Üçüncü Basamak Bir Sevk Merkezinde 5 Yıllık Bir Süre Boyunca Görülen Kronik Süpüratif Otitis Media Komplikasyonlarının Analizi

Öz

Amaç: Kronik süpüratif otitis media (KSOM), ciddi komplikasyonlar gelişebileceğinden, dikkatle tedavi edilmesi gereken çok yaygın bir hastalıktır. KSOM bağlı komplikasyonlar ekstrakraniyal (EK) veya intrakraniyal (İK) olarak sınıflandırılabilir. Bu çalışmada, üçüncü basamak referans merkezimize başvuran ve tedavi edilen KSOM hastalarında otojenik ekstrakraniyal ve intrakraniyal komplikasyonlarla ilgili son 5 yıldaki deneyimlerimiz gözden geçirildi. Gereç ve Yöntemler: Çalışmaya, Haziran 2017-Haziran 2022 tarihleri arasında üçüncü basamak referans merkezimize başvuran, KSOM tanısı konulan ve tedavi edilen hastaların klinik kayıtları dahil edildi. Haziran 2017- Haziran 2022 tarihleri arasında, merkezimize başvuran KSOM teşgisi almış 1630 hastanın verileri analiz edildi. Bulgular: 1630 hastanın kayıtlarından, komplikasyonlu 60 hasta (% 3,6) tespit edildi ve tüm hastalara timpanomastoidektomi yapıldı. EK, İK ve kombine EK ve İK komplikasyonu sırasıyla 53 (%88,3), 2 (%3,4), 5 (%8,3) hastada meydana geldi. Ek olarak, 22 (%36,7) hastada birden fazla EK komplikasyon, 1 (%1,7) hastada birden fazla İK komplikasyonu meydana geldi. EK komplikasyonları olan tüm hastalar kanal wall down timpanomastoidektomi (CWDTM) ile tedavi edildi. Fasiyal sinir paralizisi (FSP) olan 4 hastanın tümüne CWDTM ve fasiyal sinir dekompresyonu uygulandı. KSOM komplikasyonları nedeniyle mortalite görülmedi. Fasiyal paralizi komplikasyonu nedeniyle fasiyal dekompresyon yapılan hastalarda postoperatif 6 ay içerisinde fasiyal fonksiyonların tüm hastalarda normale döndüğü gözlendi. Sonuç: Hastalar KSOM ilişkili oluşabilecek komplikasyonlar açısından özellikle değerlendirilmeli ve erken dönemde tanı konularak tedavi edilmelidir.

Anahtar Kelimeler

• Meme kanseri
• neoadjuvan kemoterapi
• MRG
• PET/BT
• rezidü tümör
• lenf nodu tutulumu

Analysis of Complications Related to Chronic Supurative Otitis Media in a Tertiary Referall Center During a 5-Year Period

Öz

Aim: Chronic supurative otitis media (CSOM), which may lead to severe complications, is a common disease and should be treated meticulously. CSOM related complications subdivided into two groups as extracranial (EC) and intracranial (IC). In this study, patients who were diagnosed with CSOM related complications are analyzed in our third referral hospital, during 5-year periods. Material and Methods: In this study, we included the patients diagnosed with CSOM and admitted our hospital between June 2017 and June 2022. There were 1630 patients, and were analyzed the diagnosed as CSOM in our center. Results: 60 patients (3,6%) had complications related to CSOM and all patients underwent tympanomastoidectomy for treatment. Extracranial (EC), Intracranial (IC) and Combined complication rates were 53 (88.3%), 2 (3.4%) and 5 (8.3%), respectively. Inaddition, 22 (36.7%) patients had more than one extracranial complicaton, and 1 (1.7%) patient had more than one intracranial complication. Patients with extracranial complications were treated by canal wall down tympanomastoidectomy (CWDTM). Four patients who had facial paralysis as a complication were underwent CWDTM and facial nerve decompression. No mortality were observed due to CSOM complications. Conclusion: Patients who were underwent facial nerve decompression had improved their facial nerve fonctions during postoperative 6 months period. All patients with CSOM should be assessed for complications and they should be diagnosed and treated urgently.

Anahtar Kelimeler

• Breast cancer
• neoadjuvant chemotherapy
• MRI
• PET/CT
• residual tumor
• lymph node involvement

Kaynakça

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