TY - JOUR T1 - Tracheal Bronchus; A Computed Tomography Study TT - Trakeal Bronkus; Bilgisayarlı Tomografi Çalışması AU - Akkaşoğlu, Sinem AU - Çelebioğlu, Emre Can AU - Çalışkan, Selma AU - Göktürk Nakkaş, Hilal AU - Sancak, İbrahim Tanzer PY - 2020 DA - March Y2 - 2020 DO - 10.16899/jcm.619857 JF - Journal of Contemporary Medicine JO - J Contemp Med PB - Rabia YILMAZ WT - DergiPark SN - 2667-7180 SP - 40 EP - 44 VL - 10 IS - 1 LA - en AB - Aims: The aim of the study recognize and classifythe Tracheal Bronchus (TB) in our population.Materials andMethods: A totalof 1500 patients who underwent thoracic Computed Tomography (CT) examinationfor different reasons were enrolled in this retrospective study. 12 patientswith TB were reported. Of the 12 patients with TB; five were males and sevenwere females. Prevalence of TB was found to be 0.8%. It was indicated morefrequently in women (58.3%) than in men (41.7%). Results: Of the 12 patients with TB sevenhad displaced type (58.3%), two had supernumerary type (16.7%) and three hadpig bronchus (25%). Displaced type was most common among the females. Of the fivemales two had displaced type, two had pig bronchus and one had supernumerarytype. Relation between gender and type was not found to be statisticallysignificant (p=0.516). The mean diameter of the TB was 5.24±1.53 mm. Differencebetween displaced and pig bronchus types according to diameter is statisticallysignificant (p=0.017). Distance between carina and TB was also measured in thepresent study. There was no difference between displaced type and pig bronchustype according to distance from carina (p=0.067). Conclusions: Recognizing the TB is criticallyimportant during endotracheal intubation. When the TB is occluded by the sideof the tube the lobe may collapse. On the other hand when it is mistakenlyintubated, over aeration may lead pneumothorax. KW - Tracheal bronchus KW - pig bronchus N2 - Amaç: Bu çalışmanın amacı, popülasyonumuzdakiTrakeal Bronkusları (TB) tespit etmek ve sınıflandırmaktır.Gereç veYöntem: Buretrospektif çalışmaya farklı nedenlerle torasik BT çektiren toplam 1500 hastadahil edildi. 12 bireyde TB tespit edildi. TB'li 12 hastanın; beşi erkek, yedisi kadındı. TBprevalansı %0,8 bulundu. Kadınlarda(% 58,3) erkeklerden (% 41,7) daha sık tespit edildi. Bulgular: TB’lu 12 bireyin yedisinde displacedtip (% 58.3), ikisinde supernumarary tip (% 16.7) ve üçünde pig tip (% 25) bronkusvardı. Displaced tip kadınlar arasında en yaygın olanıdıydı. Beş erkektenikisinde displaced tip, ikisinde pig tip, birinde supernumerary tip görüldü.Cinsiyet ve tip arasındaki ilişki istatistiksel olarak anlamlı bulunmadı (p =0.516). TB'nin ortalama çapı 5.24 ± 1.53 mm idi. Displaced ve pig bronkustipleri arasındaki çapa göre fark istatistiksel olarak anlamlıydı (p = 0,017).Bu çalışmada ayrıca carina ve TB arasındaki mesafe de ölçüldü. Displaced tipile pig bronkus tiplerinin carina’ya olan mesafeleri açısından fark yoktu (p =0.067).Sonuç: TB'nin tanınması endotrakealentübasyonda kritik öneme sahiptir. TB, tüpün yan yüzü tarafından tıkandığında,lob kollapsa uğrayabilir. Diğer yandan, yanlışlıkla entübe edildiğinde, aşırıhavalanma sonucu pnömotoraks oluşabilir. CR - Referans1. Doolıttle AM, Maır EA Tracheal bronchus: classification, endoscopic analysis, and airway management Otolaryngol Head Neck Surg2002;126:240-3. doi:10.1067/mhn.2002.122703. CR - Referans2. Levin E, Bowling MR. Malignancy in the tracheal bronchus: A case series and review of the literature. Clin Respir J. 2018; 12:2441–2445. doi: 10.1111/crj.12943. CR - Referans3. Manjunatha YC, Gupta AK. Tracheal Bronchus (Pig Bronchus). Indian J Pediatr 2010; 77:1037–1038. doi: 10.1007/s12098-010-0162-6. CR - Referans4. Han J, Xiang H, Ridley WE, Ridley LJ. 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