Concurrent Assay for Four Bacterial Species Including Alloiococcus Otitidis in Middle Ear, Nasopharynx and Tonsils of Children with Otitis Media with Effusion: A Preliminary Report

ObjectivesTo detect the prevalences of Alloiococcus otitidis, as well as Haemophilus influenzae, Streptococcus pneumoniae, and Moraxella catarrhalis in children with chronic otitis media with effusion (OME) and to simultaneously investigate the colonization of these bacteria in the nasopharynx and palatine tonsils of these patients.MethodsThe study included 34 pediatric patients with OME, and 15 controls without OME. In the study group, A. otitidis, H. influenzae, S. pneumoniae, and M. catarrhalis were investigated in the samples obtained from middle ear effusions (MEE), nasopharyngeal swabs (NPS) and tonsillar swabs (TS), using multiplex polymerase chain reaction (PCR) and conventional culture methods. Only the samples obtained from NPS and TS were studied with the same techniques in the control group.ResultsA. otitidis was isolated only in MEE and only with multiplex PCR method. A. otitidis, S. pneumoniae, M. catarrhalis, H. influenzae were identified in 35%, 8.8%, 8.8%, and 2.9%, respectively, in 34 MEE. A. otitidis was not isolated in NPS or TS of the study and the control groups.ConclusionThe prevalence of A.otitidis is high in children with OME and A.otitidis doesn't colonize in the nasopharynx or tonsil

Concha Bullosa Mucopyocele: a Case Report

Concha bullosa (CB) is among the most common anatomic variations of sinonasal anatomy. Although usually asymptomatic, CB can occasionally cause nasal obstruction or headache. Obstructions within the mucociliary transport system can develop into a mucocele or mucopyocele. A 48-year-old female, with a history of progressive headache and nasal obstruction, was referred to our department. Paranasal sinus tomography revealed a nasal mass in the left nasal cavity resembling a mucopyocele in the middle turbinate. Under general anesthesia, the purulent material was aspirated, and the lateral part of the left turbinate was resected. Mucopyoceles are common within the paranasal sinuses, but uncommon with CB; thus, they should be considered in patients with a large hyperemic nasal mass

The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy

Introduction: Health anxiety is the excessively negative interpretation of normal physical signs in an individual with no physical disease. Having knowledge information about the health anxiety levels of patients is one of the criteria that will affect the treatment of the patients’ pain. The aim of this study was to evaluate the preoperative health anxiety of laparoscopic cholecystectomy patients together with the perception of postoperative pain and the requirement for analgesia.Methods: The study included 41 patients of American Society of Anesthesiologists(ASA) grade I-II, aged 18-65 years who were to undergo a laparoscopic cholecystectomy operation and a control group of 40 healthy individuals. The Health Anxiety Inventory was applied to the patients preoperatively and to the control group. In the postoperative period, the patients were followed up for 24 hours with a patient-controlled analgesia device prepared with tramadol. Visuel Analog Scale(VAS) values of patients were below 4 due to the use of patient controlled analgesia device. Total analgesic consumption was recorded. The results were compared statistically.Results: No significant difference was determined between the patient and control groups in respect of age, gender and body mass index (p>0.05). The VAS score of all the patients was less than four. The mean total tramadol consumption of the patients in the first 24 hours postoperatively was 221.58±73.06. The analgesia consumption of female patients was significantly higher than that of males (p=0.013). The health anxiety results of the patient group were found to be significantly higher than the control group (p<0.001). A positive correlation was determined in the patient group between health anxiety and the total analgesia requirement (r=0.813, p<0.01). Conclusions: In conclusion, high level of analgesia consumption was determined in those with high health anxiety and in female patients. When planning postoperative pain treatment, consideration of the gender of the patient and the level of health anxiety will make a positive contribution to the treatment

Ganglioneuroma of the neck: A case report

Objectives: An unusual left parapharyngeal ganglioneuroma case was discussed in the context of diagnostic difficulties, surgical tricks and Horner syndrome as a main surgical complication.Methods: The patient presented with a painless neck mass. Fine needle aspiration did not give any clue regarding diagnosis. The mass was removed totally by a challenging surgery.&nbsp;Results: Histopathology revealed ganglioneuroma. Horner syndrome occurred after surgery.Conclusion: Due to the scarcity of ganglioneuromas and the lack of specific signs and symptoms, it is often difficult to reach a definitive diagnosis prior to pathological examination. Ganglioneuromas should be considered in differential diagnosis of cervical neck masses located medial to main neurovascular structures. The patients should be warned of the possible complication of Horner syndrome.</p

An evaluation of the effect on depression and anxiety levels of the frequency of providing informing to the relatives of patients treated in intensive care unit

Aim: Treatment in the Intensive Care Unit (ICU) is a stressful experience, not only for the patient but also for their family. The aim of the study was to investigate the effects on anxiety and depression levels of the relatives of patients in ICU who were given information once a day or three times a day by the same physician.Methods: In this cross sectional study the relatives of the patients hospitalized in the ICU of two university hospitals were randomly separated into two groups. Group 1 comprised 50 individuals closely related to patients in the ICU and they were given information about the patient once a day. Group 2 comprised 49 individuals closely related to patients in ICU and they were given information 3 times a day at 4-hour intervals. After 7 days, all the participants in Groups 1 and 2 completed the Beck Depression Inventory (BDI) and the Penn State Worry Questionnaire (PSWQ).Results: The BDI points of Group 1 were determined to be statistically significantly higher than those of Group 2 (p&lt;0.01). The PSWQ points of Group 1 were determined to be statistically significantly higher than those of Group 2 (p&lt;0.023).Conclusion: By providing information to the relatives of patients 3 times a day rather than once a day created confidence that the patient was being well cared for, involvement with physician in the decision-making process and the feeling that the physician could be reached, thereby strengthening the physician- family relationship. This leads to lower rates of anxiety and depression

Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing

Background: We measured postoperative anxiety in patients who underwent transseptal suturing or nasal packing after septoplasty. Materials and Methods: Transseptal suturing was performed on Group 1 patients and nasal splints with airway were placed after septoplasty in Group 2 patients. Postoperative 48-h anxiety levels of both groups were measured using the State-Trait Anxiety Inventory (STAI) clinical assessment scale, prior to removal of nasal packing in Group 2. Results: Transseptal suturing was performed after septoplasty in 28 patients and nasal packing in 34 patients. The State-Trait Anxiety Inventory clinical assessment state (STAI-S) and trait (STAI-T) instruments were used to measure postoperative anxiety. The STAI-S scores were found 35.00 in the transseptal suturing group and 43.8 in the nasal packing group; the difference was found significant (p 0.05). The rate of minor hemorrhage was found 10.7% in Group 1 patients. Conclusions: Transseptal suturing is simple and reliable when performed after septoplasty. The technique is painless and comfortable, and reduces patient anxiety (compared to that associated with nasal packing) with only a minor increase in operating time and hemorrhage

Turkish Guideline for Diagnosis and Treatment of Allergic Rhinitis (ART)

Object: To prepare a national guideline for Oto-rhinolaryngologist who treat allergic rhinitis patient