POVEZANOST ANATOMSKIH VARIJACIJA SINONAZALNE REGIJE SA HRONIČNIM RINOSINUZITISOM: PROSPEKTIVNA STUDIJA
Journal Title: Acta Facultatis Medicae Naissensis - Year 2013, Vol 30, Issue 0
Abstract
Hronični rinosinuzitis je hronična upala nazalnih i paranazalnih šupljina. Međutim, osnovna patofiziologija ovih hroničnih stanja je nedovoljno opisana i zaivisi od više faktora. U studiji koju smo sproveli pregledali smo snimke kompjuterizovane tomografije (CT) bolesnika sa hroničnim rinosinuzitisom kako bi identifikovali moguću povezanost anatomskih varijacija i hronične inflamacije u sinonazalnoj regiji. U periodu između septembra 2010. godine i januara 2012. godine sprovedena je prospektivna studija aksijalnih i koronarnih CT snimaka 206 bolesnika sa hroničnim rinosinuzitisom. Studija je uključila 100 muškaraca (48.5%) i 106 žena (51.4%), pri čemu je prosečna starost iznosila 39 godina. Ostiomeatalni kompleks bio je prohodan kod 43 bolesnika, a blokiran kod 36 bolesnika. Značajna devijacija nazalnog septuma zabeležena je kod 117 (56.7%) bolesnika. Hipertrofija nosnih školjki bila je prisutna kod 55 (26.6%) bolesnika. Retenciona cista zabeležena je kod 56 (27.1%) bolesnika. Konha buloza i polipi su otkriveni kod 36 (17.47%), odnosno 38 (18.44%) bolesnika. Maksilarni sinus bio je najčešće zahvaćen (67 bolesnika). Naše istraživanje je pokazalo da postoji jaka povezanost između anatomskih varijacija i hronične inflamacije u paranazalnim sinusima.
Authors and Affiliations
Seyyed Abdollah Madani, Amir Hosein Kianejad, Saman Heidari
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