Bolesti usne šupljine kod pacijenata s nosnom polipozom

master's thesis

• Title (english): Diseases of the oral cavity in patients with nasal polyposis
• Author: Lana Pintarić
• Mentor: Goran Geber (mentor)
• Committee member: Goran Geber (predsjednik povjerenstva)
• Committee member: Robert Trotić (član povjerenstva)
• Committee member: Davor Vagić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Chair of Otorhynolaringology); Zagreb
• Defense date and country: 2021-09-24, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Otorhinolaryngology

Abstract

Nosni polipi dobroćudne su nakupine hiperplastičnog kronično upaljenog tkiva koje su užom ili širom bazom vezane uz sluznicu nosne šupljine ili paranazalnih sinusa. Iako se mogu pojaviti na bilo kojem dijelu sluznice nosne šupljine i paranazalnih sinusa, najčešće ih se može naći na području ostiomeatalnog kompleksa, ušćima sinusa te rubovima tankih etmoidalnih lamela.
Mogu se javiti kao izolirani entitet ili pak kao multiple nakupine i tada se radi o entitetu koji nosi naziv nosna polipoza. Polipi uzrokuju mehaničku opstrukciju gornjih dišnih puteva i čine ih neprohodnima, a često se javljaju udruženi s drugim bolestima kao što su alergijski i nealergijski rinitis, bronhalna asta, cistična fibroza te aspirinska intolerancija. Dijagnosticiraju se prvenstveno kliničkim pregledom i pravilnim uzimnjem anamneze. Liječenje može biti konzervativno, terapijom lokalnim ili sistemskim kortikosteroidima, antibioticima, antihistaminicima i dekongestivima ili uklanjanjem polipoznih masa kirurškim zahvatom.
Kirurški zahvat kojim se uklanjaju polipi funkcionalna je endoskopska sinusna kirurgija koja je minimalno invazivna te maksimalno čuva anatomske strukture, uz zadovoljavajuću restituciju funkcije gornjih dišnih puteva. Pacijenti s uznapredovalom polipozom često zbog opstrukcije nosne šupljine razviju parafunkcijsku naviku disanja na usta. Prilikom takvog načina disanja usna se šupljina prekomjerno isušuje te slina gubi svoju zaštitnu funkciju. Ukoliko takvi uvjeti perzistiraju kroz dulji period, utoliko dolazi do povećanog rizika za nastanak karijesa i parodontitisa, a kod djece i do razvoja ortodontskih anomalija, stoga takvi pacijenti zahtijevaju odgovarajuću stomatološku skrb.

Abstract (english)

Nasal polyps are benign chronically inflamed tissue growths that are connected to an underlying mucous membrane with a thin or thick stem. Even though they occur anywhere on the mucous membrane of the nasal cavity and paranasal sinuses, they are most commonly found in the region of ostiomeatal complex, ostia of paranasal sinuses, and thin-walled ethmoid cells. They can occur as solitary entities or multiple ones, in which case the disease is called nasal polyposis. Nasal polyps cause mechanical obstruction of the upper airway which then becomes blocked. Nasal polyposis is often associated with other diseases such as bronchial asthma, allergic and non-allergic rhinitis, aspirin intolerance, and cystic fibrosis. They are diagnosed primarily through clinical examination and good medical history. Nasal polyposis therapy consists of conservative therapy in which a patient is prescribed topical corticosteroids, systemic corticosteroids, antibiotics, antihistamines, and decongestants. Alternatively, there is an option of surgical removal of nasal polyps if conservative therapy doesn't give satisfactory results. The surgical operation, called functional endoscopic sinus surgery, is used for the removal of the polyps. The surgery is minimally invasive or damaging to the surrounding anatomical structures and provides satisfactory restitution of the upper airway function. Patients with advanced polyposis often develop a parafunctional habit of mouth breathing because their nasal cavity is blocked with polyps. Mouth breathing pattern causes increased drying of the oral cavity and loss of the protective function of the saliva. If these conditions persist over longer time periods, there is an increased risk of developing tooth decay,
periodontal disease, and orthodontic anomalies in children. Therefore, these patients require
proper dental care.

• Keywords: nosni polipi; nosna šupljina; paranazalni sinusi; disanje na usta
• Keywords (english): Nasal Polyps; Nasal Cavity; Paranasal Sinuses; Mouth Breathing
• Language: croatian
• URN:NBN: urn:nbn:hr:127:929250
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Access restricted to students and staff of home institution
• Created on: 2021-10-05 08:08:17