Nosies obstrukcijos kilmės ir operacijų efektyvumo analizė Dicle universiteto (Turkija) LOR klinikos pacientų tarpe

Aim: In this study, the aim was to evaluate the operations for the patients who applied with the etiology of nasal obstruction. Materiel and method: In this study, 260 patients (175 men, 85 women) who applied to the otorhinolaryngology department of the Dicle University medicine faculty with nasal obstruction etiology, the operations, etiology, technique and complications were evaluated between December 2004 and December 2005. 164 of our cases we used general anesthesia and 96 of them were local. Results: The mean age of our patients operated in our clinic was 19.8±12.6 years and the most diagnosis seems to be deviation of septi nasi (DSN) (n=56, 21,5 %); second nasal deformity (n=51,19,6 %) third was chronic adenotonsillitis (n=43, 16,5 %), (p<0.0001). Our cases were mostly between 5-10 and 18-25 years old (155 cases, 57,4 %), (p<0.0001). 69 (24,5 %) cases were between the ages of 5-10, and in these, the most prevalent diseases were with 41 cases of chronic adenotonsillitis and with 17 cases of chronic adenotonsillitis + serous otitis media. 86 (32,9 %) cases were between the ages of 18-25 and in these, the most prevalent diseases were with 31 cases were DSN and nasal deformity for each. In general evaluating the operations we did, the most operation we did were submucosal resection (SMR) (56 cases, 21,5 %), septorhinoplasty (51 cases, 19,6 %) and chronic adenotonsillectomies (43 cases, 16,5 %), (p<0.0001). The complications were unilateral mucosal rupture (12 cases, 4,6 %), bilateral mucosal rupture (2 cases,0.8 %) and post-op hemorrhage (6 cases, 2,3 %) (p=0.022). Conclusion: The patients applied to our clinic seem to be mostly because of DSN and nasal deformity. Especially between the ages of 5-10 chronic adenotonsillitis frequency and between the ages of 18-25 DSN and nasal deformity frequency seems to be increased. Key words: Nasal obstruction, deviation of septi nasi, chronic adenotonsillitis