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Öğe Analysis of chippaux smirak index on dynamic balance scores(2020) Senol, Deniz; Toy, Seyma; Bilge, Damla; Ozbag, Davut; Ozdemir, BeyzaAim: The aim of this study is to examine whether Chippaux Smirak Index (CSI) calculated from footprint and measurements taken from foot have an effect on balance scores. Materials and Methods: 61volunteers (25 males, 36 females) between the ages of 18 and 24 were included in our study and 122 feet were measured. Footprints of the participants were taken by using Harris imprint. Footprints were scanned, the parameters were measured with Digimizer program and CSI was calculated. Metatarsal foot width (MFW), maximum metatarsal foot width (MMFW), length of the foot (LoFA), heel width (HW) and foot length (FL) taken from footprints were measured. Individuals with CSI >62.70% were considered as flatfooted and excluded from the study. Dynamic balance measurements were made with Biodex Balance System (BBS) (Biodex Medical Systems, Shirley, 2000, New York). Overall (OA), anterior-posterior (AP) and medial-lateral (ML) dynamic balance assessments of the participants were made with eyes open. Results: According to Mann Whitney U analysis results, statistically significant difference was found between MFW, MMFW, LoFA, HW and FL parameters of men and women in both feet (p0.05). It was found that OA, AP and ML balance scores had a statistically significant difference between men and women for dynamic balance (p0.05). According to Sperman Rho correlation analysis, a positive correlation was found between weight and body mass index (BMI) and balance scores in men and women. It was found that there was no significant correlation between CSI and balance scores. Conclusion: As a conclusion, while no association was found between weight and BMI and CSI, a positive correlation was found between weight and balance scores. We believe the fact that women have lower BMI gives them an advantage in terms of balance scores. In addition, it was found as a result of this study that there was no association between CSI and balance scores. We believe that our study will have an important place in literature and be a guide since we compared both genders.Öğe An Analysis of Morphometric Qualities of Bulbus Oculi in Cataract Patients: A Comparative Biometric Study(Wiley, 2016) Atesoglu, Sibel; Senol, Deniz; Balsak, Selahattin; Alakus, Mehmet Fuat; Ozbag, Davut; Dag, UmutCataract is considered to be the primary reason for curable blindness that is caused by progressive loss of lens transparency and affects millions of people around the world. This study aims to analyze the changes in morphometric qualities of bulbus oculi (BO) as well as its morphometric measurements such as anterior chamber depth (ACD), lens thickness (LT), vitreous length (VL), axial length (AL), etc. depending on age and gender in cataract patients through comparison with healthy eyes. 200 eyes with cataract were separately analyzed in five different categories of ages for males and females at the ages of 40-89. Biometric measurements of a total of 128 eyes (64 males and 64 females) were used as the control group. The study revealed a strong negative relation between age and ACD and a strong positive relation between age and LT in males and females for healthy eyes and eyes with cataract (P<0.05). No significant relation was found for VL and AL in either gender (P>0.05). A significant decrease was observed in ACD with aging while a positive correlation with age was detected in LT. We believe that the data obtained from this study will serve as a guide for BO interventions, diagnose and treatment stages and training of physician assistants. Anat Rec, 299:1308-1312, 2016. (c) 2016 Wiley Periodicals, Inc.Öğe Analysis of the effects of hypothalamic-pituitary-adrenal axis activity in menstrual cycle on ankle proprioception, dynamic balance scores and visual-auditory reaction times in healthy young women(Jmni, 2021) Senol, Deniz; Ucar, Cihat; Toy, Seyma; Kisaoglu, Aysegul; Ozbag, Davut; Ersoy, Yuksel; Yildiz, SedatObjectives: Menstrual cycle (MC) can affect not only the female reproductive system, but also functions such as neuromuscular performance. For this reason. the aim of this study is to investigate the effect of hypothalamic-pituitary-adrenal axis (HPA) activity in MC on proprioception, balance and reaction times. Methods: For cortisol analysis, saliva samples were taken from the same women (n=43) in the four phases of MC. While State Trait Anxiety