An Assessment of the Levels of Anxiety and Depression in Patients with Recurrent Aphthous Stomatitis

Backgrounds: There is a lack of valid and reliable studies in literature on both the distinctive and ambiguous relationship between the psychological profile and the occurrence of recurrent aphthous ulcers in the individual.&nbsp;Objectives: The etiology of recurrent aphthous ulceration (RAU) is not well understood. This study analyzes the psychological treatment of patients with recurrent aphthous using valid, confidential and effective psychological measures.&nbsp;Materials: In this study we included 50 patients with recurrent aphthous stomatitis who were undergoing no psychiatric treatment, as well as 50 age and gender matched healthy individuals as the control group. The study utilized the Beck Depression Inventory and STAI-S and STAI-T tests, which have been evaluated as valid sources for assessment.&nbsp;Results: A comparison of the aphthous ulcer group with the control group revealed no significant difference in STAI-S psychiatric scores (p&gt;0.05). In contrast, the scores of the STAI-T of the patients with aphthous ulcers were found to be increased when compared to the control group (p&lt;0.05).&nbsp;Conclusion: This study proposes a different overview for this area of etiologic research on this disease, based on the significant differences revealed by the STAI-T, which discovered increased anxiety levels in patients. Accordingly, there is need for more investigation into comorbid anxiety disorder and depression in patients with recurrent aphthous stomatitis, and an assessment of treatment with psychological traits, implying that further comparative studies are required to understand the issue.</p

Influence of size and site of perforation on fat graft myringoplasty

WOS: 000345266000003PubMed: 25199735Objectives: In this retrospective study, we investigated the outcomes of fat graft myringoplasty (FGM) in different perforation sizes and locations. The outcomes were evaluated in terms of closure rates and audiological test results. Methods: The study population included 172 patients who were operated between 2007 and 2012. 161 had unilateral and 11 had bilateral chronic otitis media; and 183 ears were operated by FGM. The patients were divided into two groups based on size as small and larger (size of 30% TM was defined as a medium-large perforations); and two groups based on location of perforation [anterior and other (non-anteriorly located)]. Patients' follow-ups were performed between 1 and 5 years; and follow-up examinations were performed with otoendoscopy. Air conduction (AC) thresholds and air-bone gap (ABG) were evaluated both preoperative year and postoperative 1st year. Results: The total perforation closure rate was 84.7%. In this study, we found out that FGM is effective closing medium-large perforations just as small perforations with the success rate of 79.1% and 86.4% respectively (p > 0.05). When audiological outcomes were evaluated in both groups. AC values got lower and ABC values improved postoperatively, whereas regarding AC thresholds and ABC improvement among the size groups, patients with small perforations had significantly better postoperative results (p < 0.05). In terms of perforation location, closure rates were 85.2% in anteriorly perforations and 84.5% in the other located perforations. Audiological outcomes demonstrated that in both groups, AC values got lower and ABC values improved postoperatively; and hearing results were not different in anteriorly located perforations and other locations. Conclusion: Fat graft myringoplasty (FGM) may be used in all small and medium-large, and anteriorly and other located perforations. Although hearing improvement was detected in each of the small; and medium-large perforations; patients with small perforations had more satisfied audiological outcome than medium-large perforations. (C) 2014 Elsevier Ireland Ltd. All rights reserved.Continuous Education and Scientific Research AssociationExcept data collection, preparation of this paper including designing and planning was supported by "Continuous Education and Scientific Research Association.

Closure of tympanic membrane perforations using repeated trichloracetic acid

Our aim in this study is to show the efficacy of trichloracetic acid cauterization in the tympanic membrane perforations. Between January 2002 and January 2012 central perforations in 160 ears of 142 cases were tried to be closed by repeated trichloracetic acid cauterization in one week interval followed by the placement of a piece of cigarette paper to the perforation site. In 98 of 137 ears (71.5 %) that followed-up for a desired period of time, perforation was closed after an average of 4.2 applications. No statistical relation was found between the success of treatment, and the age of patient, the site of perforation and previous history of otorrhea. It was shown that the width of perforation is an important factor in the success of treatment. [Med-Science 2016; 5(2.000): 544-6