Prof. Dr. Köksal Yuca - Academia.edu (original) (raw)
Papers by Prof. Dr. Köksal Yuca
Epistaxis, whether spontaneous or otherwise is experienced by up to 60% of people in their lifeti... more Epistaxis, whether spontaneous or otherwise is experienced by up to 60% of people in their lifetime, 6% requiring medical attention. The condition has a bimodal distribution, with incidence peaks at ages younger than 10 years and older than 50 years. Epistaxis appears to occur more often in males than in females. With the evolution of endoscopic technology new treatment strategies combined with the use of stepwise epistaxis management plans can limit patient complications and provide effective treatment possibilities.
Insanlarin %60'i hayatlari suresince en az bir defa, spontan olsun veya olmasin epistaksis il... more Insanlarin %60'i hayatlari suresince en az bir defa, spontan olsun veya olmasin epistaksis ile karsi karsiya kalmakta ve bunlarin %6'si tedavi gerektirmektedir.(1) Epistaksis insidansi 10 yas alti ve 50 yas ustunde pik yapan bimodal dagilim gostermekte ve erkeklerde bayanlara gore daha sik gorulmektedir.(2,3) Endoskopik teknolojinin gelismesi ile birlikte degisen tedavi stratejilerini epistaksisli hastaya yaklasim algoritmalari ile kombine etmek komplikasyonlari azaltarak daha etkili tedavi olanaklari saglayabilmektedir. Anahtar kelimeler: Epistaksis, nazal kavite, koter Epistaxis, whether spontaneous or otherwise is experienced by up to 60% of people in their lifetime, 6% requiring medical attention. The condition has a bimodal distribution, with incidence peaks at ages younger than 10 years and older than 50 years. Epistaxis appears to occur more often in males than in females. With the evolution of endoscopic technology new treatment strategies combined with the use of st...
Electronic Journal of General Medicine, 2005
European Journal of General Medicine, 2012
The nasopharynx is a cuboidal compartment extending from the base of the skull to the soft palate... more The nasopharynx is a cuboidal compartment extending from the base of the skull to the soft palate. Thornwaldt's bursa, also known as nasopharyngeal bursa, is a recess in the midline of the nasopharynx, which is produced by persistent notochord remnants. If the opening of the bursa is occluded, benign midline nasopharyngeal mucosal cyst called Thornwaldt cyst develops. Thornwaldt cysts are almost always asymptomatic. However, if they become infected or exposed to trauma they can cause some symtoms include halitosis, occipital headache and postnasal drip. The diagnosis of this mass is usually incidental as part of a nasal endoscopic examination. Radiological and endoscopic examination can be used to diagnose the cyst. Radiographs frequently demonstrate a soft tissue mass with sharply defined margins high on the posterior pharyngeal wall. The differential diagnosis should include a meningocele or meningo-encephalocele. Various therapeutic approaches, including endoscopic, transoral, or transpalatal surgical interventions, can be used for treatment of symptomatic cysts.
European Journal of General Medicine, 2008
Ellis-van Creveld syndrome (EVCS) or chondroectodermal dysplasia is a rare autosomal recessive di... more Ellis-van Creveld syndrome (EVCS) or chondroectodermal dysplasia is a rare autosomal recessive disorder characterized by a variable spectrum of clinical findings. Classical EVC syndrome comprises a tetrad of clinical manifestations of chondrodystrophy, polydactyly, ectodermal dysplasia, and cardiac defects. The patient presented with short stature, polydactyly, triangular face and dental dismorphism was found appropriately as radiographic with ectodermal dysplasia. In addition to the presence of single atrium, mitral, tricuspid and pulmonary valve insufficiency and pulmonary hypertension wererevealed by echocardiography. Her history involved a sister who was dead in 3-month-ages.
European Journal of General Medicine, 2005
Infantile Hemangioendothelioma (IHE) is a rare vascular tumor with predominant involvement of sof... more Infantile Hemangioendothelioma (IHE) is a rare vascular tumor with predominant involvement of soft tissues of extremities. The occurrence in the head and neck region is extremly rare. We report a four-month-old female with IHE in her lower lip. The clinical and histologic photographs depict the findings. The diagnosis and treatment of IHE are discussed.