Inventory-I (STAI-I) was applied in each phase to support cortisol analysis, pain was measured with visual analogue scale (VAS). Proprioception, dynamic balance, visual and auditory reaction times (VRT-ART) measurements were made in the four phases of MC. Results: Cortisol, STAI-I and VAS scores, angular deviations in proprioception measurements, dynamic balance scores, VRT and ART measurements were found to show statistically significant difference between MC phases (p<0.05). As a result of the post hoc test conducted to find out which MC phase the statistical difference resulted from, it was found that statistically significant difference was caused by the mensturation (M) phase (p<0.05). Conclusions: It was found that neuromuscular performance and postural control was negatively affected by HPA axis activity in M phase of MC and by pain, which is a significant menstrual symptom.Öğe Analysis of the influence of somatotype difference on motoric parameters such as vertical jump, sit and reach flexibility and 30-m sprint(Edizioni Minerva Medica, 2018) Senol, Deniz; Ozbag, Davut; Kafkas, Muhammed E.; Acak, Mahmut; Baysal, Ozlem; Sahin Kafkas, Armagan; Taskiran, CelalBACKGROUND: The purpose of this study is to show the somatotype features of young people with no symptoms and to find out whether motoric parameters such as vertical jump, flexibility and 30-m sprint were influenced by somatotype differences. METHODS: The study included 146 participants (88 males, 58 females) who had no symptoms. The Heath-Carter formula was used to find out the somatotypes of the participants and each participant's anthropometric measurements were found. Vertical jump, flexibility and 30-meter sprint test were measured to evaluate motoric parameters of male and female. RESULTS: In men, athletes with central type somatotype had the best score in vertical jump test with 53 cm, athletes with endomorphic mesomorph somatotype had the best score in sit and reach flexibility test with 30 cm, and athletes with balanced mesomorph somatotype had the best score in 30-m sprint test with 4.36 s. In women, athletes with endomorphic mesomorph somatotype had the best score in vertical jump test with 40 cm, athletes with Endomorphic Mesomorph somatotype had the best score in sit and reach flexibility test with 33.5 cm, and athletes with mesomorph endomorph somatotype had the best score in 30-m sprint test with 5.22 s. No statistically significant difference was found in male and female between different somatotypes and motoric parameters (P>0.05). CONCLUSIONS: Although there were no statistically significant differences, it emerged that different somatotypes were more successful than others. An anatomic body structure specific for the sport branch influences performance greatly.Öğe An anatomic overview to “manspreading” campaign(2018) Canbolat, Mustafa; Senol, Deniz; Cevirgen, Furkan; Ozbag, DavutThere is a campaign called “manspreading”. The campaign which started to draw attention to men’s making passengers uncomfortable by sitting with open legs in public transportation, attracted too much attention. When we glance through communal living spaces, we see men mostly sitting with their legs open. Can there be a morphological background of this sitting position? Basically, the pelvis of men and women are different from each other. Angulus subpubicus is bigger in women. In women, the femur head is located to lateral due to excess angulus subpubicus. However, the lower end of femur has to direct to medial to adjust with tibial condyle, that is, it gets closer to midline. Anteversion angle of acetabulum is higher in women. Anteversion with a higher angle means more anteriorly located acetabulum. That is, both femurs have to be more located to the midline. In women, the collodiaphyseal angle and femur neck length is smaller than men. Both of these situations cause femurs to be located close to the midline. Q angle which is used in the assessment of the mechanic and situation of knee joint is higher in women. High Q angle means that femur lower ends are close to the midline. Due to anatomical differences listed above, women’s femurs are located closer to the midline, while the femurs of men are located more laterally. This difference is also reflected in the way they sit.