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Öğe Evaluation of the relationship between concha bullosa and nasal septum deviation with diameter of nasolacrimal duct(2019) Sirik, Mehmet; Inan, IbrahimAim: The aim of this study was to evaluate the effect of concha bullosa (CB) and nasal septal deviation (NSD) on the diameter nasolacrimal duct (NLD). Material and Methods: A total of 103 patients who underwent paranasal sinus (PNS) computed tomography (CT) between January 2018 and May 2018 were included in the study. Coronary and axial CT images of the patients were evaluated for the presence of CB and NSD. Left and right NLD diameters were measured from axial CT plane. To ensure standardization, the NLD diameters measurement was performed from the CT sections at the level of the inferior border of bilateral bulbusoculi in all patients. The relationship between the CB, NSD and NLD was statistically analyzed. Results: Of the 103 patients included in the study, 51 (49.5%) were males and 52 (50.5%) were females. The minimum age of the patients was 18 years, the maximum age was 79 years and the median age was 38 years. Forty patients (38.8%) had CB and 63 patients (61.2%) had no CB. Nasal septum was in the midline in 39 patients (37.9%) and NSD was present in 64 patients (62.1%). The median NLD diameter was 5.8 mm on the right and left side. NLD diameter was significantly smaller in females than males(p<0.05). There was no statistically significant relationship between CB, NSD and the NLD diameter. Conclusion: In our study, there was no significant effect of the presence of concha bullosa and nasal septum deviation on the nasolacrimal duct diameterÖğe Investigation of the characteristics differentiating complicated and non-complicated appendicitis: A prospective analysis(2020) Ozdas, Sabri; Turgut, Kasim; Sirik, Mehmet; Aydin, IrfanAim: To investigate preoperative laboratory and clinical results and imaging methods in patients with complicated and non-complicated appendicitis.Materials and Methods: A total of 141 patients aged over 16 years, who underwent surgery with the diagnosis of acute appendicitis, were included in the study. In patients diagnosed with acute appendicitis based on physical examination and laboratory findings, abdominal contrast-enhanced tomography was performed for confirmation and differential diagnosis. Age, gender, body temperature, complaint, duration of complaint, number of white blood cells, the largest diameter of appendicitis measured on computed tomography (CT), Alvarado score, and recurrent admission to any health institution with the same complaint were recorded. Intraoperative findings and pathology reports were evaluated to determine whether the appendicitis was complicated, and the cases were divided into two groups as complicated and non-complicated. Results: Totally 141 patients were included in the study, 39 cases were classified as complicated and 102 cases as non-complicated appendicitis. There were more people with high fever in the complicated group (p=0.023). The median of largest appendicitis diameter measured on the CT was 8.5 (5.5-15) mm, and a significant difference was determined between the two groups in terms of diameter (p0.001). The median time from the onset of the complaints to the emergency department presentation was 12 hours, and this duration was significantly longer in the complicated group (p0.001). Analysis of receiver operating characteristic curves yielded the cutoff values of 8.35 mm for diameter (area under the curve [AUC]: 0.860; sensitivity: 87.2%; specificity: 63.7%), and 10.5 hours for time interval (AUC: 0.868; sensitivity: 97.4%; specificity: 64.7%) were found to be the best predictive values for the complicated acute appendicitis determination.Conclusion: In patients diagnosed with acute appendicitis, necessary interventions should be immediately undertaken, especially in the presence of fever, increased appendicitis diameter, and delayed presentation to hospital.Öğe A retrospective evaluation of 44 patients followed-up with a diagnosis of deep neck infection(2018) Bucak, Hakan Ibrahim; Almis, Habip; Geyik, Mehmet; Tekin, Mehmet; Ozen, Seval; Sirik, Mehmet; Turgut, MehmetAim: he purpose of this study was to evaluate the demographic data and clinical features of patients diagnosed with deep neck infection over a one-year period and hospitalized for treatment in a tertiary training and research hospital. Material and methods: Files for cases treated and followed-up for deep neck infection in our pediatric department during 2017 were evaluated retrospectively. Age, sex, month of presentation, presentation symptoms, physical examination findings, laboratory results, radiological imaging, consultations requested from other departments, treatments administered, number of days of hospitalization, and complications developing were assessed from these case files. Results: Twenty-eight (63.6%) of the 44 patients hospitalized for treatment for deep neck infection in the pediatric department were boys, and 16 (36.4%) were girls. Patients’ mean age was 57.45 ± 44.35 (5-191) months. Mean duration of hospitalization and treatment was 8.2 ± 2.8 (4-14) days. The most common presentation symptom was swelling in the neck (65.9%), and the most common physical examination finding was cervical lymphadenopathy (81.8%). Tooth decay was present in 27.3% of patients. Consultations were most commonly requested with the ear, nose and throat department, while consultations were requested with the external diseases department for five patients (11.3%). Conclusion: The prevalence of deep neck infection has increased in recent years.Further studies are needed on the subject of deep neck infection, which may involve life-threatening complications. Physicians should pay closeattention to the relation between tooth decay and deep neck infection in all patients followed-up with a diagnosis of such infection.Öğe The value of the ileocolic vessels in acute appendicitis- a cross sectional study(2018) Sirik, Mehmet; Olt, SerdarAim: To our knowledge, ileocolic (ILC) artery and vein have not been studied or mentioned in the medical literature so far in acute appendicitis. Thus our aim was to evaluate the value of ileocolic (ILC) artery and vein diameters in acute appendicitis. Material and Methods: Abdominal computed tomography (CT) features of 157 patients complaining of abdominal pain were reviewed retrospectively from our hospital records between January and June in 2015. Patients were divided into two groups as appendicitisdetected group and CT-normal group. We compared ILC artery and vein diameters between the two groups. Results: In the patients with acute appendicitis, the mean diameter of the ileocolic artery was 3.31±0.69 mm; the mean diameter of the ileocolic vein was 5.21±0.9 mm. In the control group, the mean diameter of the ileocolic artery was 2.75±0.31 mm; the mean diameter of the ileocolic vein was 4.17±0.45 mm. In appendicitis group, diameters of ILC artery and vein were found significantly higher than control group (p values <0.01). Conclusion: The diameter of the ILC arteries and veins were significantly increased in acute appendicitis.
