ISSN: 1300 - 6525 E-ISSN: 2149 - 0880
kulak burun boğaz
ve baş boyun cerrahisi dergisi
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ORIGINAL RESEARCH

The Relationship Between Ear Nose Throat Emergencies and Meteorological Events and the Moon Cycle
Acil Kulak Burun Boğaz Başvurularının Meteorolojik Olaylar ve Ay Döngüsü ile İlişkisi
Received Date : 19 Nov 2019
Accepted Date : 12 Feb 2020
Available Online : 26 Feb 2020
Doi: 10.24179/kbbbbc.2019-72449 - Makale Dili: TR
KBB ve BBC Dergisi. 2020;28(1):22-9
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: The aim of this study was to evaluate the relationship between otorhinolaryngologic emergencies except infectious and traumatic causes and meteorological events and the moon cycle. Material and Methods: Otorhinolaryngologic emergency applications except for trauma and infection from January 2013-October 2015, were determined from database of our hospital. Daily temperature (maximum, minimum and average) (Co), daily humidity (maximum, minimum and average) (%), daily maximum and average wind speed (m/min), wind direction (degree) and daily air pressure (maximum, minimum and average) (hPa) values and the phases of the new moon (first quarter, full moon and last quarter) were also determined between the same dates. Results: There were 11.898 emergency applications due to vertigo, epistaxis and Bell’s paralysis within 1.034 days and these were accounted for 10.25% of all ENT applications. Benign paroxymal positional vertigo (BPPV) patients (n=977) accounted for 10.2% of patients with the complaint of vertigo. Positive correlation was found between the frequency of BPPV admission and all pressure and humidity data, while there was a negative correlation between BPPV and all daily temperature values. When all patients with vertigo were considered, there was positive correlation between vertigo and minimum daily pressure, maximum daily humidity and mean humidity values, while there was negative correlation between vertigo and all daily temperature data. Negative correlation was found between daily maximum wind speed and daily average wind speed and frequency of vertigo and BPPV admissions. Negative correlation was also found between the frequency of epistaxis and the maximum daily wind speed. There was no statistically significant relationship between lunar stages and disease frequency. Conclusion: In this study, it was demonstrated that meteorological factors were associated with the incidence of vertigo, BPPV, and epistaxis while there was no relationship between these conditions and the lunar cycle. The findings of our study support the studies in the international literature to a great extent.
ÖZET
Amaç: Enfeksiyöz ve travmatik nedenler dışındaki acil kulak burun boğaz başvuruları ile meteorolojik faktörler ve ay döngüsü arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Hastanemiz veritabanından Ocak 2013-Ekim 2015 tarihleri arasındaki Kulak Burun Boğaz acil başvuru nedenleri belirlenmiştir. Aynı tarih aralığındaki günlük sıcaklık (maksimum, minimum ve ortalama) (Co), günlük nem (maksimum, minimum ve ortalama) (%), günlük maksimum ve ortalama rüzgâr hızı (m/dakika), rüzgâr yönü (derece) ve günlük hava basıncı (maksimum, minimum ve ortalama) (hPa) değerleri ve ayın evreleri olan yeni ay, ilk dördün, dolunay ve son dördün dönemleri tespit edilmiştir. Bulgular: Toplamda 1034 günlük süre boyunca vertigo, epistaksis ve Bell paralizisi nedeni ile 11.898 acil başvurusu olduğu ve bu başvuruların tüm KBB başvurularının %10,25’ini oluşturduğu tespit edildi. Benign paroksismal pozisyonel vertigo (BPPV) tanısı alan hastalar (n=977), vertigo yakınması olan hastaların %10,2’sini oluşturuyordu. BPPV başvuru sıklığı ile tüm basınç ve nem verileri arasında pozitif korelasyon, günlük sıcaklık değerlerinin tümü ile ise negatif korelasyon olduğu tespit edildi. Vertigo ile başvuran tüm hastalar değerlendirildiğinde, vertigo ile günlük minimum basınç, günlük maksimum nem ve ortalama nem değerleri için pozitif korelasyon tespit edilirken; tüm günlük sıcaklık verileri arasında ise negatif korelasyon mevcuttu. Günlük maksimum rüzgâr hızı ve günlük ortalama rüzgâr hızı ile vertigo ve BPPV başvuru sıklığı arasında negatif korelasyon tespit edildi. Epistaksis sıklığı ile günlük maksimum rüzgâr hızı arasında da negatif korelasyon tespit edildi. Ay evreleri ile hastalık sıklığı arasında istatistiksel olarak anlamlı ilişki tespit edilmedi. Sonuç: Bu çalışmada, meteorolojik faktörlerin vertigo, BPPV ve epistaksis ile ilişkili olduğu ortaya konmuş, ancak ay döngüsü ile belirtilen durumların sıklığı arasında herhangi bir ilişki tespit edilmemiştir. Bu konuda Türkiye’de daha önce yapılmış bir çalışma mevcut değildir. Çalışmamızda elde edilen bulgular, literatürdeki çalışmaları büyük ölçüde destekler niteliktedir.
