Adenoid hipertrofisi olan çocuklarda koku alanlarının manyetik rezonans görüntüleme ile incelenmesi
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Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Kırıkkale Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmada adenoid hipertrofisi olan hastalarda santral ve periferik koku alanları incelenmiş; adenoid hipertrofisinin anosmiye sebep olabileceği fikrinden yola çıkılarak olfaktör bulbus hacimleri ve insular korteks alanları üzerindeki etkisi değerlendirilmiştir. Bu retrospektif çalışmaya Kranial Manyetik Rezonans Görüntüleme (MRG) çekimi yapılmış ek hastalığı olmayan 60 erkek, 61 kız çocuk hasta dahil edilmiştir. MRG ölçümlerinde adenoid dokunun nazofarengeal mesaye oranı ?%50 olan hastalar adenoid hipertrofisi olan hasta grup (25 erkek, 22 kız) (Grup 1), adenoid dokunun nazofarengeal mesaye oranı ? %50 olan hastalar kontol grubu olarak belirlenmiştir (35 erkek,39 kız) (Grup 2). Kranial MRG kesitlerinde olfaktör bulbus hacimleri ve insular korteks alanları; adenoid genişliği, nazofarengeal mesafe, hava sütunu ve yumuşak damak ölçümleri yapılmıştır. Değerlendirdiğimiz gruplarda adenoid doku büyüdükçe küçülen hava sütunu ölçümleriyle bilateral olfaktör bulbus ölçümü arasında doğrusal yönde bir ilişki olduğu görülmüştür (p<0,05). Olfaktör bulbus ölçümleriyle de insular korteks alanları arasında doğru orantılı bir ilişkinin mevcut olduğu tespit edilmiştir (p<0,05). Sonuç olarak; adenoid genişliğinin nazofarengeal mesafeye oranı ?%50 adenoid hipertrofisi olan çocuklarda olfaktör bulbus hacimleri ve insular korteks alanlarında küçülmenin daha belirgin olduğu, ? %50 olan kontrol grubu çocuklarda koku fonsiyonunun etkilenmediği düşünülmüştür. Adenoid hipertrofisinin koku alanlarında (olfaktör bulbus hacmi ve insular korteks alanı) küçülmeye neden olabileceği ve önemli bir anosmi nedeni olabileceği düşünülmüştür. Anahtar Kelimeler: Adenoid hipertrofisi, Olfaktör bulbus, İnsular korteks, Kranial Manyetik Rezonans Görüntüleme, Koku alanları, Koku duyusu
In this study, central and peripheral olfactory areas were examined in patients with adenoid hypertrophy; Based on the idea that adenoid hypertrophy may cause anosmia, its effect on olfactory bulb volumes and insular cortex areas was evaluated. This retrospective study included 60 male and 61 female patients who had Cranial Magnetic Resonance Imaging (MRI) and had no comorbidities. In MRI measurements, patients with adenoid tissue to nasopharyngeal bladder ratio ?%50 were designated as the patient group with adenoid hypertrophy (25 boys, 22 girls) (Group 1), and patients with adenoid tissue to nasopharyngeal bladder ratio ? %50 were designated as the control group (35 boys, 39 girls). (Group 2). Olfactory bulb volumes and insular cortex areas in cranial MRI sections; Adenoid width, nasopharyngeal distance, air column and soft palate measurements were taken. In the groups we evaluated, it was observed that there was a linear relationship between air column measurements, which became smaller as the adenoid tissue grew, and bilateral olfactory bulb measurements (p<0.05). It was also determined that there was a directly proportional relationship between olfactory bulb measurements and insular cortex areas. (p<0.05). In conclusion; The ratio of adenoid width to nasopharyngeal distance is ?%50 In children with adenoid hypertrophy, the reduction in olfactory bulb volumes and insular cortex areas is more pronounced; It was thought that the olfactory function was not affected in the ? %50 control group of children. It was thought that adenoid hypertrophy might cause decrease in the olfactory areas (olfactory bulb volume and insular cortex area) and could be an important cause of anosmia. Key Words: Adenoid hypertrophy, Olfactory bulbus, Insular cortex, Cranial Magnetic Resonance Imaging, Olfactory fields, Sense of smell
In this study, central and peripheral olfactory areas were examined in patients with adenoid hypertrophy; Based on the idea that adenoid hypertrophy may cause anosmia, its effect on olfactory bulb volumes and insular cortex areas was evaluated. This retrospective study included 60 male and 61 female patients who had Cranial Magnetic Resonance Imaging (MRI) and had no comorbidities. In MRI measurements, patients with adenoid tissue to nasopharyngeal bladder ratio ?%50 were designated as the patient group with adenoid hypertrophy (25 boys, 22 girls) (Group 1), and patients with adenoid tissue to nasopharyngeal bladder ratio ? %50 were designated as the control group (35 boys, 39 girls). (Group 2). Olfactory bulb volumes and insular cortex areas in cranial MRI sections; Adenoid width, nasopharyngeal distance, air column and soft palate measurements were taken. In the groups we evaluated, it was observed that there was a linear relationship between air column measurements, which became smaller as the adenoid tissue grew, and bilateral olfactory bulb measurements (p<0.05). It was also determined that there was a directly proportional relationship between olfactory bulb measurements and insular cortex areas. (p<0.05). In conclusion; The ratio of adenoid width to nasopharyngeal distance is ?%50 In children with adenoid hypertrophy, the reduction in olfactory bulb volumes and insular cortex areas is more pronounced; It was thought that the olfactory function was not affected in the ? %50 control group of children. It was thought that adenoid hypertrophy might cause decrease in the olfactory areas (olfactory bulb volume and insular cortex area) and could be an important cause of anosmia. Key Words: Adenoid hypertrophy, Olfactory bulbus, Insular cortex, Cranial Magnetic Resonance Imaging, Olfactory fields, Sense of smell
Açıklama
Tıp Fakültesi, Kulak Burun Boğaz Ana Bilim Dalı
Anahtar Kelimeler
Kulak Burun ve Boğaz, Otorhinolaryngology (Ear-Nose-Throat)
