Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat

Publications in this journal

• Article: [Self and significant other assessment of hearing device aided communication skills in the elderly with hearing loss].

  Didem Sahin, Figen Süren Başar, Ayşe Gül Güven
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  ABSTRACT: This study aims to evaluate the communication problems of elderly before and after using hearing aids. Thirty hearing aid users and 10 normal hearing control subjects with their relatives were enrolled in the study. Hearing aid users were divided into three subgroups based on the duration of use. Self Assessment of Communication (SAC) and Significant Other Assessment of Communication (SOAC) questionnaires were administered to hearing aid users, control subjects, as well as to their relatives for the evaluation of communication difficulties due to hearing loss. Intra-group comparisons were carried out in the patients using hearing aids, while inter-group comparisons were performed to evaluate the effects of different aided periods on communication skills. It was found that the communication difficulties reduced in the patients who used hearing aid for minimum one month. For the patients with hearing loss, hearing aid use of six months or more increased SAC and SOAC scores to a level comparable with control subjects. The present study conclude that the elderly patients of 60 years of age or more with moderate sensorineural hearing loss could catch up their normal hearing peers in their communication skills within six months only if they prescribed and used proper hearing aids.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 05/2012; 22(3):153-9.
• Article: A rare late complication after concomitant chemoradiation of an oropharyngeal tumor: cervical necrotizing fasciitis.

  Barış Karakullukçu, Dalith van der Vlies, Frank Jp Hoebers
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  ABSTRACT: Chemoradiation is increasingly being used to treat locally advanced head and neck carcinomas. Possible rare complications of this treatment modality have begun to appear, as the number of treated patients increase. In this report, we present a case who underwent chemoradiation due to T3N3M0 tonsil cancer and developed necrotizing fasciitis of the neck at seven months following treatment. The patient recovered fully after treatment with surgical debridement with pectoralis major flap reconstruction and intravenous antibiotherapy.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):105-8.
• Article: Thyroid metastasis of the primary lung adenocarcinoma: a case report.

  Türkan Dübüş, Baki Doğan, Soykan Arıkan
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  ABSTRACT: Metastatic diseases of thyroid are rarely seen. For the patients who had previous malignancy in their history, metastatic lesions should not be ignored in the differential diagnosis of massive lesions in the thyroid gland, even the primary tumor was treated years ago. In this article, we present a case with lung adenocarcinoma which was metastatic to the thyroid gland.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):109-11.
• Article: Histopathologic examination of routine tonsil and adenoid specimens: is it a necessary approach?

  Sema Koç, Ismail Onder Uysal, Hüseyin Yaman, Ahmet Eyibilen
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  ABSTRACT: This study aims to investigate whether it is necessary to perform histopathologic examination of the specimens of tonsillectomy and/or adenoidectomy. In this retrospective and multicenter study, 1021 pediatric and adult patients (557 males, 464 females; median age 8 years; range 5 to 13 years) who underwent adenoidectomy and/or tonsillectomy were included. Of the patients, 809 (79.3%) were pediatrics, while 212 (20.7%) were adult. Age, gender, histopathologic diagnosis and risk for malignancy in the patients with malignant diagnosis were reviewed using present patient records. Adenotonsillectomy was performed on 396 patients (38.8%), tonsillectomy on 266 patients (26%) and adenoidectomy on 359 patients (35.2%). Of the 1021 patients, 1011 (99%) received a benign histopathologic diagnosis, while 11 (1%) receieved malignant diagnosis. Malignant diagnosis was present only in adult patients. All patients diagnosed with a malignancy had one or more preoperative risk factors. No unexpected malignant diagnosis was found in any of the patients without preoperative risk factors. We concluded that histopathologic diagnosis may not be required for the patients without preoperative risk factors, particularly pediatric patients.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):87-90.
• Article: The history of sign language and deaf education in Turkey.

  Yusuf Kemal Kemaloğlu, Pınar Yaprak Kemaloğlu
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  ABSTRACT: Sign language is the natural language of the prelingually deaf people particularly without hearing-speech rehabilitation. Otorhinolaryngologists, regarding health as complete physical, mental and psychosocial well-being, aim hearing by diagnosing deafness as deviance from normality. However, it's obvious that the perception conflicted with the behavior which does not meet the mental and social well-being of the individual also contradicts with the definition mentioned above. This article aims to investigate the effects of hearing-speech target ignoring the sign language in Turkish population and its consistency with the history through statistical data, scientific publications and historical documents and to support critical perspective on this issue. The study results showed that maximum 50% of the deaf benefited from hearing-speech program for last 60 years before hearing screening programs; however, systems including sign language in education were not generated. In the light of these data, it is clear that the approach ignoring sign language particularly before the development of screening programs is not reasonable. In addition, considering sign language being part of the Anatolian history from Hittites to Ottomans, it is a question to be answered that why evaluation, habilitation and education systems excluding sign language are still the only choice for deaf individuals in Turkey. Despite legislative amendments in the last 6-7 years, the primary cause of failure to come into force is probably because of inadequate conception of the issue content and importance, as well as limited effort to offer solutions by academicians and authorized politicians. Within this context, this paper aims to make a positive effect on this issue offering a review for the medical staff, particularly otorhinolaryngologists and audiologists.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):65-76.
• Article: [Bone cement or incus interposition in type 2 tympanoplasty: prognostic factors and functional outcomes].

  Uygar Levent Demir, Sait Karaca, Oğuz Basut
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  ABSTRACT: In this study, we compared the functional results of incus interposition and the use of bone cement in patients who underwent type 2 tympanoplasty due to isolated incus defects. A total of 47 patients including 12 patients with incus interposition and 35 patients with bone cement were enrolled in the study. The middle ear risk indices (MERI) of the patients were evaluated from the patient files. The mean air conduction thresholds at 0.5, 1, 2 and 4 kHz and air-bone gap were estimated, evaluating preoperative and postoperative audiogram results at 12 months of all patients. The success rate of surgery and functional outcomes were compared between the patients of similar MERI groups on which ossicular reconstruction was performed using different methods (bone cement or incus interposition). In all patients, there was a statistical significant improvement in terms of the mean air conductance threshold and decrease in the mean air-bone gap (p<0.001, p=0.001). The comparison of percentage changes of functional gain between incus interposition and bone cement groups showed no statistically significant difference (p=0.542, p=0.534). In this study, similar functional outcomes were attained between the patient groups in which type 2 tympanoplasty with either sculptured incus interposition or bone cement was performed. Several factors including the cost of the material to be used, status of the middle ear and ossicles, defect size, and experience of the surgeon should be also considered.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):99-104.
• Article: [The role of sentinel lymph node biopsy in oral cavity cancer].

  Ersin Sen, Oğuz Basut, Idil Oztürk, Uygar Levent Demir, Omer Afşın Ozmen, Fikret Kasapoğlu, Osman Durgut
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  ABSTRACT: This study aims to evaluate the role of sentinel lymph node (SLN) biopsy in patients who had clinically N0 oral cavity cancer in the neck assessment. Between May 2006 and May 2008, nine patients with clinically N0 oral cavity cancer (6 females, 3 males; mean age 57±24.7 years; range 31 to 71 years) who underwent surgical treatment were enrolled in this study. Eight of them had corpus linguae carcinoma, while one had lower lip carcinoma. Tumor stages were T1 in four, T2 in four patients, and T4a in one patient. The patients underwent surgery within 8 to 16 hours after lymphoscintigraphy was performed for detecting SLNs. Initially primary tumor was excised. Then, SLNs which were identified by a gamma probe, lifting skin flap of the neck were excised. Neck dissection was performed as scheduled. SLNs were examined in frozen sections. The results of frozen section and definitive histopathological diagnosis of SLNs were compared with each other, as well as the definitive histopathological diagnosis of the dissection materials. In all patients SLNs were completely identified and excised successfully, including one node in one patient, two nodes in six patients and three nodes in two patients. All nodes were localized ipsilaterally in the neck. In addition, the frozen section and definitive histopathological examination results of all nodes were consistent. Biopsy results indicated that eight patients were SLN-negative, while one was SLN-positive. Only one patient was SLN-negative, although the pathological diagnosis was found to be N1. Our study results suggests that SLN biopsy may be applicable for early stage oral cavity tumors.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):81-6.
• Article: Giant pleomorphic adenoma of the parotid gland.

