İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ
Yıl: 2018 Cilt: 17 Sayı: 2 Sayfa Aralığı: 49 - 54 Metin Dili: Türkçe İndeks Tarihi: 28-05-2019
İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ
Öz: Amaç: Bu çalışmanın amacı kliniğimizde burun ve paranazal sinüslerin inverted papillomaları tanısı ile cerrahi uygulanan olgularıntedavi sonuçlarını değerlendirmektir.Gereç ve yöntem: Ocak 2015-Nisan 2017 tarihleri arasında burun ve paranazal sinüs inverted papilloma tanısı almış yedi hastaretrospektif olarak incelendi. Hastaların yaşı, cinsiyeti, tümörün çıkış aldığı nokta ve yayılım bölgeleri incelendi. İP tanısı alan hastalarınbilgisayarlı tomografi, manyetik rezonans görüntüleme bulguları, cerrahi tedavi yöntemi, histopatolojik tanı ve takibi sunuldu.Bulgular: Hastalar 41 ile 68 yaş arasında ve hepsi erkek idi (ortalama yaş 56,14 olarak bulundu). Olguların polikliniğe en sık başvurunedeni sırası ile tek taraflı burun tıkanıklığı %100 (7/7), burun akıntısı %71 (5/7) ve baş ağrısı %57 (4/7) idi. Üç hastada tek taraflı sağ nazalkavitede tulumum var iken, dört olguda ise sol nazal kavite tutulumu vardı. Hiçbir olgumuzda bilateral tutulum gözlenmedi. İnvertedpapillomun en sık orta konka %42 (4/7), maksiler sinüs %42 (4/7) ve nazal septum %14 (1/7) kaynaklı olduğu gözlendi.Sonuç: Bu çalışmada inverted papillomlu olguların hepsi ileri yaş grubundaki erkek hastalardı ve tek taraflı tutulum vardı. Olguların%71,42’sine (5/7) endoskopik yaklaşımla tümörün çıkarılması ve %28,18’ine (2/7) ise endoskopik tedaviyle birlikte Caldwell-Lucoperasyonu yapıldı. Olguların takip süresi ortalama 15 ay idi. Olguların hiçbirinde takip döneminde nüks gözlenmedi.
Anahtar Kelime: Konular:
OUR CLINICAL DIAGNOSIS AND TREATMENT IN THE PATIENTS WITH INVERTED PAPILLOM
Öz: Objective: The purpose of this study is to evaluate the outcome of surgical treatment of inverted papillomas of the nose and paranasal sinuses diagnosed in our clinic.Methods: Seven patients with a nasal and paranasal sinus inverted papilloma diagnosed between January 2015 and April 2017 were examined retrospectively. The age, sex, tumor origin and extent of the patients were studied. Computed tomography, magnetic resonance imaging findings, surgical treatment method, histopathological diagnosis and follow-up were presented. Results: Patients were between 41 and 68 years of age and all were male (mean age 56.14). In the polyclinic cases, the most frequent cause of admission was unilateral nasal obstruction 100% (7/7), nasal discharge 71% (5/7) and headache 57% (4/7). Three patients had unilateral right nasal cavity, whereas four patients had left nasal cavity involvement. Bilateral involvement was not observed in any of our cases. inverted papillomas were most commonly seen in 42% (4/7) of the medial concha, 42% (4/7) of the maxillary sinus and 14% (1/7) of the nasal septum. Conclusion: In this study, all patients with inverted papilloma were male patients in the advanced age group and unilateral involvement. Caldwell-Luc operation was performed with endoscopic approach in 71.42% (5/7) of cases and endoscopic treatment in 28.18% (2/7) of tumor removal. The mean follow-up period was 15 months. None of the cases had recurrence in the follow-up period.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | EKİNCİ A, Özcan M (2018). İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. , 49 - 54. |
| Chicago | EKİNCİ ADNAN,Özcan Müge İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. (2018): 49 - 54. |
| MLA | EKİNCİ ADNAN,Özcan Müge İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. , 2018, ss.49 - 54. |
| AMA | EKİNCİ A,Özcan M İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. . 2018; 49 - 54. |
| Vancouver | EKİNCİ A,Özcan M İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. . 2018; 49 - 54. |
| IEEE | EKİNCİ A,Özcan M "İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ." , ss.49 - 54, 2018. |
| ISNAD | EKİNCİ, ADNAN - Özcan, Müge. "İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ". (2018), 49-54. |
| APA | EKİNCİ A, Özcan M (2018). İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. KBB-Forum, 17(2), 49 - 54. |
| Chicago | EKİNCİ ADNAN,Özcan Müge İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. KBB-Forum 17, no.2 (2018): 49 - 54. |
| MLA | EKİNCİ ADNAN,Özcan Müge İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. KBB-Forum, vol.17, no.2, 2018, ss.49 - 54. |
| AMA | EKİNCİ A,Özcan M İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. KBB-Forum. 2018; 17(2): 49 - 54. |
| Vancouver | EKİNCİ A,Özcan M İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ. KBB-Forum. 2018; 17(2): 49 - 54. |
| IEEE | EKİNCİ A,Özcan M "İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ." KBB-Forum, 17, ss.49 - 54, 2018. |
| ISNAD | EKİNCİ, ADNAN - Özcan, Müge. "İNVERTED PAPİLLOMLU OLGULARDA KLİNİK TANI VE TEDAVİ YAKLAŞIMIMIZ". KBB-Forum 17/2 (2018), 49-54. |
