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Ozturk Z, Bayar Muluk N, Oguz O, Kaya F, Dundar R, Cingi C. The comparison of 1-year results for mini and wide-size cap grafts applied to nasal tips. Eur Rev Med Pharmacol Sci 2024; 28:1777-1782. [PMID: 38497860 DOI: 10.26355/eurrev_202403_35591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/19/2024]
Abstract
OBJECTIVE In the present study, we evaluated patient satisfaction with cap grafts by Rhinoplasty Outcomes Evaluation (ROE) scores. Mini cap and wide cap grafts were applied. PATIENTS AND METHODS A total of 80 patients who underwent a rhinoplasty operation with cap graft application to the tip region were included in the study. According to the cap graft size, there were two groups: Group 1 consisted of 40 patients with cap graft size ≤7 cm (mini cap group). Group 2 comprised 40 patients with cap grafts ≥8 cm (wide cap group). Patients in groups 1 and 2 underwent evaluations based on the following criteria at preoperative, postoperative-1st month, and postoperative-1st year intervals: (1) Rhinoplasty Outcomes Evaluation Questionnaire (ROE), (2) tip projection (cm), (3) nasal dorsum length (cm), (4) tip projection ratio (Goode), (5) nasofrontal angle, and (6) nasolabial angle. RESULTS Postoperative 1st-month and 1st-year ROE scores of the wide cap group were significantly higher than those in the mini cap group (p<0.05). Preoperative tip projection ratio (Goode) values of the wide cap group were considerably higher than those in the mini cap group (p<0.05). There were no significant differences between tip projection, nasal dorsum length, nasofrontal angle, and nasolabial angle values of the mini cap and wide cap groups (p>0.05). Correlation tests showed that as preoperative ROE scores decreased, postoperative-1st month and 1st-year ROE scores increased (p<0.05). Postoperative 1st-month and postoperative 1st-year's ROE scores increased together (p<0.05). In the wide cap group, postoperative 1st-month and postoperative 1st-year's ROE scores increased compared to the mini cap group (p<0.05). As postoperative 1st-year nasolabial angle values increased, postoperative 1st-year ROE scores also increased (p<0.05). CONCLUSIONS We found that patients who received wide-cap rhinoplasty had increased postoperative ROE scores and higher satisfaction rates during the first month and first year. Postoperative higher nasolabial angle values were related to higher ROE scores and patient satisfaction in the postoperative 1st year.
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Affiliation(s)
- Z Ozturk
- Department of Otorhinolaryngology, Faculty of Medicine, Istanbul Nişantaşı University, Baypark Hospital, Otolaryngology Clinics, Istanbul, Turkey.
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Genc S, Yagci T, Vageli DP, Dundar R, Doukas PG, Doukas SG, Tolia M, Chatzakis N, Tsatsakis A, Taghizadehghalehjoughi A. Exosomal MicroRNA-223, MicroRNA-146, and MicroRNA-21 Profiles and Biochemical Changes in Laryngeal Cancer. ACS Pharmacol Transl Sci 2023; 6:820-828. [PMID: 37200807 PMCID: PMC10186621 DOI: 10.1021/acsptsci.3c00038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Indexed: 05/20/2023]
Abstract
Laryngeal squamous cell carcinoma (LSCC) is one of the most aggressive cancers, and its early diagnosis is urgent. Exosomes are believed to have diagnostic significance in cancer. However, the role of serum exosomal microRNAs, miR-223, miR-146, and miR-21, and phosphatase and tensin homologue (PTEN) and hemoglobin subunit delta (HBD) mRNAs in LSCC is unclear. Exosomes were isolated from the blood serum of 10 LSCC patients and 10 healthy controls to perform scanning electron microscopy and liquid chromatography quadrupole time-of-flight mass spectrometry analyses to characterize them and to undergo reverse transcription polymerase chain reaction to identify miR-223, miR-146, miR-21, and PTEN and HBD mRNA expression phenotypes. Biochemical parameters, including serum C-reactive protein (CRP) and vitamin B12, were also obtained. Serum exosomes of 10-140 nm were isolated from LSCC and controls. Serum exosomal miR-223, miR-146, and PTEN were found to be significantly decreased (p < 0.05), in contrast to serum exosomal miRNA-21 (p < 0.01), and serum vitamin B12 and CRP (p < 0.05) were found to be significantly increased, in LSCC vs controls. Our novel data show that the combination of reduced serum exosomal miR-223, miR-146, and miR-21 profiles and biochemical alterations in CRP and vitamin B12 levels may be useful indicators of LSCC that could be validated by large studies. Our findings also suggest a possible negative regulatory effect of miR-21 on PTEN in LSCC, encouraging a more extensive investigation of its role.
