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Öğe Does the prevalence of otolaryngological diseases in deaf children differ from children without hearing impairment?(Springer-Verlag, 2008) Oğhan, Fatih; Harputluoğlu, Uğur; Öztürk, Özcan; Güçlü, Ender; Mayda, AtillaThere is no enough data about the prevalence of otorhinolaryngological (ORL) diseases in deaf children. In this study, we aimed to determine the prevalence of ORL diseases among deaf children and compare children from a school for the deaf with those attending regular primary schools for the presence of ear, nose and throat (ENT) problems. The subjects were 1,282 children attending three primary schools in the province of Duzce and 572 hearing-impaired children from eight schools for the deaf. Following ENT examinations, ORL findings were statistically compared between two groups using a Chi-square test and P values less than 0.05 were considered significant. Upper airway pathologies including chronic tonsillitis, rhinitis, septal deviation and tubal dysfunction, and chronic otitis media (COM) were found to be statistically higher in deaf children than in children without hearing impairment. Although the incidence of middle ear effusion was found to be higher in deaf children, it was not statistically significant. On the other hand, the incidence of impacted wax was lower in deaf children than others. In conclusion, we should have enough data on the prevalence of ORL diseases in deaf children to give a clue to help prevent ORL diseases and if we can detect them early, we can solve the problems before they become more complicated and we can rehabilitate these children better.Öğe Does topical lidocaine with adrenaline have an effect on morbidity in pediatric tonsillectomy?(Elsevier Ireland Ltd, 2005) Egeli, Erol; Harputluoğlu, Uğur; Oğhan, Fatih; Demiraran, Yavuz; Güçlü, Ender; Öztürk, ÖzcanObjective: To evaluate the efficacy of lidocaine with adrenaline on post-operative morbidity in pediatric patients after tonsillectomy. Study Design: A double blind prospective randomized controlled clinical study. Methods: The study is consisting of two groups of pediatric patients following tonsillectomy performed in a university hospital. One group received lidocaine with adrenaline soaked swabs packed in their tonsillar fossae white the control group received saline-soaked swabs. Chi-square and two-tailed unpaired Student's t-tests were used to compare the two independent groups. p < 0.05 was accepted as statistically significant. Results: No significant pain-relieving effect was seen in the lidocaine with adrenaline group (p > 0.05) and also the other post-operative parameters such as nausea, fever, vomiting, odor, bleeding, otalgia and trismus were not statistically different between the two groups based on chi-square analysis (p > 0.05). There were no complications associated with lidocaine and adrenaline. Conclusion: We suggest that application of topical lidocaine with adrenaline seems to be a safe and easy medication for local anesthetic use. However, in our study, lidocaine with adrenaline offered no advantage over placebo in the control of post-operative pain and other morbidity related factors following pediatric tonsillectomy. We therefore do not recommend topical application of lidocaine with adrenaline for reducing morbidity in pediatric tonsil surgery.Öğe Effects of sevoflurane and TIVA with propofol on middle ear pressure(Elsevier Ireland Ltd, 2006) Öztürk, Özcan; Demiraran, Yavuz; İlçe, Zekeriya; Kocaman, Buket; Güçlü, Ender; Karaman, EminObjective: To evaluate the effects of sevoflurane and TIVA with propofol on middle ear pressure and to show the importance of anesthesia without using any inhalational agents during middle ear surgery. Study design: A prospective, randomized controlled clinical study. Methods: In this study, 25 male children that were scheduled for circumcision were randomised into two groups. Group I (n = 13) received TIVA with propofol and group II (n = 12) received sevoflurane. Baseline tympanometry reading was performed on each ear just before anesthesia. The next tympanometry reading was taken 10 min after applying the laryngeal mask. Data were analysed by Mann-Whitney U (between groups) and Wilcoxon tests (within groups). Results: Mean MEP values in 26 ears of 13 boys in group I did not show any significant difference before and after the anesthesia with propofol (p > 0.05). In group II mean MEP values in 24 ears of 12 boys showed a significant increase after the anesthesia with sevoflurane (p < 0.001). No significant difference was found between the MEP values of the two groups before the anesthesia (p > 0.05), and MEP values measured during the anesthesia were significantly higher in group II (p = 0.007). Conclusion: Sevoflurane may increase the middle ear pressure and TIVA with propofol may be used in middle ear operations more safely than sevoflurane.Öğe Hearing loss after spinal anaesthesia: comparison of 22 and 25 G quincke needles in a non-elderly population(Wiley, 2006) Güçlü, Ender; Demiraran, Yavuz; Sezen, GülbinSpinal anaesthesia is an alternative method to generalanaesthesia for the surgery of lower extremities, pelvicregion and lower abdomen.