Araştırma Makalesi
Yıl 2022,
Cilt: 17 Sayı: 3, 160 - 164, 02.11.2022
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
Kaynakça
- Reddy NM, Malve H, Nerli R, Venkatesh P, Agarwal I, Rege V. Nocturnal Enuresis in India: Are we diagnosing and managing correctly? Indian J Nephrol. 2017;27(6):417-426.
- Calwell PH, Deshpande AV, Von Gontard A. Management of nocturnal enuresis. BMJ 2013;347:6259.
- Alexender NS, Schroeder JW. Pediatric obstructive sleep apnea syndrome. Pediatr Clin North Am 2013;60:827-840.
- Balaban M, Aktas A, Sevinc C, Yucetas U. The relationship of enuresis nocturna and adenoid hypertrophy. Arch Ital Urol Androl. 2016;88(2):111-114.
- Huang YS, Guilleminault C. Pediatric obstructive sleep apnea: Where do we stand? Adv Otorhinolaryngol. 2017;80:136-144.
- Park S, Lee JM, Sim CS, Kim JG, Nam JG, Lee TH et al. Impact of adenotonsillectomy on nocturnal enuresis in children with sleep-disordered breathing: A prospective study. Laryngoscope. 2016;126(5):1241-1245.
- Leiberman A, Stiller-Timor L, Tarasiuk A, Tal A. The effect of adenotonsillectomy on children suffering from obstructive sleep apnea syndrome (OSAS): The Negev perspective. Int J Pediatr Otorhinolaryngol. 2006;70(10):1675–1682.
- Varghese AM, Naina P, Cheng AT, Asif SK, Kurien M. ACE grading-A proposed endoscopic grading system for adenoids and its clinical correlation. Int J Pediatr Otorhinolaryngol. 2016;83:155-159.
- Brodsky L. Modern assessment of tonsils and adenoids. Pediatr Clinic N Am 1989;36:1551-1569.
- Arda E, Cakiroglu B, Thomas DT. Primary Nocturnal Enuresis: A Review. Nephrourol Mon. 2016 May 31;8(4):e35809.
- Yeung, C. K., and J. D. Y. Sihoe. "Non-neuropathic dysfunction of lower urinary tract." Wein, Kavoussi, Novick, Partin, Peters, editors. Campbell-Walsh Urology (Ninth Edition): Elsevier 4 (2007): 3604-3624.
- Koritsiadis G, Stravodimos K, Koutalellis G, Agrogiannis G, Koritsiadis S, Lazaris A et al. Immunohistochemical estimation of hypoxia in human obstructed bladder and correlation with clinical variables. BJU Int. 2008;102(3):328-332.
- Lehmann KJ, Nelson R, MacLellan D, Anderson P, Romao RLP. The role of adenotonsillectomy in the treatment of primary nocturnal enuresis in children: A systematic review. J Pediatr Urol. 2018;14(1):1-53.
- Jeyakumar A, Rahman SI, Armbrecht ES, Mitchell R. The association between sleep-disordered breathing and enuresis in children. Laryngoscope 2012;122:1873-1877.
- Kaya KS, Türk B, Erol ZN, Akova P, Coşkun BU. Pre-and postoperative evaluation of the frequency of nocturnal enuresis and Modified Pediatric Epworth Scale in pediatric obstructive sleep apnea patients. Int J Pediatr Otorhinolaryngol 2018;105:36-39.
- American Academy of Pediatrics Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome, clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome Pediatrics 2002;109:704-712.
- Li AM, Au CT, So HK, Lau J, Ng PC, Wing YK. Prevalence and risk factors of habitual snoring in primary school children. Chest. 2010;138(3):519-527.
- Brodsky L. Tonsil and adenoid disorders. Current Therapy in Otolaryngology-Head and Neck Surgery 1998;414-417.
- Ozkan S, Durukan E, Iseri E, Gürocak S, Maral I, Ali Bumin M. Prevalence and risk factors of monosymptomatic nocturnal enuresis in Turkish children. Indian J Urol. 2010;26(2):200-205.
