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Azizli E, Oğuz O, Bayar Muluk N, Sarı H, Dilber M, Uyar Y, Cingi C. Applied surgical methods and outcomes in crooked nose rhinoplasty. Eur Rev Med Pharmacol Sci 2023; 27:1-5. [PMID: 37869941 DOI: 10.26355/eurrev_202310_34062] [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: 10/24/2023]
Abstract
OBJECTIVE In this retrospective and multicentric study, we investigated applied surgical methods in rhinoplasty for crooked nose deformity. PATIENTS AND METHODS The retrospective data for 300 crooked nose deformity cases (191 males and 109 females) were used in our study. Classification of the initial deformities was performed as (1) I-shaped crooked nose deformity, (2) C-shaped crooked nose deformity, (3) Reverse C-shaped crooked nose deformity, and (4) S-shaped crooked nose deformity. As an operation technique, L-strut septoplasty was performed. The applied surgical methods in rhinoplasty to correct the crooked nose are evaluated and classified. RESULTS Our results showed that initial deformities in crooked nose patients were I-shaped crooked nose deformity (34%), C-shaped crooked nose deformity (28%), Reverse C-shaped crooked nose deformity (21.3%), and S-shaped crooked nose deformity (16.7%). L-strut septoplasty was performed, and the results of the applied methods to correct the crooked nose were evaluated and classified. It was noticed that more than one procedure was applied to each case: (1) double-side lateral osteotomy (86.6%), (2) wedge bone resection on one side of the osteotomy (7.3%), (3) single-side lateral osteotomy (6%), (4) symmetric spreader grafts (56%), (5) asymmetric spreader grafts (10.6%), (6) shaving of the transverse wing of dorsal septum (8%), (7) correction of deviated dorsal septum (16.3%), (8) displaced anterior nasal spine (12.6%), (9) clocking suture (dorsal septal rotation suture) (9%), (10) dorsal septal scoring and splinting graft (8.3%), and equalizing lateral cruses (12.6%). CONCLUSIONS I-shaped and C-shaped crooked nose deformities were mainly detected in crooked nose deformity patients. Correcting the crooked nose, double-side lateral osteotomy, and symmetric spreader grafts were the most applied techniques to correct the crooked nose. Other rhinoplasty techniques were also applied to these patients; more than one technique was needed.
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Affiliation(s)
- E Azizli
- Otorhinolaryngology Section, Private Practice, Istanbul, Turkey.
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Hanci D, Gurpinar B, Sari H, Uyar Y. A novel technique in septal perforation: Fascia lata and costal cartilage sandwich graft. Niger J Clin Pract 2021; 24:1531-1534. [PMID: 34657021 DOI: 10.4103/njcp.njcp_484_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Nasal septum perforation (NSP) is an anatomical defect of the mucosa, cartilage/bone of nasal septum and septoplasty is the most common cause of it. A perforated septum rarely heals on its own, it is more likely to get worse. The success for large perforations is approximately 78%, it is harder to be successful in vertically larger perforations. We introduce a new technique to close large perforations by the fascia lata and costal cartilage sandwich graft (FLSG). The main advantage of this technique is that the fascia lata eliminates the opening between the septal mucosal flaps in case the septal mucosal flaps may not meet each other. Patients and Methods 16 cases presenting with nasal septum perforation were repaired with the FLSG technique. Grafts were harvested, the perforation was accessed through open rhinoplasty approach, FLSG is inserted and sutured. Results 16 cases consisting of 9 males (56.25%) and 7 females (43.75%) were operated. The age range was between 20 and 43 years (mean 32.6 ± 6.94). 3 cases (18.75%) had medium and 13 cases (81.25%) had large NSP. 8 cases (50%) were smokers. Nine month postoperatively, all medium NSP were closed. During this period, 14 NSP (87.5%) medium size NSP achieved complete closure, while the remaining two NSP that were yet to close had large defects (>2 cm) and smokers. Conclusion FLSG is an effective, easy, and novel technique in NSP repair and the postoperative controls have proven a high success rate even in large NSP.
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Affiliation(s)
- D Hanci
- Department of Otolaryngology, Cemil Tascioglu City Hospital, Darulaceze, Okmeydani, Istanbul, Turkey
| | - B Gurpinar
- Department of Otolaryngology, Cemil Tascioglu City Hospital, Darulaceze, Okmeydani, Istanbul, Turkey
| | - H Sari
- Department of Otolaryngology, Cemil Tascioglu City Hospital, Darulaceze, Okmeydani, Istanbul, Turkey
| | - Y Uyar
- Department of Otolaryngology, Cemil Tascioglu City Hospital, Darulaceze, Okmeydani, Istanbul, Turkey
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Artunc Ulkumen B, Pala HG, Uyar Y, Koyuncu FM, Bulbul Baytur Y. The alteration in placental volume and placental mean grey value in growth-restricted pregnancies assessed by 3D ultrasound (Growth Restriction & 3D Ultrasonography). J OBSTET GYNAECOL 2016; 35:447-50. [PMID: 25409488 DOI: 10.3109/01443615.2014.968115] [Citation(s) in RCA: 6] [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] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
We aimed to evaluate the volumetric and echogenic alterations in placentas between the intrauterine growth restriction (IUGR) and normal pregnancies using three-dimensional ultrasound and virtual organ computer-aided analysis (VOCAL) software. This case-control prospective study consisted of 48 singleton pregnancies complicated by IUGR and 60 healthy singleton pregnancies matched for maternal age, gestational age and parity. Placental volume (PV) and placental volumetric mean grey values (MGV) were evaluated. PV (cm(3)) was analysed using the VOCAL imaging analysis program, and 3D histogram was used to calculate the volumetric MGV (%). PV was 278.50 ± 63.68 and 370.98 ± 97.82 cm(3) in IUGR and control groups, respectively (p = 0.004). MGV of the placenta was 38.24 ± 8.41 and 38.24 ± 8.41 in IUGR and control groups, respectively (p = 0.30). receiver operator curve (ROC) curve analysis revealed that area under curve was 0.731 for PV. Correlation analysis revealed that PV was significantly associated with estimated fetal weight (r = 0.319, p = 0.003), biparietal diameter (r = 0.346, p = 0.002), head circumference (r = 0.269, p = 0.019), abdominal circumference (r = 0.344, p = 0.002) and femur length (r = 0.328, p = 0.004). PV was inversely related to the umbilical artery pulsatility index (r = - 0.244, p = 0.017). To the best of our knowledge, this is the first study evaluating volumetric MGV in IUGR placentas by comparing them with healthy pregnancies. Our study showed that PV diminishes significantly in IUGR pregnancies, whereas volumetric MGV does not alter significantly.
