Yazar "Süslü, Ahmet Emre" seçeneğine göre listele
Listeleniyor 1 - 11 / 11
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Acquired toxoplasmosis of the buccal area with extranodular involvement: Report of an unusual case(2009) Köybaşı, Serap; Süslü, Ahmet Emre; Yiğit, Beyhan; Boran, ÇetinAcquired toxoplasmosis is a common parasitic infection in humans. It can be caused by ingestion of infected meat or other food that has been contaminated by the feces of infected cats. Approximately 90% of immunocompetent patients with acquired toxoplasmosis are asymptomatic and undiagnosed; in the other 10%, toxoplasmosis manifests as a nonspecific, self-limited illness that usually does not require treatment. In symptomatic cases, cervical lymphadenopathy is one of the most common clinical findings. We report the case of a 33-year-old woman who experienced unilateral facial swelling secondary to toxoplasmosis. In addition to the atypical location of her disease (i.e., the buccal area), the atypical histopathologic findings in this case (e.g., extranodular involvement) constituted a very unusual presentation of toxoplasmosis.Öğe Acute invasive fungal rhinosinusitis: our experience with 19 patients(Springer, 2009) Süslü, Ahmet Emre; Öğretmenoğlu, Oğuz; Süslü, Nilda; Yücel, Ömer Taşkın; Önerci, Tevfik MetinAcute invasive fungal rhinosinusitis (AIFR) is a potentially fatal infection that affects immunocompromised patients. Early diagnosis and treatment, including aggressive surgical debridement, antifungal medication, and correction of underlying predisposing factors are essential for recovery. The aim of this study was to review our experience with AIFR. The records of 19 patients histopathologically diagnosed with invasive fungal rhinosinusitis were retrospectively reviewed. Demographic data, presenting symptoms and signs, underlying diseases, and outcomes of the patients are presented and invasive fungal rhinosinusitis is discussed in light of the current literature.Öğe Alt konka hipertrofilerinde radyofrekans tedavisinin uzun dönem sonuçları(2008) Süslü, Ahmet Emre; Şanal, Köybaşı Serap; Biçer, Yusuf Özgür; Ongun, YaseminAmaç: Alt konka hipertrofilerinde radyofrekans cerrahisinin uzun dönem sonuçlarını araştırmak. Yöntem ve Gereçler: Alt konka hipertrofilerinde radyofrekans ile tedavi edilen hastaların kayıtları retrospektif olarak incelenmiş, preoperatif ve işlem sonrası erken dönemde (2 ay) doldurulmuş olan 10 cm’lik vizüel analog skala (VAS) skorları kaydedilmiştir. Çalışmaya alınan hastalara aynı VAS uzun dönemde uygulanmış, tekrarlı ölçümler için varyans analizi yapılarak preoperatif, kısa dönem ve uzun dönem VAS skorları karşılaştırılmıştır. Bulgular: Çalışmaya 89 hasta alınmıştır. Ortalama takip süresi 30,5 ± 5,8 ay olarak bulunmuştur. Preoperatif VAS skoru ortalama 8,6 ± 1 iken kısa dönem ve uzun dönem VAS skorları sırası ile 4,2 ± 2,3 ve 4,7 ± 2,7 olarak bulunmuştur. Kısa ve uzun dönem VAS sonuçları arasında anlamlı fark bulunamamıştır (p=0,29). Sonuç: Alt konka hipertrofilerinin tedavisinde uzun dönem sonuçları göz önüne alındığında etkili bir tedavi yöntemi olarak değerlendirilmiştir.Öğe The effect of melatonin on tinnitus with respect to sleep and depression : a randomized clinical trial(Aves, 2012) Köybaşı, Serap; Boztaş, Mehmet Hamid; Biçer, Yusuf Özgür; Serin, Erdinç; Süslü, Ahmet Emre; Funda, Yasemin Ongun; Şereflican, MuratObjective: In this study we aimed to investigate the psychological status of tinnitus patients as well as the sleep quality and their relation to handicap caused by tinnitus using various scales. Additionally, serum melatonin levels and the effectiveness of melatonin treatment were studied. Study Design: Prospective, double blind, randomized controlled trial Materials and