The Presence and Severity of Inferior Turbinate Hypertrophy in Patients with Hypertrophic Scars.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Medical Bulletin of Sisli Etfal Hospital Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI:10.14744/SEMB.2024.78785
Duygu Erdil, Ozan Ozdemir, Vildan Manav
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Abstract

Objectives: This study aimed to investigate the presence and severity of inferior turbinate hypertrophy (ITH) in patients with hypertrophic scars (HTS).

Methods: This case-control study was conducted with patients diagnosed with HTS during dermatologic examination and a control group without HTS. An otolaryngologist evaluated the presence and severity of inferior turbinate hypertrophy by anterior rhinoscopy.

Results: ITH was more common in patients with HTS compared to the control group (64%, and 34%, respectively) (p=0.014). In the HTS group, 48% of patients had grade 2, and 16% had grade 3 ITH; in the control group, 24% had grade 2, and 10% had grade 3 ITH (p=0.046). Also, ITH was higher in patients who complained of pruritus or pain (83%, and 80%, respectively) in the HTS than in asymptomatic HTS patients (p=0.020).

Conclusion: A higher number of patients with HTS had ITH compared to the control group, especially those who reported pruritus or pain associated with scar. Given the limited understanding of the full pathogenesis and treatment of HTS and ITH, their association potentially provides new insights into these related conditions.

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肥厚性疤痕患者下鼻甲肥大的存在与严重程度
研究目的本研究旨在调查增生性疤痕(HTS)患者是否存在下鼻甲肥大(ITH)及其严重程度:这项病例对照研究的对象是在皮肤科检查中被确诊为 HTS 的患者和没有 HTS 的对照组。耳鼻喉科医生通过前鼻镜检查评估下鼻甲肥大的存在和严重程度:与对照组相比,下鼻甲肥大在 HTS 患者中更为常见(分别为 64% 和 34%)(P=0.014)。在 HTS 组中,48% 的患者有 2 级 ITH,16% 的患者有 3 级 ITH;在对照组中,24% 的患者有 2 级 ITH,10% 的患者有 3 级 ITH(P=0.046)。此外,与无症状的 HTS 患者相比,HTS 患者中主诉瘙痒或疼痛的 ITH 患者比例更高(分别为 83% 和 80%)(P=0.020):结论:与对照组相比,有更多的 HTS 患者患有 ITH,尤其是那些报告瘙痒或疼痛与疤痕有关的患者。鉴于人们对 HTS 和 ITH 的全部发病机制和治疗方法了解有限,它们之间的关联可能会为了解这些相关疾病提供新的视角。
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Medical Bulletin of Sisli Etfal Hospital
Medical Bulletin of Sisli Etfal Hospital MEDICINE, GENERAL & INTERNAL-
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