Öz
The aim of this study is to investigate the distribution of adenoid tissue and palatine tonsil growth in the Turkish pediatric environment and the effect of these tissues on middle ear pathologies. The study was planned retrospectively. It was carried out by examining the files of 500 pediatric patients who applied to Kahramanmaraş Sütçü İmam University Faculty of Medicine Ear, Nose and Throat polyclinic between 2017-2020. Examination findings and tympanogram results of the patients included in the study were analyzed using SPSS version 22. The mean age was 6.5 years and the Boy/Female ratio was 1:1. The effect of adenoid hypertrophy associated with the torus tubarius on middle ear pathologies was statistically significant. No correlation was found between choanal obstruction-related adenoid hypertrophy and palatine tonsil hypertrophy with middle ear pathologies. Middle ear pathologies, especially otitis with effusion and adenotonsillar hypertrophy are common important problems in the pediatric period. Diagnosis, treatment and follow-up process should be well managed.
Anahtar Kelimeler
Kaynakça
- Andrade-Balieiro FBD, Azevedo R, Chiari BM. 2013. Aspects of stomatognathic system before and after adenotonsillectomy. Codas, 25(3): 229–235.
- Boleslavská J, Koprivová ˇ H, Komínek P. 2006. Is it important to evaluate the size of adenoid vegetations? Otorinolaryng Foniat, 55: 133-138
- Brodsky L. 1989. Modern assessment of tonsils and adenoids. Pediatr Clin North Am, 36(6):1551-1569.
- Cai T, McPherson B. 2017. Hearing loss in children with otitis media with effusion: a systematic review. Int J Audiol, 56:65-76.
- Davcheva-Chakar M, Kaftandzhieva A, Zafirovska B. 2015. Adenoid vegetations – reservoir of bacteria for chronic otitis media with effusion and chronic rhinosinusitis. Pril (Makedon Akad Nauk Umet Odd Med Nauki), 36(3): 71-76.
- Eliçora SŞ, Öztürk M, Sevinç R, et al. 2015. Risk factors for otitis media effusion in children who have adenoid hypertrophia. Int J Pediatr Otorhinolaryngol, 79: 374-377.
- Els T, Olwoch IP. 2018. The prevalence and impact of otitis media with effusion in children admitted for adeno-tonsillectomy at Dr George Mukhari Academic Hospital, Pretoria, South Africa. Int J Pediatr Otorhinolaryngol, 110: 76-80.
- Günel C, Ermişler B, Başak HS. 2014. The effect of adenoid hypertrophy on tympanometric findings in children without hearing loss. Kulak Burun Bogaz Ihtis Derg, 24: 334-338.
- Kucur C, Şimşek E, Kuduban O, Özbay İ. 2015. Prevalence of and risk factors for otitis media with effusion in primary school children: case control study in Erzurum, Turkey. Turk J Pediatr, 57: 230-235.
- Morais-Almeida M, Wandalsen GF, Solé D. Crescimento e respiradores orais. Jornal de Pediatria. 2019;95(1):66–71.
- Ngiam J, Cistulli PA. 2015. Dental treatment for paediatric obstructive sleep apnea. Paediatric Respiratory Rev, 16(3): 174-181.
- Orchik OJ, Dunn JW, McNutt L. 1978. Tympanometry as a predictor of middle ear effusion. Arch Otolaryngol, 104(1): 4–6.
- Perera R, Glasziou PP, Heneghan CJ, McLellan J, Williamson I. 2013. Autoinflation for hearing loss associated with otitis media with effusion. Cochrane Database Syst Rev, 31(5): CD006285.
- Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, et al. 2016. Clinical practice guideline: otitis media with effusion. Otolaryngol Head Neck Surg, 154: 1–41.
- Sadeghi-Shabestari M, Jabbari Moghaddam Y, Ghaharri H. 2011. Is there any correlation between allergy and adenotonsillar tissue hypertrophy? Int J Pediatr Otorhinolaryngol, 75(4): 589–591.
- Sanli A, Tasdemir O, Eken M, Celebi O, Yilmaz SH. 2014. Prevalence of otitis media with effusion among primary school age-children and etiopathogenic examination. Indian J Otolaryngol Head Neck Surg, 66: 95-98.
- Smith ME, Bance ML, Tysome JR. 2019. Advances in Eustachian tube function testing. World J Otorhinolaryngol Head Neck Surg, 5(3): 131-136.
- Wright ED, Pearl AJ, Manoukian JJ. 1998. Laterally hypertrophic adenoids as a contributing factor in otitis media. Int J Pediatr Otorhinolaryngol, 45(3): 207-214.
