Browsing by Author "Egeli, E."

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Anatomic Variations of the Paranasal Sinuses: Ct Examination for Endoscopic Sinus Surgery
(1999) Arslan, H.; Aydinlioglu, A.; Bozkurt, M.; Egeli, E.
Chronic rhinosinusitis endoscopic surgery requires an accurate evaluation of diseases and paranasal sinus anatomic variations. This study aims to show the main anatomical variations in the ostiomeatal complex and paranasal sinuses which are usually depicted by computed tomography (CT). CT scans obtained 2 mm thickness in axial and coronal plane from a series of 200 patients with chronic sinusitis were examined to determine the prevalence of anatomic variants. Anatomical variations determined were supraorbital recess in 6%, concha bullosa in 30%, sphenomaxillary plate in 17%, infra-orbital ethmoid cells (Haller's cells) in 6%, spheno-ethmoid cells (Onodi's cells) in 12%, pneumatization of the anterior clinoid process in 6%, carotid artery bulging into the sphenoid sinus in 8%, pneumatization of the uncinate process in 2%, paradoxical curvature of the middle turbinate in 3% and septal deviation in 36%. Level difference between the ethmoid roof and nasal vault was an average of 8 mm in right side and 9.5 mm in left side. Awareness of these different variations will help the rhinologic surgeon in his orientation during endoscopic surgical procedures.
Auditory Brainstem Response in Children With Iron Deficiency Anemia
(2003) Çankaya, H.; Öner, A.F.; Egeli, E.; Çaksen, H.; Üner, A.; Akçay, G.
To investigate the neurosensorial influences with auditory brainstem response (ABR) in iron deficiency anemia. We recorded ABR in 33 children with iron deficiency anemia followed and in 31 healthy children (control group 1, 0-12 months, control group 2, 13-36 months, control group 3, 37-60 months) as a control group. The patients and controls were divided into three group: group I, at 12 months of age, group II, 13-36 months, and group III, 37-60 months. In all groups, composed latency time, inter-peak latency, amplitude of peaks, I-V wave amplitude ratio and waveform were evaluated and compared with control groups. In group I, I-V interpeak latency was increased compared with control group 1 (4.58 vs. 4.20 ms, p < 0.05). In group II, Wave V latency time and III-V interpeak latency were increased compared with control group 2 (6.21 ms vs. 5.63 ms. p < 0.005 and 0, 48 vs. 0.22 p < 0.005, respectively). In group III, wave I latency time was increased compared with control group 3 (1.56ms vs. 1.46 ms) (p < 0.05). We considered that increases in ABR latencies might be explained by delayed maturation of myelinisation, which requires iron, and/or by dysfunction of iron containing enzymes.
Body Growth in Relation To Tonsillar Enlargement
(1997) Egeli, E.; Inalkaç, E.
Severe airway obstruction caused by tonsillar enlargement can result in disturbances in body growth. In this study, 1136 children between 7 and 12 years of age, were evaluated and the size of their tonsils was investigated with regard to height and weight. This study was performed in the course of school screening, and correlation between estimated tonsil size and height and weight of the children was sought. Statistically, no such correlation was found (P > 0.05).
Difficult Tracheal Extubation (Case Report)
(2003) Demirel, C.B.; Kati, I.; Çankaya, H.; Hüseyinoǧlu, Ü.A.; Egeli, E.
Difficult tracheal extubation is hardly recognized by anesthesiologists as it is rarely encountered in comparison to difficult tracheal intubation. In patients, trials of extubation can be fatal when the real reason is not found. In most cases, the problem arises from an inability to deflate the cuff, commonly as a result of failure in the cuff-deflating mechanism. We present a patient who had operation for laryngo-fissur and chordectomy. The patient was intubated orally by direct laryngoscopy with a spiral endotracheal tube, which was used for the second time due to economical reasons. At the end of operation, the cuff could not be deflated via normal procedure. The patient was given anesthesia again and the cuff was exploded by a stile under direct laryngoscopy and extubation was performed. In patients with difficult tracheal extubation, it is better to do extubation after finding the real reason.
The Effect of Peritonsillar Corticosteroid Infiltration in Tonsillectomy
(1997) Egeli, E.; Akkaya, S.
A prospective, randomized, double-blind, placebo-control clinical study was performed to determine the effects of peritonsillar infiltration of dexamethasone on peroperative and postoperative morbidity in patients undergoing tonsillectomy with local anesthesia. A total of fifty-two patients, aged 14-34, were randomized to infiltrate dexamethasone (0.5 mg/kg, maximum dose, 12 mg) or placebo with local anesthetic at the peritonsillar region. Incidence of postoperative complications, pain medications, appetite, oral intake (type of diet) and fever were also compared between the two groups. Demographics of dexamethasone and placebo groups were similar. No statistically significant differences were noted peroperative procedures, postoperative complications, pain medication, appetite, oral intake (type of diet) between the two groups of patients.
The Efficacy of Topical Ciprofloxacin in the Treatment of Chronic Suppurative Otitis Media
(Medquest Communications LLC, 1998) Kiris, M.; Berktas, M.; Egeli, E.; Kutluhan, A.
We conducted a test of the efficacy of ciprofloxacin eardrops in 80 patients (95 ears) with otorrhea due to chronic suppurative otitis media in two treatment settings. One group (n=40; 47 ears) received daily ciprofloxacin therapy plus aspiration in the clinic. The other group (n =40; 48 ears) self administered ciprofloxacin at home. Overall, otorrhea resolved in 88% of all ears within 12 days of the initiation of treatment. The clinic- treated patients tended to respond more rapidly than did the self-treated patients, but there was no statistically significant difference in success rates between the two groups. Side effects were negligible. We conch that empiric topical ciprofloxacin therapy is an effective, safe and relatively inexpensive treatment for otorrhea in patients with chronic otitis media.