Öğe An anatomic overview to “manspreading” campaign(Inonu University, Faculty of Medicine, Department of Anatomy, Malatya, Turkey, 2018) Canbolat, Mustafa; Senol, Deniz; Cevirgen, Furkan; Ozbag, DavutAbstract: There is a campaign called “manspreading”. The campaign which started to draw attention to men’s making passengers uncomfortable by sitting with open legs in public transportation, attracted too much attention. When we glance through communal living spaces, we see men mostly sitting with their legs open. Can there be a morphological background of this sitting position? Basically, the pelvis of men and women are different from each other. Angulus subpubicus is bigger in women. In women, the femur head is located to lateral due to excess angulus subpubicus. However, the lower end of femur has to direct to medial to adjust with tibial condyle, that is, it gets closer to midline. Anteversion angle of acetabulum is higher in women. Anteversion with a higher angle means more anteriorly located acetabulum. That is, both femurs have to be more located to the midline. In women, the collodiaphyseal angle and femur neck length is smaller than men. Both of these situations cause femurs to be located close to the midline. Q angle which is used in the assessment of the mechanic and situation of knee joint is higher in women. High Q angle means that femur lower ends are close to the midline. Due to anatomical differences listed above, women’s femurs are located closer to the midline, while the femurs of men are located more laterally. This difference is also reflected in the way they sit.Öğe Are visual and auditory reaction times influenced by ramadan fasting? Neuro performance study on healthy individuals(2019) Senol, Deniz; Kisaoglu, Aysegul; Canbolat, Mustafa; Calisgan, Elisa; Acak, Mahmut; Duz, Serkan; Ozbag, DavutAim: The purpose of this study is to find out whether visual and auditory reaction time (VRT and ART) is influenced by Ramadan fasting in healthy individuals in terms of neuro performance. Materials and Methods: 60 healthy individuals (30 male, 30 female) with the mean age of 20.22±1.45 years participated in the study. First reaction measurement was collected on the second week of the date Ramadan fasting started and this period was called fasting period. Second reaction measurement was collected five days after Ramadan fasting ended and this period was called post-fasting period. VRT and ART of the samples who participated in the study were made with reaction timer device. 10 trials for sound and light stimuli were taken from each sample. The first five trials were considered as exercise and the average of the last five trials was determined as reaction time. The analysis of VRT and ART in fasting and post-fasting periods was conducted with Wilcoxon matched pairs test. In addition, Mann Whitney U test was used to analyze whether there were differences between fasting and post-fasting periods of males and females in terms of VRT and ART. Results: No statistical difference was found between the VRT and ART of males and females in fasting and post-fasting period (p>0.05). Conclusion: In this study which examined the effect of fasting on VRT and ART, it was found that males and females who participated in this study were not negatively influenced by Ramadan fasting in terms of neuro performance.Öğe The clinical effects of somatotype difference on isokinetic knee muscle strength and dynamic balance scores (vol 64, pg 28, 2018)(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2020) Senol, Deniz; Ozbag, Davut; Kafkas, Muhammed Emin; Acak, Mahmut; Baysal, Ozlem; Kafkas, Armagan Sahin; Taskiran, Celal[Abstract Not Available]Öğe COMPARISON OF CONVENTIONAL PHYSICAL THERAPY AND MULLIGAN MOBILIZATION TECHNIQUE IN THE TREATMENT OF CERVICOGENIC HEADACHE(Turkey Assoc Physiotherapists, 2022) Argali Deniz, Mine; Kose, Evren; Ercan, Meryem; Yagar, Derya; Oner, Serkan; Ozbag, DavutPurpose: The aim of this investigate the effectiveness of the conventional physical therapy and Mulligan mobilization technique in the treatment of Cervicogenic Headache (CH) and to compare the effectiveness of these two methods. Methods: A total of 40 patients with CH were randomized into conventional physical therapy group (Group 1, n=20) and Mulligan mobilization group (Group 2, n=20). Neck lordosis, range of motion (ROM), Cervical Performance Tests, Visual Analogue Scale (VAS), Neck Disability Index, Beck Depression Scale measurements were recorded at baseline and at two weeks after the treatment. Results: VAS, Neck Disability Index and Beck Depression Scale decreased and ROM, cervical performance and lordosis angle increased significantly in both groups (p=0.010). Conclusions: Both treatments were found to have positive effects on radiological and clinical findings of CH, but Mulligan mobilization technique was found to be more effective in all evaluations except neck extension and right lateral flexion ROM measurements.