Craniofacial Evaluation of Class I Turkish Adults: Bimler Analysis

Objective:The aim of this study was to evaluate the facial type and skeletal relationships of Class I Turkish male and female adults by using Bimler cephalometric analysis.Materials and Method:The study sample included 82 randomly selected Turkish adults (42 female, 40 male) with an age range of 18–23 years. Cephalometric measurements defined by Bimler were used to determine skeletal relationships, including his suborbital facial index on lateral cephalometric radiographs. Variance analysis (ANOVA) was used for statistical assessment of the results.Results:The whole sample was found to be in the medium range according to Bimler. For all parameters, except the mandibular flexion (Cgo/CV), which showed hyperflexion with a mean 4.23° in female patients and 3.78° in male patients, Turkish adults show appropriate characteristics as defined by Bimler. There were no significant differences between men and women in most of the angular and linear measurements. Craniofacial height and depth values were significantly higher in men, showing a sex-based difference (p<0.001), whereas differences between the sexes concerning suborbital facial index (H/D) were nonsignificant.Conclusions:Ranges of Turkish population show similarity to those reported by Bimler. The whole sample was found to be in the medium range according to Bimler. Craniofacial height and depth values were significantly higher in men, showing sex-based difference. The mandible showed hyperflexion in both groups which indicates reduction of the height of the middle part of the face

Evaluation of patients with fibrotic interstitial lung disease: Preliminary results from the Turk-UIP study

OBJECTIVE: Differential diagnosis of idiopathic pulmonary fibrosis (IPF) is important among fibrotic interstitial lung diseases (ILD). This study aimed to evaluate the rate of IPF in patients with fibrotic ILD and to determine the clinical-laboratory features of patients with and without IPF that would provide the differential diagnosis of IPF. MATERIAL AND METHODS: The study included the patients with the usual interstitial pneumonia (UIP) pattern or possible UIP pattern on thorax high-resolution computed tomography, and/or UIP pattern, probable UIP or possible UIP pattern at lung biopsy according to the 2011 ATS/ERSARS/ALAT guidelines. Demographics and clinical and radiological data of the patients were recorded. All data recorded by researchers was evaluated by radiology and the clinical decision board. RESULTS: A total of 336 patients (253 men, 83 women, age 65.8 +/- 9.0 years) were evaluated. Of the patients with sufficient data for diag-nosis (n=300), the diagnosis was IPF in 121 (40.3%), unclassified idiopathic interstitial pneumonia in 50 (16.7%), combined pulmonary fibrosis and emphysema (CPFE) in 40 (13.3%), and lung involvement of connective tissue disease (CTD) in 16 (5.3%). When 29 patients with definite IPF features were added to the patients with CPFE, the total number of IPF patients reached 150 (50%). Rate of male sex (p<0.001), smoking history (p<0.001), and the presence of clubbing (p=0.001) were significantly high in patients with IPE None of the women <50 years and none of the men <50 years of age without a smoking history were diagnosed with IPE Presence of at least 1 of the symptoms suggestive of CTD, erythrocyte sedimentation rate (ESR), and antinuclear antibody (FANA) positivity rates were significantly higher in the non-IPF group (p<0.001, p=0.029, p=0.009, respectively). CONCLUSION: The rate of IPF among patients with fibrotic ILD was 50%. In the differential diagnosis of IPF, sex, smoking habits, and the presence of clubbing are important. The presence of symptoms related to CTD, ESR elevation, and EANA positivity reduce the likelihood of IPF