Pub Date : 2022-06-27DOI: 10.4274/haseki.galenos.2022.8389
Tümay ULUDAĞ YANARAL, P. Karaaslan, Hande Gungor, Y. O. Atalay, J. Tobias
{"title":"Rhinorrhea due to Infusion of Dexmedetomidine during Rhinoplasty: A Case Report and Current Literature Review","authors":"Tümay ULUDAĞ YANARAL, P. Karaaslan, Hande Gungor, Y. O. Atalay, J. Tobias","doi":"10.4274/haseki.galenos.2022.8389","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.8389","url":null,"abstract":"","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"9 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84308975","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 : 2022-06-27DOI: 10.4274/haseki.galenos.2022.8225
N. Helvacı Yılmaz, Basak Bolluk Kilic, T. Zirh, A. Aslan, L. Hanoglu
Aim: Patients with chronic diseases were forced into lockdown due to the coronavirus disease-2019 pandemic. Extended quarantine could lead to physical inactivity and psychiatric problems. We investigated the effects of quarantine and social isolation during the pandemic on the motor and non-motor symptoms (NMS) of Parkinson's disease (PD) patients with and without deep brain stimulation (DBS). Methods: This study included 168 patients with PD who were in quarantine for 2 months (between April 1, 2020 and May 31, 2020). Eighty-three patients had undergone bilateral subthalamic DBS surgery. A questionnaire with three parts was administered via phone: 1) motor symptoms, 2) NMS, and 3) the reasons for impairment. Results: Of the patients, 54.7% reported impairment in at least one motor symptom and 58.9% reported impairment in at least one NMS. Increased tremors, difficulty with turning in bed, and insomnia were significantly more pronounced in patients without DBS. Patients with DBS complained less of being bored due to staying at home and had less deterioration due to lack of exercise and slower disease progression. Conclusion: Half of the symptoms of patients with PD worsened during quarantine, but patients with DBS tolerated the lockdown better. Telemedicine and online physiotherapy programs should be recommended to prevent rapid disease progression.
{"title":"Parkinson’s Disease and the COVID-19 Pandemic: Do Quarantine Affect the Motor and Non-Motor Symptoms of Patients with and without Deep Brain Stimulation?","authors":"N. Helvacı Yılmaz, Basak Bolluk Kilic, T. Zirh, A. Aslan, L. Hanoglu","doi":"10.4274/haseki.galenos.2022.8225","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.8225","url":null,"abstract":"Aim: Patients with chronic diseases were forced into lockdown due to the coronavirus disease-2019 pandemic. Extended quarantine could lead to physical inactivity and psychiatric problems. We investigated the effects of quarantine and social isolation during the pandemic on the motor and non-motor symptoms (NMS) of Parkinson's disease (PD) patients with and without deep brain stimulation (DBS). Methods: This study included 168 patients with PD who were in quarantine for 2 months (between April 1, 2020 and May 31, 2020). Eighty-three patients had undergone bilateral subthalamic DBS surgery. A questionnaire with three parts was administered via phone: 1) motor symptoms, 2) NMS, and 3) the reasons for impairment. Results: Of the patients, 54.7% reported impairment in at least one motor symptom and 58.9% reported impairment in at least one NMS. Increased tremors, difficulty with turning in bed, and insomnia were significantly more pronounced in patients without DBS. Patients with DBS complained less of being bored due to staying at home and had less deterioration due to lack of exercise and slower disease progression. Conclusion: Half of the symptoms of patients with PD worsened during quarantine, but patients with DBS tolerated the lockdown better. Telemedicine and online physiotherapy programs should be recommended to prevent rapid disease progression.","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"38 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79373642","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 : 2022-03-31DOI: 10.4274/haseki.galenos.2022.7766
M. Ekinci, Serkan Bayram, E. Gunen, Kemal Arda Col, Serkan Önder Sırma, M. Ersin, Mustafa YILMAZ
{"title":"Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture Surgery","authors":"M. Ekinci, Serkan Bayram, E. Gunen, Kemal Arda Col, Serkan Önder Sırma, M. Ersin, Mustafa YILMAZ","doi":"10.4274/haseki.galenos.2022.7766","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.7766","url":null,"abstract":"","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"46 1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83547921","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 : 2022-03-31DOI: 10.4274/haseki.galenos.2022.8104
A. Yıldız, S. Akdemir, H. Anıl, A. Guzel, M. Arslan
{"title":"Comparison of Perioperative Outcomes and Urethral Complications Between Using 24-French and 26-French Resectoscope Sheaths in Holmium Laser Enucleation of the Prostate","authors":"A. Yıldız, S. Akdemir, H. Anıl, A. Guzel, M. Arslan","doi":"10.4274/haseki.galenos.2022.8104","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.8104","url":null,"abstract":"","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"156 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80992302","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 : 2022-03-31DOI: 10.4274/haseki.galenos.2022.7735
M. Uyar, Demet Candemir
Introduction The complication process begins with bone destruction secondary to acute mastoiditis and then spreads the infection to the subperiosteal plane in patients with otitis media. A subperiosteal abscess is called depending on its location (1). Luc’s abscess is only encountered in the case reports, even though it was presented as a relatively benign course compared to other subperiosteal abscesses (2,3). Another feature distinguishing Luc’s abscess from other complications is the possibility of delay in differential diagnosis due to its rare nature (1). In order to prevent the process of life-threatening complications, early identification is vital. We have experienced that if adequate treatment is not given in time, its aggressive course may be inevitable and behave like a locally aggressive tumor. This case is presented to guide the routes of infection, show the clinical symptoms that cause a life-threatening process, and emphasize the importance of timely surgical intervention in possible similar pathologies. In the light of the literature, we wanted to review the clinical approach and surgical planning process in these cases, especially during the pandemic.
