Indian Journal of Otolaryngology and Head & Neck Surgery, Jul 23, 2022
Background: Vitiligo is a chronic, common disease of unknown etiology, and oxidative stress is su... more Background: Vitiligo is a chronic, common disease of unknown etiology, and oxidative stress is suggested to have a role in its etiopathogenesis. Objective: Advanced oxidation protein products (AOPPs), prooxidant-antioxidant balance (PAB), and ferric-reducing antioxidant power (FRAP) were evaluated regarding their role in the pathogenesis of vitiligo as well as their relationship with clinical presentation and disease severity, and these parameters were compared with those of healthy controls. Methods: The study included 53 patients with vitiligo and 20 healthy volunteers as the control group. AOPP level, PAB, and FRAP were determined by colorimetric methods. Results: PAB and FRAP level were significantly higher in patients with vitiligo than in healthy controls (p＜0.001). The AOPP levels in vitiligo patients were not statistically significantly higher than those in healthy controls. The Vitiligo Area Scoring Index positively correlated with disease duration (rs: 0.531, p＜0.001). Conclusion: To the best of our knowledge, this is the first report of AOPP and PAB status in vitiligo. PAB may be used as an indicator for oxidative stress in the etiopathogenesis of vitiligo. Our results show that these parameters may play a major role in the melanocyte damage observed in vitiligo. Further studies are required to confirm the mechanisms underlying this effect.
Objectives: We investigated the relationship between symptoms, coronal paranasal computed tomogra... more Objectives: We investigated the relationship between symptoms, coronal paranasal computed tomography (CT) findings and anatomic variations in patients with acute sinusitis. Patients and methods: The study included 44 patients (23 females, 21 males; mean age 35 years; range 21 to 74 years) whose diagnosis was acute sinusitis by history and physical examination. A comprehensive inquiry into the symptoms was made and coronal paranasal CT scans were obtained in all the patients. Correlations were sought between symptom scores, CT scores, and anatomic variations. Results: No correlations were found between anatomic variations and CT scores. Total symptom scores did not correlate with CT scores. A statistically significant correlation existed only between headache and CT scores. The most commonly affected sinuses were maxillary sinuses (73%), followed by posterior ethmoidal sinuses (60%). Conclusion: Our data suggest that routine CT evaluations are superfluous in acute sinusitis.
... Süleyman Demirel Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Doç... more ... Süleyman Demirel Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Doçent Doktor Yazışma Adresi: Hasan YASAN Modernevler Mah. ... 37 Bulgular Çalışmamızdaki 61 hastanın (39 erkek, 22 bayan) yaşları ortalama 6.7±3.9 (yaş dağılımı: 2-18) idi. ...
We report the use of a nasal septal clip. We believe that this instrument is more easily inserted... more We report the use of a nasal septal clip. We believe that this instrument is more easily inserted and removed when compared with the classical nasal packs.
Of 97 extracranial complication cases, 41 (42.3%) were female and 56 (57.7%) were male with ages ... more Of 97 extracranial complication cases, 41 (42.3%) were female and 56 (57.7%) were male with ages ranging from 5 to 83 years (mean age, 43.9 years). Two (2.1%) patients were in the first decade, 9 (9.3%) in second, 16 (16.5%) in third, 22 (22.7%) in fourth, 8 (8.2%) in fifth, 17 (17.5%) in sixth, 13(13.4%) in seventh, 7 (7.2%) in eighth and 3 (3.1%) in ninth decade. Table 1 shows the distribution of ages of the patients with extracranial complications of COM. Objective; To discuss the incidence, clinical presentation, diagnosis and management of extracranial complications of chronic otitis media (COM). Materials & Methods; In this retrospective study conducted between 1983 and 2007, 97 extracranial complications of COM were included. Intracranial complications of COM and complications of acute otitis media were not included in the study. The analyses included clinical and surgical findings and overall management strategy of the patients who had COM complication. Results; Labyrinthiti...
Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2003
OBJECTIVES We investigated the relationship between symptoms, coronal paranasal computed tomograp... more OBJECTIVES We investigated the relationship between symptoms, coronal paranasal computed tomography (CT) findings and anatomic variations in patients with acute sinusitis. PATIENTS AND METHODS The study included 44 patients (23 females, 21 males; mean age 35 years; range 21 to 74 years) whose diagnosis was acute sinusitis by history and physical examination. A comprehensive inquiry into the symptoms was made and coronal paranasal CT scans were obtained in all the patients. Correlations were sought between symptom scores, CT scores, and anatomic variations. RESULTS No correlations were found between anatomic variations and CT scores. Total symptom scores did not correlate with CT scores. A statistically significant correlation existed only between headache and CT scores. The most commonly affected sinuses were maxillary sinuses (73%), followed by posterior ethmoidal sinuses (60%). CONCLUSION Our data suggest that routine CT evaluations are superfluous in acute sinusitis.
Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2002
OBJECTIVES To determine the incidence of septum deviation and dislocation in newborns and to inve... more OBJECTIVES To determine the incidence of septum deviation and dislocation in newborns and to investigate relationships between these pathologies and maternal causes and the mode of delivery. PATIENTS AND METHODS The study included 195 mothers and 200 newborns, of which 10 were twins. Vaginal and cesarean deliveries were performed in 147 (73.5%) and 53 (26.5%) newborns, respectively. All newborns were examined with the use of anterior rhinoscopy. The nasal pyramid, columella, and septum were assessed to detect septal deviation or dislocation. RESULTS Twenty-three cases (15.6%) of vaginal delivery had septal deviation, while five (3.4%) had septal dislocation. In the newborns delivered by cesarean section, eight (15.1%) had septal deviation, but none had dislocation. Significant correlations were noted between pregnancy, delivery period, the way of delivery and the incidence of septal deviation and columella dislocation (p < 0.05). There was a significant correlation between head c...
We present a 43-year-old male patient who developed a giant cholesteatoma with lateral sinus obli... more We present a 43-year-old male patient who developed a giant cholesteatoma with lateral sinus obliteration and involvement of the posterior cranial fossa. The only complaints were left-sided aural discharges and total sensorineural hearing loss. Examination revealed a mass lesion consistent with cholesteatoma within the left middle ear. Computed tomography and magnetic resonance imaging showed an extensive acquired cholesteatoma in the left middle ear, invading the posterior cranial fossa and leading to lateral sinus obliteration. The patient underwent left radical mastoidectomy. He had an uneventful postoperative follow-up for 13 months. This case emphasizes the value of preoperative radiologic assessment of giant cholesteatomas that may present with relatively few or limited symptoms.
Bu çalışmanın amacı hemodiyaliz amaçlı arteriyovenöz fistül operasyonlarındaki deneyimlerimizi, b... more Bu çalışmanın amacı hemodiyaliz amaçlı arteriyovenöz fistül operasyonlarındaki deneyimlerimizi, başarı oranlarımızı ve cerrahi teknikleri değerlendirmektir. Hastalar ve Yöntem: Ocak 2003 ile Aralık 2005 tarihleri arasında hemodiyaliz amacıyla gerçekleştirdiğimiz ardışık 165 arteriyovenöz fistül operasyonunu retrospektif olarak değerlendirdik. Değerlendirme operasyonun tipine, gerçekleştirildiği lokalizasyona ve komplikasyonlara göre yapıldı. Bulgular: Bu ardışık 165 operasyonluk seride greft kullanılmadı. 6 aylık açık kalma oranı Snuffbox, Radiyosefalik ve Brakiyosefalik fistüller için sırasıyla %90, %93 ve %93'dür. Komplikasyon oranı %13 olup en sık görülen komplikasyon trombus oluşumudur. Sonuç: Bütün fistüllerde amaç verimli olması ve uzun süre çalışması olmalıdır. Brakiyosefalik fistüllerin açıklık oranları radiyosefalik fistüllere benzerdir. Nativ fistüller hem kolda hem de önkolda başarılı, güvenli ve kolay olarak gerçekleştirilebilirler. Anahtar sözcükler: Hemodiyaliz, Arteriyovenöz fistül. RETROSPECTIVE EVALUATION OF CONSECUTIVE 165 NATIVE ARTERIOVENOUS FISTULA OPERATIONS PERFORMED FOR HAEMODIALYSIS ACCESS Background: The aim of this study was to evaluate our arteriovenous fistula experience and success rate and the surgical technique in arteriovenous fistula operations for haemodialysis access. Methods: We retrospectively reviewed 165 consecutive operations for haemodialysis access performed in our department from January 2003 to December 2005. They were evaluated for the type of operation, localization and complications. Results: No grafts were used in this series of 165 consecutive operations. The 6-month patency rates of native fistulas were 90%, 93% and 93% for the snuffbox, radiocephalic and brachiocephalic fistulas, respectively. The complication rate was 13% and the most common complication was thrombus formation. Conclusion: For all arteriovenous fistulas, the aim should be a long duration of patency and productivity. Patency rates of brachiocephalic fistulas are comparable to those of radiocephalic fistulas. Native fistulas are reliable, safe and simple procedures with access sites often available in both the forearm and the upper arm.
