Browsing by Author "Kiris, M."
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Article 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.Article Castleman's Disease Arising in the Cervical Region: a Case Report(2003) Yuca, K.; Kösem, M.; Çankaya, H.; Kutluhan, A.; Kiris, M.Castleman's disease (CD) (angiofollicular lymph node hyperplasia) is a rare lymphoproliferative disease of unknown etiology. On rare occasions it is the cause of a solitary neck mass. Definitive diagnosis and treatment is possible with complete surgical resection. This report describes a case of this disorder of the hyalinovascular type as a solitary neck mass in a 35-year-old woman. The patient was treated by surgical excision.Article 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.Article 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.Article The Place of Tonsillar Focal Infection in Tonsillectomy Bleeding in Chronic Tonsillitis(2000) Kutluhan, A.; Kiroglu, F.; Akpolat, N.; Akdeniz, H.; Ugras, S.; Kiris, M.Purpose: The aim of this study is to investigate whether there is any factor which influences tonsillectomy bleedings among clinical and histopathological findings. Methods: 380 patients who underwent tonsillectomy due to chronic tonsillitis were included in the study. The patients were divided into two groups according to peroperative bleedings. Group 1, included the patients whose bleedings stopped spontaneously or with gauze tampon and Group 2, the patients whose bleedings stopped with suturation-ligation or cauterisation. Results: Although there was no difference between the groups in age, sex, acute tonsillitis attack number, tonsil volume, lymphoide hyperplasia, lymphocyte infiltration to surface epithelium, epithelial defect, plasma cell and fibrosis; a statistical difference was present in view of polymorphonuclear leucocyte occurence against Group 1. Conclusion: We consider that an acute infection limited to the tonsils, exists in some cases with chronic tonsillitis and therefore this state may become a minor factor causing to bleeding in tonsillectomy.Article Retropharyngeal Abscess Presenting With Acute Respiratory Distress in a Case of Cervical Spondylodiscitis(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2010) Avcu, S.; Uenal, Oe.; Turan, A.; Kiris, M.; Yuca, K.Retropharyngeal abscess presenting with acute respiratory distress in a case of cervical spondylodiscitis. We treated a 41-year-old man who presented with dysphagia, fever and respiratory distress. Magnetic resonance imaging (MRI) showed a large retropharyngeal abscess (RPA) extending to the C5-6 level, C5-6 spondylodiscitis and a spinal epidural abscess. The RPA was drained surgically under emergency conditions. Because the tuberculin skin test was positive, the patient underwent a triple anti-tuberculous drugs regimen. After six months of drug therapy, the epidural abscess was completely resolved. One of the most important aetiologies of RPA is thought to be tuberculous spondylodiscitis, and cervical vertebrae should be scanned thoroughly with pre-operative MRI.