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Paranazal Sinüs Anatomik Varyasyonlu Hastalarda Alerjik Rinit Sıklığı

The Prevalence of Allergic Rhinitis in Patients with Anatomic Variations of Paranasal Sinus

Journal Name:

Publication Year:

DOI: 
10.5505/abantmedj.2016.46547
Abstract (2. Language): 
INTRODUCTION: The objective of this study is to investigate the prevalence of allergic rhinitis in patients with paranasal sinus anatomic variations. METHODS: While the study group consisted of 124 patients who had at least one paranasal sinus anatomic variation in their paranasal sinus tomographies, the control group consisted of 86 patients without paranasal sinus anatomic variations. A blinded researcher received the detailed history and recorded related to the major symptoms of allergic rhinitis of all patients who participated in the study, and then they had physical examinations. A clinician, who was also blinded, performed the skin prick test on all patients. RESULTS: While 17 (19.8%) cases in the control group diagnosed positive for allergic rhinitis, 35 (28.2%) cases in the study group diagnosed positive for allergic rhinitis. Participants with allergic rhinitis experienced a higher prevalence of concha bullosa, agger nasi, and hypertrophic ethmoid bulla to a statistically significant degree. In addition, participants with allergic rhinitis had a higher number of variations at a statistically significant level, compared to cases without allergic rhinitis. DISCUSSION AND CONCLUSION: It was demonstrated that the number of paranasal sinus anatomic variations was statistically related to increased presence of allergic rhinitis.
Abstract (Original Language): 
GİRİŞ ve AMAÇ: Bu çalışmanın amacı, paranazal sinüs anatomik varyasyonlu hastalarda alerjik rinit sıklığını araştırmaktır. YÖNTEM ve GEREÇLER: En az bir paranazal sinüs anatomik varyasyonu olan 124 hasta çalışma grubunu, hiçbir paranazal sinüs anatomik varyasyonu olmayan 86 kişi kontrol grubunu oluşturdu. Gruplar hakkında bilgisi olmayan bir araştırmacı çalışmaya katılan bütün hastaların detaylı hikayesini aldı ve alerjik rinitin major bulguları açısından sorgulayıp kaydetti. Tüm hastalar kulak burun boğaz fizik muayenesinden geçirildi. Yine gruplar hakkında bilgisi olmayan başka bir araştırmacı da hastaların deri prick testlerini yaptı. BULGULAR: Kontrol grubunda 17 hastaya (%19,8) alerjik rinit tanısı konulmuşken, çalışma grubunda 35 hastaya (%28,2) alerjik rinit tanısı konuldu. Alerjik rinitli hastalarda istatistiksel olarak anlamlı düzeyde daha sık agger nasi, hipertrofik etmoid bulla ve konka büllosa mevcuttu. Ayrıca alerjik riniti olmayanlara göre alerjik rinitli hastalarda istatistiksel olarak anlamlı düzeyde daha fazla sayıda anatomik varyasyon saptandı. TARTIŞMA ve SONUÇ: Paranazal sinüs anatomik varyasyon sayısının artmış alerjik rinit insidansı ile anlamlı derecede ilişkili olduğu gözlendi.
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