{"id":864,"date":"2024-04-29T04:24:05","date_gmt":"2024-04-29T01:24:05","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=864"},"modified":"2024-04-29T04:24:05","modified_gmt":"2024-04-29T01:24:05","slug":"burun-ve-burun-boslugu-tumorleri","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/burun-ve-burun-boslugu-tumorleri\/","title":{"rendered":"Burun ve burun bo\u015flu\u011fu t\u00fcm\u00f6rleri"},"content":{"rendered":"<p><strong>Burun ve Burun bo\u015flu\u011fu t\u00fcm\u00f6rleri: <\/strong><\/p>\n<p>Burun bo\u015flu\u011fu t\u00fcm\u00f6rleri, selim ve habis t\u00fcm\u00f6rler olarak iki k\u0131sma ayr\u0131l\u0131r. S\u0131ras\u0131 ile g\u00f6zden ge\u00e7irecek olursak;<\/p>\n<p><strong>Selim T\u00fcm\u00f6rler:<\/strong><br \/>  1. Fibrom:<br \/>  -Spontan (kendili\u011finden, aniden) kanama yapabilirler. Tedavilerinde, lezyon taraf\u0131nda geni\u015f rezeksiyon yap\u0131larak lezyon \u00e7\u0131kar\u0131l\u0131r ve tampon konularak operasyon sonland\u0131r\u0131l\u0131r.<\/p>\n<p>2. Angiom, Fibroangiom:<br \/>  -Bir taraf burun bo\u015flu\u011funda, tek tarafl\u0131, pedik\u00fcll\u00fc yap\u0131lard\u0131r. <br \/>  -Septumun Kisselbach (\u00f6n) b\u00f6lgesine tutunmu\u015ftur. <br \/>  -Kanama yapar, burun t\u0131kan\u0131kl\u0131\u011f\u0131 olabilir<br \/>  -Gen\u00e7 k\u0131zlarda s\u0131kt\u0131r,<br \/>  -Gebelik ve menstr\u00fcasyonda b\u00fcy\u00fcr.<\/p>\n<p>3. Kondrom:<br \/>  -Nadir g\u00f6r\u00fcl\u00fcr <br \/>  -Septum orta ve alt b\u00f6lgesinde yerle\u015fir.<\/p>\n<p>4. Osteom: Daha s\u0131k g\u00f6r\u00fcl\u00fcr <br \/>  -Kemik septumda (vomer, ethmoidin lamina perpendicularisi), maksiller ve bilhassa frontal sin\u00fcslerde g\u00f6r\u00fcl\u00fcr.<br \/>  -Ba\u015fa\u011fr\u0131lar\u0131 ve sekonder sin\u00fczite yol a\u00e7ar<br \/>  -Burun t\u0131kan\u0131kl\u0131\u011f\u0131 yapar. <br \/>  Tedavisinde, Eksternal yolla (tercihan) geni\u015f rezeksiyon uygulan\u0131r. <\/p>\n<p>5. Papillom: <br \/>  -Ekseriya t\u00fcberk\u00fcloz, sifiliz lezyonlar\u0131 \u00fczerinde geli\u015fir.<br \/>  -Bazen tek ba\u015f\u0131nada olabilir.<br \/>  -Larinks,farinks, papillomlar\u0131ndan inok\u00fclasyon veya vir\u00fcsler sorumlu tutulmaktad\u0131r<br \/>  -Kanama veya obstr\u00fcksiyon yapabilirler <br \/>  -Tedavi, elektrokoterizasyon ile yap\u0131l\u0131r.<\/p>\n<p>6. Retansiyon kistleri: <br \/>  -\u00d6zellikle maksiler sin\u00fcslerde g\u00f6r\u00fcl\u00fcr<br \/>  -S\u0131kl\u0131kla semptomatik bulgu vermezler .<\/p>\n<p>7. Mukoseller: <br \/>  -Enflamasyon, deskuamasyon ve sekresyon \u00fcr\u00fcnlerinin retansiyonu ile olu\u015fan salg\u0131 kistleridir,<br \/>  -S\u0131kl\u0131kla frontal sin\u00fcs yerle\u015fimlidir,<br \/>  -Etraf kemik dokuda erezyon yapabilirler<\/p>\n<p>8. Dermoid kistler: <br \/>  -S\u0131kl\u0131kla nazofrontal a\u00e7\u0131da (Burun s\u0131rt\u0131 ile al\u0131n birle\u015fkesiaras\u0131nda) geli\u015firler<\/p>\n<p>9. Dental kistler<br \/>  10.Kolesteatoma<br \/>  11. Eozinofilik gran\u00fcloma:<br \/>  12. Fibr\u00f6z displaziler <br \/>  Habis T\u00fcm\u00f6rler: <br \/>  Burun ve Burun bo\u015flu\u011fu habis t\u00fcm\u00f6rlerini, Sarkomlar ve Karsinomlar olarak g\u00f6zden ge\u00e7irece\u011fiz.<\/p>\n<p>1. Sarkomlar:<\/p>\n<p>-Fibrosarkom ve<\/p>\n<p>-Lenfosarkom olarak ikiye ayr\u0131l\u0131rlar.