Pub Date : 2020-04-25DOI: 10.32448/entupdates.709516
Y. Yontar, Sedat Tatar, H. Baykan
Objective : To present technical details and experiences regarding the use of a Tubbs-Logan mitral valve dilator for the closed reduction of zygomatic arch fractures. Method: Over a period of about three years, closed reduction was indicated and performed in 22 patients with a zygomatic arch fracture. In all patients, depressed fracture segments were reduced using a Tubbs-Logan mitral valve dilator via the Gillies’ temporal approach. Results: The majority of the injuries were due to motor vehicle collisions (n=8, 36.4%). The zygomatic arch fracture was isolated in 12 patients (54.5%). However, it was a component of a zygomatic complex fracture in 10 patients (45.5%). Of those, rigid internal fixation of the zygomatic body was performed in 8 and the zygomatic body was only closely reduced by a bone hook in 2 patients. Repair of a concomitant orbital floor fracture was performed in 2, a mandibular angle fracture in 1 and a frontal sinus fracture in 1 patient. The reduction status of the zygomatic arch was excellent in 12 (54.5%), good in 8 (36.4%) and fair in 2 patients (9.1%). During the follow-ups, no functional or cosmetic sequelae regarding repaired fractures of the zygomatic arch, zygomatic body or other facial bones were recorded. Conclusion: We suggest that the Tubbs-Logan mitral valve dilator is a safe and effective alternative in terms of closed reduction of zygomatic arch fractures, whether they are isolated or not. We think that further ergonomic modifications would be beneficial to improve the positioning of the instrument in restricted areas observed due to severe depression of the zygomatic arch.
{"title":"Closed reduction of zygomatic arch fractures by using Tubbs-Logan mitral valve dilator","authors":"Y. Yontar, Sedat Tatar, H. Baykan","doi":"10.32448/entupdates.709516","DOIUrl":"https://doi.org/10.32448/entupdates.709516","url":null,"abstract":"Objective : To present technical details and experiences regarding the use of a Tubbs-Logan mitral valve dilator for the closed reduction of zygomatic arch fractures. Method: Over a period of about three years, closed reduction was indicated and performed in 22 patients with a zygomatic arch fracture. In all patients, depressed fracture segments were reduced using a Tubbs-Logan mitral valve dilator via the Gillies’ temporal approach. Results: The majority of the injuries were due to motor vehicle collisions (n=8, 36.4%). The zygomatic arch fracture was isolated in 12 patients (54.5%). However, it was a component of a zygomatic complex fracture in 10 patients (45.5%). Of those, rigid internal fixation of the zygomatic body was performed in 8 and the zygomatic body was only closely reduced by a bone hook in 2 patients. Repair of a concomitant orbital floor fracture was performed in 2, a mandibular angle fracture in 1 and a frontal sinus fracture in 1 patient. The reduction status of the zygomatic arch was excellent in 12 (54.5%), good in 8 (36.4%) and fair in 2 patients (9.1%). During the follow-ups, no functional or cosmetic sequelae regarding repaired fractures of the zygomatic arch, zygomatic body or other facial bones were recorded. Conclusion: We suggest that the Tubbs-Logan mitral valve dilator is a safe and effective alternative in terms of closed reduction of zygomatic arch fractures, whether they are isolated or not. We think that further ergonomic modifications would be beneficial to improve the positioning of the instrument in restricted areas observed due to severe depression of the zygomatic arch.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41843368","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 : 2020-04-20DOI: 10.32448/entupdates.664150
Mohammed Alkarzae, B. Aldosari, Lama S Alalula, Reham Almuhaya, Ibrahim AlAwadh
Objective: Objectives: The present study aimed to evalu-ate how selfies (self-photographs) are related to cosmetic surgery. Methods: This is a prospective, observational study per-formed using a self-administered survey. An online ques-tionnaire was distributed through social media to a ran-dom sample of 653 individuals from Saudi Arabia aged 18 to 65 years (mean 29.4±10.9 years). 25.1% of respondents were male (164 men), 74.9% were female (489 women). Results: The majority of respondents were satisfied by their appearance in the selfie. 5.8% of respondents stated they had had a cosmetic procedure as a result of self-pho-tography. The procedures involved were: lip fillers, botox, rhinoplasty, cheek fillers, chin implant, scar revision and face-lift. A further 37.8% of respondents expressed a wish to undergo a cosmetic procedure (rhinoplasty, lip fillers, chin implant, scar revision, cheek fillers, botox or face-lift) due to selfies. 