CORRELATION OF STERNOCLEIDOMASTOID MUSCLE THICKNESS WITH RADIOLOGICAL GRADE IN ADULTS WITH COVID-19
1Elazığ Fethi Sekin Şehir Hastanesi, Physical Medicine And Rehabilitation, Merkez, Turkey2Elazığ Fethi Sekin Şehir Hastanesi, Ear Nose Throat Clinic, Merkez, Turkey
3Elazığ Fethi Sekin Şehir Hastanesi, Radiology, Merkez, Turkey Aim: Our study aimed to determine the relationship between accessory muscle thickness and radiological grade in Covid -19 disease.
Material methods: 350 patients who were admitted between March 2020 and September 2020 with the pre-diagnosis or diagnosis of COVID-19. The control group included 183 patients who were evaluated for Thoracic CT for any reason and were evaluated as normal and not diagnosed with COVID-19. Images of the patients were evaluated retrospectively. Right and left sternocleidomastoid muscle (SCM) thickness measurements of all patients were measured at the level of the thyroid gland in thorax CT without contrast.
Result: Of the patients with CT involvement, 48.85% were female, and 51.14% were male. The control group consisted of 45.35% women and 54.64% men. The ages of the patients with CT involvement were 49.8 ± 12.65 (18-70), and the age of the control group was 48.9 ± 11.5 (28-85). A significant difference was found between the right and left SCM diameter changes when patients with CT involvement were compared with the control group (p: 0.025, p: 0.001, respectively). Right and left SCM diameters were significantly increased in those with consolidation (p: 0.042, p: 0.01, respectively) and positively correlated (r: 0.08, r: 0.112).
Conclusion: In our study, in patients with respiratory distress, accessory muscles are activated to support breathing, and hypertrophy developed due to overuse of the muscles was supported by the measurements made in CT sections.
Keywords : Covid-19, Sternocleidomastoid muscle, Radiological grade, Accessory Muscle