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  • [ X ]
    Öğe
    Comparison of nasal functional outcomes of let down rhinoplasty and open technical rhinoplasty using spreader graft
    (Springer, 2021) Tas, Burak Mustafa; Erden, Burak
    Purpose This study aimed to compare open technique rhinoplasty with spreader graft and Let Down rhinoplasty using Nasal Symptom Obstruction Evaluation (NOSE), Sinonasal Outcome Test-22 (SNOT-22), and Visual Analog Scale (VAS). Materials and methods A total of 50 patients were included in the study. Patients with a hump greater than 4 mm and mild septal deviation participated in the study. The patients were divided into two groups. Group 1 consisted of 26 patients who underwent Let Down rhinoplasty, while Group 2 consisted of 24 patients who underwent open rhinoplasty with spreader graft. NOSE, SNOT-22, and VAS scales were completed by both groups preoperatively and postoperatively. Results There was no significant difference between the groups in terms of age and gender. Postoperative values of scales were significantly lower than preoperative values in Group 1 (p < 0.001). In Group 2, postoperative values were significantly lower than preoperative values (p < 0.001). There was no significant difference between the two groups according to NOSE, SNOT-22 and VAS scores. Conclusion According to the comparison of scale scores, both Let Down rhinoplasty and open technique rhinoplasty using spreader graft improved nasal functional results such as nasal obstruction.
  • [ X ]
    Öğe
    Effect of peritonsillar prilocaine infiltration on post-tonsillectomy pain in pediatric population
    (Cukurova Univ, Fac Medicine, 2021) Tas, Burak Mustafa; Erden, Burak; Simsek, Gokce
    Purpose: This study aims to evaluate the efficacy of peritonsillar prilocaine in post-tonsillectomy pain by using the Visual Analog Scale (VAS). Materials and Methods: A total of 40 pediatric patients were included in this study. There were 20 patients in the prilocaine group (Group 1) and 20 patients in the control group (Group 2). In Group 1, peritonsillar prilocaine infiltration was performed. In Group 2, peritonsillar saline infiltration was performed. VAS scores of at the postoperative 1st, 4th, 12th and 24th hours and on the 2nd, 3rd, 4th, 5th, 6th and 7th days were evaluated. In addition, the presence of nausea and vomiting and the number of additional doses of intravenous paracetamol administered in the first 24 hours were evaluated. Results: When the groups were compared, a significant reduction in post-tonsillectomy pain was observed in the prilocaine group at the 1st, 4th and 12th hours compared to the control group. There was no significant difference between the two groups in other scores. There was no significant difference between the groups for nausea and vomiting and consumption of paracetamol values. Conclusion: Peritonsillar prilocaine infiltration was effective in post-tonsillectomy pain at the 1st, 4th and 12th hours postoperatively. Thus, peritonsillar prilocaine infiltration can be used in post-tonsillectomy pain because it is fast and effective.
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    Öğe
    EVALUATION OF TREATMENT RESULTS APPLIED IN SUDDEN HEARING LOSSES TREATED IN OUR CLINIC
    (2020) Erden, Burak; Şimşek, Gökce; Kılıç, Rahmi
    Purpose: Sudden sensorineural hearing loss (SSNHL) is sensorineural hearing loss over 30 dB, which develops abruptly in less than three days, affecting three or more frequencies. Prognostic factors affecting the treatment results and treatment outcomes of patients with SSNHL were examined in this study. Material and method: Between 2011 and 2014, 65 cases included in 68 ear studies. All patients were given steroids, vasodilator drugs (betahistine) and vitamin B. In the treatment of patients who did not show significant audiological improvement in 5 days, in the event that they gave consent, 0.5-0.7 cc 250 mg methylprednisolone of intratympanic was added per day in addition to systemic steroid therapy and salvage treatment was performed. Anamnesis details and clinical findings of patients, audiological configurations and degrees of hearing loss, treatment start times, vertigo and tinnitus relationship with the SSNHL and the effects of these factors on prognosis were examined in this study. Results: In this study, 31 of the cases were male and 34 were female. The age range was between 12-75 (average 44.2). It was observed that twelve (17.6%) cases had mild, 23 (33.8%) had moderate, 24 (35.3%) had advanced and 9 (13.2%) had very advanced SSNHL. In patients treated early, statistically significant results were obtained in terms of positive response to treatment (p<0.05). Statistically significant results were obtained in terms of hearing loss degree and good response to treatment in patients with SSNHL (p<0.05). There was no significant differences between tinnitus and vertigo and SSNHL relationship (p>0.05). Conclusion: Early treatment and low degrees of SSNHL severity are positive prognostic factors.
