Çelik, Mustafa, Kaya, Kamil-Hakan, Yegin, Yakup, Olgun, Burak, Kayhan, Fatma- Tülin. (1398). Anatomical Factors in Children with Orbital Complications Due to Acute Rhinosinusitis. , 31(5), 289-295. doi: 10.22038/ijorl.2019.35283.2161
Mustafa Çelik; Kamil-Hakan Kaya; Yakup Yegin; Burak Olgun; Fatma- Tülin Kayhan. "Anatomical Factors in Children with Orbital Complications Due to Acute Rhinosinusitis". , 31, 5, 1398, 289-295. doi: 10.22038/ijorl.2019.35283.2161
Çelik, Mustafa, Kaya, Kamil-Hakan, Yegin, Yakup, Olgun, Burak, Kayhan, Fatma- Tülin. (1398). 'Anatomical Factors in Children with Orbital Complications Due to Acute Rhinosinusitis', , 31(5), pp. 289-295. doi: 10.22038/ijorl.2019.35283.2161
Çelik, Mustafa, Kaya, Kamil-Hakan, Yegin, Yakup, Olgun, Burak, Kayhan, Fatma- Tülin. Anatomical Factors in Children with Orbital Complications Due to Acute Rhinosinusitis. , 1398; 31(5): 289-295. doi: 10.22038/ijorl.2019.35283.2161

Anatomical Factors in Children with Orbital Complications Due to Acute Rhinosinusitis

Iranian Journal of Otorhinolaryngology
مقاله 5، دوره 31، شماره 5 - شماره پیاپی 106، آذر و دی 2019، صفحه 289-295    اصل مقاله (372.57 K)
نوع مقاله: Original
شناسه دیجیتال (DOI): 10.22038/ijorl.2019.35283.2161
نویسندگان
Mustafa Çelik* 1؛ Kamil-Hakan Kaya2؛ Yakup Yegin2؛ Burak Olgun2؛ Fatma- Tülin Kayhan2
1Department of Otorhinolaryngology - Head and Neck Surgery, Kafkas University, Faculty of Medicine, Kars, Turkey.
2Department of Otorhinolaryngology - Head and Neck Surgery, Bakırköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
چکیده
Introduction:
The role of the anatomical variations and severity of acute rhinosinusitis (ARS) in the development of ARS complications is still an unknown issue. Regarding this, the present study evaluated the relationship between the severity of ARS and anatomical nasal variations in pediatric patients with ARS-related orbital complications.
 
Materials and Methods:
This study was conducted on 134 pediatric patients with orbital complications related to ARS. The data related to patients’ demographics, complication types, and involved side were collected. Nasal sides were also compared in terms of the Lund-Mackay score (LMS), osteomeatal complex (OMC) obstruction, Keros classification, presence of agger nasi cells (AGC), concha bullosa, Haller cells, Onodi cells, septal deviation, and lower turbinate hypertrophy.
 
Results:
The comparison of LMSs indicated a significant difference between the complicated and contralateral sides (8.37±2.44 vs. 5.62±2.71; P<0.0001). In addition, there was a significant difference between the complicated and contralateral sides in terms of the OMC scores (P<0.0001). The rates of lower turbinate hypertrophy and AGC on the complicated side were higher than those on the contralateral side (P=0.021 and P<0.00; respectively).
 
Conclusion:
As the results indicated, anatomical variability in adjacent structures affects the development of ARS-related orbital complications in pediatric patients.
کلیدواژه‌ها
Anatomy؛ child؛ sinusitis؛ paranasal sinuses؛ turbinates
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