Analysis of 36 patients underwent cochlear implantation surgery

Objectives: The aim of this study was to analyze the etiology,surgical methods and complications of the patientswho underwent cochlear implantation (CI) for bilateralsensorineural hearing loss.Materials and methods: Between October 2010 andFebruary 2012, 36 patients who underwent CI were retrospectivelyanalyzed in terms of age, sex, etiology of hearingloss, surgical approach and complications.Results: The age range of patients was 1-52 years [15female (% 41.7), 21 male (% 58.3]. Thirty-three of thepatients (average age 4.2±1.8) were in pediatric agegroup, remaining three patients (29, 45, 51 years old)were adult. All of pediatric patients were diagnosed ascongenital hearing loss (31 patients idiopathic, 1 Goldenharsyndrome, 1 ectodermal dysplasia). Adult patientswere operated due to hearing loss secondary to bilateraltemporal bone fracture, chronic otitis media surgery, andmeningitis. Thirty-four patients operated via a mastoidectomy-posterior tympanotomy and extended round windowapproach. One patient operated via a suprameatal approach.One patient was operated using two-stage procedure.Three patients had a perilymph gusher. No majoror minor complications occurred in patients. We operatedthe selected patients as a beginner cochlear implant center.Conclusion: Despite limited number of our study group,it can be concluded that cochlear implantaiton is an effectivetreatment for adults and children with profoundbilateral sensorineural deafness. It was found as a safelow morbidity technique with low complication rates in thepresented patients

Effüzyonlu otitis mediada gıda alerjisinin rolü

TEZ3316Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 1999.Kaynakça (s. 67-73) var.ix, 73 s. ; rnk. res. ; 30 cm.

Hemorrhage Following Tonsillectomy

Hemorrhage is one of the most important and serious complicationswhich follows tonsillectomy. In this retrospective study, 14 male, 9 female,total of 23 patients who were treated at Ear Nose Throat Department atDicle University Faculty of Medicine for posttonsillectomy hemorrhagewere presented. The average age was 15,5 ± 10,6. There were 4 primary(%17,3), 19 secondary (%82,7) hemorrhage cases. The times of presentationof patients with secondary hemorrhage following tonsillectomy wererecorded (2 patiens postoperative 4th day, 5 patients 5th day, 1 patient 6thday, 4 patients 7th day, 2 patients 8th day, 3 patients 10th day, 1 patient 12thday and 1 patient 14th day). 20 patients’s hemorrhage were taken undercontrol by blood transfusion and conservative methods (%86,9). Total of 3patients were taken under control in the operating room. Ligature of theexternal carotid artery was performed in one of the three patients whichtaken undercontrol in the operatig room

Evaluation of The Language Development of Children With Cochlear Implant Users Living in A Multilingual Environment

To evaluate the effect of second language exposure on Turkish speaking skills in cochlear implant (CI) users. Methods: Children living in mono and bilingual families, who underwent unilateral cochlear implant due to congenital severe to profound, or profound hearing loss, were examined. The fifty six children with a chronological age younger than 8 and a language age of 2–6 years were included the study. The Denver II Developmental Screening Test was used for identifying of pre-implant speech and development. The duration of implant use was also documented. Languages spoken at the patients' homes were divided into 4 categories: T/K: Predominantly Turkish/Kurdish, K/T: Predominantly Kurdish/Turkish, T/T: Just Turkish, A/T: Predominantly Arabic/Turkish. The CAP (Categories of Auditory Performance), SIR (Speech Intelligibility Rating), The Turkish Version Test of The Early Language Development (TELD-3:T),. The IT-MAIS (Infant Toddler Meaningful Auditory Integration Scale), MUSS (Meaningful Use of Speech Scale) were used to evaluate the language development of the patients. Changes in IT-MAIS and MUSS scores in the last two years were also evaluated. Results: The all children received their implants before age of 6 years. The average duration of cochlear implant use of children was 38,43 ± 11,64 months. The mean pre-implant speech age was 6,8 ± 2,13 months. There was no significant difference between the groups in terms of the CAP and SIR scores. In TELD-3:T scores, there was no significant difference between the groups except for the receptive raw scores. The Arabic/Turkish group had significantly lower receptive raw scores. This group also had significantly lower mother educational level. In IT-MAIS and MUSS scores, no significant difference was found between the groups. Conclusions: Our study supports the opinion that exposure to a second language at home does not affect the acquisition of the language of education in children using CI

Cefoperazone-sulbactam prophylaxis in head and neck surgery

Cerrahide postoperatif enfeksiyon gelişmesi hastanın morbidité ve mortalitesini arttıran önemli faktörlerden biridir. Bu çalışmada, aerodigestif sistemin açıldığı 25 baş ve boyun kanser cerrahisi yapılan hastada, postoperatif yara enfeksiyonu-nu önlemede profilaktik olarak kullanılan sefoperazon-sulbaktam kombinasyonunun etkinliği araştırıldı. Üç hastada (%12) postoperatif yara enfeksiyonu saptandı ve bu 3 hastanın ikisinde aynı zamanda faringokutanöz fistül gelişti. Bu çalışmada, sefoperazon-sulbaktam kombinasyonunun baş ve boyun bölgesi kanser cerrahisinde profilakside etkin bir alternatif seçenek ol-duğu sonucuna varıldı.Postoperative infection is one of the most important factors which incrase the morbidity and mortality of the patients undergoing surgery. In this study, we investigated the effectiveness of cefoperazone - sulbactam combination which was used as a prophylactic antibiotic in the prevention of postoperative wound infections in 25 patients who underwent he-ad and neck cancer surgery with entry into the upper aerodigestive system through the skin. Postoperative wound infection was found in 3 patients (%12) and two of these 3 patients developed concurrent pharyngocutaneous fistuke. In this study, it was concluded that cefoperazone - sulbactam combination, as a prophylactic agent, was an alternative choice in the head and neck cancer surgery

Congenital laryngeal cyst presenting with severe respiratory distress in a newborn

In the newborn, congenital laryngeal cysts can cause lifethreateningrespiratory distress. Mortality can be preventedby early diagnosis. Therefore, a congenital laryngealcyst should be considered in the differential diagnosis ofan infant who develops respiratory distress and stridor.Flexible nasopharyngolaryngoscop is a valuable tool indiagnosis. The treatment of the cyst is total surgical excision.This article reviews the literature and presents acase of congenital laryngeal cyst that caused respiratorydistress at birth and was treated surgically.Key words: Larynx, cyst, congenital, newborn, strido

Development of bilateral mastoiditis due to chronic otitis media with congenital cholesteatoma

Congenital cholesteatoma develops from the squamousepithelium that is located at middle ear, petrous boneand mastoid bone during embryological development ofmiddle ear. Congenital cholesteatoma forms the 2-5% ofall cholesteatomas. In this article, a 5 years old boy withbilateral -probably congenital- diffuse cholesteatoma andmastoid fistulas is presented. Our case is special dueto his age and severe destructive pattern. Patient wastreated successfully by bilateral radical mastoidectomyoperation.Key words: Congenital, cholesteatoma, mastoiditi