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Affiliation(s)
- B Artunc Ulkumen
- a Division of Perinatology, Department of Obstetrics and Gynecology , Celal Bayar University School of Medicine , Manisa , Turkey
| | - H G Pala
- a Division of Perinatology, Department of Obstetrics and Gynecology , Celal Bayar University School of Medicine , Manisa , Turkey
| | - Y Uyar
- a Division of Perinatology, Department of Obstetrics and Gynecology , Celal Bayar University School of Medicine , Manisa , Turkey
| | - F M Koyuncu
- a Division of Perinatology, Department of Obstetrics and Gynecology , Celal Bayar University School of Medicine , Manisa , Turkey
| | - Y Bulbul Baytur
- a Division of Perinatology, Department of Obstetrics and Gynecology , Celal Bayar University School of Medicine , Manisa , Turkey
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Saltürk Z, Arslanoğlu A, Özdemir E, Yıldırım G, Aydoğdu İ, Kumral TL, Berkiten G, Atar Y, Uyar Y. How do voice restoration methods affect the psychological status of patients after total laryngectomy? HNO 2016; 64:163-8. [PMID: 26923487 DOI: 10.1007/s00106-016-0134-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study investigated the relationship between psychological well-being and different voice rehabilitation methods in total laryngectomy patients. METHODS The study enrolled 96 patients who underwent total laryngectomy. The patients were divided into three groups according to the voice rehabilitation method used: esophageal speech (24 patients); a tracheoesophageal fistula and Provox 2 voice prosthesis (57 patients); or an electrolarynx (15 patients). The participants were asked to complete the Turkish version of the Voice Handicap Index-10 (VHI-10) to assess voice problems. They were also asked to complete the Turkish version of the Perceived Stress Scale (PSS), and the Hospital Anxiety and Depression Scale (HADS). The test scores of the three groups were compared statistically. RESULTS Patients who used esophageal speech had a mean VHI-10 score of 10.25 ± 3.22 versus 19.42 ± 5.56 and 17.60 ± 1.92 for the tracheoesophageal fistula and Provox 2 and electrolarynx groups respectively, reflecting better perception of their voice. They also had a PSS score of 11.38 ± 3.92, indicating that they felt less stressed in comparison with the tracheoesophageal fistula and Provox 2 and electrolarynx groups, which scored 18.84 ± 5.50 and 16.20 ± 3.49 respectively. The HADS scores of the groups were not different, indicating that the patients' anxiety and depression status did not vary. CONCLUSION Patients who used esophageal speech perceived less stress and were less handicapped by their voice.
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Affiliation(s)
- Z Saltürk
- Okmeydanı Training and Research Hospital ENT Clinic, Darülaceze cad. Şişli/Istanbul, Istanbul, Turkey.
| | - A Arslanoğlu
- Okmeydanı Training and Research Hospital ENT Clinic, Darülaceze cad. Şişli/Istanbul, Istanbul, Turkey
| | - E Özdemir
- Okmeydanı Training and Research Hospital ENT Clinic, Darülaceze cad. Şişli/Istanbul, Istanbul, Turkey
| | - G Yıldırım
- Okmeydanı Training and Research Hospital ENT Clinic, Darülaceze cad. Şişli/Istanbul, Istanbul, Turkey
| | - İ Aydoğdu
- Okmeydanı Training and Research Hospital ENT Clinic, Darülaceze cad. Şişli/Istanbul, Istanbul, Turkey
| | - T L Kumral
- Okmeydanı Training and Research Hospital ENT Clinic, Darülaceze cad. Şişli/Istanbul, Istanbul, Turkey
| | - G Berkiten
- Okmeydanı Training and Research Hospital ENT Clinic, Darülaceze cad. Şişli/Istanbul, Istanbul, Turkey
| | - Y Atar
- Okmeydanı Training and Research Hospital ENT Clinic, Darülaceze cad. Şişli/Istanbul, Istanbul, Turkey
| | - Y Uyar
- Okmeydanı Training and Research Hospital ENT Clinic, Darülaceze cad. Şişli/Istanbul, Istanbul, Turkey
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Kumral TL, Saltürk Z, Yildirim G, Uyar Y, Berkiten G, Atar Y, Inan M. How does electronic cigarette smoking affect sinonasal symptoms and nasal mucociliary clearance? B-ENT 2016; 12:17-21. [PMID: 27097389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
OBJECTIVE is to evaluate the sinonasal symptom scores and mucociliary clearance (MCC) after starting to use electronic cigarette METHODOLGY: This prospective randomized single-blind clinical trial was conducted between March 2013 and November 2013. Patients (n=98) admitted to smoking cessation clinic were divided into two groups; Electronic cigarette smokers (group 1) and non-electronic cigarette smokers (group 2). SNOT-22 and saccharin transit time for MCC were evaluated before starting electronic cigarettes and after the third months. RESULTS SNOT-22 scores and MCC time were evaluated between groups and within groups after 3 months. SNOT 22 scores and MCC measurements showed no difference between groups before the cessation of cigarette smoking (p >0.05). SNOT 22 results of both groups revealed statistically significantly lower scores after the three months (p < 0.05). However, SNOT-22 scores of group 2 was significantly better than group 1 (p > 0.05). Comparison of MCC results of group 2 revealed statistically significantly lower scores after the three months (p < 0.05). However, group 1 did not show any significant difference after three months (p > 0.05). There was a significant difference between the groups at the third month measurements (p < 0.05). CONCLUSIONS Although EC is widely used as a method of quitting smoking, it has negative effects on the sinonasal symptoms and MCC.
