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Cinan ZM, Başkan T, Erol B, Yılmaz AH. Theoretical Inspecting of <sup>211</sup>At Radionuclide via Coupled-Channel Model for Fusion Reaction of Stable Nuclei. Atom Indo 2021. [DOI: 10.17146/aij.2021.1115] [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: 11/09/2022] Open
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Sirin E, Okay E, Khalilov T, Turkoz K, Erol B, Tetik C. Heterotopic ossification on the volar surface of the distal radius in a child with fibrodysplasia ossificans progressiva: challenges in surgical excision of a rare condition. Hand Surg Rehabil 2021; 40:194-197. [PMID: 33508521 DOI: 10.1016/j.hansur.2020.11.011] [Citation(s) in RCA: 1] [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] [Subscribe] [Scholar Register] [Received: 12/25/2019] [Revised: 11/21/2020] [Accepted: 11/24/2020] [Indexed: 11/25/2022]
Abstract
Fibrodysplasia ossificans progressiva (FOP) is one of the genetic and developmental forms of heterotopic ossification. We report a case of FOP on the volar surface of the distal radius, located close to the median nerve and radial artery with neurologic symptoms secondary to median nerve entrapment. The patient underwent surgical excision of the heterotopic lesion followed by radiation therapy. He had no signs of recurrence with more than 1 year of follow-up. Careful microsurgical dissection of the heterotopic mass must be performed to prevent the formation of new painful lesions and iatrogenic neurovascular injury. In this syndrome, the possibility of nerve entrapment due to the heterotopic lesion should be considered as the cause of neuropathic pain. Early genetic testing for confirmation of the suspected diagnosis can avoid having to do an unnecessary biopsy.
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Affiliation(s)
- E Sirin
- Marmara University Education and Training Hospital, Department of Orthopedics, Fevzi Çakmak, Muhsin Yazıcıoğlu Cd No:10, 34899 Pendik/İstanbul, Turkey
| | - E Okay
- Istanbul Medeniyet University Goztepe Educatıon and Research Hospital, Department of Orthopedics, Doktor Erkin Caddesi Kadıköy/İstanbul 34722, Turkey
| | - T Khalilov
- Tuzla Mercan Private Hospital, Department of Orthopedics, Yayla Mah, Ali İhsan Paşa Cd. No:52, 34944 Tuzla/Istanbul, Turkey.
| | - K Turkoz
- Marmara University Education and Training Hospital, Department of Pathology, Fevzi Çakmak, Muhsin Yazıcıoğlu Cd No:10, 34899 Pendik/İstanbul, Turkey
| | - B Erol
- Marmara University Education and Training Hospital, Department of Orthopedics, Fevzi Çakmak, Muhsin Yazıcıoğlu Cd No:10, 34899 Pendik/İstanbul, Turkey
| | - C Tetik
- Acibadem Maslak Hospital, Department of Orthopedics and Traumatology, Darüşşafaka Büyükdere Caddesi No No:40, 34457 Sarıyer/Istanbul, Turkey
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Erol B, Culpan M, Caskurlu H, Sari U, Cag Y, Vahaboglu H, Özumut SH, Karaman MI, Caskurlu T. Changes in antimicrobial resistance and demographics of UTIs in pediatric patients in a single institution over a 6-year period. J Pediatr Urol 2018; 14:176.e1-176.e5. [PMID: 29428362 DOI: 10.1016/j.jpurol.2017.12.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [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: 05/12/2017] [Accepted: 12/03/2017] [Indexed: 10/18/2022]
Abstract
PURPOSE To determine changes in antimicrobial resistance and demographics of UTIs in pediatric patients in a single institution over a 6-year period. MATERIALS AND METHODS The current study examined outpatient urinary isolates from patients aged <18 years. A retrospective cross-sectional analysis of bacteria isolated from children with UTI was performed between 2009 and 2014. The most common bacterial pathogens were determined in the following four age groups: <2 years; 2-5 years; 6-12 years; and 13-17 years. The study analyzed the prevalence and antibiotic resistance patterns for the six most common uropathogens: Escherichia coli, Proteus, Klebsiella, Enterobacter, Pseudomonas and Enterococcus (Summary table). The antibiotic resistance pattern for UTI during 2009-2014 was also examined. RESULTS A total of 6515 urinary cultures was examined. The majority of these isolates were from female patients (66.8%). E. coli was the most common uropathogen overall, but the prevalence of E. coli was higher among females (79.5%) than males (54.9%). The biggest percentage of isolates in males was from children aged <2 years (46.1%). Conversely, the majority of isolates in females were from children aged >6 years (46.8%). Results of antimicrobial resistance for E. coli were the highest for ampicillin (70%) and lowest for meropenem (0.19%). Comparing the hospital network data from 2009 to 2014, E. coli resistance increased for ampicillin (from 47.1% to 89%), trimethoprim-sulfamethoxazole (TMP-SMX) (from 44.8% to 56%) and nitrofurantoin (from 5.3% to 15.1%). In contrast, cephalosporins have maintained low antibiotic resistance. CONCLUSION UTI in females was nearly twice as common than in males. E. coli remained the most common pediatric uropathogen. Although widely used in other tract infections, ampicillin was a poor empiric choice for pediatric UTIs. Cephalosporins were appropriate alternatives given their low resistance rates. A successful empirical treatment protocol should be based on local epidemiology and susceptibility rates.