Methods: Patients were divided randomly into two groups as study (melatonin, n=13) and placebo (control, n=11) groups. Tinnitus Handicap Inventory (THI), Symptom Check List (SCL), Hospital Anxiety and Depression Scale (HAD), Beck Depression Inventory (BDI), Pittsburg Sleep Qualty Index (PSQI) were applied. After filling the scales and giving the venous blood sample for melatonin measurements the patients were instructed to take one tablet (placebo or 3 mg melatonin) before sleep every night. After 8 weeks, second order scales were filled and melatonin measurements were repeated. Results: Serum melatonin levels were between 1-260 pg/ml; the mean was 38,7 pg/ml. The correlation of melatonin levels with THI and tinnitus duration was not significant. THI was found to correlate with different measures of the PSQI, HAD, and BDI in both groups. Statistical analysis failed to show any significant difference within and between groups in respect of anxiety, depressive symptoms and sleep as well as melatonin and handicap levels. When the groups were assessed according to the THI severity (mild/moderate to severe;THI2); in the control group there was significant differences in PSQI(1) and PSQI(1) (p=0.0008, p=0.18), NAD(1), HAD(2) (0.002, 0.03), HAD Depression(1-2) (0.0, 0.006) BDI (p=0.007) PSQI(2 sleep) (disturbance) (P=0.018) parameters. However, in the melatonin group it was found that there were significant differences in SCL2 (sleep) (latency), PSQI(2) (sleep) (duration) and total PSQI(2) parameters. (p=0.022, 0.027, 0.006 respectively) Conclusion: Patients with higher handicap may benefit melatonin in respect of sleep latency and duration as well as sleep quality comparing with the patients taking placebo. Moreover, melatonin efficiency may be related to its antidepressive effect.Öğe Effects of buffered 2.3%, buffered 0.9%, and non-buffered 0.9% irrigation solutions on nasal mucosa after septoplasty(Springer, 2009) Süslü, Nilda; Bajin, Münir Demir; Süslü, Ahmet Emre; Öğretmenoğlu, OğuzA prospective randomized study was designed to compare the effect of different irrigation solutions on mucociliary clearance and nasal patency and to compare the limitations of the used solutions, such as nasal burning by a visual analog scale. Forty-five patients who underwent septoplasty were divided into three groups postoperatively. Each group was administered with 2.3% buffered hypertonic seawater, buffered isotonic saline solution and non-buffered isotonic saline, respectively, as irrigation fluid. Saccharine test and acoustic rhinometer were used to determine mucociliary activity and nasal patency. Patients were asked about the burning sensation using a 10-cm visual analog scale. There was no significant difference in saccharine clearance time (SCT) on the 5th postoperative day between the three groups (P = 0.07). On the 20th day, there was a significant difference in SCT between the hypertonic buffered seawater group and non-buffered isotonic saline (P = 0.003). Buffered hypertonic seawater improved nasal airway patency more than the buffered isotonic saline (P = 0.004). Buffered hypertonic solutions used after endonasal surgery have been advantageous for both mucociliary clearance and postoperative decongestion.