Gökçen Akçiçek

Large arteriovenous malformation of the oromaxillofacial region with multiple phleboliths.

Vascular tumors are the most common benign tumors of the head and neck in infancy and childhood. Vascular anomalies of the head and neck were divided into 2 categories including hemangiomas and vascular malformations. Oral and maxillofacial hemangiomas and vascular malformations are congenital lesions with various clinical characteristics, manifestations, indications, and possibilities for treatment. This paper reports a case of large arteriovenous malformations including a description of the features demonstrated by panoramic radiography, cone beam computed tomography, and magnetic resonance imaging. The differential diagnosis and treatment modalities (including embolization with N-butylcyanoacrylate in this case) are also discussed following the case presentation, along with the available literature review.

Is the diagnosis of calcified laryngeal cartilages on panoramic radiographs possible

Purpose Detecting laryngeal cartilages (triticeous and thyroid cartilages) on panoramic radiographs is important because they may be confused with carotid artery calcifications in the bifurcation region, which are a risk factor for stroke. This study assessed the efficiency of panoramic radiography in the diagnosis of calcified laryngeal cartilages using cone-beam computed tomography (CBCT) as the reference standard. Materials and Methods A total of 312 regions (142 bilateral, 10 left, 18 right) in 170 patients (140 males, 30 females) were examined. Panoramic radiographs were examined by an oral and maxillofacial radiologist with 11 years of experience. CBCT scans were reviewed by 2 other oral and maxillofacial radiologists. The kappa coefficient (κ) was calculated to determine the level of intra-observer agreement and to determine the level of agreement between the 2 methods. Diagnostic indicators (sensitivity, specificity, accuracy, and false positive and false negative rates) were also calculated. P values <.05 were considered to indicate statistical significance. Results Eighty-two images were re-examined to determine the intra-observer agreement level, and the kappa coefficient was calculated as 0.709 (P<.05). Statistically significant and acceptable agreement was found between the panoramic and CBCT images (κ=0.684 and P<.05). The sensitivity, specificity, diagnostic accuracy rate, the false positive rate, and the false negative rate of the panoramic radiographs were 85.4%, 83.5%, 84.6%, 16.5%, and 14.6%, respectively. Conclusion In most cases, calcified laryngeal cartilages could be diagnosed on panoramic radiographs. However, due to variation in the calcifications, diagnosis may be difficult.

DETERMINATION OF ORAL HEALTH STATUS IN PATIENTS ADMITTED TO A UNIVERSITY HOSPITAL: A PILOT STUDY -

Aims: Oral mucosa, tongue, dentition and bone are important parameters for oral and systemic health care. A wide variety of lesions and conditions, either harmless or harmful, can affect the oral cavity. Identification and treatment of these conditions are an important part of oral health care. The aim of this study was to evaluate the general oral health status, by assessing the prevalence and types of mucosal, tongue, dental and jaw lesions, in a group of patients. Materials and methods: This study was conducted in a group of 314 dental outpatients. Participants’ oral mucosal, tongue, dental, jaw lesions and their locations were recorded. Data were analyzed using logistic regression analysis. Results: Three hundred and fourteen patients (40,1% female, 59,9% male), 148 (47,1%) of whom exhibited one or more mucosal lesions, 40 (12,7%) tongue lesions, 242 (77,1%) one or more acquired dental conditions, 61 (19,4%) one or more dental anomalies, and 22 (7%) bone manifestations in the jaws. The most commonly detected mucosal lesions were Fordyce’s granules (20,1%), linea alba buccalis (16,9%), melanoplakia (15,9%), and frictional keratosis (2,5%). Fissured tongue (8%), geographic tongue (1,6%), lingual varicosity (1,3%) and coated tongue (1,3%) were the most commonly determined tongue lesions. The most commonly detected dental anomalies were hypodontia (6,1%), microdontia (4,1%), dilaceration (4,1%), and enamel hypoplasia (2,5%). Exostoses (4,1%), enostoses (1%) and fibro-osseous lesions (1%) were the most commonly detected bone manifestations in the jaws. Conclusions: Oral mucosal and tongue lesions could be a sign of systemic diseases and also could form a base for oral cancers. In this study oral mucosal lesions and tongue lesions prevalence were high but fortunately all the detected conditions were harmless, benign conditions. This emphasizes the importance of familiarity, awareness, and differentiation of these lesions and conditions to avoid unnecessary treatments.

