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Öğe Endobronchial inflammatory pseudotumor: A cause of chronic cough(Asia Publishing Exchange Pte Ltd, 1999) Yildirim Z.; Soysal O.; Gokirma M.; Cihan H.B.; Mizrak B.; Hasanoglu H.C.Endobronchial location of an inflammatory pseudotumor is extremely rare. A 48-year-old female presented with chronic cough. An endobronchial polypoid inflammatory pseudotumor was diagnosed by bronchoscopic biopsy and treated by a middle lobectomy.Öğe A report of four cases of acute mediastinitis occurring following tracheoesophageal puncture in laryngectomees.(2004) Kalcioglu M.T.; Kizilay A.; Saydam L.; Soysal O.; Ozturan O.; Kuzucu A.Tracheoesophageal puncture is a simple procedure for speech rehabilitation of total laryngectomy patients. Despite its relative simplicity this is not an innocent technique without complications. The goal of this study was to determine the incidence of acute mediastinitis as an early postoperative complication related to this procedure and to present outcomes of non-surgical conservative management in this complication. Blom-Singer voice prosthesis was used for 51 secondary tracheoesophageal puncture procedures in 45 patients between 1994 and 2002 according to the technique described by Blom and Singer. In the postoperative period, four patients (7.8%) developed mediastinitis related to this procedure. Of these, one patient had iatrogenic perforation of the posterior esophageal wall. A false dissection plane occurred in the tracheo-esophageal party wall in three patients which subsequently resulted in mediastinitis. Mediastinitis was diagnosed by clinical and radiological findings. All of these patients required prolonged hospitalization, intravenous antibiotics, and chest tube insertion. Only one patient underwent major surgical procedure to treat this complication. In conclusion, tracheoesophageal puncture for voice restoration is now regarded as a routine procedure usually performed in outpatient conditions. However, our experience demonstrates that this technique may be associated with significant complications such as mediastinitis. If mediastinitis is recognised earlier, it may be treated with conservative measures in most of the cases.Öğe Retrieving aspirated pins by flexible bronchoscopy(Lippincott Williams and Wilkins, 2002) Gokirmak M.; Canan Hasanoglu H.; Koksal N.; Yildirim Z.; Savas Hacievliyagil S.; Soysal O.Eleven women have been admitted to our clinic with turban pin aspiration since October 1996. All patients except two were admitted within the day of aspiration. The other two patients were admitted 5 days after pin aspiration. The aspirated pin was localized in the right lung in seven patients and in the left lung in four patients. The pins were retrieved successfully with a flexible bronchoscope in 8 of 11 patients. In one of these eight patients, the pin was removed using the flexible bronchoscope through a rigid bronchoscope. In one patient, the pin dropped from the forceps in the pharynx, and was later excreted in the feces. Thoracotomy was performed in two patients because both rigid and flexible bronchoscopies were unsuccessful in retrieving the pins. Flexible bronchoscopy alone or in combination with rigid bronchoscopy is a successful method for retrieving aspirated pins.