{"title":"Management of Luc´s Abscess with Extraordinary Clinical Features Resulting in Bilateral Preseptal Cellulitis and Intracranial Complication: A Case Report and Current Literature Review","authors":"M. Uyar, Demet Candemir","doi":"10.4274/haseki.galenos.2022.7735","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.7735","url":null,"abstract":"Introduction The complication process begins with bone destruction secondary to acute mastoiditis and then spreads the infection to the subperiosteal plane in patients with otitis media. A subperiosteal abscess is called depending on its location (1). Luc’s abscess is only encountered in the case reports, even though it was presented as a relatively benign course compared to other subperiosteal abscesses (2,3). Another feature distinguishing Luc’s abscess from other complications is the possibility of delay in differential diagnosis due to its rare nature (1). In order to prevent the process of life-threatening complications, early identification is vital. We have experienced that if adequate treatment is not given in time, its aggressive course may be inevitable and behave like a locally aggressive tumor. This case is presented to guide the routes of infection, show the clinical symptoms that cause a life-threatening process, and emphasize the importance of timely surgical intervention in possible similar pathologies. In the light of the literature, we wanted to review the clinical approach and surgical planning process in these cases, especially during the pandemic.","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"11 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85319056","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 : 2022-03-31DOI: 10.4274/haseki.galenos.2022.8092
Y. Yılmaz, Semih Uşaklıoğlu
{"title":"Comparison of Treatment Modalities in Adult Idiopathic Sudden Hearing Loss: A 5-year Outcome from a Tertiary Referral Center","authors":"Y. Yılmaz, Semih Uşaklıoğlu","doi":"10.4274/haseki.galenos.2022.8092","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.8092","url":null,"abstract":"","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"114 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88060178","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 : 2022-03-31DOI: 10.4274/haseki.galenos.2022.7783
Ozge Ozcan Abacioglu, A. Yıldırım, M. Karadeniz, Ferhat Dindaş, S. Abacioglu, N. Y. Koyunsever, Mustafa Doğduş
Aim: Pulmonary embolism (PE) is a condition caused by thrombosis and is a common cause of death. Although there are studies of PE with CHA2DS2-VASc (C: congestive heart failure or left ventricular systolic dysfunction, H: hypertension, A: age of ≥ 75 years, D: diabetes mellitus, S: previous stroke, V: vascular disease, A: age between 65 and 74 years, Sc: female gender) and PE severity index (PESI) scores, there is no data on Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) score in PE or comparison of CHA2DS2-VASc and ATRIA scores in PE. We investigated whether ATRIA and CHA2DS2-VASc scores can predict PE and mortality in cases of PE. Methods: One hundred ninety-eight patients with PE and two hundred eighty controls between July 2017 and July 2021 were included in this retrospective study. Patients’ data was provided from the hospital’s digital system. Patients’ PESI, ATRIA, and CHA2DS2-VASc scores were calculated, and in-hospital mortality was determined as the primary end-point. Results: The mean age of the patients was 63.9±13.1 years. The frequency of male patients in the PE group was higher (p=0.04), but this difference was invalid in patients with PE who developed primary end-point (p=0.177). ATRIA and CHA2DS2-VASc scores were higher in the PE group (p<0.01 and p=0.02, respectively) and in patients who reached end-point (p=0.001 and p=0.004, respectively). A moderate-high correlation was found between the PESI score and the ATRIA and CHA2DS2-VASc scores (r=0.664, p<0.001, and r=0.484, p<0.001) in the PE group. Pairwise comparison of ROC curve analysis revealed that PESI, ATRIA, and CHA2DS2-VASc scores were not superior to each other in predicting mortality. Conclusion: Both ATRIA and CHA2DS2-VASc scores are simple, easily calculated risk scores as an alternative to the PESI score in predicting mortality in PE.