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Berkiten G, Kumral TL, Çakır O, Yıldırım G, Salturk Z, Uyar Y, Atar Y. Effectiveness of azelastine nasal spray in the treatment of adenoidal hyper-trophy in children. Hippokratia 2014; 18:340-345. [PMID: 26052201 PMCID: PMC4453808] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
AIM To evaluate the effects of topical azelastine treatment on symptoms related to adenoid hypertrophy and the size of adenoid tissue in children. MATERIAL AND METHODS In total, 60 children who were found to have adenoid hypertrophy were included. A questionnaire on nasal symptoms, nasal endoscopy and skin prick tests was administered to all patients. All patients had complaints of chronic nasal obstruction symptoms and nasal endoscopy showed > 75% choanal obstruction, attributable to adenoid pads. The adenoid/nasopharyngeal areas were calculated. All of the patients underwent azelastine nasal spray therapy (1 spray per nostril, twice daily; 0.28 mg/dose) for 30 days. After 1 month, all children were reassessed. The efficacy of therapy, symptoms, adenoid / nasopharynx ratio, and obstruction ratio, obtained by endoscopy, were compared. RESULTS Azelastine treatment was well tolerated by all patients. After the first treatment period, the severity of symptoms, endoscopic grade, and adenoid size decreased in all of the 60 patients. There were significant improvements in total subjective symptoms (nasal obstruction, rhinorrhea, cough, snoring, and obstructive sleep apnea) post-treatment. CONCLUSIONS Azelastine nasal spray may be useful in decreasing adenoid pad size and the severity of symptoms related to adenoidal hypertrophy. Hippokratia 2014; 18 (4): 340-345.
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Affiliation(s)
- G Berkiten
- Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - T L Kumral
- Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - O Çakır
- Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - G Yıldırım
- Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Z Salturk
- Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Y Uyar
- Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Y Atar
- Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey
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Pala HG, Artunc Ulkumen B, Uyar Y, Koyuncu FM, Bulbul Baytur Y. Three-dimensional placental volume and mean grey value: Normal ranges in a Turkish population and correlation with maternal serum biochemistry and Doppler parameters. J OBSTET GYNAECOL 2014; 35:259-62. [PMID: 25254419 DOI: 10.3109/01443615.2014.958146] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The aim of this study is to evaluate the relationship between three-dimensional (3D) ultrasound measurements of placenta at 11-13(6) weeks' gestation and maternal serum levels of pregnancy associated plasma protein-A (PAPP-A), free beta human chorionic gonadotrophin (fβhCG), Doppler parameters in early pregnancy. This prospective study consisted of 334 singleton pregnancies at 11-13(6) weeks' gestation. Placental volume and placental volumetric mean grey values were evaluated. The placental volume (cm(3)) was analysed using the Virtual Organ Computer-aided AnaLysis (VOCAL) imaging program and 3D histogram was used to calculate the volumetric mean grey value (%). Mean maternal age was 28.35 ± 7.55. Mean gestational age was 12.29 ± 0.68 weeks. Placental volume was 77.04 ± 35.74 cm(3). Mean grey value of the placenta was 34.38 ± 8.02%. Correlation analysis revealed that placental volume was significantly correlated with the crown-rump length (r = 0.173, p = 0.002), gestational week (r = 0.116, p = 0.036), ductus venosus pulsatility index (r = -0.101, p = 0.04) and maternal weight (r = 0.099, p = 0.037). There was a significant relation between the mean grey value of the placenta and maternal age (r = 0.131, p = 0.02), nuchal translucency (r = -0.109, p = 0.048), PAPP-A (r = 0.108, p = 0.04) and fβhCG (r = 0.104, p = 0.042). Volumetry of the placenta can be carried out with a high percentage of 1st trimester pregnancies. Volumetry during the 1st trimester could be helpful because of the less advanced state of placentation. This examination is easy to perform and the measurements can be acquired correctly and quickly.
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Affiliation(s)
- H G Pala
- Division of Perinatology, Department of Obstetrics and Gynecology, Celal Bayar University School of Medicine , Manisa , Turkey
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Berkiten G, Kumral TL, Yildirim G, Uyar Y, Atar Y, Salturk Z. Eight years of clinical findings and biopsy results of nasopharyngeal pathologies in 1647 adult patients: a retrospective study. B-ENT 2014; 10:279-284. [PMID: 25654951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
Abstract
OBJECTIVES We performed an 8-year retrospective study to evaluate the presentation, clinical findings and nasopharyngeal biopsy results of adult nasopharyngeal pathologies. METHODOLOGY This study included 1647 patients (801 males and 846 females) admitted to outpatient clinics. All patients underwent a nasopharyngeal biopsy for a nasopharyngeal mass. In addition, a blind biopsy was taken if there was suspicion of nasopharyngeal carcinoma, even in the absence of a mass lesion. The pathological diagnoses were analysed on the basis of the age, sex and clinical presentation of the patients. RESULTS Patient age ranged between 18 and 85 years; the mean was 36 years. Patient age differed significantly between those with benign and malignant disease (p=0.000); the risk of malignancy increased with age. Benign disease was found in 97.4% of the patients. Reactive lymphoid hyperplasia was the most common condition; it was found in 92.71% of benign cases. Undifferentiated nasopharyngeal cancer was the most common malignant disease, being found in 82.95% of all nasopharyngeal malignancies and in 4.43% of all nasopharyngeal disease. The most common symptom was nasal obstruction. The other main symptoms were hearing loss and neck mass. Neck mass was associated with malignancy. CONCLUSIONS Benign disease of the nasopharynx is more common than malignant pathology in patients with a nasopharyngeal mass. Although adenoidal tissue undergoes regression in the adolescent period, this tissue may present as the chief cause of nasal obstruction in adults. Age and symptoms may predict malignant disease.
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Kalaycioglu H, Korukluoglu G, Ozkul A, Oncul O, Tosun S, Karabay O, Gozalan A, Uyar Y, Caglayık DY, Atasoylu G, Altas AB, Yolbakan S, Ozden TN, Bayrakdar F, Sezak N, Pelıtlı TS, Kurtcebe ZO, Aydın E, Ertek M. Emergence of West Nile virus infections in humans in Turkey, 2010 to 2011. Euro Surveill 2012; 17:20182. [PMID: 22687827] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Abstract
In 2010, 47 human cases of West Nile virus (WNV)infection, including 12 laboratory-confirmed and 35 probable cases, were identified in Turkey. These were the first cases detected during routine surveillance.The patients were from 15 provinces, mainly located in the western part of the country. Incidence was 0.19/100,000 with a maximum of 1.39 in Sakarya province.Forty of the total 47 cases showed neuroinvasive manifestation. Median age was 58 years with a range of four to 86. Ten of the patients died. Enhanced surveillance in humans and animals and mosquito control measures were implemented. The WNV infections were included in the national notifiable diseases list as of April 2011. In 2011, three probable and two confirmed cases of WNV infection were diagnosed in provinces where infections had been detected in the previous year, supporting a lower activity than 2010. However,detection of WNV infections in humans in 2010 and 2011 consecutively, may indicate that WNV has become endemic in the western part of Turkey. Field epidemiological studies were undertaken to understand more about the nature of infection in Turkey.
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Affiliation(s)
- H Kalaycioglu
- Refik Saydam National Public Health Agency, Ankara, Turkey.
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Kalaycioglu H, Korukluoglu G, Ozkul A, Oncul O, Tosun S, Karabay O, Gozalan A, Uyar Y, Caglayık DY, Atasoylu G, Altas AB, Yolbakan S, Ozden TN, Bayrakdar F, Sezak N, Pelıtlı TS, Kurtcebe ZO, Aydın E, Ertek M. Emergence of West Nile virus infections in humans in Turkey, 2010 to 2011. Euro Surveill 2012. [DOI: 10.2807/ese.17.21.20182-en] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
In 2010, 47 human cases of West Nile virus (WNV) infection, including 12 laboratory-confirmed and 35 probable cases, were identified in Turkey. These were the first cases detected during routine surveillance. The patients were from 15 provinces, mainly located in the western part of the country. Incidence was 0.19/100,000 with a maximum of 1.39 in Sakarya province. Forty of the total 47 cases showed neuroinvasive manifestation. Median age was 58 years with a range of four to 86. Ten of the patients died. Enhanced surveillance in humans and animals and mosquito control measures were implemented. The WNV infections were included in the national notifiable diseases list as of April 2011. In 2011, three probable and two confirmed cases of WNV infection were diagnosed in provinces where infections had been detected in the previous year, supporting a lower activity than 2010. However, detection of WNV infections in humans in 2010 and 2011 consecutively, may indicate that WNV has become endemic in the western part of Turkey. Field epidemiological studies were undertaken to understand more about the nature of infection in Turkey.
