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Bilgisayarlı tomografi ile choanae yükseklik ve genişlik ölçümlerinin yaş ve cinsiyete bağlı değişimlerinin değerlendirilmesi

Yıl 2020, , 304 - 310, 03.12.2020
https://doi.org/10.30569/adiyamansaglik.788181

Öz

Amaç: 18-80 yaş arası sağlıklı Türk popülasyonunda yaşa ve cinsiyete göre kohana yükseklik ve genişlik morfometrisinin değerlendirilmesidir.
Gereç ve Yöntem: Çalışma, Radyoloji bölümünde Bilgisayarlı Tomografi görüntüleri bulunan 281 (140 erkek ve 141 kadın) katılımcıdan oluşmaktadır. Ölçümler arasındaki ilişki ve anlamlılığı belirlemek için ANOVA Test, Paired Samples T test ve Pearson korelasyon analizi kullanılmıştır.
Bulgular: Kohana yüksekliği (sağ/sol), kohana genişlik (sağ/sol) ölçümlerinin ortalama ve standart sapma değerleri kadınlarda sırasıyla; 24,29±3,35mm/24,20±3,23mm, 13,17±1,43mm/12,76±1,43mm iken erkeklerde aynı değerler sırasıyla, 22,97±3,12mm/23,01±3,28mm; 13,14±1,67mm/12,60±1,38mm bulunmuştur. Ölçümler analiz edildiğinde 18 yaşından 80 yaşına kadar (2. de kattan 8. de kata) her iki tarafta (sağ/sol) kohana yüksekliğinde artış bulunmuştur.
Sonuç: Kohana yükseklik ve genişlik ölçümlerinin ideal ve referans değerlerinin bilinmesi cerrahi süreçlerin başarısında anahtar rol oynayabilir

Proje Numarası

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Kaynakça

  • Ertekin T, Değirmenci M, Nisari M, Unu E, Coşkun A. Age-related changes of nasal cavity and conchae volumes and volume fractions in children: a stereological study. Folia Morphologica. 2016;75(1):38-47.
  • Thiagarajan B, Kothandaraman S. Choanal atresia a literature review. Webmed Central: ENT Scholar. 2012;3(11):1-8.
  • Dunham ME, Miller RP. Bilateral choanal atresia associated with malformation of the anterior skull base: embryogenesis and clinical implications. Annals of Otology, Rhinology & Laryngology. 1992;101(11):916-9.
  • Aslan S, Yilmazer C, Yildirim T, Akkuzu B, Yilmaz İ. Comparison of nasal region dimensions in bilateral choanal atresia patients and normal controls: A computed tomographic analysis with clinical implications. International Journal of Pediatric Otorhinolaryngology. 2009;73:329-35.
  • Kwoong KM. Current updates on choanal atresia. Frontiers in Pediatrics. 2015;3:52-8.
  • Fitzpatrick NS, Bartley AC, Bekhit E, Berkowitz RG. Skull base anatomy and surgical safety in isolated and charge-associated bilateral choanal atresia. International Journal of Pediatric Otorhinolaryngology. 2018;115:61-4.
  • Violaris NS, Pahor AL, Chavda S. Objective assessment of posterior choanae and subglottis. Rhinology. 1994;32:148–50.
  • Violaris NS, Patel K, Chavda S, Pahor AL. Does nasal septal deviation influence adult posterior choanal size. Rhinology. 1994;32:84-6.
  • Aksu F, Mas NG, Kahveci O, Çırpan S, Karabekir S. Apertura Piriformis ve Choana Çapları: Anatomik Bir Çalışma. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi. 2013; 27(1):1-6.
  • Yücel AH. Dere Anatomi Atlası ve Ders Kitabı. 7th Ed. Adana, Akademisyen Yayınevi, 2018.
  • Hughes DC, Kaduthodil MJ, Connolly DJA, Griffiths PD. Dimensions and ossification of the normal anterior cranial fossa in children. American Journal of Neuroradiology. 2010;31 (7): 1268-72.
  • LaCour JB, Patel MR, Zdanski C. Image-guided endoscopic and microdebrider assisted repair of choanal atresia in a neonate. International Journal of Pediatric Otorhinolaryngology. 2009;4(1):21-4
  • Polat S, Kabakcı AG, Yücel AH. The investigation of anatomy of the choana and airway in dry bone skull. 4th International Multidisiplinary Studies Congress. Proceeding Book Kyrenia. 2018:83-9.
  • Hommerich CP, Riegel A. Measuring of the piriform aperture in humans with 3D-SSD-CT-reconstructions. Annals of Anatomy. 2002;184:455-9.
  • Sweeney KD, Deskin RW, Hokanson JA, Thompson CP, Yoo JK. Establishment of normal values of nasal choanal size in children: comparison of nasal choanal size in children with and without symptoms of nasal obstruction. International Journal of Pediatric Otorhinolaryngology. 1997;39:51-7.
  • Sarıca S, Altınışık M, Bilal N, Orhan İ. Choanal Atresia: Is a Stent Necessary? Turkish Journal of Pediatric Disease. 2017; 2: 108-11.
  • Bakır S, Özbay M, Kınış V, Gün R, Yorgancılar E. Bilateral choanal atresia in adults. Kulak Burun Bogaz Ihtisas Dergisi. 2014;24(2):114-7

The evaluation of age and gender related changes of the choanae height and width sizes with computed tomography

