Pub Date : 2018-12-30DOI: 10.32448/entupdates.508092
. .
{"title":"Postural mechanisms that maintain airway adequacy in obstructive sleep apnea as determined by magnetic resonance imaging","authors":". .","doi":"10.32448/entupdates.508092","DOIUrl":"https://doi.org/10.32448/entupdates.508092","url":null,"abstract":"","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69672043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.32448/ENTUPDATES.508084
D. Yazici
OBJECTIVES: The purpose of this study is to analyze and assess the frequency of anatomical variants of paranasal sinuses scanned by multidetector computed tomography (MDCT). METHODS: A total number of 225 patients (122 males, 103 females) with a median age of 28 (15-77) years were included in this retrospective study. We analyzed the presence of the nasal septal deviation (NSD), variations of the nasal turbinates, ethmoidal air cells, paranasal sinus pneumatization, accessory pneumatization of the paranasal complex, variations of the sphenoid sinus related structures and the optic nerve and vidian canal classification in the paranasal computed tomography (CT) of the selected patients. RESULTS: NSD was present in 124 (55.1%) patients, superior concha pneumatization in 30 (13.3%), middle concha pneumatization in 100 (44.4%), agger nasi cells (ANC) in 192 (85.3%), Haller cells in 47 (20.9%), Onodi cells in 44 (19.6%), maxillary sinus hypoplasia in 6 (2.6%), frontal sinus hypoplasia in 29 (12.9%), frontal sinus aplasia in 7 (3.1%), sphenoid sinus hypoplasia in 7 (3.1%), uncinate process pneumatization in 12 (5.3%), anterior clinoid process (ACP) pneumatization in 60 (26.7%) and pterygoid process (PP) pneumatization in 75 (33.3%) patients. Optic nerve Type 1 was detected in 122 (54.2%) patients, Type 2 in 29 (12.9%), Type 3 in 36 (16%) and Type 4 in 38 (16.9%) patients. Vidian canal Type 1 was observed in 37 (16.4%), Type 2 in 95 (42.2%) and Type 3 in 93 (41.3%) patients. CONCLUSION: The analysis of the paranasal CT is crucial in diagnosis of miscellaneous diseases of the paranasal sinuses. The anatomical variations of the sinuses are prevalent among the population, so otolaryngologists should be aware of these variations for precise diagnosis and to avoid surgical complications.
{"title":"Evaluation of Anatomical Variations on Paranasal Sinus CT","authors":"D. Yazici","doi":"10.32448/ENTUPDATES.508084","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.508084","url":null,"abstract":"OBJECTIVES: The purpose of this study is to analyze and assess the frequency of anatomical variants of paranasal sinuses scanned by multidetector computed tomography (MDCT). METHODS: A total number of 225 patients (122 males, 103 females) with a median age of 28 (15-77) years were included in this retrospective study. We analyzed the presence of the nasal septal deviation (NSD), variations of the nasal turbinates, ethmoidal air cells, paranasal sinus pneumatization, accessory pneumatization of the paranasal complex, variations of the sphenoid sinus related structures and the optic nerve and vidian canal classification in the paranasal computed tomography (CT) of the selected patients. RESULTS: NSD was present in 124 (55.1%) patients, superior concha pneumatization in 30 (13.3%), middle concha pneumatization in 100 (44.4%), agger nasi cells (ANC) in 192 (85.3%), Haller cells in 47 (20.9%), Onodi cells in 44 (19.6%), maxillary sinus hypoplasia in 6 (2.6%), frontal sinus hypoplasia in 29 (12.9%), frontal sinus aplasia in 7 (3.1%), sphenoid sinus hypoplasia in 7 (3.1%), uncinate process pneumatization in 12 (5.3%), anterior clinoid process (ACP) pneumatization in 60 (26.7%) and pterygoid process (PP) pneumatization in 75 (33.3%) patients. Optic nerve Type 1 was detected in 122 (54.2%) patients, Type 2 in 29 (12.9%), Type 3 in 36 (16%) and Type 4 in 38 (16.9%) patients. Vidian canal Type 1 was observed in 37 (16.4%), Type 2 in 95 (42.2%) and Type 3 in 93 (41.3%) patients. CONCLUSION: The analysis of the paranasal CT is crucial in diagnosis of miscellaneous diseases of the paranasal sinuses. The anatomical variations of the sinuses are prevalent among the population, so otolaryngologists should be aware of these variations for precise diagnosis and to avoid surgical complications.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47316865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.32448/ENTUPDATES.508078
A. S. Kayalı Dinc, L. Damgacı, Melih Çayönü, Deniz Sözmen Cılız, S. Boynuegri, M. M. Şahin, H. Hatipoğlu, T. N. Doğan, A. Eryılmaz