Öğe Comparison of lower extremity anthropometric measurements of healthy and pes planus patients in early adolescence(2020) Solgun, Selma; Cetin, Aymelek; Ozbag, Davut; Ceylan, Mehmet Fethi; Tanriverdi, Cem GurkanAim: Pes Planus (PP) was defined as the decrease or loss of length of arcus longitudinalis medialis (MLA). The aim of the present study is to find out whether PP causes any anthropometric changes in individuals and to determine the relationship between PP and foot type.Materials and Methods: A total of 100 individuals, 50 PP patients (25 female and 25 male) and 50 healthy individuals (25 female and 25 male), between the ages of 11 and 14 were included. Circumference of waist, hip, thigh, leg, bimalleolar and foot; tarsal and MLA height; bimalleolar and foot breadth were measured. Leg index, foot index and foot types were calculated with various anthropometric rates. Results: Significant differences were found in female circumference measurements of the waist, hip, both thighs and right foot bimalleolar (P .05). Significant differences were found in right and left foot bimalleolar circumferences measurements and leg indexes in men (P .05). Significant differences were found in both genders in right and left foot MLA and tarsal heights (P .05).Conclusion: It was found that PP affects not only the foot anthropometric measurements but also the hip, thigh and leg measurements. Early treatment for PP can provide irreversible lower extremity problems that cause lower quality of life.Öğe Comparison of the effects of conventional physiotherapy and proprioception exercises on pain and ankle proprioception in patients with lumbar radiculopathy(Ios Press, 2022) Senol, Deniz; Erdem, Cumali; Canbolat, Mustafa; Toy, Seyma; Karatas, Turgay; Baykara, Rabia Aydogan; Ozbag, DavutBACKGROUND: Lumbar radiculopathy is characterized by a significant amount of backache causing loss of workforce and is a significant health problem frequently seen in the general population. OBJECTIVE: The purpose of this study was to compare the effects of conventional physiotherapy (CT) and proprioception exercises (PE) on ankle proprioception and lumbar pain between patients with lumbar radiculopathy and a healthy control group. METHODS: In this randomized clinical trial, 89 patients referred to the Physical Medicine and Rehabilitation outpatient clinic were selected through convenience sampling. They were randomly assigned to three groups: CT ( n = 27), PE ( n = 31), CT&PE (n = 31). Thirty healthy volunteers were included in the study as the control group. Proprioception measurements were made with an isokinetic dynamometer at 10 degrees dorsiflexion (DF), 11 degrees, and 25 degrees plantarflexion (PF) angles. Lumbar pain was assessed by using the Numerical Pain Rating Scale (NPRS). The data were analyzed by IBM SPSS Statistics version 22.0 via the Kruskal-Wallis and Mann-Whitney U tests. RESULTS: There was a statistically significant difference between the groups in terms of ankle proprioception and NPRS measurements in post-treatment evaluations (p < 0.05). Statistically significant differences were found between CT and PE groups and CT&PE and control groups. There was no statistically significant difference in comparing CT and PE groups and CT&PE and control groups within themselves (p > 0.05). CONCLUSION: The combined use of CT and PE is an effective method that can be used in the clinic to reduce angular differences in ankle proprioception which is one of the primary factors of balance and coordination and lumbar pain.Öğe Congenital disorder of glycosylation type II: Case report(Bayrakol Medical Publisher, 2021) Durmaz, Sevda Canbay; Ozbag, Davut; Solgun, Selma; Canbay, Ali; Tanriverdi, Cem GurkanCongenital disorder of glycosylation (CDG) is an inherited metabolic disease characterized by defects in the synthesis of glycan groups of glycoproteins and glycolipids. In this study, we present the clinical, pathological and physical evaluation of a 10-year-old female patient who is still alive and has been diagnosed with CDG type 2, accompanied by musculoskeletal, heart, liver, lung involvement, vision and hearing problems, dysmorphic facial findings, as well as the affected central nerve system. The necessary measures were taken considering all possibilities and the fact that she did not have a clear diagnosis at a very early age and was diagnosed after a comprehensive evaluation. In particular, the physical treatment process, which started at a very early age, substantially prevented the delayed musculoskeletal, respiratory and circulatory problems by extending over a period of time. In this context, we think that our case is rare in the literature.