Nasrettin Fatih TURGUT, Dilek GÜLMEZ, Hasan Ahmet ÖZDOĞAN
Nasrettin Fatih TURGUT, Dilek GÜLMEZ, Hasan Ahmet ÖZDOĞAN
Objective: The aim of this study was to evaluate audiovestibulopathy in patients with celiac disease using vestibular evoked myogenic potentials (VEMP), video head impulse test (vHIT), and audiometric examinations. Material and Methods: Thirty-one patients with celiac disease from the gastroenterology department of Cerrahpasa Medical School, and 30 healthy controls were included in the study between 2013 and 2015. Pure tone audiometry, tympanometry, acoustic reflex test, and vestibular evaluation with VEMP and vHIT were performed in both groups. The anti-tissue transglutaminase IgA levels of all participants and disease duration of affected individuals were documented. Results: The mean age±SD was 35.9±12.82 (27-48) years and 37.6±11.6 (26-48) years for the patient and control groups, respectively. The pure tone thresholds did not differ between the two groups. However, a subgroup of patients with high antibody levels had significantly higher highfrequency hearing thresholds. The two groups had similar VEMP test results, but a comparison of the vestibuloocular reflex (VOR) gains of six semicircular canals (SSC) revealed significant decreases in the right anterior canal in the patient group. Conclusion: Subclinical audiovestibular pathologies can occur in patients with celiac disease. Following these patients with periodic audiovestibular test batteries may reduce patient morbidity by providing early diagnosis and rehabilitation.
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Yaşar Kemal DUYMAZ, Aslı Şahin YILMAZ, Serap ÖNDER, Arxu TARLANOVA, Özgül Gergin TİNAY
Yaşar Kemal DUYMAZ, Aslı Şahin YILMAZ, Serap ÖNDER, Arxu TARLANOVA, Özgül Gergin TİNAY
Objective: To describe specific indications and complications of pediatric tracheostomies performed in our tertiary care children’s hospital between 2015 and 2020. Materials and Methods: A retrospective study analyzing charts of pediatric tracheostomies utilizing the maturation suture technique was conducted. The review included patient data covering a 5-year period, commencing on the 1st of January 2015 through the 31st of May 2020. Results: Fifty-five patients (33 females, 22 male) were included in the study. A tracheostomy was performed to address complications arising from prolonged ventilation in 48 children (87%) or upper airway obstruction in 7 children (13%). There was one intraoperative complication that resulted in death. There was one early postoperative complication (2%) (one child suffered accidental decannulation and the cannula was replaced without further incident). There were 7 late postoperative complications all featuring peristomal granulation tissue (13%). There were 16 deaths; however, only one resulted from the tracheostomy as outlined above. Eight patients (15%) were successfully decannulated. In 6 cases, the tracheostomy was spontaneously closed. Repair of tracheoesophageal fistula was required in two patients. Conclusion: Currently, the tracheostomy is the preferred course of treatment. Though it can potentially lead to severe complications in children, instances of this occurring are rare. Therefore, a tracheostomy should be performed by a multidisciplinary team following predetermined rules in a specialized center.
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Anvar AHMEDOV, Muhammet Fatih TOPUZ
Anvar AHMEDOV, Muhammet Fatih TOPUZ
Objective: The focus of this study was the sociocultural, economic, educational, and geographical factors that influence the incidence and types of fractures in maxillofacial trauma (MFT). The aim of this study was to identify the etiology and demographic characteristics of MFT cases in the inner (eastern) Aegean region. Materials and Methods: The records of patients treated at the Kütahya Health Sciences University Evliya Çelebi Education and Research Hospital for MFT from January 1, 2017 to March 1, 2020 were analyzed retrospectively. Results: A total of 476 bone fractures in 343 patients were analyzed. The sample comprised 239 male patients and 104 female patients. The average age was 35.19±17.79 years. Traffic accidents were found to be the most common cause (42%) of MFT. Of the isolated non-nasal bone fractures, 19 were in the maxilla, 17 in the zygoma, 14 in the mandible, and 7 in the frontal sinus. Nasal fractures (42.6%) were found to be the most frequently occurring breakages. Surgery was performed in 35.27% of the patients who agreed to have surgery for MFT. Conclusion: The etiology and incidence of MFT can vary not only by country but also by geographical region within countries. The results of this study support this view. A review of the literature indicated that MFT in the inner (eastern) Aegean region in Turkey has not yet been studied. Societal differences must be considered in the recommendation of measures to reduce the incidence of MFT and thus morbidity and mortality.