p { margin-bottom: 0.1in; direction: ltr; color: rgb(0, 0, 0); line-height: 115%; }p.western { font-family: "Calibri", sans-serif; font-size: 10pt; }p.cjk { font-family: "Calibri", sans-serif; font-size: 10pt; }p.ctl { font-family: "Calibri", sans-serif; font-size: 10pt; } Objective: Our aim was to evaluate the diagnostic performance of Magnetic Resonance Imaging (MRI) with diffusion-weighted images in patients with cholesteatoma. Methods: We compared the preoperative MRI findings and intraoperative microscopic examination findings in 54 patients who were operated on due to a pre-diagnosis of chronic otitis media with cholesteatoma, according to preoperative microscopic ear examination, temporal bone computed tomography (CT) and ear MRI. Results: Fifty-four patients (18 female and 36 male) were enrolled in this study. The mean age was 36.8 ± 17.3 (range: 6-67). Thirty-one patients had primary surgery, whereas 23 patients had revision surgery to the affected ear (for 19 patients, the second, for 3, the third, and for 1, the 5th operation).We found that the sensitivity of pre-operative MRI for detecting cholesteatoma was 97.7%, the specificity was 77.8%, and the diagnostic accuracy rate was 94.4%. The rate of false negatives in MRI with diffusion-weighted images was found to be 4% in primary cases, whereas the false negativity rate with this technique was found to be 0% for revision cases. Conclusion : We concluded that ear MRI examination with diffusion-weighted images is a significant diagnostic tool, to be used alongside preoperative history and physical examination in deciding on whether to operate, especially in patients for whom revision surgery of the ear (due to recurrent, residual, iatrogenic cholesteatoma, or squamous epithelium) is pl nned
{"title":"Diagnostic Performance of Diffusion-Weighted Magnetic Resonance Imaging in Patients with Cholesteatoma","authors":"A. S. Kayalı Dinc, L. Damgacı, Melih Çayönü, Deniz Sözmen Cılız, S. Boynuegri, M. M. Şahin, H. Hatipoğlu, T. N. Doğan, A. Eryılmaz","doi":"10.32448/ENTUPDATES.508078","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.508078","url":null,"abstract":"p { margin-bottom: 0.1in; direction: ltr; color: rgb(0, 0, 0); line-height: 115%; }p.western { font-family: \"Calibri\", sans-serif; font-size: 10pt; }p.cjk { font-family: \"Calibri\", sans-serif; font-size: 10pt; }p.ctl { font-family: \"Calibri\", sans-serif; font-size: 10pt; } Objective: Our aim was to evaluate the diagnostic performance of Magnetic Resonance Imaging (MRI) with diffusion-weighted images in patients with cholesteatoma. Methods: We compared the preoperative MRI findings and intraoperative microscopic examination findings in 54 patients who were operated on due to a pre-diagnosis of chronic otitis media with cholesteatoma, according to preoperative microscopic ear examination, temporal bone computed tomography (CT) and ear MRI. Results: Fifty-four patients (18 female and 36 male) were enrolled in this study. The mean age was 36.8 ± 17.3 (range: 6-67). Thirty-one patients had primary surgery, whereas 23 patients had revision surgery to the affected ear (for 19 patients, the second, for 3, the third, and for 1, the 5th operation).We found that the sensitivity of pre-operative MRI for detecting cholesteatoma was 97.7%, the specificity was 77.8%, and the diagnostic accuracy rate was 94.4%. The rate of false negatives in MRI with diffusion-weighted images was found to be 4% in primary cases, whereas the false negativity rate with this technique was found to be 0% for revision cases. Conclusion : We concluded that ear MRI examination with diffusion-weighted images is a significant diagnostic tool, to be used alongside preoperative history and physical examination in deciding on whether to operate, especially in patients for whom revision surgery of the ear (due to recurrent, residual, iatrogenic cholesteatoma, or squamous epithelium) is pl nned","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47509082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.32448/ENTUPDATES.499040
F. Oghan, Ali Guvey, O. Aydemir, Onur Erdoğan, Muhammet Topuz, M. Çeliker, S. Terzi, Seckin Akbal
