İzole sfenoid sinüs patolojileri: 7 olgunun retrospektif analizi

Year 2018, Volume: 40 Issue: 1, 83 - 89, 31.01.2018

Alper Dilci , Ömer Bilaç Ersem Giritli

https://doi.org/10.20515/otd.359851

Abstract

Eskişehir Yunus Emre Devlet Hastanesi KBB
Kliniği’nde izole sfenoid sinüs hastalığı için endoskopik sfenoid sinüs
cerrahisi yapılan hastaların klinik özelliklerini ve tedavi stratejilerini
paylaşıp yaklaşım önerilerinde bulunmak. İzole sfenoid sinüs patolojisi için
endoskopik sfenoid sinüs cerrahisi yapılan 7 hastanın klinik özellikleri, fizik
muayeneleri, radyolojik bulguları ve tedavi yaklaşımları retrospektif olarak
incelendi. Ocak 2015 ve Ocak 2016 arasında Eskişehir Yunus Emre Devlet
Hastanesi KBB Kliniği’nde 7 hasta izole sfenoid sinüs hastalığı için tedavi
edildi. Bu hastaların 3 tanesinde fungal enfeksiyon, 2 tanesinde sfenokoanal
polip ve 2 tanesinde mukosel mevcuttu ve tüm hastalar endoskopik sfenoidotomi tekniği
ile tedavi edildi. İzole sfenoid sinüs hastalıkları klinik pratikte nadir
karşılaşılan bir klinik antitedir. Hastalığın tanısı; hikaye, endoskopik
muayene ve bilgisayarlı tomografi bulguları ile konulur. Endoskopik
sfenoidotomi günümüzde bu patolojiler için altın standart olarak kabul gören
güvenli ve efektif bir tedavi seçeneğidir.

Keywords

sfenoid sinus, sfenoidotomi

Isolated sphenoid sinus pathology: retrospective analysis of 7 cases

Abstract

To investigate the clinical
characteristics of the patients who
underwent endoscopic sphenoid sinus surgery for isolated sphenoid sinus disease
and to evaluate the management skills of ENT Department of  Eskisehir Yunus Emre State Hospital in
isolated sphenoid pathologies. 7 patients who underwent endoscopic sphenoid
sinus surgery for isolated sphenoid sinus disease are included in the study.
Clinical characteristics and main symptoms of patients, physical examination,
radiologic findings and management aproaches were investigated retrospectively. We identified 7 cases of isolated
sphenoid sinus disease between January 2015 and January 2016 in ENT Department
of Eskisehir Yunus Emre State Hospital. 3 cases with fungal infection of
sphenoid sinus, 2 cases with with sphenochoanal polyp and 2 cases with mucocele
were treated by endoscopic sphenoidotomy.  Isolated sphenoid sinus pathologies are
rare clinical entities. Diagnosis is based on the history,  endoscopic examination and computed
tomography findings. Endoscopic sphenoidotomy is a safe and easy treatment option
and represented  the gold standard for
this disease at the present time. 

Keywords

sphenoid sinus, sphenoidotomy

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