134 respondents expressed dissatisfac-tion with their appearance in selfies, 47 of whom (35.1%) expressed an interest in a cosmetic procedure. 46% of those who believed selfies reveal their deformities also wished to have a corrective procedure. Concerning their preferred type of procedure, women chose rhinoplasty, lip fillers, cheek fillers, anti-aging botox, face-lifts and chin implants more often than men. Conclusion: Improvements to body-image through cosmetic surgery outcomes should improve body image and thereby promote self-esteem and socialization. The selfie may underlie the increase in demand for cosmetic procedures and the number of such procedures subsequently undertaken.
{"title":"The Effect of Selfies on Cosmetic Surgery","authors":"Mohammed Alkarzae, B. Aldosari, Lama S Alalula, Reham Almuhaya, Ibrahim AlAwadh","doi":"10.32448/entupdates.664150","DOIUrl":"https://doi.org/10.32448/entupdates.664150","url":null,"abstract":"Objective: Objectives: The present study aimed to evalu-ate how selfies (self-photographs) are related to cosmetic surgery. Methods: This is a prospective, observational study per-formed using a self-administered survey. An online ques-tionnaire was distributed through social media to a ran-dom sample of 653 individuals from Saudi Arabia aged 18 to 65 years (mean 29.4±10.9 years). 25.1% of respondents were male (164 men), 74.9% were female (489 women). Results: The majority of respondents were satisfied by their appearance in the selfie. 5.8% of respondents stated they had had a cosmetic procedure as a result of self-pho-tography. The procedures involved were: lip fillers, botox, rhinoplasty, cheek fillers, chin implant, scar revision and face-lift. A further 37.8% of respondents expressed a wish to undergo a cosmetic procedure (rhinoplasty, lip fillers, chin implant, scar revision, cheek fillers, botox or face-lift) due to selfies. 134 respondents expressed dissatisfac-tion with their appearance in selfies, 47 of whom (35.1%) expressed an interest in a cosmetic procedure. 46% of those who believed selfies reveal their deformities also wished to have a corrective procedure. Concerning their preferred type of procedure, women chose rhinoplasty, lip fillers, cheek fillers, anti-aging botox, face-lifts and chin implants more often than men. Conclusion: Improvements to body-image through cosmetic surgery outcomes should improve body image and thereby promote self-esteem and socialization. The selfie may underlie the increase in demand for cosmetic procedures and the number of such procedures subsequently undertaken.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47559612","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 : 2020-04-15DOI: 10.32448/ENTUPDATES.630369
M. Çelik, I. Koyuncu
Objective: The purpose of this research study was to evaluate dynamic thiol/disulphide homeostasis (TDH) as a novel oxidative stress marker in participants with noncholesteatomatous chronic otitis media (ncCOM) and cholesteatomatous chronic otitis media (cCOM), as well as to investigate lipid hydroperoxide (LOOH), total antioxidant status (TAS), total oxidant status (TOS) and oxidative stress index (OSI) markers and compare the results with a healthy control group. Methods: This research was carried out at Harran University Medical Faculty Ear-Nose-Throat Department, between April 2017 and April 2019. This was a prospective controlled trial study including 121 participants, 40 ncCOM, 39 cCOM and 42 healthy controls. Total thiol, native thiol, disulphide levels and LOOH, TAS, TOS levels were measured in plasma of all patients and healthy volunteers. Results: In our study, we found that total thiol, native thiol levels, native thiol/total thiol ratios and TAS levels were significantly lower in cCOM patients compared with the control group (p<0.01). Disulphide/native thiol, disulphide/total thiol ratios, LOOH, TOS and OSI levels were significantly increased in the cCOM group compared with the control group (p<0.01). Conclusion: Oxidative stress (OS) is believed to be one of the underlying reasons for COM pathogenesis. In this research, we analyzed dynamic TDH as a novel OS marker using a novel improved fully automatic colorimetric technique, along with other parameters. This study may shed light on understanding the underlying reasons for the pathogenesis of COM and identify potential targets for antioxidant drug treatment.
{"title":"A comprehensive study of oxidative stress in patients with chronic otitis media","authors":"M. Çelik, I. Koyuncu","doi":"10.32448/ENTUPDATES.630369","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.630369","url":null,"abstract":"Objective: The purpose of this research study was to evaluate dynamic thiol/disulphide homeostasis (TDH) as a novel oxidative stress marker in participants with noncholesteatomatous chronic otitis media (ncCOM) and cholesteatomatous chronic otitis media (cCOM), as well as to investigate lipid hydroperoxide (LOOH), total antioxidant status (TAS), total oxidant status (TOS) and oxidative stress index (OSI) markers and compare the results with a healthy control group. Methods: This research was carried out at Harran University Medical Faculty Ear-Nose-Throat Department, between April 2017 and April 2019. This was a prospective controlled trial study including 121 participants, 40 ncCOM, 39 cCOM and 42 healthy controls. Total thiol, native thiol, disulphide levels and LOOH, TAS, TOS levels were measured in plasma of all patients and healthy volunteers. Results: In our study, we found that total thiol, native thiol levels, native thiol/total thiol ratios and TAS levels were significantly lower in cCOM patients compared with the control group (p<0.01). Disulphide/native thiol, disulphide/total thiol ratios, LOOH, TOS and OSI levels were significantly increased in the cCOM group compared with the control group (p<0.01). Conclusion: Oxidative stress (OS) is believed to be one of the underlying reasons for COM pathogenesis. In this research, we analyzed dynamic TDH as a novel OS marker using a novel improved fully automatic colorimetric technique, along with other parameters. This study may shed light on understanding the underlying reasons for the pathogenesis of COM and identify potential targets for antioxidant drug treatment.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43060109","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 : 2020-04-15DOI: 10.32448/ENTUPDATES.673014
F. Kin, O. Ai, F. Hussain, B. Goh
Langerhans’ cell histiocytosis (LCH) is a rare group of diseases characterized by abnormal clonal proliferation of Langerhans cells in one or more systems. LCH can occur in any system. We report a case of bilateral otologic LCH that presented as a case of mastoiditis. Despite multiple courses of antibiotics, there was no improvement. Subsequent excision biopsy of a postauricular mass confirmed the diagnosis of LCH. The patient responded well to chemotherapy.
{"title":"A great mimicker of mastoiditis- Multisystem Langerhans’ cell histiocytosis","authors":"F. Kin, O. Ai, F. Hussain, B. Goh","doi":"10.32448/ENTUPDATES.673014","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.673014","url":null,"abstract":"Langerhans’ cell histiocytosis (LCH) is a rare group of diseases characterized by abnormal clonal proliferation of Langerhans cells in one or more systems. LCH can occur in any system. We report a case of bilateral otologic LCH that presented as a case of mastoiditis. Despite multiple courses of antibiotics, there was no improvement. Subsequent excision biopsy of a postauricular mass confirmed the diagnosis of LCH. The patient responded well to chemotherapy.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46787614","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 : 2020-04-15DOI: 10.32448/entupdates.688446
F. Altin, Y. Alimoglu
Objective: We aimed to examine patient characteristics, recurrence rate and efficacy of treatment methods in patients who underwent surgery with the diagnosis of ranula in our department retrospectively. The subject is discussed in the light of current literature. Methods: Twenty-seven patients with ranula managed surgically between 2008 and 2018 were included in this study. The indications, age and sex distribution, surgical pathology reports, surgical methods, complications encountered and recurrence rates were examined retrospectively. Results: The mean age was 27.48±18.66 years. There were 8 (29.6%) male and 19 (70.4%) female cases. The mean size of the ranula was 3.07±0.35 cm. When the symptoms were evaluated, 23 (85.2%) of the patients had a swelling in the floor of the mouth, 3 (11.1%) had a neck swelling and 1 (3.7%) had swelling on the lower surface of the tongue. The treatment method was marsupialization in 11 (40.7%) patients and ranula cyst excision in 16 (59.3%) patients. Four (14.8%) of these patients had a recurrence. The first surgical procedure was marsupialization in 3 (75%) and cyst excision in 1 (25%) of the cases with recurrence. Of the patients with recurrence, 3 subsequently underwent cyst excision and 1 of the patients underwent marsupialization. No complication or additional recurrence was observed in the follow-up of these patients. Conclusions: Concerning our ten years of experience with the management of ranula, we can conclude that ranula can be treated by both marsupialization and cyst excision with a low risk of recurrence.
{"title":"Retrospective analysis of ranula patients managed with surgical treatment","authors":"F. Altin, Y. Alimoglu","doi":"10.32448/entupdates.688446","DOIUrl":"https://doi.org/10.32448/entupdates.688446","url":null,"abstract":"Objective: We aimed to examine patient characteristics, recurrence rate and efficacy of treatment methods in patients who underwent surgery with the diagnosis of ranula in our department retrospectively. The subject is discussed in the light of current literature. Methods: Twenty-seven patients with ranula managed surgically between 2008 and 2018 were included in this study. The indications, age and sex distribution, surgical pathology reports, surgical methods, complications encountered and recurrence rates were examined retrospectively. Results: The mean age was 27.48±18.66 years. There were 8 (29.6%) male and 19 (70.4%) female cases. The mean size of the ranula was 3.07±0.35 cm. When the symptoms were evaluated, 23 (85.2%) of the patients had a swelling in the floor of the mouth, 3 (11.1%) had a neck swelling and 1 (3.7%) had swelling on the lower surface of the tongue. The treatment method was marsupialization in 11 (40.7%) patients and ranula cyst excision in 16 (59.3%) patients. Four (14.8%) of these patients had a recurrence. The first surgical procedure was marsupialization in 3 (75%) and cyst excision in 1 (25%) of the cases with recurrence. Of the patients with recurrence, 3 subsequently underwent cyst excision and 1 of the patients underwent marsupialization. No complication or additional recurrence was observed in the follow-up of these patients. Conclusions: Concerning our ten years of experience with the management of ranula, we can conclude that ranula can be treated by both marsupialization and cyst excision with a low risk of recurrence.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47673767","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 : 2019-12-20DOI: 10.32448/ENTUPDATES.576183
İ. Güler, Müge Özcan
Objective: This study aims to compare endoscopic and microscopic tympanoplasty in terms of graft success rate and hearing gain. Methods: Medical records of 236 patients (99 females and 137 males) aged 18 to 74 years with chronic otitis media who underwent myringoplasty, between January 2014 and June 2017 were retrospectively compared. Patients were divided into two groups; microscopic myringoplasty (140 patients), endoscopic myringoplasty (96 patients). Demographic data, pure tone audiometric results preoperatively and 6 months postoperatively, operation time, hearing gain and graft success rate were evaluated. Results: The mean operation time was 57.8±9.6 minutes for the endoscopic group and 78.6±17.7 minutes for the microscopic group (p<0.001). The mean preoperative air bone gap (ABG) was 24.1±11.5 dB for the microscopic group and 22.7±9.2 dB for the endoscopic group, whereas the mean postoperative ABG was 11.6±9.9 and 9.8±9.3 dB respectively. Graft success rate was 90.3% (213 patients) for entire group, 89.7% (131 patients) for the microscopic group, and 91.1% (82 patients) for the endoscopic group (p=0.727). The functional success rate (ABG ≤ 10 dB) was 72.5% (171 patients) in the entire group. The mean hearing gain was 12.4±10.8 and 12.8±9 dB in the microscopic and endoscopic groups respectively. Conclusion: Endoscopic technique offers similar graft success and hearing outcomes to microscopic technique along with a shorter operation time.
{"title":"A comparison of endoscopic and microscopic techniques for the repair of tympanic membrane perforations","authors":"İ. Güler, Müge Özcan","doi":"10.32448/ENTUPDATES.576183","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.576183","url":null,"abstract":"Objective: This study aims to compare endoscopic and microscopic tympanoplasty in terms of graft success rate and hearing gain. Methods: Medical records of 236 patients (99 females and 137 males) aged 18 to 74 years with chronic otitis media who underwent myringoplasty, between January 2014 and June 2017 were retrospectively compared. Patients were divided into two groups; microscopic myringoplasty (140 patients), endoscopic myringoplasty (96 patients). Demographic data, pure tone audiometric results preoperatively and 6 months postoperatively, operation time, hearing gain and graft success rate were evaluated. Results: The mean operation time was 57.8±9.6 minutes for the endoscopic group and 78.6±17.7 minutes for the microscopic group (p<0.001). The mean preoperative air bone gap (ABG) was 24.1±11.5 dB for the microscopic group and 22.7±9.2 dB for the endoscopic group, whereas the mean postoperative ABG was 11.6±9.9 and 9.8±9.3 dB respectively. Graft success rate was 90.3% (213 patients) for entire group, 89.7% (131 patients) for the microscopic group, and 91.1% (82 patients) for the endoscopic group (p=0.727). The functional success rate (ABG ≤ 10 dB) was 72.5% (171 patients) in the entire group. The mean hearing gain was 12.4±10.8 and 12.8±9 dB in the microscopic and endoscopic groups respectively. Conclusion: Endoscopic technique offers similar graft success and hearing outcomes to microscopic technique along with a shorter operation time.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49135974","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 : 2019-12-20DOI: 10.32448/entupdates.633311
A. Kul, A. Bilen, N. Bilge, Köksal Sarıhan, H. Uzkeser, R. Dayanan, Fatih Baygutalp
Objectives : This study aimed to evaluate balance disorders and potential risk factors for falling in patients with hypothyroidism, as well as postural stability and the risk of falling. Methods : The participants' sex, age, body mass index (BMI), falls history in the past one year, and Falls Efficacy Scale - International (FES-I), Neuropathic Pain Diagnostic questionnaire (DN4) and clinical symptoms were recorded. The stability index (SI), weight distribution index (WDI) and falls risk analysis were performed for postural stability by objective computerised dynamic posturography. Results : 50 patients were matched for age and sex (mean age:41.7±11 years; age range:19-61 years) with 47 healthy (euthyroid) controls (mean age:39±9.6 years; age range:23-60 years). All SI, HL-WDI and falls risk scores, except FES-I, DN4 and NO-SI, were significantly higher in the patient group. In addition, other symptoms were present at a higher rate, with the exception of morning stiffness (p 0.05). However, there was a slight positive correlation between the existence of paraesthetic symptoms, a history of falling, and the overall SI and HL-WDI values (r>0.3 and p<0.05). Conclusions: It was determined that, as postural stability is affected in cases of hypothyroidism, balance becomes disordered and the risk of falls increases. This increase in the risk of falls was associated with being hypothyroid, but not with FT4 or TSH levels or the other factors evaluated.