Objective: To compare post-tonsillectomy morbidity between the Snare and Coblation methods in patients with sleep apnea. Method: The study is performed in 49 cases. Twentyone patients who were operated by Snare method while the other 28 patients underwent coblation tonsillectomy. The amount of intraoperative bleeding has been recorded. The pain levels at the postoperative hours 6th and 12th.; on the postoperative days of 1, 3, 7 the patients were assessed through VAS and Wong-Baker-Faces-Pain-Rating-Scale (WBFPRS) and were compared between two groups. The Tonsillar-Fossa-Wound-Healing-Score (TFWHS) assessment was carried out for the wound healing rate on the postoperative days of 1, 3, 5, 7 and 10. Results: The patients who underwent coblation had significantly lower amounts of bleeding compared to the snare method (p=0.046). The patients who were assessed within the scope of this study and underwent tonsillectomy with snare method had significantly higher 6th hour VAS and WBFPRS scores (p=0.011, p=0.005); whereas 12th hour, days of 1, 2, 3 and 7 VAS and WBFPRS scores were similar. TFWHSs of the studied patients who underwent coblation were significantly higher on the days of 1 and 3 (p=0.007; p=0.008) but these scores were similar on days of 5, 7, and 10. Conclusion: The study has showed that the amount of intraoperative bleeding of the cases underwent coblation is significantly lower. The lower early period postoperative pain resulting in earlier oral intake and better recovery scores for the tonsillary fossa seems to be the advantages of the coblation as opposed to the snare method.
{"title":"Comparison of post-tonsillectomy morbidity operated with Cold Knife and Coblation in patients with Sleep Apnea","authors":"F. Oghan, Ali Guvey, O. Aydemir, Onur Erdoğan, Muhammet Topuz, M. Çeliker, S. Terzi, Seckin Akbal","doi":"10.32448/ENTUPDATES.499040","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.499040","url":null,"abstract":"Objective: To compare post-tonsillectomy morbidity between the Snare and Coblation methods in patients with sleep apnea. Method: The study is performed in 49 cases. Twentyone patients who were operated by Snare method while the other 28 patients underwent coblation tonsillectomy. The amount of intraoperative bleeding has been recorded. The pain levels at the postoperative hours 6th and 12th.; on the postoperative days of 1, 3, 7 the patients were assessed through VAS and Wong-Baker-Faces-Pain-Rating-Scale (WBFPRS) and were compared between two groups. The Tonsillar-Fossa-Wound-Healing-Score (TFWHS) assessment was carried out for the wound healing rate on the postoperative days of 1, 3, 5, 7 and 10. Results: The patients who underwent coblation had significantly lower amounts of bleeding compared to the snare method (p=0.046). The patients who were assessed within the scope of this study and underwent tonsillectomy with snare method had significantly higher 6th hour VAS and WBFPRS scores (p=0.011, p=0.005); whereas 12th hour, days of 1, 2, 3 and 7 VAS and WBFPRS scores were similar. TFWHSs of the studied patients who underwent coblation were significantly higher on the days of 1 and 3 (p=0.007; p=0.008) but these scores were similar on days of 5, 7, and 10. Conclusion: The study has showed that the amount of intraoperative bleeding of the cases underwent coblation is significantly lower. The lower early period postoperative pain resulting in earlier oral intake and better recovery scores for the tonsillary fossa seems to be the advantages of the coblation as opposed to the snare method.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44979322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.32448/ENTUPDATES.499036
Övsen Önay, H. Mutlu, A. Süslü, T. Önerci
p { margin-bottom: 0.1in; direction: ltr; line-height: 120%; text-align: left; }a:link { color: rgb(0, 0, 0); } Objectives: Our aim in this study is to investigate, in patients who are advised to use CPAP, the rate of usage, differences between the patients who use the device and those who don’t; and the factors affecting the compliance rates. Methodology: A telephone survey was applied to the patients who underwent polysomnography, between the years 2010 -2015 and were thereafter advised to use CPAP as the treatment method. Results: Total number of patients included in the study was 108. Of them, 77 (71%) was male and 31 (29%) was female. The mean age was 50 (±11). There were 47 (43,5%) patients with comorbidities. Of 108 patients, 63 (58%) reported using CPAP at the time of the survey and 45 (42%) reported having abandoned the treatment, 62% (n: 28) of this 45 patients reported that they ceased the CPAP use within the first week of their treatment. Of 63 patients using CPAP, 3 (5%) was found noncompliant while 60 (95%) was found compliant. Conclusion: In our study, rate of CPAP use was found to be 55%. The difference between the mean ages of CPAP users and non-users was found statistically significant (p: 0,008). the results of our study suggests that BMI is not a factor that affects the rate of CPAP use. In our study, contrary to what would be expected, the mean CPAP pressure of the patients using the device were found to be higher than that of non-users.
{"title":"Investigating CPAP Compliance in Patients with Obstructive Sleep Apnea","authors":"Övsen Önay, H. Mutlu, A. Süslü, T. Önerci","doi":"10.32448/ENTUPDATES.499036","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.499036","url":null,"abstract":"p { margin-bottom: 0.1in; direction: ltr; line-height: 120%; text-align: left; }a:link { color: rgb(0, 0, 0); } Objectives: Our aim in this study is to investigate, in patients who are advised to use CPAP, the rate of usage, differences between the patients who use the device and those who don’t; and the factors affecting the compliance rates. Methodology: A telephone survey was applied to the patients who underwent polysomnography, between the years 2010 -2015 and were thereafter advised to use CPAP as the treatment method. Results: Total number of patients included in the study was 108. Of them, 77 (71%) was male and 31 (29%) was female. The mean age was 50 (±11). There were 47 (43,5%) patients with comorbidities. Of 108 patients, 63 (58%) reported using CPAP at the time of the survey and 45 (42%) reported having abandoned the treatment, 62% (n: 28) of this 45 patients reported that they ceased the CPAP use within the first week of their treatment. Of 63 patients using CPAP, 3 (5%) was found noncompliant while 60 (95%) was found compliant. Conclusion: In our study, rate of CPAP use was found to be 55%. The difference between the mean ages of CPAP users and non-users was found statistically significant (p: 0,008). the results of our study suggests that BMI is not a factor that affects the rate of CPAP use. In our study, contrary to what would be expected, the mean CPAP pressure of the patients using the device were found to be higher than that of non-users.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43126843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.32448/ENTUPDATES.507983
Turgut Kültür, N. Muluk, C. Iyem, M. Inal, V. Burulday, M. Alpua, U. O. Çelebi
p { margin-bottom: 0.1in; direction: ltr; line-height: 120%; text-align: left; }a:link { color: rgb(0, 0, 255); } Objectives: In the present study, we investigated the relationship between vertebral artery and transverse foramina of the C1 to C6 vertebrae in patients with vertigo suspected as vertebrobasilar insufficiency (VBI). Patients and Methods: In this retrospective study, Cervical Computed Tomography (CT) of 22 adult patients with vertigo and control group comprising 23 healthy adulti ndividuals were included. Vertebral artery and transverse foramina measurements (Sagittal and transverse dimensions; and area) were performed at the levels of cervical 1 (C1) to cervical 6 (C6) vertebrae bilaterally. Results: At C6 level, right vertebral artery area; and sagittal and transverse diameter; and atthe C1 level, right transverse foramina area of the vertigo group were significantly higher than the control group. Vertebral artery area values were positively correlated with ipsilateral transverse foramina values ( transverse foramen sagittal and transverse dimensions; and areas) at C1 to C5 levels. When transverse foramina sagittal or transvers e dimensions; or transverse foramina areas decreased, vertebral artery areas also decreased at C1 to C5 levels. Conclusion: We concluded that a decrease in the diameters of bony structure or transverse foramina may cause a decrease in the area of the vertebral artery at the ipsilateral side.As the left vertebral artery is dominant for cerebral blood flow, an increase of the right vertebral artery area cannot affect cerebral blood flow. Decreased blood flow on the left side may play a role in the development of vertigo, in other words,VBI.
