Antrokoanal Polibin Maksiller Sinüs Boyut ve Hacmine Etkisi: Bir İnce Kesit Bilgisayarlı Tomografi Çalışması

Öz

Bu çalışmanın amacı antrokoanal polip nedeniyle tedavi edilen hastalarda maksiller sinüs boyutlarının polipten etkilenip etkilenmediğini araştırmaktır.

Metod

Bu retrospektif çalışmada ACP nedeniyle opere edilmiş 38 hastanın medikal kayıtları geriye dönük olarak incelenmiştir. Bu hastalardan multislice computed tomografisi (MSCT) olan 30 hastanın paranazal multislice komputerize tomografi (CT) görüntüleri ile 30 tane benzer yaş ve cinsiyetteki herhangi paranazal bir hastalığı olmayan 30 sağlıklı bireyin CT görüntüleri değerlendirilmiştir. 30 ACP li hastanın polipli taraftaki MS anteroposterior, transvers ve craniocaudal mesafeleri ile MS yüzey alanları ve MS hacimleri aynı hastaların karşı taraflarıyla ve sağlıklı bireylerle karşılaştırıldı.

Bulgular

ACP li hastaların yaş ortalaması 29.75 ± 13.61 kontrol grubunun yaş ortalaması 28.88± 12.78 di. ACP li hastaların polipli MS leri ile karşı taraf MS leri karşılaştırıldığında MS anteroposterior, transvers, yükseklik, yüzey alanı ve hacim açısından istatistiksel olarak farklılık saptanmadı(p=0.21, p=0.06, p=0.09, p=0.07,  p=0.05 sırasıyla). Buna karşın ACP li hastaların polipli taraftaki MS leri ile sağlıklı bireylerin MS leri karşılaştırıldığında anteroposterior, transvers, yüzey alanı açısından istatistiksel fark olmasada MS yüksekliği ve hacmi açısından istatistiksel fark bulunmuştur(p=0.05, p=0.15, p=0.06, p=0.02, p=0.02, sırasıyla)

Sonuç

ACP li hastalarda polipli MS boyutları genel olarak artış göstermesine rağmen sadece MS yüksekliği ve hacimi açısından normal bireylere göre anlamlı düzeyde artış göstermektedir.

Anahtar Kelimeler

• Antrokoanal polip,maksiller sinüs,hacim

The Effect Of Antrochoanal Polyp on Maxillary Sinus Size and Volume: A Thin-Slice Computed Tomography Analysis Study

Öz

The aim of this study was to investigate whether the maxillary sinus dimensions of patients who were treated with antrochoanal polyps were affected by polyps.

Material and Methods

In this retrospective cross-sectional study, the medical records of 38 patients who were operated on for antrochoanal polyp were retrospectively reviewed. After exclusion 30 patients with multislice computed tomography  and paranasal multislice computed tomography images and computed tomography images of 30 healthy individuals with similar age and gender without any paranasal disease were evaluated. Maxillary sinus anteroposterior, transverse and craniocaudal distances , maxillary sinus surface areas and Maxillary sinus volumes on the polyped side of the 30 Antrochoanal polyp patients were compared to the opposite sides of the same patients and to healthy subjects.

Results

Mean age of the antrochoanal polyp patients was 29.75 ± 13.61 and the mean age of the control group was 28.88 ± 12.78. There was no statistically significant difference in the anteroposterior, transverse, elevation, surface area, and volume of  maxillary sinus compared with the polyped maxillary sinus of antrochoanal polyp patients (p = 0.21, p = 0.06, p = 0.09, p = 0.07, p = 0.05, respectively) . None the less, there was a statistically significant difference in MS height and volume with respect to the anteroposterior, transverse, and surface area statistical difference when comparing antrochoanal polyp on polyped side of antrochoanal polyp patients with that of healthy individuals (p=0.05, p=0.15, p=0.06, p=0.02, p=0.02, respectively)

 

 

 

Conclusion

Although polyped Maxillary sinus sizes in antrochoanal polyp increases in patients with antrochoanal polyp, but shows only a significant increase in maxillary sinus height and volume compared to normal individuals.

Anahtar Kelimeler

• Antrochoanal polyp,Maxillary sinus,Volume

Kaynakça

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