Yıl 2020, Cilt 10 , Sayı 1, Sayfalar 40 - 44 2020-03-31

Trakeal Bronkus; Bilgisayarlı Tomografi Çalışması
Tracheal Bronchus; A Computed Tomography Study

Emre Can ÇELEBİOĞLU [1] , Selma ÇALIŞKAN [2] , Sinem AKKAŞOĞLU [3] , Hilal GÖKTÜRK NAKKAŞ [4] , İbrahim Tanzer SANCAK [5]


Amaç: Bu çalışmanın amacı, popülasyonumuzdaki Trakeal Bronkusları (TB) tespit etmek ve sınıflandırmaktır.

Gereç ve Yöntem: Bu retrospektif çalışmaya farklı nedenlerle torasik BT çektiren toplam 1500 hasta dahil edildi. 12 bireyde TB tespit edildi. TB'li 12 hastanın; beşi erkek, yedisi kadındı. TB prevalansı     %0,8 bulundu. Kadınlarda (% 58,3) erkeklerden (% 41,7) daha sık tespit edildi.

Bulgular: TB’lu 12 bireyin yedisinde displaced tip (% 58.3), ikisinde supernumarary tip (% 16.7) ve üçünde pig tip (% 25) bronkus vardı. Displaced tip kadınlar arasında en yaygın olanıdıydı. Beş erkekten ikisinde 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 bronkus tipleri arasındaki çapa göre fark istatistiksel olarak anlamlıydı (p = 0,017). Bu çalışmada ayrıca carina ve TB arasındaki mesafe de ölçüldü. Displaced tip ile pig bronkus tiplerinin carina’ya olan mesafeleri açısından fark yoktu (p = 0.067).

Sonuç: TB'nin tanınması endotrakeal entübasyonda kritik öneme sahiptir. TB, tüpün yan yüzü tarafından tıkandığında, lob kollapsa uğrayabilir. Diğer yandan, yanlışlıkla entübe edildiğinde, aşırı havalanma sonucu pnömotoraks oluşabilir.

Aims:  The aim of the study recognize and classify the Tracheal Bronchus (TB) in our population.

Materials and Methods: A total of 1500 patients who underwent thoracic Computed Tomography (CT) examination for different reasons were enrolled in this retrospective study. 12 patients with TB were reported. Of the 12 patients with TB; five were males and seven were females. Prevalence of TB was found to be 0.8%. It was indicated more frequently in women (58.3%) than in men (41.7%).

Results: Of the 12 patients with TB seven had displaced type (58.3%), two had supernumerary type (16.7%) and three had pig bronchus (25%). Displaced type was most common among the females. Of the five males two had displaced type, two had pig bronchus and one had supernumerary type. Relation between gender and type was not found to be statistically significant (p=0.516). The mean diameter of the TB was 5.24±1.53 mm. Difference between displaced and pig bronchus types according to diameter is statistically significant (p=0.017). Distance between carina and TB was also measured in the present study. There was no difference between displaced type and pig bronchus type according to distance from carina (p=0.067).

Conclusions: Recognizing the TB is critically important during endotracheal intubation. When the TB is occluded by the side of the tube the lobe may collapse. On the other hand when it is mistakenly intubated, over aeration may lead pneumothorax.

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Birincil Dil en
Konular Sağlık Bilimleri ve Hizmetleri
Yayımlanma Tarihi bahar
Bölüm Orjinal Araştırma
Yazarlar

Orcid: 0000-0002-1580-7064
Yazar: Emre Can ÇELEBİOĞLU
Kurum: Department of Radiology, Faculty of Medicine, Ankara University, Ankara, Turkey
Ülke: Turkey


Orcid: 0000-0002-5839-3172
Yazar: Selma ÇALIŞKAN
Kurum: Department of Anatomy, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkey
Ülke: Turkey


Orcid: 0000-0002-3371-4734
Yazar: Sinem AKKAŞOĞLU (Sorumlu Yazar)
Kurum: Department of Anatomy, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkey
Ülke: Turkey


Orcid: 0000-0003-0901-8875
Yazar: Hilal GÖKTÜRK NAKKAŞ
Kurum: Department of Histology and Embryology, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkey
Ülke: Turkey


Orcid: 0000-0003-1968-7714
Yazar: İbrahim Tanzer SANCAK
Kurum: Department of Radiology, Faculty of Medicine, TOBB University, Ankara, Turkey
Ülke: Turkey


Destekleyen Kurum No financial support
Tarihler

Kabul Tarihi : 20 Mart 2020
Yayımlanma Tarihi : 31 Mart 2020

AMA ÇELEBİOĞLU E , ÇALIŞKAN S , AKKAŞOĞLU S , GÖKTÜRK NAKKAŞ H , SANCAK İ . Tracheal Bronchus; A Computed Tomography Study. J Contemp Med. 2020; 10(1): 40-44.