Turkiye Klinikleri Archives of Lung

.: ORIGINAL RESEARCH
Diş Teknisyenlerinde Yüksek Rezolüsyonlu Bilgisayarlı Tomografi ve Solunum Fonksiyon Testleri İncelemesi ile Pnömokonyozun Saptanması
Detection of Pneumoconiosis by Dental Technician High Resolution Computed Tomography and Pulmonary Function Analysis
Yasemin ARI YILMAZa, Meftun ÜNSALa, Muzaffer ELMALIb
aOndokuz Mayıs Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları ABD, Samsun, TÜRKİYE
bOndokuz Mayıs Üniversitesi Tıp Fakültesi, Radyoloji ABD, Samsun, TÜRKİYE
Turkiye Klinikleri Arch Lung. 2021;20(1):13-8
doi: 10.5336/archlung.2020-73599
Article Language: TR
Full Text
ÖZET
 Amaç: Diş teknisyenlerinin işleri nedeniyle maruz kaldıkları maddelere bağlı gelişen interstisyel akciğer hastalığına 'diş teknisyeni pnömokonyozu' denilmektedir. Çalışmamızda bu iş grubunda pnömokonyoz saptanan hastalar, hastaların solunum sistemin semptomları ve yüksek rezolüsyonlu bilgisayarlı tomografi (YRBT) bulguları değerlendirmek amaçlandı. Gereç ve Yöntemler: Samsun ilindeki ruhsatlı tüm diş protez laboratuvarları bilgilendirildikten sonra, polikliniğimize çalışmaya katılmak amacı ile başvuran kişilerden anket formu dolduranlara, solunum fonksiyon testi (SFT) ve yüksek rezolüsyonlu bilgisayarlı tomografi incelemesi yapıldı. Bulgular: Çalışmaya, 1'i kadın, 71'i erkek 72 kişi alındı. Yaş ortalaması 31 (21-48) idi. Tarama yapılan diş teknisyenlerinin 15'inde pnömokonyoz saptandı. Beş hastada da progresif masif fibrozis saptandı. Hastaların, YRBT bulguları ayrıntılı olarak değerlendirildi. En sık parankimal nodüllere rastlandı. Hasta grubun SFT değerleri normal aralıkta idi. (FEV1: 3584±555 %94±16, FVC: 4280±639 %94±14, FEV1/FVC: %83±4,9) Solunumsal şikâyetleri radyolojik görünüm ile korele değildi. Sonuç: Diş teknisyenlerinin meslek hastalığı olan silikozis hastalığının erken tanınması amacı ile belli aralıklarla YRBT taraması da gerekli olabilir. Geniş çaplı çok sayıda çalışmaya ihtiyaç vardır.

Anahtar Kelimeler: Diş teknisyenleri; silikozis; tomografi
ABSTRACT
 Objective: Intestinal lung disease caused by substances exposed to the work of dental technicians is called 'dental technician pneumoconiosis'. In this study, we aimed to evaluate patients with pneumoconiosis, respiratory symptoms and high resolution computed tomography (HRCT) findings. Material and Methods: After all dental prosthesis laboratories in Samsun were informed, respiratory function test and high resolution computed tomography examination were performed on those who applied to our outpatient clinic to fill in the questionnaire. Results: A total of 72 patients, 1 female and 71 male, were included in the study. The mean age was 31 (21-48) years. Pneumoconiosis was detected in 15 of the dental technicians who were screened. Progressive massive fibrosis was detected in 5 patients. HRCT findings of the patients were evaluated in detail. Parenchymal nodules were the most common. Pulmonary function test values of the patient group were within normal range. (FEV1: 3584±555 94±16%, FVC: 4280±639 94±14%, FEV1/FVC: 83±4.9%) Respiratory complaints did not correlate with radiological appearance. Conclusion: Periodic HRCT screening may also be necessary for early diagnosis of silicosis, which is an occupational disease of dental technicians. A large number of large-scale studies are needed.

Keywords: Dental technicians; silicosis; tomography
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