Yıl 2020, , 304 - 310, 03.12.2020
https://doi.org/10.30569/adiyamansaglik.788181

Öz

Aim: It is the evaluation of height and width morphometry of choanae according to age and gender in healthy Turkish population between 18-80 years old.
Materials and Methods: 281 subjects (140 males and 141 females) having brain Computed Tomography in the Radiology Department, participated in this study. ANOVA Test, Paired Samples T test and Pearson Correlation analysis were used to determine the relation and significance between measurements.
Results: The overall means and standard deviations of the choanae height (right/left) and choanae width (right/left) were found as 24.29±3.35mm/24.20±3.23mm, 13.17±1.43mm/12.76±1.43mm in females, respectively whereas, the same measurements were 22.97±3.12mm/23.01±3.28mm; 13.14±1.67mm/12.60±1.38mm in males, respectively. When analyzed the values, there were an increase from 18 years to 80 years (from decade 2 to decade 8) in choanae heights of two sides (right/left).
Conclusion: The knowledge of the choanae ideal and reference values may play a key role in success of the surgical procedure.

Destekleyen Kurum

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Proje Numarası

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Teşekkür

We would like to thank Prof. Dr. Ahmet Hilmi Yücel for his contributions to this study.

Kaynakça

  • Ertekin T, Değirmenci M, Nisari M, Unu E, Coşkun A. Age-related changes of nasal cavity and conchae volumes and volume fractions in children: a stereological study. Folia Morphologica. 2016;75(1):38-47.
  • Thiagarajan B, Kothandaraman S. Choanal atresia a literature review. Webmed Central: ENT Scholar. 2012;3(11):1-8.
  • Dunham ME, Miller RP. Bilateral choanal atresia associated with malformation of the anterior skull base: embryogenesis and clinical implications. Annals of Otology, Rhinology & Laryngology. 1992;101(11):916-9.
  • Aslan S, Yilmazer C, Yildirim T, Akkuzu B, Yilmaz İ. Comparison of nasal region dimensions in bilateral choanal atresia patients and normal controls: A computed tomographic analysis with clinical implications. International Journal of Pediatric Otorhinolaryngology. 2009;73:329-35.
  • Kwoong KM. Current updates on choanal atresia. Frontiers in Pediatrics. 2015;3:52-8.
  • Fitzpatrick NS, Bartley AC, Bekhit E, Berkowitz RG. Skull base anatomy and surgical safety in isolated and charge-associated bilateral choanal atresia. International Journal of Pediatric Otorhinolaryngology. 2018;115:61-4.
  • Violaris NS, Pahor AL, Chavda S. Objective assessment of posterior choanae and subglottis. Rhinology. 1994;32:148–50.
  • Violaris NS, Patel K, Chavda S, Pahor AL. Does nasal septal deviation influence adult posterior choanal size. Rhinology. 1994;32:84-6.
  • Aksu F, Mas NG, Kahveci O, Çırpan S, Karabekir S. Apertura Piriformis ve Choana Çapları: Anatomik Bir Çalışma. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi. 2013; 27(1):1-6.
  • Yücel AH. Dere Anatomi Atlası ve Ders Kitabı. 7th Ed. Adana, Akademisyen Yayınevi, 2018.
  • Hughes DC, Kaduthodil MJ, Connolly DJA, Griffiths PD. Dimensions and ossification of the normal anterior cranial fossa in children. American Journal of Neuroradiology. 2010;31 (7): 1268-72.
  • LaCour JB, Patel MR, Zdanski C. Image-guided endoscopic and microdebrider assisted repair of choanal atresia in a neonate. International Journal of Pediatric Otorhinolaryngology. 2009;4(1):21-4
  • Polat S, Kabakcı AG, Yücel AH. The investigation of anatomy of the choana and airway in dry bone skull. 4th International Multidisiplinary Studies Congress. Proceeding Book Kyrenia. 2018:83-9.
  • Hommerich CP, Riegel A. Measuring of the piriform aperture in humans with 3D-SSD-CT-reconstructions. Annals of Anatomy. 2002;184:455-9.
  • Sweeney KD, Deskin RW, Hokanson JA, Thompson CP, Yoo JK. Establishment of normal values of nasal choanal size in children: comparison of nasal choanal size in children with and without symptoms of nasal obstruction. International Journal of Pediatric Otorhinolaryngology. 1997;39:51-7.
  • Sarıca S, Altınışık M, Bilal N, Orhan İ. Choanal Atresia: Is a Stent Necessary? Turkish Journal of Pediatric Disease. 2017; 2: 108-11.
  • Bakır S, Özbay M, Kınış V, Gün R, Yorgancılar E. Bilateral choanal atresia in adults. Kulak Burun Bogaz Ihtisas Dergisi. 2014;24(2):114-7
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Mahmut Oksüzler 0000-0002-3730-5487

Sema Özandaç Polat 0000-0003-4695-0514

Ayşe Gül Kabakcı 0000-0001-7144-8759

Proje Numarası -
Yayımlanma Tarihi 3 Aralık 2020
Gönderilme Tarihi 2 Eylül 2020
Kabul Tarihi 15 Ekim 2020
Yayımlandığı Sayı Yıl 2020

Kaynak Göster

AMA Oksüzler M, Özandaç Polat S, Kabakcı AG. The evaluation of age and gender related changes of the choanae height and width sizes with computed tomography. ADYÜ Sağlık Bilimleri Derg. Aralık 2020;6(3):304-310. doi:10.30569/adiyamansaglik.788181