  Mehmet Ali Çetin, Aykut Ikincioğulları, Gökçe Saygı, Hatice Gül Hatipoğlu, Sabri Köseoğlu, Hüseyin Dere
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  ABSTRACT: Pleomorphic adenomas are the most common benign tumors of the salivary glands. These adenomas generally present without pain and are slowly enlarged. However, they can reach enormous sizes, because they are often neglected by the patient and due to late diagnosis and intervention because of fear of surgery or sociocultural factors. This may lead to functional, aesthetic and social problems. In this article, we present a 55-year-old female patient with a giant pleomorphic adenoma in size of 15x15x20 cm, who presented with the complaint of a mass enlarged and swollen for 20 years in her left neck and face and underwent a successful surgery.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):116-8.
• Article: Non-malignant thyroid disease after exposure to radioactive elements during nuclear explosion: a neglected issue.

  Viroj Wiwanitkit
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  ABSTRACT: Recent nuclear explosion in Japan led to a great concern regarding its detrimental effects on health. As obtained data imply the increased risk of thyroid cancer, the prevention is widely suggested. Also the adverse effect of leaked radioactive elements can lead to non-malignant thyroid disease, which is neglected. In this article, non-malignant thyroid disease after exposure to radioactive elements during nuclear explosion was reviewed and discussed.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):119-21.
• Article: Glomus tumor of the nasal vestibulum: a rare clinical presentation.

  Mehmet Güven, Öznur Akıdil, Mahmut Sinan Yılmaz
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  ABSTRACT: Glomus tumor is an uncommon benign tumor rising from the glomus bodies. It is most often found on limbs and rarely involve the head and neck. In this report, we present the 31st documented case of a intranasal glomus (nasal vestibular) tumor, an extremely rare localization.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):112-5.
• Article: [The evaluation of tumor histopathology, location, characteristic, size and thickness of nonmelanoma skin cancers of the head and neck].

  Görkem Eskiizmir, Erdoğan Ozgür, Peyker Temiz, Gülsüm Gençoğlan, Aylin Türel Ermertcan
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  ABSTRACT: This study aims to investigate the characteristic features of tumors and relationship between features in cases who underwent surgery for nonmelanoma skin cancer (NMSC) of the head and neck. Between December 2007 and March 2011, 106 lesions of 90 cases who underwent excision of NMSC of the head and neck in our clinic were included. The statistical analysis was performed by evaluating the demographic data, histopathologic type, size and thickness of tumor, location, Clark stage, T stage, risk of recurrence and the presence of recurrence, reconstruction technique and success rate of surgery. Basal cell carcinoma (BCC) was approximately two-fold more common than squamous cell carcinoma (SCC). The most common locations of tumors were the nose and lip. Most of lesions (71.7%) were at high-risk of recurrence. When the relationship of histopathologic type with the size and depth of tumor were analyzed, it was found that the size and thickness of tumor in SCC were relatively higher with a statistically significant difference. The relationship between histopathologic type and the location of tumors was also statistically significant. Basal cell carcinoma is the most common NMSC of the head and neck. Most of these cases have the potential of high rate of recurrence. The size and thickness of SCC are higher than BCC.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 03/2012; 22(2):91-8.
• Article: The relationship between heterotopic gastric mucosa in the cervical esophagus and laryngopharyngeal reflux. Ezerarslan H, Çoban M, Kuran S, Akmansu ŞH, Özgüler Z, Beriat GK, Erkan G, Değertekin B, Kocatürk S. Kulak Burun Bogaz Ihtis Derg. 2012 Jan-Feb;22(1):6-11. doi: 10.5606/kbbihtisas.2012.002. PMID:22339562[PubMed - indexed for MEDLINE]