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Affiliation(s)
- Sidika Genc
- Faculty
of Medicine, Department of Medical Pharmacology, Bilecik Seyh Edebali University, Bilecik 11230, Turkey
| | - Tarik Yagci
- Faculty
of Medicine, Department of ENT, Bilecik
Seyh Edebali University, Bilecik 11230, Turkey
| | - Dimitra P. Vageli
- Yale
Larynx Laboratory, Department of Surgery (Otolaryngology), Yale School of Medicine, New Haven, Connecticut 06510, United States
| | - Riza Dundar
- Faculty
of Medicine, Department of ENT, Bilecik
Seyh Edebali University, Bilecik 11230, Turkey
| | - Panagiotis G. Doukas
- Yale
Larynx Laboratory, Department of Surgery (Otolaryngology), Yale School of Medicine, New Haven, Connecticut 06510, United States
| | - Sotirios G. Doukas
- Department
of Internal Medicine, Division of Gastroenterology and Hepatology, Saint Peter University Hospital, New Brunswick New Jersey 08901-1780, United States
- Department
of Forensic Sciences and Toxicology, Faculty of Medicine, University of Crete, 71003 Heraklion, Greece
| | - Maria Tolia
- Department
of Radiology, Faculty of Medicine, University
of Crete, 71003 Heraklion, Greece
| | - Nikolaos Chatzakis
- Otorhinolaryngologist
Consultant, ENT Department of University
Hospital of Crete, 71003 Heraklion, Greece
| | - Aristidis Tsatsakis
- Department
of Forensic Sciences and Toxicology, Faculty of Medicine, University of Crete, 71003 Heraklion, Greece
| | - Ali Taghizadehghalehjoughi
- Faculty
of Medicine, Department of Medical Pharmacology, Bilecik Seyh Edebali University, Bilecik 11230, Turkey
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Yagci T, Dundar R, Yukkaldiran A. Tympanoplasty with Boomerang-Shaped Chondoperichondrial Graft: Long-Term Results. ENT Updates 2022. [DOI: 10.5152/entupdates.2022.21100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Iynen I, Dundar R. Chorda Tympani nerve injury during tympanoplasty. Comparison of endoscopic and microscopic methods. Ann Ital Chir 2021; 10:S0003469X2102813X. [PMID: 33687346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
PURPOSE Iatrogenic injury of the chorda tympani nerve (CTN) is a well-recognized complication of middle ear surgery The aim of the present study was to compare CTN injury occurring as a result of type 1 tympanoplasty performed using microscopic and endoscopic methods. METHODS A retrospective study was conducted at our institution on patients diagnosed with chronic otitis and then treated with type 1 tympanoplasty surgery between January, 2013 and January, 2014 .The patients were divided into two groups; group 1 consisted of patients who underwent endoscopic tympanoplasty and group 2 consisted of patients who underwent microscopic tympanoplasty. At follow-up 3, 6 ,and 12 months after surgery patients were asked to complete a questionnaire that enquired about symptoms of CTN injury: changes in taste sensation, tongue numbness. and dry mouth. RESULTS There were 66 patients (33 males, mean age 30.4 ± 8.14 years (range: 8-56 years)) There were 25 patients in group I (endoscopic tympanoplasty) and 41 patients in group 2 (miscroscopic tympanoplasty). A total of 11 (16.6%) patients reported symptoms related to CTN damage: 1 (4%) patient in group and 10 (24%) patients in group 2. A metallic taste in the mouth was the most-common symptom, noted by 7 patients(63.6%), 1 (4%) in group 1 and 6(14.6%) in group 2. Ageusia/hypogeusia was reported by 4 patients (37.4%) all in group 2 Tongue numbness occurred in 2 patients (4.8%) in group 2. No patients had xerostomia. CONCLUSIONS Type I tympanoplasty performed with an endoscopic technique is minimally invasive,and is associated with less CTN manipulation and as a consequence less iatrogenic injury to the CTN KEY WORDS: Chorda Tympani Nerve, Endoscopic Tympanoplasty, Microscopic Tympanoplastytype 1 Tympanoplasty.
