Faruk Meric

The results of septal button insertion in the management of nasal septal perforation.

Nasal septal perforation may present with various symptoms. Perforations may be surgically closed or managed by obturation, inserting a prosthesis. We used a silicon septal button in the management of nasal septal perforation. In the follow-up period, although the insertion of the nasal septal button alleviated epistaxis, whistling during inspiration, and nasal obstruction, it could not control the production of crusting around the margin of the button.

Schwannoma of the larynx: case report.

Abstract Neurogenous tumours of the larynx are extremely uncommon. We present a rare case of schwannoma of the larynx. Clinical findings are presented together with computed tomography (CT) and magnetic resonance images. The tumour was located in the right aryepiglottic fold of the larynx. CT showed a well defined and hypodense mass extending from the right aryepiglottic fold to the right vocal cord. The patient underwent an excision of the mass through a lateral thyrotomy and the tumour was completely removed. The diagnosis and treatment of this tumour are discussed.

Congenital cholesteatoma of the mastoid region

Congenital cholesteatoma may arise in the petrous apex, mastoid, middle ear, or external auditory canal. The least common site being the mastoid process. We present one case of primary mastoid cholesteatoma confirmed by clinical examination, surgical findings and radiological evaluation.

Do Radiofrequency Radiation Affect the Auditory System of People with Occupational Exposure

The present study intended to investigate whether radiofrequency (RF) affects auditory system of people who are occupationally exposed to RF in terms of noise-induced hearing loss (NIHL) or not. The study was carried out on 31 men from 26 to 53 years of age. All of them have been working in the Diyarbakir Radio Broadcasting Station. On the other hand, the control group was based on 30 unexposed voluntary and healthy men. The range of age for control group was the same as in the exposed group (experimental group). The results of the present study showed that the incidence of NIHL in the exposed group is more and more than that of the unexposed (control) group. The incidence of NIHL was approximately found 70 % for exposed group and 6% for unexposed group. The difference of the incidence of NIHL between exposed and unexposed groups were statistically found significant for right and left ears at “4 kHz notch” (p < 0.001). Hearing loss was not observed below 1 kHz. The percentage difference in the incidence of hearing loss (decibel) between control and experimental group was found insignificant for frequency below 1 kHz (p > 0.05). The experimental group was also divided to three subgroups of technicians, officers and men staying in the quarters of radio broadcasting station. Three subgroups were compared with one another statistically. The incidence of NIHL for the right ears of technicians was found higher than the officer (p < 0.05). The incidence of NIHL for the left ears of men staying in quarters was found higher than officers (p < 0.05). The other results of comparison were found insignificant (p > 0.05). In conclusion, the incidence of NIHL at “4 kHz Notch” in the experimental group was found more common than the control group.

Radiologic and surgical findings in chronic suppurative otitis media.

Abstract Our aim in this study was to evaluate the efficiency of preoperative temporal bone computed tomography (CT) in detecting pathologic conditions in patients with chronic suppurative otitis media (CSOM). The intraoperative findings and temporal bone CT results of 350 patients who were diagnosed with CSOM between September 1, 2010, and June 1, 2013, were compared. Comparison parameters were as follows: the presence of cholesteatoma, erosion of the outer ear bone canal, erosion of the middle ear chain, erosion of the dural plate, erosion of the lateral semicircular canal, erosion of the sigmoid sinus wall, and dehiscence of the facial canal. The contribution of CT was limited in showing the outer ear canal destruction, dural plate destruction, facial canal destruction, lateral semicircular canal destruction, and destruction of the sigmoid sinus wall. However, CT was more sensitive in detecting cholesteatoma and erosion of the ossicular chain. These results indicate that preoperative CT of patients with CSOM serves as an important guide for otolaryngologists, although there are limitations in the evaluation of the CT results.

The effect of corticosteroid against streptomycin ototoxicity.

Abstract The aim of this experimental study was to determine the possible protective role of corticosteroid in prevention of streptomycin-induced ototoxicity. Twenty-eight adult Wistar albino rats were divided into 4 groups: control (n = 7), streptomycin (n = 7), corticosteroid (n = 7), and streptomycin + corticosteroid (n = 7). Rats were tested with distortion product otoacoustic emissions (DPOAEs) in the beginning and at the end of the study. The animals in all groups were killed under general anesthesia on the 45th day after the last DPOAE measurements. Hearing results were analyzed statistically to determine differences in amplitudes of DPOAE. In addition, the cochleas of each rat were evaluated by histopathologic and immunohistochemical examination. Significant difference was not observed in cochlear hair cells in the control and corticosteroid groups, whereas severe degeneration of hair cells and increased apoptotic cells were observed in the streptomycin group. Moderate degeneration was observed in the streptomycin + corticosteroid group. The hair cells were partially intact. DP-gram of the streptomycin and streptomycin + corticosteroid groups was significantly deteriorated (P < 0.05). The coadministration of steroids with streptomycin, which has a serious ototoxic effect, did not lead to a limitation of this harmful effect.

