RETROPHARYNGEAL ABSCESS

WOS: 000286281900009Retropharyngeal abscess is a rare but serious disease, which is seen especially in childhood. It may lead to symptoms like neck swelling, sudden airway obstruction and etc. The most common findings are fever, neck swelling, swallowing and feeding problems. The duration of symptoms and signs can be variable. Diagnosis is confirmed by lateral neck radiographs. The most helpful diagnostic means are direct visualization and computerized tomography scan of the cervical area. Early diagnosis and surgical treatment prevents serious complications such as mediastinal spread, aspiration of pus, airway obstruction or erosion into a major vessel. In this paper, we present a seventy four-year-old case with retropharyngeal abscess who admitted with severe respiratory distress and severe feeding problems

A reliable surface landmark for localizing supratrochlear artery: Medial canthus

OBJECTIVE: To determine the reliability of medial canthus as a surface landmark to locate supratrochlear vascular pedicle

Evaluation of behavioral and emotional problems in deaf children by using the child behavior checklist

Objective: There are big discrepancies among the reported prevalence rates of emotional/behavioral problems for deaf children. We aimed to evaluate the prevalence rate of emotional and behavioral problems and to assess the effect of subject characteristics on these problems in a group of deaf Turkish children and adolescents

Conservative approach to isolated cricoid cartilage fracture

WOS: 000315072900016PubMed: 23588917Isolated cricoid fracture is encountered rarely during the clinical follow-up. A 71-year-old female patient was referred to emergency service with complaints of fall from height, and urgent tracheotomy was performed due to dyspnea. During the examination, isolated fractures of the cricoid cartilage were identified. With the conservative approach, the patient remained symptom-free and was discharged after decannulation

Histopathological Effects of Fibrin Glue and Cyanoacrylate on the Maxillary Sinus

WOS: 000383169700005PubMed: 29392019Objective: To compare the histopathological effects of fibrin glue (FbGl) and cyanoacrylate (CyAc) on the maxillary sinus mucosa. Methods: Twenty rabbits were divided into two groups of 10, and surgical defects were created in the maxillary sinuses. The right maxillary sinus was treated with FbGl in one group and with CyAc in the other group. As a control, the left maxillary sinuses of all rabbits were treated with sterile saline solution. One rabbit treated with CyAc died during the study and was excluded. On postoperative day 21, all animals were sacrificed. Maxillary sinus mucosa samples were studied to determine the extent of inflammation and fibrosis, foreign body reaction, cilia loss, increased osteogenesis in bony structures under the mucosa, and loss of serous glands. Results: The FbGl group differed significantly from the CyAc and control groups in terms of a high degree of inflammation (p<0.001), fibrosis (p<0.001), foreign body reaction (p<0.001), cilia loss (p<0.001), and serous gland loss (p<0.001). In terms of osteogenesis, there were no significant differences between the FbGl and CyAc groups (p=0.650), while there was a significant (p=0.002) difference between these two groups and the control group. Conclusion: Histopathologically, CyAc had fewer side effects than FbGl. Further clinical studies are needed to demonstrate the validity of these results in humans

Unpredicted effects of Ankaferd (R) on cartilage tissue

WOS: 000349897200109PubMed: 25785076Objective: This study aims to investigate the histopathological changes secondary to the administration of Ankaferd Blood Stopper (R) (ABS) into the auricular cartilage. Materials and methods: Both of the auricular cartilages of thirty New Zealand rabbits were marked with tattoo ink. A 0.2-cc ABS (study group, n: 30) and 0.2 cc physiological saline (control group, n: 30) were subcutaneously infused into the right auricle and left auricle, respectively. All layers were removed at 14 days. Results: The ABS group had significantly higher level of fibrosis, necrosis, foreign body reaction, inflammation, and cartilage degeneration, compared to the controls. Conclusion: Our study results showed that ABS administration into a closed cavity led to a significantly increased fibrosis and necrosis in the auricular cartilage

Unilateral inferior turbinate bone hypertrophy: Is it compensatory or congenital?

WOS: 000322549600008PubMed ID: 23883804Background: This study evaluates the degree of the unilateral hypertrophied inferior turbinate (HIT) by computed tomography (CT) and determines and compares the enlargement of the turbinate bone and soft tissue in different parts of the HIT in pediatric and adult groups. Methods: Both pediatric and adult patients were studied in two groups: those with a straight or nearly straight septum (n = 25 and 124, respectively) and those with deviation (n = 64 and 129, respectively). The cross-sectional area (CSA) of the IT bone and soft tissue were measured at anterior, middle, and posterior thirds of the IT in coronal CT sections. The ratio of CSA of the IT bone and soft tissue on two sides of the septum (interturbinate ratio [IR]) were calculated. IRs were then compared among straight septum and deviation groups for both the pediatric and the adult groups. Results: IR of the bony concha CSA for the deviation group was significantly higher compared with the straight septum group in anterior, middle, and posterior segments in adults (p = 0.028, 0.018, and <0.001, respectively; independent samples t-test). The soft tissue component hypertrophy was prominent only in the middle segment (p = 0.15); however, there was no significant difference for pediatric patients. Also, there was a statistically significant difference between the adult group with septum deviation and the pediatric group with septum deviation for both soft tissue and bone components (p < 0.001 for all segments; independent samples t-test). Conclusion: We claim that these results indicate that skeletal and soft tissue IT hypertrophy seem to be compensatory and evolves with age rather than being congenital. Therefore, skeletal enlargement is prominent in anterior, middle, and posterior thirds of HIT in patients with septal deviation in adults but not in the pediatric group

Tularemia, a reemerging disease in northwest Turkey: Epidemiological investigation and evaluation of treatment responses

WOS: 000240271000004PubMed: 16936340An outbreak of tularemia occurred in three provinces in Turkey in February 2004 and reemerged in the same provinces in February 2005. A total of 61 cases, 54 of which were confirmed with the micro-agglutination test, were diagnosed with oropharyngeal tularemia. No culture for Francisella tularensis was attempted, but PCR for F. tularensis was positive in aspiration material of suppurated lymphadenitis of 7 patients. F. tularensis detection with PCR was negative in water samples, but epidemiologic and environmental findings suggested that contaminated water or food was the cause of the outbreaks. Late initiation antibiotic therapy could not prevent suppuration and draining of the involved lymph nodes

Effect of adenoidectomy and/or tonsillectomy on cardiac functions in children with obstructive sleep apnea

Background/Aims: We aimed to determine the effects of adenoidectomy and/or tonsillectomy (AT) on cardiac functions in children with adenoid and/or tonsillary hypertrophy and obstructive sleep apnea syndrome (OSAS) by using echocardiography with tissue Doppler imaging facility (TDI)

The basaloid variant of squamous cell carcinoma of the larynx

INTRODUCTION: Basaloid squamous cell carcinoma (BSCC) is a rare subtype of squamous cell carcinoma (SCC). Because of its rarity, both clinical and prognostic features of this variant are not well known. OBJECTIVE: In this study, we aimed to determine the frequency of BSCC and other SCC variants among all laryngeal SCC cases, and to determine clinical and prognostic features of BSCC variant. Study design: retrospective cohort study. Evidence level: Level 2b. MATERIAL AND METHODS: Records of the patients who had laryngeal SCC surgically treated at our institute between 2007 and 2013 were retrospectively reviewed. RESULTS: Among 198 subjects who had laryngeal SCC surgically treated, the frequency of the variants of SCC other than classical variant was 10.1% (20/198). The most common SCC variant was BSCC (6.6%). Eleven (84.6%) patients with BSCC were at an advanced stage at the presentation (p > 0.05). The 3-year overall survival and disease-free survival rates were 63% and 53% respectively. CONCLUSION: BSCC variant may be more common than previously reported. Since almost the half of patients experiences disease recurrence in the early period, multimodal treatment strategies should be employed at initial treatment, and a close follow-up is strongly recommended for this aggressive SCC variant