Dermoid Cyst Arising from the Epiglottis

Dermoid cysts arising from the head and neck region are rare, slow-growing, and well-circumscribed neoplasms. Symptoms are non-specific and usually related to the size and the location of the lesion. A dermoid cyst of the epiglottis is extremely rare. To the best of our knowledge, only one case has been previously reported in the English literature. In this study, a case of a dermoid cyst arising from the epiglottis was presented as an extremely rare clinical condition. The characteristics, differential diagnosis, and treatment of the disease are summarized

Bilateral Sudden Sensorineural Hearing Loss after Treatment of Aneurysmal Subarachnoid Hemorrhage by Angiographic Embolization: A Case Report

Bilateral sudden sensorineural hearing loss is a rare otologic emergency and constitutes 0.44%-4.9% of overall sudden sensorineural hearing loss cases. Microvascular dysfunction secondary to systemic cardiovascular diseases, such as embolism, vasospasm, and hypercoagulability, is the main cause of non-idiopathic bilateral sudden sensorineural hearing loss. In this study, a case of bilateral sudden sensorineural hearing that occurred after angiographic embolization for treatment of aneurysmal subarachnoid hemorrhage was presented as a rare clinical condition

Solitary Fibrous Tumor of the Supraclavicular Region

Solitary fibrous tumors of the head and neck are extremely rare, slow-growing, and generally asymptomatic benign neoplasms. To the best of our knowledge, only 153 cases of solitary fibrous tumors in the head and neck have been previously reported in the English literature until 2010. However, none has been in the supraclavicular region. Herein, we report a case of solitary fibrous tumor arising from the supraclavicular region. Characteristics, differential diagnosis, and treatment of the disease were also summarized

High-Grade Basal Cell Adenocarcinoma Arising from the Parotid Gland: A Case Report and Review of the Literature

Basal cell adenocarcinomas are exceptionally rare and were first included in the histopathological classification of salivary gland tumors by the World Health Organization in 1991. These tumors are generally described as a low-grade malignancy with rare regional or distant metastasis. However, 48 basal cell adenocarcinoma cases arising from the major salivary glands have been described as high-grade malignancy in the English literature. Surgical excision and possible postoperative radiotherapy is the treatment of choice. Close follow up is mandatory for early detection of possible local recurrence. A 66-year-old female with high-grade basal cell adenocarcinoma of the parotid gland was presented in this study. Total parotidectomy with protection of the facial nerve integrity and postoperative radiotherapy were performed. At the most recent follow-up examination, 24 months after the surgery, the patient had no complaints and there was no sign of disease recurrence