Managment of orbital complications of sinusitis

Purpose: We reported on the clinical approaches of ophthalmology and otorhinolaryngology departments in the treatment of the orbital complications of sinusitis. We also included an in-depth literature review. Methods: We retrospectively reviewed the medical files of 51 patients from January 2008 to January 2014. The records were evaluated for age, gender, type of orbital complications, symptoms, predisposing factors, imaging studies, medical and surgical management, culture results, and follow-up information. SPSS version 15.0 software (Statistical Analysis, The Statistical Package for Social Sciences Inc, Chicago, IL) was used for the statistical analysis. Results: Fifty-one patients met the criteria, with available medical records, for the study (29 male, 22 female). Thirty-two (62.7%) were diagnosed with preseptal cellulitis and 19 (37.3%) with postseptal cellulitis. After a detailed evaluation, 15 were diagnosed with a subperiosteal abscess (SPA), and 4 were diagnosed with orbital cellulitis. The age and gender was similar for the two groups. Five patients with medial SPA were treated with endoscopic sinus surgery, one patient with inferior SPA was treated with external surgery, and six patients with other localizations were treated with a combination of endoscopic sinus surgery and external surgery. All patients presented with periorbital erythema and edema. The length of hospitalization and duration of symptoms were similar in both groups. Visual acuity was between 1/10 to 10/10 (mean 7/10) and statistically significant for preseptal and postseptal cellulitis groups (p<0.001). All patients received intravenous antibiotics upon the first day of admission. Conclusion: Orbital complications of acute sinusitis required intensive follow-up and a multidisciplinary approach. A contrast-enhanced paranasal sinus computerized tomography (CT) scan can detect the extent of the infection. An initial trial of intravenosus (IV) antibiotics may be appropriate when close monitoring is possible. Surgery may be indicated when there has been no improvement within 48 hours of intravenous treatment, loss of visual acuity (under 8/10), and a non-medial abscess.

Evaluation of brainstem auditory evoked response audiometry findings in children with tuberculous meningitis at admission

OBJECTIVE To determine the characteristics of Brainstem auditory evoked response (BAER) findings in children with tuberculous meningitis (TBM) at admission. METHODS Twenty-seven children with highly probable TBM were admitted to the University Hospital. The control group was 23 healthy, age and sex matched subjects. Brainstem response audiometry recording was performed in all patients and controls. Ninety dB sound pressure level (SPL) was used for comparisons. The main BAER measurements analysed were the I-III, III-V, I-V interpeak intervals. In statistical analysis, t-test for independent groups were performed. At the same time, for interpeak intervals, values exceeding 2.5 standard deviations (S.D.) above the means of the normal controls were considered abnormal. To the result of BAER findings, HL was classified as mild (until 40 dBHL), severe (until 80 dBHL) and total HL (no hearing was detected). RESULTS The latencies of interpeak intervals (except III-V latency at 10 per s) have significantly prolonged in comparison with controls. Mild HL was detected in four ears. In eight ears, any wave form could not be obtained at 110 dBSPL. Abnormal BAER result was seen in 13 of 54 ears (24%) at the click of 10 per s and five ears (12%) at the click of 50 per s. CONCLUSION Abnormal BAER result was seen in 24% of patients with TBM before treatment. Depending on these findings, it can be inferred that hearing impairments must be lower than those values which was detected by BAER during the acute phase of TBM, since the abnormal BAER may be reversible following the illness, returning to normal with recovery.

Nadir bir olgu: tek taraflı parotis bezi yokluğu

Unilateral agenesis of the parotid gland is an extremely rare disorder. Only a few cases have been reported in the literature. Although this entity is usually asymptomatic, sometimes it may be important. For an example the normal parotid gland can be thought like a tumor due to the facial asymmetry. Accompanied by clinical and radio� logical findings, we present a case of unilateral parotid gland agenesis without involvement of other major sali� vary glands and together with a compensatory hypertro� phy of the contralateral parotid gland. J Clin Exp Invest 2010; 2(1): 88-90

Long-Term Effect of 900 MHz Radiofrequency Radiation Exposure on Cochlear Functions

ABSTRACT The purpose of this study was to investigate the effect of900 MHz radiofrequency radiation on the cochlear function. Fourteen Wistar albino adult male rats were equally divided into two groups: sham control and exposure groups. Rat heads in the carousel were exposed to 900 MHz microwave radiation (power output: 2 W) emitted from generator. The rats in the study group were exposed to the radiofrequency radiation 3 h per day (7 days a week) for 6 months. For the sham group, the same procedure was applied to the rats (3 h per day, 7 days a week for 6 months), except that the generator was turned off. Distortion Product Otoacoustic Emissions (DPOAE) values of rats were measured at the beginning of the study (baseline), 3rd and 6thmonth of the exposure. There were no significant DPOAE changes either in the exposure or sham control groups (P > 0.05). In conclusion, according to the results for the DPOAE values obtained in this study we can state that long-term exposure to 900 MHz radiofrequency radiation, which is 3 h a day (during 6 months), did not affect the cochlear function of rats. However, the DPOAE values obtained in this study do not constitute an example for subjects who talk on the mobile phone for a long time.