European Journal of General Medicine, 2005
Internal Jugular vein (IJV) thrombosis is a rare entity. It is usually secondary to various etiol... more Internal Jugular vein (IJV) thrombosis is a rare entity. It is usually secondary to various etiologies such as catheter, malignancy, trauma, infection and hypercoagulable status. Associated malignancies, either known or occult, are also uncommon and not well documented in the etiology of IJV thrombosis. We reported IJV thrombosis with two different pathologies i.e. malignacy and congestive heart failure. The diagnosis of IJV thrombosis was established with Doppler ultrasound and CT scan. These patients were treated low-molecular-weight heparin and oral anticoagulation. Early diagnosis and appropriate management is important to prevent potentially fatal complications from internal jugular vein thrombosis.
Turkiye Klinikleri Kulak Burun Bogaz Ozel Dergisi, 2012
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2008
A 15-year-old female patient developed facial nerve paralysis following surgical excision of a ri... more A 15-year-old female patient developed facial nerve paralysis following surgical excision of a right parotid mass at another center. The histopathologic diagnosis of the lesion was mucoepidermoid carcinoma. On admission to our clinic, she underwent extended total parotidectomy and functional neck dissection. For facial nerve reanimation, cervical plexus nerve grafting was performed for frontal and buccal branches, and ansa hypoglossi anastomosis for the marginal mandibular branch. Postoperative radiotherapy was administered. Facial nerve functions returned to normal in the postoperative sixth month (House-Brackmann grade II). No locoregional recurrence or distant metastasis occurred in the follow-up period.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2007
We investigated factors that affect the technique to be used in cholesteatoma surgery. The study ... more We investigated factors that affect the technique to be used in cholesteatoma surgery. The study included 186 patients who underwent surgery for suppurative chronic otitis media with cholesteatoma. Open technique (group A) was used in 143 patients, and closed technique (group B) was used in 43 patients. The two groups were compared with respect to medical (age, sex, hearing loss, mastoid pneumatization, site of cholesteatoma, complications) and paramedical (education level, postoperative patient compliance, health insurance, the season at the time of operation) factors. Medical factors that differed significantly between the two groups included the degree of hearing loss, site of cholesteatoma, and presence of complications. The only significant difference was in education level among the paramedical factors. A great majority of patients with a hearing loss above 60 dB were in group A. Cholesteatoma was localized in the middle ear and attic in 10 patients, and in the antrum and/or m...
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2005
This study sought to determine whether unilateral tonsillectomy was effective in the treatment of... more This study sought to determine whether unilateral tonsillectomy was effective in the treatment of chronic adenotonsillar hypertrophy. A total of 197 patients (96 girls, 101 boys) with chronic adenotonsillar hypertrophy were prospectively included. The patients were randomly assigned to either bilateral tonsillectomy (n=113; mean age 10.1 years; range 4 to 18 years) or unilateral tonsillectomy (n=84; mean age 4.5 years; range 3 to 8 years) performed with or without adenoidectomy. All the patients were followed-up for at least a year. The two groups did not differ significantly with respect to preoperative symptoms, the size of tonsils, and the presence of adenoid hypertrophy. At the end of the follow-up, no significant differences were found with respect to relief of snoring, mouth breathing, and upper airways obstruction between the two groups. A greater number of patients achieved complete improvement in snoring in the bilateral tonsillectomy group (p<0.05). With unilateral tons...