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Affiliation(s)
- H Kalaycioglu
- Refik Saydam National Public Health Agency, Ankara, Turkey
| | - G Korukluoglu
- Refik Saydam National Public Health Agency, Ankara, Turkey
| | - A Ozkul
- Ankara University, Faculty of Veterinary Medicine, Department of Virology, Ankara, Turkey
| | - O Oncul
- Refik Saydam National Public Health Agency, Ankara, Turkey
| | - S Tosun
- State Hospital, Manisa, Turkey
| | - O Karabay
- Training and Research Hospital, Sakarya, Turkey
| | - A Gozalan
- Refik Saydam National Public Health Agency, Ankara, Turkey
| | - Y Uyar
- Refik Saydam National Public Health Agency, Ankara, Turkey
| | - D Y Caglayık
- Refik Saydam National Public Health Agency, Ankara, Turkey
| | - G Atasoylu
- Provincial Health Directorate, Manisa, Turkey
| | - A B Altas
- Refik Saydam National Public Health Agency, Ankara, Turkey
| | - S Yolbakan
- Refik Saydam National Public Health Agency, Ankara, Turkey
| | - T N Ozden
- Provincial Health Directorate, Manisa, Turkey
| | - F Bayrakdar
- Refik Saydam National Public Health Agency, Ankara, Turkey
| | - N Sezak
- State Hospital, Manisa, Turkey
| | - T S Pelıtlı
- Ministry of Health, General Directorate of Primary Health Care, Ankara, Turkey
| | - Z O Kurtcebe
- Ministry of Health, General Directorate of Primary Health Care, Ankara, Turkey
| | - E Aydın
- Ministry of Health, General Directorate of Primary Health Care, Ankara, Turkey
| | - M Ertek
- Refik Saydam National Public Health Agency, Ankara, Turkey
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Atalik KE, Keleş B, Uyar Y, Dündar MA, Oz M, Esen HH. Vasoprotection by melatonin and quercetin in rats treated with cisplatin. Indian J Exp Biol 2010; 48:1188-1193. [PMID: 21250600] [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: 05/30/2023]
Abstract
Cisplatin-based chemotherapy has a variety of vascular side effects. The aim of the present study was to evaluate the beneficial effect of melatonin and cisplatin on the alterations in vascular reactivity and structure of cisplatin-treated rats. Phenylephrine (PHE) and KCl-caused concentration-dependent contractions of rat aorta. Pretreatment with cisplatin increased the sensitivity but not the max response to PHE and KCl. In rats treated with melatonin or quercetin before cisplatin, the EC50 values, but not the maximal response to both agents were significantly higher than cisplatin-treated group. Compared to the control group, cisplatin-treatment significantly reduced the luminal area of the aorta. In melatonin and quercetin-treated aortas the luminal area values were significantly higher than cisplatin-treated group. The results demonstrate for the first time that melatonin and quercetin treatment may protect the aorta in cisplatin-based chemotherapy.
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Affiliation(s)
- K E Atalik
- Department of Pharmacology, Ok Meydani Education and Investigation Hospital, Istanbul, Turkey.
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Atalik K, Keles B, Uyar Y, Dundar M, Oz M, Esen H. Response to vasoconstrictor agents by detrusor smooth muscles from cisplatin-treated rats and antioxidant treatment. ACTA ACUST UNITED AC 2010; 32:305-10. [DOI: 10.1358/mf.2010.32.5.1423893] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Irez T, Ocal P, Idil M, Kaleli S, Uyar Y, Aydogan B, Erol N, Sahmay S. P807 Effects of cigarette smoking on intrauterine insemination outcomes. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)62297-9] [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: 11/15/2022]
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Sahmay S, Ocal P, Uyar Y, Cepni I, Senol H, Ocer F, Erel T, Irez T. P806 The effect of varicocelectomy on success of intrauterine insemination (preliminary results). Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)62296-7] [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: 11/25/2022]
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Sahmay S, Oral E, Senturk L, Atakul N, Aydogan B, Uyar Y, Seyisoglu H. O724 Fertility before and after premature ovarian failure. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)61097-3] [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: 10/20/2022]
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Carhan A, Albayrak N, Altas A, Uyar Y. PIV-33 Detection of oseltamivir-resistant influenza A(H1N1) viruses with H274Y mutation during 2007–2008 influenza season from central and eastern part of Turkey. J Clin Virol 2009. [PMCID: PMC7128626 DOI: 10.1016/s1386-6532(09)70129-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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17
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Uyar Y, Caglayik D, Korukluoğlu G, Carhan A, Ertek M. PXII-20 Hantavirus cases among CCHFv-PCR and ELISA negative patients in Hantavirus outbreak area, in Turkey. J Clin Virol 2009. [DOI: 10.1016/s1386-6532(09)70271-9] [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: 10/20/2022]
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18
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Nceboz Ü, Özçakir HT, Uyar Y, Çağlar H. Migration of an intrauterine contraceptive device to the sigmoid colon: a case report. EUR J CONTRACEP REPR 2009. [DOI: 10.1080/ejc.8.4.229.232] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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19
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Yilmaz GR, Buzgan T, Torunoglu MA, Safran A, Irmak H, Com S, Uyar Y, Carhan A, Ozkaya E, Ertek M. A preliminary report on Crimean-Congo haemorrhagic fever in Turkey, March - June 2008. Euro Surveill 2008; 13. [DOI: 10.2807/ese.13.33.18953-en] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Crimean-Congo haemorrhagic fever (CCHF) is a disease caused by a virus belonging to Bunyaviridae family. CCHF virus isolation and/or disease have been reported from more than 30 countries in Africa, Asia, south-eastern Europe, and the Middle East [1]. The main transmission routes of the virus are tick-bite and contact with tissues, body fluids and blood of infected animals [1-4]. Nosocomial transmission is another important route of infection [1]. The incubation period is generally described as 1-3 days after tick-bite and 5-6 days after exposure to infected animal or human blood or body fluid, but it can be longer. Fever, chills, headache, fatigue and myalgia are the most common symptoms in the pre-haemorrhagic period. The disease progresses to haemorrhagic form in severe cases [1]. The fatality rate of disease is reported between 7.5-50% in hospitalised patients [4-7]. This wide range may due to phylogenetic variation of the virus, transmission route and different treatment facilities [4-7].
