Browsing by Author "Cankaya, H."

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Carotid Body Tumors: Challenging Complexity of Diagnosis and Surgical Treatment
(2003) Kiriş, M.; Cankaya, H.; Kutluhan, A.; Kiroglu, A.F.
OBJECTIVES: To evaluate the patients treated for carotid body tumors and the problems encountered during diagnosis and treatment. PATIENTS AND METHODS: The study included eight patients (5 females, 3 males; mean age 50 years; range 36 to 68 years) who underwent surgery for carotid body tumors. Diagnosis was confirmed by power Doppler ultrasonography and computed tomography or magnetic resonance imaging in all patients. Angiography was performed in three patients to evaluate vascularity and to perform embolization before surgery. Two patients had previously undergone biopsy elsewhere. The mean follow-up was 15 months (range 2 to 36 months). RESULTS: The size of the tumors varied from 3 cm to 11 cm. In two patients the tumors were found to extend to the skull base. Ligation of the external carotid artery and the common carotid artery was performed in five patients and in one patient, respectively. Surgery-associated injuries given to the internal carotid artery in two patients were repaired by sutures. The 10th cranial nerve was dissected in two patients who had undergone a prior biopsy. They developed cord paralysis and hoarseness postoperatively. Resection of the 11th cranial nerve in one patient resulted in shoulder pain and drop shoulder. The 12th cranial nerve was repaired end-to-end by neurorrhaphy in two patients. They exhibited significant improvement in nerve functions a year after surgery. CONCLUSION: The larger the tumor is, the more difficult the resection is, and the more injuries are caused to the surrounding nerves and vessels.
A Case of Concha Pyocele (Concha Bullosa Mucocele) Mimicking Intranasal Mass
(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2008) Yuca, K.; Kiris, M.; Kiroglu, A. F.; Bayram, I.; Cankaya, H.
Concha bullosa is the most common anatomic variant of the middle turbinate that usually remains asymptomatic. If the mucosal lining of pneumatized middle turbinate becomes inflamed, symptoms such as nasal obstruction, post-nasal discharge, snoring, headache, and fever occur. We report a case of concha pyocele (concha bullosa mucocele) in a 19-year-old girl. Computed tomography identified a right intranasal mass expanding towards the medial wall of the right maxillary sinus, nasal septum and right ethmoidal cells. The concha pyocele caused obstruction of the ostiomeatal complex, leading to right maxillary, ethmoid and sfenoid sinusitis. The patient was endoscopically treated under local anaesthesia. Histological examination of the mass revealed an active chronic inflammation caused by a foreign body.
A Case of Unilateral Mydriasis Secondary To Septoplasty Under Local Anaesthesia
(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2010) Cankaya, H.; Avcu, S.; Budak, A.; Yuca, K.; Kiroglu, A. F.
A case of unilateral mydriasis secondary to septoplasty under local anaesthesia. Septoplasty is a procedure performed to correct deformities of the nasal septum. Serious complications associated with septoplasty include orbital complications. Here, we present a 26-year-old male patient who developed unilateral mydriasis while undergoing septoplasty under local anaesthesia. The mydriasis resolved spontaneously in an hour without any sequel. In the present study, we emphasise the orbital complications that can be observed during septoplasty.
Differences in Clinical and Histopathologic Features Between Chronic Adenotonsillitis and Chronic Adenotonsillar Hypertrophy
(2003) Kutluhan, A.; Ugraş, S.; Kiriş, M.; Cankaya, H.; Kiroglu, A.F.; Yurttaş, V.
OBJECTIVES: This study sought to determine the clinical and histopathological differences between chronic adenotonsillitis and chronic adenotonsillar hypertrophy. PATIENTS AND METHODS: This prospective study included 286 patients (147 males, 139 females; mean age 16.6 years; range 3 to 45 years) with chronic adenotonsillitis and 197 patients (98 males, 99 females; mean age 9.5 years; range 2 to 18 years) with adenotonsillar hypertrophy. Clinical and histopathological findings were compared. RESULTS: The mean age was significantly higher (p<0.001) and acute attacks of fever, dysphagia, and sore throat were more frequent in chronic adenotonsillitis. Patients with adenotonsillar hypertrophy more commonly manifested snoring, mouth breathing, and dispnea. Physical examination showed hyperemia of the anterior plica in 93% and 15% in chronic adenotonsillitis and adenotonsillar hypertrophy, respectively. Histopathologically, the former was more commonly associated with severe lymphocyte infiltration to surface epithelium, surface epithelial defects, plasma cells, atrophy, and fibrosis. The sole outweighing difference in favor of chronic adenotonsillar hypertrophy was increased germinal centers. CONCLUSION: Clinical and histopathologic findings suggest that chronic adenotonsillitis and chronic adenotonsillar hypertrophy may be diverse diseases requiring different approaches in treatment.