<\/p>\n<p>2. Karsinomlar:<\/p>\n<p>-Yass\u0131 epitel h\u00fccreli karsinom<br \/>  -Adeno karsinom <br \/>  -Silendrom <br \/>  -N\u00f6ro-karsinom (olfactorius neuro-epitelinden)<br \/>  -Metastatik t\u00fcm\u00f6rler \u015feklinde s\u0131ralan\u0131r. <\/p>\n<p>  Klinik olarak \u015fu belirtiler g\u00f6zlenir. <br \/>  -Burun ak\u0131nt\u0131s\u0131 (m\u00fck\u00f6z, m\u00fckop\u00fcr\u00fclan, \u00f6zellikle sarkomlarda epistaksis)<br \/>  -T\u0131kan\u0131kl\u0131k,<br \/>  -Koku alma bozuklu\u011fu <br \/>  -K\u00f6t\u00fc koku<br \/>  -Kulak belirtileri <br \/>  -A\u011fr\u0131lar <br \/>  -Orbita sorunlar\u0131<br \/>  -Nazofarinks patolojileri <br \/>  -Kafa i\u00e7i yak\u0131nmalar\u0131 gibi g\u00f6r\u00fcl\u00fcr.<\/p>\n<p>Ohngren Hatt\u0131: Paranazal t\u00fcm\u00f6rlerin anatomik yerle\u015fiminin tan\u0131mlamas\u0131nda kullan\u0131l\u0131r. G\u00f6z\u00fcn medial kantusundan mandibula a\u00e7\u0131s\u0131na \u00e7ekilen ve maksiller antrumu antero-inferior ve postero-superior k\u0131s\u0131mlara ay\u0131ran hayali bir \u00e7izgidir. Bu \u00e7izginin \u00f6n\u00fcnde kalan t\u00fcm\u00f6rler daha benign arkas\u0131ndakiler daha malign karekterdedir<\/p>\n<p>\u00a7  Rinorhea: Hafif kanl\u0131 intermitten hafif epistaksis<br \/>  \u00a7  Burun t\u0131kan\u0131kl\u0131\u011f\u0131<br \/>  \u00a7  Orta kulak semptomlar olan a\u011fr\u0131 ve i\u015fitme kayb\u0131<br \/>  \u00a7  \u015eiddetli a\u011fr\u0131lar (trigeminus bask\u0131s\u0131 nedeni ile)<br \/>  \u00a7  Rinolali (ge\u00e7 d\u00f6nemde)<br \/>  \u00a7  Servikal lenfadenopati<br \/>  \u00a7  Foramen lacerumdan, k\u0131sa s\u00fcrede kafa i\u00e7ine ge\u00e7er ve sfenoid sin\u00fcs, sin\u00fcs cavernosus hatta sella t\u00fcrsika yay\u0131l\u0131m\u0131 olur. Trigeminus ve di\u011fer sinirlere kafa i\u00e7i ve d\u0131\u015f\u0131nda bas\u0131n\u00e7 yapar.<\/p>\n<p><strong>Metaztazlar:<\/strong><br \/>  \u00a7  Lenfojen (yak\u0131n): Retrofaringeal lenf bezleri, parafaringeal bezler (retromandibuler)<br \/>  \u00a7  Hematojen (uzak): \u0130skelet, karaci\u011fer, akci\u011fer, dalak (%8 vakada). <\/p>\n<p><strong>Te\u015fhis:<\/strong><br \/>  \u00a7  Rinoskopi posterior, endoskopik bak\u0131<br \/>  \u00a7  Biopsi<br \/>  \u00a7  Radyolojik, bilgisayarl\u0131 tomografik tetkik yap\u0131labilir. <\/p>\n<p><strong>Tedavi: <\/strong><br \/>  \u00a7  Ge\u00e7 semptom verdi\u011finden prognoz k\u00f6t\u00fcd\u00fcr<br \/>  \u00a7  Be\u015f y\u0131ll\u0131k sa\u011f kal\u0131m s\u00fcresi %15 kadard\u0131r<br \/>  \u00a7  Cerrahi tedavi pek ba\u015far\u0131l\u0131 olamamaktad\u0131r<br \/>  \u00a7  S\u0131kl\u0131kla tedavi radyokemoterapi \u015feklinde yap\u0131l\u0131r.<\/p>\n<p>Prof. Dr. Sel\u00e7uk ONART<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Burun ve burun bo\u015flu\u011fu t\u00fcm\u00f6rleri Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[32,114,70,42,279],"class_list":["post-864","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-burun","tag-gec","tag-sik","tag-tedavi","tag-tumorler"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/864","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/comments?post=864"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/864\/revisions"}],"predecessor-version":[{"id":865,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/864\/revisions\/865"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=864"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=864"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=864"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}