Öğe Inner ear involvement in Behcet's disease(Elsevier Sci Ltd, 2010) Süslü, Ahmet Emre; Polat, Mualla; Köybaşı, Serap; Biçer, Yusuf Özgür; Funda, Yasemin Ongun; Parlak, Ali HaydarObjective: To assess cochlear involvement and hearing loss in patients with Behcet's disease (BD). Method: Forty-two patients with BD and 24 sex and age matched healthy subjects were included in the study. pure-tone audiometry including high frequencies (250-16000 Hz) and DPOAE were performed to all participants. Results of the audiological evaluation were compared and correlation between the audiologic status and clinical manifestations of the BD were investigated. Results: Bilateral sensorineural hearing loss was detected in 27 (64.3%) patients. Hearing thresholds were found to be higher in patients with BD at all of the frequencies except at 500 Hz when compared to control group (p < 0.05). The difference in the hearing levels tend to increase in high frequencies. Compared with control group, distortion products and SNR of the BD patients were lower in all of the tested frequencies (p < 0.05) which indicates weaker outer hair cell motility. There was no correlation between the clinical manifestations and the audiological parameters. Conclusion: Even having hearing levels within normal limits in speech frequencies, increased hearing thresholds in high frequencies and decreased signal-noise ratios (SNR) in distortion product otoacoustic emission (DPOAE) indicate a cochlear involvement in patients with BD. (C) 2009 Elsevier Ireland Ltd. All rights reserved.Öğe Nasal pepsin assay and ph monitoring in chronic rhinosinusitis(John Wiley & Sons, 2008) Özmen, Süay; Yücel, Ömer Taşkın; Sinici, İncilay; Özmen, Ömer Afşin; Süslü, Ahmet EmreObjectives/Hypothesis: The primary objective of this study was to determine the relationship between chronic rhinosinusitis (CRS) and laryngopharyngeal reflux (LPR). We also investigated the diagnostic value of pepsin in nasal lavage by means of fluorometric assay as compared with 24-hour dual-probe pH monitoring. Study Design and Methods: This is a controlled, prospective study from a retrospective dataset of 33 patients recruited for endoscopic sinus surgery between 2005 and 2006 in a tertiary care referral center (Hacettepe University Medical Center). All patients underwent 24-hour dual-probe pH monitoring and nasal lavage fluid investigation for pepsin. A fluorometric pepsin assay using casein-fluorescein isothiocyanate in nasal lavage fluid was used to detect LPR. The control group included 20 patients who were proven not to have sinusitis. Results: A higher incidence of pharyngeal acid reflux events was found in patients with CRS (29 of 33, 88%) compared with the control patients (11 of 20, 55%). The difference was statistically significant (P = .01). The fluorometric pepsin assay was correlated. to the results of 24-hour dual-probe monitoring for LPR diagnosis with a 100% sensitivity and 92.5% specificity. These data suggest that an association between CRS and LPR is present and that the detection of pepsin in nasal lavage fluid may provide a noninvasive and feasible method of LPR screening.Öğe A rare cause of rhinolithiasis: Ectopic tooth(2006) Şenkal, Hilmi Alper; Süslü, Ahmet Emre; Ünal, Ömer FarukRhinolith describes the pathology which is formed by means of deposition of salts on an organic or inorganic nidus in the nose. A nidus may be endogenous or exogenous. A rinolith may develop on an endogenous nidus such as dried blood clots, desquamated epithelium, dried purulent material, bone fragments and rarely ectopic tooth. A 23-year-old male patient presented to our clinic with one-sided nasal obstruction, nasal discharge and deformity of nose. Anterior rhinoscopy, nasal endoscopy and computed tomography (CT) scan revealed a rinolith in the right nasal cavity. In this case, preoperative CT scan and postoperative histological examination revealed that the nidus of the rhinolith was an intranasal ectopic tooth. We herein discuss ectopic tooth as a rare cause of rhinolithiasis. © 2006 Elsevier Ireland Ltd. All rights reserved.