Kulak Burun Bogaz Ihtisas Dergisi Kbb Journal of Ear Nose and Throat, 2002
Objectives: To determine the incidence of septum deviation and dislocation in newborns and to inv... more Objectives: To determine the incidence of septum deviation and dislocation in newborns and to investigate relationships between these pathologies and maternal causes and the mode of delivery. Patients and methods: The study included 195 mothers and 200 newborns, of which 10 were twins. Vaginal and cesarean deliveries were performed in 147 (73.5%) and 53 (26.5%) newborns, respectively. All newborns were examined with the use of anterior rhinoscopy. The nasal pyramid, columella, and septum were assessed to detect septal deviation or dislocation. Results: Twenty-three cases (15.6%) of vaginal delivery had septal deviation, while five (3.4%) had septal dislocation. In the newborns delivered by cesarean section, eight (15.1%) had septal deviation, but none had dislocation. Significant correlations were noted between pregnancy, delivery period, the way of delivery and the incidence of septal deviation and columella dislocation (p < 0.05). There was a significant correlation between head circumference and columella dislocation (p < 0.05). Conclusion: Since early reconstruction of the potential pathologies may be problem-solving, a careful rhinologic examination should be carried out in the newborns who have prolonged delivery, increased head circumference, and vaginal delivery.
Bu çalışmanın amacı hemodiyaliz amaçlı arteriyovenöz fistül operasyonlarındaki deneyimlerimizi, b... more Bu çalışmanın amacı hemodiyaliz amaçlı arteriyovenöz fistül operasyonlarındaki deneyimlerimizi, başarı oranlarımızı ve cerrahi teknikleri değerlendirmektir. Hastalar ve Yöntem: Ocak 2003 ile Aralık 2005 tarihleri arasında hemodiyaliz amacıyla gerçekleştirdiğimiz ardışık 165 arteriyovenöz fistül operasyonunu retrospektif olarak değerlendirdik. Değerlendirme operasyonun tipine, gerçekleştirildiği lokalizasyona ve komplikasyonlara göre yapıldı. Bulgular: Bu ardışık 165 operasyonluk seride greft kullanılmadı. 6 aylık açık kalma oranı Snuffbox, Radiyosefalik ve Brakiyosefalik fistüller için sırasıyla %90, %93 ve %93'dür. Komplikasyon oranı %13 olup en sık görülen komplikasyon trombus oluşumudur. Sonuç: Bütün fistüllerde amaç verimli olması ve uzun süre çalışması olmalıdır. Brakiyosefalik fistüllerin açıklık oranları radiyosefalik fistüllere benzerdir. Nativ fistüller hem kolda hem de önkolda başarılı, güvenli ve kolay olarak gerçekleştirilebilirler. Anahtar sözcükler: Hemodiyaliz, Arteriyovenöz fistül. RETROSPECTIVE EVALUATION OF CONSECUTIVE 165 NATIVE ARTERIOVENOUS FISTULA OPERATIONS PERFORMED FOR HAEMODIALYSIS ACCESS Background: The aim of this study was to evaluate our arteriovenous fistula experience and success rate and the surgical technique in arteriovenous fistula operations for haemodialysis access. Methods: We retrospectively reviewed 165 consecutive operations for haemodialysis access performed in our department from January 2003 to December 2005. They were evaluated for the type of operation, localization and complications. Results: No grafts were used in this series of 165 consecutive operations. The 6-month patency rates of native fistulas were 90%, 93% and 93% for the snuffbox, radiocephalic and brachiocephalic fistulas, respectively. The complication rate was 13% and the most common complication was thrombus formation. Conclusion: For all arteriovenous fistulas, the aim should be a long duration of patency and productivity. Patency rates of brachiocephalic fistulas are comparable to those of radiocephalic fistulas. Native fistulas are reliable, safe and simple procedures with access sites often available in both the forearm and the upper arm.