P {margin-bottom: 0.1in;方向:ltr;行高:120%;text-align:左;}a:链接{颜色:rgb(0,0,255);目的:本研究探讨疑为椎基底动脉功能不全(VBI)的眩晕患者椎动脉与C1 ~ C6椎横孔的关系。患者和方法:回顾性研究22例成人眩晕患者的颈椎CT，以及23例健康成人的对照组。椎动脉和横孔测量(矢状面和横向尺寸;在双侧颈1 (C1)至颈6 (C6)椎体水平上进行。结果:C6水平右侧椎动脉区;矢状径和横径;眩晕组右侧横孔面积C1水平显著高于对照组。椎动脉面积值与同侧横孔值呈正相关(横孔矢状面和横向尺寸;及地区)的等级为C1至C5。当横孔矢状或横贯时;或横孔面积减少，椎动脉面积在C1至C5水平也减少。结论:骨结构或横孔直径的减小可能导致同侧椎动脉面积的减小。由于左椎动脉是脑血流量的主导，因此右椎动脉面积的增加不会影响脑血流量。左侧血流减少可能在眩晕的发展中起作用，换句话说，就是VBI。
{"title":"Anatomic Considerations and Relationship between Vertebral Artery and Transverse Foramina at Cervical Vertebrae 1 to 6 in Vertigo Patients","authors":"Turgut Kültür, N. Muluk, C. Iyem, M. Inal, V. Burulday, M. Alpua, U. O. Çelebi","doi":"10.32448/ENTUPDATES.507983","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.507983","url":null,"abstract":"p { margin-bottom: 0.1in; direction: ltr; line-height: 120%; text-align: left; }a:link { color: rgb(0, 0, 255); } Objectives: In the present study, we investigated the relationship between vertebral artery and transverse foramina of the C1 to C6 vertebrae in patients with vertigo suspected as vertebrobasilar insufficiency (VBI). Patients and Methods: In this retrospective study, Cervical Computed Tomography (CT) of 22 adult patients with vertigo and control group comprising 23 healthy adulti ndividuals were included. Vertebral artery and transverse foramina measurements (Sagittal and transverse dimensions; and area) were performed at the levels of cervical 1 (C1) to cervical 6 (C6) vertebrae bilaterally. Results: At C6 level, right vertebral artery area; and sagittal and transverse diameter; and atthe C1 level, right transverse foramina area of the vertigo group were significantly higher than the control group. Vertebral artery area values were positively correlated with ipsilateral transverse foramina values ( transverse foramen sagittal and transverse dimensions; and areas) at C1 to C5 levels. When transverse foramina sagittal or transvers e dimensions; or transverse foramina areas decreased, vertebral artery areas also decreased at C1 to C5 levels. Conclusion: We concluded that a decrease in the diameters of bony structure or transverse foramina may cause a decrease in the area of the vertebral artery at the ipsilateral side.As the left vertebral artery is dominant for cerebral blood flow, an increase of the right vertebral artery area cannot affect cerebral blood flow. Decreased blood flow on the left side may play a role in the development of vertigo, in other words,VBI.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45329139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.32448/ENTUPDATES.499028
Aslıhan Çakır Akay, Esin Yalçınkaya
p { margin-bottom: 0.08in; direction: ltr; color: rgb(0, 0, 0); }p.western { font-family: "Times New Roman", serif; font-size: 12pt; }p.cjk { font-family: "Times New Roman", serif; font-size: 12pt; }p.ctl { font-family: "Times New Roman", serif; font-size: 12pt; }a.cjk:visited { }a:link { color: rgb(0, 0, 255); } Objective: Autologous serum skin testing is a practical test for basophil histamine release which is used in the diagnosis of chronic autoimmune urticaria. Although the exact autoimmune pathogenesis of allergic diseases of the upper respiratory tract remains a matter of debate, recent studies have reported positive autologous serum skin tests in both allergic and non-allergic rhinitis, asthma sufferers, and even in healthy controls. In this study, we aim to evaluate positive results from autologous serum testing in hayfever sufferers and to compare the results with those from healthy controls. Materials and methods The study included 76 seasonal allergic rhinitis patients aged between 18-65 years and 51 healthy volunteers who underwent autologous serum skin testing. The Chi-squared test was used for comparisons between the two groups. Result Autologous serum testing proved positive in 29 of the patients with allergic rhinitis and in 10 of the healthy controls. The number of positive results from autologous serum testing was found to be significantly higher in patients with allergic rhinitis than in the control group. Conclusion From the results of this research and the information found in the literature, it appears that autologous serum skin testing has uses beyond merely detecting chronic urticaria. There may be an advantage in evaluating the common features and serum factor in patients with allergic rhinitis and urticaria who show positivity to autologous serum skin testing.
