ENDOSCOPİC SİNUS SURGERİES İN CHİLDREN; OUR 10 YEARED EXPERİENCE
1Meram Tıp Fakültesi, Kulak Burun Boğaz, Konya, Türkiye2Horasan Devlet Hastanesi, Kulak Burun Boğaz, Erzurum, Türkiye Introduction: Endoscopic endonasal surgeries has been a more preferred surgical procedure compared to more invasive and less successful external approaches in recent years. However, this surgical procedure involves many possible complications. The aim of this study was to analyze preoperative diagnosis, intraoperative and postoperative complications related to endoscopic sinus surgeries at children population.
Methods: In this study, files of pediatric patients who underwent endoscopic sinus surgery(ESC) with endoscopic endonasal technique between January 2007 and January 2017 were retrospectively reviewed. Demographic information, preoperative diagnosis and intraoperative examination findings and complications of 98 pediatric patients were recorded from their files.
Results: 45 of the patients were female and 53 were male and their ages ranged from 5 to 17 years. Diagnosis of 43 patients (43.8 %) were anthracoanal polyps, 31 patients (31.6 %) were nasal polyposis and 24 patients (24.4 %) were chronic sinusitis. During ESC, intranasal minor bleeding occurred in 3 patients and partial penetration to orbita occurred in 2 patients (minor complication). Whereas a total of 3 patients developed intranasal synechia during the postoperative period.
Conclusion: In this study no major or minör intraoperative complication was observed in the group with chronic sinusitis. However, in the nasal polyp group no major complication was seen but minor complication was observed at 5 patients. 3 patients who were operated on because of nasal polyposis developed nasal synechia during the postoperative perid. Recurrence developed mainly in children with comorbidities.
Keywords : Child, endoscopic, sinus surgery