KBB Klinigi

Adana, Turkey

KBB Klinigi

Adana, Turkey
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Aim: We aimed to compare the preoperative fine needle aspiration biopsy (FNAB) and postoperative histopathology findings in parotid masses and to determine the diagnostic sensitivity, specificity, and accuracy of FNAB. Material and Method: Preoperative FNAB and postoperative histopathology findings of 133 patients who had been operated for parotid masses between 2010-2015 were included. The specificity and sensitivity values of fine-needle aspiration biopsy as a diagnostic test were calculated. Results: 105 of the patients (78.9%) were male and 28 (21.1%) were female with a mean age of 48.6 (22-77). FNAB was benign for 120 patients (90.2%) and malign for 9 patients (6.8%). FNAB was nondiagnostic in 4 (3%) of the 133 patients. 119 of the patients (92.2%) were reported as benign and 10 of the patients (7.8%) were reported as malign at postoperative histopathological examination. The sensitivity, specificity, positive predictive, negative predictive, and overall accuracy rates were 80%, 99.1%, 88.8%, 98.3% and 97.6%, respectively. Discussion: FNAB is a reliable method of preoperatively assessing parotid tumors. © 2017, Derman Medical Publishing. All rights reserved.

Gorgulu O.,KBB Klinigi | Ozdemir S.,KBB Klinigi | Selcuk T.,KBB Klinigi | Canbolat E.P.,KBB Klinigi | Akbas Y.,KBB Klinigi
Turkiye Klinikleri Journal of Medical Sciences | Year: 2012

External auditory canal tick bites are quite rare conditions. Ticks are arthropods that mediate transmission of many diseases including Crimean-Congo hemorrhagic fever. Climatic changes caused by global warming, seasonal changes and geographic location are factors facilitating the reproduction of tick population and increasing the occurence of tick borne diseases. The aim of this report was to present patients who presented to our clinic with tick bite. One patient presented with a sense of mobile foreign body in the ear and another one with ear obstruction. While the third patient had excessive itching, the fourth one had an earache. The patients did not have other systemic or local complaints. The examination of the external auditory canal revealed a tick attached to the posterior upper part of the right external auditory canal in the first patient. A tick was attached to the left tympanic membrane in the second patient with ear obstruction. In the third and the fourth patients, ticks were close to the skin of the left external auditory canal. Ticks were removed carefully from the external auditory canal and they were obtained alive. The patients were monitored in an outpatient setting for 14 days after being informed about the complaints. No additional problems developed on follow-up. The technique of removal of the ticks from the body and follow up measures were presented in this paper. © 2012 by Türkiye Klinikleri.

Saglam O.,KBB Klinigi | Cetin B.,KBB Klinigi | Karapinar U.,KBB Klinigi | Dursun E.,KBB Klinigi | And 5 more authors.
Turkiye Klinikleri Journal of Medical Sciences | Year: 2014

Objective: Analyzing the outcome of nasal septal perforation repair with endonasal mucosal flap rotation technique. Material and Methods: The medical records of the patients who had nasal septal perforation repair using a rotational mucosal flap between 2004 to 2013 were reviewed retrospectively. Data were recorded for sex, cause of disease, size of perforation, complications and closure of the perforation. Results: The mean age of 14 patients included in the study was 30.07±8.24 years (minimum 18-maximum 50). Complete closure of septal perforation was observed in 11 patients (78.6%). In two of 3 patients (21.4%) in whom perforations persisted, the size of the perforations decreased. No serious complications were noted in the patients. Conclusion: Repair of septal perforations by mucosal rotation flaps has a high success rate. In addition to being simple and easy to apply, this technique has no serious complication. © 2014 by Türkiye Klinikleri.

Eyigor H.,KBB Klinigi | Selcuk O.T.,KBB Klinigi | Eren E.,KBB Klinigi | Ylmaz M.D.,KBB Klinigi | Osma U.,KBB Klinigi
Journal of Clinical and Analytical Medicine | Year: 2015

Angioedema; which may be hereditary or non-hereditary, is defined as a sudden, severe, often in awkward, temporary swelling of skin, subcutaneous and mucous membranes of the face, tongue, lip, larynx, and gastrointestinal areas. Angiotensin Converting Enzyme (ACE) inhibitor drugs are widely used in essential hypertension and congestive heart diseases and effective and safe drugs. Angioedema is quite rare due to the use of ACE inhibitors, the rate changes from 0.1 to 0.7% reported in the literature. The pathophysiology of angioedema induced by ACE inhibitors are not completely understood, this situation has been tought to be associated with an increased activity of bradykinin related vasodilatation, increased vascular permeability and interstitial edema. In this study, a case of 65-year-old male patient presented angioedema induced by lisinopril was pre-sented and a very rare side effect of ACE inhibitor drugs was reviewed with the relevant literature. © 2015, Journal of Clinical and Analytical Medicine. All rights reserved.

Tuhanioglu B.,KBB Klinigi | Ozkiris M.,Ozel Kayseri Tekden Hastanesi
Turkiye Klinikleri Cardiovascular Sciences | Year: 2012

Term of jugular venous phlebectasia (JVP) identifies fuzzyform dilatation or isolated saccular aneurisms of the jugular vein. Seen sporadically in the past, this anomaly has been more commonly reported recently. It usually present in the neck in the sequence of internal jugular, external jugular, anterior jugular. It is usually seen in right side, but it can be also bilateral. More frequently seen in children, it may rarely be seen in adults. The various etiological factors of JVP include anatomical anomaly or compression of the vein, trauma, idiopatic or congenital structural defects of the vein wall. This paper reports a case of localised distension of the unilateral external jugular vein in a 8-year-old male patient diagnosed as JVP. Copyright © 2012 by Türkiye Klinikleri.

Objective: The aim of this study is to compare the therapeutic effects of systemic, intratympanic and combination therapies (systemic+intratympanic) of steroids for the treatment of sudden sensorineural hearing loss. Material and Methods: Patients who presented and treated for sudden sensorineural hearing loss in our clinic between January 2009 and January 2011 were analyzed retrospectively. A total of 64 patients met the inclusion criteria and underwent a standard treatment with steroids. Among 64 patients, steroids were given by systemic, intratympanic and both routes in 26, 20 and 18 patients, respectively. The study included patients with disease onset less than 15 days duration. The groups were compared for the responses to the treatment. Hearing recovery was evaluated according to criteria of Furahashi. Results: The mean age of the patients was 48.81 years. Thirty-eight of the patients (59.3%) were males and 26 of the patients (40.7%) were females. The median values of the pure tone averages of systemic, intratympanic and combination therapy groups before treatment were 73 dB, 51.5 dB and 51.5dB respectively, and the difference was not statistically significant. After treatment, the median values of the pure tone averages were 38.5 dB, 33.5 dB and 35 dB, respectively. There was no statistically significant difference among the pure tone averages of the groups after treatment (p=0.388). Conclusion: Steroids, the only drugs with provenefficacy in the treatment of sudden sensorineural hearing loss, are effective for the hearing recovery. Nevertheless different ways of steroid administration did not effect the recovery rate. © 2013 by Türkiye Klinikleri.

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