Fatores preditivos para realização de cirurgia nasal em uma clínica de otorrinolaringologia no sul do Brasil, no ano de 2007 / Predictive factors for doing nasal surgery in an otolaryngology clinic of in southern Brazil, in 2007
Rev. AMRIGS
; 53(1): 22-27, jan.-mar. 2009. tab, graf
Article
in Pt
| LILACS
| ID: biblio-848155
Responsible library:
BR18.1
Localization: BR18.1
RESUMO
Introdução:
Avaliar os principais fatores de risco para realização de cirurgia nasal e relacionar a sensibilidade aos alérgenos inalatórios testados através do RAST e a necessidade dessa cirurgia.Métodos:
Foi realizado estudo observacional, longitudinal do tipo coorte retrospectiva, de 155 pacientes que realizaram o RAST no ano de 2007, onde foram analisados sexo, idade, sintomas alérgicos (espirros, obstrução nasal, prurido ocular, prurido nasal e prurido otológico), perfil do RAST, IgE total, IgA, tipo de cirurgia, realização de cirurgia, número de cirurgias, melhora dos sintomas e recidiva dos sintomas clínicos obstrutivos.Resultados:
Foi observado como fator de risco para cirurgia nasal obstrução nasal (RR2,38~ p<0,001), hipertrofia dos cornetos nasais (RR2,66~ p<0,001), desvio de septo nasal (RR2,66~ p<0,001), amigdalites de repetição (RR1,41~ p=0,02), sinusite crônica (RR1,37~ p=0,02) e sensibilidade a fungos testada do RAST (RR1,62~ p=0,14).Conclusão:
Obstrução nasal, hipertrofia dos cornetos, desvio de septo nasal, amigdalites de repetição, sinusite crônica e sensibilidade a fungos foram fatores de risco para realização de cirurgia nasal. A sensibilidade aos alérgenos testados através RAST grupo específico não se relacionou de forma estatisticamente significativa com a realização de cirurgia nasal, mas sim com as condições clínicas que levam ao tratamento cirúrgico (AU)ABSTRACT
Introduction:
To evaluate the main risk factors for performing nasal surgery and to relate sensitivity to inhalatory allergens as tested through RAST to the need for this surgery.Methods:
An observational longitudinal study was performed with a retrospective cohort of 155 patients who underwent RAST in 2007, in which the following factors were analyzed sex, age, allergic symptoms (sneezing, nasal obstruction, eye pruritus, ear pruritus) RAST profile, total IgE, IgA, surgery type, surgery performance, number of surgeries, improvement of symptoms, and relapse of obstructive clinical symptoms.Results:
The following were identified as risk factors for nasal surgery nasal obstruction (RR2.38~ p<0.001), hypertrophy of the nasal cornets (RR2.66~ p<0.001), nasal septum deviation (RR2.66~ p<0.001), repetition amygdalitis (RR1.41~ p=0.02), chronic sinusitis (RR1.37~ p=0.02) and sensitivity to fungi as tested by the RAST (RR1.62~ p=0.14).Conclusion:
Nasal obstruction, cornets hypertrophy, nasal septum deviation, repetition amygdalitis, chronic sinusitis, and sensitivity to fungi were risk factors for the performance of nasal surgery. Although the sensitivity to allergens tested through group-specific RAST was not significantly related to nasal surgery performance, it was significantly related to the clinical conditions that lead to the surgical approach (AU)Key words
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Collection:
01-internacional
Database:
LILACS
Main subject:
Respiratory Hypersensitivity
/
Nasal Obstruction
/
Nose
/
Predictive Value of Tests
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
America do sul
/
Brasil
Language:
Pt
Journal:
Rev. AMRIGS
Journal subject:
MEDICINA
Year:
2009
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil