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Öğe Absence of the epiglottis in an infant with Pierre Robin sequence(Elsevier Ireland Ltd, 2011) Guven, Damla Guclu; Senses, Dursun Ali; Subasi, Bugra; Yaman, HuseyinEpiglottis 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.Öğe Comparison of transoral/transnasal endoscopic-guided adenoidectomy with endoscopic nasopharyngeal inspection at the end of curettage adenoidectomy(Springer India, 2015) Yaman, Huseyin; Memiş, Mehmet; İlhan, EthemThe purpose of this study was to evaluate the efficacy of transoral or transnasal endoscopic-guided adenoidectomy compared with endoscopic nasopharyngeal inspection at the end of curettage adenoidectomy. A prospective case series of patients who had adenoidectomy. A total of 27 girls and 34 boys (age range 2.5–18 years) in whom adenoidectomy with or without tonsillectomy procedure was planned were included in the study. The cases were divided into three groups. Group 1 Transoral endoscopic-guided adenoidectomy performed patients. Group 2 Transnasal endoscopic-guided adenoidectomy performed patients. Group 3 Transnasal endoscopic nasopharyngeal exploration performed at the end of the conventional curettage adenoidectomy. The study was completed on 61 children. Mean age and sex frequency were not significant different between the groups. Mean operative time were 11.6 ± 2.9, 15.6 ± 4.4 and 9.7 ± 2 min, respectively (p > 0.05). On the other hand, significant differences were observed in operative time between group 1 and group 2 (p < 0.05), and between group 2 and group 3 (p < 0.05). Transnasal endoscopic examination at the end of curettage adenoidectomy is an appropriate method to assess the residual adenoid tissue after conventional curettage adenoidectomy. Also, operative time of this method is shorter than transoral or transnasal endoscopic-guided adenoidectomy. We recommend transnasal endoscopic inspection in all patients after conventional curettage adenoidectomy. © 2014, Association of Otolaryngologists of India.Öğe The effect of ibuprofen on postoperative hemorrhage following tonsillectomy in children(Springer, 2011) Yaman, Huseyin; Belada, Abdullah; Yilmaz, SuleymanThe objective of the study was to evaluate the effect of ibuprofen on hemorrhage after tonsillectomy in children. All charts of children, who underwent tonsillectomy with or without adenoidectomy, were reviewed. The age at the time of surgery ranged between 3 and 16 years (mean age = 7.55 +/- A 3.01 years). Children were divided into two groups based on the drugs used for postoperative pain relief. Group I received paracetamol after surgery. Group II received ibuprofen after surgery. A total of 62 patients received ibuprofen and 109 patients were given paracetamol. Post-tonsillectomy hemorrhage occurred in seven (4.1%) children, primary hemorrhage was noted in five patients and secondary hemorrhage occurred in two patients. While 3 of 62 children (4.8%) who were given ibuprofen had postoperative hemorrhage, 4 of 109 patients (3.7%) who were given paracetamol had hemorrhage There was no significant difference in hemorrhage rates between these two groups (p > 0.05). Hemorrhage following tonsillectomy is rare and frequently occurs in the early postoperative period. There is no significant increased risk of hemorrhage after ibuprofen administration and it can be used safely for post-tonsillectomy pain relief.Öğe LIFE-THREATENING ANGIOMYXOMA OF THE LARYNX(Jimma Univ, Ethiopia, 2015) Yaman, Huseyin; Erdem, Havva; Belada, Abdullah; Besir, Fahri Halit; Oktay, Murat; Uzunlar, Ali KemalBACKGROUND: Angiomyxoma is a benign proliferative mesenchymal tumor and a very rare mass in the larynx. There is not enough information about the etiology, clinical finding, treatment and prognosis of laryngeal angiomyxoma. CASE DETAILS: A 52 years old man presented with respiratory distress. Also, he had suffered from dysphagia, dysphonia, cough, and obstructive sleep apnea in the supine position for 6 months. He was operated on via transoral approach under general anesthesia with orotracheal intubation. The mass was encapsulated and completely removed. The histopathologic diagnosis was reported as angiomyxoma. CONCLUSION: Angiomyxoma should be considered in the differential diagnosis of the larynx masses. The treatment of angiomyxomas of the larynx is surgical. The mass can be usually excised intraorally or endoscopically.Öğe Myringosclerosis after tympanostomy tube insertion: Relation with tube retention time and gender(Elsevier Sci Ltd, 2010) Yaman, Huseyin; Guclu, Ender; Yilmaz, Suleyman; Ozturk, OzcanObjective: To determine relationship between myringosclerosis and tube retention time and sex in children with chronic otitis media with effusion who were treated with tympanostomy tube insertion. Also, the relationship between myringosclerosis both sex and initial age of tube insertion were investigated. Methods: A total of 101 children (195 ears) were reviewed. Ears were divided into four groups according to retention time of tympanostomy tubes. Group I: Retention time of tympanostomy tube less than 6 months. Group 11: Retention time of tympanostomy tube from 6 months to 12 months. Group III: Retention time of tympanostomy tube of 12 months or more. Group IV: Myringotomy group without tympanostomy tube insertion. Results: The order of the myringosclerosis rates were as follows from the highest to lowest one; group III (44.1%), group II (42.4%), group I (14.3%), and group IV (7.7%). Myringosclerosis was more common in group I compared with group IV, but the difference was statistically not significant (p > 0.05). There were no statistically significant differences in myringosclerosis rates between the group II and group III (p > 0.05). On the other hand, statistically significant differences were observed in myringosclerosis rates between group I and group II (p < 0.05), and between group I and group III (p < 0.05); also similar significant differences were present in myringosclerosis rates between group Wand group II (p < 0.05), and between group IV and group 111 (p < 0.05). There was no significant difference between preschool age group and school age group. Myringosclerosis was observed in 40% of boys and in 51.2% of girls. Conclusion: Myringosclerosis is frequent in patients who underwent tympanostomy tube insertion. The frequency of myringosclerosis is much higher in tympanic membranes with tympanostomy tube insertion than tympanic membranes with myringotomy, and the location of sclerotic plaques does not always correspond to the tympanostomy area. The myringosclerosis rate was increased when the tympanostomy tubes stay on tympanic membrane for a long time. Highest myringosclerosis rates were observed if the extrusion time was 12 months or longer. In our analysis, sex and initial age of tube insertion were not significant factors for the development of myringosclerosis after extrusion of tympanostomy tubes. (C) 2010 Elsevier Ireland Ltd. All rights reserved.Öğe Otitis media with effusion: Recurrence after tympanostomy tube extrusion(Elsevier Ireland Ltd, 2010) Yaman, Huseyin; Yilmaz, Suleyman; Guclu, Ender; Subasi, Bugra; Alkan, Nihal; Ozturk, OzcanObjective 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.Öğe 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, OzcanThe 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.Öğe Stridor in a newborn caused by a congenital laryngocele and bifid epiglottis: A case report and review of the literature(Elsevier Ireland Ltd, 2010) Yilmaz, Suleyman; Yildizbas, Sahnur; Yaman, Huseyin; Guclu, Ender; Ozturk, OzcanA laryngocele is a rare, an abnormal cystic dilatation of the laryngeal saccule. A bifid epiglottis is also an extremely rare congenital anomaly of larynx that is often associated with other congenital defects. In this article, we report a case of an internal laryngocele and bifid epiglottis in a one hour old newborn girl that presented as acute airway obstruction who also have imperforate hymen, hydrocolpos, bilateral hydronephrosis and polydactyly. The patient underwent endoscopic microsurgical excision of internal laryngocele using suspension laryngoscopy and cold blade. We also review the anatomy, etiology and clinic course of the different types of laryngoceles, bifid epiglottis and related congenital defects. (C) 2009 Elsevier Ireland Ltd. All rights reserved.Öğe Topical Levobupivacaine Efficacy in Pain Control after Functional Endoscopic Sinus Surgery(Sage Publications Inc, 2013) Yilmaz, Suleyman; Yildizbas, Sahnur; Guclu, Ender; Yaman, Huseyin; Sezen, Gulbin YalcinObjectiveThe aim of this study was to find out the efficacy of a polyvinyl alcohol (PVA) sponge (Merocel Kennedy; Medtronic Xomed, Jacksonville, Florida) sinus pack soaked with levobupivacaine hydrochloride to control postoperative pain and analgesic need following functional endoscopic sinus surgery (FESS). Study DesignThe study was designed as a prospective, double-blind, randomized, controlled study. Forty-one patients who underwent FESS were included in the analysis. SettingA tertiary referral hospital in Turkey. Materials and MethodsPatients who underwent FESS were divided into 2 groups. The PVA sponge sinus packs were soaked with 5 mL of levobupivacaine hydrochloride (chirocaine 25 mg/10 mL; Abbott, Nycomed Pharma AS, Elverum, Norway) in group I and with 5 mL of saline in group II. Main Outcome MeasuresPostoperative pain levels were recorded using a visual analog scale (VAS score, 0-100) at 30 minutes and 1, 2, 8, 12, and 24 hours. ResultsThere were no statistically significant differences between groups regarding age, sex, and American Society of Anesthesiologists status. Postoperative VAS values at 30 minutes and 1, 2, 8, 12, and 24 hours were significantly lower in group I than in group II (P <. 05). Supplemental analgesia amount was significantly lower in group I than in group II (P =. 003). ConclusionUsing levobupivacaine-soaked PVA sponge sinus packs after FESS is an effective, easy, and quick method to control postoperative pain, and it improves patient comfort and tolerability.Öğe Topical Levobupivacaine Efficacy in Pain Control after Functional Endoscopic Sinus Surgery(Sage Publications Inc, 2013) Yilmaz, Suleyman; Yildizbas, Sahnur; Guclu, Ender; Yaman, Huseyin; Sezen, Gulbin YalcinObjective. The aim of this study was to find out the efficacy of a polyvinyl alcohol (PVA) sponge (Merocel Kennedy; Medtronic Xomed, Jacksonville, Florida) sinus pack soaked with levobupivacaine hydrochloride to control postoperative pain and analgesic need following functional endoscopic sinus surgery (FESS). Study Design. The study was designed as a prospective, double-blind, randomized, controlled study. Forty-one patients who underwent FESS were included in the analysis. Setting. A tertiary referral hospital in Turkey. Materials and Methods. Patients who underwent FESS were divided into 2 groups. The PVA sponge sinus packs were soaked with 5 mL of levobupivacaine hydrochloride (chirocaine 25 mg/10 mL; Abbott, Nycomed Pharma AS, Elverum, Norway) in group I and with 5 mL of saline in group II. Main Outcome Measures. Postoperative pain levels were recorded using a visual analog scale (VAS score, 0-100) at 30 minutes and 1, 2, 8, 12, and 24 hours. Results. There were no statistically significant differences between groups regarding age, sex, and American Society of Anesthesiologists status. Postoperative VAS values at 30 minutes and 1, 2, 8, 12, and 24 hours were significantly lower in group I than in group II (P < .05). Supplemental analgesia amount was significantly lower in group I than in group II (P = .003). Conclusion. Using levobupivacaine-soaked PVA sponge sinus packs after FESS is an effective, easy, and quick method to control postoperative pain, and it improves patient comfort and tolerability.