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Affiliation(s)
- G R Yilmaz
- Ministry of Health, Primary Health Care Directorate, Ankara,Turkey
| | - T Buzgan
- Ministry of Health, Primary Health Care Directorate, Ankara,Turkey
| | - M A Torunoglu
- Ministry of Health, Primary Health Care Directorate, Ankara,Turkey
| | - A Safran
- Ministry of Health, Primary Health Care Directorate, Ankara,Turkey
| | - H Irmak
- Ministry of Health, Primary Health Care Directorate, Ankara,Turkey
| | - S Com
- Ministry of Health, Primary Health Care Directorate, Ankara,Turkey
| | - Y Uyar
- Refik Saydam Hygiene Center, Ankara, Turkey
| | - A Carhan
- Refik Saydam Hygiene Center, Ankara, Turkey
| | - E Ozkaya
- Refik Saydam Hygiene Center, Ankara, Turkey
| | - M Ertek
- Refik Saydam Hygiene Center, Ankara, Turkey
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20
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Uyar Y, Baytur YB, Calli C, Cetinkaya B, Caglar H. Intrauterine-diagnosed diastematomyelia. Ultrasound Obstet Gynecol 2007; 30:907-8. [PMID: 17914744 DOI: 10.1002/uog.5154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
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21
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Uyar Y, Baytur YB, Inceboz U. Perineometer and digital examination for assessment of pelvic floor strength. Int J Gynaecol Obstet 2007; 98:64-5. [PMID: 17466302 DOI: 10.1016/j.ijgo.2007.03.015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2006] [Revised: 03/10/2007] [Accepted: 03/13/2007] [Indexed: 10/23/2022]
Affiliation(s)
- Y Uyar
- Department of Obstetrics and Gynecology, Celal Bayar University School of Medicine, Manisa, Turkey.
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22
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Abstract
AbstractObjective:The aim of the present study was to investigate the dose-related effectiveness of corticosteroids in the management of otitis media with effusion, by using the objective assessment techniques of tympanometry and cytokine measurement.Materials and methods:The eustachian tubes of 42 male rats were obstructed. Thirty-six subjects with effusion were randomly divided into three equal groups: controls; 0.5 mg/kg/day corticosteroid; and 1 mg/kg/day corticosteroid. Concentrations of interleukin-1β and tumour necrosis factor α in the middle-ear effusions were analysed using enzyme-linked immunosorbent assay.Results:An effusion occurred on the 14th post-operative day and was present on the 30th post-operative day in the control group. Otomicroscopic examination and tympanometric measurement showed an improvement in the intervention groups. There was a significant difference between both intervention groups and the control group for both interleukin-1β and tumour necrosis factor α concentrations (p < 0.01). However, there was no significant difference between the 0.5 mg/kg and the 1 mg/kg corticosteroid groups (p > 0.05).Conclusion:The study confirmed a short term beneficial effect of systemic steroids on resolution of otitis media with effusion in a rat model. Our results support the theory that corticosteroids significantly decrease concentrations of both interleukin-1β and tumour necrosis factor α. In our model, the 0.5 mg/kg corticosteroid dose was as effective as the 1 mg/kg corticosteroid dose. Further studies should be carried out to determine the optimal dose and duration of corticosteroids in the treatment of otitis media with effusion.
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Affiliation(s)
- H Yaman
- Department of Otolaryngology, Meram Medical Faculty, Selcuk University, Konya, Turkey.
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23
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Baytur YB, Deveci A, Uyar Y, Ozcakir HT, Kizilkaya S, Caglar H. Mode of delivery and pelvic floor muscle strength and sexual function after childbirth. Int J Gynaecol Obstet 2005; 88:276-80. [PMID: 15733881 DOI: 10.1016/j.ijgo.2004.12.019] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2004] [Revised: 12/16/2004] [Accepted: 12/16/2004] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To investigate the respective roles of the mode of delivery and strength of pelvic floor muscles in the sexual function of women. METHOD Thirty-two women who were delivered vaginally and 21 women who underwent cesarean delivery at the Celal Bayar University School of Medicine Obstetrics Department were enrolled in the study, and 15 nulliparas were recruited as controls. Sexual function was assessed in all women by a validated questionnaire (the Female Sexual Function Index). Desire, arousal, lubrication, orgasm, satisfaction, and pain were measured separately, and pelvic floor muscle strength was assessed by a perineometer. Sexual function was compared among the 3 groups. The correlation between pelvic floor muscle strength and sexual function was also investigated. RESULTS Pelvic floor muscle strength was significantly lower in the group vaginally delivered compared with the group delivered by cesarean section and the nulliparous group (P<0.05). There was no difference between the groups regarding sexual function (P>0.05), and there was also no correlation between sexual function and pelvic muscle strength. CONCLUSION Pelvic floor muscle strength and mode of delivery did not affect sexual function in our study participants. The muscular component of female sexual function should be further investigated.
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Affiliation(s)
- Y B Baytur
- Department of Obstetrics and Gynecology, Celal Bayar University, School of Medicine, Manisa, Turkey.
