During mastoidectomy a hollow-cavity is formed within the mastoid bone after its cortex and air cells are removed. Postoperatively, the aerated cavity is usually filled with soft tissues. Also it is not so uncommon to see cases with... more
During mastoidectomy a hollow-cavity is formed within the mastoid bone after its cortex and air cells are removed. Postoperatively, the aerated cavity is usually filled with soft tissues. Also it is not so uncommon to see cases with retraction of the mastoid area skin into the cavity causing a cosmetic problem termed as mastoid dimpling. In order to achieve an aerated mastoid cavity and minimizing the mastoid dimpling, an adhesion barrier was utilized to prevent fibrous tissue formation within the cavity. Twenty-one patients with middle ear and/or mastoid cholesteatoma, who underwent tympanoplasty with mastoidectomy (canal wall-up) with staged procedures, were included in the study. The mastoid cavity was tented and covered with an adhesion barrier (hyaluranic acid and carboxymethylcellulose, Seprafilm, (Seprafilm, GENZYME Inc., Cambridge, MA, USA) at the end of the surgery. Postoperatively, in two cases serohemorrhagic fluid collected between the adhesion barrier membrane and the subcutaneous tissues requiring drainage. Second stages were performed 4-6 months after the first stage. Two residual cholesteatoma cases were present. Patients were followed for a minimum of 2 years after the second stage. Mean follow-up was 2 years and 5 months. No wound infection was encountered postoperatively. Late follow-up of minimum 2 years after the second surgery revealed cosmetically acceptable retroauricular area with no dimpling. Mild retraction in two cases and two micro-central perforations in the neotympanic membrane were found. CT scans obtained both prior to the second stage and at the end of the second year of second stage revealed fully aerated mastoid cavities covered with periosteum in its natural position. Mastoid cortex plasty with seprafilm offers a rapid and effective solution to the preservation of mastoid space and the preservation of the contours of the mastoid bone.
Research Interests: Surgery, Conservation, Treatment, Prevention, Humans, and 17 moreAir, Chronic Disease, Follow-up studies, Second Year, Ct Scan, Membrane, Clinical Sciences, Hyaluronic Acid, Perforation, Retrospective Studies, Retraction, Otitis Media, Chronic Otitis Media, Soft Tissue, Aeration, Biocompatible Materials, and Reoperation
During mastoidectomy a hollow-cavity is formed within the mastoid bone after its cortex and air cells are removed. Postoperatively, the aerated cavity is usually filled with soft tissues. Also it is not so uncommon to see cases with... more
During mastoidectomy a hollow-cavity is formed within the mastoid bone after its cortex and air cells are removed. Postoperatively, the aerated cavity is usually filled with soft tissues. Also it is not so uncommon to see cases with retraction of the mastoid area skin into the cavity causing a cosmetic problem termed as mastoid dimpling. In order to achieve an aerated mastoid cavity and minimizing the mastoid dimpling, an adhesion barrier was utilized to prevent fibrous tissue formation within the cavity. Twenty-one patients with middle ear and/or mastoid cholesteatoma, who underwent tympanoplasty with mastoidectomy (canal wall-up) with staged procedures, were included in the study. The mastoid cavity was tented and covered with an adhesion barrier (hyaluranic acid and carboxymethylcellulose, Seprafilm, (Seprafilm, GENZYME Inc., Cambridge, MA, USA) at the end of the surgery. Postoperatively, in two cases serohemorrhagic fluid collected between the adhesion barrier membrane and the subcutaneous tissues requiring drainage. Second stages were performed 4-6 months after the first stage. Two residual cholesteatoma cases were present. Patients were followed for a minimum of 2 years after the second stage. Mean follow-up was 2 years and 5 months. No wound infection was encountered postoperatively. Late follow-up of minimum 2 years after the second surgery revealed cosmetically acceptable retroauricular area with no dimpling. Mild retraction in two cases and two micro-central perforations in the neotympanic membrane were found. CT scans obtained both prior to the second stage and at the end of the second year of second stage revealed fully aerated mastoid cavities covered with periosteum in its natural position. Mastoid cortex plasty with seprafilm offers a rapid and effective solution to the preservation of mastoid space and the preservation of the contours of the mastoid bone.
Research Interests:
Research Interests: Surgery, Treatment, Treatment Outcome, Adolescent, Endoscopy, and 18 moreHumans, Chronic Disease, Female, Male, Technique, Exploration, Follow-up studies, Ear Nose and Throat, Differential Diagnosis, Clinical Sciences, Aged, Middle Aged, High Resolution, Sinusitis, Adult, Prognosis, X ray Computed Tomography, and Postoperative Complications
ABSTRACT
A 53-year-old woman presented with a complaint of a sore throat. Examination showed a left-sided atrophy of the tongue. Upon protrusion, the tongue deviated to the left, suggestive of a unilateral hypoglossal nerve palsy. Computed... more
A 53-year-old woman presented with a complaint of a sore throat. Examination showed a left-sided atrophy of the tongue. Upon protrusion, the tongue deviated to the left, suggestive of a unilateral hypoglossal nerve palsy. Computed tomography revealed enlarged hypoglossal canals. Magnetic resonance imaging (MRI) demonstrated bilateral hypoglossal canal masses, with enhancement following gadolinium administration. Magnetic resonance angiography and MRI with fat suppression revealed nonvascular masses in both hypoglossal canals. Radiological diagnosis of bilateral hypoglossal nerve schwannoma was made and the patient was scheduled for MRI monitoring with six-month intervals. The size of the masses and the clinical manifestations remained unchanged during a two-year follow-up period.
Research Interests:
Tetanus is considered a major health problem in the developing and under-developed countries, with approximately 1 million new cases occurring each year. We have evaluated the tetanus patients and their presenting complaints, the clinical... more
Tetanus is considered a major health problem in the developing and under-developed countries, with approximately 1 million new cases occurring each year. We have evaluated the tetanus patients and their presenting complaints, the clinical findings and their relations to the head and neck region along with the frequency of otolaryngological findings and their correlation to the prognosis of this highly mortal disease. There were a total of 37 patients with generalized tetanus diagnosed and treated between 1991 and 2001. There were 25 women and 12 men with a mean age of 55+/-15.6 years. The most common presenting symptom was trismus, followed by neck pain, dysphagia, generalized pain and facial muscular contractions. Wound evaluation revealed that 72.9% of the patients had tetanus-prone wounds, and 27% had either no obvious wounds or a wound considered to be trivial by the patient. Only 62% percent of the patients had sought medical attention immediately after being injured. Three pat...
Research Interests: Otolaryngology, Surgery, Treatment, Adolescent, Comparative Study, and 19 moreHead and Neck, Humans, Developing Country, Female, Male, Neck Pain, ENT, Clinical Sciences, Aged, Middle Aged, Adult, Health Problems, Retrospective Studies, Physical examination, Tetanus, Trismus, Tetanus Toxoid, Immunoglobulin, and Mortality rate
Research Interests:
Tinnitus is a common otologic symptom, which can interfere with the daily activities of life. Subjective tinnitus is perception of sound only heard by the patient. The most common type of tinnitus is non-pulsatile subjective tinnitus... more
Tinnitus is a common otologic symptom, which can interfere with the daily activities of life. Subjective tinnitus is perception of sound only heard by the patient. The most common type of tinnitus is non-pulsatile subjective tinnitus (NST), which is believed to originate from auditory pathway, mostly from central nervous system. This hypothesis proposes that an important percentage of NST cases are actually misdiagnosed venous type tinnitus cases. Recent studies have demonstrated that dural-jugular system is dominant only in the horizontal body position. Jugular flow is at maximum during this position possibly making any noise generated within the dural-jugular system louder. As body assumes more vertical positions it gradually leaves its function to the extrajugular venous system of the brain. When there is an objective and/or a pulsating sound it is easier to suspect a vascular etiology and diagnose it clinically or radiologically. However, if a vascular pathology causes a non-pulsatile complaint that can not be heard by the examiner or can not be detected clinically or radiologically, it is bound to be misdiagnosed as central tinnitus. Most NST cases experience their symptoms especially at night. Night time usually allows the combination of silent ambience and horizontal body position to take place. We believe that in some NST cases, especially those without hearing loss (HL), the main cause of tinnitus is venous in origin.
Research Interests:
During mastoidectomy a hollow-cavity is formed within the mastoid bone after its cortex and air cells are removed. Postoperatively, the aerated cavity is usually filled with soft tissues. Also it is not so uncommon to see cases with... more
During mastoidectomy a hollow-cavity is formed within the mastoid bone after its cortex and air cells are removed. Postoperatively, the aerated cavity is usually filled with soft tissues. Also it is not so uncommon to see cases with retraction of the mastoid area skin into the cavity causing a cosmetic problem termed as mastoid dimpling. In order to achieve an aerated mastoid cavity and minimizing the mastoid dimpling, an adhesion barrier was utilized to prevent fibrous tissue formation within the cavity. Twenty-one patients with middle ear and/or mastoid cholesteatoma, who underwent tympanoplasty with mastoidectomy (canal wall-up) with staged procedures, were included in the study. The mastoid cavity was tented and covered with an adhesion barrier (hyaluranic acid and carboxymethylcellulose, Seprafilm, (Seprafilm, GENZYME Inc., Cambridge, MA, USA) at the end of the surgery. Postoperatively, in two cases serohemorrhagic fluid collected between the adhesion barrier membrane and the subcutaneous tissues requiring drainage. Second stages were performed 4-6 months after the first stage. Two residual cholesteatoma cases were present. Patients were followed for a minimum of 2 years after the second stage. Mean follow-up was 2 years and 5 months. No wound infection was encountered postoperatively. Late follow-up of minimum 2 years after the second surgery revealed cosmetically acceptable retroauricular area with no dimpling. Mild retraction in two cases and two micro-central perforations in the neotympanic membrane were found. CT scans obtained both prior to the second stage and at the end of the second year of second stage revealed fully aerated mastoid cavities covered with periosteum in its natural position. Mastoid cortex plasty with seprafilm offers a rapid and effective solution to the preservation of mastoid space and the preservation of the contours of the mastoid bone.
Research Interests: Surgery, Conservation, Treatment, Prevention, Humans, and 17 moreAir, Chronic Disease, Follow-up studies, Second Year, Ct Scan, Membrane, Clinical Sciences, Hyaluronic Acid, Perforation, Retrospective Studies, Retraction, Otitis Media, Chronic Otitis Media, Soft Tissue, Aeration, Biocompatible Materials, and Reoperation
The purpose of this study was to compare the preoperative symptoms of children who had adenoid hypertrophy with postadenoidectomy symptoms. Sixty children undergoing adenoidectomy were included in this prospective uncontrolled study at... more
The purpose of this study was to compare the preoperative symptoms of children who had adenoid hypertrophy with postadenoidectomy symptoms. Sixty children undergoing adenoidectomy were included in this prospective uncontrolled study at the Farabi Hospital of Karadeniz Technical University, an academic tertiary medical center. The symptoms of each child were described by their parents. Adenoidectomy with myringotomy alone or with tympanostomy tube placement was performed in all children. Two months after the operation, the children were re-evaluated for remaining or residual symptoms. Nasal obstruction, mouth breathing, snoring, hearing loss and nasal discharge were present preoperatively in 55 (91.6%), 51 (85%), 50 (83%), 28 (46%) and 45 (75%), respectively. We found that 53 of 60 children (88.3%) completely recovered from their preoperative symptoms. Of the remaining seven patients, four had persistent nasal obstruction, five mouth breathing, three snoring and two hearing loss. We also noted that the parents of 53 of 60 children were satisfied after the operation. Adenoidectomy provided significant relief and improvement of preoperative presenting symptoms, and it also showed a high rate of parent satisfaction.
Research Interests: Treatment Outcome, Prospective studies, Humans, Child, Female, and 15 moreMale, Infant, Follow-up studies, Snoring, Hearing Loss, Hypertrophy, Adenoidectomy, Clinical Sciences, Mouth Breathing, Adenoids, Disease Progression, Boolean Satisfiability, Nasal Obstruction, Severity of Illness Index, and Child preschool
Oropharyngeal tuberculosis is a rare disease and is usually secondary to laryngeal involvement in pulmonary tuberculosis. The major symptom in such patients is sore throat. Here, we report a case of tuberculosis of the posterior... more
Oropharyngeal tuberculosis is a rare disease and is usually secondary to laryngeal involvement in pulmonary tuberculosis. The major symptom in such patients is sore throat. Here, we report a case of tuberculosis of the posterior oropharyngeal wall without laryngeal involvement and causing severe dysphagia and odynophagia without esophageal or mediastinal involvement. The unusual presentation of extrapulmonary tuberculosis is emphasized, and its diagnosis and treatment are discussed.
Research Interests:
Concha bullosa is one of the most common, obstructive, anatomic variants seen in patients with sinusitis. In this study, a total of 160 patients with sinusitis were evaluated to study both the effects of concha bullosa on the distribution... more
Concha bullosa is one of the most common, obstructive, anatomic variants seen in patients with sinusitis. In this study, a total of 160 patients with sinusitis were evaluated to study both the effects of concha bullosa on the distribution of opacification to the paranasal sinuses as well as the relations between the types of concha bullosa (CB) and ostiomeatal complex disease (OMCD). Our results show that CB does not necessarily have influence on the distribution of mucosal changes to paranasal sinuses. Furthermore, in the presence of OMCD, no significant difference statistically was found between patients with CB and those without. However, when the types of CB are considered, OMCD is found to be more frequent if the pneumatization is localized to the inferior half of the middle turbinate, such as in bulbous and extensive types of CB.
Research Interests:
To evaluate the outcome of surgery using objective methods in patients with sinusitis after endoscopic sinus surgery (ESS) and Caldwell-Luc operation, we randomly selected 37 Caldwell-Luc-operated and 40 ESS-applied cases. Selected... more
To evaluate the outcome of surgery using objective methods in patients with sinusitis after endoscopic sinus surgery (ESS) and Caldwell-Luc operation, we randomly selected 37 Caldwell-Luc-operated and 40 ESS-applied cases. Selected patient groups were assessed and compared by endoscopic examination and computed tomography (CT). CT was found to be normal in 12% of Caldwell-Luc-operated sides in comparison to 75% of ESS-applied sides. Endoscopy revealed a patency rate of the windows as 48% in Caldwell-Luc-operated and 86.7% in ESS-applied sides. Fibrosis and abnormal bony changes of the maxillary sinus were encountered in more than half of Caldwell-Luc-operated cases. In conclusion, ESS has a much higher rate of cure compared to the Caldwell-Luc operation if subjective and objective evaluation methods (CT and endoscopy) are applied.
Research Interests:
The objectives of this study were to establish whether there is an obvious difference between intact mucosa and abraded mucosa of the middle-ear cavity in respect to the potential side effects from the application of absorbable gelatine... more
The objectives of this study were to establish whether there is an obvious difference between intact mucosa and abraded mucosa of the middle-ear cavity in respect to the potential side effects from the application of absorbable gelatine sponge (Gelfoam) and to investigate if Gelfoam combined with corticosteroid ointment (cortimycine, sterile 1% hydrocortisone acetate) can reduce the occurrence of these effects. Twenty Albino rats were used in the study. These animals were divided into four groups, with ten ears in each group. In group A, the middle-ear mucosa was kept intact, and Gelfoam was inserted into the middle-ear cavity. In group B, the middle-ear mucosa was abraded, and Gelfoam was inserted. In group C, Gelfoam with corticosteroid was implanted over the intact mucosa, and in group D, the mucosa was abraded prior to the insertion of Gelfoam with corticosteroid. The changes were evaluated 8 weeks postoperatively. In group A, there was a minimal increase in fibroblastic activit...
Research Interests:
A spectrum of renal abnormalities of patients with situs inversus has been reported. Renal dysplasia is the most common. Herein is described for the first time, an association of situs inversus totalis, unilateral congenital renal... more
A spectrum of renal abnormalities of patients with situs inversus has been reported. Renal dysplasia is the most common. Herein is described for the first time, an association of situs inversus totalis, unilateral congenital renal hypoplasia and external ear cartilage deformity.
Research Interests:
Research Interests:
In patients with acquired immunodeficiency syndrome (AIDS), disturbances in the circulation of retinal vessels are mostly encountered at the microvascular level. Rarely observed large retinal vessel occlusions frequently affect retinal... more
In patients with acquired immunodeficiency syndrome (AIDS), disturbances in the circulation of retinal vessels are mostly encountered at the microvascular level. Rarely observed large retinal vessel occlusions frequently affect retinal veins. A 32-year-old woman was admitted to the authors' clinic with sudden loss of vision. Her clinical and ophthalmologic examinations and laboratory tests were carried out and the results were evaluated. The patient's history revealed a diagnosis of AIDS established 5 years ago. Her corrected visual acuity was limited to light perception in the right eye and 20/60 in the left eye. There was afferent pupillary defect in the right eye. Posterior segment examination demonstrated central retinal artery occlusion in the right eye and cotton-wool spots in the left eye. The clinical examination and laboratory test results did not reveal any comorbid disease state that can contribute to this presentation. As thrombi may develop in patients with huma...
Research Interests:
Research Interests: Computed Tomography, Magnetic Resonance Imaging, Treatment Outcome, Metabolic Bone Disease, Case Report, and 15 moreHumans, Female, Headache, Central Nervous System, Differential Diagnosis, Malignant Fibrous Histiocytoma, Hearing Loss, Parietal Bone, Clinical Sciences, Adult, Temporal Bone, X ray Computed Tomography, Neurosciences, Magnetic resonance image, and Craniotomy
Research Interests:
Research Interests:
Research Interests:
Research Interests: Genetics, Membrane Proteins, Human, Humans, Sequence alignment, and 16 moreHaplotypes, Female, Male, Hearing Loss, Pedigree, Genetic linkage analysis, Clinical Sciences, Consanguinity, Indexation, Amino Acid Sequence, Membrane Protein, Autosomal Recessive, Linkage Analysis, Molecular Sequence Data, DNA mutational analysis, and Human mutation
Research Interests: Genetics, Turkey, Membrane Proteins, Human, Humans, and 15 moreSequence alignment, Genetic Testing, Haplotypes, Female, Male, Hearing Loss, Pedigree, Genetic linkage analysis, Clinical Sciences, Amino Acid Sequence, Autosomal Recessive, Molecular Sequence Data, DNA mutational analysis, Connexins, and Human mutation
Pathogenic mutations in TMPRSS3, which encodes a transmembrane serine protease, cause non-syndromic deafness DFNB8/10. Missense mutations map in the low density-lipoprotein receptor A (LDLRA), scavenger-receptor cysteine-rich (SRCR), and... more
Pathogenic mutations in TMPRSS3, which encodes a transmembrane serine protease, cause non-syndromic deafness DFNB8/10. Missense mutations map in the low density-lipoprotein receptor A (LDLRA), scavenger-receptor cysteine-rich (SRCR), and protease domains of the protein, indicating that all domains are important for its function. TMPRSS3 undergoes proteolytic cleavage and activates the ENaC sodium channel in a Xenopus oocyte model system. To assess the importance of this gene in non-syndromic childhood or congenital deafness in Turkey, we screened for mutations affected members of 25 unrelated Turkish families. The three families with the highest LOD score for linkage to chromosome 21q22.3 were shown to harbor P404L, R216L, or Q398X mutations, suggesting that mutations in TMPRSS3 are a considerable contributor to non-syndromic deafness in the Turkish population. The mutant TMPRSS3 harboring the novel R216L missense mutation within the predicted cleavage site of the protein fails to undergo proteolytic cleavage and is unable to activate ENaC, thus providing evidence that pre-cleavage of TMPRSS3 is mandatory for normal function.
Research Interests:
Iatrogenic facial nerve paralysis is one of the major and drastic complications of ear surgery. We report a case of a 20-year-old female patient with simple chronic otitis media who underwent mastoidectomy and tympanoplasty. During the... more
Iatrogenic facial nerve paralysis is one of the major and drastic complications of ear surgery. We report a case of a 20-year-old female patient with simple chronic otitis media who underwent mastoidectomy and tympanoplasty. During the mastoidectomy process the facial nerve was unintentionally destroyed, leaving a gap of 8-10 mm in the third segment of the intratemporal facial nerve. The nerve was repaired with a nerve cable graft obtained from the vicinity. On the 42nd day, autologous mesenchymal stem cell transplantation was performed after facial nerve trauma. The patient's facial nerve paralysis has recovered from House-Brackmann grade VI to IV within a week and then to III in the fifth month. The rapid, postoperative progress, and the early follow-up results are discussed. This case represents the first bone marrow stem cell application in a peripheral nerve, namely the facial nerve.
Research Interests:
Research Interests:
Vestibular evoked myogenic responses (VEMPs) are not affected in non-insulin-dependent diabetes mellitus (NIDDM) patients with or without polyneuropathy. To compare VEMP responses of NIDDM patients and healthy subjects. VEMP responses... more
Vestibular evoked myogenic responses (VEMPs) are not affected in non-insulin-dependent diabetes mellitus (NIDDM) patients with or without polyneuropathy. To compare VEMP responses of NIDDM patients and healthy subjects. VEMP responses were collected from 25 NIDDM patients with polyneuropathy (PNP), 13 NIDDM patients without PNP and 21 healthy subjects using click stimulation. After excluding ears with hearing loss (HL) (worse than 25 dB) the VEMP responses (p13 and n21 latencies and amplitude) recorded in 105 dB stimulus intensity were compared. There was no statistically significant difference between groups. VEMP responses were found to be normal in NIDDM patients with or without PNP.
Research Interests:
A retrospective chart review to assess the effectiveness of hyperbaric oxygen treatment in sudden sensorineural hearing loss. 44 patients aged between 17-67 years diagnosed with idiopathic sensorineural hearing loss less than 30 days were... more
A retrospective chart review to assess the effectiveness of hyperbaric oxygen treatment in sudden sensorineural hearing loss. 44 patients aged between 17-67 years diagnosed with idiopathic sensorineural hearing loss less than 30 days were admitted to our clinic Patients were treated with systemic steroid alone or systemic steroid plus hyperbaric oxygen therapy. In the comparison of two groups, there was no statistically significant difference of audiometric evaluation (P>0.0028) found in hearing improvement for each frequency on 5th day of the treatment and post treatment. Age (≤45 and >45) and initial hearing level (≤60 dB. And >60 dB.) does not seem to be an influential factor according to the results of the study (P>0.0007). The present study did not show more superior healing effect of hyperbaric oxygen therapy added to systemic steroid therapy than steroid infusion alone. The results are consistent with those of some papers. However there are also conflicting data t...
In this study, we compared the incidence of facial canal dehiscence in patients with idiopathic peripheral facial paralysis (Bell's palsy) with a healthy population. Forty-five patients who were defined as idiopathic peripheral facial... more
In this study, we compared the incidence of facial canal dehiscence in patients with idiopathic peripheral facial paralysis (Bell's palsy) with a healthy population. Forty-five patients who were defined as idiopathic peripheral facial paralysis between May 2011 and June 2012 were enrolled the study. The clinical and demographic characteristics of the patients were noted. Spiral computed tomography (CT) was used for the study with a slice thickness of 1 mm and slice gap of 0.5 mm. Fifty patients having no middle ear pathology who underwent temporal CT due to other reasons were enrolled in the study as control group. The both groups were compared by means of demographic characteristics and the presence of the facial canal dehiscence. The incidence of facial canal dehiscence was 42% in the control group, while the incidence of the facial canal dehiscence in the study group at the paralyzed side was 46.7%. Although the incidence of the facial canal dehiscence in the study group was ...
Diseases of the extracranial portion of the internal carotid artery (ICA) are rarely seen in the otolaryngology practice. We report two different pathologies of the ICA, which presented with otolaryngological symptoms. The first case was... more
Diseases of the extracranial portion of the internal carotid artery (ICA) are rarely seen in the otolaryngology practice. We report two different pathologies of the ICA, which presented with otolaryngological symptoms. The first case was a 70-year-old woman with symptoms of chronic pharyngitis. On physical examination, a pulsatile mass at the right posterolateral oropharynx was identified. Magnetic resonance imaging revealed a tortuous ICA. No treatment was offered. The second case was a 75-year-old woman with a two-month history of upper neck mass. She did not have any additional complaints and her physical examination was normal except for the mass. Doppler ultrasonography showed a high fluid flow within the mass. Digital angiography demonstrated an ICA aneurysm. Because the patient refused any surgery, antiplatelet treatment was started.
Research Interests:
To investigate the outcomes of tympanoplasty in elderly (≥60 years) compared with young patients (18-59 years). Patients who had been performed type I tympanoplasty between 2009 and 2012 were retrospectively analyzed. Preoperative and... more
To investigate the outcomes of tympanoplasty in elderly (≥60 years) compared with young patients (18-59 years). Patients who had been performed type I tympanoplasty between 2009 and 2012 were retrospectively analyzed. Preoperative and postoperative audiological results and the graft success of 42 older patients were compared with those of 72 younger ones. The mean preoperative air conduction levels were statistically significantly higher in older group (57.4±16.8dB) than younger group (37.3±10.3dB) (p<0.001). Preoperative bone conduction levels were statistically significantly higher in older group (28.5±13.4dB) than in the younger group (12.4±4.8dB) (p<0.001). The mean preoperative and postoperative air-bone gaps were statistically significantly larger in the older group (28.5±11.0dB, 16.4±9.0dB) than in the younger group (24.9±7.7dB, 12.4±8.0dB respectively) (p<0.001). The intragroup comparisons of preoperative and postoperative mean air-bone gaps revealed statistically significant improvements in both groups (p<0.001 for both). Graft success rates and the mean hearing gains were not statistically significantly different between the groups (p=0.225, p=0.786 respectively). Although preoperative and postoperative air and bone conduction levels were worse in the older group, graft take rates and postoperative hearing gain did not differ between the groups. If the physical status is stable tympanoplasty procedure can be recommended for elderly patients.
Research Interests:
Nodular fasciitis (NF) is a reactive myofibroblastic proliferation that may be misdiagnosed as a sarcoma because of its rapid growth, rich cellularity, and mitotic activity. NF is uncommon in the auricular region. We describe a case of... more
Nodular fasciitis (NF) is a reactive myofibroblastic proliferation that may be misdiagnosed as a sarcoma because of its rapid growth, rich cellularity, and mitotic activity. NF is uncommon in the auricular region. We describe a case of nodular fasciitis of the external auditory canal in an 8-year-old male. An excisional biopsy was performed, and the pathologic examination was consistent with nodular fasciitis; however, the lesion recurred within a month requiring that a total excision be done. The patient is without recurrence 7 months after the total excision. Because its histologic features closely mimick a malignant lesion, NF must be considered in the differential diagnosis of a mass originating from the external auditory canal to avoid overly aggressive and functionally debilitating treatment.
Research Interests:
Diseases of the extracranial portion of the internal carotid artery (ICA) are rarely seen in the otolaryngology practice. We report two different pathologies of the ICA, which presented with otolaryngological symptoms. The first case was... more
Diseases of the extracranial portion of the internal carotid artery (ICA) are rarely seen in the otolaryngology practice. We report two different pathologies of the ICA, which presented with otolaryngological symptoms. The first case was a 70-year-old woman with symptoms of chronic pharyngitis. On physical examination, a pulsatile mass at the right posterolateral oropharynx was identified. Magnetic resonance imaging revealed a tortuous ICA. No treatment was offered. The second case was a 75-year-old woman with a two-month history of upper neck mass. She did not have any additional complaints and her physical examination was normal except for the mass. Doppler ultrasonography showed a high fluid flow within the mass. Digital angiography demonstrated an ICA aneurysm. Because the patient refused any surgery, antiplatelet treatment was started.
Research Interests:
We report the case of a 35-year-old man who developed blindness and ophthalmoplegia during local anesthetic infiltration of the nasal septum. The complications were temporary, and the patient had full recovery without treatment. The... more
We report the case of a 35-year-old man who developed blindness and ophthalmoplegia during local anesthetic infiltration of the nasal septum. The complications were temporary, and the patient had full recovery without treatment. The vascular anatomy of the area and possible pathogenic mechanisms are discussed, with some suggestions on the prevention of this complication.
Research Interests:
Research Interests:
We report a case of sialolithiasis of an accessory parotid gland in the cheek demonstrated by computed tomography and sialography. The accessory parotid gland was located anterolateral to the masseter muscle and was isolated from the main... more
We report a case of sialolithiasis of an accessory parotid gland in the cheek demonstrated by computed tomography and sialography. The accessory parotid gland was located anterolateral to the masseter muscle and was isolated from the main parotid gland. The calculus developed from this accessory parotid gland, and the main parotid gland was free of sialolithiasis and inflammation. To our knowledge, this is the first report concerning sialolithiasis in an accessory parotid gland. The calculus was removed without facial nerve injury or salivary fistula via a peroral approach.
Research Interests:
To compare anatomic and functional outcomes of the different graft materials used in pediatric tympanoplasty. The patients younger than 18 years of age and who had tympanoplasty between 2010 and 2012 were included in the study. Temporal... more
To compare anatomic and functional outcomes of the different graft materials used in pediatric tympanoplasty. The patients younger than 18 years of age and who had tympanoplasty between 2010 and 2012 were included in the study. Temporal muscle fascia or cartilage was used as the graft material. The age, gender, the side of the operated ear, the operation technique, pre- and postoperative audiological results, and the status of the graft were noted. An intact graft and an air-bone gap (ABG) ≤ 20 were regarded as surgical success in the postoperative period. Audiograms obtained before surgery and 1 year after surgery were used for the comparison. Sixty pediatric cases were included in the study. Fascia graft was used as the graft material in 35 of them, and cartilage was used in 25 patients. The graft success rate was 82.9% in the fascia group while it was 92% in the cartilage group. In the fascia group preoperative ABG was 28.2 ± 10.1 dB, postoperative ABG was 15.1 ± 10.2dB, and postoperative gain was 13.1 ± 9.6 dB. In the cartilage group, preoperative ABG was 28.9 ± 10.2dB, and postoperative ABG was 16.8 ± 10.3 dB with a postoperative gain of 12.1 ± 6.8 dB. The differences between the fascia and the cartilage groups were not statistically significant either for hearing gain or graft success rate. Cartilage and fascia grafts yield similar results for hearing gain and graft success rate in pediatric tympanoplasty.
Research Interests: Treatment Outcome, Adolescent, Humans, Child, Cartilage, and 4 moreFemale, Male, Fascia, and Retrospective Studies
Research Interests: Wound Healing, Treatment Outcome, Adolescent, Italy, Hearing, and 23 moreHumans, Child, Chronic Disease, Female, Male, Fascia, Follow-up studies, Clinical Sciences, Success Rate, Analysis of Variance, Perforation, Retrospective Studies, Otitis Media, Chronic Otitis Media, Age Factors, Chi Square Distribution, Otolaryngology - Head and Neck Surgery, Retrospective Study, Bone Conduction, Eustachian Tube, Otitis Media with Effusion, Tympanic Membrane, and Child preschool
Melkersson-Rosenthal syndrome is a rare disorder consisting of the triad of persistent or recurrent orofacial edema, relapsing facial paralysis and fissured tongue. It is far more uncommon to find the complete triad since it generally... more
Melkersson-Rosenthal syndrome is a rare disorder consisting of the triad of persistent or recurrent orofacial edema, relapsing facial paralysis and fissured tongue. It is far more uncommon to find the complete triad since it generally presents in oligosymptomatic forms. We present three cases of the Melkersson-Rosenthal syndrome with the classic triad of symptoms and discuss the etiology and the clinical and electromyography findings of this syndrome.