Öğe Detailed Anatomical Analysis of the Sphenoid Sinus and Sphenoid Sinus Ostium by Cone-Beam Computed Tomography(Lippincott Williams & Wilkins, 2016) Yilmaz, Nesibe; Kose, Evren; Dedeoglu, Numan; Colak, Cemil; Ozbag, Davut; Durak, Mehmet AkifThe aim of this study is the evaluation of the anatomical structures of sphenoid sinus ostium used as a reference point for transsphenoidal surgery by cone beam computed tomography. The authors' study was performed using the cone-beam computed tomography images of 16 to 82-year old 200 (112 female, 88 male) patients (Newton 5G, Verona, Italy). Septum deviation of sphenoid sinus and the distance between 2 ostia were evaluated by coronal and axial sections, respectively. Pneumatization degree of sphenoid sinus, diameter of sphenoid sinus ostium, and distance lower edge of superior turbinate to sphenoid sinus ostium were measured by using sagittal sections. The sellar type was the most common pneumatization type of sphenoid sinus in authors' study. While the C-type septum deviation was observed as the most common, T-type deviation was the least type. Sphenoid sinus ostium was bilaterally in 71.5% of individuals, and it was not found in 10% of individuals included in the study. A significant decrease was determined in diameter of the left sphenoid sinus ostium with aging. The distances between 2 sphenoid sinus ostia were 7.30 +/- 2.77mm for women and 6.09 +/- 2.58mm for men, respectively. No statistical differences were found in women and men in terms of distances between the lower edge of the right and left superior turbinate and sphenoid sinus ostium on their sides. Consequently, making detailed preoperative radiological evaluation of anatomic variations of sphenoid sinus and sphenoid sinus ostium is important in terms of guiding the surgeon in the process of a successful transsphenoidal surgery.Öğe Effect of increase in cortisol level due to stress in healthy young individuals on dynamic and staticbalance scores(Kare publ, concord ıstanbul, dumlupınar mah, cıhan sk no 15, b blok 162 kadıkoy, ıstanbul, 00000, turkey, 2018) Cay, Mahmut; Ucar, Cihat; Senol, Deniz; Cevirgen, Furkan; Ozbag, Davut; Altay, Zuhal; Yildiz, SedatOBJECTIVE: Stress is a condition caused by various factors and characterized by imbalance in body functioning, impair in nervous system, and tension. The purpose of this study was to examine the effects of cortisol level, which increases in healthy young individuals due to stress, on dynamic and static balance scores as well as to present the results caused by high levels of stress. METHODS: In this study, 107 healthy medicine faculty students in their second year (who will take the same committee exam) aged between 19 and 23 years were included. The first balance measurements and saliva samples were taken 40 days before the committee exam, and this period was acknowledged as the relaxed period. The same students were considered for balance measurements again on the day of committee exam; saliva samples were collected, and cortisol concentration was determined. This period was acknowledged as the stressful period. The State-Trait Anxiety Inventory (STAI) was given to the participants in their relaxed and stressful periods. Dynamic balance scores were measured with Star Excursion Balance Test (SEBT). Static balance scores were measured with One Leg Standing Balance Test (OLSBT). RESULTS: The mean cortisol level was found to increase approximately 9 times in stressful periods compared with that in relaxed periods. STAI, which shows state anxiety, showed an increase supporting this increase. In stressful periods, dynamic balance scores showed obvious decrease in all directions. In addition, in stressful periods, an obvious decrease was observed in static balance scores compared with those in relaxed periods. CONCLUSION: This study showed that stress negatively affected dynamic and static balance, even for short periods of time. We believe that our study will form a positive source and basis when correlated with long terms stress and balance measurements.