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24
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Baytur YB, Tarhan S, Uyar Y, Ozcakir HT, Lacin S, Coban B, Inceboz U, Caglar H. Assessment of fetal cerebral arterial and venous blood flow before and after vaginal delivery or Cesarean section. Ultrasound Obstet Gynecol 2004; 24:522-8. [PMID: 15459931 DOI: 10.1002/uog.1749] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
OBJECTIVES To compare perinatal intracranial arterial and venous blood velocity changes between healthy term neonates delivered vaginally or by Cesarean section and to correlate these changes with cord blood gases and pH values at birth. METHODS The study involved 43 healthy term neonates who were delivered vaginally (n = 20) or by Cesarean section (n = 23). All fetuses/neonates were examined by Doppler ultrasound to obtain middle cerebral artery (MCA) and cerebral transverse sinus (Tsin) Doppler waveforms on three occasions (before delivery, and 1 h and 24 h after birth). Pulsatility index (PI) and peak systolic velocity (PSV) for MCA and Tsin were measured and compared between neonates who were delivered vaginally or by Cesarean section. Umbilical cord blood samples were analyzed for umbilical artery and vein pH, pO(2) and pCO(2) and values were correlated with MCA and Tsin Doppler indices. RESULTS MCA-PI increased and MCA-PSV decreased at 1 h after birth, and Doppler measurements returned to predelivery values at 24 h after birth. Tsin Doppler measurements remained unchanged at 1 h and 24 h when compared to predelivery values in both the Cesarean and vaginal delivery groups. There was a negative correlation between Tsin-PI before birth and umbilical venous pH. There was a positive correlation between Tsin-PSV at 1 h after birth and umbilical vein pCO(2). CONCLUSIONS Cerebral arterial blood velocity decreases immediately after birth and increases within 24 h, probably as part of neonatal adaptation. Cerebral venous blood velocity remains constant during the perinatal period and is likely to be regulated in a different and more complex manner than that of arterial blood velocity. Mode of delivery does not affect cerebral blood velocity.
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Affiliation(s)
- Y B Baytur
- Department of Obstetrics and Gynecology, School of Medicine, Turkey
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25
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Ulku CH, Uyar Y, Arbag H. Management of parapharyngeal space tumors. Ir Med J 2004; 97:140-2. [PMID: 15255565] [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: 04/30/2023]
Abstract
In this study, we aimed to investigate the influence of the surgical approaches for the parapharyngeal space tumors. Eighteen patients with parapharyngeal space tumors diagnosed and treated at our clinic between 1992 and 2001 were included in this study. Surgical techniques used included transcervical, transparotid, transcervical-transmandibular, and infratemporal-A approaches depending on tumor size, location, vascularity, and malignant potential. Postoperative radiation therapy was applied in all malignant tumor. Postoperative morbidity, complications, and recurrence were evaluated. We found that 55.6 % of the PPS tumor were of salivary gland origin, 27.8 % were neurogenic, and 16.6% were miscellaneous. Of the four surgical techniques, transcervical approach were used most commonly. Postoperative morbidities were at acceptable levels. Our surgical survival rates were 100% for benign and 40% for malignant PPS tumors after a mean follow-up of 54 months.
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Affiliation(s)
- C H Ulku
- Selcuk University, School of Medicine, Department of Otolaryngology, Head and Neck Surgery, Konya, Turkey.
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Nceboz US, Ozçakir HT, Uyar Y, Cağlar H. Migration of an intrauterine contraceptive device to the sigmoid colon: a case report. EUR J CONTRACEP REPR 2003; 8:229-32. [PMID: 15006271] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
BACKGROUND Copper T intrauterine devices (IUDs) remain the mainstay of family planning measures in developing countries, but have been associated with serious complications such as bleeding, perforation and migration to adjacent organs or omentum. Although perforation of the uterus by an IUD is not uncommon, migration to the sigmoid colon is extremely rare. Here, we report a case of migration of an IUD to the sigmoid colon. CASE REPORT A 40-year-old woman who had an IUD (Copper T), inserted 1 month after delivery, presented, 7 months later, with secondary amenorrhea and transient pelvic cramps. Clinical findings and ultrasonographic examinations of the patient revealed an 8-week pregnancy, while laboratory tests were normal. Transvaginal ultrasonography also visualized the IUD located outside the uterus, near the sigmoid colon, as if it were attached to the bowel. The pregnancy was terminated at the patient's wish; a diagnostic laparoscopy was performed concomitantly, which showed bowel perforation owing to the migration of the IUD. The device, which was partially embedded in the sigmoid colon, was removed via laparoscopy; however, because of bowel perforation, laparotomy was performed to open colostomy. CONCLUSIONS This case report highlights the continuing need for intra- and postinsertion vigilance, since even recent advances in IUD technique and technology do not guarantee risk-free insertion.
