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Dizdar D.,Gaziosmanpasa Taksim Training and Research Hospital | Civelek S.,Gaziosmanpasa Taksim Training and Research Hospital | Calis Z.A.B.,Fatih University | Dizdar S.K.,Hamidiye Sisli Etfal Training and Research Hospital | And 2 more authors.
Journal of Craniofacial Surgery | Year: 2015

Snoring is caused by the vibration of structures of the oral cavity, such as the soft palate, uvula, tonsils, base of the tongue, epiglottis, and lateral pharyngeal walls. When these structures collapse and obstruct the airway, apnea occurs. Obstructive sleep apnea syndrome (OSAS) is characterized by repeated periods of upper airway obstruction, a decrease in arterial oxygen saturation, and interrupted sleep. The prevalence of OSAS is 1% to 5% in men and 1.2% to 2.5% in women. Crucial factors in deciding the surgical approach include a detailed ear-nose-throat examination, Muller maneuver, sleep endoscopy, and apnea hypopnea index scores. Accepted treatments include continuous positive airway pressure (CPAP), surgeries of the base of the tongue and/or palate, and multi-level surgeries. It, however, is important to continue to evaluate the efficacies of such procedures. The authors evaluated the outcomes of 23 patients who underwent surgery for OSAS, using preoperative and postoperative polysomnography (PSG) and the Epworth sleepiness scale (ESS). The results were compared before and after surgery. In all, 14 patients had lateral pharyngoplasty and 9 had uvulopalatopharyngoplasty (UPPP). The PSG and Epworth scale values were significantly lower in both groups, postoperatively. Patients indicated that their quality of life had improved. In conclusion, the surgeries were successful. In line with the literature, our results indicate that lateral pharyngoplasty and UPPP can be used in appropriate patients. Longer-term studies on more patients will provide more detailed information in the future. Copyright © 2015 Mutaz B. Habal, MD. Source


Oc Y.,Hamidiye Sisli Etfal Training and Research Hospital | Kilinc B.E.,Hamidiye Sisli Etfal Training and Research Hospital | Armagan R.,Hamidiye Sisli Etfal Training and Research Hospital | Kara A.,Hamidiye Sisli Etfal Training and Research Hospital | And 2 more authors.
Serbian Journal of Experimental and Clinical Research | Year: 2016

Volar locking plating treatment results in fragmented intra-articular distal radius fractures in adults. Twenty-five patients (14 men, 11 women; mean age, 44.32±12.12 years) who were treated with volar locking plates due to distal radius fractures were prospectively studied. Among the fractures, 44% were C2 and 56% were C3, according to the AO classification system. Clinical analyses were performed using the Gartland and Werley scale, the short version of the Arm, Shoulder, and Hand Questionnaire (QuickDASH), and the visual analogue scale (VAS); radiological evaluations were performed using the Stewart evaluation criteria. The mean patient follow-up time was 20.36±7.62 months. According to the Gartland and Werley assessment scale, 68.0% of the patients (n = 17) had excellent results, 28.0% (n =7) had good results, and 4.0% (n =1) had poor results. The mean VAS score was 0.84±1.07, and the quick-average DASH subjective question score was 7.07±12.95. According to the Stewart score, the percentages of patients with perfect and good results were 92% and 8%, respectively. Among the patients, the mean grip strength was 77.3% when it was evaluated on the healthy side. One patient was diagnosed with complex regional pain syndrome, while another patient was diagnosed with flexor tenosynovitis and paraesthesia in the distribution of the median nerve; two patients were diagnosed with flexor tenosynovitis. Volar locking plating is an effective surgical method for treating distal radius fractures. The plate should be properly placed during surgery, and post-operative movement should begin early. © 2016, University of Kragujevac, Faculty of Science. All Rights Reserved. Source


Basaran K.,Fox Chase Cancer Center | Basaran K.,Bagcilar Training and Research Hospital | Basaran K.,Hamidiye Sisli Etfal Training and Research Hospital | Basaran K.,Technical University of Istanbul | And 36 more authors.
Plastic and Reconstructive Surgery | Year: 2016

Background: The harvesting of septal cartilage following mucoperichondrial flap elevation has almost become a standard step in rhinoplasty. However, the strength of the remaining septum has not yet been evaluated. In the current experimental study of a rabbit rhinoplasty model, the remaining septum following a graft harvest was analyzed both biomechanically and pathologically. Methods: Forty New Zealand rabbits were classified into four equal groups. Group 1 consisted of the animals in which unilateral elevation of the mucoperichondrial flaps was undertaken before the graft harvest, group 2 consisted of the animals in which bilateral elevation was undertaken, group 3 included the animals where the septum was exposed and left untouched after a bilateral mucosal flap elevation, and group 4 was designated as the control group. Specimens were analyzed under light microscopy for multiple parameters. Biomechanical analyses were performed with a universal testing device at the Department of Engineering, Biomechanical Laboratories, Istanbul Technical University. Results: Biomechanical analysis in terms of maximum tension revealed significant results among the groups (p = 0.008). Although insignificant results were observed overall using a pathologic analysis, the amount of chondrocytes was lower in group 2 than in group 1 (p = 0.099). The amounts of matrix collagen (p = 0.184) and fibrosis were (p = 0.749) higher in group 2 than in group 1. Conclusions: From these data, the authors conclude that mucoperichondrium integrity plays a crucial role in the biomechanical strength of the septum. More sophisticated studies with further pathologic analysis are required to determine the exact mechanism of strength loss observed with mucoperichondrial flap elevation. © Copyright 2016 by the American Society of Plastic Surgeons. Source

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