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Öğe Chronic otitis media surgery in the only hearing ear(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2015) Kalcioglu, M. T.; Cetinkaya, Z.; Toplu, Y.; Hanege, F. M.; Kokten, N.Chronic otitis media surgery in the only hearing ear. Objectives: The present study aimed to investigate how quality of life was impacted in patients who underwent surgery for chronic otitis media in their only remaining hearing ear (OHE). Such surgical treatment is controversial, and avoided by many surgeons due to the high risk of hearing loss due to surgery. However, if the patient is left untreated, hearing may further deteriorate over time, decreasing the patient's quality of life to an undesirable level. Method: We performed a retrospective single-institution study of a prospectively collected database in a tertiary university hospital. Twenty-three patients with OHE who underwent surgical treatment were retrospectively analyzed. The patients' age, sex, treated ear, indications, and preoperative and postoperative hearing levels were recorded. The data were statistically analyzed. Results: Of the 23 patients with 01-1E, 15 regularly attended follow-up for at least two years. In all cases, the tympanic membrane perforations were closed and the ear drum became dry. An air-bone gap gain of <= 20 dB was measured in five patients, <= 10 dB in seven, and two patients showed no significant change (4-10 dB). One patient showed minimal hearing deterioration of -2 dB. Conclusion: Patients with OHE can be treated surgically to improve hearing levels and quality of life. Modern surgical techniques and instruments - especially in experienced hands - may reduce the possible surgical risks. If hearing deteriorates due to surgery, it may be improved, for example, with cochlear implantation surgery.Öğe Comparison between cartilage and fascia grafts in type 1 tympanoplasty(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2013) Kalcioglu, M. T.; Tan, M.; Croo, A.Objectives: We retrospectively analysed long-term hearing results and graft take rates in our cases with both temporalis muscle fascia and the cartilage island technique. Methodology: Between September 2000 and October 2011, a total of 489 patients underwent cartilage tympanoplasty, while 318 patients had tympanoplasty using fascia. In this study we included patients with a follow-up period of at least 3 years. Exclusion criteria were ossicular chain defects, cholesteatoma, otorrhoea, middle ear granulation or effusion, and a history of middle ear surgery. Results: The cartilage group consisted of 49 patients, with 28 patients being included in the fascia group. Both air conduction hearing thresholds and air bone gaps improved significantly in both groups. However, no statistical significance was found between the results for the two groups (p>0.05). Conclusion: Our study concurs with many others in the literature, clearly indicating that cartilage produces hearing results that are comparable to temporalis muscle fascia grafts.Öğe Does Nasal Septal Deviation Affect the Success of Tympanoplasty Surgery?(Univ West Indies Faculty Medical Sciences, 2015) Tan, M.; Kalcioglu, M. T.; Akarcay, M.; Toplu, Y.; Karaca, S.Objective: This paper deals with the investigation of the effects of nasal septal deviation evaluated by acoustic rhinometry (ARM) in the success of tympanoplasty surgery. Subject and Methods: All patients who underwent tympanoplasty surgery by the same surgeon were reviewed. The patients with nasopharyngeal or nasal masses, polyps, symptoms of allergic rhinitis or rhinosinusitis, or concha bullosa were excluded from the study. Forty patients who underwent tympanoplasty at least one year ago were included in the study. The patients were divided into two groups according to the graft success results. Acoustic rhinometry evaluations of the patients were performed. Results: There were 25 and 15 cases in the intact graft (group A) and re-perforated group (group B), respectively. For the same side of the operated ear, ARM values of group A were 0.47 cm(2) at the first narrowest cross-sectional area (MCA 1), 0.43 cm(2) at the second narrowest cross-sectional area (MCA 2), 1.51 cm(3) volume at the first 2 cm of the nasal cavity (Vol 1) and 3.33 cm(3) volume between the second and fifth cm of the nasal cavity (Vol 2). Acoustic rhinometry values of group B were 0.50 cm(2), 0.47 cm(2), 1.60 cm3 and 3.19 cm(3) for MCA 1, MCA 2, Vol 1, and Vol 2, respectively. Conclusion: The results of this study showed that nasal septal deviation may not affect the success of tympanoplasty surgery, and septoplasty may not be necessary before ear surgery.Öğe Is the pathological examination of routine tonsillectomy and adenoidectomy specimens necessary? A retrospective study of 559 adenoidectomy and 1132 tonsillectomy specimens and a literature review(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2010) Kalcioglu, M. T.; Gurses, I.; Erdem, T.Is the pathological examination of routine tonsillectomy and adenoidectomy specimens necessary? A retrospective study of 559 adenoidectomy and 1132 tonsillectomy specimens and a literature review. Objective: There is still no consensus about the necessity of histopathological analysis of routine tonsillectomy and adenoidectomy specimens. In this study, our goal was to determine the incidence of unexpected pathological findings in routine tonsillectomy and adenoidectomy specimens. The results are discussed in the light of current literature. Materials and methods: The patient data were obtained from the archives of the departments of otorhinolaryngology and pathology. Between November 1992 and July 2006, chronic, recurrent infections or obstructive problems led to bilateral tonsillectomies, adenoidectomies, and adenoidectomies plus tonsillectomies being performed in 435, 502, and 770 patients respectively. Five hundred and fifty-nine of 1272 adenoidectomy specimens and 1132 of 2410 tonsillectomy specimens were sent to the department of pathology for histopathological examination. Results: The histopathological results for all the adenoidectomy specimens reported chronic inflammatory processes. Only one of 1132 tonsillectomy specimens involved granulomatous inflammation, while 1131 were chronic inflammatory processes. Conclusion: On the basis of the result of our study and review of the published literature, the microscopic analysis of routine tonsillectomy and/or adenoidectomy specimens may not be necessary, especially in young patients with no clinically suspicious factors for malignancy. However, all patients must be carefully examined for evidence of malignancy before surgery.