International Journal of Pediatric Otorhinolaryngology, 2005
Objective: In this study, auditory brainstem potentials (ABPs) were studied in children with prot... more Objective: In this study, auditory brainstem potentials (ABPs) were studied in children with protein energy malnutrition (PEM) to determine the effects of PEM on the developing brain in children. Methods: A total of 31 children, aged 3-36 months with moderate/severe PEM and 25 healthy children, aged 3-48 months were included in the study. Nutritional status of the children was assessed by the Gomez classification. Recordings of ABPs were performed by using Nihon Kohden Neuropack 2 device. Results: Of 31 children, 22 (71%) had severe malnutrition, 9 (29%) had moderate malnutrition. Additionally, 8 (26%) and 9 (29%) children had iron deficiency anemia and hypoalbuminemi, respectively. There were significant differences in the mean latencies of the waves I-V on the right and left ears and in the mean interpeak latencies (IPLs) of the waves III-V and I-V on the right ear between the study and control groups (P < 0.05). The mean IPLs of I-V on the left side were found to be longer in the moderate PEM group than those of severe PEM group (P < 0.05). There was not any difference between the groups of PEM with low serum albumin and PEM with normal serum albumin. While the mean IPLs of I-III on the right side were found longer in the cases of PEM without iron deficiency anemia, the mean latency of wave I on the left side, and the mean IPLs of III-V on the right side were longer in the children with PEM plus iron deficiency anemia (P < 0.05). Conclusions: Our findings showed that children with moderate/severe PEM had ABPs abnormalities in different degrees, which reflect defects in myelination of auditory brainstem pathways in children with moderate/severe PEM. However, we found
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2004
Pilomatrixoma is a rare, benign, calcifying cutaneous tumor, originating from pluripotential prec... more Pilomatrixoma is a rare, benign, calcifying cutaneous tumor, originating from pluripotential precursors of hair matrix cells. It is most commonly seen in the head and neck region, occurring in the first two decades of life. It usually occurs as a single nodule with a diameter of 0.5-3 cm, localized dermally or subcutaneously. Clinical diagnosis may be difficult when it presents in a large, ulcerated form or in elderly patients. A 65-year-old female presented with a painful and progressive, cutaneous, firm-solid mass with a diameter of 6 x 4 cm in the left preauricular region. The mass was surgically excised under general anesthesia. Histopathological diagnosis of the mass was pilomatrixoma which showed basophilic cells, shadow cells, and calcifications. Postoperative result of the operation field was cosmetically and functionally acceptable.
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2008
Myringosclerosis, one of the most common complications of ventilation tube placement, is a kind o... more Myringosclerosis, one of the most common complications of ventilation tube placement, is a kind of tympanosclerosis and is defined as subepithelial hyalinization of the tympanic membrane. There are two arguments in the development of myringosclerosis: inflammation triggering the development of myringosclerosis and free oxygen radicals released during inflammation causing myringosclerosis. The aim of the present study was to explore the effects on the development of myringosclerosis of mitomycin, which has anti-inflammatory effects, and trimetazidine, which is believed to inhibit free oxygen radicals when given systemically. The study was carried out on rabbits. Animals were divided into five groups, with six rabbits in each group: three control groups (paracentesis only, paracentesis+tube placement, and no intervention), a trimetazidine group, and a mitomycin group. Mitomycin (0.4 mg/mL) and trimetazidine (20 mg/mL) were applied topically to the tympanic membrane, and the presence a...
Ozet: Akut retrofarengeal apse genellikle kucuk cocuklaro etkileyen nadir fakat ciddi bir hastalo... more Ozet: Akut retrofarengeal apse genellikle kucuk cocuklaro etkileyen nadir fakat ciddi bir hastaloktor. Boyunda þiþkinlik ani ve oldurucu hava yolu tokanokloðona yol acabilir ve diðer hastaloklaro taklit edebilir. En sok rastlanolan bulgular ateþ, boyunda þiþkinlik, yutma gucluðu ve beslenme problemleri, konuþma zorluðu, baþ ve boynun hiperekstansiyonudur. Semptom ve bulgular on suresi deðiþiklik gosterebilir. Lateral boyun grafileri tanoyo doðrular.Tanoya en cok yardomco olan testler direk gozlem ve servikal bolgeye yonelik bilgisayarlo tomografidir. Erken tano ve cerrahi tedavi mediastinal yayolom, puy aspirasyonu, hava yolu obstruksiyonu veya buyuk bir damar erezyonu gibi ciddi komplikasyonlaron ortaya cokmasono onler. Bu yazoda, þiddetli solunum sokontoso ile baþ vuran ve retrofarengea l abse tanoso konulan bir yaþonda bir vakayo sunduk ve cocuklardaki solunum sokontosonon ne denleri tartoþoldo. Anahtar kelimeler: Retrofarengeal abse,derin boyun enfeksiyonu, ust solunum yolu tokanokloðo
International Journal of Pediatric Otorhinolaryngology, 2005
The Journal of Dermatology, 2004
Noma (cancrum oris) is an infectious disease that destroys the oro-facial tissues and other neigh... more Noma (cancrum oris) is an infectious disease that destroys the oro-facial tissues and other neighboring structures in its fulminating course. The starting point of the disease is acute ulcero-necrotic gingivitis, which results in an extensive gangrenous plaque destroying all of the soft tissues of the face. It predominantly affects children aged 2 16 years and is primarily seen in areas where the socioeconomic standards are low and there is poor hygiene, as in developing countries. We discuss possible predisposing factors in cancrum oris such as malnutrition, infectious diseases, HIV infection, and immune compromise conditions. Poverty is the most important risk factor. We report the case of a 6-month-old child with noma and review the characteristic features of this disease.