  • Küçük Resim
    Öğe
    Kliniğimizde tedavi gören ani işitme kayıplarında uygulanan tedavi sonuçlarının değerlendirilmesi
    (Kırıkkale Üniversitesi, 2015) Erden, Burak; Kılıç, Rahmi
    Ani işitme kaybı (AİK) üç gün içinde veya daha kısa zamanda aniden gelişen, en az üç frekansı tutan, en az 30 dB ve üzerindeki sensörinöral işitme kaybıdır. AİK etiyolojisi için birçok faktör suçlanmıştır ama kesin bir neden bulunamamıştır. Tedavisi ile ilgili ortak uygulanan bir protokol mevcut değildir. Bu çalışmada ani işitme kayıplı olguların tedavi sonuçları ve bu sonuçları etkileyen prognostik faktörler incelenmiştir. AİK tanısı ile 2011- 2014 yılları arasında Kırıkkale Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Anabilim Dalı'na başvuran 65 olgu 68 kulak çalışmaya dahil edildi. Tüm hastaların ayrıntılı hikayesi alındı. Rutin kulak burun boğaz (KBB) muayenesi ve ayrıntılı laboratuvar incelemeleri yapıldı. Tüm olguların odyolojik değerlendirmeleri yapıldı. Radyolojik olarak kranial magnetik rezonans görüntüleme (MR) ve bilgisayarlı tomografi (BT) çekildi. Tedavide tüm hastalara steroid, vazodilatatör ilaç (betahistin) ve B vitamini verildi. Bir hafta içinde başvuran olguların tedavilerine valasiklovir eklendi. 5 gün içerisinde odyolojik olarak belirgin iyileşme göstermeyen hastaların tedavisine onam vermeleri halinde sistemik steroid tedavisinin yanına gün aşırı intratimpanik 250 mg prednol eklenerek salvage tedavisi uygulandı. Bu çalışmada olguların hikaye bilgileri, klinik bulguları, işitme kaybının derecesi ve odyolojik konfigürasyonları, olguların tedaviye başlanma süresi, işitme kaybının derecesi, vertigo, tinnitus ve AİK netlik dereceleri ve bu faktörlerin prognoz üzerine olan etkileri incelendi. Bu çalışmada olguların 31'si erkek 34'i bayan idi. Yaş aralığı 12-75 arasında idi (ortalama 44.2). Oniki (%17.6) olguda hafif, 23 (%33.8) olguda orta, 24 (%35.3) olguda ileri ve 9 (%13.2) olguda çok ileri AİK tespit edildi. Tedaviye başlama süreleri açısından erken tedaviye başlanan olgularda, tedaviye iyi yanıt açısından istatistiksel olarak anlamlı sonuçlar alındı (p?0.05). AİK'li olgularda işitme kaybı şiddeti ve tedaviye iyi yanıt açısından istatistiksel olarak anlamı sonuç alındı (p?0.05). Tinnitus, vertigo ve aik netlik derecesi açısından AİK'li olgularda prognostik bir faktör olarak anlamlı sonuçlar elde edilemedi (p?0.05). Tedaviye başlama süresi ve AİK derecesi; AİK'li olgularda anlamlı prognostik faktörlerdir.