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Dere H.,Ankara Numune Education and Research Hospital 4th ENT Clinic | Saygi G.,Ankara Numune Education and Research Hospital 4th ENT Clinic | Akdogan O.,Ankara Numune Education and Research Hospital 4th ENT Clinic | Selcuk A.,Ankara Numune Education and Research Hospital 4th ENT Clinic | Gokturk G.,Ankara Numune Education and Research Hospital 4th ENT Clinic
Journal of International Advanced Otology | Year: 2010

Lateral sinus thrombosis is a rare condition that can be caused by an otogenic disease with cholesteatoma or can be itself a primary condition. It can be associated with acute and chronic otitis media, hyperhomocysteinemia, pregnancy, malignancy or vasculitic syndromes. We present a case with a primary complaint of headache. A 24-years old male suffering of chronic headache for 4 months was admitted to our clinic. He had also 2-weeks history of insensitivity of legs. Physical examination revealed hyperemia of right tympanic membrane and sensitivity on right mastoid apex. The MRI and MR-Angiography of the brain indicated cerebral sinus thrombosis (right sigmoid, transverse and superior sagittal sinuses) and right acute mastoiditis. Laboratory test values were almost normal, except high blood homocysteine value. Intravenous Meroperem was initiated as the medical therapy. We operated the patient on 8th days of his admission. Right simple mastoidectomy was performed. The mastoid air cells were infected. Anticoagulant therapy was initiated postoperatively. Following mastoidectomy and broad spectrum intravenous antibiotics the patient had a full recovery. The exact etiology of the patient remained controversial whether the infected mastoid cells were the cause or the effect. The most probable etiology was assumed as the complication of acute otitis media, hyperhomocysteinemia or aseptic cerebral sinus thrombosis. Copyright 2005 © The Mediterranean Society of Otology and Audiology.


Taylan I.,Ankara Numune Education and Research Hospital 4th ENT Clinic | Ozcan I.,Ankara Numune Education and Research Hospital 4th ENT Clinic | Mumcuoglu I.,Ankara Numune Education and Research Hospital | Baran I.,Ankara Numune Education and Research Hospital | And 5 more authors.
Indian Journal of Otolaryngology and Head and Neck Surgery | Year: 2011

Adenoidectomy and tonsillectomy, indicated for children with recurrent or persistent symptoms of infection or hypertrophy, are among the most frequent operations performed in children. This study was carried out for investigating the microbial flora of the tonsils and adenoids regarding to core and surface microorganisms and also pathogen microrganisms' beta-lactamase production rate. Cultures were taken from the core and surface of tonsils and adenoids of the 91 patients at the time of the surgery for tonsillectomy and adenoidectomy. Aerobic and anaerobic cultures were inoculated and identified. Beta-lactamase production was detected also. The most frequently isolated aerobic microorganisms were Streptococcus viridans and Neisseria spp. The number of the microorganisms isolated from the tonsil core compared to the surface of the tonsils was found statistically insignificant (P > 0. 05). The number of the adenoid surface aerobic microorganisms was found higher from the adenoid core (P < 0. 05). The amount of adenoid and tonsil core anaerobic microorganisms were alike. The patients' preoperative antibiotherapy whether using beta-lactam or beta-lactamase resistant were compared for beta-lactamase producing bacteria production and the number of beta-lactamase producing bacteria were found statistically insignificant (P > 0. 05). The togetherness of Staphylococcus aureus and other beta-lactamase producing bacteria was found statistically significant (P < 0. 05). This study demonstrates that there is polymicrobial aerobic-anaerobic flora in both adenoids and tonsils. There was a close relationship between the bacteriology of the tonsil and adenoid flora. Staphylococcus aureus and and other beta-lactamase producing bacteria may be responsible for treatment failures in patients with tonsillitis. © 2011 Association of Otolaryngologists of India.


PubMed | Ankara Numune Education and Research Hospital 4th ENT Clinic
Type: Case Reports | Journal: B-ENT | Year: 2010

Nasal septal abscesses are usually formed following nasal trauma or haematoma. A nasal septal abscess is defined as a collection of purulent material (pus) between the cartilage or bony septum and the mucoperichondrium or mucoperiosteum. Sinusitis and periorbital cellulites have been reported among the etiological factors and the complications.A case of posttraumatic nasal septal abscess is reported in a 35-year-old male patient.Frontal, ethmoid, and sphenoid sinusitis, as well as periorbital cellulites were seen to accompany the septal abscess. The abscess was surgically drained and intravenous antibiotherapy was instituted.Nasal trauma patients should be carefully assessed for posttraumatic haematoma and abscess formation, so that possible complications can be avoided by taking appropriate therapeutic measures.


PubMed | Ankara Numune Education and Research Hospital 4th ENT Clinic
Type: Comparative Study | Journal: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery | Year: 2011

The ossicles may be affected through the mass effect of the pathological tissue in chronic otitis media. Ossicular reconstruction may be accomplished using the patients own ossicles or with alloplastic materials. Glass ionomer ossiculoplasty is a fast, efficient, safe and cost-effective method and it has been used more frequently in recent years. Forty-six patients who had surgery for chronic otitis media were included in this study. All patients had an incus long process defect and a normal stapes superstructure. Ossicular reconstruction was performed using glass ionomer cement (GIC) (Ketac-Cem, Espe Dental AG, Seefeld, Germany) in 23 patients (group 1), while incus interposition was performed in other 23 patients (group 2). Preoperative and postoperative air pure tone averages of the group 1 patients were 42.8 and 35.2 dB, respectively (p < 0.01). These values were 42.9 and 34.5 dB in group 2 (p < 0.01). Two groups were similar with respect to postoperative hearing gain (p > 0.05). The air bone gap of group 1 was 27 dB preoperatively and 20.7 dB postoperatively. These values were 28.7 and 20.2 dB, respectively, in group 2. The closure of air bone gap was statistically significant in both the groups (p < 0.01, p < 0.01). The comparison of the mean gains of the air bone gap revealed no difference between the groups (p > 0.05). In conclusion, the use of both GIC ossiculoplasty and incus interposition are efficient methods for reconstruction of incus long process and one is not superior to the other. A larger study population may be useful for comparison of these methods.

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