Auricular Lobuloplasty

Objective:To evaluate surgical outcomes of auricular lobuloplasy.Methods:In total, 13 patients (10 females and 3 males; average age, 32.3±8.48 years; range 21-44 years) who underwent auricular lobuloplasty were included in this study. Demographic characteristics, cause of surgery, presence of complications, and patient satisfaction were evaluated.Results: The mean follow-up was 16.5±9.6 months with the shortest and the longest follow-up being 6 and 34 months, respectively. Surgeries were performed under local anesthesia in 10 cases (76.9%) and under general anesthesia in three cases (23.1%). Lobuloplasty were performed in eight cases (61.5%) with a diagnosis of partial lobule cleft, four cases (30.7%) with a diagnosis of elongated lobule, and one case (7.8%) with a diagnosis of congenital earlobe cleft. There were no postoperative complications and revision surgery was not necessary for any of the patients.Conclusion:Multiple surgical techniques exist for repairing earlobe deformities. Auricular lobuloplasty is a surgical procedure that has several advantages including safety, ease of use, and effectiveness

Vidian Canal Types and Dehiscence of the Bony Roof of the Canal: An Anatomical Study

Objective: To determine the prevalence of Vidian canal types and dehiscence of the bony roof of the canal.Methods: This study included 594 patients (391 males and 203 females; average age, 32.43±11.98 years; range, 18-65 years). Computed tomography (CT) images were analyzed in terms of the prevalence of Vidian canal types and dehiscence of the bony roof of the canal.Results: Vidian canal types 1, 2, and 3 based on the sphenoid sinus body were found on the right side in 33.8%, 29.7%, and 6.5%, and on the left side in 36.4%, 27.4%, and 36.2% of the patients, respectively. Dehiscence of the bony roof of the canal was found on the right side in 22.2% of the patients and on the left side in 26.6%. In terms of Vidian canal types based on the sphenoid sinus floor, types 1, 2, 3, and 4 were found on the right side in 53.5%, 27.4%, 7.6%, and 11.5%, and on the left side in 54.9%, 26.6%, 6.6%, and 11.9% of the patients, respectively. On the right side, Vidian canal type 2 was significantly (p=0.002) more frequent in males than in females.Conclusion:When studying the complex anatomy of the sphenoid sinus, it is essential to consider Vidian canal types. Before endoscopic sinus surgery the Vidian canal and other anatomical structures should be carefully evaluated in all patients during preoperative paranasal sinus CT imaging to avoid complications

Pediatric Tracheotomy: A Relatively Rare Indication Limited to Pediatric Intensive Care Subjects?

Objective:To evaluate indications, underlying conditions and outcome in pediatric tracheotomy subjects.Methods:Between January 2004 and September 2013, pediatric subjects who underwent a tracheotomy operation were included for study. All subjects were under the age of 14. Subjects’ primary diseases, indication of tracheotomy, age, gender and type of complications were recorded.Results:Forty five subjects were identified. The mean age of subjects was 26.3 months (range between 2 to 140 months). Twenty one (46.6%) subjects were under the age of 1 year. In 34 (75.5%) out of 45 subjects, tracheotomy indication was prolonged intubation. In the remaining 11 (24.4%) subjects, tracheotomy indication was upper respiratory tract obstruction. Thirteen (n=13- 28.8%) out of 45 experienced early complications and 2 (n=2-4.5%) out of 45 subjects experienced late complications. One tracheotomy related death occurred in the immediate period. Eight (18.1%) of subjects died during the study period from underlying conditions. Decannulation was successfully performed in 13 (36.1%) subjects. In the remaining 23 (63.8%) subjects, decannulation could not be done.Conclusion:All tracheotomies in this report were performed on pediatric intensive care subjects on an elective basis. No tracheotomy was performed for acute upper airway obstruction. Even when planned and elective tracheotomy is performed it still has significant mortality and morbidity

Assessment of Effects of Septoplasty on Acoustic Parameters of Voice: A Prospective Clinical Study