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Objective: The aim of this study is to bibliometrically examine the mutual studies in the fields of anatomy and otorhinolaryngology (ORL)
recorded in the Web of Science (WoS) database between 1980-2020.
Material and Methods: The mutual publications of anatomists and otolaryngologists on 31.01.2021 are listed in the Science Citation IndexExpanded category of the Advanced Search section of the WoS database. Thus, in the search field tags, Department of Anatomy for anatomists
and Department of Ear, Nose, and Throat (ENT) or Department of Otorhinolaryngology or Clinic of ENT or Clinic of Otorhinolaryngology for
otolaryngologists were used for the address section. Publications from 2021, meeting abstracts, proceedings papers, early accesses, and book
chapters were excluded. After the exclusion criteria were applied, the bibliometric characteristics of the remaining publications were examined.
Results: After the exclusion criteria were applied, 1395 articles were found. The total number of citations made to these articles was 42537, and
at least one citation was made to 1279 of the 1395 articles (91.68%). The h-index of these articles was 82, and the average number of citations
was 30.49. In these articles, the most frequently used first five keywords were immunohistochemistry (44 times), rat (39 times), cochlea (38
times), anatomy (36 times), and facial nerve (27 times).
Conclusion: The results of our bibliometric study which evaluated the last 40 years of data in terms of networks, collaborations, and institutions
could be an inspiration and source for future researchers. We may state that with the increasing technology, the applicability of interventional
methods in the field of ORL might be increased by conducting more anatomical studies and yield safer results.
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Objective: Coronavirus Disease 2019 (Covid 19) is a viral pandemic that emerged in East Asia and spread rapidly to the rest of the world and
continues in our country. This study aims to evaluate the subjective severity of nasal obstruction with the Turkish Nasal Obstruction Symptom
Evaluation (T-NOSE) in patients with laboratory-confirmed Covid 19 infection and to compare with the control group.
Material and Methods: One hundred fifty-seven patients with confirmed Covid 19 infection (group 1, n=157) and 91 individuals without Covid
19 infection as the control group (group 2, n=91) were included in the study. Nasal obstruction complaints of adult patients with Covid 19
infection were evaluated with the T-NOSE scale test and compared with the control group. Covid 19 patients were grouped according to the
degree of thoracic CT involvement and the day that the NOSE test was performed.
Results: There was no statistically significant difference between the NOSE scale parameters of the Covid group and the control group (p=0.19).
Also, Covid 19 patients were grouped according to the thoracic CT involvement degree and divided into three groups according to the day of the
NOSE test. The relationship between these values, and NOSE was evaluated, and no statistically significant difference was found (p=0.65, p=0.385).
Conclusion: T-NOSE is a valid instrument with good internal consistency, reliability, and responsive instrument that is brief and easy to complete
and has potential use for outcome studies in adults Covid 19 patients with nasal obstruction.
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Nodular fasciit is a rare benign tumor and may occur anywhere in the body. Pediatric patients constitute approximately 10% of the entire patient
group.
The disease may show clinical and pathological features resembling malignancy. Therefore, it can be mistaken as sarcoma.
This report shows two cases of pediatric nodular fasciitis localized in the parotid region and maxillary sinus.