Kulak Burun Bogaz Ihtisas Dergisi Kbb Journal of Ear Nose and Throat, Sep 1, 2003
A seventy-one-year-old woman was hospitalized with a suspicion of deep neck infection and poor ge... more A seventy-one-year-old woman was hospitalized with a suspicion of deep neck infection and poor general health. She had been receiving treatment for hepatitis, diabetes mellitus, and cardiac failure and had a history of tooth ache and severe neck pain lasting for the past 10 days. She had been admitted to another center where she had received antibiotic treatment for five days for widespread swelling in the neck and lower extremities, fatigue, and difficulty in breathing and swallowing. Upon admission, computed tomography showed gas formation in the neck and facial regions. Prompt abscess drainage was performed and intense treatment with antibiotics was continued. Despite all efforts, the patient died on the second day of hospitalization from cardiopulmonary arrest. This case emphasizes how urgent drainage is when gas formation is detected in deep neck infections, with inevitable poor prognosis with antibiotic treatment alone.
Indian Journal of Otolaryngology and Head & Neck Surgery, Jul 23, 2022
Background: Vitiligo is a chronic, common disease of unknown etiology, and oxidative stress is su... more Background: Vitiligo is a chronic, common disease of unknown etiology, and oxidative stress is suggested to have a role in its etiopathogenesis. Objective: Advanced oxidation protein products (AOPPs), prooxidant-antioxidant balance (PAB), and ferric-reducing antioxidant power (FRAP) were evaluated regarding their role in the pathogenesis of vitiligo as well as their relationship with clinical presentation and disease severity, and these parameters were compared with those of healthy controls. Methods: The study included 53 patients with vitiligo and 20 healthy volunteers as the control group. AOPP level, PAB, and FRAP were determined by colorimetric methods. Results: PAB and FRAP level were significantly higher in patients with vitiligo than in healthy controls (p＜0.001). The AOPP levels in vitiligo patients were not statistically significantly higher than those in healthy controls. The Vitiligo Area Scoring Index positively correlated with disease duration (rs: 0.531, p＜0.001). Conclusion: To the best of our knowledge, this is the first report of AOPP and PAB status in vitiligo. PAB may be used as an indicator for oxidative stress in the etiopathogenesis of vitiligo. Our results show that these parameters may play a major role in the melanocyte damage observed in vitiligo. Further studies are required to confirm the mechanisms underlying this effect.
Objectives: We investigated the relationship between symptoms, coronal paranasal computed tomogra... more Objectives: We investigated the relationship between symptoms, coronal paranasal computed tomography (CT) findings and anatomic variations in patients with acute sinusitis. Patients and methods: The study included 44 patients (23 females, 21 males; mean age 35 years; range 21 to 74 years) whose diagnosis was acute sinusitis by history and physical examination. A comprehensive inquiry into the symptoms was made and coronal paranasal CT scans were obtained in all the patients. Correlations were sought between symptom scores, CT scores, and anatomic variations. Results: No correlations were found between anatomic variations and CT scores. Total symptom scores did not correlate with CT scores. A statistically significant correlation existed only between headache and CT scores. The most commonly affected sinuses were maxillary sinuses (73%), followed by posterior ethmoidal sinuses (60%). Conclusion: Our data suggest that routine CT evaluations are superfluous in acute sinusitis.