p｛页边空白底部：0.08in；方向：ltr；颜色：rgb（0，0，0）；｝p.west｛font-family:“Times New Roman”，衬线体；font-size:12pt；｝pjk｛font-family:“Times New Roman”，衬色体；font-size：12pt；}pctl｛font-sfamily:“泰晤士报New Roman”其用于诊断慢性自身免疫性荨麻疹。尽管上呼吸道过敏性疾病的确切自身免疫发病机制仍有争议，但最近的研究报告称，在过敏性和非过敏性鼻炎、哮喘患者甚至健康对照中，自体血清皮肤测试呈阳性。在这项研究中，我们的目的是评估花粉热患者自体血清检测的阳性结果，并将结果与健康对照组的结果进行比较。材料和方法本研究包括76名年龄在18-65岁之间的季节性过敏性鼻炎患者和51名接受自体血清皮肤测试的健康志愿者。卡方检验用于两组之间的比较。结果29例变应性鼻炎患者和10例健康对照者的自体血清检测结果呈阳性。过敏性鼻炎患者的自体血清检测阳性结果明显高于对照组。结论从这项研究的结果和文献中发现的信息来看，自体血清皮肤测试的用途似乎不仅仅是检测慢性荨麻疹。对自体血清皮肤测试呈阳性的过敏性鼻炎和荨麻疹患者的共同特征和血清因子进行评估可能有优势。
{"title":"Evaluation of positive results for autologous serum skin testing in patients with seasonal allergic rhinitis compared with healthy controls","authors":"Aslıhan Çakır Akay, Esin Yalçınkaya","doi":"10.32448/ENTUPDATES.499028","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.499028","url":null,"abstract":"p { margin-bottom: 0.08in; direction: ltr; color: rgb(0, 0, 0); }p.western { font-family: \"Times New Roman\", serif; font-size: 12pt; }p.cjk { font-family: \"Times New Roman\", serif; font-size: 12pt; }p.ctl { font-family: \"Times New Roman\", serif; font-size: 12pt; }a.cjk:visited { }a:link { color: rgb(0, 0, 255); } Objective: Autologous serum skin testing is a practical test for basophil histamine release which is used in the diagnosis of chronic autoimmune urticaria. Although the exact autoimmune pathogenesis of allergic diseases of the upper respiratory tract remains a matter of debate, recent studies have reported positive autologous serum skin tests in both allergic and non-allergic rhinitis, asthma sufferers, and even in healthy controls. In this study, we aim to evaluate positive results from autologous serum testing in hayfever sufferers and to compare the results with those from healthy controls. Materials and methods The study included 76 seasonal allergic rhinitis patients aged between 18-65 years and 51 healthy volunteers who underwent autologous serum skin testing. The Chi-squared test was used for comparisons between the two groups. Result Autologous serum testing proved positive in 29 of the patients with allergic rhinitis and in 10 of the healthy controls. The number of positive results from autologous serum testing was found to be significantly higher in patients with allergic rhinitis than in the control group. Conclusion From the results of this research and the information found in the literature, it appears that autologous serum skin testing has uses beyond merely detecting chronic urticaria. There may be an advantage in evaluating the common features and serum factor in patients with allergic rhinitis and urticaria who show positivity to autologous serum skin testing.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42459417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.32448/ENTUPDATES.508087
Şule Mıdık, B. Culhaoğlu, S. Erbek, Seyra Erbek
p { margin-bottom: 0.08in; direction: ltr; color: rgb(0, 0, 0); }p.western { font-family: "Cambria", serif; font-size: 12pt; }p.cjk { font-family: "MS Mincho", "ＭＳ 明朝", monospace; font-size: 12pt; }p.ctl { font-family: "Cambria", serif; font-size: 12pt; } Objective : In earlier studies, the resonant frequency (RF) of the middle ear has been investigated in a number of different animals. However, no study has so far specifically addressed the measurement of RF in rats. With this in mind, in our study, multifrequency tympanometry (MFT) was performed on rats and RF value measurements were taken. The aim was to ascertain the normal values for rats used in our university experiments and to provide guidance for further research to be undertaken in this area. Materials and Methods: For the study, 16 male and 16 female adult Sprague Downey rats (32 animals, 64 ears) aged 10 months old and in healthy condition were used. MFT at 226Hz frequency and above was performed on all the rats after they had been anaesthetised. In the first instance tympanograms were recorded using the 226Hz probe tone, following which MFT measurements were performed. RF values for the middle ear were determined in the range 200-2000Hz. Results: For male rats, the mean RF value was 426.56 (± 193.01 Hz), whilst for female rats the mean was 496.88 (± 132.55) Hz. When the values obtained for the male and female rats were compared, no statistically significant difference was observed between the two groups (p=0.061). Accordingly, the mean RF value for the rats as a whole (obtained for 64 ears) was calculated to be 461.7 (± 168.02) Hz. Conclusion: In this research, RF values for the middle ear of rats has been demonstrated to be measurable. However, further research is needed into the relationship between RF and the characteristics of the middle ear in rats.
