Konjenital Bilateral Preauriküler Sinüs: Olgu Sunumu

Doğumsal anomaliler aurikula bölgesinde sık görülen bir durumdur. Majör anomaliler fonksiyonel ve yapısal ciddi bozukluklara yol açarken minör anomaliler daha çok kozmetik kaygılara yol açar. Preauriküler sinüs, kulak katlantısının üst, ön kısmında ve genellikle tek tarafta görülür. Birinci faringeal yarığın dorsal kısmının tam olmayan kapanması sonucu oluşur. Dıştan bakıldığında preaurikuler bölgede deriden başlangıcını alan ve iç kısımlara uzanan bir traktüs içeren küçük bir delik şeklinde görülür. Genellikle bulgu vermeyip, nadiren tekrarlayan yara enfeksiyonları ile bir arada olabilmektedir. Her iki kulak önünde 10 yıldır aralıklarla yara enfeksiyonu bulunan 26 yaşındaki bayan hastada preaurikuler sinus saptandı ve literatür eşliğinde konu tartışıldı. Sunmuş olduğumuz olguda preauriküler bölgenin iyileşmeyen ve tedavilere cevap vermeyen cilt enfeksiyonları zemininde preauriküler sinüsün de olabileceğinin vurgulanması amaçlanmıştır

System for monitoring and supporting the treatment of sleep apnea using IoT and big data

[EN] Sleep apnea has become in the sleep disorder that causes greater concern in recent years due to its morbidity and mortality, higher medical care costs and poor people quality of life. Some proposals have addressed sleep apnea disease in elderly people, but they have still some technical limitations. For these reasons, this paper presents an innovative system based on fog and cloud computing technologies which in combination with IoT and big data platforms offers new opportunities to build novel and innovative services for supporting the sleep apnea and to overcome the current limitations. Particularly, the system is built on several low-power wireless networks with heterogeneous smart devices (i.e, sensors and actuators). In the fog, an edge node (Smart IoT Gateway) provides IoT connection and interoperability and pre-processing IoT data to detect events in real-time that might endanger the elderly's health and to act accordingly. In the cloud, a Generic Enabler Context Broker manages, stores and injects data into the big data analyzer for further processing and analyzing. The system's performance and subjective applicability are evaluated using over 30 GB size datasets and a questionnaire fulfilled by medicals specialist, respectively. Results show that the system data analytics improve the health professionals' decision making to monitor and guide sleep apnea treatment, as well as improving elderly people's quality of life. (C) 2018 Elsevier B.V. All rights reserved.This research was supported by the Ecuadorian Government through the Secretary of Higher Education, Science, Technology, and Innovation (SENESCYT) and has received funding from the European Union's "Horizon 2020'' research and innovation program as part of the ACTIVAGE project under Grant 732679 and the Interoperability of Heterogeneous IoT Platforms project (INTER-IoT) under Grant 687283.Yacchirema-Vargas, DC.; Sarabia-Jácome, DF.; Palau Salvador, CE.; Esteve Domingo, M. (2018). System for monitoring and supporting the treatment of sleep apnea using IoT and big data. Pervasive and Mobile Computing. 50:25-40. https://doi.org/10.1016/j.pmcj.2018.07.007S25405

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

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

Changes In Various Hormone Levels In The Rabbit Traumatic Facial Nerve Injury Model

