An odontogenic cyst causing facial asymmetry: a case report

Radicular cysts are inflammatory in character and the most frequently seen of odontogenic cysts. As they are generally seen to grow painlessly, the first finding may be facial asymmetry. Although seen in every age group, they are most often seen in males aged 20-60 years. The patient reported here presented with complaints of swelling in the right cheek. On the paranasal sinus computed tomography, a cyst appeared to be completely filling the maxillary sinus and this was totally excised with a Caldwell-Luc approach. In the differential diagnosis of cystic masses of the maxillary sinus, there may be confusion with odontogenic cysts. Imaging methods can clearly define the localisation of cystic lesions within the sinus cavity, growth direction, bone tissue loss associated with lysis and osteocondensation. To prevent recurrence, it is necessary to completely remove regenerated mucosa and the residual cyst epithelium. [Med-Science 2016; 5(4.000): 1011-12

Apelin hormone level and its role in the etiology of sudden hearing loss

Sudden hearing loss (SHL) is a significant problem requiring emergency intervention; however, consensus on its diagnosis and treatment remains to be determined. Although several factors could cause SHL, its cause can only be determined in 10% of patients. Several approaches have been described for its treatment. The primary aim of treatment is to prevent cochlear hypoxia by increasing the partial O2 pressure in the perilymph. Apelin is an oxidative stress mediator. If apelin level changes are associated with SHL etiology, the protective and therapeutic effects of apelin can be beneficial. This study aimed to investigate the extent of influence of apelin hormone level changes in the SHL etiology. A total of 27 patients diagnosed with SHL and 26 healthy volunteers were evaluated as the patient and control groups, respectively. Apelin levels, biochemical parameters, and hemoglobin levels were measured. No difference was found between the patient and control groups in respect of apelin and other parameters. Although the study results did not show a statistically significant difference, the degree of hearing loss increased with decreased apelin levels in patients with SHL. Although not statistically significant, Apelin level was lower as the level of hearing loss increased in patients presenting with SHL. According to studies, it can be thought that patients with low apelin levels can be assumed to be less likely protected against inflammatory diseases related to oxidative stress. Therefore, further comprehensive and extensive clinical studies to examine apelin effect mechanisms should be performed. According to studies, the Apelin hormone shows a protective effect against inflammatory diseases caused by oxidative stress. In our study, there was no significant difference when Apelin hormone levels were compared with the patients with sudden hearing loss in the control group. However, due to the low number of patients to investigate the mechanisms of action of Apelin, more extensive and larger studies are needed. [Med-Science 2020; 9(3.000): 704-7

Tympanic membrane perforation in the province of: A retrospective study

In the current study, a retrospective scan was made of patients presenting at our clinic over the last 10 years and those diagnosed with tympanic membrane perforation were evaluated in 2 separate groups as patients with Chronic suppurative otitis media (CSOM) and Traumatic tympanic membrane perforations (TTMP). In this study patients with tympanic membrane perforation were evaluated through a retrospective examination of patients presenting at the Ear, Nose and Throat Clinic between May 2006 and May 2016. The tympanic membrane perforations were examined in two separate groups; CSOM and TTMP. When these patients were grouped according to the diagnosis criteria, the CSOM group comprised 8,335 (1.13%) patients and the TTMP group 422 (0.06%) patients. These two groups were compared in respect of the items stated age, gender, laterality. When the considerable number of patients is taken into consideration, although the results do not completely show a prevalence rate, they can give preliminary information. [Med-Science 2018; 7(3.000): 540-3

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.

An adjuvant therapy in cervical necrotising fasciitis: hyperbaric oxygen treatment

Kearn sayre syndrome (KSS) is a rare disease with a typical onset before 20 years and characterized by triad of chronic progressive external ophthalmoplegia, retinitis pigmentosa and progressive cardiac conduction abnormalities. The most important prognostic factor in KSS patients is the involvement of heart characterized by progressive degeneration of the conduction system. In patients with KSS, early diagnosis of cardiac involvement is very important because complete atrioventricular (AV) block may develop and it can be cause of sudden cardiac death. Herein we report a patient with KSS who presented with syncope due to complete AV block. [Med-Science 2016; 5(4.000): 1013-5

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

Leading Infectious Diseases Problems in Turkey

Clin Microbiol Infect 2012; 18: 10561067 Abstract Turkey has significant geographical and socio-economic differences throughout a vast area of the country. These characteristics affect the epidemiology of infectious diseases, some of which are rarely seen in western Europe. However, effectively implemented control measures have resulted in decreased rates of many community-acquired infections, including tuberculosis and malaria, that were major health problems only a few decades ago. There are high rates of antimicrobial resistance in various nosocomial isolates of Gram-positive and Gram-negative bacteria. A recently implemented, nationwide, electronic resistance surveillance system in hospitals is expected to produce reliable data, and possibly will help to develop an effective strategy to decrease antimicrobial resistance in bacteria that currently plague many tertiary-care hospitals in the country. This article summarizes the most frequently encountered community-acquired infections, and gives an overview of current antimicrobial resistance in both outpatient and hospital settings in Turkey.WoSScopu