Disfoni Hastalarında Laringostroboskopik Değerlendirme

Abstract

Objective: The aim of this study was to evaluate the organic voice disorders diagnosed by laryngostroboscopic examination and the distribution of the lesion types occording to age gender and the year in our otolaryngology department .Material and methods: Laryngostroboscopic records between October 2011-July 2014 were retrospectively analysed. The patients with organic voice desorders aged between 7-86 were included the study. The age, gender, the type of the lesion and the year of the examination were recorded. The types of the lesions were recorded, and the distribution of lesions according to gerder, age and the year were compared.Results: Total of 584 patients with organic pathology 41.8% were female, 52.2% were males. The distrubition of the lesions were 25.7% polyps, %17 reinke's edema and15.9 % nodules. The vocal cord nodules were seen in adult females and children. The male patiens had vocal polyps more frequent than females and the difference was statistically significant (%38.9, %18 respectively; p<0.05). The cysts were seen more in adult women than men and the difference was statistically significant (% 7.9, %3.3 respectively; p<0.05) The presbilarynx was found statistically significantly less frequently in adult women than men (%1, %5.3 respectively) (p<0.05). The incidence of laryngeal papillomatosis in adult men (2.5%) were statistically significantly more than women (p <0.05). The vocal cord nodules were found statistically significantly more frequently in patiens under 18 than adults (82.9%, %13.4; p<0.05).Conclusion: The laryngostroboscopic examination is important in decision of the treatment and the classifying of the cord vocal lesions. There are differences between the distribution of benign vocal cord lesions according to age, gender and the year of the examination.Key Words: Laryngostroboscopy, dysphonia, vocal cord Amaç: Kulak burun bo az poliklini imizde laringostroboskobik de erlendirme sonucunda tan konulan organik ses bozuklu una yol açan patolojilerin ya a, cinsiyete, y llara ve görülme s kl na göre da l mlar n n kar la t r lmas amaçlanm t r.Materyal metod: 2011 Haziran-2014 Temmuz tarihleri aras nda yap lan 1790 adet stroboskobi kayd retrospektif olarak incelenmi tir. Ya lar 7 ile 86 aras nda de i en organik ses bozuklu u tespit edilen 584 vaka çal maya dahil edilmi tir. Vakalar n ya , cinsiyetleri lezyonun tipi, görüldü ü y l kaydedilmi tir. Hastalar n lezyon tipi ve lezyonlar n cinsiyete ve y llara göre da l m kar la t r lm t r. Sonuçlar: Organik patolojisi bulunan 584 hastan n %52.2 si kad n %41.8 i erkekti. Lezyon da l m %25.7 polip, %17 reinke %15.9 nodül olarak tespit edilmi tir. Kord vokal nodülü yaln zca kad nlarda ve çocuklarda görülmü tür. Polip ise erkeklerde kad nlara göre istatiksel olarak anlaml oranda daha fazla görülmü tür (S ras yla %38.9, %18; p<0.05). Kist yeti kin kad nlarda erkeklere göre daha fazla oranda saptanm t r bu oran istatiksel olarak anlaml bulunmu tur (S ras yla % 7.9, %3.3; p<0.05). Presbilarinks yeti kin kad nlarda erkeklere göre istatiksel anlaml o...