Fungus Ball Inside The Concha Bullosa

Fungal rinosinüzitler invaziv ve non-invaziv formlar olarak iki ana grup altında sınıflandırılır. Mantar topu fungalrinosinüzilerdenensıkgörüleniolupnon-invaziv birmantarinfeksiyonudur.Mantartopuensıkmaksiller sinüste görülür. Konka bülloza ise orta konka pnömatizasyonuna verilen isimdir ve en sık görülen sinonazalanatomikvaryasyondur.Diğerpnömatizehücre ve sinüslerde görülen patolojiler konka büllozada da görülebilir. Konka büllozada polip, piyosel ve fibro osseoz lezyonlar görülebilir. Konka büllozada mantar topu çok nadir görülen bir durumdur. Bu çalışmada baş ağrısı şikâyeti ile hastaneye başvuran, konka büllozada mantar topu olan olgu literatür bilgileri eşliğinde sunulmuştur.Fungal rhinosinusitis can be categorized as invasive and non- invasive forms. Fungus ball is the type of fungal rhinosinusitis most commonly seen and it is a non- invaziv fungal infection. The most common localization of the fungus ball is maxillary sinus. Concha bullosa is simply the pneumatization of the middleturbinatesanditisthemostcommonsinonasal anatomic variation. Pathologies seen in other pneumatized cells and in sinuses can also occur inside the concha bullosa. Presence of polyps, pyoceles and fibro- osseous lesions are possible inside the concha bullosa. In this study, we presented a case of fungus ball inside the concha bullosa with a compliant of headache, reviewing the literature

Assessment rate of true dorsogluteal intramuscular drug injection using ultrasonography

WOS: 000476976400047PubMed: 31372156Objective: Medications are generally administered by either the enteric or parenteral route. With parenteral administration, intramuscular (IM) is the preferred approach because it increases the bioavailability of the drug, acts more quickly than the enteric route. The aim of this study was to determine the rate of true dorsogluteal intramuscular drug injection and to determine the causes for application failures in practice by ultrasonography (US). Methods: The study was conducted from May 1 to May 30, 2017 in Giresun University Education and Research Hospital, Giresun, Turkey. We examined 60 patients who were administered dorsogluteal IM injection with a 38.1mm length needle. After the injection, localization of medications (whether intramuscular or subcutaneous adipose tissue [SAT]) was evaluated by Ultrasound. Results: Female/male ratio of the patients was 27/33, with a mean age of 39.78 +/- 2.16 years. Obese/ normal weight ratio was 20/40. The mean dorsogluteal area SAT thickness of obese and normal weight patients were 32.34 +/- 2.17 mm and 20.85 +/- 1.20 mm, respectively. In 23 of the patients, IM injected drug was observed in the SAT, while it was observed in the IM area in 37 patients. Medication was observed in IM area in 37 of 50 patients who dorsogluteal region SAT thickness was appropriate (SAT thickness lower than 33.1mm) for IM injection while it was seen in SAT area in 13 patients. Conclusions: SAT thickness values are important if IM drug injection is to be administered correctly. Unsuccessful IM injections may be seen even in patients with appropriate SAT thicknesses

