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Neprepoznati simptomi i pogrešno liječenje malignih tumora nosnog kavuma i paranazalnih sinusa

Authors: Leović, Dinko; Virag, Mišo;

Neprepoznati simptomi i pogrešno liječenje malignih tumora nosnog kavuma i paranazalnih sinusa

Abstract

Provedeno je retrospektivno istraživanje bolesnika liječenih od 1976. do 1997. zbog malignog tumora paranazalnih sinusa na Klinici za kirurgiju lica, čeljusti i usta u Zagrebu. Cilj istraživanja bio je odrediti učestalost i obrazac neprepoznavanja simptoma bolesti i pogrešnog liječenja. Korišteni su anamnestički podaci 75 bolesnika. Rezultati ukazuju da je u gotovo 50% bolesnika tumor neprepoznat i pogrešno liječen. Studija je otkrila da se najčešće ne prepoznaju inicijalni simptomi vezani za usnu šupljinu (32%), zatim nazalni simptomi (27%), facijalni simptomi u 24%, dok su okulami bili neprepoznati u 15% bolesnika. Najveći udio u pogrešnom liječenju ispitivane skupine imali su stomatolozi (41,5%) i otorinolaringolozi (23,3%). Ostale medicinske specijalnosti sudjelovale su u pogrešnom liječenju ispitivane skupine u manje od 20%, svaka. Rezultati ove studije ukazuju da svaki jednostrani "upalni" proces usne šupljine, nosa i/ili sinusa, orbite, u kojeg nakon dva tjedna liječenja ne dolazi do poboljšanja, zahtijeva dodatnu dijagnostičku obradu. Patognomonični simptomi zahtijevaju dijagnostičku obradu odmah.

Retrospective study of the patients treated from 1976 to 1997 in Maxillofacial Department, University Hospital Dubrava, Zagreb due to malignant tumour of paranasal sinuses has been conducted. The aim of study was to evaluate the frequency of non-recognition of the initial symptoms and wrong treatment. The results revealed that, in almost 50% of patients the tumour was not recognised and mistreated. The vast majority of non-recognised symptoms were related to oral cavity (32%), followed by nasal symptoms (27%), facial symptoms (24%) and ocular symptoms in 15%. Dentists participated in mistreating of the studied group in 41,5%, otorhinolaryngologists in 23,3%. Other medical profiles participated in less than 20%, each. Results of this study suggest that any unilateral inflammatory process in the oral cavity, nasal cave and/or paranasal sinuses and orbit, in which after two weeks of treatment no improvement has been detected, requires further diagnostic analysis. Pathognomonic symptoms require diagnostic analysis immediately.

Keywords

Treatment, Neoplasms, Nasal cavum, Paranazalni sinusi - simptomi, Paranasal sinuses - symptoms, Maligni tumori, Nosni kavum, Liječenje

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
bronze