{"title":"Balance disorders and hypothyroidism: A rare cause worth remembering","authors":"A. Kul, A. Bilen, N. Bilge, Köksal Sarıhan, H. Uzkeser, R. Dayanan, Fatih Baygutalp","doi":"10.32448/entupdates.633311","DOIUrl":"https://doi.org/10.32448/entupdates.633311","url":null,"abstract":"Objectives : This study aimed to evaluate balance disorders and potential risk factors for falling in patients with hypothyroidism, as well as postural stability and the risk of falling. Methods : The participants' sex, age, body mass index (BMI), falls history in the past one year, and Falls Efficacy Scale - International (FES-I), Neuropathic Pain Diagnostic questionnaire (DN4) and clinical symptoms were recorded. The stability index (SI), weight distribution index (WDI) and falls risk analysis were performed for postural stability by objective computerised dynamic posturography. Results : 50 patients were matched for age and sex (mean age:41.7±11 years; age range:19-61 years) with 47 healthy (euthyroid) controls (mean age:39±9.6 years; age range:23-60 years). All SI, HL-WDI and falls risk scores, except FES-I, DN4 and NO-SI, were significantly higher in the patient group. In addition, other symptoms were present at a higher rate, with the exception of morning stiffness (p 0.05). However, there was a slight positive correlation between the existence of paraesthetic symptoms, a history of falling, and the overall SI and HL-WDI values (r>0.3 and p<0.05). Conclusions: It was determined that, as postural stability is affected in cases of hypothyroidism, balance becomes disordered and the risk of falls increases. This increase in the risk of falls was associated with being hypothyroid, but not with FT4 or TSH levels or the other factors evaluated.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44496877","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 : 2019-12-20DOI: 10.32448/ENTUPDATES.576655
S. Çayır, S. Kayabaşı
Objective: Whilst orbital complications arising from acute rhinosinusitis are infrequent in contemporary practice, the spread of infection orbitally or intracranially can result in severe complications and a high mortality. This study aims to review cases of orbital complications arising from rhinosinusitis in the light of the published literature on the topic. Methods: Eight cases of individuals presenting to a particular clinic with the development of orbital complications following sinusitis within the previous four years were included in the study. The characteristic features of these cases in terms of diagnosis, treatment and follow-up were investigated. Results: The mean age of all cases was 29.5 years. In three cases, orbital abscess, and in five cases, preseptal cellulitis, were observed as complications. Both surgical and medical treatment was administered in three cases, while medical treatment alone was used for five cases. Conclusion: The region where the complications of rhinosinusitis are most commonly observed is the orbit, due to its proximity to the paranasal sinuses, especially the ethmoid cells. Where limitation of eye movements, proptosis, and a decrease in vision exists alongside an orbital abscess which itself has developed as a complication of sinusitis, surgical treatment is the most important option to consider to prevent complications.
