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Research paper thumbnail of Evaluation of Excessive Daytime Sleepiness with Sleep Apnea and Determining the Relationship Between Life Quality

Medical Bulletin of Haseki, 2019

Aim: Obstructive Sleep Apnea syndrome (OSAS) is an important health issue characterized by repeti... more Aim: Obstructive Sleep Apnea syndrome (OSAS) is an important health issue characterized by repetitive episodes of upper airway obstruction affecting many different systems in the human body. In this study, we aimed to examine the relationship of daytime sleepiness with quality of life in patients with OSAS. Methods: In this study, adult patients, who underwent diagnostic polysomnography for the first time in our clinic, were included. Data on physical examination findings and demographic characteristics were recorded. The Epworth Sleepiness Scale, 36-Item Short Form Health Survey (SF-36), Beck Anxiety Inventory, and the Beck Depression Inventory were administered to the patients. Results: A total of 136 patients with the mean age of 45.5±9.7 (22-68) were included in the study. Thirty four patients were (25%) female and 102 were male (75%). Simple snoring was detected in 30 patients (22.1%), mild OSAS in 24 patients (17.6%), moderate OSAS in 26 patients (19.1%) and severe OSAS was found in 56 patients (42.1%). Epworth Sleepiness Scale scores in patients with severe OSAS were statistically significantly higher than in other patients. The lowest SF-36 scores were observed in severe OSAS patients. Conclusion: The quality of life was significantly decreased in patients with severe OSAS. We assume that quality life was negatively correlated Epworth Sleepiness Scale scores.

Research paper thumbnail of Recurrence of Giant Cell Tumor of The Larynx

The Journal of craniofacial surgery, 2018

Giant cell tumor of the larynx is a rare tumor. It was first reported by Wessely et al in 1940. T... more Giant cell tumor of the larynx is a rare tumor. It was first reported by Wessely et al in 1940. Thirty-nine cases have been reported until now and together with the current case 2 recurrences were encountered. In this case report, our aim was to discuss conservative management because of the suspicion of recurrence. A 70-year-old male patient was admitted to our clinic with the complaint of hoarseness. A tumor measuring 1 × 1 cm located in the anterior half right vocal fold and extending to the anterior comissure was found on laryngeal endoscopy. Direct laryngoscopy and biopsy of the mass revealed giant cell tumor on histopathological examination. Tumor resection with cordectomy through laryngofissure and subsequently medialization thyroplasty were performed. Horaseness of the patient improved. On 2-year follow-up, a tumoral lesion suggesting recurrence was found on the vocal cord. Direct laryngoscopy and biopsy confirmed recurrence. Total laryngectomy was performed. This is the sec...

Research paper thumbnail of Deep Neck Infections: A Retrospective Analysis of Eighty Five Cases

Haseki Tıp Bülteni, 2016

Amaç:Çalışmamızda derin boyun enfeksiyonlarının klinik bulguları ve tedavi sonuçları değerlendiri... more Amaç:Çalışmamızda derin boyun enfeksiyonlarının klinik bulguları ve tedavi sonuçları değerlendirilmiştir. Derin boyun enfeksiyonları hızla ilerleyen ve ölümcül komplikasyonları olabilen hastalıklardır. Yöntemler:Parafarengeal, submandibular ve peritonsiller apselerden oluşan derin boyun enfeksiyonlarını değerlendirdiğimiz ve 85 hastalık retrospektif olarak planladığımız bir çalışmadır. Bulgular: Derin boyun enfeksiyonu tanısı alan 85 hastanın, 33'ü 18 yaş altı (çocuk grubu), 52'si 18 yaş üstü idi (erişkin grup). Hastaların yaşlarının dört ile 56 arasında olduğu gözlendi (ortalama 24,109±14,003). Her iki grupta en sık görülen şikayetler; ateş, trismus, ağrı ve odinofaji idi. Erişkinlerde derin boyun enfeksiyonu en sık peritonsiller alanda, çocuklarda ise parafarengeal alanda gözlenmiştir. Tüm hastalara intravenöz antibiyoterapi başlanmış ve bazı hastalara cerrahi drenaj uygulanmıştır. En sık intravenöz antibiyotik olarak ampisilin-sulbaktam tek başına ya da metronidazol ile kombine edilerek kullanılmıştır. Sonuç: Birçok derin boyun enfeksiyonu olgusu intravenöz antiyotik ile tedavi edilebilmektedir. Eğer iyileşme olmaz ise bu hastalara cerrahi drenaj uygulamak gerekmektedir. AnahtarSözcükler:Apse, boyun, parafarengeal bölge Aim: In our study, we assessed symptoms and treatment outcomes in patients with deep neck infections (DNI). It often has a rapid onset and can cause lethal complications. Methods: A retrospective designed study of 85 patients diagnosed with DNI such as peritonsillar, parapharyngeal, and submandibular abscesses. Results: A total of 85 patients were diagnosed with DNI. 33 of the 85 patients were younger than 18 (group of children), and 52 were older than 18 years of age (group of adults). The mean age of the patients was 24.109±14.003 (4-54) years. Trismus, fever, odynophagia and pain were the most common complaints in both groups. In the adults group, the peritonsillar space was the most common site of infection (49%). In children group, the parapharyngeal space was the most common site of infection (35%). All patients were given intravenous antibiotic therapy and additional drainage of the abscess was also carried out for some of the patients. Most frequently, intravenous ampicillin-sulbactam alone or in combination with metronidazole was administrated to the patients. Conclusion: Most of the cases of DNI can be treated with intravenous antibiotics in spite of the fact that if there is no clinical healing, drainage is needed.

Research paper thumbnail of Results of Thyroglossal Duct Cysts and Fistulas Surgery in Our Clinic

Haseki Tıp Bülteni, 2016

Bu çalışmamızda; tiroglossal duktus kisti tanısı ile ameliyat edilmiş 72 hastanın, klinik özellik... more Bu çalışmamızda; tiroglossal duktus kisti tanısı ile ameliyat edilmiş 72 hastanın, klinik özellikleri, fizik muayene bulguları ve tedavilerinin ilgili literatürler eşliğinde incelenmesi amaçlanmaktadır. Yöntemler:Tiroglossal duktus kisti tanısı almış ve ameliyat edilen 72 hastanın dosyaları retrospektif olarak incelenmiştir. Bulgular: Yetmiş iki hastanın 48'i erkek, 24'ü kadındı ve yaşları 10 ile 56 arasında (ortalama 16,8±15,7 yıl) değişmekte idi. En sık rastlanan şikayet boyun orta hattında şişlik idi (%58). Diğer şikayetler ise boyun orta hattında aralıklı akıntı veya fistül ağzı olarak gözlendi. On altı hastada şişlik veya fistül ağzı tirohiyoid bölge içerisinde ve orta hatta idi. Hastaların klinik görünümleri 38'inde fistül ve 34'ünde kist şeklindeydi. Hastalarımızın tümüne Sistrunk operasyonu uygulanmıştır. Sonuç: Boynun orta hattında bulunan akıntı ve şişlik sebebiyle başvurmuş hastaların ayırıcı tanılarında tiroglossal duktus kistleri mutlaka düşünülmelidir. Tiroglossal duktus kistlerinin malign transformasyon riski olması sebebiyle tedavisinde cerrahi uygulanmalıdır. Tedavide Sistrunk operasyonu altın standarttır çünkü rekürrensin en az olduğu yöntemdir.

Research paper thumbnail of Evaluation of Excessive Daytime Sleepiness with Sleep Apnea and Determining the Relationship Between Life Quality

Medical Bulletin of Haseki, 2019

Aim: Obstructive Sleep Apnea syndrome (OSAS) is an important health issue characterized by repeti... more Aim: Obstructive Sleep Apnea syndrome (OSAS) is an important health issue characterized by repetitive episodes of upper airway obstruction affecting many different systems in the human body. In this study, we aimed to examine the relationship of daytime sleepiness with quality of life in patients with OSAS. Methods: In this study, adult patients, who underwent diagnostic polysomnography for the first time in our clinic, were included. Data on physical examination findings and demographic characteristics were recorded. The Epworth Sleepiness Scale, 36-Item Short Form Health Survey (SF-36), Beck Anxiety Inventory, and the Beck Depression Inventory were administered to the patients. Results: A total of 136 patients with the mean age of 45.5±9.7 (22-68) were included in the study. Thirty four patients were (25%) female and 102 were male (75%). Simple snoring was detected in 30 patients (22.1%), mild OSAS in 24 patients (17.6%), moderate OSAS in 26 patients (19.1%) and severe OSAS was found in 56 patients (42.1%). Epworth Sleepiness Scale scores in patients with severe OSAS were statistically significantly higher than in other patients. The lowest SF-36 scores were observed in severe OSAS patients. Conclusion: The quality of life was significantly decreased in patients with severe OSAS. We assume that quality life was negatively correlated Epworth Sleepiness Scale scores.

Research paper thumbnail of Recurrence of Giant Cell Tumor of The Larynx

The Journal of craniofacial surgery, 2018

Giant cell tumor of the larynx is a rare tumor. It was first reported by Wessely et al in 1940. T... more Giant cell tumor of the larynx is a rare tumor. It was first reported by Wessely et al in 1940. Thirty-nine cases have been reported until now and together with the current case 2 recurrences were encountered. In this case report, our aim was to discuss conservative management because of the suspicion of recurrence. A 70-year-old male patient was admitted to our clinic with the complaint of hoarseness. A tumor measuring 1 × 1 cm located in the anterior half right vocal fold and extending to the anterior comissure was found on laryngeal endoscopy. Direct laryngoscopy and biopsy of the mass revealed giant cell tumor on histopathological examination. Tumor resection with cordectomy through laryngofissure and subsequently medialization thyroplasty were performed. Horaseness of the patient improved. On 2-year follow-up, a tumoral lesion suggesting recurrence was found on the vocal cord. Direct laryngoscopy and biopsy confirmed recurrence. Total laryngectomy was performed. This is the sec...

Research paper thumbnail of Deep Neck Infections: A Retrospective Analysis of Eighty Five Cases

Haseki Tıp Bülteni, 2016

Amaç:Çalışmamızda derin boyun enfeksiyonlarının klinik bulguları ve tedavi sonuçları değerlendiri... more Amaç:Çalışmamızda derin boyun enfeksiyonlarının klinik bulguları ve tedavi sonuçları değerlendirilmiştir. Derin boyun enfeksiyonları hızla ilerleyen ve ölümcül komplikasyonları olabilen hastalıklardır. Yöntemler:Parafarengeal, submandibular ve peritonsiller apselerden oluşan derin boyun enfeksiyonlarını değerlendirdiğimiz ve 85 hastalık retrospektif olarak planladığımız bir çalışmadır. Bulgular: Derin boyun enfeksiyonu tanısı alan 85 hastanın, 33'ü 18 yaş altı (çocuk grubu), 52'si 18 yaş üstü idi (erişkin grup). Hastaların yaşlarının dört ile 56 arasında olduğu gözlendi (ortalama 24,109±14,003). Her iki grupta en sık görülen şikayetler; ateş, trismus, ağrı ve odinofaji idi. Erişkinlerde derin boyun enfeksiyonu en sık peritonsiller alanda, çocuklarda ise parafarengeal alanda gözlenmiştir. Tüm hastalara intravenöz antibiyoterapi başlanmış ve bazı hastalara cerrahi drenaj uygulanmıştır. En sık intravenöz antibiyotik olarak ampisilin-sulbaktam tek başına ya da metronidazol ile kombine edilerek kullanılmıştır. Sonuç: Birçok derin boyun enfeksiyonu olgusu intravenöz antiyotik ile tedavi edilebilmektedir. Eğer iyileşme olmaz ise bu hastalara cerrahi drenaj uygulamak gerekmektedir. AnahtarSözcükler:Apse, boyun, parafarengeal bölge Aim: In our study, we assessed symptoms and treatment outcomes in patients with deep neck infections (DNI). It often has a rapid onset and can cause lethal complications. Methods: A retrospective designed study of 85 patients diagnosed with DNI such as peritonsillar, parapharyngeal, and submandibular abscesses. Results: A total of 85 patients were diagnosed with DNI. 33 of the 85 patients were younger than 18 (group of children), and 52 were older than 18 years of age (group of adults). The mean age of the patients was 24.109±14.003 (4-54) years. Trismus, fever, odynophagia and pain were the most common complaints in both groups. In the adults group, the peritonsillar space was the most common site of infection (49%). In children group, the parapharyngeal space was the most common site of infection (35%). All patients were given intravenous antibiotic therapy and additional drainage of the abscess was also carried out for some of the patients. Most frequently, intravenous ampicillin-sulbactam alone or in combination with metronidazole was administrated to the patients. Conclusion: Most of the cases of DNI can be treated with intravenous antibiotics in spite of the fact that if there is no clinical healing, drainage is needed.

Research paper thumbnail of Results of Thyroglossal Duct Cysts and Fistulas Surgery in Our Clinic

Haseki Tıp Bülteni, 2016

Bu çalışmamızda; tiroglossal duktus kisti tanısı ile ameliyat edilmiş 72 hastanın, klinik özellik... more Bu çalışmamızda; tiroglossal duktus kisti tanısı ile ameliyat edilmiş 72 hastanın, klinik özellikleri, fizik muayene bulguları ve tedavilerinin ilgili literatürler eşliğinde incelenmesi amaçlanmaktadır. Yöntemler:Tiroglossal duktus kisti tanısı almış ve ameliyat edilen 72 hastanın dosyaları retrospektif olarak incelenmiştir. Bulgular: Yetmiş iki hastanın 48'i erkek, 24'ü kadındı ve yaşları 10 ile 56 arasında (ortalama 16,8±15,7 yıl) değişmekte idi. En sık rastlanan şikayet boyun orta hattında şişlik idi (%58). Diğer şikayetler ise boyun orta hattında aralıklı akıntı veya fistül ağzı olarak gözlendi. On altı hastada şişlik veya fistül ağzı tirohiyoid bölge içerisinde ve orta hatta idi. Hastaların klinik görünümleri 38'inde fistül ve 34'ünde kist şeklindeydi. Hastalarımızın tümüne Sistrunk operasyonu uygulanmıştır. Sonuç: Boynun orta hattında bulunan akıntı ve şişlik sebebiyle başvurmuş hastaların ayırıcı tanılarında tiroglossal duktus kistleri mutlaka düşünülmelidir. Tiroglossal duktus kistlerinin malign transformasyon riski olması sebebiyle tedavisinde cerrahi uygulanmalıdır. Tedavide Sistrunk operasyonu altın standarttır çünkü rekürrensin en az olduğu yöntemdir.