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Affiliation(s)
- B Erol
- Istanbul Medeniyet University Faculty of Medicine, Department of Urology, Istanbul, Turkey.
| | - M Culpan
- Istanbul Medeniyet University Faculty of Medicine, Department of Urology, Istanbul, Turkey
| | - H Caskurlu
- Istanbul Medeniyet University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - U Sari
- Istanbul Medeniyet University Faculty of Medicine, Department of Urology, Istanbul, Turkey
| | - Y Cag
- Istanbul Medeniyet University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - H Vahaboglu
- Istanbul Medeniyet University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - S H Özumut
- Istanbul Medeniyet University Faculty of Medicine, Department of Pediatrics, Istanbul, Turkey
| | - M I Karaman
- Istanbul Medeniyet University Faculty of Medicine, Department of Urology, Istanbul, Turkey
| | - T Caskurlu
- Istanbul Medeniyet University Faculty of Medicine, Department of Urology, Istanbul, Turkey
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Erol B, Sari U, Amasyali AS, Ozkanli S, Sogut S, Hanci V, Efiloglu O, Danacioglu YO, Engin P, Yencilek F, Atis G, Yildirim A, Alkoc OA, Caskurlu T. Comparison of combined antioxidants and thymoquinone in the prevention of testis ischemia - reperfusion injury. Andrology 2016; 5:119-124. [PMID: 27748062 DOI: 10.1111/andr.12268] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [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: 01/12/2016] [Revised: 05/23/2016] [Accepted: 07/14/2016] [Indexed: 12/26/2022]
Abstract
We aimed to compare the preventive effects of combined antioxidants (CA1, 2) with a single antioxidant drug (thymoquinone; TQ) on experimental testis Ischemia/Reperfusion (I/R) injury. Thirty-five adult male Wistar rats were divided into five groups of seven rats each: control, testis I/R, testis I/R + CA1, testis I/R + CA2, and testis I/R + TQ. After 1 h of testicular ischemia, reperfusion was achieved by detorsion for 4 h. Antioxidants were intraperitoneally administered for 30 min prior to reperfusion. All rats were sacrificed 4 h after reperfusion to evaluate the tissue levels of malondialdehyde (MDA) and total antioxidant status (TAS) and the immunohistochemical evaluation of tissue inducible and endothelial nitric acid synthase (iNOS, eNOS) and apoptosis protease-activating factor 1 (APAF-1). MDA levels were lower and TAS values were higher in the I/R + antioxidant groups than in the I/R group (p < 0.05). iNOS and eNOS levels in the I/R + antioxidant groups were also lower than those in the I/R group (p < 0.05). There were no significant differences between the CA groups and the TQ group according to aforementioned parameters. In addition, tissue APAF-1 values were significantly higher in the I/R group than in the other groups. However, there was a significant difference between the TQ and CA groups in APAF-1 levels, which were highest in the TQ group (p < 0.05). Although TQ alone increased TAS values and reduced tissue iNOS and eNOS levels, combined antioxidant treatment may more effectively reduce apoptosis and increase preventive effects in testis I/R injury.
