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Öğe A Rare Form of Thyroglossal Duct Cyst: Double Thyroglossal Cyst and a Review of the Literature(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2014) Yıldız, Turan; İlçe, Huri Tila; Küçük, Adem; İlçe, ZekeriyaThyroglossal cyst is the most common congenital mass in the neck. However, double thyroglossal cysts are very rare and our case is the sixth case that has ever been published in the literature. Cysts can be seen in any region between the base of the tongue and the suprasternal region. These are painless cysts of soft consistency, which are movable with protrusion of the tongue and swallowing. Several imaging techniques are used to verify the diagnosis. Ultrasonography, for instance, is generally used to this end. However, in double cysts, we suggest that thyroid scintigraphy should be used in order to differentiate these cysts from aberrant thyroid tissues. In addition, treatment of double thyroglossal cysts is also successful through Sistrunk operations.Öğe Simple suture for perforated peptic ulcer followed by helicobacter pylori eradication in children(Pakistan Journal of Medical Sciences, 2014) Yıldız, Turan; Tilla İlçe, Huri; Ceran Özcan, Canan; İlçe, ZekeriyaObjective: Peptic ulcer disease in children is rare. Therefore, the diagnosis can be missed until complications such as perforation or hemorrhage occur. Few reports have investigated the procedures and outcomes of children who have undergone operations for perforated duodenal ulcers. We report our experience with the modified Graham technique for perforated duodenal ulcers in nine children and review the literature. Methods: The records of patients operated on for a perforated duodenal ulcer in the last 8 years in two pediatric surgery centers were evaluated retrospectively. Patient demographics, symptoms, time to admission to hospital, operative findings, and postoperative clinical course were evaluated. Results: Nine children (mean age 13.2 years, range 6–170 years) were included. All patients were admitted in the first six hours after their abdominal pain started. In three patients, there was free air on plain x-rays, while the x-rays were normal in six. All perforations were located on the anterior surface of the first part of the duodenum and repaired with primary suturing and Graham patch omentoplasty. The recovery was uneventful in all patients. In five patients, urea breath tests were performed postoperatively for Helicobacter Pylori, and the results were positive. All patients underwent triple therapy with lansoprazole, amoxicillin, and clarithromycin. The mean follow-up time was 58 (range 3–94) months. Conclusions: Peptic ulcer perforation should be suspected in children who have acute abdominal pain and peritoneal signs, especially when their suffering is intense. The simple patch repair and postoperative triple therapy for Helicobacter Pylori are safe and satisfactory for treating peptic ulcer perforation in children.Öğe Simple suture for perforated peptic ulcer followed by helicobacter pylori eradication in children(Pakistan Journal of Medical Sciences, 1969) Yıldız, Turan; İlçe, Huri Tilla; Özcan, Canan Ceran; İlçe, ZekeriyaObjective: Peptic ulcer disease in children is rare. Therefore, the diagnosis can be missed until complications such as perforation or hemorrhage occur. Few reports have investigated the procedures and outcomes of children who have undergone operations for perforated duodenal ulcers. We report our experience with the modified Graham technique for perforated duodenal ulcers in nine children and review the literature. Methods: The records of patients operated on for a perforated duodenal ulcer in the last 8 years in two pediatric surgery centers were evaluated retrospectively. Patient demographics, symptoms, time to admission to hospital, operative findings, and postoperative clinical course were evaluated. Results: Nine children (mean age 13.2 years, range 6–170 years) were included. All patients were admitted in the first six hours after their abdominal pain started. In three patients, there was free air on plain x-rays, while the x-rays were normal in six. All perforations were located on the anterior surface of the first part of the duodenum and repaired with primary suturing and Graham patch omentoplasty. The recovery was uneventful in all patients. In five patients, urea breath tests were performed postoperatively for Helicobacter Pylori, and the results were positive. All patients underwent triple therapy with lansoprazole, amoxicillin, and clarithromycin. The mean follow-up time was 58 (range 3–94) months. Conclusions: Peptic ulcer perforation should be suspected in children who have acute abdominal pain and peritoneal signs, especially when their suffering is intense. The simple patch repair and postoperative triple therapy for Helicobacter Pylori are safe and satisfactory for treating peptic ulcer perforation in children.Öğe Tiroglossal kistin nadir formu: çift tiroglossal kist ve literatür değerlendirilmesi(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2014) Yıldız, Turan; İlçe, Huri Tila; Küçük, Adem; İlçe, ZekeriyaTiroglossal kist en sık görülen konjenital boyun kitlesidir. Bununla birlikte, çift tiroglossal kist son derece nadir olarak görülmektedir. Bizim sunmakta olduğumuz vaka günümüze kadar yayınlanmış altıncı vakadır. Tiroglossal kistler ise dil kökü ya da suprasternal bölge arasında herhangi bir bölgede görülebilir. Bu kistler ağrısız ve yumuşak kıvamlıdır ve dilin dışarı çıkartılması veya yutkunmakla hareketli olabilmektedir. Görüntüleme teknikleri daha çok sıklıkla tanıyı doğrulamak amacı ile kullanılır. Ultrason genellikle en sık kullanılan yöntemdir. Ancak çift tiroglossal kistlerde temel olarak aberan troid dokusundan ayırım için troid sintigrafisinin de yapılması gerektiğini düşünmekteyiz. Ayrıca çift tirolossal kistlerde klasik sistrunk operasyonu ile başarılı sonuçların elde edilebileceğini düşünmekteyiz.