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Affiliation(s)
- U S Nceboz
- Celal Bayar University School of Medicine, Department of Obstetrics and Gynecology, Manisa, Turkey
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27
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Laçin S, Oruç S, Karaca S, Kusçu K, Koyuncu F, Uyar Y, Caglar H. Assessment of the effectiveness of postmenopausal tibolone therapy on neural functions by measuring visual evoked potentials: a placebo-controlled study. Eur J Obstet Gynecol Reprod Biol 2001; 98:72-6. [PMID: 11516803 DOI: 10.1016/s0301-2115(01)00295-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To assess the effect of hormone replacement therapy on neural transmission in postmenopausal women using tibolone by a non-invasive, objective way. STUDY DESIGN In a randomised, 3 cycle, placebo-controlled study, neurovisual transmission in optic pathways were evaluated by measuring visual evoked potentials (VEP). After neuroophtalmologic examination, eligible subjects were randomised into two groups. Treatment group (n=38) were given tibolone 2.5mg daily continuously for 3 months and control group (n=20) were treated with placebo. A baseline VEP measurement before the treatment and then at the end of first, second and third month were obtained by the EMG-evoked system in the Department of Neurology, University of Celal Bayar, Manisa, Turkey. RESULTS Data from 31 women from treatment group and 16 from control group were available for evaluation. The mean P(100) latency values, which indicate the transition time period between the optic stimuli and electrical change recorded on the occipital area by the skin electrodes, have showed a significant decrease for the study group (from 100.39+/-0.58 to 97.90+/-0.65 ms, P<0.01) at the end of the first month of treatment according to the baseline values. This difference between two groups has remained constant during the study period. CONCLUSION The change in latency measurements of VEP, reflecting the functional status in optic pathways from retina to occipital cortex were significantly different in the treatment group than in that of control. We concluded that a facilitating effect of tibolone was observed on neurovisual transmission.
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Affiliation(s)
- S Laçin
- Department of Obstetrics and Gynecology, Celal Bayar University Hospital, Manisa, Turkey.
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28
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Ataoğlu H, Uçkan S, Karaman AI, Uyar Y. Bimaxillary orthognathic surgery in a patient with long face: a case report. Int J Adult Orthodon Orthognath Surg 2000; 14:304-9. [PMID: 10895646] [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: 02/17/2023]
Abstract
The primary characteristics of long face patients are gummy smile and/or anterior open bite. Consequently, correction of esthetic and functional problems are especially important for long face patients. Since orthodontic therapy alone is not sufficient to solve the problem, orthognathic surgical approach is indicated for these patients. In this report, orthognathic surgical therapy of a severe long face patient with similar findings was presented. Following clinical and cephalometric examination and preoperative orthodontic therapy, a Le Fort I osteotomy, a bilateral sagittal split osteotomy, and vertical and horizontal reduction genioplasties were performed. Alternative surgical therapies, complications, and the effects on the upper respiratory tract are also discussed.
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Affiliation(s)
- H Ataoğlu
- Department of Oral and Maxillofacial Surgery, Selçuk University, School of Dentistry, Kampus-Konya, Turkey
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29
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Abstract
The effects of pregnancy on sexuality were studied in 158 pregnant women. They were surveyed by questionnaire about sociodemographic variables and sexual behaviour. Dyspareunia was common in our study group during pregnancy. Pregnancy had a negative effect on orgasmic quality. Dyspareunia and orgasmic quality influenced coital frequency. Coital frequency declined as the month of the pregnancy increased. Pregnancy is a potent influence on sexuality irrespective of an individual's conditioning.
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Affiliation(s)
- S Oruç
- Department of Obstetrics and Gynecology, Celal Bayar University Medical School, Manisa, Turkey
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30
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Abstract
As a rare form of ectopic pregnancy, interstitial pregnancy threatens the future fertility of the patient. Methods of management include observation only, medical treatment with methotrexate either systemically or locally, or surgery either with laparotomy or laparoscopy. We present the case of a woman with recurrent interstitial pregnancy. Treatment with methotrexate was successful in her first interstitial pregnancy, however the second necessitated laparotomy. Selection of patients for treatment with methotrexate and the importance of subsequent tubal investigation are emphasized.
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Affiliation(s)
- U Sungurtekin
- Department of Gynaecology and Obstetrics, Celal Bayar University-Manisa, Turkey
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31
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Cenik Z, Uyar Y, Ozer B, Güngör S, Bulun E. An unusual laryngeal hamartoma: lipofibroleiomyoma. J Otolaryngol 1993; 22:136-7. [PMID: 8515515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- Z Cenik
- Department of Otolaryngology, Selçuk University, School of Medicine, Research and Training Hospital, Konya, Turkey
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32
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Abstract
In a retrospective study, we investigated the results of 384 stapedectomies performed between 1962 and 1989. The purpose was to determine the possible influence of age on the postoperative functional result. The operative technique uniformly consisted of a total stapedectomy, seal of the oval window with perichondrium and replacement of the stapes by a free tragal cartilage graft. The audiometric data at 0.5, 1, 2, and 4 kHz were compared. The patients were divided into five groups based upon chronological age: under 30, 30-40, 41-50, 51-60, over 60 years. Although the preoperative airbone gap (ABG) increased with age at all frequencies, and thus the chance for surgery to improve the ABG, the youngest group showed the best improvement in ABG (P less than 0.05). Using a technique with total removal of the footplate, bone conduction thresholds improved in the frequencies up to 2 kHz. At 4 kHz, they deteriorated in the four oldest groups. The greatest improvement in bone conduction thresholds occurred in the youngest group of patients (P less than 0.05), with a parallel decline in age and postoperative results occurring. The causes of these differences are not yet clear, although spontaneous recovery and greater resistance to operative trauma in the younger age groups might be of influence.
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Affiliation(s)
- D F aWengen
- Department of Otorhinolaryngology, University Hospital, Basel, Switzerland
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Abstract
Prostaglandin levels in serum, tumor specimens, and normal larynx mucosa were measured before and after laryngectomy in 43 patients with larynx cancer. Related findings described elsewhere in the literature are discussed.
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Affiliation(s)
- Z Cenik
- Department of Otolaryngology, School of Medicine, Ankara University, Turkey
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