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Affiliation(s)
- B Erol
- Department of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - U Sari
- Department of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - A S Amasyali
- Department of Urology, School of Medicine, Adnan Menderes University, Aydin, Turkey
| | - S Ozkanli
- Department of Pathology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - S Sogut
- Department of Biochemistry, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - V Hanci
- Department of Anesthesiology, School of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - O Efiloglu
- Department of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - Y O Danacioglu
- Department of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - P Engin
- Department of Pathology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - F Yencilek
- Department of Urology, School of Medicine, Yeditepe University, Istanbul, Turkey
| | - G Atis
- Department of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - A Yildirim
- Department of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - O A Alkoc
- Department of Anatomy, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - T Caskurlu
- Department of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
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Erol B, Amasyalı A, Ozkanlı S, Sari U, Efiloglu O, Danacioglu Y, Yencilek F, Atis G, Yildirim A, Caskurlu T. 42 The preventive effects of antioxidant drugs in experimental testis ischemia/reperfusıon injury: Which one is superior, combined antioxidants or thymoquinone? ACTA ACUST UNITED AC 2015. [DOI: 10.1016/s1569-9056(15)30416-4] [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: 10/22/2022]
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Başar H, Başar B, Kaplan T, Erol B, Tetik C. Comparison of results after surgical repair of acute and chronic ulnar collateral ligament injury of the thumb. ACTA ACUST UNITED AC 2014; 33:384-9. [PMID: 25458468 DOI: 10.1016/j.main.2014.10.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [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: 07/15/2014] [Revised: 09/23/2014] [Accepted: 10/05/2014] [Indexed: 10/24/2022]
Abstract
This study sought to demonstrate that successful outcomes can be achieved with the new technique presented here for chronic ulnar collateral ligament (UCL) injury of the thumb metacarpophalangeal (MCP) joint, as well as with K-wire pinning for acute UCL injury. We followed 19 patients who suffered an UCL rupture (mean follow-up: 14.26±4.65 months) and 32 patients who presented with UCL avulsion fracture (mean follow-up: 16.81±7.54 months). We used a free tendon graft for UCL reconstruction in the UCL rupture group. Both ends of the graft were stabilized with bioabsorbable suture anchors, which were used as biotenodesis interference screws. Closed reduction and K-wire fixation was used in UCL avulsion fracture group. There were no statistically significant differences between operated and contralateral healthy thumb MCP joint in both groups in the grip strength, tip pinch strength, flexion, extension, ulnar deviation, and radial deviation movements at final follow-up. Grip strength, tip pinch strength, ulnar deviation and radial deviation were significantly better in the avulsion group than the rupture group. All patients regained full stability at the MCP joint in avulsion group; 16 patients regained full stability and 3 patients presented with mild laxity (less than 10° laxity) in rupture group. Glickel grading scale used as a functional score was excellent for 30 patients and good for 2 patients in avulsion group; it was excellent for 17 patients and good for 2 patients in rupture group. Our study shows that closed reduction and percutaneous K-wire fixation of acute displaced large UCL avulsion fracture is a simple technique and achieves adequate stability of UCL. For UCL rupture, free tendon reconstruction with bioabsorbable suture anchors provides adequate stability and stable fixation within the tunnels.
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Affiliation(s)
- H Başar
- Department of orthopedics and traumatology, Sakarya training and research hospital, Sakarya, Turkey.
