Browsing by Author "Kiroglu, A. Faruk"

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The Detection of Eagle's Syndrome With Three-Dimensional Multidetector Computerized Tomography (Ct)
(Professional Medical Publications, 2010) Yuca, Koksal; Avcu, Serhat; Kiroglu, A. Faruk; Etlik, Omer; Cankaya, Hakan; Kiris, Muzaffer
Objective: Eagle's Syndrome is caused by elongation of the styloid process or ossification of the stylohyoid ligament. We aimed to evaluate the contribution of 3-Dimensional Multidetector CT findings on Eagle's syndrome. Methodology: Three-Dimensional Multidetector CT were performed on 13 patients with Eagle's syndrome. Maximum intensity projection (MIP) and volume rendering (VR) images having optimal resolution in all patients were obtained using 3D reconstructions on work-station. Styloid process and its extension, and stylohyoid ligament were evaluated. A styloid processes e '' 3cm were accepted to be longer than normal. We also had a control group of patients which consisted of ten patients who had no complaints of dysphagia, throat pain, or foreign body sensation in the throat. Results: Elongation of the styloid process was revealed by 3D VR imaging in all patients. We found elongated styloid process bilaterally in two patients. Elongation of the styloid process was clearly revealed by 3D VR imaging in high contrast and spatial resolution under the anatomic orientation like conventional X-ray in all patients. The diagnosis of Eagle's syndrome was confirmed surgically in four of 13 patients. Conclusion: We conclude that 3D VR imaging is a valuable diagnostic method in detecting elongated styloid process.
Endoscopic Dacryocystorhinostomy With a T-Type Ventilation Tube
(B C decker inc, 2007) Kiroglu, A. Faruk; Cankaya, Hakan; Yuca, Koeksal; Kiris, Muzaffer
Background: The aim of this article is to present a different endoscopic dacryocystorhinostomy technique and its results on patients with blockage of the nasolacrimal drainage system. Methods: Eleven patients (seven female and four male) who had chronic epiphora with the diagnosis of chronic nasolacrimal duct blockage were operated on using T-type ventilation tubes. Oral antibiotics, nasal steroids, oral antihistamines, and antibiotic eyedrops were given to all cases. The ventilation tubes were removed 3 months after surgery. Results: Of 11 cases, 9 patients had unilateral and 2 patients had bilateral blockage. Eleven sides of nine patients were symptom free (85% success rate), and two patients had decreased continuation in complaints. Granulation tissue occurred in two revision patients. Conclusion: Endoscopic dacryocystorhinostomy using a T-type ventilation tube is an easy and cost-effective alternative and has low complication rates in the management of patients with nasolacrimal duct obstruction.
Evaluation and Treatment of Antrochoanal Polyps
(B C decker inc, 2006) Yuca, Koksal; Bayram, Irfan; Kiroglu, A. Faruk; Etlik, Omer; Cankaya, Hakan; Sakin, Feyat; Kiris, Muzaffer
Objectives: Antrochoanal polyp (ACP) is a benign maxillary sinus polyp that originates from the mucosa of the maxillary sinus, passes through a sinus ostium, and extends into the choana. The common presentation of ACP is unilateral nasal obstruction. The radiographic findings and differential diagnosis of ACPs are discussed by comparing them with data in the literature. Method: This study included 19 (14 male, 5 female; median age 24.5 years, range 8-75 years) surgically treated patients with ACPs diagnosed by clinical examination, nasal endoscopy, and computed tomography. Results: Nasal obstruction was found in all cases. Endoscopic sinus surgery was preferred for removal of the nasal part of ACPs in 13 cases. Only in one case, polypectomy combined with Caldwell-Luc operation and septoplasty was performed. The observed complications were as follows: minor hemorrhage in three cases, mild cheek swelling with pain in two patients, and infraorbital hypoesthesia in one case. Histopathologic examination of ACPs revealed loose mucoid stroma and mucous glands, which were covered by respiratory epithelium. Conclusion: Endoscopic sinus surgery may be indicated in patients with ACPs because the function and capacity of the maxillary antrum are preserved. The greater portion of the antral part of polyp can be removed while leaving the healthy antral mucosa intact.
