Browsing by Author "Yuca, Koksal"

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Comparison of the Effects of Room Air and N2o + O2 Used for Proseal Lma Cuff Inflation on Cuff Pressure and Oropharyngeal Structure
(Springer Tokyo, 2008) Tekin, Murat; Kati, Ismail; Tomak, Yakup; Yuca, Koksal
This study aimed to evaluate the effects of different inflating gases used for ProSeal LMA (PLMA) cuff inflation on cuff pressure, oropharyngeal structure, and the incidence of sore throat. Eighty patients (American Society of Anesthesiologists; ASA I-II) were randomly divided into two groups. PLMA cuff inflation was achieved with appropriate volumes of 50% N(2)O + 50% O(2) in group I and room air in group II, respectively. When the PLMA was removed, oropharyngeal examination was carried out immediately, using a rigid optical telescope. Patients were asked about sore throat symptoms postoperatively. Cuff pressures were significantly lower in group I, except at the initial pressure measurement. Cuff pressure was positively correlated with the length of the operation in group II, and negatively correlated in group I. PLMA cuff inflation with room air led to increased cuff pressure during the operation, possibly due to the diffusion of N(2)O into the cuff. We consider that a PLMA cuff inflated with an N(2)O-O(2) mixture is convenient, especially in operations in which N(2)O has been used.
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.
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.
Internal Jugular Vein Thrombosis Two Different Etiologies
(Modestum Ltd, 2005) Erkoc, Reha; Uzun, Kursat; Yuca, Koksal; Etlik, Omer; Dogan, Ekrem; Sayarlioglu, Hayriye; Cankaya, Hakan
Internal Jugular vein (IJV) thrombosis is a rare entity. It is usually secondary to various etiologies such as catheter, malignancy, trauma, infection and hypercoagulable status. Associated malignancies, either known or occult, are also uncommon and not well documented in the etiology of IJV thrombosis. We reported IJV thrombosis with two different pathologies i.e. malignacy and congestive heart failure. The diagnosis of IJV thrombosis was established with Doppler ultrasound and CT scan. These patients were treated low-molecular-weight heparin and oral anticoagulation. Early diagnosis and appropriate management is important to prevent potentially fatal complications from internal jugular vein thrombosis.
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.
Neurofibromatosis Type 1 With Subcutaneous Mass in Occipital Region, Bilateral Lisch Nodules of Iris and Cafe-Au Spots
(Modestum Ltd, 2005) Yuca, Koksal; Yilmaz, Nebi; Cinal, Adnan; Etlik, Omer; Kiris, Muzaffer
Reconstruction of the Columella Using the Prefabricated Reverse Flow Submental Flap: a Case Report
(Wiley, 2006) Tan, Onder; Kiroglu, Ahmet Faruk; Atik, Bekir; Yuca, Koksal
Background. The reconstruction of columellar defects is still a challenging procedure because of limited local and regional flap options and the characteristics of the anatomy of this site. Although a number of methods are available to repair nasal columella defects, no treatment of choice ensuring an excellent texture and color-matched tissue in one stage has been determined to date. Method. In this case, we used a reverse-flow submental island flap prefabricated with the costal cartilage for the reconstruction of a complex columellar defect. Result. The flap survived completely with reversible venous congestion, The cosmetic result and nasal respiratory function were acceptable during the follow-up time of 6 months. Conclusion. We propose that the prefabricated reverse submental flap may be an alternative among the surgical options for columellar defects, This flap may also be considered in the reconstructive repertoire of other composite defects of the head and neck region, (c) 2006 Wiley Periodicals, Inc.
Report of a Girl With Infantile Hemangioendothelioma
(Modestum Ltd, 2005) Yuca, Koksal; Kosem, Mustafa; Yuca, Sevil Ari; Oral, Hayal; Bay, Ali
Infantile Hemangioendothelioma (IHE) is a rare vascular tumor with predominant involvement of soft tissues of extremities. The occurrence in the head and neck region is extremly rare. We report a four-month-old female with IHE in her lower lip. The clinical and histologic photographs depict the findings. The diagnosis and treatment of IHE are discussed.