFAR. In order to reach a definitive conclusion, further studies with higher number of patients and which include prospective invivo and invitro tests are required.

Keywords

• Adenoid hypertrophy,,allergy,,SFAR,,chronic otitis with effusion

References

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