Objective:To investigate the effects of septoplasty on the acoustic parameters of voice.Methods:In total, 23 patients (seven females and 16 males; average age, 32.13±9.67 years; age range: 19-56 years) with a diagnosis of nasal septal deviation and who underwent septoplasty were included. Preoperative and on postoperative 30th day, acoustic analysis of voice was conducted for all patients. The recordings of /mana/ vowel were used to evaluate average fundamental frequency (F0), jitter, shimmer, and noise-to-harmony ratio (NHR). F0, shimmer percent, jitter percent, and NHR of two terms were compared. A p-value<0.05 was considered to indicate statistical significance.Results:A statistically significant change was not observed in F0 (p=0.741), jitter (p=0.930), and shimmer (p=0.128) measured preoperatively and on postoperative day 30. However, the increase in NHR measured on postoperative day 30 were statistically significant compared with preoperative NHR (p=0.017).Conclusion:According to the findings of this study, except NHR value, no statistically significant changes on F0, jitter and shimmer were detected after septoplasty

Management of Pleomorphic Adenoma in the Nasopharynx: A Case Report

Background: Pleomorphic adenomas (PAs) are the most common type of benign salivary gland tumours and usually originate from the major salivary glands. PA originating from the nasopharynx has rarely been reported in the literature. Case Report: A 62 year-old male presented with right aural fullness and subjective hearing loss. Otoscopic examination revealed an opaque and bulging tympanic membrane. Nasal endoscopic examination revealed a smooth mass arising from the right wall of the nasopharynx, obstructing the opening of the right Eustachian tube. The MRI showed a 1.3x2x1.3 cm sharply outlined and lobar mass in the right lateral wall of the nasopharynx. The tumour was meticulously detached from its attachment site and excised via the transnasal route under endoscopic visualisation. Conclusion: We reported pleomorphic adenoma in the nasopharynx in a patient who presented with serous otitis media that successfully resected with transnasal endoscopic surgery and discussed the treatment methods

Prevelance of nasal septum deviation types

Van Bölge Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Hastalıkları KliniğiBakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz KliniğiFatih Medikal Park Hastanesi, Kulak Burun Boğaz BölümüÖZ Amaç: Bu çalışmada nazal septum deviyasyon (NSD) tiplerinin görülme sıklığı araştırıldı. Hastalar ve yöntemler: Ocak 2012 - Haziran 2016 tarihleri arasında çalışmaya toplam 497 hasta (317 erkek, 180 kadın; ort. yaş 32.4±11.9 yıl, dağılım 18-60 yıl) dahil edildi. NSD tiplerinin sıklığı bilgisayarlı tomografi kullanılarak araştırıldı. Bulgular: Nazal septum deviyasyon tiplerine göre 226 hasta (%45.5) tip 3, 81 hasta (%16.3) tip 2, 77 hasta (%15.5) tip 1, 41 hasta (%8.2) tip 4, 35 hasta (%7.0) tip 5, 20 hasta (%4.0) tip 6 ve 17 hasta (%3.4) tip 7 idi. Kadın hastalarda NSD tip 3 görülme sıklığı erkeklere göre istatistiksel olarak anlamlı düzeyde yüksek idi (p=0.023). Sonuç: NSD tiplerinin ameliyat öncesi belirlenmesi, cerrahi planlamada cerraha yol gösterici olacaktır. Farklı NSD tip sınıflandırmaları olsa da, ameliyat öncesi cerrahi yöntemlerin belirlenmesine yardımcı olacak daha uygun sınıflandırmalara ihtiyaç duyulmaktadır. Anahtar sözcükler: Septoplasti; septum deviyasyonu; tip 3.ABSTRACT Objectives: This study aims to investigate the prevalence of the nasal septum deviation (NSD) types. Patients and methods: Between January 2012 and June 2016, a total of 497 patients (317 males, 180 females; mean age 32.4±11.9 years; age range from 18 to 60 years) were included in the study. We used computed tomography to examine the prevalence of the NSD types. Results: According to the NSD types, 226 patients (45.5%) were type 3, 81 patients (16.3%) were type 2, 77 patients (15.5%) were type 1, 41 patients (8.2%) were type 4, 35 patients (7.0%) were type 5, 20 patients (4.0%) were type 6 and 17 patients (3.4%) were type 7. The prevalence of NSD type 3 in female patients was significantly higher than that of male patients (p=0.023). Conclusion: Preoperative determination of NSD types will guide the surgeon in surgical planning. Although there are different NSD type classifications, there is a need for new classifications of more relevant NSD types to help determine preoperative surgical methods. Keywords: Septoplasty; septum deviation; type 3