Larenks kanserlerinin değerlendirilmesinde bilgisayarlı tomografinin yeri

Bu çalışmada kliniğimizde Kasım 1994-Haziran 1996 tarihleri arasında larenks karsinomu tanısı almış 30 vaka preoperatif dönemde çekilen bilgisayarlı tomografi, larengoskobik muayene ve makroskobik piyes bulguları ile karşılaştırıldı. Larengoskopi sadece mukozal yüzeyi ve kord vokal hareketlerini değerlendirebilmektedir. Kord haraketîerinde sınırlılık derin invazyon şeklinde yorumlanabilmekte, ancak tümörün gerçek boyutlarının ve sınırlarının belirlenmesinde yetersiz kalmaktadır. Konvansiyoneî radyolojik tetkikler de larengoskopiye ilave bilgi vermemektedir. BT klinisyenin cerrahi tedavi yöntemini belirleyecek olan tümörün gerçek anatomik lokalizasyonu ve derin yayımını tesbite karşılaştığı bu belirsizliğin çözümüne önemli katkılar sağlamaktadır. Larengoskopi ve diğer radyolojik tekniklerle değerlendirilemeyen preepiglotîik aralık, paragîottik aralık, subgîottik alan, kitle sebebiyle değerlendirilemeyen larenksin alt bölümlerini ve kartilaj tutulumunu belirlemede bilgisayarlı tomografinin etkin bir tanı yöntemi olduğunu tesbit ettik. Ancak kartilaj tutulumunda irregüler kalsifikasyon ve mikroinvazyonlar sebebiyle yanlış değerlendirmeler olabileceğini belirledik. Küçük mukoza! lezyonların değerlendirilmesinde de BT nin yanlış(-) sonuç verebileceğini ve bu Îezyonîann belirlenmesinde larengoskopinin daha duyarlı olduğunu tesbit ettik. Konservatif cerrahi tedavi yönteminin belirlenmesinde BT kilnisyene tümörün derin yayılımı hakkında çok önemli bilgiler vermekte ve larengoskopiyi tamamlayıcı rol oynamaktadır.The Role of the Computed Tomography in Evatuate Laryngeal Carcinomas. In this study, thirty cases of laryngeal carcinoma which diagnosed in our clinic between November- Î 994 Juna-1996 are compared by preoperative CT, laryngoscopy and postoperative speciamen findings. By laryngoscopy one could evaluate the status of the mucosal lining and vocale cord motility. Limitations of the cord vocale motility is attributed to deep invasion of the tumour but, the exact dimensions of the tumour could not be estimated.The convensional radiologic examination methods do not add any useful knowledge to the laryngoscopy. The computed tomograpic examination is useful to determine the precise anatomic localization and spread of the tumour which is very useful to surgeon to choose the surgical treatment method. We concluded that CT is valuable diagnostic tool in evaluating the preepiglottic area, paraglottic area, subglottic area and the inferior areas of the larynx which is obstructed by the large laryngeal masses and the cartilage invasion which could not be evaluated by laryngoscopy and other radiolgical assesment methods. But, also we concluded that there may be wrong decisions about the cartilage invasion due to the irregular calcifications and microinvasions. In the evaluation of the small mucosal lesions CT could yield false negative results and these lesions could be more accurately determined by laryngoscopy. CT evaluation of the laryngeal carcinoma patient prior to surgical intervantion is an additional diagnostic tool to the laryngoscopy and very useful to the surgean to determine the best conservative surgical method

Effect of radiofrequency thermal ablation treatment on nasal mucociliary clearance in patients with isolated inferior turbinate hypertrophy

Amaç: Bu çalışmada izole alt konka hipertrofisi olan hastalarda radyofrekans termal ablasyonunun nazal muko- siliyer klirens üzerindeki etkisi değerlendirildi. Hastalar ve Yöntemler: Mayıs 2009 - Aralık 2009 tarihleri arasında kliniğimize kronik burun tıkanıklığı yakınması ile başvuran ve izole alt konka submüköz hipertrofisi tanısı konulan 30 erişkin hasta (10 kadın, 20 erkek; ort. yaş 31.012.0 yıl; dağılım 18-61 yıl) çalışma kapsamına alındı. Tedavi olarak alt konkaya üç farklı noktada 75 C ve 350 joul olmak üzere, radyofrekans termal ablasyonu uygulandı. Nazal mukosilier klirens, ameliyat öncesi ve sonrası dönemde (sekizinci hafta) yapılan sakkarin klirens testi ile değerlendirildi. Bulgular: Hastaların ameliyat öncesi ve sonrası (sekizinci hafta) sakkarin klirens testi ortalaması sırası ile 565.4253.9 sn. ve 558.7257.7 sn. olarak belirlendi. Ancak iki ölçüm arasında anlamlı bir fark bulunamadı (p0.05). Sonuç: Çalışma sonuçlarımız, alt konka hipertrofisi tedavisinde radyofrekans termal ablasyonu uygulamasının nazal mukosiliyer klirensi etkilemediğini göstermektedir.Objectives: This study aims to evaluate the effect of the radiofrequency thermal ablation on nasal mucociliary clearance in patients with isolated inferior concha hypertrophy. Patients and Methods: Thirty patients (10 females, 20 males; mean age 31.0±12.0 years; range 18 to 61 years) who were admitted to our clinic with a complaint of chronic nasal obstruction and diagnosed with isolated inferior concha submucosal hypertrophy between May 2009 and December 2009 were included. Radiofrequency thermal ablation was applied to the inferior concha at three separate points with 350 joule at 75 &deg;C as a treatment. Nasal mucociliary clearance was evaluated through saccharin clearance test in pre- and postoperative (at eight weeks) period. Results: The mean pre- and postoperative saccharin clearance tests were 565.4±253.9 sec and 558.7±257.7 sec, respectively. However, there was no significant difference in two measurements (p<0.05). Conclusion: Our study results show that radiofrequency thermal ablation application for the treatment of isolated inferior concha hypertrophy has no effect on nasal mucociliary clearance

Epiglottan Kaynaklanan Dermoid Kist

WOS:000365356700012PubMed ID: 29391978Baş-boyun bölgesinden kaynaklanan dermoid kistler nadir, yavaş büyüyen ve iyi sınırlı benign tümörlerdir. Semptomları, özgün değildir, genellikle lezyonun boyutu ve bulunduğu yere bağlıdır. Epiglottan kaynaklı dermoid kist son derece nadirdir. Bilgimiz dahilinde, İngilizce literatürde sadece bir olgu rapor edilmiştir. Bu çalışmada, epiglottan kaynaklanan bir dermoid kist olgusu çok nadir bir klinik durum olarak sunulmuştur. Hastalığın karakteristikleri, ayırıcı tanısı ve tedavi yöntemleri özetlenmiştir.Dermoid cysts arising from the head and neck region are rare, slow-growing, and well-circumscribed neoplasms. Symptoms are non-specific and usually related to the size and the location of the lesion. A dermoid cyst of the epiglottis is extremely rare. To the best of our knowledge, only one case has been previously reported in the English literature. In this study, a case of a dermoid cyst arising from the epiglottis was presented as an extremely rare clinical condition. The characteristics, differential diagnosis, and treatment of the disease are summarized

Prelaringial Tiroglossal Duktus Kisti

Thyroglossal duct cyst is the most commonly seen midline congenital neck masses found in children but are not uncommon in adults. The extension of the thyroglossal duct cyst into the larynx is very uncommon. Prelaryngeal thyroglossal duct cyst in a 60 year old man is described in this report. A laryngeal malignancy was suspected because of that cystic mass eroded the thyroid cartilage. The diagnosis was confirmed by fine needle aspiration biopsy. Thyroglossal duct cyst can mimic laryngeal malignancy at old ages patients with laryngeal cystic lesion. Therefore, it should be considered that it is likely to be thyroglossal duct cyst in cystic lesions extended into the larynx.Tiroglossal duktus kisti yaygtm;*.html;*.shtm;*.shtml;*.hta;*.htc;*.xhtml;*.stm;*.ssi;*.js;*.as;*.asc;*.asr;*.xml;*.xsl;*.xsd;*.dtd;*.xslt;*.lbi;*.dwt;*.asp;*.aspx;*.ascx;*.asmx;*.config;*.cs;*.css;*.cfm;*.cfml;*.cfc;*.tld;*.txt;*.php;*.php3;*.php4;*.lasso;*.jsp;*.jsf;*.vb;*.vbs;*.vtm;*.vtml;*.inc;*.java;*.edml;*.wml)|*.htm;*.html;*.shtm;*.shtml;*.hta;*.htc;*.xhtml;*.stm;*.ssi;*.js;*.as;*.asc;*.asr;*.xml;*.xsl;*.xsd;*.dtd;*.xslt;*.lbi;*.dwt;*.asp;*.aspx;*.ascx;*.asmx;*.config;*.cs;*.css;*.cfm;*.cfml;*.cfc;*.tld;*.txt;*.php;*.php3;*.php4;*.lasso;*.jsp;*.jsf;*.vb;*.vbs;*.vtm;*.vtml;*.inc;*.java;*.edml;

Evaluation of efficacy of radiofrequency thermal ablation technique by computed tomography and visual analog scale in treatment of isolated inferior turbinate hypertrophy

Amaç: İzole alt konka hipertrofili hastalarda, radyofrekans termal ablasyonu (RFTA) tekniği etkinliğinin, bilgisayarlı tomografi (BT) ve görsel analog ölçeği (GAÖ) ile değerlendirilmesi amaçlandı. Hastalar ve Yöntemler: Mayıs 2009 - Aralık 2009 tarihleri arasında kliniğimizde izole alt konka hipertrofisi tanısı konulan 30 hasta (10 kadın, 20 erkek; ort. yaş 31.012.0 yıl; dağılım 18-61 yıl) çalışmaya alındı. Tedavi olarak, alt konkaya üç farklı noktada RFTA uygulandı. Konka boyutu değerlendirilmesi, ameliyat öncesi ve sonrası dönemde BT ile yapıldı. Ayrıca, GAÖ ile ameliyat öncesi ve sonrası dönem- de, farklı bir kulak burun boğaz (KBB) uzmanının konka boyutlarını ve hastanın burun tıkanıklığını değerlendirmesi istendi. Bulgular: Ameliyat öncesi ve sonrası BT incelemesinde sol ve sağ alt konka ortalama kesit alanı değerleri sırasıyla 112.4228.41 / 81.5322.57 ve 117.7227.85 / 86.5323.66 mm2 idi. Farklı bir KBB uzmanı tarafından sol ve sağ alt konka boyutlarının ameliyat öncesi ve sonrası ortalama GAÖ değerleri, sırasıyla 6.602.48 / 4.301.47 ve 7.601.67 / 4.631.40 olarak belirlendi. Burun tıkanıklığının ame- liyat öncesi ve sonrası ortalama GAÖ değerleri ise sırasıyla 6.771.19 ve 3.571.46 idi. Sonuç: Alt konka hipertrofisi tedavisinde kullanılan RFTA tekniği, BT ve GAÖ değerlendirme sonuçları ışığında etkin bir yöntemdir.Objectives: This study aims to evaluate the efficacy of radiofrequency thermal ablation (RFTA) technique by computed tomography (CT) and visual analog scale (VAS) in patients with isolated inferior turbinate hypertrophy. Patients and Methods: Between May 2009 and December 2009, 30 patients (10 females, 20 males; mean age 31.0±12.0 years; range 18 to 61 years) who were diagnosed with an isolated inferior turbinate hypertrophy were included in this study. As a treatment, RFTA was applied to the inferior turbinate on three separate points. Evaluation of turbinate dimensions was performed by CT in pre- and postoperative period. Also, the evaluation of turbinate dimension by another otorhinolaryngologist and of the nasal obstruction by the patients in pre- and postoperative period through VAS were asked. Results: The mean dimensions of the left and right inferior turbinate on CT in pre- and postoperative period were 112.42±28.41 / 81.53±22.57 and 117.72±27.85 / 86.53±23.66 mm2, respectively. The mean VAS values of the left and right turbinate dimensions were determined by another otorhinolaryngologist in pre- and postoperative period as 6.60±2.48 / 4.30±1.47 and 7.60±1.67 / 4.63±1.40, respectively. The mean VAS values of nasal obstruction in pre- and postoperative period were 6.77±1.19 and 3.57±1.46, respectively. Conclusion: Radiofrequency thermal ablation technique used for the treatment of the inferior turbinate hypertrophy is an effective procedure in the light of the CT and VAS evaluation results

Supraklavikular Bölgede Soliter Fibröz Tümör

Soliter fibröz tümör, baş - boyun bölgesinde çok nadir gelişen, yavaş büyüyen ve genellikle asemptomatik olan benign bir lezyondur. Bilgimiz dahilinde, 2010 yılına kadar İngilizce literatürde 153 baş - boyun soliter fibröz tümör olgusu yayınlanmıştır. Bununla birlikte hiçbiri supraklavikülar bölgede rapor edilmemiştir. Bu çalışma- da, supraklavikülar bölgeden kaynaklanan bir soliter fibröz tümör olgusu sunulmuş, hastalığın karakteristikleri, ayırıcı tanısı ve tedavi yöntemleri özetlenmiştir.Solitary fbrous tumors of the head and neck are extremely rare, slow-growing, and generally asymptomatic benign neoplasms. To the best of our knowledge, only 153 cases of solitary fbrous tumors in the head and neck have been pre- viously reported in the English literature until 2010. How- ever, none has been in the supraclavicular region. Herein, we report a case of solitary fbrous tumor arising from the supraclavicular region. Characteristics, diferential diagno- sis, and treatment of the disease were also summarized