{"title":"Normalisation values for the resonant frequency of the middle ear in rats","authors":"Şule Mıdık, B. Culhaoğlu, S. Erbek, Seyra Erbek","doi":"10.32448/ENTUPDATES.508087","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.508087","url":null,"abstract":"p { margin-bottom: 0.08in; direction: ltr; color: rgb(0, 0, 0); }p.western { font-family: \"Cambria\", serif; font-size: 12pt; }p.cjk { font-family: \"MS Mincho\", \"ＭＳ 明朝\", monospace; font-size: 12pt; }p.ctl { font-family: \"Cambria\", serif; font-size: 12pt; } Objective : In earlier studies, the resonant frequency (RF) of the middle ear has been investigated in a number of different animals. However, no study has so far specifically addressed the measurement of RF in rats. With this in mind, in our study, multifrequency tympanometry (MFT) was performed on rats and RF value measurements were taken. The aim was to ascertain the normal values for rats used in our university experiments and to provide guidance for further research to be undertaken in this area. Materials and Methods: For the study, 16 male and 16 female adult Sprague Downey rats (32 animals, 64 ears) aged 10 months old and in healthy condition were used. MFT at 226Hz frequency and above was performed on all the rats after they had been anaesthetised. In the first instance tympanograms were recorded using the 226Hz probe tone, following which MFT measurements were performed. RF values for the middle ear were determined in the range 200-2000Hz. Results: For male rats, the mean RF value was 426.56 (± 193.01 Hz), whilst for female rats the mean was 496.88 (± 132.55) Hz. When the values obtained for the male and female rats were compared, no statistically significant difference was observed between the two groups (p=0.061). Accordingly, the mean RF value for the rats as a whole (obtained for 64 ears) was calculated to be 461.7 (± 168.02) Hz. Conclusion: In this research, RF values for the middle ear of rats has been demonstrated to be measurable. However, further research is needed into the relationship between RF and the characteristics of the middle ear in rats.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44744320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-07DOI: 10.32448/ENTUPDATES.471921
C. Cingi
p { margin-bottom: 0in; direction: ltr; color: rgb(0, 0, 0); line-height: 0.07in; }p.western { font-family: "Arial", sans-serif; font-size: 12pt; }p.cjk { font-family: "Arial", sans-serif; font-size: 12pt; }p.ctl { font-family: "Arial", sans-serif; font-size: 12pt; }a:link { color: rgb(0, 0, 255); }a.western:link { }a.ctl:link { } Objectives : The study aimed to evaluate the levels of health literacy amongst patients admitted to the ENT department of Eskisehir Osmangazi University in June 2018. Methods : 200 patients (comprising 107 males and 93 females), selected at random, consented to the study. They were supplied with the Health Literacy Questionnaire, which was used to evaluate health literacy. Results: The majority of respondents indicated that they were unsure about whether particular symptoms related to disease or not, lack confidence in being able to read and fully comprehend a text about their disease and have difficulty comprehending and trusting doctors' advice. They experienced difficulty in weighing advantages and disadvantages of treatment options, finding information relating to symptomatology and particular diseases and being aware when a second opinion would be appropriate. There were deficits apparent in understanding both positive and negative influences of the environment, lifestyle and nutrition. Nutritional advice was poorly comprehended. By contrast, no difficulties were apparent in obtaining medical appointments, making contact with doctors or using medication as directed. Respondents were confident about how to act in an emergency and when to call an ambulance, when to go for checkups and how to locate information on the management and prevention of obesity, hypertension or hypercholesterolaemia. Conclusion : Health literacy is of prime importance in public health. Bolstering health literacy, especially where levels are low, is necessary. Healthcare staff need to work on being more easily understood in the interests of promoting effective communication across the entire social spectrum.
