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Adenotonsiller Hipertrofinin Neden Olduğu Pediatrik OSAS’ın Koroid Kalınlığı Üzerine Etkisi

Year 2021, Volume: 5 Issue: 1, 55 - 60, 20.04.2021
https://doi.org/10.46332/aemj.840728

Abstract

Amaç: Adenotonsiller hipertrofiye bağlı obstrüktif uyku apne sendromu (OUAS) olan çocuklarda koroid kalınlığındaki değişiklikleri normal kontrol grubundaki değerlerle karşılaştırıp değerlendirmek.

Araçlar ve Yöntem: Tek merkezli, vaka kontrol çalışmasına adenotonsiller hipertrofiye bağlı 39 pediatrik OUAS hastası ve 39 yaş ve cinsiyet uyumlu sağlıklı kontrol dahil edildi. Koroid kalınlıkları, gelişmiş optik koherens tomografi kullanılarak değerlendirildi. Koroid kalınlıkları subfoveal, nazal ve temporal bölge olarak ölçüldü. Sferik eküvalan, göz içi basıncı ve aksiyel uzunluk değerleri de ölçüldü.

Bulgular: Çalışma ve kontrol gruplar arasında subfoveal, nazal ve temporal bölgenin bölgenin koroid kalınlığı açısından istatistiksel olarak anlamlı bir fark yoktu. İki grup arasında Sferik eküvalan, göz içi basıncı ve aksiyel uzunluk değerlerinde de istatistiksel olarak anlamlı bir fark bulunmadı.

Sonuç: Bu sonuçlar adenotonsiller hipertrofinin çocuklarda koroid kalınlığı üzerinde anlamlı derecede bir etkiye neden olmadığını göstermiştir.

References

  • 1. Ehsan Z, Ishman SL. Pediatric Obstructive Sleep Apnea. Otolaryngol Clin North Am. 2016;49(6):1449‐1464.
  • 2. Yenigun A, Elbay A, Hafiz AM, Ozturan O. Choroidal thickness evaluation in pediatric patients with adenotonsillar hypertrophy. J Laryngol Otol. 2017;131(9):768‐772.
  • 3. Cakabay T, Bezgin SÜ, Bayramoglu SE, Sayin N, Kocyigit M. Evaluation of choroidal thickness in children with adenoid hypertrophy. Eur Arch Otorhinolaryngol. 2018;275(2):439‐442.
  • 4. Darrow DH, Siemens C. Indications for tonsillectomy and adenoidectomy. Laryngoscope 2002;112(8): 6‐10.
  • 5. Nickla DL, Wallman J. The multifunctional choroid. Prog Retin Eye Res. 2010;29(2):144‐168.
  • 6. Bayhan HA, Bayhan SA, İntepe YS, Muhafiz E, Gürdal C. Evaluation of the macular choroidal thickness using spectral optical coherence tomography in patients with obstructive sleep apnoea syndrome. Clin Exp Ophthalmol. 2015;43(2):139‐144.
  • 7. Karaca EE, Ekici F, Yalçın NG, Çiftçi TU, Özdek S. Macular choroidal thickness measurements in patients with obstructive sleep apnea syndrome. Sleep Breath. 2015;19(1):335‐341.
  • 8. Phadikar P, Saxena S, Ruia S, Lai TY, Meyer CH, Eliott D. The potential of spectral-domain optical coherence tomography imaging-based retinal biomarkers. Int J Retina Vitreous 2017;3(1):1-10.
  • 9. Fujiwara A, Shiragami C, Shirakata Y, Manabe S, Izumibata S, Shiraga F. Enhanced depth imaging spectral-domain optical coherence tomography of subfoveal choroidal thickness in normal Japanese eyes. Jpn J Ophthalmol. 2012;56(3):230‐235.
  • 10. Spaide RF, Koizumi H, Pozzoni MC. Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol. 2008;146(4):496-500.
  • 11. Sahin M, Sahin A, Kilinç F, Gürsel ÖZ, Karaalp U,Yüksel H. Evaluation Of The Peripapillary Retinal Nerve Fiber Layer And Subfoveal Choroidal Thickness In Naive Patients With Diabetes Mellitus With Spectralis OCT. Dicle Med J. 2016;43(3):435-440.
  • 12. Tonini M, Khayi H, Pepin JL, et al. Choroidal bloodflow responses to hyperoxia and hypercapnia in men with obstructive sleep apnea. Sleep 2010;33(6):811‐818.
  • 13. Xin C, Wang J, Zhang W, Wang L, Peng X. Retinal and choroidal thickness evaluation by SD-OCT in adults with obstructive sleep apnea-hypopnea syndrome (OSAS). Eye 2014;28(4):415‐421.

Does Pediatric OSAS with Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?

Year 2021, Volume: 5 Issue: 1, 55 - 60, 20.04.2021
https://doi.org/10.46332/aemj.840728

Abstract

Purpose: To determine the changes in choroidal thickness of children with obstructive sleep apnea syndrome (OSAS) as a result of adenotonsillar enlargement versus normal controls.

Materials and Methods: This study was consist of 39 pediatric OSAS individuals and 39 age,sex and body mass index-matched healthy children. Choroidal thicknesses of the patients and normal controls were analyzed by enhanced depth imaging optical coherence tomography. The choroidal thicknesses were measured in the subfoveal, nasal, as well as temporal areas. The spherical equivalent, intraocular pressure, and then axial length were additionally measured. 