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Özbay C, Soy FK, Kulduk E, Dundar R, Yükkaldiran A, Güler OK, Koç E. Boomerang-shaped vs. shield-shaped chondroperichondrial cartilage grafts for type 1 tympanoplasty in children: A study of 121 patients. Ear Nose Throat J 2018; 96:419-432. [PMID: 29121374 DOI: 10.1177/0145561317096010-1121] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Many techniques and graft materials have been used for the reconstruction of the tympanic membrane. We conducted a retrospective study to compare anatomic and functional outcomes of type 1 tympanoplasty that we performed with boomerang-shaped chondroperichondrial cartilage grafts (BSGs) and shield-shaped chondroperichondrial cartilage grafts (SSGs) in pediatric patients. Our study population was made up 121 patients-61 boys and 60 girls, aged 7 to 16 years (mean: 12.4)-who had undergone a type 1 tympanoplasty. Patients were divided into two groups according to the grafting technique used; there were 59 patients in the BSG group and 62 patients in the SSG group. Ear examinations were performed at postoperative months 3, 6, 12, and 24, and pure-tone average (PTA) for air-conduction threshold values and air-bone gaps (ABGs) were evaluated at 0.5, 1.0, 2.0, and 4.0 kHz at the same visits. We also investigated the impact of the graft material on functional graft success and intergroup differences (if any) in surgical success. Mean postoperative follow-up periods were 30.5 and 30.2 months in the BSG and SSG groups, respectively. We found that the success rates for tympanic membrane reconstruction were not significantly different in the two groups (91.5 and 88.7%). Postoperatively, the mean PTA and ABG values in both groups at 3, 6, 12, and 24 months were significantly lower than the preoperative values (p < 0.05). There were no significant differences in mean PTA values between the two groups at 3, 6, 12, and 24 months. However, the extent of the decrease in PTA values in the BSG group at 3 months was significantly greater than that of the SSG group (p < 0.05). There were no significant differences in mean ABG values between the two groups at 3, 6, and 12 months, but at 24 months, the value was significantly higher in the BSG group (p < 0.05). Finally, the extent of the decrease in ABG in the BSG group at both 3 and 6 months was significantly greater than that of the SSG group (p < 0.05). We conclude that the BSG procedure is a reliable and safe method of performing pediatric tympanoplasty.
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Affiliation(s)
- Can Özbay
- Department of Otorhinolaryngology, Acıbadem Eskişehir Hospital, Hosnudiye Mah. 26170, Tepebasi/Eskişehir, Turkey
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Dundar R, Kulduk E, Soy FK, Aslan M, Yükkaldiran A, Çiftçi MA. Boomerang-Shaped Chondro-Perichondral Graft Versus Temporalis Muscle Fascia Graft: Which One is to be Trusted? Indian J Otolaryngol Head Neck Surg 2016; 68:339-44. [PMID: 27508137 PMCID: PMC4961630 DOI: 10.1007/s12070-015-0825-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2014] [Accepted: 01/15/2015] [Indexed: 11/29/2022] Open
Abstract
The aim of this study was to compare anatomical and audiological results of boomerang-shaped chondroperichondrial graft (BSCPG) with temporal muscle fascia in type 1 tympanoplasties. Sixty-eight patients in BSCPG group and 54 patients in fascia group were evaluated. Otomicroscopic examination was done periodically till 24 months as for graft perforation, lateralization and retraction and mean air conduction threshold and airbone gap values were measured. At long term controls, in BSCPG group, rates of neomembrane, perforation, retraction and lateralization were 91.17 % (n = 62), 8.82 % (n = 6), 4.41 % (n = 3) and 0 % (n = 0), respectively. In fascia group, the corresponding rates were 79.62 % (n = 43), 20.37 % (n = 11), 12.96 % (n = 7) and 3.7 % (n = 2), respectively. In both groups, mean postoperative PTA and ABG values were significantly better while postoperative same values were significantly different between groups (p = 0.044 and 0.032, respectively). Compared to fascia, BSCPG is an ideal grafting technique in the repair of tympanic membrane perforations.