Yıl 2022,
Cilt: 17 Sayı: 3, 160 - 164, 02.11.2022
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
Kaynakça
- Reddy NM, Malve H, Nerli R, Venkatesh P, Agarwal I, Rege V. Nocturnal Enuresis in India: Are we diagnosing and managing correctly? Indian J Nephrol. 2017;27(6):417-426.
- Calwell PH, Deshpande AV, Von Gontard A. Management of nocturnal enuresis. BMJ 2013;347:6259.
- Alexender NS, Schroeder JW. Pediatric obstructive sleep apnea syndrome. Pediatr Clin North Am 2013;60:827-840.
- Balaban M, Aktas A, Sevinc C, Yucetas U. The relationship of enuresis nocturna and adenoid hypertrophy. Arch Ital Urol Androl. 2016;88(2):111-114.
- Huang YS, Guilleminault C. Pediatric obstructive sleep apnea: Where do we stand? Adv Otorhinolaryngol. 2017;80:136-144.
- Park S, Lee JM, Sim CS, Kim JG, Nam JG, Lee TH et al. Impact of adenotonsillectomy on nocturnal enuresis in children with sleep-disordered breathing: A prospective study. Laryngoscope. 2016;126(5):1241-1245.
- Leiberman A, Stiller-Timor L, Tarasiuk A, Tal A. The effect of adenotonsillectomy on children suffering from obstructive sleep apnea syndrome (OSAS): The Negev perspective. Int J Pediatr Otorhinolaryngol. 2006;70(10):1675–1682.
- Varghese AM, Naina P, Cheng AT, Asif SK, Kurien M. ACE grading-A proposed endoscopic grading system for adenoids and its clinical correlation. Int J Pediatr Otorhinolaryngol. 2016;83:155-159.
- Brodsky L. Modern assessment of tonsils and adenoids. Pediatr Clinic N Am 1989;36:1551-1569.
- Arda E, Cakiroglu B, Thomas DT. Primary Nocturnal Enuresis: A Review. Nephrourol Mon. 2016 May 31;8(4):e35809.
- Yeung, C. K., and J. D. Y. Sihoe. "Non-neuropathic dysfunction of lower urinary tract." Wein, Kavoussi, Novick, Partin, Peters, editors. Campbell-Walsh Urology (Ninth Edition): Elsevier 4 (2007): 3604-3624.
- Koritsiadis G, Stravodimos K, Koutalellis G, Agrogiannis G, Koritsiadis S, Lazaris A et al. Immunohistochemical estimation of hypoxia in human obstructed bladder and correlation with clinical variables. BJU Int. 2008;102(3):328-332.
- Lehmann KJ, Nelson R, MacLellan D, Anderson P, Romao RLP. The role of adenotonsillectomy in the treatment of primary nocturnal enuresis in children: A systematic review. J Pediatr Urol. 2018;14(1):1-53.
- Jeyakumar A, Rahman SI, Armbrecht ES, Mitchell R. The association between sleep-disordered breathing and enuresis in children. Laryngoscope 2012;122:1873-1877.
- Kaya KS, Türk B, Erol ZN, Akova P, Coşkun BU. Pre-and postoperative evaluation of the frequency of nocturnal enuresis and Modified Pediatric Epworth Scale in pediatric obstructive sleep apnea patients. Int J Pediatr Otorhinolaryngol 2018;105:36-39.
- American Academy of Pediatrics Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome, clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome Pediatrics 2002;109:704-712.
- Li AM, Au CT, So HK, Lau J, Ng PC, Wing YK. Prevalence and risk factors of habitual snoring in primary school children. Chest. 2010;138(3):519-527.
- Brodsky L. Tonsil and adenoid disorders. Current Therapy in Otolaryngology-Head and Neck Surgery 1998;414-417.
- Ozkan S, Durukan E, Iseri E, Gürocak S, Maral I, Ali Bumin M. Prevalence and risk factors of monosymptomatic nocturnal enuresis in Turkish children. Indian J Urol. 2010;26(2):200-205.
Toplam 19 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Erken Görünüm Tarihi | 1 Kasım 2022 |
| Yayımlanma Tarihi | 2 Kasım 2022 |
| Gönderilme Tarihi | 22 Kasım 2021 |
| Kabul Tarihi | 10 Şubat 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 17 Sayı: 3 |
