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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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    The effects of nasal septum deviation on eye posterior segment finding
    (2020) Gurlevik, Ugur; Kayabasi, Serkan
    Aim: Deviation of the nasal septum, which can cause upper respiratory tract obstruction and systemic hypoxia, may also affect the eye. The aim of this study was to detect changes in posterior segment parameters of the eye in patients with nasal septal deviation. Material and Methods: The study included 50 patients with nasal septal deviation, and a control group of 30 healthy subjects with no nasal septal deviation. Choroidal thickness, central macular thickness and retinal nerve fiber layer thickness were measured with Optical Coherence Tomography.Results: Choroidal thickness was significantly lower in patients with severe nasal septal deviation compared to the control group. (p=0.001) There is no statistically significant change in other measurements.Conclusion: The study results suggest that marked nasal septal deviation may lead to significant hypoxia and sympathetic activation, resulting in deterioration of the choroidal blood flow and consequent choroidal thickening.