Öğe Hemimacroglossia caused by isolated plexiform neurofibroma: a case report(Wiley, 2006) Güçlü, Ender; Tokmak, Abdurrahman; Oğhan, Fatih; Öztürk, Özcan; Egeli, ErolObjectives: The present case is a diffuse isolated plexiform neurofibroma of the tongue that was not associated with neurofibromatosis that we treated with intraoral surgery. Study Design: A case report. Methods. We present a 5-year-old girl with isolated plexiform neurofibroma of the tongue with infiltration of the tongue base and review treatment approaches for this very rare tumor. Results. An intraoral approach appears to be a good alternative method that allows both an acceptable exposure for total excision and limited postoperative sequelae. Conclusions: Isolated plexiform neurofibroma. of the tongue is very rare. It causes a massive macroglossia that is progressive with advance of years and disturbs the patient's speech, occlusion, and tongue movements. Involvement of the tongue may be associated with infiltration into the deep structures of the neck by the tumor, thereby presenting considerable operative difficulties.Öğe Mandibula yerleşimli anevrizmal kemik kisti: Olgu sunumu(2006) Inci, Önder; Cansiz, Harun; Güçlü, Ender; Hizli, CemAnevrizmal kemik kisti (AKK), daha sık olarak uzun kemiklerde ve vertebrada görülen, kraniyofasiyal bölgede ise nadir rastlanan selim bir lezyondur. Dokuz yaşındaki erkek çocukta, sol preauriküler bölgede, düzgün sınırlı, ağrısız, fikse, fluktuasyon ve krepitasyon vermeyen, 3x3 cm boyutunda bir kitle saptandı. Bilgisayarlı tomografi incelemesinde, sol mandibula ramusunda, mandibüler kondile uzanım gösteren, komşuluğundaki korteksi erode etmiş, içerisinde sıvı-sıvı seviyesi bulunan lezyon görüldü. Genel anestezi altında transoral yaklaşımla kitleye total küretaj uygulandı. Histopatolojik inceleme sonucu anevrizmal kemik kisti tanısı kondu. Hastanın dört yıllık izleminde lokal nüks veya komplikasyona rastlanmadı.Öğe Nasal carriage of pathogenic bacteria in medical students: effects of clinic exposure on prevalence and antibiotic susceptibility(Springer, 2007) Güçlü, Ender; Yavuz, Mehmet Tevfik; Tokmak, Abdurrahman; Behçet, Mustafa; Karalı, Elif; Öztürk, Özcan; Egeli, ErolStaphylococcus aureus is a major cause of community-acquired and nosocomial infections worldwide. One important source of this pathogen for nosocomial infections is the nasal carriage of S. aureus among hospital personnel. There are only a few studies investigating the carriage of S. aureus in a community of medical students. Oral and nasal flora of 179 medical students with varying clinical exposures were determined. Oral cultures revealed no nosocomial pathogen and nasal cultures showed an increasing rate of S. aureus carriage with increasing clinical exposure. Methicillin resistance also demonstrated a tendency toward increasing with increasing clinical exposure.Öğe Permanent t-tube insertion in two patients with Hurler's syndrome(Taylor & Francis Ltd, 2007) Oğhan, Fatih; Harputluoğlu, Uğur; Güçlü, Ender; Güvey, Ali; Turan, Nursen; Öztürk, ÖzcanHearing loss in mucopolysaccharidosis is usually both conductive and sensorineural. The conductive component is attributable to serous otitis media secondary to dysfunction of the eustachian tube and chronic thickening of the mucosa of the middle ear. The conductive component may persist after myringotomy and insertion of short-term or long-term ventilation tubes. In Hurler's syndrome, death usually occurs in the first decade of life. In our study, we present two cases, a three-year-old girl and a four-year-old boy, who were diagnosed with Hurler's syndrome. Both children have a history of otitis media with effusion requiring repeated short-term ventilation tube insertions that were unsuccessful. Permanent t-tubes were inserted in both cases. Results showed an approximate 20 dB improvement in hearing sensitivity postoperatively for each patient.Öğe Pregnancy associated plasma protein-A levels in allergic rhinitis(Blackwell Publishing, 2006) Güçlü, Ender; Coşkun, Abdurrahman; Duran, Sadık; Tokmak, Abdurrahman; Öztürk, ÖzcanPregnancy associated plasma protein A (PAPP-A), known as insulin-like growth factor binding protein-4 (IGFBP-4) protease, has been postulated to amplify local insulin-like growth factor I (IGF-1) activity in wound healing, vascular repair, bone remodeling, and development of the dominant follicle.Öğe A rare malignancy of the parotid gland: oncocytic carcinoma(Springer, 2005) Güçlü, Ender; Oğhan, Fatih; Öztürk, Özcan; Alper, Murat; Egeli, ErolOncocytic carcinomas are uncommon; they represent 11% of all oncocytic salivary gland neoplasms, 0.5% of all epithelial salivary gland malignancies and 0.18% of all epithelial salivary gland tumors. A 65-year-old woman was admitted to our ENT clinic with a history of a painless left preauricular mass. No lymph node was palpable on either side of her neck. Computed tomography demonstrated a 3x3-cm solid lesion in the left parotid gland. As oncocytes and atypical cells were seen at the cytologic examination of a fine-needle aspiration biopsy, this finding suggested a malignant epithelial tumor. Total parotidectomy by preserving the facial nerve was performed. The result of the pathologic examination was oncocytic carcinoma regarding histopathologic and immunohistochemical findings and especially the invasive growth pattern. We preferred a close follow-up to an elective neck dissection, and reserved the neck dissection for a recurrence. The prognosis of oncocytic carcinomas is not well known because of their low incidence. Further investigation of the prognosis of patients with oncocytic carcinoma of the parotid gland is warranted as more cases are reported.
