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Publications (6)2.06 Total impact

  • Umit Tunçel, Hasan Mete Inançlı, Sefik Sinan Kürkçüoğlu, Murat Enoz
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    ABSTRACT: We conducted a retrospective study of 35 adults who had undergone tongue base suspension in addition to other surgery for the treatment of obstructive sleep apnea syndrome (OSAS). Our goal was to determine the most effective surgical approach by comparing these patients' preoperative apnea-hypopnea index (AHI) with their postoperative scores at 6 months. The 35 patients were divided into three groups based on a preoperative assessment of their level of airway obstruction; the assessment included a determination of AHI and endoscopic findings during the MÜller maneuver. Patients in group 1 (n = 9) exhibited unilevel obstruction, and they were treated with lateral pharyngoplasty; patients in group 2 (n = 13) also had unilevel obstruction, and they underwent Z-palatoplasty; patients in group 3 (n = 13) had multilevel obstruction, and they underwent combined surgery. Postoperatively, all three groups exhibited statistically significant improvements in AHI, but we determined that of the three approaches, multilevel surgery was significantly more effective (p < 0.001).
    Ear, nose, & throat journal 08/2012; 91(8):E13-8. · 1.03 Impact Factor
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    ABSTRACT: Cervical lymph node metastasis is the most important prognostic factor in patients with head and neck carcinoma. We retrospectively analyzed the effects of three different variables-tumor size, degree of differentiation, and depth of invasion-on the risk of neck node metastasis in 50 adults who had been treated with surgery for primary squamous cell carcinoma of the oral cavity. Primary tumor depth and other pathologic features were determined by reviewing the pathology specimens. Preoperatively, 36 of the 50 patients were clinically N0; however, occult lymph node metastasis was found in 13 of these patients (36.1%). The prevalence of neck node metastasis in patients with T1/T2 and T3/T4 category tumors was 51.5 and 58.8%, respectively. The associations between the prevalence of neck node metastasis and both the degree of differentiation and the depth of invasion were statistically significant, but there was no significant association between neck node metastasis and tumor size. We conclude that the prevalence of neck lymph node metastasis in patients with squamous cell carcinoma of the oral cavity increases as the tumor depth increases and as the degree of tumor differentiation decreases from well to poor, as has been shown in previous studies. It is interesting that tumor size, which is the most important component of the TNM system, was not significantly associated with neck node involvement.
    Ear, nose, & throat journal 03/2012; 91(3):130-5. · 1.03 Impact Factor
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    ABSTRACT: The aim of this study is to measure the tympanic cavity (TC) volumes with Cavalieri principle using computed tomography (CT) scanning of temporal bones, to investigate the difference between the right and the left ears with respect to sexes and to exemplify the TC volume measurements. Clinical records of 91 patients (46 females 45 males; mean age 48.1 years; range 15 to 60 years) whose TCs were measured at ear nose throat clinic of Ankara Oncology Education and Research Hospital between January 2007 and March 2008, were retrospectively investigated. The CT scans which were obtained from two sides with a slice thickness of 1 mm were evaluated. Measurements of TC volumes were made with using the Cavalieri method. The mean TC volume in male subjects was 0.4721+/-0.0406 cm(3) on the left ears and 0.4883+/-0.0352 cm(3) on the right ears. In females the mean cavity volume was 0.4943+/-0.0501 cm(3) on the left ears and 0.4881+/-0.0485 cm(3) on the right ears. There was no statistically difference in between of the both sexes for the TC volume measurements and between both sites of the same individuals.
    Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 01/2010; 20(3):137-41.
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    ABSTRACT: In this study patients who had locoregional recurrence of lower lip carcinomas after therapies such as surgery, electrocoagulation, cryotherapy or traditional local therapies are discussed. The records of 16 cases (1 female, 15 males; mean age 58 years; range 30 to 83 years) with recurrent lower lip carcinoma admitted between March 2002 and September 2007 to Dr. Abdurrahman Yurtarslan Oncology Training and Research Hospital, Ear, Nose and Throat Department were retrospectively reviewed. Fourteen patients had been treated in other institutions, while two had been treated in our center. Four of the patients had recurrence in the lip, four patients had recurrence only in the neck, and the remaining eight patients had both lip and neck recurrence. Ten patients received modified radical or radical neck dissection because of their palpable lymphadenopathies, three patients received supraomohyoid neck dissection due to non palpable lymphadenopathies, and the remaining three patients did not have neck dissection because of co-morbid diseases. Seven patients (43%) died in the first postoperative year because of lower lip carcinomas and three patients died because of other reasons. Six patients survived for the first two years without any evidence of disease. Patient survival will be affected by the applied treatment. For patients with primary lower lip cancers, otolaryngologists experienced in oncology must plan surgery rather than local treatments. In case of locoregional recurrence, immediate treatment should be planned.
    Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 01/2010; 20(5):237-42.
  • Umit Tunçel, Hasan Mete Inançli, Sefik Sinan Kürkçüoğlu, Murat Enöz
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    ABSTRACT: Our aim is to figure out the role of Müller maneuver (MM) to detect the level of upper airway obstruction and the severity of obstructive sleep apnea syndrome (OSAS). In this study, polysomnographies were made after the routine otorhinolaryngological examination including MM in patients admitted with OSAS suspicion in Ankara Oncology Training and Research Hospital's Department of Otorhinolaryngology, Sleep Medicine Policlinic. Two-hundred and twenty-one OSAS patients (142 males, 179 females; mean age 47.63 years; range 18 to 82 years) were included to the study. There weren't any significant correlation among apnea hypopnea index (AHI) results and body mass index (BMI), tonsil size and obstruction severity due to MM (p>0.05). Müller maneuver scores are positively correlated to the Epworth sleepiness scale (EPSS) scores (r=0.213 and p<0.001). Epworth sleepiness scale scores are found to be correlated to BMI and neck circumference (p<0.05). Level of the airway obstruction doesn't affects the EPSS scores (p=0.235). Also EPSS scores are not affected from uni or multilevel obstruction (p=0.088). The severity of the MM score is not correlated to the severity of OSAS according to AHI results, but it is found to be correlated to EPSS. Vibrating tissues caused local and systemic inflammation in OSAS patients. The correlation between EPSS and MM scores can be explained by this inflammatory process. Further prospective studies have to be done in this field. Müller maneuver in an awake patient might reflect the levels of the obstruction in sleep conditions even though insufficient for figuring out the severity of OSAS.
    Kulak burun bogaz ihtisas dergisi: KBB = Journal of ear, nose, and throat 01/2010; 20(2):84-8.
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    ABSTRACT: Eagle's syndrome occurs when an elongated styloid process or calcified stylohyoid ligament causes recurrent throat pain or foreign body sensation, dysphagia. Diagnosis can usually be made on physical examination by digital palpation of the styloid process in the tonsiller fossa. Three-dimensional computed tomography can utilized for supporting diagnosis. The treatment of Eagle's syndrome is primarily surgical. The styloid process can be shortened through an intraoral oe external approach. We report a 46- year-old woman with the seymptomatology of Eafle's syndrome and literature review.
    Agri: Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology 11/2007; 19(4):43-7.