  Ezerarslan H, Çoban M, Kuran S, Akmansu ŞH, Özgüler Z, Beriat GK, Erkan G, Değertekin B, Kocatürk S
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 01/2012; 22(1):6-11.
• Article: Kazıkdaş KC, Güneli E, Tuğyan K, Erbil G, Küme T, Uysal N, Yılmaz O,Serbetçioğlu B. The effect of melatonin on experimentally-induced myringosclerosis in rats. Kulak Burun Bogaz Ihtis Derg. 2010 Nov-Dec;20(6):299-304. PubMed PMID: 20961284.

  Kazıkdaş KC, Güneli E, Tuğyan K, Erbil G, Küme T, Uysal N, Yılmaz O, Serbetçioğlu B
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 11/2010;
• Article: [The relationship between smoking and nasal polyposis].

  Selim S Erbek, Seyra Erbek, Irem Budakoğlu, Ozcan Cakmak
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  ABSTRACT: Research on the role of environmental factors in the pathogenesis of nasal polyposis (NP) is limited. The aim of this study was to evaluate the effect of smoking on NP. A total of 125 patients (80 men, 45 women; mean age 44+/-12 years; range 19 to 78 years) with NP were evaluated with regard to the presence or absence of smoking, polyp stage, paranasal sinus computed tomography (CT) score, total IgE level, blood eosinophil count, and symptom scores. The rate of smoking in NP patients was 16.8% (21 patients), being significantly low (p<0.001) compared to the general rate of smoking previously reported in the study area (34.2%). There was no association between smoking and polyp size, paranasal sinus CT score, total IgE level, and blood eosinophil count (p>0.05). The frequencies of allergy, asthma, and aspirin allergy were not different between smokers and nonsmokers (p>0.05). Symptom scores did not differ significantly between smokers and nonsmokers, except for nasal obstruction score, which was significantly low in nonsmokers (p=0.034). Our results showed that the rate of smoking in patients with NP and the severity of nasal obstruction in smokers compared to nonsmokers were significantly low. Tissue studies in patients with NP may provide useful data on the relationship between smoking and NP.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 02/2008; 18(4):216-20.
• Article: [A case of severe rhinophyma].

  Ismail Onder Uysal, Cengiz Gök, Salim Yüce, Cahit Polat, Suphi Müderris, Fahrettin Göze
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  ABSTRACT: Rhinophyma is a benign disease of the nasal skin causing cosmetic and functional disturbances. Its etiology remains uncertain. Surgery is the most common treatment of choice. A 55-year-old man with severe rhinophyma was treated with total excision of the involved tissue and sebaceous glands, and the defect was reconstructed with full-thickness skin graft. No recurrence was seen during a two-year follow-up period, and cosmetic and functional outcome was satisfactory.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 02/2008; 18(1):49-52.
• Source

  Available from: ulakbim.gov.tr

  Article: A case of greater occipital nerve schwannoma causing neuralgia.

  Ahmet Ural, Alper Ceylan, Erdoğan Inal, Fatih Celenk
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  ABSTRACT: Schwannomas are common tumors of the head and neck region, but they rarely develop in the suboccipital region. A 34-year-old woman presented with a left suboccipital mass causing local pain and neck stiffness. Following physical examination, fine needle aspiration biopsy was performed, which revealed benign cytology. In the light of preoperative radiologic examination and intraoperative observations, the lesion was thought to originate from the greater occipital nerve. Following complete excision of the lesion, histopathological diagnosis was made as schwannoma. Apart from mild neck stiffness and transient local paresthesia in the early postoperative period, no complications were seen during a two-year follow-up period.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 02/2008; 18(4):253-6.
• Source

  Available from: ulakbim.gov.tr

  Article: Coexistence of actinomycosis and sialolithiasis in the submandibular gland.

