Mehmet Eken

Prevalence of adenoid hypertrophy and nocturnal enuresis in primary school children in Istanbul, Turkey

OBJECTIVE The purpose of this study is to investigate the prevalence of an existing relationship between adenoid hypertrophy and nocturnal enuresis in primary school children. METHODS The study was performed in four primary schools that were chosen randomly in Kartal, Istanbul. The childrens parents were asked to fill out a questionnaire that included questions concerning the associated symptoms of adenoid hypertrophy and nocturnal enuresis. The interrelations between adenoid hypertrophy and nocturnal enuresis items were examined by X2 tests. RESULTS The study population consisted of 1132 (625 girls, 621 boys) primary school children between 5 and 14 years of age (mean 9.59+/-2.60 years). The children were divided into three groups with 5-7 years old children in Group I (n=232), 8-10 years old children in Group II (n=506) and 11-14 years old children in Group III (n=394). Of the 1132 distributed questionnaires, 1090 (87.4%) were filled in adequately and were accepted for evaluation. Prevalence of adenoid hypertrophy in school children was found to be 58 in Group I (27%), 94 in Group II (19.5%) and 78 in Group III (19.9%). Prevalence of nocturnal enuresis in school children was found to be 35 in Group I (15.1%), 51 in Group II (10.1%) and 18 in Group III (4.6%). No statistically significant association was present between adenoid hypertrophy and nocturnal enuresis in either Group I, II or III school children. CONCLUSION In contrast to previous studies, our prevalence study did not find an association between adenoid hypertrophy and nocturnal enuresis. Thus, this prevalence study provides otolaryngologists new and interesting information.

Rosai–Dorfman disease: sinus histiocytosis with massive lymphadenopathy

A 25-year-old man presented with a 3 month history of a painless mass on the right side of his neck. Physical examination revealed a smooth surfaced, bilobed, 4×3 cm, semimobile mass at the right and 3×2 cm at the left jugulodigastric region. Endoscopic examination of the patient showed a granular tumour in both nasal cavities. After biopsies were taken from the mass from the nasal cavity, a diagnosis of Rosai–Dorfman disease was made. A conservative approach was taken to treatment and after the 6 month follow-up period, the patient was in a stable condition.

Myeloperoxydase Expression in The Pathogenesis of Nasal Polyps

Nasal polyps are benign mucosal protrusions that expand into the nasal cavity. There are no any etiological factors that may explain the pathogenesis of nasal polyps but currently inflammation continues to be the major factor. As a result of inflammation, neutrophils become activated and migrate to the inflammatory area and form their bactericidal effects by producing free oxygen radicals. The objective of our study is to investigate the expression of myeloperoxydase enzyme, which is usually an indicator of leukocyte infiltration and is responsible in the formation of free oxygen radicals in polyp tissues and to determine its role in the pathogenesis of nasal polyps.

The effects of allergic rhinitis on growth, development and body mass indexes in school children

ObjectiveThe purpose of this study is to determine the frequency of allergic rhinitis (AR) in children and investigate if allergenic rhinitis demonstrated any effects on developmental growth levels and body mass indexes (BMI) in children.Materials and methods651 students, between 3–15 years of age who were randomly selected from four elementary schools located at Kartal, Istanbul were assessed according to symptoms and the presence of AR by nasal examination with the aid of a 0 degree 2.7 mm hand rigid endoscope. Height and weight percentile values of students regarding growth according to age and their BMI were calculated and statically assessed. Results obtained are presented.ResultsFindings obtained from a questionnaire and clinical examination does not allow us to perform a definite differentiation regarding in school children at age 3–5. The prevalence of AR in girls is higher. However, there are no any significant differences regarding BMIs in children with or without AR (p < 0,142). But there are statistically significant differences regarding height and weight percentiles in children with and without AR. Accordingly, there was a tendency in children diagnosed with AR to display low values related with height and weight percentiles. In Pearson chi-square testing, p values of percentile values related with weight (p < 0,032) and p values of percentiles related with height (p < 0,001) were determined.ConclusionAR prevalence was higher in girls independently from BMI values. We determined a strong relationship between BMI values and AR dependant to age and gender.

Prevalence of Otitis Media with Effusion Among Primary School Age-Children and Etiopathogenic Examination

A prevalence study was carried out in order to look into the etiopathogenic relation of otitis media with effusion (OME) in primary school-age children. The study included ENT examination and a questionnaire that was carried out in 4 randomly selected schools on 1,165 children. 143 of the cases (12.2%) had OME. A significant relation between OME and adenoid vegetation was found (P<0.01) while no significant relation between EOM and recurrent tonsillitis and allergic rhinitis was found (P>0.05). As a result, OME is a common disease that can lead to other hard-to-cure health problems and be costly if etiopathogenic factors are not resolved on time.