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    Median ulnar nerve selective blockage versus brachial plexus blockage in carpal tunnel release surgery
    (2019) Baskan, Semih; Camgoz, Suleyman; Demirelli, Gokhan; Aytac, Ismail; Ornek, Dilsen
    Aim: This study aimed to evaluate the feasibility of median ulnar nerve selective blockage vs. brachial plexus blockage in day procedures such as carpal tunnel release surgery. We hypothesized that selective median and ulnar blockage is a feasible classic axillary approach.Material and Methods: This randomized, controlled, double-blind, single-center study included 60 patients. Patients were randomly allocated to two groups; namely, the plexus blockage group (control) and selective group. Patients in the plexus blockage group were administered with 15 ml of local anesthetic for axillary plexus, and in the selective group, 2.5 ml of local anesthetic was applied under USG guidance. We evaluated of full sensory and motor block.Results: The onset of motor block time was observed to be longer and recovery time was shorter in the selective group than in the plexus blockage group (P0.05). Conclusion: Selective nerve block has been shown to be more advantageous than the classic axillary approach of brachial plexus block for day procedures such as carpal tunnel release surgery.Keywords: Carpal tunnel syndrome; brachial plexus blockage; ultrasonography; ulnar nerve block; median nerve block
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    Oxidative stress in otosclerosis
    (Taylor & Francis Ltd, 2017) Baysal, Elif; Gulsen, Secaattin; Aytac, Ismail; Celenk, Fatih; Ensari, Nuray; Taysi, Seyithan; Binici, Habib
    Objectives: Otosclerosis is a disease involving abnormal bone turnover in the human otic capsule that results in hearing loss. Several hypotheses have been suggested for the etiopathogenesis of otosclerosis; however, its etiology remains unclear. Methods: This study evaluated the correlation between otosclerosis and levels of paraoxonase-1 (PON1), arylesterase, total antioxidant status, total oxidant status (TOS), oxidative stress index (OSI), total sulfhydryl (-SH) groups, lipid hydroperoxide, and ceruloplasmin in the serum of otosclerosis patients and healthy subjects with respect to oxidative stress. Results: In our study, TOS and OSI levels were higher in the otosclerosis patients than in the controls. The PON1 levels showed that oxidative stress was severe, and as a result, antioxidants were consumed and depleted. Discussion: When an imbalance between oxygen free radical production and antioxidative defense mechanisms occurs, reactive oxygen species levels may increase, which in turn may damage cells and tissues through the peroxidation of phospholipid membrane structures. The body initially responds with increased antioxidant production, but if the oxidative stress is severe, decreased antioxidant levels may result. This study reports expression levels of oxidative stress species in otosclerosis patients.
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    Stigma in head and neck tuberculosis patients: Evaluation and analysis
    (2020) Aytac, Ismail
    Aim: Stigma means wound, scar, degrading situation, labeling. In particular, patients with infectious diseases are exposed to stigma. The presence of stigma has a detrimental effect on the healing process, physical and mental problems of patients. For this reason, the study was performed to evaluate the stigma condition in head and neck tuberculosis cases.Materials and Methods: The research was carried out as descriptive with tuberculosis patients in the otorhinolaryngology clinic of a university hospital. The sample of the study consisted of 32 head and neck tuberculosis patients who are active in the treatment period. The data of the study were collected using the Patient Questionnaire and the Tuberculosis Patients Stigma Scale. The data obtained were evaluated by Pearson correlation analysis and t-test.Results: The average age of the patients was 39.5 ± 19.6 years, 65.6% were female, 31.3% were high school graduates, cervical region tuberculosis ranked first with 81.3%, and 34.4% of the patients were in denial regarding the disease. While 87.5% of patients had Bacillus Calmette-Guérin vaccine scar; 3.1% Acid-resistant bacilli test was found to be positive. The scale score average of the patients was found to be 99.8 ± 8.8. It was determined that the mean score of female patients was high, but there was no statistically significant difference between the mean scores of female and male patients (p> 0.05).Conclusion: In our study specifically for Head and Neck tuberculosis patients; The scale mean scores of all patients were found to be high. This shows that patients have high stigma levels. For this reason, it is recommended to inform the patient and family that head and neck tuberculosis patients can fully recover if they use their medication regularly by providing them with the necessary training about tuberculosis from the moment of diagnosis.
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    Treatment of Congenital Choanal Atresia via Transnasal Endoscopic Method
    (Lippincott Williams & Wilkins, 2017) Gulsen, Secaattin; Baysal, Elif; Celenk, Fatih; Aytac, Ismail; Durucu, Cengiz; Kanlikama, Muzaffer; Mumbuc, Semih
    Objectives: Congenital choanal atresia (CCA) is a very rare abnormality of the nose, but in the case of bilateral presence, it becomes a life-threatening malformation. Various surgical treatment options, such as transpalatal, transseptal, and open rhinoplasty techniques, as well as the transnasal approach, have been defined for the repair of CCA. In this study, the authors intended to evaluate the outcomes of transnasal endoscopic surgery for CCA, and stent implementation's impact on surgical success. Methods: Patients who were admitted to the Otorhinolaryngology Department of Gaziantep University and patients who had not undergone CCA surgery before were included in the study. Patients who underwent transnasal endoscopic choanal atresia surgery (TECAS) were advised to have regular nasal endoscopic examinations performed at check-ups; after a 6-month follow-up period, surgical results were evaluated concerning whether stenosis had occurred or not. Results: Of the 48 patients who underwent TECAS after a minimum 6-month follow-up period, 34 of patients revealed no stenosis, so the overall surgical success rate was 70.8%. Fourteen (29.2%) patients who underwent TECAS developed stenosis and required revision surgery. Conclusions: Transnasal endoscopic choanal atresia surgery is the most preferred approach for CCA repair and has many advantages, such as excellent vision, shorter operative time, minimal bleeding, and minimum complication. Despite advances in endovision systems and surgical instruments, stenosis is the most challenging problem after TECAS, so new treatment strategies should be developed to prevent stenosis.