Öğe Submandibular gland pleomorphic adenoma in a seven-year-old child: A case report(2010) Köybaşı, Serap; Süslü, Ahmet Emre; Tezcan, Erkan; Atasoy, Halil İbrahim; Biçer, Yusuf Özgür; Boran, ÇetinTükürük bezi neoplazmları pediatrik yaş grubunda nadir görülür. Submandibüler bezde pleomorfik adenom ise çok daha nadirdir. Bu yazıda, sağ submandibüler bölgede yavaş büyüyen kitlesi olan yedi yaşında kız olgu sunuldu. Sert, hareketli ve ağrısız kitle yaklaşık 2x3 cm boyutundaydı ve iki elle yapılan muayenede submandibüler bezden ayırt edilemiyordu. Kontrastlı manyetik rezonans görüntüleme ile submandibüler bez içerisinde sınırları belirgin, heterojen ve minimal lobulasyon gösteren kitle tespit edildi. İnce iğne aspirasyon biyopsisiyle pleomorfik adenom tanısı konuldu ve genel anestezi altında sağ submandibüler gland eksizyonu yapıldı. Kitlenin histopatolojik tanısı pleomorfik adenom idi ve görülen seyrek mitotik aktivite malign transformasyon potansiyeline sahip olduğunu düşündürüyordu. Bir yıldır komplikasyonsuz bir şekilde takibimizde olan bu hasta, bilgilerimize göre İngilizce literatürde bildirilmiş en genç olgudur.Öğe Submandibular gland pleomorphic adenoma in a seven-year-old child: a case report.(2010) Köybaşi, Serap; Süslü, Ahmet Emre; Tezcan, Erkan; Atasoy, Halil Ibrahim; Biçer, Yusuf Özgür; Boran, ÇetinSalivary gland neoplasms are rare in the pediatric age group. Pleomorphic adenomas in the submandibular gland are rarer. In this article, we present a seven-year-old female with a slowly growing mass in her right submandibular area. The firm, mobile and painless mass was about 2x3 cm in size and with bimanual palpation it was indiscriminated from the submandibular gland. Magnetic resonance imaging with contrast revealed a heterogeneous and minimally lobulated mass within the submandibular gland with clearly defined borders. Fine needle aspiration biopsy revealed a diagnosis of pleomorphic adenoma and we performed right submandibular gland excision under general anesthesia. The histopathological diagnosis was pleomorphic adenoma with sparse mitotic figures that may be interpreted as having a potential of malignant transformation. This patient who was followed up for one year without any complication is to our knowledge the youngest case cited in the English-language literature.Öğe Tonsillektomiye sekonder gelişen baktereminin tonsil yüzeyel ve derin doku kültürleri ile karşılaştırılması(2006) Köybaşı, Serap; Karabay, Oğuz; Süslü, Ahmet Emre; Akyürek, Fatma Tunçez; Yılmaz, FahrettinAmaç: Bu çalışma, tonsillektomi yapılan hastalarda baktereminin süresini ve spektrumunu araştırmak ve baktereminin, akut faz reaktanları, tonsil kültürleri, ateş varlığı ile ilişkisini incelemek üzere tasarlanmıştır. Çalışma Planı: Prospektif klinik çalışmadır. Hastalar ve Yöntemler: Tonsillektomi yapılan (15 erkek, 16 kadın) toplam 31 hasta çalışmaya dahil edilmiştir. Tonsillerin yüzeyinden ve derin dokularından sürüntü yapılarak kültürler alınmıştır. Tüm hastalardan preoperatif dönemde ve ameliyattan sonraki 1., 3. ve 5. saatlerde venöz kan örnekleri, kan kültürü için alınmıştır. Preoperatif ve postoperatif eritrosit sedimentasyon hızı ve C-reaktif protein seviyeleri karşılaştırılmıştır. Kültür sonuçları ve bakteremi varlığı araştırılmıştır. Bulgular: Tonsillektomi sonrası bakteremi sadece üç hastada tespit edilmiştir. On yedi (%54,8) hastanın tonsil derin doku kültürlerinde üreme olduğu görülmüştür. Bakteremi gelişen üç hastada tonsil yüzey ve derin doku kültürlerinden izole edilen mikroorganizmalar ve bakteremi arasında her hangi bir ilişki bulunamamıştır. Akut faz reaktanlarının preoperatif ve postoperatif seviyeleri arasındaki fark çalışma grubumuzda anlamlı değildir. Sonuç: Baktereminin geçici olması ve düşük oranlarda tespit edilmesi; tonsillektomi sonrası rutin antibiyotik kullanımının gereksiz olduğu ve sadece yüksek riskli hastalarda kullanılabileceği sonuçlarını çıkarmıştır.
