The Effect of Adenotonsillectomy Surgery in Pediatric Enurezis Nocturna Patients

Yıl 2022, Cilt: 17 Sayı: 3, 160 - 164, 02.11.2022

Muhammed Gazi Yıldız , Ali Erdal Karakaya , Ahmet Gökhan Güler , İsrafil Orhan , İrfan Kara , Saime Sağıroğlu , Nagihan Bilal , Adem Doğaner

https://doi.org/10.17517/ksutfd.1025885

Öz

Abstract

Objective: The aim of this study was to investigate the effect of tonsillectomy and adenoidectomy on (Enuresis Nocturna) EN in patients with tonsil hypertrophy and adenoid hypertrophy.

Material and Methods: Data of 94 patients was retrospectively valuated. The frequency of EN of the patients and whether they improved after the operation were investigated.

Results: The mean age was 9.59±2.04 year. EN patients was higher in the group with adenoid vegetation. EN was detected in 73 of the patients before surgery. There was a complete improvement in 63 patients and partial improvement in 10 patients after the operation. There was no statistically significant difference in EN improvement between the groups.

Conclusion: In a multidisciplinary approach, the surgical procedures can be effective in the treatment of EN. Therefore the patients admitting with EN symptoms should be questioned for complaints about upper airway obstruction and the correct surgical procedure for children with symptoms may constitute an important step in their treatment.

Anahtar Kelimeler

Adenotonsillectomy, Enurezis Noctuna, Pediatry

Pediatrik Enürezis Noktürna Hastalarında Adenotonsillektomi Cerrahisinin Etkinliği

Öz

Özet

Amaç: Çalışmanın amacı adenotonsiller hipertrofi (ATH) nedeni ile adenoidektomi ve/veya tonsillektomi operasyonlarının Enürezis Noktürna (EN) üzerindeki etkisini araştırmaktır.

Gereç ve Yöntemler: Adenoidektomi ve/veya tonsillektomi operasyonu uygulanmış olan 94 hastanın dosyaları retrospektif olarak incelendi. Hastalarda EN sıklığı ve operasyon sonrası düzelip düzelmediği araştırıldı.

Bulgular: Ortalama yaş 9.59±2.04 yıl idi. adenoid vegetasyon (AV) sorunu olan grupta EN hasta sayısı fazla idi. Cerrahi öncesi hastaların 73’ünde EN tespit edildi. Operasyon sonrası 63 hastada tam iyileşme,10 hastada kısmi iyileşme söz konusu idi. Gruplar arası EN iyileşmesi ile ilgili istatistiksel açıdan anlamlı farklılık yoktu.

Sonuç: Multidisipliner yaklaşım gerektiren EN tedavisinde ATH cerrahi prosedürleri etkin olabilmektedir. Bu nedenle, EN semptomları olan hastalarda üst solunum yolu obstrüksiyonuna ait şikayetlerin sorgulanması ve semptomu olan çocuklara yapılacak doğru cerrahi prosedür tedavini önemli bir basamağı oluşturabilir.

Anahtar Kelimeler

Adenotonsillektomi, Enürezis Noktürna, Pediatri

Kaynakça

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