ÖZAmaç: Bu çalışmada burunda yabancı cisim tanısı konulan hastaların klinik belirtileri ve tedavi protokolleri araştırıldı. Hastalar ve Yöntemler:Kasım 2008 -Temmuz 2013 tarihleri arasında burunda yabancı cisim tanısı konulan ve tedavisi yapılan 130 hasta (72 erkek, 58 kadın; ort. yaş 3.65±2.31 yıl; dağılım 15 ay-72 yıl) geriye dönük olarak değerlendirildi. Hastaların yaş ve cinsiyeti, yabancı cismin türü, hangi tarafta olduğu, belirti ve semptomları, tedavi uygulamaları ve sonuçları kaydedildi. Bulgular:Hastaların büyük bir çoğunluğu 2-5 yaş arasındaki çocuklardı (n=113, %86.9). En fazla görülen yabancı cisimler; küçük plastik oyuncak parçaları (%43.8) fındık, ceviz, mısır ve fasulye gibi tohum taneleri (%29.2) idi. Hastaların 74'ünde (%56.9) sağ, 54'ünde (%41.6) sol nazal pasajda ve ikisinde (%1.5) ise her iki burun deliğinde yabancı cisim izlendi. Hastaların %92.3'ü ilk 24 saat içerisinde kliniğimize başvurdu.Sonuç: Buruna yabancı cisim kaçması kulak burun boğaz hastalıkları acilinde sık karşılaşılan bir durumdur. Genellikle hayati bir risk oluşturmayan bu durum uzun dönemde çeşitli komplikasyonlara yol açabileceğinden acil müdahale gerektirir. Çocuk bakımından sorumlu ebeveyn ve bakıcılar buruna kaçabilecek cisimlerin çocukların ulaşabileceği yerlerde bulundurmamaları ve buruna yabancı cisim kaçması durumlarında hekime başvurmaları konusunda bilinçlendirilmelidir.Anahtar Sözcükler: Yabancı cisim; burun boşluğu; rinolit. ABSTRACT Objectives:This study aims to investigate clinical manifestations and treatment protocols in patients with a diagnosis of nasal foreign bodies. Patients and Methods:We retrospectively evaluated 130 patients (72 males, 58 females; mean age 3.65±2.31 years; range 15 month to 72 years) who were diagnosed with nasal foreign bodies and received treatment between November 2008 and July 2013. Age and sex of the patients, type of foreign body, side of presentation, signs and symptoms, management practices, and outcomes were recorded. Results:Most of the patients were children between the ages of 2 and 5 (n=113, 86.9%). The most common foreign bodies were small plastic toys (43.8%), nut, walnut, corn, bean and the other seed grains (29.2%). Foreign bodies were detected in the right nasal passage in 74 patients (56.9%), left nasal passage in 54 patients (41.6%) and both nostrils in two patients (1.5%). Of the patients, 92.3% were admitted to our clinic within 24 hours. Conclusion:Nasal foreign bodies are frequent encountered in the emergency setting of ear, nose, and throat diseases. Although they are not life-threatening conditions, they require urgent intervention, as they may lead to several complications in the long-term. Parents and caregivers of children should keep objects which can be put into the nose away and be instructed that they should consult a physician in case of nasal foreign bodies.
The purpose of this study was to evaluate the efficacy of transoral or transnasal endoscopic-guided adenoidectomy compared with endoscopic nasopharyngeal inspection at the end of curettage adenoidectomy. A prospective case series of patients who had adenoidectomy. A total of 27 girls and 34 boys (age range 2.5-18 years) in whom adenoidectomy with or without tonsillectomy procedure was planned were included in the study. The cases were divided into three groups. Group 1 Transoral endoscopic-guided adenoidectomy performed patients. Group 2 Transnasal endoscopic-guided adenoidectomy performed patients. Group 3 Transnasal endoscopic nasopharyngeal exploration performed at the end of the conventional curettage adenoidectomy. The study was completed on 61 children. Mean age and sex frequency were not significant different between the groups. Mean operative time were 11.6 ± 2.9, 15.6 ± 4.4 and 9.7 ± 2 min, respectively (p > 0.05). On the other hand, significant differences were observed in operative time between group 1 and group 2 (p < 0.05), and between group 2 and group 3 (p < 0.05). Transnasal endoscopic examination at the end of curettage adenoidectomy is an appropriate method to assess the residual adenoid tissue after conventional curettage adenoidectomy. Also, operative time of this method is shorter than transoral or transnasal endoscopic-guided adenoidectomy. We recommend transnasal endoscopic inspection in all patients after conventional curettage adenoidectomy.
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