| | - B Başar
- Department of physical medicine and rehabilitation, Akyazı state hospital, Sakarya, Turkey
| | - T Kaplan
- Department of orthopedics and traumatology, Sakarya training and research hospital, Sakarya, Turkey
| | - B Erol
- Department of orthopedic surgery, Marmara university school of medicine, Istanbul, Turkey
| | - C Tetik
- Department of orthopedics and traumatology, Acibadem Maslak hospital, Istanbul, Turkey
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Karakoyun R, Demirci E, Karakoyun M, Karakaş B, Gündüz U, Sener Z, Gülenay S, Erol B, Sağtaş E. Reliability of MDCT, with MPR and hydro-CT technique, in resectability and lymphnode staging of gastric cancer. MINERVA CHIR 2014; 69:129-140. [PMID: 24736448] [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: 06/03/2023]
Abstract
AIM The aim of this study was to evaluate the reliability of thin-slice hydro-multidetector row computed tomography (MDCT) in assessing resectability and lymph node staging of gastric cancer. METHODS Sixty-one patients (37 males, 24 females; mean age 61 years) with gastric cancer, and whose surgery was planned, underwent preoperative abdominopelvic hydro-MDCT at slice thickness of 5 mm. We evaluated the tumor stage, depth of tumor invasion into the gastric wall, metastasis of lymph node, and presence/absence of distant metastases on the CT images produced with multiplanar reconstruction (MPR) and hydro-CT technique. The results were compared with pathological and surgical findings. Diagnostic accuracy was also analyzed. RESULTS Of 61 patients with gastric cancer, 6 (14%) were inoperable, 45 (68%) were advanced stage, and 10 (16%) were early stage gastric cancer patients. The detection rate of the primary tumor was 97% for MDCT; the overall accuracy of MDCT in the determination of the depth of invasion and serosal involvement when compared with pathological staging were 84% and 95%, respectively; the overall accuracy rate in lymph node staging was 73.5%. CONCLUSION MDCT can improve the accuracy of preoperative T and N staging of gastric cancer and will contribute to treatment strategies for patients with advanced stage gastric cancer.
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Affiliation(s)
- R Karakoyun
- Department of Surgery Antalya Training and Research Hospital Antalya, Turkey -
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Erol B, Osma U, Selçuk OT, Süren D, Eyigör H, Gürses C, Köroğlu M. Submandibular lateral epidermoid cyst: imaging findings of a rare case. B-ENT 2014; 10:165-169. [PMID: 25090817] [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: 06/03/2023] Open
Abstract
Epidermoid cysts (EC) represent less than 0.01% of all oral cavity cysts. Lateral epidermoid cysts in the neck are very rare. A male patient aged forty-five had a complaint of painless swelling in the neck. A well-circumscribed hypo-echoic mass with internal echoes was detected in the right submandibular regionby ultrasonography. There were round areas inside the cyst with acoustic shadowing. The tissue hardness and the internal nature of the mass were evaluated with sono-elastography. Magnetic resonance imaging showed the mass's location and tissue properties in more detail. Magnetic resonance images revealed a well-circumscribed mass--hyperintense on T2-weighted images, hypo-intense on T1-weighted images--in the right submandibular region that had displaced the submandibular gland and mylohyoid muscle. There was no contrast enhancement in the mass on the contrast-enhanced fat-suppressed T1-weighted MR images. In this case report, we present the imaging features of a rare lateral EC in the submandibular region.
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Ozyurek S, Erol B, Guler F, Atbasi Z. Isolated partial rupture of the medial head of the gastrocnemius muscle (tennis leg). Case Reports 2013; 2013:bcr-2013-009347. [DOI: 10.1136/bcr-2013-009347] [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: 11/03/2022] Open
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Başar H, Başar B, Erol B, Tetik C. Ligament reconstruction and tendon interposition arthroplasty of the trapeziometacarpal joint with the use of the full thickness of the flexor carpi radialis tendon. ACTA ACUST UNITED AC 2012. [PMID: 23177995 DOI: 10.1016/j.main.2012.10.170] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
We analyzed the outcomes of the ligament reconstruction and tendon interposition arthroplasty of the trapeziometacarpal joint with use of the full thickness of the flexor carpi radialis. We reviewed 19 patients, with 23 thumbs at mean follow-up of 59 ± 15 months. According to Dell classification, 11 thumbs were grade 2, and 12 thumbs were grade 3.The preoperative VAS pain score was 7 ± 0.9 and thumb web space was 23 ± 2.4°. The preoperative grip strength was 13 ± 0.7 kg, tip pinch strength was 2.8 ± 0.5 kg and lateral pinch strength was 4 ± 0.9 kg. None of the thumbs could touch the palmar crease of the little finger. The final outcome was 0.9 ± 1.4 for VAS, 19 ± 1 kg for grip strength, 4.5 ± 0.3 kg for tip pinch strength, 5.6 ± 0.5 kg for lateral pinch strength and 38 ± 2.4° for thumb web space. Mobility of the thumbs was improved; 19 thumbs could touch the base of the fifth finger, and five thumbs could touch the crease of the proximal interphalangeal joint. We compared the operated side with the healthy one in 15 patients, the grip strengths were 82% of the contralateral side, tip pinch strengths 78%, and lateral pinch strengths as 75%. According to our series, this surgical technique relieves pain and provides stability and mobility of the thumb.