Öğe The effect of stress-induced cortisol increase on the sense of ankle proprioception(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2019) Senol, Deniz; Ucar, Cihat; Cay, Mahmut; Ozbag, Davut; Canbolat, Mustafa; Yildiz, SedatObjectives: The aim of this study is to analyze the effect of stress-induced cortisol increase on the sense of ankle proprioception. Patients and methods: Between April 2016 and May 2016, a total of 60 students (30 males, 30 females; mean age: 19.2 +/- 1.5 years; range, 19 to 20 years) from Inonu University, Faculty of Medicine, Department of Freshmen were included in the study. Separate measurements were made for the right and left ankle to make ankle proprioception measurements a month before the committee exam during their relaxed period using a device designed with digital inclinometer. The sense of ankle proprioception was measured at 10 degrees dorsiflexion (DF), 11 degrees plantar flexion (PF), and 25 degrees PF angles with open eyes and closed eyes using active reproduction test. Salivary samples were taken for stress assessment and State Trait Anxiety Inventory-I (STAI-I) was conducted. The same tests were repeated on the day of committee exam. Results: Test results showed no statistically significant difference between the right and left ankle proprioception measurements of 10 degrees DF, 11 degrees PF, and 25 degrees PF angles with open eyes (p>0.05). However, a statistically significant difference was found between the right and left ankle proprioception scores at the same angles with closed eyes (p<0.05). According to the Wilcoxon analysis conducted for the comparison of the relaxed and stressed periods of cortisol and STAI-I inventory, a statistically significant difference was found (p<0.05). The Spearman's Rho analysis showed no significant correlation between the right and left ankle proprioception scores and cortisol and STAI-I with open eyes, while there was a statistically significantly positive direction and low correlation between the same angles with closed eyes. Conclusion: Our study results show that the increase in the stress-related cortisol is negative for the ankle proprioception sense.Öğe The effects of pre-obesity on quality of life, disease activity, and functional status in patients with ankylosing spondylitis(Kare Publ, 2017) Toy, Seyma; Ozbag, Davut; Altay, ZuhalOBJECTIVE: This study was an investigation of effects of pre-obesity on clinical characteristics and quality of life in patients with ankylosing spondylitis (AS). METHODS: Total of 28 AS patients and 30 age-and sex-matched healthy controls were included in the study. Patients and controls with any systemic inflammatory disease and/or cognitive and mental problems were excluded. Disease activity and functional capacity were measured using the Bath Ankylosing Spondylitis Disease Activity Index and Bath Ankylosing Spondylitis Functional Index. For quality of life assessment, 36-Item Short Form Health Survey was used in both groups, and AS group also responded to Ankylosing Spondylitis Quality of Life questionnaire. RESULTS: There was no significant difference in sociodemographic characteristics between AS patients and healthy controls (p>0.05). Mean quality of life scores were significantly lower in the pre-obese AS patients compared with controls (p<0.05). Functional capacity was positively and significantly associated with body mass index (BMI) (p=0.024) and disease activity was significantly associated with female gender (p=0.011). CONCLUSION: Increased BMI in patients with AS is factor that affects quality of life, disease activity, and functional capacity. Multidisciplinary rehabilitation programs will support improved quality of life for pre-obese patients with AS.Öğe The effects of pre-obesity on quality of life, disease activity, and functional status in patients with ankylosing spondylitis (vol 4, pg 52, 2017)(Kare Publ, 2021) Toy, Seyma; Ozbag, Davut; Altay, Zuhal; Kavakli, Ahmet[Abstract Not Available]Öğe Evaluating of the effects of ramadan fasting on ankle proprioception performanceMahmut Cay(2018) Cay, Mahmut; Senol, Deniz; Cuglan, Songul; Cevirgen, Furkan; Ozbag, DavutAim: Human body has an unmatched capacity to keep the correct posture against gravity. Balance is the most important factor for the stability of ankle joint. Ramadan is a special religious month of Muslim calendar (The Hegira calendar) which includes an integrated life style change in dietary habits, sleep pattern, daily life and social activities. The objective of this study was to examine the effect of fasting on ankle proprioception sense. Material and Methods: This study was attended by 30 of the first year students of the Faculty