Öz
Çalışmanın amacı Türk pediatri popülasyonunda adenoid doku ve palatin tonsil büyüklüğünün dağılımı ve bu dokuların orta kulak patolojileri üzerine etkisini araştırmaktır. Çalışma retrospektif planlamış olup 2017-2020 yılları arasında Kahramanmaraş Sütçü İmam üniversitesi Tıp Fakültesi Kulak Burun Boğaz polikliniğine başvuran 500 pediatrik hastanın dosyaları incelenerek gerçekleştirildi. Çalışmaya dahil edilen hastaların muayene bulguları ve timpanogram sonuçları SPSS versiyon 22 kullanılarak incelendi. Yaş ortalaması 6.5 ve Erkek / Kız oranı 1:1 idi. Torus tubarius ile ilişkili adenoid hipertrofisinin orta kulak patolojileri üzerine etkisi istatistiksel açıdan anlamlı idi. Koanal obstrüksiyonla ilişkili adenoid hipertrofisi ve palatin tonsil hipertrofisi ile orta kulak patolojileri arasında ilişki saptanmadı. Adenotonsiller hipertrofisi ve efüzyonlu otitis media başta olmak üzere orta kulak patolojisi pediatrik dönemde yaygın sorunlardan olup tanı, tedavi ve takip sürecinin iyi yönetilmesi gerekmektedir.
Anahtar Kelimeler
Kaynakça
- Andrade-Balieiro FBD, Azevedo R, Chiari BM. 2013. Aspects of stomatognathic system before and after adenotonsillectomy. Codas, 25(3): 229–235.
- Boleslavská J, Koprivová ˇ H, Komínek P. 2006. Is it important to evaluate the size of adenoid vegetations? Otorinolaryng Foniat, 55: 133-138
- Brodsky L. 1989. Modern assessment of tonsils and adenoids. Pediatr Clin North Am, 36(6):1551-1569.
- Cai T, McPherson B. 2017. Hearing loss in children with otitis media with effusion: a systematic review. Int J Audiol, 56:65-76.
- Davcheva-Chakar M, Kaftandzhieva A, Zafirovska B. 2015. Adenoid vegetations – reservoir of bacteria for chronic otitis media with effusion and chronic rhinosinusitis. Pril (Makedon Akad Nauk Umet Odd Med Nauki), 36(3): 71-76.
- Eliçora SŞ, Öztürk M, Sevinç R, et al. 2015. Risk factors for otitis media effusion in children who have adenoid hypertrophia. Int J Pediatr Otorhinolaryngol, 79: 374-377.
- Els T, Olwoch IP. 2018. The prevalence and impact of otitis media with effusion in children admitted for adeno-tonsillectomy at Dr George Mukhari Academic Hospital, Pretoria, South Africa. Int J Pediatr Otorhinolaryngol, 110: 76-80.
- Günel C, Ermişler B, Başak HS. 2014. The effect of adenoid hypertrophy on tympanometric findings in children without hearing loss. Kulak Burun Bogaz Ihtis Derg, 24: 334-338.
- Kucur C, Şimşek E, Kuduban O, Özbay İ. 2015. Prevalence of and risk factors for otitis media with effusion in primary school children: case control study in Erzurum, Turkey. Turk J Pediatr, 57: 230-235.
- Morais-Almeida M, Wandalsen GF, Solé D. Crescimento e respiradores orais. Jornal de Pediatria. 2019;95(1):66–71.
- Ngiam J, Cistulli PA. 2015. Dental treatment for paediatric obstructive sleep apnea. Paediatric Respiratory Rev, 16(3): 174-181.
- Orchik OJ, Dunn JW, McNutt L. 1978. Tympanometry as a predictor of middle ear effusion. Arch Otolaryngol, 104(1): 4–6.
- Perera R, Glasziou PP, Heneghan CJ, McLellan J, Williamson I. 2013. Autoinflation for hearing loss associated with otitis media with effusion. Cochrane Database Syst Rev, 31(5): CD006285.
- Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, et al. 2016. Clinical practice guideline: otitis media with effusion. Otolaryngol Head Neck Surg, 154: 1–41.
- Sadeghi-Shabestari M, Jabbari Moghaddam Y, Ghaharri H. 2011. Is there any correlation between allergy and adenotonsillar tissue hypertrophy? Int J Pediatr Otorhinolaryngol, 75(4): 589–591.
- Sanli A, Tasdemir O, Eken M, Celebi O, Yilmaz SH. 2014. Prevalence of otitis media with effusion among primary school age-children and etiopathogenic examination. Indian J Otolaryngol Head Neck Surg, 66: 95-98.
- Smith ME, Bance ML, Tysome JR. 2019. Advances in Eustachian tube function testing. World J Otorhinolaryngol Head Neck Surg, 5(3): 131-136.
- Wright ED, Pearl AJ, Manoukian JJ. 1998. Laterally hypertrophic adenoids as a contributing factor in otitis media. Int J Pediatr Otorhinolaryngol, 45(3): 207-214.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Cerrahi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ocak 2023 |
| Gönderilme Tarihi | 14 Kasım 2022 |
| Kabul Tarihi | 22 Aralık 2022 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 6 Sayı: 1 |