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Affiliation(s)
- H Başar
- Department of Orthopaedics and Traumatology, Sakarya Training and Research Hospital, NO:156/25 Sakarya, Turkey.
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Yaman F, Atilgan S, Günes N, Agacayak S, Günay A, Ucan MC, Bakir S, Erol B, Kose I, Atalay Y. Phosphodiesterase-5 inhibitors may facilitate bone defect recovery. Eur Rev Med Pharmacol Sci 2011; 15:1301-1305. [PMID: 22195363] [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: 05/31/2023]
Abstract
BACKGROUND AND OBJECTIVES Bone healing is still one of the most important problems of the oral and maxillofacial surgery procedures. This study was designed to evaluate the effect of sildenafil citrate (which is used for erectile dysfunction) on bone defect healing in an experimental animal model. MATERIALS AND METHODS A total of 42 male Wistar-albino rats were randomly assigned to the control group (n=21) or the study group (n=21). The control group was fed on a standard laboratory diet until 12 h before surgery, whereas the study group received Sildenafil citrate via orogastric tube 10 mg/kg once a day for 30 days. Under anaesthesia, a 3 x 3 x 2 mm depth defect was made on tibia of each rat. 7 animals from each group were euthanised on postoperative days 7,15 and 30. Bone samples were taken for examination, histologically on day 7, by 3D dental tomography on day 15, and for bone strength resistance on day 30. RESULTS Statistically significant differences were determined between the groups from the inflammatory and repair phase, with the healing process being more advanced in the Sildenafil group. CONCLUSIONS Sildenafil citrate can be used as a supporting factor to accelerate the healing process of bone. In future comprehensive studies will need to demonstrate the Sildenafil citrate affect on bone defect healing.
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Affiliation(s)
- F Yaman
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Dicle, Diyarbakir, Turkey.
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Erol B, Avci A, Eken C, Ozgok Y. Urinary Retention, Erectile Dysfunction and Meningitis due to Sacral Herpes Zoster: A Case Report and Review of the Literature. Urol Int 2009; 82:238-41. [DOI: 10.1159/000200807] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2007] [Accepted: 01/28/2008] [Indexed: 11/19/2022]
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Abstract
Hydatid disease caused by Echinococcus granulosus often manifests as a slow growing cystic mass; it mainly affects the liver or lung and rarely other parts of the body such as the brain, heart, spleen, peritoneal cavity, or bone. Hydatid cysts of the musculoskeletal system are rare. Since the intramuscular hydatid cyst closely resembles a soft-tissue tumor on clinical examination, the preoperative radiological diagnosis is very important for the identification of the lesion prior to surgery. We describe a rare case of primary intramuscular hydatidosis in a child, together with its clinical presentation and radiological and histological findings. The treatment principles for hydatid cysts are also discussed.
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Affiliation(s)
- B Erol
- Department of Orthopaedic Surgery, The Hospital of the University of Marmara, Istanbul, Turkey.
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Abstract
Diffuse lipoblastomatosis is a rare lipomatous tumor of infancy that derives from fetal-embryonal fat. It usually affects infants and children and presents as a superficial mass that extends from the subcutis to the underlying muscle in the upper or lower extremities. In spite of its benign nature, the tumor may behave in a locally aggressive manner and invade the surrounding tissues. A case of isolated diffuse lipoblastomatosis of a 5-year-old boy in the plantar aspect of his right foot that has not been documented in that area before is described. The clinical and radiological presentation and histologic evaluation of diffuse lipoblastomatosis are discussed, in order to make a differential diagnosis between this rare tumor and other soft tissue tumors. In addition, the treatment principles of the tumor are described. This case demonstrates that diffuse lipoblastomatosis can be difficult to diagnose without histologic evaluation and, once diagnosed, should be treated by adequate surgical excision in order to prevent recurrence.
