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    Comparison of the effects of coblation and curettage adenoidectomy on adenoid regrowth
    (2019) Gul, Fatih; Kayabasi, Serkan
    Aim: To investigate whether there is a relationship between coblation and curettage adenoidectomy techniques in adenoid recurrence. Material and Methods: An electronic medical database was used to identify the records of 84 children who were performed adenoidectomy without tonsillectomy between January 2016 and January 2019. Patients who had adenoid hypertrophy without a history of revision surgery and underwent coblation or curettage adenoidectomy without tonsillectomy were included in the study. Operation notes were recorded. Adenoid regrowth was evaluated by flexible nasal endoscopy in patients who completed at least a 1-year follow-up period. Results: 51 and 33 patients met the inclusion and were comprised of coblation and curettage groups, respectively. The mean operative time was 14.5±5.1 min in the curettage group and 23.3±11.4 min in the coblation group (p=0.001). The mean intraoperative blood loss was 5.75±3.6 ml in the coblation group, and 11.58±7.2 ml in the curettage group (p=0.007). At the end of a 1-year follow-up period, adenoid regrowth rate was observed in 5.66% in the curettage group and 2% in the coblation group and this difference was statistically significant (p=0.027). Conclusion: Coblation adenoidectomy represents a reliable and highly effective method that has a low incidence of regrowth and less intra-operative bleeding but has a longer operation time in comparison with conventional cold curettage adenoidectomy.Keywords: Curettage adenoidectomy; coblation adenoidectomy; adenoidal regrowth.
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    Dynamic thiol-disulfide balance in patients with chronic sinusitis with and without nasal polyposis
    (2020) Sevil, Ergun; Gul, Fatih; Oguzhan, Tolga; Bercin, Sami; Neselioglu, Salim; Bicer, Cemile
    Aim: Reactive oxygen species (ROS) have a crucial role in the pathogenesis of chronic rhinosinusitis (CRS). The current study investigates a novel oxidative stress marker (thiol (SH)/disulfide (SS) homeostasis) in patients with CRS with and without nasal polyposis (NPs).Materials and Methods: A total of 167 subjects, including 94 patients with CRS and 73 healthy controls, were included in the study. The patients were subdivided into two groups those with CRS with NP and those with CRS without NP. Comparisons were made between the groups in respect of serum native SH, total thiol (TT), and SS levels and the SS/SH and SS/TT ratios. Results: There was no significant difference in TT between the CRS with the NP group and the CRS without the NP group (p> 0.05). There was a significant difference (p 0.05) between the CRS without the NP group and the control group in %SH/TT, %SS/TT, %SS/SH, SS, and SH. A significant difference (p 0.05) was found between the CRS with the NP group and the control group in %SH/TT, %SS/TT, %SS/SH, SS and SH values. Conclusion: Dynamic SH/SS homeostasis shifts towards SS formation as a result of SH oxidation in patients with CRS.
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    Evaluation of non-surgical methods in treatment of pediatric liver cyst hydatid
    (2020) Dolanbay, Turgut; Aksoy, Nail; Gul, Fatih; Aras, Murat
    Aim: Hydatid cyst is a zoonotic infestation caused by helminthes of the Echinococcus genus and humans are intermediate hosts infected with the contaminated fresh food or water. The cases in Turkey are confined to Eastern Anatolia region. Evaluating the prevalence, symptoms and signs of hydatid cysts along with the treatment procedures and response in pediatric cases are vital for better diagnostic and treatment approaches in children.Material nad Methods: The study was conducted retrospectively with a total of 27 children diagnosed with hydatid cyst admitted to Research and Education Hospital of Kafkas University Medical School, Turkey in 2016 and 2019. Results: The mean age of 27 cases reported here was 11.59±4.95. Liver involvement was observed in all of patients reported here and all patients were seropositive. Ten patients underwent Puncture Aspiration Injection Re-aspiration procedure and 17 patients did not undergo. After the Puncture Aspiration Injection Re-aspiration treatment, there was an improvement in all patients for the marker levels. Conclusion: We think that Puncture Aspiration Injection Re-aspiration is superior to non-surgical medical treatment in pediatric patients.
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    Otolaryngological foreign bodies in a tertiary medical center in Turkey: A comparison of pediatric and adult patients
    (2019) Mutlu, Huseyin; Cayir, Serkan; Gul, Fatih
    Aim: The aim of the present research was to report on the characteristics of ear, nose, and throat foreign bodies in patients admitted to a tertiary medical center in Turkey and to analyze the extraction procedure, results, and complications.Material and Methods: A retrospective study conducted between August 2015 and May 2019 included 1042 patients referred to the emergency and otolaryngology department with ear, nose, and throat foreign bodies. The pediatric group included 612 cases, while the adult group included 430 cases. Sex, the type of foreign bodies, symptoms, extraction method, and complications were analyzed.Results: The most common foreign bodies were hard round objects frequently found in front of the middle turbine in the nose of children, while pieces of cotton buds were found in the outer ear canal in adults. In the pediatric group, the distribution of foreign bodies was 53.43% in boys and 46.57% in girls. Furthermore, the intervention was performed in three children (0.49%) admitted to the emergency department because of the organic foreign body escaping to the throat, as a result of which foreign bodies were removed. However, the prognosis for these patients was poor: a neurological sequela in one patient, death in two patients. In the adult group, the distribution of foreign bodies was 49.76% in males and 50.24% in females. No fatal cases were observed in this group. The ratio of foreign bodies removed under general anesthesia in the pediatric group was 3.43%, while it was 0.23% in the adult group, and the difference between them was statistically significant (p = 0.018). No statistical difference was observed between the groups with regard to complication rates (p>0.05). Conclusion: Otolaryngological foreign bodies are usually harmless, but they can cause infections and minor complications when they are overlooked or there is prolonged exposure, and these objects in the throat may be fatal, especially in children.