Browsing by Author "Yuca, K."

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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.
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.
The Effectiveness of Unilateral Tonsillectomy in Chronic Adenotonsillar Hypertrophy
(2005) Kutluhan, A.; Caksen, H.; Yurttaş, V.; Kiriş, M.; Yuca, K.
OBJECTIVES: This study sought to determine whether unilateral tonsillectomy was effective in the treatment of chronic adenotonsillar hypertrophy. PATIENTS AND METHODS: A total of 197 patients (96 girls, 101 boys) with chronic adenotonsillar hypertrophy were prospectively included. The patients were randomly assigned to either bilateral tonsillectomy (n=113; mean age 10.1 years; range 4 to 18 years) or unilateral tonsillectomy (n=84; mean age 4.5 years; range 3 to 8 years) performed with or without adenoidectomy. All the patients were followed-up for at least a year. RESULTS: The two groups did not differ significantly with respect to preoperative symptoms, the size of tonsils, and the presence of adenoid hypertrophy. At the end of the follow-up, no significant differences were found with respect to relief of snoring, mouth breathing, and upper airways obstruction between the two groups. A greater number of patients achieved complete improvement in snoring in the bilateral tonsillectomy group (p<0.05). With unilateral tonsillectomies, three patients required tonsillectomy to the other side, two had recurrent tonsillitis, and one had severe compensatory hypertrophy with persistent difficulty in inspiration and mouth breathing. CONCLUSION: Unilateral tonsillectomy seems to be as effective as bilateral tonsillectomy in the treatment of chronic adenotonsillar hypertrophy.
Ellis-Van Creveld Syndrome
(TIP ARASTIRMALARI DERNEGI, 2008) Cesur, Y.; Yuca, S.A.; Üner, A.; Yuca, K.; Arslan, D.
Ellis-van Creveld syndrome (EVCS) or chondroectodermal dysplasia is a rare autosomal recessive disorder characterized by a variable spectrum of clinical findings. Classical EVC syndrome comprises a tetrad of clinical manifestations of chondrodystrophy, polydactyly, ectodermal dysplasia, and cardiac defects. The patient presented with short stature, polydactyly, triangular face and dental dismorphism was found appropriately as radiographic with ectodermal dysplasia. In addition to the presence of single atrium, mitral, tricuspid and pulmonary valve insufficiency and pulmonary hypertension wererevealed by echocardiography. Her history involved a sister who was dead in 3-month-ages.
Endoscopic View and Mri of a Thornwaldt's Cyst of the Nasopharynx
(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2005) Yuca, K.; Etlik, O.; Kiroglu, A. F.; Celebi, S.; Yakut, E.
A Thornwaldt's cyst is an uncommon nasopharyngeal lesion that develops from the remnant of the primitive notochord. A 65-year-old man with a Thornwaldt's cyst is presented in this case report. The patient was diagnosed by rigid nasal endoscopy and magnetic resonance imaging (MRI). These cases are infrequently presented in the English journals. Our study suggested that endoscopic and MRI examinations of the nasopharynx were a simple, rapid, and useful procedure for the diagnosis of the Thornwaldt's cysts.
A Forgotten Difficult Entity:ozena Report of Two Cases
(2010) Yuca, S.A.; Yuca, K.; Kiroǧlu, A.F.; Yakut, F.
Atrophic rhinitis or ozena is a chronic nasal disease characterized by progressive atrophy of the nasal mucosa and underlying bone, accompanied by the formation of foul smelling, thick, dry crusts in the greatly enlarged nasal cavities. Although the incidence of ozena is greatly diminished, it is still encountered rarely. The etiology of ozena still remains enigmatic but hereditary, infectious, developmental, endocrine and nutritional factors have been implicated. We describe two patients with endoscopical, clinical evidence and computed tomography findings of atrophic rhinitis along with a review of the current literature.
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.
Juvenile Nasopharyngeal Angiofibroma
(2010) Garça, M.F.; Yuca, S.A.; Yuca, K.
Review of the literature was performed to define the optimal treatment of patients with juvenile nasopharyngeal angiofibroma (JNA). The prognosis for this disease is extremely good if diagnosed well in time and if the tumor has not extended intracranially. Preoperative selective arterial embolization has decreased intraoperative blood loss and facilitated resection of larger tumors. Transnasal endoscopic resection preserves both the anatomy and physiology of the nose, requires less rehabilitation days after surgery, and is highly successful for selected patients. Radiation therapy is generally reserved for larger and/or unressectable tumors but has severe complications. Radiosurgery has several advantages over surgery or classic radiation therapy. However, further experiences and studies are required to confirm the usefulness of radiosurgery on JNA.
Maxillary and Temporal Fibrous Dysplasia
(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2005) Kiroglu, A. F.; Yuca, K.; Çankaya, H.; Kutluhan, A.; Kara, T.
Maxillary and temporal fibrous dysplasia: three cases. Problems/objectives: Fibrous dysplasia (FD) is a benign, expansile lesion of bone with slow progression and unknown origin. The purpose of this report is to make physicians aware of the symptoms, methods for differential diagnosis, and treatment options. Methodology: Three cases of monostotic FD are presented; two involving the maxillary sinus, and one in temporal bone. CT scans are the definitive diagnostic and follow-up method. Surgical approaches to alleviate the symptoms, including facial deformity, are described. Results: FD went undiagnosed for three years in these patients. All three patients were relieved of the symptoms by limited surgery, and remained asymptomatic for up to two years after the surgery, with no signs of recurrence. Conclusions: Practitioners should be alert to the possibility of FD, particularly if patients develop narrowing of the ear canal, or progressive postauricular or maxillofacial enlargement. Minimal surgery to alleviate the symptoms is the treatment of choice.
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.
Treatment of Mucoepidermoid Carcinoma of the Parotid Gland and Successful Repair of Iatrogenic Facial Nerve Paralysis
(2008) Kutluhan, A.; Yurttaş, V.; Yuca, K.; Kösem, M.; Yakut, F.
A 15-year-old female patient developed facial nerve paralysis following surgical excision of a right parotid mass at another center. The histopathologic diagnosis of the lesion was mucoepidermoid carcinoma. On admission to our clinic, she underwent extended total parotidectomy and functional neck dissection. For facial nerve reanimation, cervical plexus nerve grafting was performed for frontal and buccal branches, and ansa hypoglossi anastomosis for the marginal mandibular branch. Postoperative radiotherapy was administered. Facial nerve functions returned to normal in the postoperative sixth month (House-Brackmann grade II). No locoregional recurrence or distant metastasis occurred in the follow-up period.