KAYNAKLAR
  1. Danzl DF. Lunacy. J Emerg Med. 1987;5(2): 91-5. [Crossref] 
  2. Vance DE. Belief in lunar effects on human behavior. Psychol Rep. 1995;76(1):32-4. [Crossref]  [PubMed] 
  3. Ruuskanen JO, Sipilä JOT, Rautava P, Kytö V. No association of moon phase with stroke occurrence. Chronobiol Int. 2018;35(8):1168-74.
  4. Cajochen C, Altanay-Ekici S, Münch M, Frey S, Knoblauch V, Wirz-Justice A. Evidence that the lunar cycle influences human sleep. Curr Biol. 2013;23(15):1485-8. [Crossref]  [PubMed] 
  5. Olcese J, Lozier S, Paradise C. Melatonin and the circadian timing of human parturition. Reprod Sci. 2013;20(2):168-74. [Crossref]  [PubMed] 
  6. Duvdevani SI, Migirov L, Wolf M, Yakirevitch A. The rate of spontaneous epistaxis is not linked to the lunar cycle but shows seasonal variations. Chronobiol Int. 2014;31(7):851-4. [Crossref]  [PubMed] 
  7. Schmidt W, Sarran C, Ronan N, Barrett G, Whinney DJ, Fleming LE, et al. The Weather and Ménière's Disease: a longitudinal analysis in the UK. Otol Neurotol. 2017;38(2):225-33. [Crossref]  [PubMed]  [PMC] 
  8. Danielides V, Patrikakos G, Nousia CS, Bartzokas A, Milionis HJ, Lolis C, et al. Weather conditions and Bell's palsy: five-year study and review of the literature. BMC Neurol. 2001;1:7. [Crossref]  [PubMed]  [PMC] 
  9. Saeed BMN, Omari AF. Climatic variations and benign paroxysmal positional vertigo. J Otol. 2017;11(1):33-7. [Crossref]  [PubMed]  [PMC] 
  10. Korpon JR, Sabo RT, Coelho DH. Barometric pressure and the incidence of benign paroxysmal positional vertigo. Am J Otolaryngol. 2019;40(5):641-4. [Crossref]  [PubMed] 
  11. Gürkov R, Strobl R, Heinlin N, Krause E, Olzowy B, Koppe C, et al. Atmospheric pressure and onset of episodes of Menière's disease-a repeated measures study. PLoS One. 2016;11(4):e0152714. [Crossref]  [PubMed]  [PMC] 
  12. Pereira AB, Almeida LA, Pereira NG, Menezes PA, Felipe L, Volpe FM. Seasonality of dizziness and vertigo in a tropical region. Chronobiol Int. 2015;32(5):585-90. [Crossref]  [PubMed] 
  13. Walker TW, Macfarlane TV, McGarry GW. The epidemiology and chronobiology of epistaxis: an investigation of Scottish hospital admissions 1995-2004. Clin Otolaryngol. 2007;32(5):361-5. [Crossref]  [PubMed] 
  14. de DJ, Prim MP, Madero R, Marcos S, Gavilan J. Effect of atmospheric factors on the incidence of Bell's palsy. Eur Arch Otorhinolaryngol. 2002;259(1):53-5. [Crossref]  [PubMed] 
  15. Franzke P, Bitsch A, Walther M, Schiffner R, Rupprecht S, Rasche M, et al. Weather, weather changes and the risk of Bell's palsy: a multicenter case-crossover study. Neuroepidemiology. 2018;51(3-4):207-15. [Crossref]  [PubMed] 
  16. Kokotis P, Katsavos S. Effects of wind chill factor, temperature and other meteorological parameters on the incidence of Bell's palsy: results based on a retrospective, 7-year long, greek population study. Neuroepidemiology. 2015;45(1):44-9. [Crossref]  [PubMed] 