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Affiliation(s)
- Riza Dundar
- Department of Otorhinolaryngology, Harran University, Şanliurfa, Turkey
| | - Erkan Kulduk
- Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey
| | - Fatih Kemal Soy
- Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey
| | - Mehmet Aslan
- Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey
| | - Ahmet Yükkaldiran
- Department of Otorhinolaryngology, Harran University, Şanliurfa, Turkey
| | - Mehmet Ali Çiftçi
- Department of Otorhinolaryngology, Harran University, Şanliurfa, Turkey
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Dundar R, Bulut H, Yükkaldiran A, Güler O, Demirtaş Y, Iynen İ, Bozkuş F, Soy F. Temperature rises in the round window caused by various light sources during insertion of rigid endoscopes: an experimental animal study. Clin Otolaryngol 2016; 41:44-50. [DOI: 10.1111/coa.12468] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/24/2015] [Indexed: 11/29/2022]
Affiliation(s)
- R. Dundar
- Department of Otorhinolaryngology; Harran University; Şanliurfa Turkey
| | - H. Bulut
- Department of Mechanical Engineering; Harran University Engineering Faculty; Şanliurfa Turkey
| | - A. Yükkaldiran
- Department of Otorhinolaryngology; Harran University; Şanliurfa Turkey
| | - O.K. Güler
- Department of Otorhinolaryngology; Harran University; Şanliurfa Turkey
| | - Y. Demirtaş
- Department of Mechanical Engineering; Harran University Engineering Faculty; Şanliurfa Turkey
| | - İ. Iynen
- Department of Otorhinolaryngology; Harran University; Şanliurfa Turkey
| | - F. Bozkuş
- Department of Otorhinolaryngology; Harran University; Şanliurfa Turkey
| | - F.K. Soy
- Department of Otorhinolaryngology; Harran University; Şanliurfa Turkey
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Dundar R, Kulduk E, Soy FK, Aslan M, Yukkaldiran A, Guler OK, Ozbay C. Surgical success of boomerang-shaped chondroperichondrial graft in pediatric chronic otitis media cases. Int J Pediatr Otorhinolaryngol 2015; 79:808-811. [PMID: 25843785 DOI: 10.1016/j.ijporl.2015.02.037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2014] [Revised: 02/27/2015] [Accepted: 02/27/2015] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To reveal the success of boomerang-shaped chondroperichondrial graft (BSCPG) in pediatric chronic otitis media cases. METHODS A total of 43 pediatric patients (age 7-16 years) who had undergone type 1 tympanoplasty with the diagnosis of chronic otitis media between March 2010 and March 2013 were included in this retrospective study. The main outcome measures were the graft success rate and level of hearing improvement. RESULTS Graft intake success rate was 90.7%. Mean preoperative and postoperative air-bone gap values were 20.51 ± 4.34 dB SPL and 9.32 ± 5.64 dB SPL, respectively (p < 0.001). Mean preoperative and postoperative pure tone average values were 28.6 ± 3.52 and 12.24 ± 5.22 respectively (p < 0.001). Air-bone gap was improved to ≤ 10 dB in 38 (88.37%) patients during the postoperative period. CONCLUSIONS Boomerang-shaped chondroperichondrial grafting technique seems to be a successful alternative in the management of pediatric chronic otitis media cases. It has relatively higher grade graft success rate.
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Affiliation(s)
- Riza Dundar
- Department of Otorhinolaryngology, Harran University, Sanliurfa, Turkey.
| | - Erkan Kulduk
- Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey
| | - Fatih Kemal Soy
- Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey
| | - Mehmet Aslan
- Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey
| | - Ahmet Yukkaldiran
- Department of Otorhinolaryngology, Harran University, Sanliurfa, Turkey
| | - Osman Kadir Guler
- Department of Otorhinolaryngology, Harran University, Sanliurfa, Turkey
| | - Can Ozbay
- Department of Otorhinolaryngology, Adnan Menderes University, Aydin, Turkey
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Ozbay C, Dundar R, Kulduk E, Soy KF, Aslan M, Katilmis H. A Post-Tympanoplasty Evaluation of the Factors Affecting Development of Myringosclerosis in the Graft: A Clinical Study. J Int Adv Otol 2014. [DOI: 10.5152/iao.2014.40] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Aktas S, Basoglu MS, Aslan H, Ilknur AE, Dundar R, Katilmis H, Ozturkcan S. Hearing loss effects of administering boric alcohol solution prepared with alcohol in various degrees on guinea pigs (an experimental study). Int J Pediatr Otorhinolaryngol 2013; 77:1465-8. [PMID: 23899702 DOI: 10.1016/j.ijporl.2013.06.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2013] [Revised: 06/10/2013] [Accepted: 06/11/2013] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To investigate the ototoxic effect of boric acid solution prepared with different degree of alcohol. METHODS This study was performed on 28 young albino guinea pigs. After the animals divided four groups prior to the application of the solution an auditory brainstem response (ABR) test was applied to the each animal under general anesthesia. Their tympanic membranes perforated and test solutions were administrated to the middle ear through the perforation. On 15th day, ABR measurements were carried out and comparison was made with preadministration values. RESULTS The degrees of hearing loss occurring as a result of the administration of 4% boric alcohol solutions prepared with 60° and 40° alcohol differed significantly (p < 0.001). CONCLUSION It was established that 4% boric acid solution prepared with 60 alcohol affected hearing in guinea pigs more negatively and an increase in degree of alcohol also increased the ototoxicity of the boric acid solution.
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Affiliation(s)
- Sinem Aktas
- Department of Otorhinolaryngology and Head and Neck Surgery, İzmir Private Su Hospital, İzmir, Turkey
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