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Sağlık Bilimleri Üniversitesi Kayseri Eğitim Araştırma Hastanesi’nde parotidektomi yapılan hastaların geriye dönük incelenmesi
2018
Journal:  
Journal of Anatolian Medical Research
Author:  
Abstract:

Amaç: Bu çalışmada parotis kitlesi nedeniyle kliniğimizde parotidektomi uygulanan hastaların geriye dönük incelenmesi amaçlanmıştır. Metod: Bu çalışma Kayseri Eğitim Araştırma Hastanesi Kulak Burun Boğaz Kliniği’nde Ocak 2011 ile Mart 2016 tarihleri arasında parotis kitlesi nedeniyle opere edilen 71 hastayı kapsamaktadır. Çalışmaya alınan hastaların yaş, cinsiyet, başvuru şikayeti ve fizik muayene bulguları, ince iğne aspirasyon biyopsisi (İİAB) bulguları, uygulanan cerrahi, histopatolojik tanı ve komplikasyonları hastane kayıtlarından incelendi. Bulgular: Hastalarınsık başvuru şikayeti kulak önünde şişlik olup fizik muayenedeçok parotis bölgesinde ağrısız, düzgün yüzeyli ve hareketli kitle tespit edildi. Ameliyat sonrası elde edilen histopatolojik tanılara göre 65 hastada (%91.5) benign, altı hastada (%8.5) malign kitle rapor edildi. En sık görülen benign tümörler sırasıyla pleomorfik adenom ve Warthin tümörü iken,sık tespit edilen malign tümörler mukoepidermoid karsinom ve metastatik yassı hücreli karsinom (YHK) idi. Ameliyat sonrasısık görülen komplikasyon fasiyal sinir disfonksiyonu idi. Sonuç: Parotis kitlelerinin tedavisinde parotidektomi girişimleri, uygun tanısal tetkiklerle desteklenen doğru ameliyat planlaması ve dikkatli cerrahi diseksiyonla yapıldığında yeterli ve güvenilir bir cerrahidir.

Keywords:

Health Sciences University Kayseri Educational Research Hospital Parotidectomy Patients Backward Study
2018
Author:  
Abstract:

Purpose: This study is aimed at reverse examination of patients who are applied parotidectomy in our clinic due to the parotic mass. Method: This study covers 71 patients operated due to a parotic mass in the Kayseri Education Research Hospital of the Ear Nose Gorgaz Clinic between January 2011 and March 2016. The patient’s age, gender, application complaints and physical examination findings, the findings of the thin injection aspiration biopsy (IAB), the surgical, histopathological diagnosis and complications were examined from the hospital records. Results: Patients frequently appeal complaints of swelling in front of the ear and physical examination in many parotis areas were detected painless, properly surface and moving masses. According to the histopathological diagnoses obtained after surgery in 65 patients (91%). 5) benign, malign mass was in six patients (8.5 percent). The most common benign tumors were respectively pleomorphic adenoma and Warthin tumor, while the most commonly detected malignant tumors were mukoepidermoid carcinoma and metastatic flat cell carcinoma (YHK). The postoperative complication was facial nerve dysfunction. The result: in the treatment of parotidectomy masses, parotidectomy initiatives are a sufficient and reliable surgeon when done with proper surgery planning supported by appropriate diagnostic examinations and careful surgical disection.

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Journal of Anatolian Medical Research

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Journal of Anatolian Medical Research