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Öğe Ancient cervical vagal neurilemmoma: A case report(W B Saunders Co, 2000) Saydam, L; Kizilay, A; Kalcioglu, T; Gurer, I[Abstract Not Available]Öğe Calcified Mucor fungus ball of sphenoid sinus: An unusual presentation of sinoorbital mucormycosis(Annals Publ Co, 1997) Saydam, L; Erpek, G; Kizilay, A[Abstract Not Available]Öğe Early oral feeding following total laryngectomy(W B Saunders Co, 2002) Saydam, L; Kalcioglu, T; Kizilay, AIntroduction: Pharyngocutaneous fistula is one of the most common nonfatal laryngectomy complications (7.6% to 65% of all total patients). Preoperative radiotherapy, advanced tumor stage, poor preoperative medical status, and concomitant pharyngectomy are usually accepted causative factors in fistula formation. Delay of oral feeding is a common practice used by head and neck surgeons to prevent the development of pharyngocutaneous fistula. In this article we analyze our experience with special emphasis given to the early start of postoperative feeding. Patients and Methods: The postoperative records of 48 patients who had undergone total laryngectomy or total laryngopharyngectomy were reviewed. All patients were orally fed with water and clear liquids on the first postoperative day. The patients were closely observed at every feeding attempt, and if any sign of fistula was noted, a nasogastric tube was inserted. Preoperative radiotherapy, stage of disease, tumor differentiation, and pharyngectomy with total laryngectomy were statistically analyzed as potential risk factors contributing to fistula formation. The Fisher exact test was used to analyze the data. Results: The overall pharyngocutaneous fistula rate was 12.5% in our series. The only statistically significant factor that increased the rate of fistula formation was resection of pharyngeal mucosa as an extension of total laryngectomy. Other parameters failed to show any statistical significance in development of this complication. Conclusion: Evaluation of fistula incidence in our series indicates that initiating oral feeding on the first postoperative day does not contribute to fistula formation. Additionally, the relatively shortened hospital stay and elimination of the psychologic and traumatic side effects of tube feeding are benefits of this approach that should be studied in further prospective quality-of-life studies.Öğe Extirpation of a jugular foramen schwannoma via the transcervical-transmandibular approach(Springer Verlag, 1997) Saydam, L; Donovan, DTSchwannomas of the jugular foramen are rare lesions. We present a case of a schwannoma of the spinal accessory nerve that occurred in the jugular foramen and skull base of a 52-year-old woman. The tumor was completely extirpated via a transcervical-transmandibular approach with an excellent functional result. The approach used afforded excellent exposure of the lateral or midline skull base, as well as maximum control of the major neurovascular structures in the upper neck and skull base.Öğe Histopathologic examination for Helicobacter pylori as a possible etiopathogenic factor in laryngeal carcinoma(Karger, 2006) Kizilay, A; Saydam, L; Aydin, A; Kalcioglu, MT; Ozturan, O; Aydin, NEObjective: We investigated the presence of Helicobacter pylori in laryngeal cancer specimens to reveal whether or not this is a risk factor in the development of squamous cell carcinoma of the larynx. Methods: Sixty-nine total laryngectomy specimens with the pathologic diagnosis of squamous cell carcinoma and 30 laryngeal tissue samples that had been taken for the investigation of nonneoplastic (polyp, nodule) diseases were studied. Specimens of both tumor and control groups were stained with hematoxylin-eosin and modified Giemsa stains, and then they were examined under a light microscope. Results: In both groups, H. pylori could not be found in any of the cases. Conclusion: The histologic examination of our series did not reveal any clue related to the possible etiologic association between H. pylori and squamous cell carcinoma of the larynx.Öğe Occult papillary thyroid carcinoma presenting as a parapharyngeal metastasis(W B Saunders Co-Elsevier Inc, 1999) Saydam, L; Kalcioglu, T; Demirkiran, A; Gurer, M[Abstract Not Available]