The Journal of Otolaryngology, 2006
Antrochoanal polyp (ACP) is a benign maxillary sinus polyp that originates from the mucosa of the... more Antrochoanal polyp (ACP) is a benign maxillary sinus polyp that originates from the mucosa of the maxillary sinus, passes through a sinus ostium, and extends into the choana. The common presentation of ACP is unilateral nasal obstruction. The radiographic findings and differential diagnosis of ACPs are discussed by comparing them with data in the literature. This study included 19 (14 male, 5 female; median age 24.5 years, range 8-75 years) surgically treated patients with ACPs diagnosed by clinical examination, nasal endoscopy, and computed tomography. Nasal obstruction was found in all cases. Endoscopic sinus surgery was preferred for removal of the nasal part of ACPs in 13 cases. Only in one case, polypectomy combined with Caldwell-Luc operation and septoplasty was performed. The observed complications were as follows: minor hemorrhage in three cases, mild cheek swelling with pain in two patients, and infraorbital hypoesthesia in one case. Histopathologic examination of ACPs revealed loose mucoid stroma and mucous glands, which were covered by respiratory epithelium. Endoscopic sinus surgery may be indicated in patients with ACPs because the function and capacity of the maxillary antrum are preserved. The greater portion of the antral part of polyp can be removed while leaving the healthy antral mucosa intact.
Epistaxis, whether spontaneous or otherwise is experienced by up to 60% of people in their lifeti... more Epistaxis, whether spontaneous or otherwise is experienced by up to 60% of people in their lifetime, 6% requiring medical attention. The condition has a bimodal distribution, with incidence peaks at ages younger than 10 years and older than 50 years. Epistaxis appears to occur more often in males than in females. With the evolution of endoscopic technology new treatment strategies combined with the use of stepwise epistaxis management plans can limit patient complications and provide effective treatment possibilities.
Insanlarin %60'i hayatlari suresince en az bir defa, spontan olsun veya olmasin epistaksis il... more Insanlarin %60'i hayatlari suresince en az bir defa, spontan olsun veya olmasin epistaksis ile karsi karsiya kalmakta ve bunlarin %6'si tedavi gerektirmektedir.(1) Epistaksis insidansi 10 yas alti ve 50 yas ustunde pik yapan bimodal dagilim gostermekte ve erkeklerde bayanlara gore daha sik gorulmektedir.(2,3) Endoskopik teknolojinin gelismesi ile birlikte degisen tedavi stratejilerini epistaksisli hastaya yaklasim algoritmalari ile kombine etmek komplikasyonlari azaltarak daha etkili tedavi olanaklari saglayabilmektedir. Anahtar kelimeler: Epistaksis, nazal kavite, koter Epistaxis, whether spontaneous or otherwise is experienced by up to 60% of people in their lifetime, 6% requiring medical attention. The condition has a bimodal distribution, with incidence peaks at ages younger than 10 years and older than 50 years. Epistaxis appears to occur more often in males than in females. With the evolution of endoscopic technology new treatment strategies combined with the use of st...
