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    Absence of the epiglottis in an infant with Pierre Robin sequence
    (Elsevier Ireland Ltd, 2011) Guven, Damla Guclu; Senses, Dursun Ali; Subasi, Bugra; Yaman, Huseyin
    Epiglottis anomaly associated with Pierre Robin sequence (PRS) is a rare occurrence. Most infants with PRS have presented life-threatening symptoms of respiratory distress and severe feeding problems that usually end with death. To the knowledge of the authors, this is the first reported case of epiglottis agenesis associated with PRS. The clinician must be aware of this unusual presentation in a PRS, and the presented case reveals the challenges in the treatment of the respiratory and feeding problems. This case is discussed with a review of the literature. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
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    Congenital unilateral intranasal membranous septa with choanal atresia dividing the nasal cavity into two blind pouch: A case report
    (Elsevier Ireland Ltd, 2010) Yilmaz, Suleyman; Guclu, Ender; Karali, Elif; Subasi, Bugra
    Congenital nasal anomalies are rare disorders. An 11-year-old girl presented to our clinic with a left sided nasal obstruction and chronic nasal discharge since birth. Clinical evaluation revealed membranous septa which divided the left nasal cavity into two blind pouch and left sided choanal atresia with alar cartilage asymmetry. This congenital anomaly was not defined in the English literature. The membranous septa in the left nasal cavity were excised, alar reconstruction were performed and the choanal atresia were repaired by a transnasal endoscopic approach. In this article we reported a case of membranous septa which divided the left nasal cavity into two blind pouch associated with unilateral choanal atresia and alar cartilage asymmetry. Also the nasal anomalies and associated disorders in the literature were reviewed. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
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    Otitis media with effusion: Recurrence after tympanostomy tube extrusion
    (Elsevier Ireland Ltd, 2010) Yaman, Huseyin; Yilmaz, Suleyman; Guclu, Ender; Subasi, Bugra; Alkan, Nihal; Ozturk, Ozcan
    Objective The incidence rate of recurrence of otitis media with effusion (OME) in children after tympanostomy tube extrusion and the relationship between recurrence and tube retention time was investigated. Also relationship between recurrence rate and initial age of tube insertion was analysed. Study Design A retrospective case series of patients who had tympanostomy tube insertion. Methods A total of 91 children (169 ears) were reviewed Ears of children divided into three groups according to retention time of tympanostomy tubes. Group I tympanostomy tube retention time less than 6 months. Group II tympanostomy tube retention time 6 months to 12 months. Group III: tympanostomy tube retention time 12 months or more Results OME recurrence rate after tube extrusion was 20 7% in the study The longer the tympanostomy tube retention time was the lower was the recurrence rate of OME. The comparison of the three groups indicated that recurrence rates were higher in group I (36 54%), than in group II (17 74%) and in group III (9 1%) There were statistically significant differences in recurrence rates between group I and group III, and between group I and II (p < 0 05, p < 0.05). However, the difference in recurrence rates between group II and group III was statistically not significant (p > 0 05) In the preschool age group and school age group, the recurrence rates were 5 5% and 15.4%. respectively There was no significant difference between these two groups (p > 0.05) OME recurrence was observed in 9.9% of males and in 11% of females. There was no significant difference in recurrence rates between males and females (p > 0.05) Conclusion. After extrusion of tympanostomy tube, children should be followed-up regularly for recurrence of OME The shorter the retention time of tympanostomy tubes was the higher was the recurrence rate. For the treatment of OME the ideal type of tubes should have the lowest complication and recurrence rates Further studies are needed to ascertain the relationship between the incidence of OME and optimal tympanostomy tubes duration of tube stay in tympanic membrane Therefore, new studies with larger series are necessary to investigate the correlation between the recurrence rates and different tympanostomy tubes after extrusion of tubes (C) 2009 Elsevier Ireland Ltd All rights reserved.
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    A Rhinolith Surrounded by a Nasal Polyp
    (Lippincott Williams & Wilkins, 2010) Yilmaz, Suleyman; Guven, Damla Guclu; Subasi, Bugra; Guler, Sahnur Yildizbaz; Guclu, Ender
    Rhinoliths are uncommon mineralized nasal mass in children and adolescents. We reported a case of unilateral rhinolith that presented as a nasal polyp. A 29-year-old woman who had right-sided nasal purulent discharge, nasal obstruction, intermittent epistaxis, and posterior nasal drip for 6 months was admitted to our department. Nasal examination revealed a nasal mass between the inferior turbinate and the nasal septum, presenting as a nasal polyp or a nasal tumor. Paranasal sinus computed tomographic scan confirmed a calcified mass in soft tissue. We removed the rhinolith and the soft tissue that was around it with a transnasal endoscopic approach. Histologic analysis of the soft tissue identified inflammatory nasal polypoid tissue.
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    Shepard grommet tympanostomy tube complications in children with chronic otitis media with effusion
    (Springer, 2010) Yaman, Huseyin; Yilmaz, Suleyman; Alkan, Nihal; Subasi, Bugra; Guclu, Ender; Ozturk, Ozcan
    The objective of this study was to determine tympanostomy tube complications in children with chronic otitis media with effusion who were treated with Shepard grommet tympanostomy tube insertion. This tube type was selected as it is the most commonly used one in our clinic. The medical records of 162 ears of 87 children (52 male and 35 female) were reviewed retrospectively. The children were between 3 to 16 years old (mean age = 8.1 +/- A 3.1). The patients were followed up 6-66 months (mean 23.3 +/- A 14.9 months) after tympanostomy tube insertion. We reviewed age, sex, time to tube extrusion and complications. In all patients the indication for surgery was chronic middle ear effusion. Otorrhea occurred in nine ears (5.6%). Granulation tissue was seen in two ears (1.2%). Complications after tympanostomy tube extrusion included myringosclerosis (34.6%), persistent perforation (5.6%), atrophy (23.5%), retraction (16.7%) and medial displacement of tubes (1.2%). The average extrusion time was 8.5 +/- A 4.6 months (range 1-24) for Shepard grommet tympanostomy tubes. Complications of tympanostomy tube insertion are common. Myringosclerosis, tympanic membrane atrophy and otorrhea are the most frequently appearing complications. But they are generally insignificant and cosmetic. Consequently, in the majority of these complications there is no need for any management.