Otoscopic Examination

DergiPark: 481906tmsjAbstract: Ear related diseases are common in both otolaryngology clinics and family practice since all age groupscan get affected. Due to the frequency and the range of diseases of the ear, it is very important to carry out a thoroughexamination and make a correct diagnosis. Otoscopes are very useful tools used for otoscopic examination.Although head mirrors and head lambs can be used for the examination of the ear, otoscopes provide a better fieldof vision and a more detailed sight. There are two main types of otoscopes; portable and wall-mounted. However, theexamination should not be limited to the outer ear. It is the examiner’s responsibility to check the area around the earfor abnormalities. Otoscopic examination is a convenient method for making a correct diagnosis. Therefore, everymedical doctor should be able to perform a proper otoscopic examination and make a correct diagnosis

A Rising Concern: a Case of Perforation of the Floor of the Mouth Caused by Tongue Piercing

DergiPark: 439218tmsjAims: The aim of this study is to present a case of an infection in the oral cavity due to tongue piercing perforatedinto the floor of the mouth, thus to raise concern over the increasing popularity of tongue piercing in spite of its risksincluding perforation in the oral cavity and oral ulcers.Case Report: A sixteen-year-old female patient presented to the clinic with lesions and extreme pain in her oralcavity. The thorough examination showed displacement of the piercing through the tongue, causing a perforation ofthe floor of the mouth. The piercing was surgically removed. The ulcers were treated with medication. The patientwas advised to get professional help and was instructed to pay close attention to oral hygiene in case of reiterateddemand for tongue piercing.Conclusion: It is important to ensure that piercing is inserted by a specialist under sterile conditions to preventcomplications. If a surgical operation is needed to treat the complications occurred, the clinicians must be aware ofthe critical veins and nerves that are located in the oral cavity and they should be very careful not to cause any harmduring the operation

Cultures and Antibiogram Results in Chronic Otitis Resistant to Treatment in Edirne

Aim:The aim of this study was to determine the causative pathogens and the antibiotics to which they are susceptible in order to plan effective treatment in patients with chronic otitis resistant to treatment.Materials and Methods:A total of 465 patients with chronic otitis who were admitted to the otorhinolaryngology clinic of Keşan Hospital (Edirne) after receiving treatment in at least one different epicenter between April 2013 – July 2018 were included in this study. Patients with predisposing factors (allergy, cleft lip and palate, immune suppression), diffuse polyposis in the middle ear, or cholesteatoma were excluded from the study. Physical examination and culture and antibiogram results were evaluated.Results:211 (45.4%) of the patients were female and 254 (54.6%) were male. The mean age of the participants was 49.7 ± 17.3 years. The most frequently isolated bacteria were the Pseudomonas genus in 36.6% (n = 170) of patients. The second most common bacterial genus was Staphylococcus, found in 23.4% (n = 109) of patients. Pseudomonas bacteria were most susceptible to Ceftazidime (97.6%), Ciprofloxacin (93.5%) and Gentamycin (92.4%).Conclusion:Pseudomonas was the most commonly isolated bacterial genus. Accurate detection of the causative microorganism and determination of antibiotic susceptibility will contribute to the prevention of both complications and development of new infection by enabling the selection of correct antibiotics for treatment

Squamous Cell Carcinoma of the Caudal Nasal Septum and the Nasal Vestibule: a Case Report

DergiPark: 889389tmsjAims: The nasal septum is an unusual place for malignant tumors to occur. The condition may be accompanied by non-specific symptoms that may cause delays in seeking medical care or may misguide the physician due to the condition’s rarity. We hereby aim to present a rare case of a squamous cell carcinoma in a 65-year-old male patient with recently progressing symptoms. Case Report: A 65-year-old male patient was admitted to Private Keşan Hospital’s Ear- Nose-Throat Department with swelling and wounds in the nose, and inability to breathe complaints. After the biopsy, pathological examination revealed moderately differentiated squamous cell carcinoma. The patient was operated with success; the mass was thoroughly dissected and a full-thickness skin graft from the left supraclavicular region was used in the reconstruction of defected areas. Recovery was uneventful due to early diagnosis and admission, with no relapse or cosmetic concern during monthly visits in the following years. Conclusion: As seen in this case, full-thickness skin grafts can be successfully used in intranasal and extranasal reconstructions, provided that they are obtained from areas with appropriate thickness. Early diagnosis and frequent monitoring are crucial in patients with squamous cell carcinoma since these tumors respond exceptionally well to treatment; although the recurrence rate is remarkably high

The Score for Allergic Rhinitis study in Turkey, 2020

International audienceObjective: This study aimed to determine how prevalent allergic rhinitis (AR) is in Turkey and to compare the current prevalence with the figures obtained 10 years earlier.Methods: This study included 9,017 participants. The minimum number of participants required from each center was determined via a stratified sampling technique according to regional demographic characteristics as ascertained from the last census. For each region, both men and women were administered the score for allergic rhinitis (SFAR) questionnaire and a score for each participant was calculated based on the responses supplied.Results: A total of 9,017 individuals (55.3% men and 44.7% women) took part in this study. Of these, 94.4% were urban residents and 5.6% lived in a rural setting. Of the men, 38.5% self-reported as suffering from AR. The corresponding figure in women was 40.5%. The overall prevalence of AR, as deduced on the basis of the SFAR, was found to be 36.7%. Comparing the prevalence in different regions, we found that AR was the least prevalent in the Black Sea region with a frequency of 35.8%. The highest prevalence was in the Mediterranean region, where the prevalence was 37.7%. There was no statistical significance in the apparent differences in prevalence between different geographical regions. Despite this, however, there was a clear increase in the frequency of AR over the preceding decade. This increase was most pronounced in the South-Eastern Anatolian region, where the frequency rose from 21.0% to 36.9%.Conclusion: Our results indicate that there has been a marked increase in the prevalence of AR in every region in Turkey over the last 10 years. This could be related to living conditions in urban environments. Alterations in lifestyle, urban living, air pollution causing impairments in immune defense mechanisms, and other aspects of modern lifestyles may account for the increase in AR in Turkey