Electronic Journal of General Medicine, 2005
European Journal of General Medicine, 2012
The nasopharynx is a cuboidal compartment extending from the base of the skull to the soft palate... more The nasopharynx is a cuboidal compartment extending from the base of the skull to the soft palate. Thornwaldt's bursa, also known as nasopharyngeal bursa, is a recess in the midline of the nasopharynx, which is produced by persistent notochord remnants. If the opening of the bursa is occluded, benign midline nasopharyngeal mucosal cyst called Thornwaldt cyst develops. Thornwaldt cysts are almost always asymptomatic. However, if they become infected or exposed to trauma they can cause some symtoms include halitosis, occipital headache and postnasal drip. The diagnosis of this mass is usually incidental as part of a nasal endoscopic examination. Radiological and endoscopic examination can be used to diagnose the cyst. Radiographs frequently demonstrate a soft tissue mass with sharply defined margins high on the posterior pharyngeal wall. The differential diagnosis should include a meningocele or meningo-encephalocele. Various therapeutic approaches, including endoscopic, transoral, or transpalatal surgical interventions, can be used for treatment of symptomatic cysts.
European Journal of General Medicine, 2008
Ellis-van Creveld syndrome (EVCS) or chondroectodermal dysplasia is a rare autosomal recessive di... more Ellis-van Creveld syndrome (EVCS) or chondroectodermal dysplasia is a rare autosomal recessive disorder characterized by a variable spectrum of clinical findings. Classical EVC syndrome comprises a tetrad of clinical manifestations of chondrodystrophy, polydactyly, ectodermal dysplasia, and cardiac defects. The patient presented with short stature, polydactyly, triangular face and dental dismorphism was found appropriately as radiographic with ectodermal dysplasia. In addition to the presence of single atrium, mitral, tricuspid and pulmonary valve insufficiency and pulmonary hypertension wererevealed by echocardiography. Her history involved a sister who was dead in 3-month-ages.
European Journal of General Medicine, 2005
Infantile Hemangioendothelioma (IHE) is a rare vascular tumor with predominant involvement of sof... more Infantile Hemangioendothelioma (IHE) is a rare vascular tumor with predominant involvement of soft tissues of extremities. The occurrence in the head and neck region is extremly rare. We report a four-month-old female with IHE in her lower lip. The clinical and histologic photographs depict the findings. The diagnosis and treatment of IHE are discussed.
European Journal of General Medicine, 2005
Internal Jugular vein (IJV) thrombosis is a rare entity. It is usually secondary to various etiol... more Internal Jugular vein (IJV) thrombosis is a rare entity. It is usually secondary to various etiologies such as catheter, malignancy, trauma, infection and hypercoagulable status. Associated malignancies, either known or occult, are also uncommon and not well documented in the etiology of IJV thrombosis. We reported IJV thrombosis with two different pathologies i.e. malignacy and congestive heart failure. The diagnosis of IJV thrombosis was established with Doppler ultrasound and CT scan. These patients were treated low-molecular-weight heparin and oral anticoagulation. Early diagnosis and appropriate management is important to prevent potentially fatal complications from internal jugular vein thrombosis.
Turkiye Klinikleri Kulak Burun Bogaz Ozel Dergisi, 2012
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2008
A 15-year-old female patient developed facial nerve paralysis following surgical excision of a ri... more A 15-year-old female patient developed facial nerve paralysis following surgical excision of a right parotid mass at another center. The histopathologic diagnosis of the lesion was mucoepidermoid carcinoma. On admission to our clinic, she underwent extended total parotidectomy and functional neck dissection. For facial nerve reanimation, cervical plexus nerve grafting was performed for frontal and buccal branches, and ansa hypoglossi anastomosis for the marginal mandibular branch. Postoperative radiotherapy was administered. Facial nerve functions returned to normal in the postoperative sixth month (House-Brackmann grade II). No locoregional recurrence or distant metastasis occurred in the follow-up period.
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2007
We investigated factors that affect the technique to be used in cholesteatoma surgery. The study ... more We investigated factors that affect the technique to be used in cholesteatoma surgery. The study included 186 patients who underwent surgery for suppurative chronic otitis media with cholesteatoma. Open technique (group A) was used in 143 patients, and closed technique (group B) was used in 43 patients. The two groups were compared with respect to medical (age, sex, hearing loss, mastoid pneumatization, site of cholesteatoma, complications) and paramedical (education level, postoperative patient compliance, health insurance, the season at the time of operation) factors. Medical factors that differed significantly between the two groups included the degree of hearing loss, site of cholesteatoma, and presence of complications. The only significant difference was in education level among the paramedical factors. A great majority of patients with a hearing loss above 60 dB were in group A. Cholesteatoma was localized in the middle ear and attic in 10 patients, and in the antrum and/or m...
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2005
This study sought to determine whether unilateral tonsillectomy was effective in the treatment of... more This study sought to determine whether unilateral tonsillectomy was effective in the treatment of chronic adenotonsillar hypertrophy. A total of 197 patients (96 girls, 101 boys) with chronic adenotonsillar hypertrophy were prospectively included. The patients were randomly assigned to either bilateral tonsillectomy (n=113; mean age 10.1 years; range 4 to 18 years) or unilateral tonsillectomy (n=84; mean age 4.5 years; range 3 to 8 years) performed with or without adenoidectomy. All the patients were followed-up for at least a year. The two groups did not differ significantly with respect to preoperative symptoms, the size of tonsils, and the presence of adenoid hypertrophy. At the end of the follow-up, no significant differences were found with respect to relief of snoring, mouth breathing, and upper airways obstruction between the two groups. A greater number of patients achieved complete improvement in snoring in the bilateral tonsillectomy group (p<0.05). With unilateral tons...
International Journal of Pediatric Otorhinolaryngology, 2005
Objective: In this study, auditory brainstem potentials (ABPs) were studied in children with prot... more Objective: In this study, auditory brainstem potentials (ABPs) were studied in children with protein energy malnutrition (PEM) to determine the effects of PEM on the developing brain in children. Methods: A total of 31 children, aged 3-36 months with moderate/severe PEM and 25 healthy children, aged 3-48 months were included in the study. Nutritional status of the children was assessed by the Gomez classification. Recordings of ABPs were performed by using Nihon Kohden Neuropack 2 device. Results: Of 31 children, 22 (71%) had severe malnutrition, 9 (29%) had moderate malnutrition. Additionally, 8 (26%) and 9 (29%) children had iron deficiency anemia and hypoalbuminemi, respectively. There were significant differences in the mean latencies of the waves I-V on the right and left ears and in the mean interpeak latencies (IPLs) of the waves III-V and I-V on the right ear between the study and control groups (P < 0.05). The mean IPLs of I-V on the left side were found to be longer in the moderate PEM group than those of severe PEM group (P < 0.05). There was not any difference between the groups of PEM with low serum albumin and PEM with normal serum albumin. While the mean IPLs of I-III on the right side were found longer in the cases of PEM without iron deficiency anemia, the mean latency of wave I on the left side, and the mean IPLs of III-V on the right side were longer in the children with PEM plus iron deficiency anemia (P < 0.05). Conclusions: Our findings showed that children with moderate/severe PEM had ABPs abnormalities in different degrees, which reflect defects in myelination of auditory brainstem pathways in children with moderate/severe PEM. However, we found
Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2004
Pilomatrixoma is a rare, benign, calcifying cutaneous tumor, originating from pluripotential prec... more Pilomatrixoma is a rare, benign, calcifying cutaneous tumor, originating from pluripotential precursors of hair matrix cells. It is most commonly seen in the head and neck region, occurring in the first two decades of life. It usually occurs as a single nodule with a diameter of 0.5-3 cm, localized dermally or subcutaneously. Clinical diagnosis may be difficult when it presents in a large, ulcerated form or in elderly patients. A 65-year-old female presented with a painful and progressive, cutaneous, firm-solid mass with a diameter of 6 x 4 cm in the left preauricular region. The mass was surgically excised under general anesthesia. Histopathological diagnosis of the mass was pilomatrixoma which showed basophilic cells, shadow cells, and calcifications. Postoperative result of the operation field was cosmetically and functionally acceptable.