{"title":"Approach to Orbital Complications in Rhinosinusitis","authors":"S. Çayır, S. Kayabaşı","doi":"10.32448/ENTUPDATES.576655","DOIUrl":"https://doi.org/10.32448/ENTUPDATES.576655","url":null,"abstract":"Objective: Whilst orbital complications arising from acute rhinosinusitis are infrequent in contemporary practice, the spread of infection orbitally or intracranially can result in severe complications and a high mortality. This study aims to review cases of orbital complications arising from rhinosinusitis in the light of the published literature on the topic. Methods: Eight cases of individuals presenting to a particular clinic with the development of orbital complications following sinusitis within the previous four years were included in the study. The characteristic features of these cases in terms of diagnosis, treatment and follow-up were investigated. Results: The mean age of all cases was 29.5 years. In three cases, orbital abscess, and in five cases, preseptal cellulitis, were observed as complications. Both surgical and medical treatment was administered in three cases, while medical treatment alone was used for five cases. Conclusion: The region where the complications of rhinosinusitis are most commonly observed is the orbit, due to its proximity to the paranasal sinuses, especially the ethmoid cells. Where limitation of eye movements, proptosis, and a decrease in vision exists alongside an orbital abscess which itself has developed as a complication of sinusitis, surgical treatment is the most important option to consider to prevent complications.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44111063","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 : 2019-12-06DOI: 10.32448/entupdates.594272
K. Durmuş, Hande Küçük Kurtulgan, Adem Bora, M. Yıldırım, E. Altuntaş
Objective: Chronic otitis media (COM) is a multifactorial disorder, the pathogenesis of which has yet to be fully elucidated. Numerous aetiological factors, including genetics, eustachian tube dysfunction, autoimmunity, infection, osteoclastic activity, cytokines, endotoxins, and products of lipid peroxidation resulting from oxidative stress, have been proposed to explain the chronic inflammation which lies at the heart of the disorder. The aim of this study is to investigate a possible relationship between the pathogenesis of COM and polymorphism within the paraoxonase 1 (PON1) gene. Methods: We investigated 49 patients admitted to the Otorhinolaryngology Department and diagnosed with COM between September and November 2017. The control group consisted of 51 healthy individuals. Polymerase chain reaction (PCR) – restriction fragment length polymorphism (RFLP) methods were used to genotype the PON1 Q192R (rs662) polymorphism. Results: When the case and control groups were compared in terms of the existence of PON1 (Q192) polymorphism, there was no statistically significant difference between the groups (p=0.166, p>0.05). When intergroup comparison was performed on the type of PON1 (Q192) polymorphism, there was also no statistically significant difference (p=0.261, p>0.05). Conclusion: The present study is the first known study in which PON1 polymorphism has been examined in cases of COM. The results of our study failed to indicate a statistically significant relationship between PON1 polymorphism and COM. However, it is important to note that the higher rate of 192RR polymorphism within the control group control may indicate a protective effect in COM.
{"title":"Examination of Paraoxonase 1 Gene Polymorphism in Cases with Chronic Otitis Media","authors":"K. Durmuş, Hande Küçük Kurtulgan, Adem Bora, M. Yıldırım, E. Altuntaş","doi":"10.32448/entupdates.594272","DOIUrl":"https://doi.org/10.32448/entupdates.594272","url":null,"abstract":"Objective: Chronic otitis media (COM) is a multifactorial disorder, the pathogenesis of which has yet to be fully elucidated. Numerous aetiological factors, including genetics, eustachian tube dysfunction, autoimmunity, infection, osteoclastic activity, cytokines, endotoxins, and products of lipid peroxidation resulting from oxidative stress, have been proposed to explain the chronic inflammation which lies at the heart of the disorder. The aim of this study is to investigate a possible relationship between the pathogenesis of COM and polymorphism within the paraoxonase 1 (PON1) gene. Methods: We investigated 49 patients admitted to the Otorhinolaryngology Department and diagnosed with COM between September and November 2017. The control group consisted of 51 healthy individuals. Polymerase chain reaction (PCR) – restriction fragment length polymorphism (RFLP) methods were used to genotype the PON1 Q192R (rs662) polymorphism. Results: When the case and control groups were compared in terms of the existence of PON1 (Q192) polymorphism, there was no statistically significant difference between the groups (p=0.166, p>0.05). When intergroup comparison was performed on the type of PON1 (Q192) polymorphism, there was also no statistically significant difference (p=0.261, p>0.05). Conclusion: The present study is the first known study in which PON1 polymorphism has been examined in cases of COM. The results of our study failed to indicate a statistically significant relationship between PON1 polymorphism and COM. However, it is important to note that the higher rate of 192RR polymorphism within the control group control may indicate a protective effect in COM.","PeriodicalId":41744,"journal":{"name":"ENT Updates","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47819688","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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