Removable denture-related oral mucosal lesions: descriptive clinical study

Amac: Bu calismanin amaci, hareketli protez kullanimina bagli gelisen oral mukoza lezyonlari ile protez tipi veya hastalara ait bireysel ozellikler arasindaki iliskinin incelenmesidir. Gerec ve Yontem: Hareketli protez kullanan 199 hastanin yas, cinsiyet, protez tipi, genel saglik ve ilac kullanim durumlari ile klinik muayene sirasinda saptanan protezle iliskili oral mukoza lezyonlari (POML), lokalizasyonlari ve hastalarin bu durumun farkinda olup olmadiklari kaydedildi. POML ile protez tipi ve hastalara ait bireysel ozellikler arasinda iliskinin incelenmesi icin Pearson ki-kare testi kullanildi. Bulgular: Calismaya dahil edilen hastalarin 122’si (%61.3) kadin, 77’si (%38.7) erkekti. Protez kullanan 96 (%48.2) hastada POML’ye rastlandi, 103 (%51.8) hastada ise POML saptanmadi. POML ile yas ve cinsiyet arasinda iliski bulunmadi (p>0.05). En sik rastlanan POML tipi protez stomatiti idi (%34 . 7). Protez stomatiti parsiyel protez kullanan hastalarda (p<0.05), epulis fissuratum ve mesnetsiz kret ise total protez hastalarinda istatistiksel olarak anlamli sekilde daha fazla bulundu (p<0.001). Travmatik ulserlerin alt total protez kullanan hastalarda (p<0.05), epulis fissuratum ve mesnetsiz kretin, ust total protez kullanan hastalarda gorulme sikligi anlamli olarak daha yuksek bulundu (p<0.001). POML’lerin mevcut oldugu hastalarin %57.3’u bu lezyonlarin farkinda olmadiklarini ifade ettiler. Sonuc: Orneklemimizde hareketli protez kullanan hastalarda yuksek oranda (%48.2) POML mevcut oldugu ve POML saptanan hastalarin da yaridan fazlasinin bu durumun farkinda olmadiklari belirlenmistir. Bu bulgular dogrultusunda hareketli protez kullanan hastalarin protez kullanimina iliskin onerilerin uygulanmasina ve duzenli kontrollerin onemine dair bilinclendirilmesi gerektigi dusunulmektedir.

DİABETES MELLİTUSLU BİR OLGUDA ÇİNKO EKSİKLİĞİNE BAĞLI TAT DUYUSU BOZUKLUĞU-DYSGEUSIA RELATED TO ZINC DEFICIENCY IN A CASE OF DIABETES MELLITUS

OZET Tat duyusu bozuklugu cinko eksikligi, tonsillektomi, diabetes mellitus, kafa travmasi gibi sebeplere bagli olarak yada idyopatik gelisen nadir bir fenomendir. Bu sunumda diabetes mellituslu bir olguda, tatlarin hepsini tatli olarak algilayan tat duyusu bozuklugunun nadir bir formu tanitilmistir. Hastada baska bir norolojik bulgu yoktu. Ancak kronik tonsillit nedeni ile yapilan tonsillektomiyi takiben hastanin tat duyusu bozuklugunda degisiklikler gozlendi ve cinko eksikligi nedeniyle uygulanan tedaviden fayda gordu. Bu sunumda tat duyusu bozukluklarinin tedavi yaklasimlari ile sebep olan faktorler tartisilmistir. Anahtar Kelimeler: Tat duyusu bozuklugu, Cinko Eksikligi, Diabetes Mellitus. ABSTRACT Dysgeusia is a rare phenomenon that my be idiopathic or my be caused by several factors such as zinc deficiency, tonsillectomy, diabetes mellitus and head trauma. A rare form of dysgeusia in a diabetes mellitus patient in which all food tasted sweet was desrcibed in this case report. No other neunlogical signs were observed in patient. However, taste disturbance of the patient was altered following tonsillectomy that was performed for chronic tonsillitis. The case was taken advantage of the zinc therapy due to zinc deficiency of the patient. In this case report management strategies and causative factors of dysgesia was discussed. Key Words: Dysgeusia, Zinc Deficiency, Diabetes Mellitus.