... Süleyman Demirel Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Doç... more ... Süleyman Demirel Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Doçent Doktor Yazışma Adresi: Hasan YASAN Modernevler Mah. ... 37 Bulgular Çalışmamızdaki 61 hastanın (39 erkek, 22 bayan) yaşları ortalama 6.7±3.9 (yaş dağılımı: 2-18) idi. ...
We report the use of a nasal septal clip. We believe that this instrument is more easily inserted... more We report the use of a nasal septal clip. We believe that this instrument is more easily inserted and removed when compared with the classical nasal packs.
Of 97 extracranial complication cases, 41 (42.3%) were female and 56 (57.7%) were male with ages ... more Of 97 extracranial complication cases, 41 (42.3%) were female and 56 (57.7%) were male with ages ranging from 5 to 83 years (mean age, 43.9 years). Two (2.1%) patients were in the first decade, 9 (9.3%) in second, 16 (16.5%) in third, 22 (22.7%) in fourth, 8 (8.2%) in fifth, 17 (17.5%) in sixth, 13(13.4%) in seventh, 7 (7.2%) in eighth and 3 (3.1%) in ninth decade. Table 1 shows the distribution of ages of the patients with extracranial complications of COM. Objective; To discuss the incidence, clinical presentation, diagnosis and management of extracranial complications of chronic otitis media (COM). Materials & Methods; In this retrospective study conducted between 1983 and 2007, 97 extracranial complications of COM were included. Intracranial complications of COM and complications of acute otitis media were not included in the study. The analyses included clinical and surgical findings and overall management strategy of the patients who had COM complication. Results; Labyrinthiti...
Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2003
OBJECTIVES We investigated the relationship between symptoms, coronal paranasal computed tomograp... more OBJECTIVES We investigated the relationship between symptoms, coronal paranasal computed tomography (CT) findings and anatomic variations in patients with acute sinusitis. PATIENTS AND METHODS The study included 44 patients (23 females, 21 males; mean age 35 years; range 21 to 74 years) whose diagnosis was acute sinusitis by history and physical examination. A comprehensive inquiry into the symptoms was made and coronal paranasal CT scans were obtained in all the patients. Correlations were sought between symptom scores, CT scores, and anatomic variations. RESULTS No correlations were found between anatomic variations and CT scores. Total symptom scores did not correlate with CT scores. A statistically significant correlation existed only between headache and CT scores. The most commonly affected sinuses were maxillary sinuses (73%), followed by posterior ethmoidal sinuses (60%). CONCLUSION Our data suggest that routine CT evaluations are superfluous in acute sinusitis.
Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2002
OBJECTIVES To determine the incidence of septum deviation and dislocation in newborns and to inve... more OBJECTIVES To determine the incidence of septum deviation and dislocation in newborns and to investigate relationships between these pathologies and maternal causes and the mode of delivery. PATIENTS AND METHODS The study included 195 mothers and 200 newborns, of which 10 were twins. Vaginal and cesarean deliveries were performed in 147 (73.5%) and 53 (26.5%) newborns, respectively. All newborns were examined with the use of anterior rhinoscopy. The nasal pyramid, columella, and septum were assessed to detect septal deviation or dislocation. RESULTS Twenty-three cases (15.6%) of vaginal delivery had septal deviation, while five (3.4%) had septal dislocation. In the newborns delivered by cesarean section, eight (15.1%) had septal deviation, but none had dislocation. Significant correlations were noted between pregnancy, delivery period, the way of delivery and the incidence of septal deviation and columella dislocation (p < 0.05). There was a significant correlation between head c...
