Abstract
Amaç:
Nazolakrimal kanal (NLK) tıkanıklığı olan ve eksternal dakriyosistorinostomi
(DSR) yöntemi ile ameliyat edilen hastalarda, lakrimal kemik kalınlığı (LKK)
ile kan serum kalsiyum düzeyi arasındaki ilişkinin incelenmesi amaçlanmıştır.
Gereç ve Yöntemler:
NLK tıkanıklığı nedeni ile eksternal DSR ameliyatı yapılan 45 hastanın dosyası
geriye dönük olarak incelendi. Cerrahi sırasında lakrimal kemik parçası
mikro-motor yardımıyla çıkarılarak, kemik pencere oluşturuldu. Kemiğin anatomik
olarak dikey ve yatay boyutları ile üst, orta ve alt bölümlerinin kalınlıkları
mikroskop altında pergel yardımı ile ölçülerek bu değerlerin kan serum kalsiyum
düzeyleri ile ilişkisi incelendi.
Bulgular:
Hastaların (n=45) yaş ortalaması 54,07±11,67 idi ve yaş aralığı 27-77 idi.
Hastaların cinsiyet dağılımı sırasıyla, erkek (n=8) % 17,80, kadın (n=37) %
82,20 şeklindeydi. NLK tıkanıklığı sebebiyle eksternal DSR ameliyatı yapılan
hastaların dosyaları incelendi. Çıkarılan nazolakrimal kemiklerin alanlarının
ortalaması 54,17±17,74 mm2 idi. LKK ise üst, orta ve alt 1/3’lük
kısımlarda sırasıyla ortalama 1,45±0,60 mm, 2,13±0,86 mm ve 2,50±0,81 mm olarak
bulunmuştur. Ortama kan serum kalsiyum düzeyi 9,35±0,36 mg/dl olarak bulundu.
Sonuç:
LKK ölçümleri açısından kadın-erkek arasında istatistiksel açıdan fark
bulunmamıştır. (p>0,05) Ayrıca LKK ile kan serum kalsiyum düzeyleri arasında
da herhangi bir korelasyon bulunmamıştır. (p>0,05) Kadınlarda ve erkeklerde
kan serum kalsiyum düzeyi açısından anlamlı bir fark bulunamadı. (p>0,05)
References
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- 8. Hartikainen J, Aho HJ, Seppä H, Grenman R. Lacrimal bone thickness at the lacrimal sac fossa. Ophthalmic Surgery, Lasers and Imaging Retina 1996;27(8):679-684.
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- 12.Tang BM, Eslick GD, Nowson C, Smith C, Bensoussan A. Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: a meta-analysis. Lancet 2007;370:657–666.
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- 14. Dawson-Hughes B, Harris SS, Krall EA, Dallal GE. Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older N Engl J Med 1997;337:670–676.
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Abstract
References
- 1. Bartley GB. Acquired lacrimal drainage obstruction: an etiologic classification system, case reports and a review of the literature. Part I. Ophthal Plast Reconstr Surg 1992;8(4):237-242
- 2. Tarbet KJ, Custer PL. External dacryocystorhinostomy. Surgical success, patient satisfaction and economic costs. Ophthalmology. 1995;102:1065–70.
- 3. Zhu K, Prince RL. Calcium and bone. Clin Biochem. 2012;45(12):936-42
- 4. Zhu K, Greenfield H, Zhang Q, Du X, Ma G, Foo LH, et al. Growth and bone mineral accretion during puberty in Chinese girls: a five-year longitudinal study. J Bone Miner Res 2008;23:167–72.
- 5. Vatanparast H, Baxter-Jones A, Faulkner RA, Bailey DA, Whiting SJ. Positive effects of vegetable and fruit consumption and calcium intake on bone mineral accrual in boys during growth from childhood to adolescence: the University of Saskatchewan Pediatric Bone Mineral Accrual Study. Am J Clin Nutr 2005;82:700–6.
- 6. Nordin BE, Need AG, Steurer T, Morris HA, Chatterton BE, Horowitz M. Nutrition, osteoporosis, and aging. Ann N Y Acad Sci 1998;854:336–351.
- 7. Prince RL. Counterpoint: estrogen effects on calcitropic hormones and calcium homeostasis. Endocr Rev 1994;15:301–309.
- 8. Hartikainen J, Aho HJ, Seppä H, Grenman R. Lacrimal bone thickness at the lacrimal sac fossa. Ophthalmic Surgery, Lasers and Imaging Retina 1996;27(8):679-684.
- 9. Fayet B, Racy E, Assouline M, Zerbib M. Surgical anatomy of the lacrimal fossa: a prospective computed tomodensitometry scan analysis. Ophthalmology 2005;112(6):1119-1128.
- 10. Oestreicher JH, Chung HT, Hurwitz JJ. The correlation of clinical lacrimal bone density and thickness, established at the time of DCR surgery, with systemic bone mineral densitometry testing. Orbit 2000;19(2):73-79.
- 11. Tai V, Leung W, Grey A, Reid IR, Bolland MJ. Calcium intake and bone mineral density: systematic review and meta-analysis. Bmj 2015:351, h4183.
- 12.Tang BM, Eslick GD, Nowson C, Smith C, Bensoussan A. Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: a meta-analysis. Lancet 2007;370:657–666.
- 13. Kimmel DB, Recker RR, Gallagher JC, Vaswani AS, Aloia JF. A comparison of iliac bone histomorphometric data in post-menopausal osteoporotic and normal subjects. Bone and Mineral 1990;11(2):217-235.
- 14. Dawson-Hughes B, Harris SS, Krall EA, Dallal GE. Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older N Engl J Med 1997;337:670–676.
- 15. Prince RL, Devine A, Dhaliwal SS, Dick IM. Effects of calcium supplementation on clinical fracture and bone structure: results of a 5-year, double-blind, placebocontrolled trial in elderly women. Arch Intern Med 2006;166:869–875.
- 16. Chapuy MC, Arlot MF, Duboeuf F, Brun J, Crouzet B, Arnaud S, et al. Vitamin D3 andcalciumto prevent hip fractures in elderlywomen. N Engl JMed 1992;327:1637–1642.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | June 28, 2019 |
| Submission Date | January 7, 2019 |
| Published in Issue | Year 2019 Volume: 9 Issue: 2 |
The published articles in SMJ are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.