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2008
Myringosclerosis, one of the most common complications of ventilation tube placement, is a kind o... more Myringosclerosis, one of the most common complications of ventilation tube placement, is a kind of tympanosclerosis and is defined as subepithelial hyalinization of the tympanic membrane. There are two arguments in the development of myringosclerosis: inflammation triggering the development of myringosclerosis and free oxygen radicals released during inflammation causing myringosclerosis. The aim of the present study was to explore the effects on the development of myringosclerosis of mitomycin, which has anti-inflammatory effects, and trimetazidine, which is believed to inhibit free oxygen radicals when given systemically. The study was carried out on rabbits. Animals were divided into five groups, with six rabbits in each group: three control groups (paracentesis only, paracentesis+tube placement, and no intervention), a trimetazidine group, and a mitomycin group. Mitomycin (0.4 mg/mL) and trimetazidine (20 mg/mL) were applied topically to the tympanic membrane, and the presence a...
Ozet: Akut retrofarengeal apse genellikle kucuk cocuklaro etkileyen nadir fakat ciddi bir hastalo... more Ozet: Akut retrofarengeal apse genellikle kucuk cocuklaro etkileyen nadir fakat ciddi bir hastaloktor. Boyunda þiþkinlik ani ve oldurucu hava yolu tokanokloðona yol acabilir ve diðer hastaloklaro taklit edebilir. En sok rastlanolan bulgular ateþ, boyunda þiþkinlik, yutma gucluðu ve beslenme problemleri, konuþma zorluðu, baþ ve boynun hiperekstansiyonudur. Semptom ve bulgular on suresi deðiþiklik gosterebilir. Lateral boyun grafileri tanoyo doðrular.Tanoya en cok yardomco olan testler direk gozlem ve servikal bolgeye yonelik bilgisayarlo tomografidir. Erken tano ve cerrahi tedavi mediastinal yayolom, puy aspirasyonu, hava yolu obstruksiyonu veya buyuk bir damar erezyonu gibi ciddi komplikasyonlaron ortaya cokmasono onler. Bu yazoda, þiddetli solunum sokontoso ile baþ vuran ve retrofarengea l abse tanoso konulan bir yaþonda bir vakayo sunduk ve cocuklardaki solunum sokontosonon ne denleri tartoþoldo. Anahtar kelimeler: Retrofarengeal abse,derin boyun enfeksiyonu, ust solunum yolu tokanokloðo
International Journal of Pediatric Otorhinolaryngology, 2005
The Journal of Dermatology, 2004
Noma (cancrum oris) is an infectious disease that destroys the oro-facial tissues and other neigh... more Noma (cancrum oris) is an infectious disease that destroys the oro-facial tissues and other neighboring structures in its fulminating course. The starting point of the disease is acute ulcero-necrotic gingivitis, which results in an extensive gangrenous plaque destroying all of the soft tissues of the face. It predominantly affects children aged 2 16 years and is primarily seen in areas where the socioeconomic standards are low and there is poor hygiene, as in developing countries. We discuss possible predisposing factors in cancrum oris such as malnutrition, infectious diseases, HIV infection, and immune compromise conditions. Poverty is the most important risk factor. We report the case of a 6-month-old child with noma and review the characteristic features of this disease.
The Journal of Otolaryngology, 2006
Antrochoanal polyp (ACP) is a benign maxillary sinus polyp that originates from the mucosa of the... more Antrochoanal polyp (ACP) is a benign maxillary sinus polyp that originates from the mucosa of the maxillary sinus, passes through a sinus ostium, and extends into the choana. The common presentation of ACP is unilateral nasal obstruction. The radiographic findings and differential diagnosis of ACPs are discussed by comparing them with data in the literature. This study included 19 (14 male, 5 female; median age 24.5 years, range 8-75 years) surgically treated patients with ACPs diagnosed by clinical examination, nasal endoscopy, and computed tomography. Nasal obstruction was found in all cases. Endoscopic sinus surgery was preferred for removal of the nasal part of ACPs in 13 cases. Only in one case, polypectomy combined with Caldwell-Luc operation and septoplasty was performed. The observed complications were as follows: minor hemorrhage in three cases, mild cheek swelling with pain in two patients, and infraorbital hypoesthesia in one case. Histopathologic examination of ACPs revealed loose mucoid stroma and mucous glands, which were covered by respiratory epithelium. Endoscopic sinus surgery may be indicated in patients with ACPs because the function and capacity of the maxillary antrum are preserved. The greater portion of the antral part of polyp can be removed while leaving the healthy antral mucosa intact.