Adenoidektomide hidrojen peroksitin hemostatik etkinliği

Objectives: This study aimed to investigate the effect of hydrogen peroxide, on the extent of intraoperative bleeding and operation times in pediatric patients undergoing adenoidectomy. Patients and Methods: Data of 86 adenoidectomy patients (47 males, 39 females; mean age 5.2±1.9 years; range 3 to 11 years) collected from patient files were retrospectively evaluated. The patients’ age, sex, and adenoid tissue size, as well as anesthetic technique, operation time, amount of bleeding during the operation, were reviewed. Among the patients, 45 were administered hydrogen peroxide for hemostasis (study group) and 41 patients were not administered hydrogen peroxide during operation (control group). Results: No statistically significant difference was found between groups in terms of age, sex and, adenoid tissue size (p>0.05). The operation times of the study group were significantly lower than those of the control group (p=0.001; p0.05). Çalışma grubunun ameliyat süreleri kontrol grubuna kıyasla anlamlı olarak daha düşüktü (p=0.001; p<0.01). Kanama miktarı açısından da gruplar arasında istatistiksel olarak anlamlı fark vardı (p=0.001; p<0.01). Çalışma grubundaki kanama miktarı, kontrol grubuna kıyasla anlamlı derecede düşüktü. Sonuç: Bu çalışmada, hidrojen peroksitin nazofarengeal tampon ile uygulanmasının adenoidektomi uygulanan hastalarda ameliyat süresini ve ameliyat sırası kanamayı önemli ölçüde azalttığı belirlendi

Investigation of the effectiveness of surgical treatment on respiratory functions in patients with obstructive sleep apnea syndrome

Objective: Obstructive sleep apnea syndrome (OSAS) is a problem that involves many bodily systems and its effects on the respiratory system deserve special attention. Although many studies exist that investigate respiratory functions in patients using continuous positive airway pressure (CPAP) for the treatment of sleep apnea, there is a lack of research regarding the effect of OSAS surgery on respiratory function in the literature, which has motivated us to perform such a study. Materials and Methods: Thirty-two patients diagnosed with OSAS with an apnea hypopnea index ranging between 15 and 30 and had undergone robotic tongue base resection and uvulopharyngoplasty were included as study participants. Pulmonary function tests were performed on all participants 1 day prior to, and at 3 and 6 months after the operation. Weight and body mass indices (BMIs) were also recorded at the same intervals for all participants. Data were electronically recorded and analyzed through SPSS 22.0. Values ofP< .05 have been considered as statistically significant. Results: Average age of the 32 participants was 43.2 +/- 10.7, average body weight was 94.1 +/- 12.6, and average BMI was 31.4 +/- 4.7. Decreases in body weight and BMI values recorded at 3 and 6 months postoperatively had statistical significance when compared with values recorded preoperatively (P< .05). Comparisons made in terms of pulmonary functions revealed a statistically significant increase in 3 and 6-month postoperative values of FVC, FEV1, FEV1/FVC, PEF, and FEF 25-75 (P< .05). Conclusion: Our study shows the positive effects of robotic tongue base resection and uvulopharyngoplasty operation on respiratory function parameters. This suggests that surgical treatment in OSAS patients is as effective as CPAP on respiratory function

Pólipos pilosos bilaterais de orofaringe: Uma causa rara de dispneia em neonatos

Hairy polyp (HP) is one of the causes of congenital dyspnea, a rare developmental malformation of bigerminal origin that comprises both ectodermal and mesodermal elements foreign to the site in which it is found. It typically presents as a pedunculated mass in the oropharynx and nasopharynx. Major symptoms at presentation are related with respiratory obstruction and feeding problems. In the literature, congenital pharyngeal hairy polyps are generally unilateral

Comparison of radiofrequency and transoral robotic surgery in obstructive sleep apnea syndrome treatment

Introduction: Radiofrequency tissue ablation (RFTA) and transoral robotic surgery (TORS) are the methods used in OSAS surgery. We also aimed to compare the advantages and disadvantages of RF and TORS as treatment methods applied in OSAS patients in terms of many parameters, especially apnea hypopnea index (AHI). Materials and methods: Patients were classified by performing a detailed examination and evaluation before surgery. 20 patients treated with anterior palatoplasty and uvulectomy-/+ tonsillectomy + RFTA (17 males, 3 females) and 20 patients treated with anterior palatoplasty and uvulectomy-/+ tonsillectomy + TORS (16 males, 4 females) were included in the study. PSG was performed preoperatively and postoperatively in all patients and Epworth sleepiness questionnaire was applied. All operations were performed by the same surgeon and these surgical methods -RF and TORS- were compared in terms of many parameters. Results: When the patients treated with RF and TORS were compared in operation time, length of hospitalization and duration of transition to oral feeding; all parameters were significantly greater in the patients treated with TORS. Conclusions: TORS technique was found to be more successful than RF in terms of reduction of AHI value, correcting minimum arterial oxygen saturation value and decreasing Epworth Sleepiness Scale score

Dorsal augmentation of saddle nose deformity with toothpick-shaped costal cartilage grafts in the secondary septorhinoplasty

WOS: 000415085100079PubMed ID: 28953158Saddle nose deformity is a challenging complication of septoplasty or septorhinoplasty, characterized by underprojected cartilaginous dorsum. Nasal dorsal augmentation is a significant part of reconstructive surgery of saddle nose deformities. In this study, the authors aimed to discuss the results of using toothpick-shaped costal cartilage grafts in nasal dorsal augmentation of saddle nose deformity. Twelve patients who underwent nasal dorsal augmentation due to moderate to severe saddle nose deformity secondary to the previous septoplasty or septorhinoplasty were retrospectively reviewed. Costal cartilage grafts prepared in the shape of toothpicks were used in all patients. Costal cartilage was used as toothpick-shaped free grafts in 12 patients (female: 7, male: 5) with a mean age of 42 (range: 24-56) for dorsal augmentation in the secondary septorhinoplasty. All patients had a history of previous surgery (septoplasty, n=9; and septorhinoplasty, n=3). All patients were operated under general anesthesia with open technique septorhinoplasty. The mean follow-up was 18 (range: 9-48) months. In only 1 of the 12 patients, a postoperative complication was observed including an infection of the tip area in the second postoperative week. None of the patients experienced donor site complications or major graft resorption. All patients were satisfied with functional and esthetic outcomes. No revision surgery was needed in any patient. Toothpick-shaped costal cartilage grafts are useful in nasal dorsal augmentation of moderate to severe saddle nose deformity. This technique offers smooth camouflage, satisfactory accordance with the recipient region, and shorter operation time. In addition, it avoids the side effects from wrapping techniques such as foreign body reaction or additional donor site morbidities

Cochlear implantation in a child with subtelomeric 1q deletion syndrome and Dandy-Walker malformation

WOS: 000436437100004Subtelomeric 1q deletion syndrome is a rare disorder characterized by severe mental and growth retardation, microcephaly, distinct facial features and corpus callosum abnormalities. Senserineural hearing loss is not common in this syndrome. We report a 2-year-old boy with subtelomeric 1q deletion syndrome presented with typical craniofacial abnormalities and bilateral senserineural hearing loss. Imaging revealed corpus callosum hypogenesis and Dandy-Walker malformation. Cochlear implantation was successfully undertaken using a transmastoid facial recess aproach. After 12-months post-implantation, good audiological outcomes were obtained. Cochlear implantation can be considered for hearing rehabilitation in patients with subtelomeric 1q deletion syndrome and Dandy-Walker malformation

Intranasal ectopic tooth causing septal deviation

Ektopik diş insidansı giderek artmakta olup birçok vakada ektopik diş etyolojisi tanımlanamamıştır. Dişin normal dental yapıdan farklı bir yerleşim yerinde bulunarak nazal septum yapısı bozması çok nadirdir. Tanı klinik ve radyolojik muayene ile konulmaktadır. Bizim olgumuzda uzun süredir burun tıkanıklığı şikayeti olan 51 yaşında erkek hasta sunuldu. Klinik muayenede nazal septum deviasyonu saptandı. Bilgisayarlı tomografide maksiller krest içerisindeki ektopik yerleşimli dişin nazal septum yapısında deformasyon yaparak septum deviasyonu patolojisine yol açtığı izlendi. Hastaya septoplasti operasyonu uygulandı. Bu işlem sırasında ektopik diş eksize edildi. Nazal septum deviasyonu yaygın bir patoloji olmasına rağmen etyolojisinde ektopik dişin saptanması çok nadirdir.The ectopic tooth incidence is increasing gradually. The etiology could not be explained in so many cases. It is very rare for the tooth to be in a place outside the normal location, and disrupt the structure of nasal septum. The diagnosis can be made by physical examination and radiology. In our study, the case of a 51-year-old male patient, with a complaint of stuffy nose for a long time is presented. Septal deviation is diagnosed. Ectopic tooth causing septal deformation is observed in the maxillary crest in CT scans. Septoplasty is performed. Ectopic tooth is removed while septoplasty. Septal deviation is a well-known common pathology, but ectopic tooth as an etiologic factor for septal deviation is rare

Flexible CO2 laser treatment for subglottic stenosis

WOS: 000402750600071PubMed ID: 28277485Objectives: To assess the efficacy and safety of flexible fiber CO2 laser surgery for subglottic stenosis and to present retrospective experience of 14 patients treated with flexible fiber CO2 laser system. To determine the characteristics, management protocols, prognostic factors, and postoperative outcomes of the sample. Methods: Retrospective review of patients with subglottic stenosis undergoing flexible fiber CO2 laser surgery at the tertiary medical center. All demographic and clinical data were collected, radiologic and endoscopic evaluations were performed to assess the characteristics of stenosis. Myer-Cotton grading scale was used for classification of stenotic area. Results: All patients have subglottic stenosis due to intubation-related causes and inappropriate tracheostomy procedure. The duration of intubation period ranged from 15 days to 4 years; 11 patients have grade III stenosis according to Myer-Cotton system and there was cricoid involvement in 2 patients. The mean follow-up period was 5.2 months and postoperative decannulation was achieved in 10 patients (71.4%). Conclusions: Subglottic stenosis is the difficult situation to manage minimal invasively. Flexible fiber CO2 laser surgery is safe and effective in the management of properly selected patients and can be used as a first option for patients