{"title":"Patients' Degree of Health Literacy: A Cross-Sectional Survey from Eskisehir, Turkey","authors":"C. Cingi","doi":"10.32448/ENTUPDATES.471921","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.471921","url":null,"abstract":"p { margin-bottom: 0in; direction: ltr; color: rgb(0, 0, 0); line-height: 0.07in; }p.western { font-family: \"Arial\", sans-serif; font-size: 12pt; }p.cjk { font-family: \"Arial\", sans-serif; font-size: 12pt; }p.ctl { font-family: \"Arial\", sans-serif; font-size: 12pt; }a:link { color: rgb(0, 0, 255); }a.western:link { }a.ctl:link { } Objectives : The study aimed to evaluate the levels of health literacy amongst patients admitted to the ENT department of Eskisehir Osmangazi University in June 2018. Methods : 200 patients (comprising 107 males and 93 females), selected at random, consented to the study. They were supplied with the Health Literacy Questionnaire, which was used to evaluate health literacy. Results: The majority of respondents indicated that they were unsure about whether particular symptoms related to disease or not, lack confidence in being able to read and fully comprehend a text about their disease and have difficulty comprehending and trusting doctors' advice. They experienced difficulty in weighing advantages and disadvantages of treatment options, finding information relating to symptomatology and particular diseases and being aware when a second opinion would be appropriate. There were deficits apparent in understanding both positive and negative influences of the environment, lifestyle and nutrition. Nutritional advice was poorly comprehended. By contrast, no difficulties were apparent in obtaining medical appointments, making contact with doctors or using medication as directed. Respondents were confident about how to act in an emergency and when to call an ambulance, when to go for checkups and how to locate information on the management and prevention of obesity, hypertension or hypercholesterolaemia. Conclusion : Health literacy is of prime importance in public health. Bolstering health literacy, especially where levels are low, is necessary. Healthcare staff need to work on being more easily understood in the interests of promoting effective communication across the entire social spectrum.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45014563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-30DOI: 10.32448/ENTUPDATES.476313
Ozan Gökdoğan, F. Ileri
AIM: In preterm infants who have a tendency for hypox- ia, continuous positive airway pressure (CPAP) support is one of the standard treatments being used today. Al-though newborns are prone to complications, too many complications have not been reported in literature due to CPAP in newborn period. In this study, complications in preterm infants have been reported who had nasal CPAP treatment which were considered to be related to this. METHOD: Within the scope of the study, 82 babies who were hospitalized in the newborn intensive care unit and had nasal CPAP between September 2014 and September 2017 have been evaluated. During this time period, the newborns that had nasal CPAP treatment have been evaluated in terms of nasal complications in certain intervals. RESULTS: During this period, complications which are considered to be related to Nasal CPAP have been observed in 6 babies. In 4 newborns, nasal columellar hyperemia related to the use of masks and in 1 newborn, columella necrosis has been seen. In two of the patients, intranasal synechia has been observed. While intranasal synechias were unilateral in 1 patient, it was observed as bilateral multiple nasal synechia in another patient. CONCLUSION: Continuous positive airway pressure treat-ment is a lifesaving method when required. However, it may cause certain complications due to pressure and pressured air in the newborn period which is open to all kinds of trauma. It is important to know about these complications and identifying and preventing them in the earliest time possible since the treatment is long and difficult.
{"title":"Nasal Complications Related With Cpap Treatment","authors":"Ozan Gökdoğan, F. Ileri","doi":"10.32448/ENTUPDATES.476313","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.476313","url":null,"abstract":"AIM: In preterm infants who have a tendency for hypox- ia, continuous positive airway pressure (CPAP) support is one of the standard treatments being used today. Al-though newborns are prone to complications, too many complications have not been reported in literature due to CPAP in newborn period. In this study, complications in preterm infants have been reported who had nasal CPAP treatment which were considered to be related to this. METHOD: Within the scope of the study, 82 babies who were hospitalized in the newborn intensive care unit and had nasal CPAP between September 2014 and September 2017 have been evaluated. During this time period, the newborns that had nasal CPAP treatment have been evaluated in terms of nasal complications in certain intervals. RESULTS: During this period, complications which are considered to be related to Nasal CPAP have been observed in 6 babies. In 4 newborns, nasal columellar hyperemia related to the use of masks and in 1 newborn, columella necrosis has been seen. In two of the patients, intranasal synechia has been observed. While intranasal synechias were unilateral in 1 patient, it was observed as bilateral multiple nasal synechia in another patient. CONCLUSION: Continuous positive airway pressure treat-ment is a lifesaving method when required. However, it may cause certain complications due to pressure and pressured air in the newborn period which is open to all kinds of trauma. It is important to know about these complications and identifying and preventing them in the earliest time possible since the treatment is long and difficult.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42738469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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