of Medicine of Inonu University. Ankle proprioception sense was measured at 10º dorsiflexion (DF), 11º plantarflexion (PF) and 25º PF angles in eyes open position (EOP) and eyes closed position (ECP) by using active reproduction test. Deviations from these angles were recorded as proprioception score. The measurements were made two weeks before Ramadan started and 2 weeks after Ramadan started when the students were fasting. Ankle proprioception measurement was conducted separately for right and left foot with digital inclinometer. Results: According to the results of Wilcoxon paired samples test, statistically significant difference was found between pre-fasting and fasting period in ECP 10º DF and 11º PF angles of the right foot and ECP 11º PF angle of the left foot (p<0.05). Conclusion: As a conclusion, we believe that fasting has an effect on proprioceptive sense, even though partly. Considering the difficulty of finding out the angles measured, associating the results with only fasting period is open to dispute.Öğe Evaluation of early thyroidectomy complications(Bayrakol Medical Publisher, 2022) Karatas, Turgay; Selcuk, Engin Burak; Karatas, Mehmet; Yildirim, Atilla; Ozbag, Davut; Cay, Mahmut; Senol, DenizAim: Our aim in this study is to reveal the relationships between patient findings, surgical methods and early thyroidectomy complications. Material and Methods: The files and operative notes of 308 patients who underwent thyroidectomy within 10 years were reviewed retrospectively. Gender, age, preoperative diagnosis, primary or reoperated cases, the type of thyroidectomy [ bilateral subtotal (BST), bilateral total (BTT), unilateral subtotal (UST) and unilateral total (UTT)] and early postoperative complications (hypocalcemia, bleeding, nervus laryngeus recurrens (NLR) injury, infection and seroma) were recorded. The peculiarity of this study is that NLR neuromonitoring was not used in thyroidectomy operations. Results: Of the 308 patients who underwent thyroidectomy, 287 were females and 21 were males. Two hundred eighty three cases of multinodular goiter, 18 cases of nodular goiter and 7 thyroid cancers were operated; 180 BTT, 100 BST, 17 UTT + UST, 7 UST and 4 UTT were applied. Complications were seen in a total of 20 (6.49%) patients who underwent 19 BTT and 1 BST. The only complication in BST was bleeding. There were 10 (3.24%) hypocalcemia, 4 (1.29%) bleeding, 2 (0.649%) NLR injury, 2 (0.649%) infections and 2 (0.649%) seromas. In terms of the frequency of early thyroidectomy complications, hypocalcemia was the first (P=0.0047). In addition, the rates of hypocalcemia and NLR injury were higher in reoperated patients than in primary patients (P<0.05). Discussion: The most common complication was hypocalcemia. NLR injury and hypocalcemia rates were higher in reoperated cases who underwent BTT.Öğe The evaluation of the effect of vaginal delivery and aging on anal sphincteranatomy and function(Elsevıer masson, corporatıon offıce, 65 camılle desmoulıns cs50083 ıssy-les-moulıneaux, 92442 parıs, france, 2018) Cay, Mahmut; Cetin, Aymelek; Ates, Mustafa; Koleli, Isil; Senol, Deniz; Kose, Evren; Ozgor, Dincer; Simsek, Arife; Ozbag, DavutObjective. - This study was conducted to evaluate the effect of vaginal delivery and aging on anal sphincter anatomy and function. Method. - Asymptomatic thirty women were included in this prospective study. Group 1 included 10 women (age range: 18-50) who had never been pregnant. Group 2 included 10 women (age range: 18-50) who had vaginal delivery. Group 3 included 10 women over 50 who had vaginal delivery. Results. - There was no statistically significant difference between the three groups in terms of resting and squeeze pressures. It was found that sphincter thickness showed statistically significant difference between the group 1 and group 3, and also group 2 and group 3. There was not statistically significant difference between the group 1 and group 2 in terms of sphincter thickness. There was a positive correlation between the age and sphincter thickness in all groups. In terms of sphincter thickness and pressure findings there was a positive correlation between the squeeze pressure and external anal sphincter thickness only in group 3. Conclusion. - The vaginal delivery did not have a negative influence on the structure and function of the anal sphincter in asymptomatic women. However, it was found that anal sphincter thickness changed strongly in a positive manner with aging. (C) 2018 Elsevier Masson SAS. All rights reserved.