{"title":"Evaluation of the ATRIA and CHA2DS2-VASc Scores and Their Performance on Predicting Mortality in Patients with Acute Pulmonary Embolism","authors":"Ozge Ozcan Abacioglu, A. Yıldırım, M. Karadeniz, Ferhat Dindaş, S. Abacioglu, N. Y. Koyunsever, Mustafa Doğduş","doi":"10.4274/haseki.galenos.2022.7783","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.7783","url":null,"abstract":"Aim: Pulmonary embolism (PE) is a condition caused by thrombosis and is a common cause of death. Although there are studies of PE with CHA2DS2-VASc (C: congestive heart failure or left ventricular systolic dysfunction, H: hypertension, A: age of ≥ 75 years, D: diabetes mellitus, S: previous stroke, V: vascular disease, A: age between 65 and 74 years, Sc: female gender) and PE severity index (PESI) scores, there is no data on Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) score in PE or comparison of CHA2DS2-VASc and ATRIA scores in PE. We investigated whether ATRIA and CHA2DS2-VASc scores can predict PE and mortality in cases of PE. Methods: One hundred ninety-eight patients with PE and two hundred eighty controls between July 2017 and July 2021 were included in this retrospective study. Patients’ data was provided from the hospital’s digital system. Patients’ PESI, ATRIA, and CHA2DS2-VASc scores were calculated, and in-hospital mortality was determined as the primary end-point. Results: The mean age of the patients was 63.9±13.1 years. The frequency of male patients in the PE group was higher (p=0.04), but this difference was invalid in patients with PE who developed primary end-point (p=0.177). ATRIA and CHA2DS2-VASc scores were higher in the PE group (p<0.01 and p=0.02, respectively) and in patients who reached end-point (p=0.001 and p=0.004, respectively). A moderate-high correlation was found between the PESI score and the ATRIA and CHA2DS2-VASc scores (r=0.664, p<0.001, and r=0.484, p<0.001) in the PE group. Pairwise comparison of ROC curve analysis revealed that PESI, ATRIA, and CHA2DS2-VASc scores were not superior to each other in predicting mortality. Conclusion: Both ATRIA and CHA2DS2-VASc scores are simple, easily calculated risk scores as an alternative to the PESI score in predicting mortality in PE.","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"15 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85191267","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 : 2022-03-31DOI: 10.4274/haseki.galenos.2022.7753
H. Oztoprak, Gamze Kucukosman, B. Aydın, R. D. Okyay, Ozcan Piskin, H. Ayoğlu
{"title":"Evaluation of Oxygenation in Low- and High-Flow Anesthesia Applications by Oxygen Reserve Index: A Randomized Prospective Study","authors":"H. Oztoprak, Gamze Kucukosman, B. Aydın, R. D. Okyay, Ozcan Piskin, H. Ayoğlu","doi":"10.4274/haseki.galenos.2022.7753","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.7753","url":null,"abstract":"","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83173380","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 : 2022-03-31DOI: 10.4274/haseki.galenos.2022.7445
Betül Duran, Burcin Agridag Ucpinar
Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign mesenchymal proliferation of the breast with unclear etiology. It is diagnosed in a wide spectrum from incidental microscopic findings to palpable breast mass. Diagnosis is generally made in the premenopausal age group. PASH cases seen in adolescents reported in the literature are very rare and none of them has mentioned the radiologic features in detail. In this case report, we present a 12-year-old patient with giant (150x100x127 mm in size) PASH in her right breast, giving emphasis to the findings of the ultrasonography and magnetic resonance imaging, including contrast-enhanced dynamic and diffusion-weighted imaging sequences. To the best of our knowledge, the present case is the second biggest giant PASH seen in the adolescent age.
{"title":"Giant Pseudoangiomatous Stromal Hyperplasia of the Adolescent Breast: A Case Report with Emphasis on Image Findings and Literature Review","authors":"Betül Duran, Burcin Agridag Ucpinar","doi":"10.4274/haseki.galenos.2022.7445","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.7445","url":null,"abstract":"Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign mesenchymal proliferation of the breast with unclear etiology. It is diagnosed in a wide spectrum from incidental microscopic findings to palpable breast mass. Diagnosis is generally made in the premenopausal age group. PASH cases seen in adolescents reported in the literature are very rare and none of them has mentioned the radiologic features in detail. In this case report, we present a 12-year-old patient with giant (150x100x127 mm in size) PASH in her right breast, giving emphasis to the findings of the ultrasonography and magnetic resonance imaging, including contrast-enhanced dynamic and diffusion-weighted imaging sequences. To the best of our knowledge, the present case is the second biggest giant PASH seen in the adolescent age.","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"42 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74006818","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 : 2022-03-31DOI: 10.4274/haseki.galenos.2022.7941
Ozden Ozdemir Baser, D. Koseoglu, Z. Çetin, Merve Çatak
{"title":"Laboratory Parameters Predict Complications in Primary Hyperparathyroidism: A Multicenter Cross-sectional Study","authors":"Ozden Ozdemir Baser, D. Koseoglu, Z. Çetin, Merve Çatak","doi":"10.4274/haseki.galenos.2022.7941","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.7941","url":null,"abstract":"","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":"29 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81746848","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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