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

Yıl 2019, Cilt: 11 Sayı: 1, 24 - 32, 01.01.2019

Ceyhun Aksakal

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

• 1. Bozzo C, Garrel R, Meloni F, Stomeo F, Crampette L. Endoscopic treatment of antrochoanal polyps. Eur Arch Otorhinolaryngol 2007; 264:145–50.
• 2. Franche GL, Granzotto EH, de Borba AT, Hermes F, Saleh C de S, de Souza PA. Endoscopic polypectomy with middle meatal antrostomy for antrochoanal polyp treatment. Braz J Otorhinolaryngol 2007;73:689–92.
• 3. Robson AK, Barker CS, Whittet HB. Epistaxis as an unusual presentation of an antrochonal polyp. J Laryngol Otol. 1990;104:643–4.
• 4. Balikci HH, Ozkul MH, Uvacin O, Yasar H, Karakas M, Gurdal M. Antrochoanal polyposis: analysis of 34 cases. Eur Arch Otorhinolaryngol 2013; 270:1651–4
• 5. Azhar A, Ibrahim G, Salah F. Ct scan images analysis of maxillary sinus dimensions as a forensic tool for sexual and racial detection in a sample of kurdish population. ESJ. 2015;11:271-81
• 6. Ekizoglu O, Inci E, Hocaoglu E, Sayin İ, Kayhan F.T, Can I.O. The use of maxillary sinus dimensions in gender determination: a thin-slice multidetector computed tomography assisted morphometric study. Journal of Craniofacial Surgery, 2014;25:957–60
• 7. Konen E, Faibel M, Kleinbaum Y, et al. The value of the occipitomental (Waters’) view in diagnosis of sinusitis: a comparative study with computed tomography. Clin Radiol 2000;55:856–60
• 8. Cook PR, Davis WE, McDonald R, McKinsey JP. Antrochoanal polyposis: a review of 33 cases. Ear Nose Throat J. 1993;72:401-2.
• 9. Larsen K, Tos M. The estimated incidence of symptomatic nasal polyps. Acta Otolaryngol. 2002;122:179-182
• 10. Mostafa H.S, Fawzy T.O, Jabri W.R, Ayad E. Lymphatic obstruction: a novel etiologic factor in the formation of antrochoanal polyps. Annals of Otology, Rhinology and Laryngology, 2014;123:381–6
• 11. Paknahad M, Shahidi S,Zarei Z. Sexual Dimorphism of Maxillary Sinus Dimensions Using Cone-Beam Computed Tomography. Journal of Forensic Sciences. 2017;62:395-8
• 12. Urooge A, Patil BA. Sexual dimorphism of maxillary sinus: a morphometric analysis using cone beam computed tomography. Journal of Clinical and Diagnostic Research. 2017;11:67-70
• 13. Aydın S, Taskin U, Orhan I, Altas B, Oktay MF, Toksöz M, Albayrak R. The analysis of the maxillary sinus volumes and the nasal septal deviation in patients with antrochoanal polyps. Eur Arch Otorhinolaryngol. 2015;272:3347-52
• 14. Kula K, Hale LN, Ghoneima A, Tholpady S, Starbuck JM. Cone-beam computed tomography analysis of mucosal thickening in unilateral cleft lip and palate maxillary sinuses. Cleft Palate Craniofac J 2016;53:640–8
• 15. Erdur, O, Ucar, FI, Sekerci, AE, Celikoglu, M, Buyuk, SK. Maxillary sinus volumes of patients with unilateral cleft lip and palate. Int J Pediatr Otorhinolaryngol. 2015;79:1741–4
• 16. Jiang C, Yin N, Zheng Y, Song T. Characteristics of maxillary morphology in unilateral cleft lip and palate patients compared to normal subjects and skeletal class III patients. J Craniofac Surg. 2015;26:517–23
• 17. Abdel- Aziz M, El- Hoshy H, Azooz K, Naguib N, Hussein A. Maxillary sinus mucocele: predisposing factors, clinical presentations, and treatment. Oral and Maxillofacial Surgery 2017; 21:55-8
• 18. Busaba NY, Salman SD. Maxillary sinus mucoceles: clinical presentation and long-term results of endoscopic surgical treatment. Laryngoscope 1999; 109:1446-9
• 19. Patel PA, Warren SM, McCarthy JG. Maxillary mucocele with proptosis and visual impairment: a late complication of Le Fort III distraction. J Craniofac Surg 2013;24:2000-2