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    The impact of septoplasty on platelet indices
    (2018) Altinbas, Namik Kemal; Altay, Cetin Murat; Alpar, Ayhan; Yagci, Cemil
    Aim: Nasal septum deviation (NSD) is an important cause of upper respiratory tract obstruction. Alveolar hypoventilation can occur in patients with severe NSD. In some studies, hypoxia has been found to increase platelet activation. Thus,herein weaimed to investigate the impact of the NSD and septoplasty on platelet indices. Material and Methods: 100 patients with NSD were enrolled in this present study retrospectively between December 2015 and October 2016.NSD diagnosed by anterior rhinoscopy and trans-nasal endoscopic examination. Septoplasty was performed with the help of Killian or hemitransfixion incision under general anesthesia. The haemogram results including platelets indiceswere investigated from recorded hospital database retrospectively. Results: 56 of the patients were males and 44 of the patients were females. Mean age of the patients was 25.7±10.2 year. Threemonthsafter surgery mean platelet volume (MPV) values were significantly decreased when compared with preoperative values(p value<0.01). Threemonths after surgery platelet count values were not significantly different when compared with preoperative values(p value=0.67).Three months after surgery, there was a statistically significant improvement in symptoms of nasal obstruction according to Nasal Obstruction Symptom Evaluation (NOSE) scoring. Conclusions: MPV is an important marker of platelet function. In our present study MPV values were decreased 3 months after surgery. According to our results it can be said that septoplasty may improve the risk of aberrant platelet activation in patients with severe NSD.
  • Küçük Resim
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    Radiofrequency ablation of hepatocellular cancer: Complication and residual tumor rates
    (2018) Altay, Cetin Murat; Altinbas, Namik Kemal; Alpar, Ayhan; Yagci, Cemil
    Aim: To investigate the feasibility, technical success and complication rates of RF ablation in hepatocellular carcinoma (HCC). Material and Methods: 34 patients (26 male, 8 female) with HCC who underwent percutaneous RF ablation were analyzed, retrospectively. In order to diagnose HCC, using criteria defined by American Association for the Study of Liver Diseases guidelines and the inclusion criteria were determined according to Barcelona criteria. Ultrasound (n=24) or CT (n=10) were used as guideline imaging method for ablation. All ablation procedures were performed with a monopolar ablation device. The successful procedure was defined as the tolerance of patient and completion of the RF ablation with normal vital sing. Technical success was defined as the lack of residual tumor on the follow-up imaging at one month. Residual tumor and complication rate were recorded in each patient. Results: The procedure was successfully performed in all patients (100%). There was a residual tumor in just one subcapsular localized lesion (2.9%). The technical success rate was 97.%. As a major complication in 2 patients (5.9%), pneumothorax was detected. There was no procedure-related mortality. Conclusions: RF ablation was a safe and an effective treatment for HCC, with high technical success rates and low complication rates