We present a 43-year-old male patient who developed a giant cholesteatoma with lateral sinus obli... more We present a 43-year-old male patient who developed a giant cholesteatoma with lateral sinus obliteration and involvement of the posterior cranial fossa. The only complaints were left-sided aural discharges and total sensorineural hearing loss. Examination revealed a mass lesion consistent with cholesteatoma within the left middle ear. Computed tomography and magnetic resonance imaging showed an extensive acquired cholesteatoma in the left middle ear, invading the posterior cranial fossa and leading to lateral sinus obliteration. The patient underwent left radical mastoidectomy. He had an uneventful postoperative follow-up for 13 months. This case emphasizes the value of preoperative radiologic assessment of giant cholesteatomas that may present with relatively few or limited symptoms.
Bu çalışmanın amacı hemodiyaliz amaçlı arteriyovenöz fistül operasyonlarındaki deneyimlerimizi, b... more Bu çalışmanın amacı hemodiyaliz amaçlı arteriyovenöz fistül operasyonlarındaki deneyimlerimizi, başarı oranlarımızı ve cerrahi teknikleri değerlendirmektir. Hastalar ve Yöntem: Ocak 2003 ile Aralık 2005 tarihleri arasında hemodiyaliz amacıyla gerçekleştirdiğimiz ardışık 165 arteriyovenöz fistül operasyonunu retrospektif olarak değerlendirdik. Değerlendirme operasyonun tipine, gerçekleştirildiği lokalizasyona ve komplikasyonlara göre yapıldı. Bulgular: Bu ardışık 165 operasyonluk seride greft kullanılmadı. 6 aylık açık kalma oranı Snuffbox, Radiyosefalik ve Brakiyosefalik fistüller için sırasıyla %90, %93 ve %93'dür. Komplikasyon oranı %13 olup en sık görülen komplikasyon trombus oluşumudur. Sonuç: Bütün fistüllerde amaç verimli olması ve uzun süre çalışması olmalıdır. Brakiyosefalik fistüllerin açıklık oranları radiyosefalik fistüllere benzerdir. Nativ fistüller hem kolda hem de önkolda başarılı, güvenli ve kolay olarak gerçekleştirilebilirler. Anahtar sözcükler: Hemodiyaliz, Arteriyovenöz fistül. RETROSPECTIVE EVALUATION OF CONSECUTIVE 165 NATIVE ARTERIOVENOUS FISTULA OPERATIONS PERFORMED FOR HAEMODIALYSIS ACCESS Background: The aim of this study was to evaluate our arteriovenous fistula experience and success rate and the surgical technique in arteriovenous fistula operations for haemodialysis access. Methods: We retrospectively reviewed 165 consecutive operations for haemodialysis access performed in our department from January 2003 to December 2005. They were evaluated for the type of operation, localization and complications. Results: No grafts were used in this series of 165 consecutive operations. The 6-month patency rates of native fistulas were 90%, 93% and 93% for the snuffbox, radiocephalic and brachiocephalic fistulas, respectively. The complication rate was 13% and the most common complication was thrombus formation. Conclusion: For all arteriovenous fistulas, the aim should be a long duration of patency and productivity. Patency rates of brachiocephalic fistulas are comparable to those of radiocephalic fistulas. Native fistulas are reliable, safe and simple procedures with access sites often available in both the forearm and the upper arm.
Kulak Burun Bogaz Ihtisas Dergisi Kbb Journal of Ear Nose and Throat, 2002
Objectives: To determine the incidence of septum deviation and dislocation in newborns and to inv... more Objectives: To determine the incidence of septum deviation and dislocation in newborns and to investigate relationships between these pathologies and maternal causes and the mode of delivery. Patients and methods: The study included 195 mothers and 200 newborns, of which 10 were twins. Vaginal and cesarean deliveries were performed in 147 (73.5%) and 53 (26.5%) newborns, respectively. All newborns were examined with the use of anterior rhinoscopy. The nasal pyramid, columella, and septum were assessed to detect septal deviation or dislocation. Results: Twenty-three cases (15.6%) of vaginal delivery had septal deviation, while five (3.4%) had septal dislocation. In the newborns delivered by cesarean section, eight (15.1%) had septal deviation, but none had dislocation. Significant correlations were noted between pregnancy, delivery period, the way of delivery and the incidence of septal deviation and columella dislocation (p < 0.05). There was a significant correlation between head circumference and columella dislocation (p < 0.05). Conclusion: Since early reconstruction of the potential pathologies may be problem-solving, a careful rhinologic examination should be carried out in the newborns who have prolonged delivery, increased head circumference, and vaginal delivery.
Bu çalışmanın amacı hemodiyaliz amaçlı arteriyovenöz fistül operasyonlarındaki deneyimlerimizi, b... more Bu çalışmanın amacı hemodiyaliz amaçlı arteriyovenöz fistül operasyonlarındaki deneyimlerimizi, başarı oranlarımızı ve cerrahi teknikleri değerlendirmektir. Hastalar ve Yöntem: Ocak 2003 ile Aralık 2005 tarihleri arasında hemodiyaliz amacıyla gerçekleştirdiğimiz ardışık 165 arteriyovenöz fistül operasyonunu retrospektif olarak değerlendirdik. Değerlendirme operasyonun tipine, gerçekleştirildiği lokalizasyona ve komplikasyonlara göre yapıldı. Bulgular: Bu ardışık 165 operasyonluk seride greft kullanılmadı. 6 aylık açık kalma oranı Snuffbox, Radiyosefalik ve Brakiyosefalik fistüller için sırasıyla %90, %93 ve %93'dür. Komplikasyon oranı %13 olup en sık görülen komplikasyon trombus oluşumudur. Sonuç: Bütün fistüllerde amaç verimli olması ve uzun süre çalışması olmalıdır. Brakiyosefalik fistüllerin açıklık oranları radiyosefalik fistüllere benzerdir. Nativ fistüller hem kolda hem de önkolda başarılı, güvenli ve kolay olarak gerçekleştirilebilirler. Anahtar sözcükler: Hemodiyaliz, Arteriyovenöz fistül. RETROSPECTIVE EVALUATION OF CONSECUTIVE 165 NATIVE ARTERIOVENOUS FISTULA OPERATIONS PERFORMED FOR HAEMODIALYSIS ACCESS Background: The aim of this study was to evaluate our arteriovenous fistula experience and success rate and the surgical technique in arteriovenous fistula operations for haemodialysis access. Methods: We retrospectively reviewed 165 consecutive operations for haemodialysis access performed in our department from January 2003 to December 2005. They were evaluated for the type of operation, localization and complications. Results: No grafts were used in this series of 165 consecutive operations. The 6-month patency rates of native fistulas were 90%, 93% and 93% for the snuffbox, radiocephalic and brachiocephalic fistulas, respectively. The complication rate was 13% and the most common complication was thrombus formation. Conclusion: For all arteriovenous fistulas, the aim should be a long duration of patency and productivity. Patency rates of brachiocephalic fistulas are comparable to those of radiocephalic fistulas. Native fistulas are reliable, safe and simple procedures with access sites often available in both the forearm and the upper arm.
Kulak Burun Bogaz Ihtisas Dergisi Kbb Journal of Ear Nose and Throat, Sep 1, 2003
A seventy-one-year-old woman was hospitalized with a suspicion of deep neck infection and poor ge... more A seventy-one-year-old woman was hospitalized with a suspicion of deep neck infection and poor general health. She had been receiving treatment for hepatitis, diabetes mellitus, and cardiac failure and had a history of tooth ache and severe neck pain lasting for the past 10 days. She had been admitted to another center where she had received antibiotic treatment for five days for widespread swelling in the neck and lower extremities, fatigue, and difficulty in breathing and swallowing. Upon admission, computed tomography showed gas formation in the neck and facial regions. Prompt abscess drainage was performed and intense treatment with antibiotics was continued. Despite all efforts, the patient died on the second day of hospitalization from cardiopulmonary arrest. This case emphasizes how urgent drainage is when gas formation is detected in deep neck infections, with inevitable poor prognosis with antibiotic treatment alone.
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