A Different Approach in Removal of Proximal Wharton’s Duct Stone: Case Report
(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Turan, M.; Ozkan, H.; Garca, M.F.; Cankaya, H.; Avcı, K.; Bozan, N.; Kıroglu, A.F.
We aimed to approach with a different surgical technique to stone excision far from orifice in Wharton duct. A 51-year-old female patient admitted to our clinic with the complaints of pain and swelling at the right of mouth floor and especially swelling during nutrition at the inferior of right jaw. In the intra oral examination; a large, sensitive with palpation, sides are erythematous solid mass in the right submandibular canal region was detected. In the ultrasonography examination, left submandibular gland was found significantly heterogeneous and 1 cm in diameter hyperechoic posterior shade showing stone at approximately 10 mm distance to Wharton duct was visualized. Sialolithiasis treatment varies according to the localization of the stone, duration of the symptoms, frequency of repetition and size of the stone. Either conservative or surgical techniques can be used for treatment. Surgically, either intraoral or extraoral approaches can be used. In our case, after removing the stone from the distal part of Wharton duct, original orifice of the duct was deactivated and distal part of the duct was marsupialised to mouth floor. Saliva discharge was seen from the new orifice inside the mouth at the postoperative 3rd week of the case. More clinical studies with increased numbers of cases are needed for accurate results of the treatment method. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
A Giant Paediatric Mandibular Aneurysmal Bone Cyst and Reconstruction With Bilateral Iliac Bone Graft
(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2009) Yuca, K.; Kiris, M.; Avcu, S.; Bayram, I.; Cankaya, H.; Kiroglu, A. F.
A giant paediatric mandibular aneurysmal bone cyst and reconstruction with bilateral iliac bone graft. Aneurysmal bone cyst (ABC) is an unusual, non-neoplastic, expansile lesion of the bone. ABC is not a true cyst and it is characterised by the replacement of bone by fibro-osseous tissue containing blood-filled sinusoidal or cavernous spaces. The expanding mass often disrupts the normal bony architecture, with erosion of the cortex. Surgical treatment consists of complete excision or curettage. In this report, we present a 5-year-old girl with a huge aneurysmal bone cyst in the corpus of the mandible, which was reconstructed with bone graft taken from bilateral anterior iliac crests.
Giant Pilomatrixoma Arising in the Preauricular Region: a Case Report
(2004) Yuca, K.; Kutluhan, A.; Cankaya, H.; Akman, E.
Pilomatrixoma is a rare, benign, calcifying cutaneous tumor, originating from pluripotential precursors of hair matrix cells. It is most commonly seen in the head and neck region, occurring in the first two decades of life. It usually occurs as a single nodule with a diameter of 0.5-3 cm, localized dermally or subcutaneously. Clinical diagnosis may be difficult when it presents in a large, ulcerated form or in elderly patients. A 65-year-old female presented with a painful and progressive, cutaneous, firm-solid mass with a diameter of 6 x 4 cm in the left preauricular region. The mass was surgically excised under general anesthesia. Histopathological diagnosis of the mass was pilomatrixoma which showed basophilic cells, shadow cells, and calcifications. Postoperative result of the operation field was cosmetically and functionally acceptable.
Hairy Tongue: a Case Report
(2004) Yuca, K.; Calka, O.; Kiroglu, A.F.; Akdeniz, N.; Cankaya, H.
Hairy tongue or black hairy tongue is a benign condition characterized by hypertrophy of the filiform papillae that give the dorsum of the tongue a furry appearance. The color of the elongated papillae varies from yellowish white to brown or black. The etiology is unclear, but the disorder has been associated with numerous predisposing conditions such as heavy smoking, poor oral hygiene, use of topical or systemic antibiotics, systemic corticosteroid therapy, yeast infections, and radiotherapy for head and neck malignancies. A case is presented in which a hairy tongue appeared in a 67-year-old man.
Polymorphous Low-Grade Adenocarcinoma of Left Parotid Gland
(2010) Gelincik, I.; Bayram, I.; Cankaya, H.
An Unusual Cause of Dyspnea in a Pregnant Woman: Supraglottic Hemangioma
(Medquest Communications LLC, 2014) Kurdoglu, Z.; Kurdoglu, M.; Cankaya, H.
Dyspnea is a common complaint among pregnant women; upper airway obstruction is a rare cause of it. We report a case of supraglottic hemangioma in a 20-year-old pregnant woman who presented with increasing dyspnea and hoarseness at 40 weeks of gestation. She gave birth to a healthy 3,100-g girl by caesarean delivery under epidural anesthesia. She was able to breathe easily during the postpartum period. This case represents a rare instance of dyspnea caused by a supraglottic hemangioma in a pregnant woman.