Mattress Suture Technique for Caudal Septum Dislocations in Open and Endonasal Septoplasty: Which Approach is Better?

WOS: 000509687200095PubMed: 31567763Objectives: Various techniques have been described to correct caudal septum dislocations but the issue has not been resolved conclusively. This study aimed to describe a suture technique that can be used to correct and stabilize the caudal septum on the maxillary spine and also to evaluate the effects on patientsymptoms. Methods: Fifty-two patients with caudal septal dislocation were included in this study. Nineteen of the patients underwent open septoplasty and 33 patients underwent endonasal septoplasty. The caudal cartilage septums were fixed to the maxillary spine with horizontal mattress suturing in all patients. The patient followed up between 3 and 24th month. The modified "NOSE" survey was used to assess surgical outcome in all patients. The degree of septal correction was also classified. Results: Complete correction was achieved in the postoperative period in 96% of the patients. The status was near complete correction in 2 (3.8%) of the patients. But in these 2 patients, degree of caudal septal dislocation was corrected from severe to moderate after surgery and the fixation suture side is correct and stable. Postoperative modified NOSE survey scores were lower than the preoperative scores in all open and endonasal septoplasty groups (P <0.05). NOSE 2 (nasal blockage or obstruction) and NOSE 4 (trouble sleeping) scores were higher in patients with higher followup duration in open septoplasty group. Conclusion: Suturing technique is quite suitable for caudal septum dislocations and can easily be used in open and endonasal septoplasty. This suture reduces postoperative NOSE scores and the patients are satisfied with the results of the surgery. The septal stability may decrease in open septoplasty group with the longer post-operative duration. However, wide exposure can be ensured with an open septorhinoplasty approach. We concluded that it will be better to use endonasal septoplasty in appropriate cases and suture with nonabsorbable sutures

Rare coexistence of sialolithiasis and actinomycosisle in the submandibular gland

WOS: 000392937000010Sialolithiasis is a condition characterized by the obstruction of salivary gland or its excretory duct by a calculus or sialolith. This condition provokes swelling, pain, and infection of affected gland leading to salivary ectasia and even causing the subsequent dilatation of the salivary gland. The aim of this case report is to present a rare condition of sialolithiasis of the submandibular gland with actinomycosis. In this report, we presented a 35-year-old male patient having coexistence of submandibular sialolithiasis and actinomycosis with a literature review. Patient underwent excision of the right submandibular gland due to siaololithiasis. Pathologic examination revealed chronic sialadenitis, sialolithiasis, actinomyces which all necessitate the excision of right submandibular gland with stones with 1.5 cm in diameter. It should be keep in mind that sialolithiasis may be a predisposing factor for submandibular actinomycosis and removal of the sialolith or the entire gland is of particular importance

Effects of pregnancy on olfaction

WOS: 000413402500009In this review, we aimed to report the effects of pregnancy on olfaction function of the women. Since estrogen and progesterone levels change in specific physiological conditions, pregnancy and postmenopausal period exert an effect on the capability to sense and identify smells. Nasal stuffiness increased during pregnancy. 66.6% of the pregnant women were suffering olfactory dysfunction in the second trimester; while 95.8% in the first and third trimesters. Olfactory function was lessened following birth and throughout the first 6-12 weeks; however, it seemed to improve entirely. In pregnant women, olfactory dysfunction was observed in all trimesters; while it was less in the second trimester and high in the first and third trimesters. The smell abnormalities were almost absent at postpartum period. As olfactory functions improved after delivery of the baby, olfactory changes during pregnancy may be accepted as physiological changes which were observed in many pregnant women

Does subjective tinnitus cause sexual disturbance?

WOS: 000248088600001PubMed: 17459276Objective: Tinnitus can cause psychological problems, which can affect sexual performance. The aim of this study was to investigate sexual disturbance related to the psychological problems of patients with subjective tinnitus. Materials and Method. The subjective tinnitus group with normal hearing levels consisted of 20 patients (10 male, 10 female) who were nonpsychiatric. The control group consisted of 20 healthy patients (10 male, 10 female) with normal hearing levels who did not have tinnitus and were nonpsychiatric. All subjects were married and had an active sexual life. Using a questionnaire, the subjective tinnitus loudness level score (STLL-Sc) was found. Using Zung Anxiety and Depression Scale, self-rating depression scale (SDS) was found in the study and control groups. Sexual function was assessed in all male subjects with the International Index of Erectile Functions (IIEF) and in all female subjects with the Female Sexual Function Index (FSFI). Results: In females, the satisfaction subscore was slightly lower than normal limits in both the study and control groups. In males, the IIEF showed an insignificant, negative correlation with the STLL-Sc and the SDS and a positive correlation with tinnitus duration. In females, the FSFI showed an insignificant negative correlation with the STILL-Sc and a positive correlation with tinnitus duration and the SDS. Conclusion: Sexual disturbance is seen in very quiet-and intermediate-level tinnitus sufferers in the early period of the disease. Over time, they become used to living with their tinnitus, and no loss in sexual performance is seen. In the future, we plan to investigate the sexual disturbance of patients with severe STLL-Scs

Inverted Papillomas Accompanied by Mucocele or Carcinoma: Case Report

WOS: 000264851900041Inverted papilloma (IP) is a benign tumor characterized with basal cell hyperplasia and epithelial invasion into the stroma. IP frequently originates from lateral nasal wall, middle turbinate and middle meatus, and rarely from paranasal sinuses. IP can histologically be with different degrees of atypia, dysplasia, carcinoma in situ and carcinoma. Mucoceles are chronic and cystic lesions of the paranasal sinuses formed by chronic obstruction of the sinus ostia due to inflammation, scar formation, osteoma and tumor. Frontal mucoceles are formed by the obstruction of the nasofrontal canal. In this article, two cases of inverted papillomas were presented. In the first case, IP caused mucocele, which had invaded into the orbita leading to proptosis by obstruction of the nasofrontal recess, and had eroded the inferior wall of the frontal sinus. In the other case, squamous cell carcinoma had developed. This article discussed the two cases in the light of the literature

Subjective audiological tests and transient evoked otoacoustic emissions in patients with rheumatoid arthritis: analysis of the factors affecting hearing levels

WOS: 000270437200007PubMed: 19360433We investigated hearing functions in patients with rheumatoid arthritis (RA) using audiological tests and transient evoked otoacoustic emissions (TEOAEs). The study group consisted of 20 adult patients with RA (7 males, 13 females); 20 adult healthy subjects without RA (7 males, 13 females) were recruited as controls. All patients were evaluated by pure tone audiometry, high frequency audiometry, tympanometry and TEOAEs. There were no statistical differences between the study and control groups with respect to the pure tone and high frequency audiometries. TEOAE results of 1.0-2.0 kHz % and of 1.5 and 3.0 kHz amplitude values were significantly lower, and ipsilateral stapes reflex threshold value at 1.0 kHz was significantly higher in the study group when compared to respective values in the control group. In elderly patients and those with longer disease duration, RA nodules and higher methotrexate cumulative doses, hearing thresholds increased and TEOAE values decreased. In active stage of the disease, hearing thresholds diminished and in higher Brinkman Index values, TEOAE values decreased. Compliance values decreased in patients with higher Ritchie Articular Index, C-reactive protein, erythrocyte sedimentation rate and platelet counts, and longer disease duration. Sensorineural hearing loss is generally observed in patients with RA, and this condition may be detected by TEOAEs in an early period of the disease. Inflammation during the active stage of the disease and the subsequent fibrosis may cause conductive hearing loss of varying degrees. In those patients detected as having initiation of TEOAE decrease, vasodilator treatment and antioxidant drugs may be useful in protecting the inner ear

Nasobronchial interaction

WOS: 000417237300004PubMed: 26090369Upper and lower airways can be considered as a unified morphofunctional unit. In this paper, nasobronchial interactions are evaluated based on literature. To discuss nasobronchial interactions, literature review from PubMed since 1982 is evaluated. Data base was including the terms "nasobronchial interaction, nasal and bronchial". Asthma and rhinosinusitis may be associated with environmental factors and immunological predisposition. Treatment of rhinosinusitis may decrease asthma exacerbations. It was concluded that "one airway, one disease"-concept may be accepted when considering naso-bronchial interaction. Asthma treatment should also mean treating the nose as good as treating patients with nasal symptoms. To reach the succesful results it should be associated with evaluation of lung functions