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Orhan ASYA, Ali YUMUŞAKHUYLU, Cemal Aydın GÜNDOĞMUŞ, Çağatay OYSU
Orhan ASYA, Ali YUMUŞAKHUYLU, Cemal Aydın GÜNDOĞMUŞ, Çağatay OYSU
Objective: The Nuclear properties of both follicular-variant papillary thyroid carcinoma and conventional variant of papillary thyroid carcinoma are the same, but some diagnostic difficulties exist with the follicular variant. In the present study, we aimed to define the reasons for this diagnostic difficulty and raise awareness of this problem once more. Materials and Methods: In our study, we retrospectively reviewed the ultrasonographic findings and fine-needle aspiration biopsies of 104 patients whose histopathology had been surgically proven as being either the conventional or follicular-variant papillary thyroid carcinoma in a hospital between January 2012 and December 2018. Results: A highly suspicious sonographic pattern occurred in 56% of the conventional type, whereas only 21% of the follicular variant resulted in a suspicious sonographic pattern. The fine-needle aspiration biopsy of the conventional papillary carcinoma was consistent with malignancy or was suspected of malignancy in 80% of the cases, whereas this percentage was 58% for the follicular variant. Conclusion: Thus, the follicular-variant of papillary thyroid carcinoma has a higher correlation to benign sonographic features and a higher rate of false negative results via cytological examination in comparison to the conventional variant. Radiologists, pathologists, and clinicians must be aware of this situation and demonstrate care in the evaluation of nodules that appear benign.
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Ahmet GÖRGEL, Şenol Fatih ELBİR, Erkan KARATAŞ, Arzu AVCI
Ahmet GÖRGEL, Şenol Fatih ELBİR, Erkan KARATAŞ, Arzu AVCI
Tuberculosis is a problem to public health, especially in developing countries. However, involvement of the thyroid gland is rare. Herein, a 53-yearold woman with complaint of painless swelling on the right side of her neck is presented. Nodular goiter was detected in addition to multiple lymphadenopathies on the right cervical region. Tuberculosis was diagnosed based on histological findings in both the thyroid gland and cervical lymph nodes contrary to our expectation which was thyroid carcinoma.
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Aytekin UZER, Erhan DEMİRHAN
Aytekin UZER, Erhan DEMİRHAN
Objective: Aim of the study is to evaluate the subjective outcomes and objective outcomes postoperatively and investigate correlations between these measurements. Material and Methods: This prospective before and after surgical study was conducted with patients admitted with symptomatic nasal septum deviation (NSD) and who underwent Cottle’s septoplasty. Morphometric diameters of the nasal cavity were measured using a multi-detector computed tomography. Preoperative and postoperative one-month Nasal Obstruction Symptom Evaluation Scale (NOSE) score, acoustic rhinometry (AR), and anterior active rhinomanometry (AAR) measurements were used to evaluate the success of surgery. The correlations between these measurements were also evaluated. Results: The study population consisted of 30 patients, including 19 males and 11 females, with a median age of 27.5 years. There was a statistically significant difference between pre and postoperative NOSE scores, with a mean difference of 53.17 points (p<0.001). There were statistically significant differences between pre and postoperative AR parameters of both the deviated side (DS) and non-deviated side (NDS) of the nose both before and after decongestion. There were statistically significant improvements in all postoperative airflow and airway resistance parameters of the DS of the nose before decongestion when compared to preoperative measurements. There were moderate to large positive correlations between morphometric diameters and differences in NOSE score. Further, there were several statistically significant correlations between differences in AR and AAR measurements and differences in NOSE score. Conclusion: Our findings showed that the objective measurements are strongly correlated with the NOSE score.
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Pauline YAP, Nurul Syazana Mohamad SHAH, Wan Azman Wan SULAİMAN, Siti Fatimah Mat JOHAR, Arman Zaharil Mat SAAD
Pauline YAP, Nurul Syazana Mohamad SHAH, Wan Azman Wan SULAİMAN, Siti Fatimah Mat JOHAR, Arman Zaharil Mat SAAD
This is an interesting case of a male patient with traumatic nasal injury with partial nasal amputation who was referred to our centre 3 months after the initial trauma. The wound was complicated with necrosis, the amputated nose had fallen off and a scar had formed at the wound bed. The nasal defect was greater than 2.5cm in length. More than 50% of the nose had fallen off including the bilateral alar lobule, the tip and the dorsal part of the nose. We utilized a tissue expander to create more tissue on the forehead in view of the patient’s short forehead, for donor site closure and to lengthen our flap. We performed a modified paramedian forehead flap with a widened distal portion of flap, in a two-staged nasal reconstruction surgery supported by L-strut cartilage graft harvested from the 7th rib. In this report we provide an illustrative description of the procedure, its cosmetic and functional outcome and we also share the challenges we faced.
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