Kronik Otitis Media ve Alerjik Rinit Arasındaki İlişkinin Değerlendirilmesi

Yıl 2018, Cilt: 8 Sayı: 3, 178 - 182, 01.12.2018

Yavuz Güler Rukiye Güler Alper Şen Kadir Özdamar Esra Aycan Üstyol

Öz

Amaç:
Bu çalışma alerjik riniti (AR) olan hastaların, kronik süpüratif otitis mediaya
(KSOM) yakalanma açısından, sağlıklı bireylere göre daha fazla risk taşıyıp
taşımadığını ortaya koymak amacıyla planlanmıştır.

Materyal ve Metot:
Çalışmaya ikinci basamak bir hastanenin Kulak Burun Boğaz (KBB)
polikliniklerine başvuran ve gönüllü olan 676 hasta (402 kadın, 274 erkek)
randomize olarak dahil edildi. Tüm gönüllülerin, alerjik rinit için skor (score
for allergic rhinitis; SFAR) puanları ve otomikroskopik muayene bulguları
kaydedildi. Hastalar alerjik rinit olup olmamasına göre AR (+) ve AR (-)
olarak, kronik süpüratif otitis media olup olmamasına göre KSOM (+) ve KSOM (-)
olarak gruplandırıldı. İstatistik analizlerin tümü için SPSS 21.0 versiyonu
kullanıldı.

Bulgular:
AR (+) hastaların %18,6’ sı (n=22) KSOM (+) iken, AR (-) hastaların % 28,7’ si
(n=160) KSOM (+) idi. Kronik süpüratif otitis media, AR (-) grupta, AR (+)
gruba göre anlamlı bir şekilde daha fazla görüldü (p<0,026).

Sonuç:
Alerjik rinit, kronik süpüratif otitis media etyolojisinde bir risk faktörü
olarak görülmemektedir. Tam tersine alerjik rinit etyolojisinde rol oynayan
faktörler, kronik süpüratif otitis mediaya karşı koruyucu etki gösteriyor
olabilir.

Anahtar Kelimeler

Alerjik rinit, SFAR, kronik süpüratif otitis media, etyoloji, prevalans

Evaluation of the relationship between chronic otitis media and allergic rhinitis

Öz

Aim: This
study was planned for the purpose of revealing whether patients with allergic
rhinitis (AR) carry a greater risk compared with healthy individuals in terms
of developing chronic suppurative otitis media (CSOM).

Materyal and Method:
676 volunteer patients (402 female, 274 male) who were referred to the
otorhinolaryngology (ENT) outpatient clinics of secondary care hospitals were
randomly included in the study. The score for allergic rhinitis (SFAR) points
and otomicroscopic examination findings of all the volunteers were recorded.
The patients were grouped as AR (+) and AR (-) based on whether they had
allergic rhinitis, and as CSOM (+) and CSOM (-) based on whether they had
chronic suppurative otitis media. For all statistical analysis, SPSS version
21.0 was used.

Results:
While 18.6% of the AR (+) patients were KSOM (+), 28.7% of the AR (-) patients
were KSOM (+). Chronic suppurative otitis media was seen significantly more in
the AR (-) group compared with the AR (+) group (p<0.026).

Conclusion:
Allergic rhinitis is not seen as a risk factor in the etiology of chronic
suppurative otitis media. Conversely, the factors that play a role in the
etiology of allergic rhinitis could be effective against chronic suppurative
otitis media.

Anahtar Kelimeler

Allergic rhinitis, SFAR, chronic suppurative otitis media, etiology, prevalance

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