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Affiliation(s)
- B Kocaoğlu
- Department of Orthopedic Surgery, Marmara University School of Medicine, Istanbul, Turkey.
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Abstract
AIM To investigate the clinical characteristics of patients with Peyronie's disease (PD) and diabetes mellitus (DM). METHODS During an 8-year period, a total of 307 men seen at our outpatient clinic were diagnosed with PD. Clinical characteristics, penile deformities and the erectile status of patients with PD and DM together (n=102) were retrospectively analyzed and compared to patients with PD alone with no risk factors for systemic vascular diseases (n=97). RESULTS The prevalence of PD among men with DM and sexual dysfunction was 10.7%. The mean age of diabetic patients with PD was (55.9+/-8.9) years; in the no risk factor group it was (48.5+/-9.0) years (P < 0.05). The median duration of DM was 5 years. The majority of diabetic patients with PD (56.0%) presented in the chronic phase (P < 0.05), and they were more likely to have a severe penile deformity (>60 degrees) than the no risk factor group (P < 0.05). In the diabetic group, the most common presenting symptom was penile curvature (81.4%), followed by a palpable nodule on the shaft of the penis (22.5%) and penile pain with erection (14.7%). A total of 19.6% of patients were not aware of their penile deformities in the diabetic group. Erectile function, provided by history and in response to intracavernosal injection and a stimulation test, was significantly diminished in patients with PD and DM (P < 0.05). CONCLUSION DM probably exaggerates the fibrotic process in PD. Diabetic patients with PD have a higher risk of severe deformity and erectile dysfunction (ED). PD seems to be a silent consequence of DM and should be actively sought in diabetic men.
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Affiliation(s)
- A Tefekli
- Department of Urology, Istanbul University, Istanbul Medical Faculty, Istanbul 34390, Turkey
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Ozaras N, Yalcin S, Ofluoglu D, Gureri B, Cabukoglu C, Erol B. Are some cases of spina bifida combined with cerebral palsy? A study of 28 cases. Eura Medicophys 2005; 41:239-42. [PMID: 16249782] [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: 05/05/2023]
Abstract
AIM This study is a description of a group of children with spina bifida who present with neurological impairments resembling cerebral palsy. Spina bifida is a complex congenital spinal anomaly causing paraparesis. Some children with spina bifida have neurological impairments, which fit into the definition of cerebral palsy. Extensive spasticity discordant with the level of the spina bifida lesion, upper extremity dysfunction and cognitive impairment are suggestive of concomitant cerebral palsy in these cases. The probable etiology for this problem may be neglected hydrocephalus, meningitis or other brain lesions common in spina bifida. METHODS In this study we have reviewed our cohort of 365 patients and found 28 cases with the above-mentioned findings. Main evaluation parameters used were the Ashworth scale for spasticity, Green and Banks modified classification for hand function, cognitive function, mental status, ambulation and lesion level. RESULTS Twenty-eight out of 365 children with spina bifida had neurological impairments resembling cerebral palsy. Their mean age was 59.9+/-41.3 (range, 16.8-31.2) months. Seventy percent of the patients were nonambulatory and therapeutic ambulation only was present in 30% of patients. Seventy percent of the children had spasticity of Ashworth grade 2 or higher. Upper extremity dysfunction, and cognitive impairment were also observed in 80% of the patients involved in this study. The spinal lesion was 60% thoracal and 20% upper lumbar, and none of the cases had signs of spinal tethering. CONCLUSIONS We believe that this group of children with spina bifida may be regarded as having concomitant cerebral palsy. This fact implies that the management of this group of patients having mixed findings must be changed accordingly.
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Affiliation(s)
- N Ozaras
- Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, Istanbul, Turkey.
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Schaffer A, Erol B, States L, Pawel B, Dormans JP. Thigh mass in a 6-year-old girl. Clin Orthop Relat Res 2005:257-62. [PMID: 15685086 DOI: 10.1097/01.blo.0000152602.73631.0e] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- A Schaffer
- Department of Orthopaedic Surgery, The Children's Hospital of Philadelphia, 34th & