International Journal of Medical Science and Public Health, 2014
Background: Health anxiety is defined by fears and worries of a severe illness in an otherwise he... more Background: Health anxiety is defined by fears and worries of a severe illness in an otherwise healthy subject. A recent epidemiological study found a point prevalence of 3.4% and a life time prevalence of 5.7% for health anxiety. The term vertigo is a symptom, not a disease. Aims & Objectives: Health anxiety has not been investigated previously in patients with vertigo complaint. In this study we investigated the possible relationship between health anxiety and vertigo. Materials and Methods: We performed Short Health Anxiety Inventory (SHAI) scale in Turkish and Beck Anxiety Inventory (BAI) to study group and control group. The study group consisted of 62 patients who admitted to the otolaryngology clinic with vertigo complaint. The control group consisted of 70 healthy subjects. Results: With regard to the SHAI and BAI scores. With regard to gender and marital status, SHAI and BAI results did not reach significant difference. Conclusion: Health anxiety and vertigo are common problems that may easily be neglected by busy general practitioners. Otolaryngologists and psychiatrists should be in closer cooperation to diagnose and to treat these health problems.
... A case of isolated aspergillosis of the maxillary sinus Dr. Mete Kaan BOZKURT, Dr.Tuncay ÖZÇE... more ... A case of isolated aspergillosis of the maxillary sinus Dr. Mete Kaan BOZKURT, Dr.Tuncay ÖZÇELİK,1 Dr. Levent SAYDAM,1 Dr. Lale KUTLUAY2 ... Ascomycetes sınıfına mensup aspergillus türleri doğada sık rastlanan mantarlardır. ...
ÖZET Doğumsal anomaliler aurikula bölgesinde sık görülen bir durumdur. Majör anomaliler fonksiyon... more ÖZET Doğumsal anomaliler aurikula bölgesinde sık görülen bir durumdur. Majör anomaliler fonksiyonel ve yapısal ciddi bozukluklara yol açarken minör anomaliler daha çok kozmetik kaygılara yol açar. Preauriküler sinüs, kulak katlantısının üst, ön kısmında ve genellikle tek tarafta görülür. Birinci farin-geal yarığın dorsal kısmının tam olmayan kapanması sonucu oluşur. Dıştan bakıldığında preaurikuler bölgede deriden başlangıcını alan ve iç kısımlara uzanan bir traktüs içeren küçük bir delik şeklinde görülür. Genellikle bulgu vermeyip, nadiren tekrarlayan yara enfeksiyonları ile bir arada olabilmek-tedir. Her iki kulak önünde 10 yıldır aralıklarla yara enfeksiyonu bulunan 26 yaşındaki bayan hastada preaurikuler sinus saptandı ve literatür eşliğinde konu tartışıldı. Sunmuş olduğumuz olguda preauriküler bölgenin iyileşmeyen ve tedavilere cevap vermeyen cilt enfeksiyonları zemininde preauriküler sinüsün de ola-bileceğinin vurgulanması amaçlanmıştır. Anahtar sözcükler: preauriküler sinüs, ...
External and/or middle ear pathologies are commonly encountered by otolaryngologists, family prac... more External and/or middle ear pathologies are commonly encountered by otolaryngologists, family practitioners and pediatricians. If left undiagnosed, these conditions may result in significant irreversible damage such as varying degree of hearing loss that can affect the social or professional performance of the individuals in later stages of life. In this study, we aimed to investigate the prevalence of several external and/or middle ear diseases among 7-13-year-old primary school students in Yozgat province. The province of Yozgat serves as a transition point between the Central Anatolian and Black Sea regions of Turkey. Nine hundred and seventy-eight primary school students were included in the study between March 1, 2012 and March 15, 2012. All subjects underwent a routine ear examination in school with a diagnostic otoscope. The students with pathologic ear findings were further evaluated to identify the underlying process. The age range of 978 students (527 males, 451 females) wa...
Larengeal kandidiyazis, literaturde iyi tanimlanmis olmasina karsin fizik muayenede malignansi ve... more Larengeal kandidiyazis, literaturde iyi tanimlanmis olmasina karsin fizik muayenede malignansi ve tuberkuloz ile ayirici tanisi gucluk arz edebilir. Hastaligin en sik gorulen belirtisi larengeal odeme bagi ses kisikligidir. Hastalik zamaninda tedavi edilmezse larengeal fibrozise ve kalici ses kisikligina yol acabilir. Larengeal kandidiyaziste predispozan faktorlerin ortadan kaldirilip antifungal tedaviye baslanmasi en iyi tedavi secenegini olusturmaktadir. Bu calismada uzun sureli inhaler kortikosteroid kullanimina bagli olusan izole bir larengeal kandidiyazis olgusu sunulmaktadir. Yaklasik yedi gundur ses kisikligi sikâyeti olan hastanin fizik muayenesinde saptanan sol vokal kord 1/3 orta kisminda keratotik gorunumlu lezyon, genel anestezi altinda mikrolarengoskopi ile sinirli stripping tarzinda eksize edilmistir. Patolojik inceleme larengeal kandidiyazis ile uyumlu oldugunu gosterdi ve hasta 3 haftalik 200 mg/gun fluconazol tedavisi sonrasi halen sorunsuz olarak takip edilmektedir.
European Archives of Oto-Rhino-Laryngology, Feb 10, 2015
Childhood obesity is a common and significant public health problem all over the world. As a well... more Childhood obesity is a common and significant public health problem all over the world. As a well-known fact obese children have an increased risk of obesity-associated comorbidities, including obstructive sleep apnea, diabetes, and cardiovascular disorders at an earlier age compared to their normal weight peers. They also have an increased risk of poor self-esteem, greater body dissatisfaction, and increased peer teasing that lead to a lower health-related quality of life. While the presence of adenoid hypertrophy and increased rate of obstructive sleep apnea frequently co-exists in majority of cases. We have limited knowledge about the effect of adenotonsillar hypertrophy on development of childhood obesity. In this study, we aimed to investigate the association between obesity, presence of adenotonsillar hypertrophy and the quality of life parameters in obese children as measured by the OSA-18 quality of life questionnaire. Fifty obese children aged between 3 and 18 years and 50 age- and gender-matched otherwise children were enrolled to the study. All subjects were routinely examined by the otolaryngologist before enrollment. The size of adenoid hypertrophy was measured using lateral cephalometric radiographs. The tonsils were also graded using the schema recommended by Brodsky et al. We used OSA-18 questionnaires to evaluate the subjects' quality of life issues. We found, 34 % of obese group had tonsillar hypertrophy while the rate was 6 % in control group. Similarly 16 % of obese group had tonsillar hypertrophy compared to only 4 % in non-obese group. It was also noted that total OSA-18 scores of obese group were significantly higher than those of non-obese group. In subgroup analysis of obese group, total OSA-18 score of obese subjects with either adenoid and/or tonsillar hypertrophy was significantly higher than that of obese subjects without adenoid or tonsillar hypertrophy. As the related literature suggests that the impact of adenotonsillar size on OSA symptoms is prominent especially in children under 7 years of age, but its impact on the development of childhood obesity is still controversial. Our results revealed a possible relation between adenotonsillar hypertrophy and obesity rates. Further studies on larger populations should be planned to better define the real impact of adenotonsillar hypertrophy in obese children.
Angiolipomas of the neck are extremely rare; to our knowledge, only 2 cases have been previously ... more Angiolipomas of the neck are extremely rare; to our knowledge, only 2 cases have been previously reported. We report a new case, which occurred in a 28-year-old woman. The mass was totally resected, and the patient showed no recurrence at the 18-month follow-up.
Objectives: We evaluated the role of fine-needle aspiration biopsy as a single parameter in deter... more Objectives: We evaluated the role of fine-needle aspiration biopsy as a single parameter in determining the extent of thyroidectomy and the necessity of routine use of frozen-section examination in patients with nodular thyroid disease. Pat i ents and Methods:We reviewed 67 patients (40 females, 27 males; mean age 44 years; range 17 to 78 years) who underwent thyroidectomy for nodular thyroid disease. Preoperative fine-needle aspiration biopsy and intraoperative frozen-section examination were performed in 46 patients and 40 patients, respectively. The results were compared with histopathologic diagnoses. Results:Histopathologically, 25 patients (37.3%) had malignant and 42 patients (62.7%) had benign disease. The sensitivity, specificity, and diagnostic accuracy were 50%, 95%, and 77% for fine-needle aspiration biopsy, and 100%, 87%, and 91% for frozen-section examination, respectively. Conclusion: In view of lower sensitivity and accuracy rates for fine-needle aspiration biopsy, t...
Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2008
Aspergillosis of the maxillary sinus is rarely seen in nonimmunocompromised patients. Among paran... more Aspergillosis of the maxillary sinus is rarely seen in nonimmunocompromised patients. Among paranasal sinus infections associated with aspergillosis, the most common subtype is Aspergillus fumigatus. A 41-year-old woman presented with facial pain. She had a five-year history of root canal filling in the right upper molar teeth. Paranasal sinus tomography showed fungal sinusitis of radiopaque appearance, giving the impression of a foreign body in the maxillary sinus. The patient underwent endoscopic sinus surgery to purge infection of the maxillary sinus. Pathological examination revealed aspergillosis of the maxillary sinus.
Nasal polyps are benign degeneration of nasal and sinus mucosa with a prevalence of about 4% in t... more Nasal polyps are benign degeneration of nasal and sinus mucosa with a prevalence of about 4% in the adult population. Unusual locations of origin such as the ethmoid sinus, sphenoid sinus, nasal septum, inferior turbinate and middle turbinate have been reported in the literature. Although nasal polyps are rarely isolated in the middle turbinate can be welded with the goal of this study have prepared. A 48 year old female patient, who is 10 years unable to breathe comfortably through the nose, snoring and frequent headaches was admitted to our hospital. Anterior rhinoscopy; right nasal cavity, septum between the middle turbinate of 3 x 2 cm in size, smooth, gray, pale in color, soft hepatic mass was detected. Polypectomy with endoscopic sinus surgery and septoplasty was performed. Following treatment, the patient is monitored for 8 months without complaints.
The olfactory bulb (OB) is considered to be the most important relay station in odor processing. ... more The olfactory bulb (OB) is considered to be the most important relay station in odor processing. The present study aimed to investigate the volumetric development of the human bulb and the olfactory function during childhood and youth. Furthermore, the present study aimed to investigate a possible correlation between OB volume and specific olfactory functions including odor threshold, odor discrimination and odor identification. A total of 87 subjects (46 boys, 41 girls), aged 1-17 years (mean age 8 years), participated in this study. None of them reported olfactory dysfunction or had signs of a dysfunctional sense of smell. Whenever possible, participants received a volumetric scan of the brain and lateralized olfactory tests. Volumetric measurements of the right and left OB were taken by manual segmentation of the coronal slices through the OB. Significant correlations between OB volumes and olfactory function were observed. Both, OB volumes and olfactory function increased with age, although the correlation between structure and function was not mediated by the subjects' age. In conclusion, for the first time, the present study showed a correlation between OB volume and olfactory functions in children.
The olfactory bulb (OB) is considered to be the most important relay station in odor processing. ... more The olfactory bulb (OB) is considered to be the most important relay station in odor processing. Involving 125 randomly selected subjects (58 men, 67 women; age range: 19 to 79 years), the present study aimed to investigate a possible correlation between OB volume and specific olfactory functions including odor threshold, odor discrimination, and odor identification. The history of all participants was taken in great detail to exclude possible causes of smell dysfunction. All participants received an otolaryngological investigation including a volumetric scan of the brain (MRI), lateralized olfactory tests and a screen for cognitive impairment. Volumetric measurements of the right and left OB were performed by manual segmentation of the coronal slices through the OB. Significant correlations between OB volumes in relation to olfactory function were observed, independent of the subjects' age. Additionally, OB volumes decreased with age. In agreement with previous research the present study confirmed the correlation between OB volume and specific olfactory functions. Furthermore, the correlation between OB volume and olfactory function was not mediated by the subjects' age. In conclusion, the present data obtained from a relatively large group of subjects forms the basis for age-related normative values of OB volumes.
The olfactory bulb (OB) plays a pivotal role in the processing of olfactory information. The aim ... more The olfactory bulb (OB) plays a pivotal role in the processing of olfactory information. The aim of this study was to investigate the OB volume changes and its possible associations with nasal septal deviation. Cross-sectional study. Otolaryngology Department of Bozok University School of Medicine and Neurology Department of Yozgat State Hospital. Ninety patient's cranial magnetic resonance imaging (MRI) studies (46 males and 44 females, mean age 36 ± 13.4 years; range 18-56 years) with isolated nasal septal deviations were recruited for the study. Olfactory bulb volumes in all study subjects were evaluated in T2-weighted coronal MRI images by planimetric manual contouring. Nasal septal deviation angles were found to range between 5° and 23.21° (mean 13.6° ± 3.58°). The right-sided deviations included 17 mild (<9°, Group I), 20 moderate (9°-15°, Group II), and 16 severe (15° and up, Group III) patients. The left-sided deviations included 14 mild (<9°, Group I), 13 moderate (9°-15°, Group II), and 10 severe (15° and up, Group III) subjects. Olfactory bulb volumes were calculated in both right- and left-sided deviation groups. In the patients with left-sided septal deviations of Groups I, II, and III, the left OB volumes of Groups I, II, and III were 46.49 ± 3.87, 47.46 ± 3.36, and 60.68 ± 5.65 mm and the right OB volumes were 53.37 ± 3.76, 56.47 ± 4.43, and 76.69 ± 6.84 mm, respectively. The statistical evaluation of the right OB volumes did not produce significant difference between Groups I and II (P = 0.73). The authors demonstrated statistically significant differences in comparison of Groups I to III and Groups II to III (P = 0.002 and P = 0.016, respectively). In the right septal deviation group for Groups I, II, and III, mean volumes of right OB volumes were 45.59 ± 4.46, 48.63 ± 3.78, and 61.35 ± 5.84 mm, respectively, and the left OB volumes were 54.67 ± 4.73, 57.65 ± 4.53, and 75.84 ± 7.67 mm, respectively. There was no statistically significant difference between Groups I and II (P = 0.95) left OB volumes in the right-sided deviation group, but statistically significant difference was demonstrated in Groups I to III and Groups II to III compartments (P = 0.002 and P = 0.003). In our study, while mild and moderate septal deviations lacked any significant affect on OB volumes, severe deviations were found to have significant impact on these parameter. Additionally the contralateral OB volumes in the severe septum deviation group were significantly bigger when compared to the ipsilateral OB volumes. Further multidisciplinary studies are required to evaluate the clinical significance of OB volume changes in diagnosis and follow-up of several otolaryngologic or nonotolaryngologic diseases.
Kulak Burun Bogaz Ihtisas Dergisi Kbb Journal of Ear Nose and Throat, Feb 1, 2004
Tracheoesophageal puncture is a simple procedure for speech rehabilitation of total laryngectomy ... more Tracheoesophageal puncture is a simple procedure for speech rehabilitation of total laryngectomy patients. Despite its relative simplicity this is not an innocent technique without complications. The goal of this study was to determine the incidence of acute mediastinitis as an early postoperative complication related to this procedure and to present outcomes of non-surgical conservative management in this complication. Blom-Singer voice prosthesis was used for 51 secondary tracheoesophageal puncture procedures in 45 patients between 1994 and 2002 according to the technique described by Blom and Singer. In the postoperative period, four patients (7.8%) developed mediastinitis related to this procedure. Of these, one patient had iatrogenic perforation of the posterior esophageal wall. A false dissection plane occurred in the tracheo-esophageal party wall in three patients which subsequently resulted in mediastinitis. Mediastinitis was diagnosed by clinical and radiological findings. All of these patients required prolonged hospitalization, intravenous antibiotics, and chest tube insertion. Only one patient underwent major surgical procedure to treat this complication. In conclusion, tracheoesophageal puncture for voice restoration is now regarded as a routine procedure usually performed in outpatient conditions. However, our experience demonstrates that this technique may be associated with significant complications such as mediastinitis. If mediastinitis is recognised earlier, it may be treated with conservative measures in most of the cases.
Kulak Burun Bogaz Ihtisas Dergisi Kbb Journal of Ear Nose and Throat, Feb 1, 2008
Aspergillosis of the maxillary sinus is rarely seen in nonimmunocompromised patients. Among paran... more Aspergillosis of the maxillary sinus is rarely seen in nonimmunocompromised patients. Among paranasal sinus infections associated with aspergillosis, the most common subtype is Aspergillus fumigatus. A 41-year-old woman presented with facial pain. She had a five-year history of root canal filling in the right upper molar teeth. Paranasal sinus tomography showed fungal sinusitis of radiopaque appearance, giving the impression of a foreign body in the maxillary sinus. The patient underwent endoscopic sinus surgery to purge infection of the maxillary sinus. Pathological examination revealed aspergillosis of the maxillary sinus.
International Journal of Medical Science and Public Health, 2014
Background: Health anxiety is defined by fears and worries of a severe illness in an otherwise he... more Background: Health anxiety is defined by fears and worries of a severe illness in an otherwise healthy subject. A recent epidemiological study found a point prevalence of 3.4% and a life time prevalence of 5.7% for health anxiety. The term vertigo is a symptom, not a disease. Aims & Objectives: Health anxiety has not been investigated previously in patients with vertigo complaint. In this study we investigated the possible relationship between health anxiety and vertigo. Materials and Methods: We performed Short Health Anxiety Inventory (SHAI) scale in Turkish and Beck Anxiety Inventory (BAI) to study group and control group. The study group consisted of 62 patients who admitted to the otolaryngology clinic with vertigo complaint. The control group consisted of 70 healthy subjects. Results: With regard to the SHAI and BAI scores. With regard to gender and marital status, SHAI and BAI results did not reach significant difference. Conclusion: Health anxiety and vertigo are common problems that may easily be neglected by busy general practitioners. Otolaryngologists and psychiatrists should be in closer cooperation to diagnose and to treat these health problems.
... A case of isolated aspergillosis of the maxillary sinus Dr. Mete Kaan BOZKURT, Dr.Tuncay ÖZÇE... more ... A case of isolated aspergillosis of the maxillary sinus Dr. Mete Kaan BOZKURT, Dr.Tuncay ÖZÇELİK,1 Dr. Levent SAYDAM,1 Dr. Lale KUTLUAY2 ... Ascomycetes sınıfına mensup aspergillus türleri doğada sık rastlanan mantarlardır. ...
ÖZET Doğumsal anomaliler aurikula bölgesinde sık görülen bir durumdur. Majör anomaliler fonksiyon... more ÖZET Doğumsal anomaliler aurikula bölgesinde sık görülen bir durumdur. Majör anomaliler fonksiyonel ve yapısal ciddi bozukluklara yol açarken minör anomaliler daha çok kozmetik kaygılara yol açar. Preauriküler sinüs, kulak katlantısının üst, ön kısmında ve genellikle tek tarafta görülür. Birinci farin-geal yarığın dorsal kısmının tam olmayan kapanması sonucu oluşur. Dıştan bakıldığında preaurikuler bölgede deriden başlangıcını alan ve iç kısımlara uzanan bir traktüs içeren küçük bir delik şeklinde görülür. Genellikle bulgu vermeyip, nadiren tekrarlayan yara enfeksiyonları ile bir arada olabilmek-tedir. Her iki kulak önünde 10 yıldır aralıklarla yara enfeksiyonu bulunan 26 yaşındaki bayan hastada preaurikuler sinus saptandı ve literatür eşliğinde konu tartışıldı. Sunmuş olduğumuz olguda preauriküler bölgenin iyileşmeyen ve tedavilere cevap vermeyen cilt enfeksiyonları zemininde preauriküler sinüsün de ola-bileceğinin vurgulanması amaçlanmıştır. Anahtar sözcükler: preauriküler sinüs, ...
External and/or middle ear pathologies are commonly encountered by otolaryngologists, family prac... more External and/or middle ear pathologies are commonly encountered by otolaryngologists, family practitioners and pediatricians. If left undiagnosed, these conditions may result in significant irreversible damage such as varying degree of hearing loss that can affect the social or professional performance of the individuals in later stages of life. In this study, we aimed to investigate the prevalence of several external and/or middle ear diseases among 7-13-year-old primary school students in Yozgat province. The province of Yozgat serves as a transition point between the Central Anatolian and Black Sea regions of Turkey. Nine hundred and seventy-eight primary school students were included in the study between March 1, 2012 and March 15, 2012. All subjects underwent a routine ear examination in school with a diagnostic otoscope. The students with pathologic ear findings were further evaluated to identify the underlying process. The age range of 978 students (527 males, 451 females) wa...
Larengeal kandidiyazis, literaturde iyi tanimlanmis olmasina karsin fizik muayenede malignansi ve... more Larengeal kandidiyazis, literaturde iyi tanimlanmis olmasina karsin fizik muayenede malignansi ve tuberkuloz ile ayirici tanisi gucluk arz edebilir. Hastaligin en sik gorulen belirtisi larengeal odeme bagi ses kisikligidir. Hastalik zamaninda tedavi edilmezse larengeal fibrozise ve kalici ses kisikligina yol acabilir. Larengeal kandidiyaziste predispozan faktorlerin ortadan kaldirilip antifungal tedaviye baslanmasi en iyi tedavi secenegini olusturmaktadir. Bu calismada uzun sureli inhaler kortikosteroid kullanimina bagli olusan izole bir larengeal kandidiyazis olgusu sunulmaktadir. Yaklasik yedi gundur ses kisikligi sikâyeti olan hastanin fizik muayenesinde saptanan sol vokal kord 1/3 orta kisminda keratotik gorunumlu lezyon, genel anestezi altinda mikrolarengoskopi ile sinirli stripping tarzinda eksize edilmistir. Patolojik inceleme larengeal kandidiyazis ile uyumlu oldugunu gosterdi ve hasta 3 haftalik 200 mg/gun fluconazol tedavisi sonrasi halen sorunsuz olarak takip edilmektedir.
European Archives of Oto-Rhino-Laryngology, Feb 10, 2015
Childhood obesity is a common and significant public health problem all over the world. As a well... more Childhood obesity is a common and significant public health problem all over the world. As a well-known fact obese children have an increased risk of obesity-associated comorbidities, including obstructive sleep apnea, diabetes, and cardiovascular disorders at an earlier age compared to their normal weight peers. They also have an increased risk of poor self-esteem, greater body dissatisfaction, and increased peer teasing that lead to a lower health-related quality of life. While the presence of adenoid hypertrophy and increased rate of obstructive sleep apnea frequently co-exists in majority of cases. We have limited knowledge about the effect of adenotonsillar hypertrophy on development of childhood obesity. In this study, we aimed to investigate the association between obesity, presence of adenotonsillar hypertrophy and the quality of life parameters in obese children as measured by the OSA-18 quality of life questionnaire. Fifty obese children aged between 3 and 18 years and 50 age- and gender-matched otherwise children were enrolled to the study. All subjects were routinely examined by the otolaryngologist before enrollment. The size of adenoid hypertrophy was measured using lateral cephalometric radiographs. The tonsils were also graded using the schema recommended by Brodsky et al. We used OSA-18 questionnaires to evaluate the subjects' quality of life issues. We found, 34 % of obese group had tonsillar hypertrophy while the rate was 6 % in control group. Similarly 16 % of obese group had tonsillar hypertrophy compared to only 4 % in non-obese group. It was also noted that total OSA-18 scores of obese group were significantly higher than those of non-obese group. In subgroup analysis of obese group, total OSA-18 score of obese subjects with either adenoid and/or tonsillar hypertrophy was significantly higher than that of obese subjects without adenoid or tonsillar hypertrophy. As the related literature suggests that the impact of adenotonsillar size on OSA symptoms is prominent especially in children under 7 years of age, but its impact on the development of childhood obesity is still controversial. Our results revealed a possible relation between adenotonsillar hypertrophy and obesity rates. Further studies on larger populations should be planned to better define the real impact of adenotonsillar hypertrophy in obese children.
Angiolipomas of the neck are extremely rare; to our knowledge, only 2 cases have been previously ... more Angiolipomas of the neck are extremely rare; to our knowledge, only 2 cases have been previously reported. We report a new case, which occurred in a 28-year-old woman. The mass was totally resected, and the patient showed no recurrence at the 18-month follow-up.
Objectives: We evaluated the role of fine-needle aspiration biopsy as a single parameter in deter... more Objectives: We evaluated the role of fine-needle aspiration biopsy as a single parameter in determining the extent of thyroidectomy and the necessity of routine use of frozen-section examination in patients with nodular thyroid disease. Pat i ents and Methods:We reviewed 67 patients (40 females, 27 males; mean age 44 years; range 17 to 78 years) who underwent thyroidectomy for nodular thyroid disease. Preoperative fine-needle aspiration biopsy and intraoperative frozen-section examination were performed in 46 patients and 40 patients, respectively. The results were compared with histopathologic diagnoses. Results:Histopathologically, 25 patients (37.3%) had malignant and 42 patients (62.7%) had benign disease. The sensitivity, specificity, and diagnostic accuracy were 50%, 95%, and 77% for fine-needle aspiration biopsy, and 100%, 87%, and 91% for frozen-section examination, respectively. Conclusion: In view of lower sensitivity and accuracy rates for fine-needle aspiration biopsy, t...
Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2008
Aspergillosis of the maxillary sinus is rarely seen in nonimmunocompromised patients. Among paran... more Aspergillosis of the maxillary sinus is rarely seen in nonimmunocompromised patients. Among paranasal sinus infections associated with aspergillosis, the most common subtype is Aspergillus fumigatus. A 41-year-old woman presented with facial pain. She had a five-year history of root canal filling in the right upper molar teeth. Paranasal sinus tomography showed fungal sinusitis of radiopaque appearance, giving the impression of a foreign body in the maxillary sinus. The patient underwent endoscopic sinus surgery to purge infection of the maxillary sinus. Pathological examination revealed aspergillosis of the maxillary sinus.
Nasal polyps are benign degeneration of nasal and sinus mucosa with a prevalence of about 4% in t... more Nasal polyps are benign degeneration of nasal and sinus mucosa with a prevalence of about 4% in the adult population. Unusual locations of origin such as the ethmoid sinus, sphenoid sinus, nasal septum, inferior turbinate and middle turbinate have been reported in the literature. Although nasal polyps are rarely isolated in the middle turbinate can be welded with the goal of this study have prepared. A 48 year old female patient, who is 10 years unable to breathe comfortably through the nose, snoring and frequent headaches was admitted to our hospital. Anterior rhinoscopy; right nasal cavity, septum between the middle turbinate of 3 x 2 cm in size, smooth, gray, pale in color, soft hepatic mass was detected. Polypectomy with endoscopic sinus surgery and septoplasty was performed. Following treatment, the patient is monitored for 8 months without complaints.
The olfactory bulb (OB) is considered to be the most important relay station in odor processing. ... more The olfactory bulb (OB) is considered to be the most important relay station in odor processing. The present study aimed to investigate the volumetric development of the human bulb and the olfactory function during childhood and youth. Furthermore, the present study aimed to investigate a possible correlation between OB volume and specific olfactory functions including odor threshold, odor discrimination and odor identification. A total of 87 subjects (46 boys, 41 girls), aged 1-17 years (mean age 8 years), participated in this study. None of them reported olfactory dysfunction or had signs of a dysfunctional sense of smell. Whenever possible, participants received a volumetric scan of the brain and lateralized olfactory tests. Volumetric measurements of the right and left OB were taken by manual segmentation of the coronal slices through the OB. Significant correlations between OB volumes and olfactory function were observed. Both, OB volumes and olfactory function increased with age, although the correlation between structure and function was not mediated by the subjects' age. In conclusion, for the first time, the present study showed a correlation between OB volume and olfactory functions in children.
The olfactory bulb (OB) is considered to be the most important relay station in odor processing. ... more The olfactory bulb (OB) is considered to be the most important relay station in odor processing. Involving 125 randomly selected subjects (58 men, 67 women; age range: 19 to 79 years), the present study aimed to investigate a possible correlation between OB volume and specific olfactory functions including odor threshold, odor discrimination, and odor identification. The history of all participants was taken in great detail to exclude possible causes of smell dysfunction. All participants received an otolaryngological investigation including a volumetric scan of the brain (MRI), lateralized olfactory tests and a screen for cognitive impairment. Volumetric measurements of the right and left OB were performed by manual segmentation of the coronal slices through the OB. Significant correlations between OB volumes in relation to olfactory function were observed, independent of the subjects' age. Additionally, OB volumes decreased with age. In agreement with previous research the present study confirmed the correlation between OB volume and specific olfactory functions. Furthermore, the correlation between OB volume and olfactory function was not mediated by the subjects' age. In conclusion, the present data obtained from a relatively large group of subjects forms the basis for age-related normative values of OB volumes.
The olfactory bulb (OB) plays a pivotal role in the processing of olfactory information. The aim ... more The olfactory bulb (OB) plays a pivotal role in the processing of olfactory information. The aim of this study was to investigate the OB volume changes and its possible associations with nasal septal deviation. Cross-sectional study. Otolaryngology Department of Bozok University School of Medicine and Neurology Department of Yozgat State Hospital. Ninety patient's cranial magnetic resonance imaging (MRI) studies (46 males and 44 females, mean age 36 ± 13.4 years; range 18-56 years) with isolated nasal septal deviations were recruited for the study. Olfactory bulb volumes in all study subjects were evaluated in T2-weighted coronal MRI images by planimetric manual contouring. Nasal septal deviation angles were found to range between 5° and 23.21° (mean 13.6° ± 3.58°). The right-sided deviations included 17 mild (<9°, Group I), 20 moderate (9°-15°, Group II), and 16 severe (15° and up, Group III) patients. The left-sided deviations included 14 mild (<9°, Group I), 13 moderate (9°-15°, Group II), and 10 severe (15° and up, Group III) subjects. Olfactory bulb volumes were calculated in both right- and left-sided deviation groups. In the patients with left-sided septal deviations of Groups I, II, and III, the left OB volumes of Groups I, II, and III were 46.49 ± 3.87, 47.46 ± 3.36, and 60.68 ± 5.65 mm and the right OB volumes were 53.37 ± 3.76, 56.47 ± 4.43, and 76.69 ± 6.84 mm, respectively. The statistical evaluation of the right OB volumes did not produce significant difference between Groups I and II (P = 0.73). The authors demonstrated statistically significant differences in comparison of Groups I to III and Groups II to III (P = 0.002 and P = 0.016, respectively). In the right septal deviation group for Groups I, II, and III, mean volumes of right OB volumes were 45.59 ± 4.46, 48.63 ± 3.78, and 61.35 ± 5.84 mm, respectively, and the left OB volumes were 54.67 ± 4.73, 57.65 ± 4.53, and 75.84 ± 7.67 mm, respectively. There was no statistically significant difference between Groups I and II (P = 0.95) left OB volumes in the right-sided deviation group, but statistically significant difference was demonstrated in Groups I to III and Groups II to III compartments (P = 0.002 and P = 0.003). In our study, while mild and moderate septal deviations lacked any significant affect on OB volumes, severe deviations were found to have significant impact on these parameter. Additionally the contralateral OB volumes in the severe septum deviation group were significantly bigger when compared to the ipsilateral OB volumes. Further multidisciplinary studies are required to evaluate the clinical significance of OB volume changes in diagnosis and follow-up of several otolaryngologic or nonotolaryngologic diseases.
Kulak Burun Bogaz Ihtisas Dergisi Kbb Journal of Ear Nose and Throat, Feb 1, 2004
Tracheoesophageal puncture is a simple procedure for speech rehabilitation of total laryngectomy ... more Tracheoesophageal puncture is a simple procedure for speech rehabilitation of total laryngectomy patients. Despite its relative simplicity this is not an innocent technique without complications. The goal of this study was to determine the incidence of acute mediastinitis as an early postoperative complication related to this procedure and to present outcomes of non-surgical conservative management in this complication. Blom-Singer voice prosthesis was used for 51 secondary tracheoesophageal puncture procedures in 45 patients between 1994 and 2002 according to the technique described by Blom and Singer. In the postoperative period, four patients (7.8%) developed mediastinitis related to this procedure. Of these, one patient had iatrogenic perforation of the posterior esophageal wall. A false dissection plane occurred in the tracheo-esophageal party wall in three patients which subsequently resulted in mediastinitis. Mediastinitis was diagnosed by clinical and radiological findings. All of these patients required prolonged hospitalization, intravenous antibiotics, and chest tube insertion. Only one patient underwent major surgical procedure to treat this complication. In conclusion, tracheoesophageal puncture for voice restoration is now regarded as a routine procedure usually performed in outpatient conditions. However, our experience demonstrates that this technique may be associated with significant complications such as mediastinitis. If mediastinitis is recognised earlier, it may be treated with conservative measures in most of the cases.
Kulak Burun Bogaz Ihtisas Dergisi Kbb Journal of Ear Nose and Throat, Feb 1, 2008
Aspergillosis of the maxillary sinus is rarely seen in nonimmunocompromised patients. Among paran... more Aspergillosis of the maxillary sinus is rarely seen in nonimmunocompromised patients. Among paranasal sinus infections associated with aspergillosis, the most common subtype is Aspergillus fumigatus. A 41-year-old woman presented with facial pain. She had a five-year history of root canal filling in the right upper molar teeth. Paranasal sinus tomography showed fungal sinusitis of radiopaque appearance, giving the impression of a foreign body in the maxillary sinus. The patient underwent endoscopic sinus surgery to purge infection of the maxillary sinus. Pathological examination revealed aspergillosis of the maxillary sinus.
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