Results: Statistically notable difference in the choroidal thicknesses were not found in any areas between the groups. No statistically significant differences were found in between spherical equivalent, intraocular pressure, and axial length values of the two groups. 

Conclusion: These results show that adenotonsillar hypertrophy does not result in a major impact on choroidal thickness of children

References

  • 1. Ehsan Z, Ishman SL. Pediatric Obstructive Sleep Apnea. Otolaryngol Clin North Am. 2016;49(6):1449‐1464.
  • 2. Yenigun A, Elbay A, Hafiz AM, Ozturan O. Choroidal thickness evaluation in pediatric patients with adenotonsillar hypertrophy. J Laryngol Otol. 2017;131(9):768‐772.
  • 3. Cakabay T, Bezgin SÜ, Bayramoglu SE, Sayin N, Kocyigit M. Evaluation of choroidal thickness in children with adenoid hypertrophy. Eur Arch Otorhinolaryngol. 2018;275(2):439‐442.
  • 4. Darrow DH, Siemens C. Indications for tonsillectomy and adenoidectomy. Laryngoscope 2002;112(8): 6‐10.
  • 5. Nickla DL, Wallman J. The multifunctional choroid. Prog Retin Eye Res. 2010;29(2):144‐168.
  • 6. Bayhan HA, Bayhan SA, İntepe YS, Muhafiz E, Gürdal C. Evaluation of the macular choroidal thickness using spectral optical coherence tomography in patients with obstructive sleep apnoea syndrome. Clin Exp Ophthalmol. 2015;43(2):139‐144.
  • 7. Karaca EE, Ekici F, Yalçın NG, Çiftçi TU, Özdek S. Macular choroidal thickness measurements in patients with obstructive sleep apnea syndrome. Sleep Breath. 2015;19(1):335‐341.
  • 8. Phadikar P, Saxena S, Ruia S, Lai TY, Meyer CH, Eliott D. The potential of spectral-domain optical coherence tomography imaging-based retinal biomarkers. Int J Retina Vitreous 2017;3(1):1-10.
  • 9. Fujiwara A, Shiragami C, Shirakata Y, Manabe S, Izumibata S, Shiraga F. Enhanced depth imaging spectral-domain optical coherence tomography of subfoveal choroidal thickness in normal Japanese eyes. Jpn J Ophthalmol. 2012;56(3):230‐235.
  • 10. Spaide RF, Koizumi H, Pozzoni MC. Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol. 2008;146(4):496-500.
  • 11. Sahin M, Sahin A, Kilinç F, Gürsel ÖZ, Karaalp U,Yüksel H. Evaluation Of The Peripapillary Retinal Nerve Fiber Layer And Subfoveal Choroidal Thickness In Naive Patients With Diabetes Mellitus With Spectralis OCT. Dicle Med J. 2016;43(3):435-440.
  • 12. Tonini M, Khayi H, Pepin JL, et al. Choroidal bloodflow responses to hyperoxia and hypercapnia in men with obstructive sleep apnea. Sleep 2010;33(6):811‐818.
  • 13. Xin C, Wang J, Zhang W, Wang L, Peng X. Retinal and choroidal thickness evaluation by SD-OCT in adults with obstructive sleep apnea-hypopnea syndrome (OSAS). Eye 2014;28(4):415‐421.
There are 13 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Harun Soyalıç 0000-0003-2640-3249

Raşit Kılıç 0000-0001-6671-9067

Publication Date April 20, 2021
Published in Issue Year 2021 Volume: 5 Issue: 1

Cite

APA Soyalıç, H., & Kılıç, R. (2021). Does Pediatric OSAS with Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?. Ahi Evran Medical Journal, 5(1), 55-60. https://doi.org/10.46332/aemj.840728
AMA Soyalıç H, Kılıç R. Does Pediatric OSAS with Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?. Ahi Evran Med J. April 2021;5(1):55-60. doi:10.46332/aemj.840728
Chicago Soyalıç, Harun, and Raşit Kılıç. “Does Pediatric OSAS With Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?”. Ahi Evran Medical Journal 5, no. 1 (April 2021): 55-60. https://doi.org/10.46332/aemj.840728.
EndNote Soyalıç H, Kılıç R (April 1, 2021) Does Pediatric OSAS with Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?. Ahi Evran Medical Journal 5 1 55–60.
IEEE H. Soyalıç and R. Kılıç, “Does Pediatric OSAS with Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?”, Ahi Evran Med J, vol. 5, no. 1, pp. 55–60, 2021, doi: 10.46332/aemj.840728.
ISNAD Soyalıç, Harun - Kılıç, Raşit. “Does Pediatric OSAS With Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?”. Ahi Evran Medical Journal 5/1 (April 2021), 55-60. https://doi.org/10.46332/aemj.840728.
JAMA Soyalıç H, Kılıç R. Does Pediatric OSAS with Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?. Ahi Evran Med J. 2021;5:55–60.
MLA Soyalıç, Harun and Raşit Kılıç. “Does Pediatric OSAS With Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?”. Ahi Evran Medical Journal, vol. 5, no. 1, 2021, pp. 55-60, doi:10.46332/aemj.840728.
Vancouver Soyalıç H, Kılıç R. Does Pediatric OSAS with Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?. Ahi Evran Med J. 2021;5(1):55-60.

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