Türkiyede Konya ilinin kırsal kesimlerinde okul çağındaki çocuklarda efüzyonlu otitis media prevalansı

Amaç: Bu çalışmada Türkiyenin güneyinde yer alan Konya ilinin kırsal kesimlerinde yaşayan okul çağındaki çocuklarda güncel seröz otitis media (SOM) prevalansı değerlendirildi. Hastalar ve Yöntemler: Ekim 2012 - Ocak 2013 tarihleri arasında yürütülen bu kesitsel çalışmaya Konya ilinin kırsal kesimlerinde 36 farklı ilkokula giden 2352 çocuk (1179 erkek, 1173 kız; ort. yaş 8.92.8 yıl; dağılım 4-15 yıl) dahil edildi. Otolojik yakınmalar, bulgular ve timpanometri bulguları kaydedildi. Seröz otitis media tanısı öykü, semptomlar, anormal otoskopi ve timpanogram sonuçlarına dayanarak konuldu. Bulgular: Toplam SOM prevalansı %4.6 idi. En yüksek prevalans dört yaşında idi (%11.2). Seröz otitis media prevalansı altı yaşında anlamlı olarak daha yüksekti (%11.1). Tüm yaş gruplarında toplam prevalans erkeklerde (%6.17) kızlara (%3.16) kıyasla daha yüksekti (p0.05). Sonuç: Literatür ile karşılaştırıldığında, çalışmamızda toplam SOM prevalansı daha düşük idi. Birinci basamak sağlık hizmetinde önleyici ve tedavi edici stratejilerin gelişimi bu düşük oranda önemli etkiye sahip olabilir.Objectives: This study aims to evaluate the current prevalence of serous otitis media (SOM) among school age children living in rural areas of Konya province located in southern Turkey. Patients and Methods: This cross sectional study which was conducted between October 2012 and January 2013 included 2,352 children (1,179 males, 1,173 females; mean age 8.9±2.8 years; range 4 to 15 years) who attended 36 different primary schools in rural parts of the Konya province. Otologic complaints, findings, and tympanometry results were recorded. Diagnosis of SOM was obtained based on history, symptoms, abnormal otoscopy and tympanogram findings. Results: The overall prevalence of SOM was 4.6%. The highest prevalence was at the age of four (11.2%). There was a significantly higher prevalence of SOM at the age of six (11.1%). The overall prevalence was higher in males (6.17%) compared to females (3.16%) in all age groups (p>0.05). Conclusion: Compared to the literature, overall prevalence of SOM in our study was lower. Development of preventive and therapeutic strategies in the first step health care service may have a considerable effect on this low rate

Nasopharyngeal Mucoepidermoid Carcinoma: A Rare Case Report

Introduction : Mucoepidermoid carcinoma is one of the common malignancies of the salivary glands. Nasopharyngeal mucoepidermoid carcinoma cases are rare. The treatment of these rare cases depends on the stage of the tumor and its invasion into the surrounding tissues. Case: A 63-year-old male patient, who was followed up for thyroid papillary carcinoma in 2006, was referred to our clinic after incidentally detected asymmetrical thickening of the nasopharynx on the left as a result of brain MRI during medical oncology follow-ups. The patient had a complaint of pain in the left neck region for about a month. Excisional biopsy from the lymph node that increased FDG uptake in the left jugulodigastric region in PET/CT and multiple punch biopsy from the nasopharynx were performed. The patient, whose pathology resulted in mucoepidermoid carcinoma, was referred to oncology to receive radiochemotherapy. Discussion: Although rare, it should be kept in mind that in patients presenting with a mass in the nasopharynx, mucoepidermoid carcinoma may be present. Although there is information about treatment options in the studies carried out to date, prospective studies are needed for prognosis and treatment selection

Travmatik periferik fasiyal paraliziler

Kliniğimizde 1988-1997 yılları arasında travmatik peri ferik fasiyal paralizi tanısıyla tedavi edilen 50 vaka, yaş, cinsiyet, etyoloji, lokalizasyon, tedavi metodlan ve prognoz açısından incelendi. Bu çalışma sonuçlarına göre, travmatik periferik fasiyal paralizilerin tedavisinde kullanılan cerrahi yaklaşımların seçimi, fasiyal sinire yönelik müdahaleler ve tedavinin zamanlaması konusunda objektif kriterler ortaya konmaya çalışıldı. 7.SUMMARY The age and sex distribution, etiology, localization, treatment, modalities and the prognosis of the 50 patient who admitted to our clinic between 1988-1997 with traumatic facial paralysis are reviewed retrospectively. We tried to settle and objective criteria about the timing of the treatment, interventions to the facial nerve and the choise of the appropriate surgical intervention that will be used in the treatment of the traumatic facial paralysis according to the results of this study.Kliniğimizde 1988-1997 yılları arasında travmatik peri ferik fasiyal paralizi tanısıyla tedavi edilen 50 vaka, yaş, cinsiyet, etyoloji, lokalizasyon, tedavi metodlan ve prognoz açısından incelendi. Bu çalışma sonuçlarına göre, travmatik periferik fasiyal paralizilerin tedavisinde kullanılan cerrahi yaklaşımların seçimi, fasiyal sinire yönelik müdahaleler ve tedavinin zamanlaması konusunda objektif kriterler ortaya konmaya çalışıldı. 7.SUMMARY The age and sex distribution, etiology, localization, treatment, modalities and the prognosis of the 50 patient who admitted to our clinic between 1988-1997 with traumatic facial paralysis are reviewed retrospectively. We tried to settle and objective criteria about the timing of the treatment, interventions to the facial nerve and the choise of the appropriate surgical intervention that will be used in the treatment of the traumatic facial paralysis according to the results of this stud

OUTCOMES OF LATE FACIAL NERVE DECOMPRESSION SURGERY AFTER TEMPORAL BONE FRACTURE

Amaç: Bu çalışmanın amacı temporal kemik travması sonrasında gelişen fasiyal sinir paralizi olgularının klinik özelliklerini ve geçdönem fasiyal sinir dekompresyon sonuçlarımızı sunmaktır.Gereç ve Yöntem: Ocak 2010 - Mart 2016 tarihleri arasında, temporal kemik travması sonucu fasiyal sinir paralizisi oluşan ve geçdönem fasiyal sinir dekompresyonu uygulanan on hastanın dosyaları retrospektif olarak tarandı. Yaş, cinsiyet, travma etiyolojisi, otoskopikbulgular, işitme kaybı, radyolojik görüntüleme ve takip sonuçları açısından hasta dosyaları incelendi.Bulgular: Çalışmaya katılan hastaların tamamı erkekti ve yaş ortalaması 28,3 idi. Tüm olgulara transmastoid yaklaşım ile fasiyal sinirdekompresyonu uygulandı. Cerrahi sırasında beş hastada fasiyal sinir etrafında ödem, dört hastada kemik spikülleri basısı ve bir hastadagranülasyon dokusu izlendi. Fasiyal sinir paralizi başlangıcından itibaren dört haftadan kısa sürede opere olan üç olguda normal veyanormale yakın (House Brackmann evre 1-2) düzelme görülürken, sekiz haftadan uzun sürede opere olan iki olguda kısmi düzelmegörülmüştür.Sonuç: Sonuç olarak temporal kemik fraktürü sonrasında oluşan fasiyal sinir paralizisi olgularında cerrahi endikasyon durumlarındamümkün olduğu kadar erken dönemde dekompresyon uygulanmalıdır. Fakat bizim çalışmamızda geç dönem fasiyal sinir dekompresyoncerrahisi uygulanan olgularda da başarılı sonuçlar alınabileceği ve tam veya tama yakın iyileşme olabileceği görülmüştür.Objectives: The aim of this study is to present the clinical features of facial nerve paralysis occurring after temporal bone trauma and theresults of late-stage facial nerve decompression.Methods: The files of ten patients with facial nerve paralysis occurring after temporal bone trauma and underwent late-stage facial nervedecompression between January 2010 and March 2016 were retrospectively screened in our clinic. Patient files were reviewed in terms ofage, gender, etiology of trauma, otoscopic findings, hearing loss, radiological imaging and follow-up results.Results: All of the patients participating in the study were male and the average age was 28,3. All patients underwent facial nervedecompression via transmastoid approach. During surgery, edema arround facial nerve was observed in five patients, pressure of bonespicules in four patients and granulation tissue in one patient. Three cases who underwent facial nerve decompression less than four weeksafter the onset of facial nerve paralysis had normal or near normal (HB stage 1-2) improvement, but partial improvement was seen in twocases over eight weeks.Conclusion: As a result, in cases of facial nerve paralysis occurring after temporal bone fracture, decompression should be applied asearly as possible in cases of surgical indications. However, in our study, in cases with late-stage facial nerve decompression surgery it was seen that successful results and full or near-total healing could be obtained

Is There Any Relationship Between Nasal Septal Deviation And Concha Bullosa

Aim: To evulate relationship between nasal septal deviation and concha bullosa (CB) by using deviation angles and concha bullosa pneumatization index (CBPI). Method: Ninety patients with both nasal septal deviation and CB were evaluated by computerized tomography (CT) of paranasal sinus in coronal plane. Deviation angles and concha bullosa pneumatization index (CBPI) was calculated. Paranasal sinus pathologies were recorded on paranasal sinus CT. Result: Contralateral, ipsilateral and bilateral CB according to nasal septal deviation were found in 45 (50%), 16 (17.8%) and 29 (32.2%), respectively. Contralateral CB was significant higher than ipsilateral CB (p<0.05). CBPI and deviation angle in the patients with contralateral CB were significant higher than in the patients with ipsilateral CB (p<0.05). In contrast, there was not any association between ipsilateral sinus pathology and nasal septal deviation and CB (p>0.05). Conclusion: Results suggested that there was a significantly relationship between nasal septal deviation and contralateral CB

Can Platelet and Leukocyte Indicators Give Us an Idea about Distant Metastasis in Nasopharyngeal Cancer?

This study aimes to evaluate platelet and leucocyte indicators, such as the mean platelet volume, platelet distribution width, plateletcrit, white blood cell count, neutrophil to lymphocyte ratio in nasopharyngeal cancer patients and also to evaluate the relationship between these indicators and nasopharyngeal cancer with distant metastasis. The medical records of 118 patients diagnosed with nasopharyngeal cancer in our hospital between January 2006 and August 2015 were reviewed. The nasopharyngeal cancer group was further sub grouped according to the presence or absence of distant metastasis and TNM (tumour – T, node – N, metastasis – M) classification. A control group consisted of 120 healthy patients. The platelet and leucocyte values at the time of the initial diagnosis were recorded. Neutrophil to lymphocyte ratio and platelet distribution width values were significantly higher in the nasopharyngeal cancer group. But only platelet distribution width values were significantly higher in the nasopharyngeal cancer group with distant metastasis compared to the nasopharyngeal cancer group without distant metastasis. Neutrophil to lymphocyte ratio and platelet distribution width values may increase in nasopharyngeal cancer. But only the platelet distribution width values may give us an idea about the distant metastasis in nasopharyngeal cancer

Effect of statins on hearing function and subjective tinnitus in hyperlipidemic patients

Introduction. It is known that hyperlipidemia reduces hearing functions. In this study, we aimed to study the effect of antihyperlipidemic drugs on hearing functions and tinnitus

Reconstruction of the Orbit With a Temporalis Muscle Flap After Orbital Exenteration

ObjectivesThis study presents the role of the temporalis muscle flap in primary reconstruction after orbital exenteration.MethodsA retrospective nonrandomized study of orbital exenterations performed between 1990 and 2010 for malignant tumors of the skin, paranasal sinus, and nasal cavity is presented.ResultsThe study included 13 patients (nine men, four women; age range, 30-82 years) with paranasal sinus, nasal cavity, or skin carcinomas. Primary reconstruction of the cavity was performed in all patients after orbital exenteration. No visible defects in the muscle flap donor site were present. Local recurrences were readily followed up with nasal endoscopy, whereas radiology helped to diagnose intracranial involvement in three patients. Two patients died of systemic metastases and five died for other reasonsConclusionThe temporalis muscle flap is readily used to close the defect after orbital exenteration, and does not prevent the detection of recurrence