Coexistence Of Ethmoid Sinolithiasis, Nasal Polyposis And Chronic Sinusitis

Nazal kavitede organik veya inorganik maddelerin birikerek organize olması ile ortaya çıkan rinolitiyazis, eğer herhangi bir paranazal sinüs içerisinde görülürse sinolitiyazis adını almaktadır. Taş oluşumunun en sık görüldüğüparanazalsinüsmaksillersinüsolup,budurum ‘antrolit’ olarak da adlandırılabilir. İkinci sıklıkta ise frontal sinüslerde görülmektedir. Sinolitiyazis, sıklıkla ekzojen kaynaklı nadir bir patoloji olup kanal tedavisi uygulanan diş kökünün maksiller sinüse fistülize olması sonucudolgumateryalikaynaklısinolitiyazisnadirdeolsa görülebilir. Ayrıca, sinolitiyazis temelinde oluşan inflamatuar süreç nedeniyle sinüs içerisinde veya nazal kavitede polip de gelişebilir. Diş dolgu materyalinin etmoid sinüse geçmesi ve etrafında sinolit oluşması ise çokdahanadirdir.Buçalışmada,dişdolgumateryalinin maksiller sinüs içine ve daha sonra etmoid sinüse invagine olmasıyla ortaya çıkan sinolitiyazis ve beraberinde görülen inflamatuar sürecin sunulması ve tanısında tomografinin öneminin vurgulanması amaçlanmıştır.Rinolithiasis, a condition due to accumulation of organic and inorganic materials in nasal cavity, is referredtoas‘sinolithiasis’whenlocatedinaparanasal sinus. The maxillary sinus is the most common site of thesinolithsandtheymaybecalledas‘anthrolith’.The secondcommonsiteisthefrontalsinus.Sinolithiasisis ararepathologyofexogenousoriginanditmayrarely originate from dental filling materials, due to fistulization of tooth root to the maxillary sinus. Additionally, inflammatory process based on sinolith may cause polypoid degeneration inside the sinus and the nasal cavity. Invasion of the ethmoid sinus by dental filling material and dependently sinolith formationarerarer.Inthisreport,weaimedtopresent asinolithiasiscaseduetoinvaginationofdentalfilling material into maxillary sinus, then ethmoid sinus, with co-existed inflammatory process and to emphasize the importance of the computerized tomoghraphy for diagnosis

Effectiveness of computed tomography guided percutaneous radiofrequency ablation therapy for osteoid osteoma : initial results and review of the literature

BACKGROUND: The aim of this retrospective study is to determine our experience of technique success rate, complications and clinical results in long term follow up for computed tomography (CT)-guided radiofrequency ablation [RA] therapy for osteoid osteoma (OO). MATERIAL AND METHODS: We performed RA therapy to 18 patients with OO referred to interventional radiology from other clinics primarily from orthopedics; between January 2011 to May 2014. Daytime and nighttime pain intensity of 18 patients was noted according to visual analog scale (VAS). After procedure pain intensity was compared with before one. We also discussed other factors can affect it. RESULTS: All procedures were completed technically successful for all patients [100%]. We did not experience any major complication or mortality. However we had 3 minor complications. Pain came back in 1 patient after 5 months from procedure and it was considered as recurrence. Dramatic pain intensity fall was seen in patients after procedure, both daytime and nighttime. However we did not find and statistically significant change in comparison of pain intensity reduce and time needed to return back to routine life when using patients demographic data and lesion size. CONCLUSIONS: CT guided RA therapy of OO is minimally invasive, effective and secure procedure

The prevalence of microalbuminuria and relevant cardiovascular risk factors in Turkish hypertensive patients.

Objectives: A growing body of data illustrates the importance of microalbuminuria (MAU) as a strong predictor of cardiovascular risk in the hypertensive population. The present study was designed to define the prevalence of MAU and associated cardiovascular risk factors among Turkish hypertensive outpatients. Study design: Representing the Turkish arm of the multinational i-SEARCH study involving 1,750 sites in 26 countries around the world, a total of 1,926 hypertensive patients from different centers were included in this observational and cross-sectional survey study. Patients with reasons for a false-positive MAU test were excluded. The prevalence of MAU was assessed using a dipstick test, and patients were inquired about comorbidities, comedication, and known cardiovascular risk factors. Results: The overall prevalence of MAU was 64.7% and there was no difference between genders. Most of the patients (82.5%) had uncontrolled hypertension, 35.6% had dyslipidemia, and 35.5% had diabetes, predominantly type 2. Almost one-third of the patients (26.4%) had at least one cardiovascular-related comorbidity, with 20.3% having documented coronary artery disease (CAD). Almost all patients (96.8%) had one or more risk factors for cardiovascular disease in addition to hypertension, including family history of myocardial infarction or CAD, diabetes, dyslipidemia, lack of physical exercise, and smoking. A trend towards higher MAU values in the presence of CAD was determined. Conclusion: Microalbuminuria tests should be routinely used as a screening and monitoring tool for the assessment of subsequent cardiovascular morbidity and mortality among hypertensive patients. © 2011 Turkish Society of Cardiology