Menduh Oruç

Rare But a Serious Complication during Dental Implantation: Implant Aspiration

Tracheobronchial foreign objects are life threatening situations. Although they occur more frequently in children, they may occur in any age group. Sometimes, when aspiration episode cannot be received in patients who have persisting dry cough and labored breathing, foreign object aspiration must be suspected. In addition to the listening signs in diagnosis, chest radiography is sufficient most of the time. In this case, a 54-year old male patient is mentioned who aspirated implant material and subsequently reported to the emergency clinic with the complaints of labored breathing and dry cough.

Transtorasik Dikiş İğnesi'ne Bağli Diafragma Rüptürü

Ectopic neurohypophysis is an anomaly of the Pituitary gland which may be associated with short stature due to Growth hormone deficiency. MRI is the modality of choice in diagnosing this condition. We present a case of pituitary dwarfism and ectopic neurohypophysis with clinical and radiological findings. 21 year-old male admitted with short stature. All hormones, except prolactin, of anterior hypophysis were low. Bright spot was ectopically located at level of median eminence on enhanced MRI of hypophysis and stalk of hypophysis was not observed. Ectopic neurohypophysis may be present with pituitary dwarfism. Cranial MRI may be useful to investigate related pathologies in such cases.

Evaluation of patients diagnosed with spontaneous hemopneumothorax

Amac: Spontan hemopnomotoraks (SHP), nadir gorulen bir hastaliktir. Zamaninda taninmaz ve tedavi edilmezse hayati tehdit edebilir. Bu calismanin amaci SHP’ li hastalarin tedavisinde kurumumuzun deneyimlerini paylasmaktir. Hastalar ve Yontemler: Temmuz 2005-Mayis 2017 yillari arasinda 610 adet spontan pnomotoraks hastasi klinigimize basvurdu. Hastalarin yasi, cinsiyeti, etkilenen taraf, drenaj miktari, klinik bulgulari ve tedavi sonuclari retrospektif olarak degerlendirildi. Bulgular: Tum hastalarin on-arka akciger (PA Akc) grafisi, bilgisayarli toraks tomografisi (BT), tam kan, biyokimya ve koagulasyon testleri degerlendirildi. Tum hastalara kapali su alti drenaji uygulandi. Altiyuz on hastadan 7 (%1,14)’sinde SHP tesbit edildi. Toraks drenaj takibi sonrasi 7 hasta operasyona alindi. Uc hastaya video yardimli torakoskopik cerrahi (VYTC), diger hastalara torakotomi yapildi. Postoperatif komplikasyon olmadi. Sonuc: Travma hikâyesi olmadan ani baslayan gogus agrisi ve nefes darligi olan hastalarda, radyografide pnomotoraksla beraber sivi seviyesi var ise SHP dusunulmelidir. Ilk tedavi yaklasimi tup torakostomi olmalidir. Sonrasinda, hasta yakin klinik ve hemodinamik kontrol altinda tutulmali ve eger kanama devam ederse oncelikli olarak VATS veya acil torakotomi uygulanmalidir. Boylece erken tani ve uygun cerrahi yaklasimla gelisebilecek olumcul komplikasyonlar onlenebilir.

[Diaphragmatic injury: condition be noticed in the management of thoracic trauma].

BACKGROUND The aim of the present study was to emphasize diaphragmatic injuries that can be overlooked in chest traumas. METHODS Between January 2000 and June 2013, fifty-three patients with traumatic diaphragmatic laceration were evaluted among 1349 patients who had chest injuries. Patients were examined regarding age, gender, associated injuries, surgical interventions, postoperative morbidity, mortality and length of hospital stays. RESULTS Of them, fifty-three cases had diaphragmatic lacerations. There were forty-eight male and five female patients, with a mean age of 31.06 (4-60) years and 35.80 (18-50) years. Thoracotomy in 66%, laparotomy in 20.75% and laparotomy+thoracotomy in 13.20% of the cases were performed. Video-assisted thoracoscopy was carried out in 15.09% of the patients. Diaphragm was repaired on the left in thirty-one cases and in the right in twenty-two cases. Pulmonary complications like morbidity was mostly seen in 37.73% of blunt trauma. Mortality was seen in three cases of penetrating trauma. Mean hospital duration was 8.75 days (range, 4-15 days). Patients were followed for a mean duration of 28.13 months (range, 3-60 months). There was no significant statistical difference between types of injury, ages and gender of cases (p=0.05); whereas, morbidity rate was important in patients with blunt trauma. DISCUSSION Diaphragmatic lacerations should be kept in mind when penetrating and blunt injuries to the thorax are evaluated.