Investigation of Changes in Oxidative Stress Before and After Nasal Packing Following Nasal Septoplasty
(Ortadogu Ad Pres & Publ Co, 2008) Noyan, Tevfik; Kiroglu, A. Faruk; Kara, Tolga; Keskin, Siddik
Objective: The aim of the study was to investigate the changes of the oxidant and antioxidant system in blood samples before and after nasal packing following nasal septoplasty. Material and Methods: A total of 23 patients, 7 females and 16 males, who were planned to undergo nasal septoplasty were included in the study. Nasal packing was removed at postoperative 48 hours in all patients. Blood gases, serum advanced oxidation protein products (AOPP), serum and erythrocyte malondialdehyde (MDA) levels, and catalase (CAT) activity were measured at preoperative 24 hours (period 1), postoperative 24 hours (period 2) and on postoperative day 15 (period 3) in all subjects. Results: pO2, pCO2, 02 saturation and HCO3 values were similar at all three periods. MDA level was lower and CAT activity in erythrocyte was higher at period 3 compared to periods 1 and 2. Serum CAT activity was also increased at period 3 compared to period 1. Serum MDA and AOPP levels did not change among the periods. Conclusion: The findings suggest that a decrease in oxidative stress as indicated. by the decrease in lipid peroxidation and increased CAT activity may have a protective role via free radical-scavenging properties 15 days after the operation.
Isolated Turbinitis and Pneumatization of the Concha Inferior in a Child
(W B Saunders Co-elsevier inc, 2007) Kiroglu, A. Faruk; Cankaya, Hakan; Yuca, Koksal; Kara, Tolga; Kiris, Muzaffer
Concha bullosa of the inferior turbinate is an extremely rare anatomic malformation with 11 reports of this condition in the literature. The inferior turbinate is an independent bone originating from the lateral nasal wall. Although inferior concha bullosa is generally asymptomatic and diagnosed incidentally by computed tomography, nasal obstruction, headache, and epiphora are some of the possible symptoms. Isolated turbinitis with no additional paranasal infection is also very rare. Although there is only 1 reported case of pediatric inferior concha bullosa before, this case is the first pneumatized inferior concha with associated isolated turbinitis. (C) 2007 Elsevier Inc. All rights reserved.
Lingual Abscess in Two Children
(Elsevier Ireland Ltd, 2006) Kiroglu, A. Faruk; Cankaya, Hakan; Kiris, Muzaffer
Acute lingual abscess is a rare condition despite exposure to frequent trauma. Because of possible airway management and spread of the infection to adjacent structures, it may be life-threatening. The diagnosis can be reached clinically. Also, aspiration of the pus by needle is a useful method both for diagnosis and treatment. The management of lingual abscess includes ensuring adequate airway, drainage of the abscess and antimicrobial therapy. In this paper two rare pediatric acute lingual abscess cases are presented and differential diagnosis and treatment options are discussed. (C) 2005 Elsevier Ireland Ltd. All rights reserved.
Minimal Invasive Excision of Intraorbital Dermoid Cyst
(Modestum Ltd, 2007) Atik, Bekir; Tan, Onder; Kaya, Zulkuf; Kiroglu, A. Faruk
Orbital dermoid cyst is a rare tumor for which the pathogenesis remains unclear. It is usually located in the lateral side of the orbita, and may also rarely be observed in the intraorbital region. In this cases, aggressive treatment is necessary for the success because recurrence rate is high. But it should work delicately because of the risk of the eye damage. We report three cases with intraorbital dermoid cysts who were successfuly treated by using a minimally invasive surgery. Eye movements and visual functions were normal in all patients. No recurrences or complications appeared postoperatively. We think that it is possible to excise dermoid cysts totally using a classical surgical technique, including an anterior approach, by careful dissection under loupe magnification.