  Celil Uslu, Cağatay Oysu, Burak Ulkümen
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  ABSTRACT: Actinomycosis of the submandibular gland is unusual. A 55-year-old male presented with a right, painless submandibular mass of four-year duration. Physical examination revealed a 4 x 3-cm mass in the submandibular region. Ultrasonography-guided fine needle aspiration from the lesion showed microorganisms compatible with actinomyces colonies in the glandular tissue. The diagnosis was made as actinomycosis of the right submandibular gland accompanied by sialolithiasis. The patient was treated with penicillin G (10 million U/day) for three months, followed by 3 g/day oral penicillin for six months. After this medication, physical examination showed no decrease in the size of the mass and the clinical features remained unchanged. Submandibular gland excision under general anesthesia was performed.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 02/2008; 18(4):257-9.
• Article: [Surgical approach to recurrent papillary thyroid carcinoma involving the larynx: a case report].

  Ercan Akbay
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  ABSTRACT: A 54-year-old male patient presented with a complaint of a mass in the anterior aspect of the neck of three-month duration. He had a history of total and near-total thyroidectomy in the right and left lobes, respectively, and right modified radical neck dissection at another center 12 months before. Physical examination showed a laryngeal mass, 4 x 5 cm in size, in the midline of the neck, and bilateral and multiple lymphadenopathies. Fiberoptic laryngoscopy showed a lobular contour mass filling the laryngeal lumen and involving the anterior commissure and a fixed right vocal cord. Biopsy result of the lesion was consistent with papillary carcinoma of the thyroid. The patient underwent total laryngectomy and bilateral neck dissection followed by reconstruction with the pectoralis major myocutaneous flap. Histopathologic examination showed laryngeal infiltration of the recurrent papillary thyroid carcinoma. Postoperative radioiodine (I-131) therapy was administered. No recurrences or distant metastasis were detected within a follow-up period of 10 months.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 02/2008; 18(4):246-9.
• Article: Comparison of the efficacy of nasal drop and nasal spray applications of fluticasone propionate in nasal polyps.

  Tayfun Demirel, Kadir Serkan Orhan, Nesil Keleş, Kemal Değer
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  ABSTRACT: We assessed the efficacy of different forms of fluticasone propionate in the treatment of bilateral nasal polyposis in adult patients. This double-blind, randomized, parallel group study included 34 patients, aged 16 years or over, with a diagnosis of bilateral nasal polyposis. The patients were randomized to three groups to receive fluticasone propionate in the form of aqueous nasal spray 100 microg twice daily, or nasal drop preparation 400 microg once or twice daily for 12 weeks. Once every four weeks, nasal volumes were measured by acoustic rhinometry and polyp size was assessed by a 4-mm rigid endoscope. Clinical symptom scores were assessed once a week. The mean nasal polyp scores decreased significantly in all the groups (p<0.005). Total nasal volume did not improve significantly with the nasal spray. Although single daily nasal drop application increased total nasal volume significantly only at the end of treatment (p<0.05), increases with twice daily application were significant at 4, 8, and 12 weeks, compared to the baseline values and corresponding values of the other two groups (p<0.005). Nasal blockage and rhinitis symptom scores improved in all the groups (p<0.05), but the difference from the baseline was highest with twice daily nasal drop application. Smelling showed a significant improvement only with twice daily nasal drop application (p<0.05). In none of the groups did nasal discomfort scores differ significantly from the baseline at the end of treatment. Nasal drop preparation of fluticasone propionate given twice daily showed the highest efficacy in increasing total nasal volume, decreasing nasal polyp size, and improving smelling and nasal blockage.
  Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 02/2008; 18(1):1-6.