  17. Akdoğan MV, Hızal E, Semiz M, Topal Ö, Akkaş H, Kabataş A, et al. The role of meteorologic factors and air pollution on the frequency of pediatric epistaxis. Ear Nose Throat J. 2018;97(9):E1-5. [Crossref]  [PubMed] 
  18. Sowerby LJ, DeSerres JJ, Rudmik L, Wright ED. Role of season, temperature and humidity on the incidence of epistaxis in Alberta, Canada. J Otolaryngol Head Neck Surg. 2014;43:10. [Crossref]  [PubMed]  [PMC] 
  19. Kózka MA, Bijak P, Chwala M, Mrowiecki T, Kotynia M, Kaczmarek B, et al. The impact of weather factors, moon phases, and seasons on abdominal aortic aneurysm rupture. Ann Vasc Surg. 2014;28(3):542-6. [Crossref]  [PubMed] 
  20. Román EM, Soriano G, Fuentes M, Gálvez ML, Fernández C. The influence of the full moon on the number of admissions related to gastrointestinal bleeding. Int J Nurs Pract. 2004;10(6):292-6. [Crossref]  [PubMed] 
  21. Kleespies A, Mikhailov M, Khalil PN, Pratschke S, Khandoga A, Stangl M, et al. Moon phases and moon signs do not influence morbidity, mortality and long-term survival, after living donor kidney transplantation. BMC Complement Altern Med. 2017;17(1): 440. [Crossref]  [PubMed]  [PMC] 
  22. Marco-Gracia FJ. The influence of the lunar cycle on spontaneous deliveries in historical rural environments. Eur J Obstet Gynecol Reprod Biol. 2019;236:22-5. [Crossref]  [PubMed] 
  23. Banfield JC, Abdolell M, Shankar JS. Secular pattern of aneurismal rupture with the lunar cycle and season. Interv Neuroradiol. 2017;23(1):60-3. [Crossref]  [PubMed]  [PMC] 
  24. Zimecki M. The lunar cycle: effects on human and animal behavior and physiology. Postepy Hig Med Dosw (Online). 2006;60:1-7.
  25. Kamat S, Maniaci V, Linares MY, Lozano JM. Pediatric psychiatric emergency department visits during a full moon. Pediatr Emerg Care. 2014;30(12):875-8. [Crossref]  [PubMed] 
  26. Gupta R, Nolan DR, Bux DA, Schneeberger AR. Is it the moon? Effects of the lunar cycle on psychiatric admissions, discharges and length of stay. Swiss Med Wkly. 2019;149:w20070. [Crossref]  [PubMed] 
  27. Raposio E, Caruana G, Santi P, Cafiero F.Relationship between lunar cycle and haemorrhagic complication rate in surgery. Acta Chir Belg. 2017;117(4):245-9. [Crossref]  [PubMed] 
  28. Faschinger EM, Vécsei-Marlovits PV, Rabensteiner DF, Weingessel B. The influence of lunar phases on complications in cataract surgery: an analysis of 16,965 patients. J Ophthalmol. 2017;2017:1946527. [Crossref]  [PubMed]  [PMC] 
  29. Benbadis SR, Chang S, Hunter J, Wang W. The influence of the full moon on seizure frequency: myth or reality? Epilepsy Behav. 2004;5(4):596-7. [Crossref]  [PubMed] 
  30. Stomp W, Fidler V, ten Duis HJ, Nijsten MW. Relation of the weather and the lunar cycle with the incidence of trauma in the Groningen region over a 36-year period. J Trauma. 2009;67(5):1103-8. [Crossref]  [PubMed] 
  31. von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry. 2007;78(7):710-5. [Crossref]  [PubMed]  [PMC]