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Abstract
AGE FEATURES OF BONE TISSUE DENSITY IN THE POSTERIOR AND INFERIOR WALLS OF THE FRONTAL SINUS
Gargin V.V., Lupyr A.V., Alekseeva V.V., YurevychN.O.
Chronic rhinosinusitis is a significant social, medical and economical problem. Elderly patients are unique among all groups of patients. The purpose of our study was to determine physiological variability of frontal sinus in the posterior and inferior walls and to compare it with variability in purulent-polypous rhinosinusitis. Subjects and methods: The study involved SCT examination of 40 male patients: 10 tomograms of patients aged 30-40 and 10 of patients aged 75-85. The tomograms of patients without ENT diseases were used for the control group. The study group included tomograms of patients aged 30-40 and 75-85 with chronic rhinosinusitis. Results. An average bone density of the posterior and inferior walls of the frontal sinuses was calculated. The bone density of the group aged 30-40 was 191.5±11.6ͦHu in the inferior wall, 176.6±21ͦHu in the posterior and 169.1±16.8ͦHu and 164±21ͦHu in the group aged 75-85 according to the above order. The study showed pronounced changes in the bone density in purulent-polypous frontal sinusitis. In the group aged 30-40 it was as follows: 120.1±8.3ͦHu, 162.1±24ͦHu in the inferior wall and 101.4±6.95ͦHu, 127.4.8 ±15.4ͦHu in the posterior wall. Conclusions: It can be assumed that the decrease in the bone density is associated with age. And it is more severe in case of chronic frontal sinusitis.
Key words: Frontal sinus, CT, elderly, bone density.
ВІКОВІ ОСОБЛИВОСТІ ЩІЛЬНОСТІ КІСТКОВОЇ ТКАНИНИ ЗАДНЬОЇ ТА НИЖНЬОЇ СТІНКИ ЛОБНОГО СИНУСУ
Алєксєєва В.В., Гаргін В.В., Лупир А.В., Юревич Н.О.
Хронічний риносинусит є значною соціальною, медичною та економічною проблемою. Пацієнти похилого віку займають особливе місце серед усіх пацієнтів. Метоюнашого дослідження стало визначення фізіологічної вікової мінливості задньої та нижньої стінок лобної пазухи та порівняння її з такою при хронічних гнійно-поліпозних фронтитах.Матеріали та методи. Ми дослідили результати 40 комп'ютерних томограм людей чоловічої статі: 10 томограм чоловіків 30-40 років та 10 - 75 - 85 років. без ознак ЛОР-патології та по 10 томограм пацієнтів віком від 30 до 40 років і 75 до 85 років з хронічним гнійно – поліпозним фронтитом. Результати. Була підрахована середня щільність кісткової тканини задньої та нижньої стінок фронтального синуса. Щільність кісткової тканинив групі чоловіків 30-40 років склала: в області нижньоїстінки 191,5 ± 11,6ͦHu. задньої - 176,6 ± 21ͦHu, а в групі чоловіків 75-85 років:. 169,1 ± 16,8ͦHu і 164 ± 21ͦHu. згідно до наведеного вище порядку. Ми відмітили також зміни щільності кісткової тканини при гнійно-поліпозному фронтальному синуситі. У віці від 30 до 40 років вона склала: в області нижньої стінки – 120,1 ± 8,3ͦHu, а задньої стінці - 162,1 ± 24ͦHu (група віком 30 – 40 років) та 101,4 ± 6,95ͦHu, 127,4,8 ± 15,4ͦHu відповідно (група чоловіків 75 – 85 років)
Висновки: Можна припустити, що вік впливає нащільність нижньої та задньої стінки кістковоїтканини лобного синусу. В той же час наявність хронічного запального процесу (хронічного гнійно – поліпозного фронтального синуситу) посилює цей вплив.
Ключові слова: фронтальний синус, CКT, старіння, щільність кісток.
ВОЗРАСТНЫЕ ОСОБЕННОСТИ ПЛОТНОСТИ КОСТНОЙ ТКАНИ ЗАДНЕЙ И НИЖНЕЙ СТЕНКИ ЛОБНОГО СИНУСА
Алексеева В.В., Гаргин В.В., Лупырь А.В., Юревич Н.А.
Хронический риносинусит является значительной социальной, медицинской и экономической проблемой. Пациенты пожилого возраста занимают особое место среди всех групп пациентов. Целью нашего исследования стало определение физиологической возрастной изменчивости задней и нижней стенок лобной пазухи и сравнение ее с таковой при хронических гнойно-полипозных фронтитах. Материалы и методы: мы исследовали результаты 40 компьютерных томограмм людей мужского пола: 10 томограмм мужчин 30-40 лет и 10 – 75 - 85 лет без признаков ЛОР-патологии и по 10 томограмм пациентов в возрасте от 30 до 40 лет и 75 до 85 лет с хроническим гнойно - полипозных фронтитом. Результаты. Была подсчитана средняя плотность костной ткани задней и нижней стенок фронтального синуса. Плотность костной ткани в группе мужчин 30-40 лет составила: в области нижней стенки 191,5 ± 11,6ͦHu. задней - 176,6 ± 21ͦHu, а в группе мужчин 75-85 лет:. 169,1 ± 16,8ͦHu и 164 ± 21ͦHu. согласно приведенному выше порядке. Мы отметили также изменения плотности костной ткани при гнойно-полипозных фронтальном синусите. возрасте от 30 до 40 лет она составила: в области нижней стенки - 120,1 ± 8,3ͦHu, а задней стенке - 162,1 ± 24ͦHu (группа в возрасте 30 - 40 лет) и 101,4 ± 6,95ͦHu, 127 , 4,8 ± 15,4ͦHu соответственно (группа мужчин 75 - 85 лет). Выводы: Можно предположить, что возраст влияет на плотность нижней и задней стенки костной ткани лобного синуса. В то же время наличие хронического воспалительного процесса (хронического гнойно - полипозного фронтального синусита) усиливает это отрицательное влияние.
Ключевые слова: фронтальный синус, CКT, старение, плотность кости
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