WOS: 000493730200005Objectives: We aimed to look into potential associations between specific biomarkers and trauma to Cranial Nerve VII (CNVII) in a rabbit model, focusing on whether endocrine studies have potential as biomarkers in this context. Methods: 30 adult New Zealand rabbits with intact facial muscles were used for the research. Each animal underwent identical surgery by the same surgeon. The facial nerve divisions were exposed by incising below the level of the mandible. After dissection of the skin and subcutaneous layers, the buccal division of CNVII was located with the nerve stimulator and microscopic dissection and a section of nerve 10mm long was excised in each case from the buccal branch of CNVII. Blood samples were drawn 8 weeks and 12 weeks after nerve injury had been surgically induced. The samples from day 1, week 4 and week 8 were tested for the following levels: Testosterone, oestrogen, progesterone, free T3 and T4, Cancer antigen 19-9 (Ca19-9), folate, TPSA, FPSA, FSH, LH, CA15.3, CAE, AFP and prolactin. Results: The levels of free T3 and T4 as well as testosterone, were down at 4th week, but at 8 weeks each had increased. Ca19-9 levels were also above the baseline. At 4 weeks, whilst oestrogen had markedly risen, progesterone had fallen. The statistical significance of the change in levels of free T3 and T4, testosterone, oestrogen, progesterone and FPSA was evaluated. For the group of animals with induced paralysis, the association between the lesion and testosterone, oestrogen, progesterone, free T3 and T4, Ca19-9, and folate levels were strong and at the level of statistical significance. Conclusion: There were statistically significant alterations in the serum levels of free T3 and T4, testosterone, oestrogen, progesterone and FPSA at the 4 and 8 week intervals post surgically-induced CNVII injury. It is likely that rabbit pathophysiology resembles human pathophysiology in nervous injury, hence these six biomarkers may be of value in managing trauma or idiopathic degeneration of CNVII in humans. The authors hope this study will pave the way for future research in this area

The Effect of N-butyl-2-Cyanoacrylate on Wound Healing in the Head and Neck Region

WOS: 000493732700005Objective: The study compares the histological appearances of an induced open wound injury as it heals in rabbits, where healing was assisted by either Batticon (a topical antiseptic solution), or Glubran (a surgical glue). Materials And Methods: The study protocol was first approved by the Research Ethics Committee of Cukurova University. Twenty-eight rabbits with a weight of between 3 and 4kg, of female sex, were subjected to handling every day for a fortnight preceding the experimental injury so that they could be behaviourally assessed. Seven of the 28 rabbits acted as controls, with the 21 others put into one of 3 groups, depending on the day they were to be sacrificed. For the control animals, a portion of the external ear was excised and examined histologically alongside the intervention group animals, to allow comparisons to be made. The intervention group underwent exposure of a 1cm2 area of epidermis bilaterally. The resulting open injury was then treated on one side with topical antisepis using Batticon and on the other with the Glubran tissue glue. At days 2, 4 and 6 post-surgery, the rabbits were sacrificed and sections of the open wound were viewed with the electron microscope. The control group was also examined histologically for comparison. Results: The sections from ears treated with Glubran had electron microscopic appearances indicative of more extensive regeneration than those where Batticon was used at days 2, 4 and 6. Conclusion: The results of the study show that N-butyl-2-cyanoacrylate (Glubran) is suitable for the treatment of open injuries to the head or neck

The Correlation of Serum Growth Differentiation Factor-15 Level in Patients with Obstructive Sleep Apnea

Purpose. Growth differentiation factor-(GDF-) is a prognostic biomarker in cardiovascular disorders (CVD). GDF-15 level was not studied in patients with obstructive sleep apnea syndrome (OSAS) before. In this study, we investigated serum GDF-15 levels in OSAS patients and compared them with healthy controls. Material and Methods. Polysomnographically, confirmed forty consecutive OSAS patients (20 men and 20 women) and forty consecutive healthy controls (23 men and 17 women) were enrolled in the study. The samples in each group had similar demographic characteristics and body mass index (BMI) values. Results. In the study, no significant correlation was found about GDF-15 levels of OSAS group and healthy controls. However, there was a significant statistical correlation between age and GDF-15 level. In correlation analysis, there was not any significant correlation between age and BMI. Conclusion. Although various developing biomarkers have been studied in cardiovascular disorders, GDF-15 levels have attracted a widespread interest as predictors of cardiovascular risk. GDF-15 level has not been evaluated previously in patients with OSAS. A significant statistical correlation was found between age and GDF-15 level. To reveal close relation between OSAS and GDF-15, further studies are needed with combination of GDF-15 and other biomarkers in OSAS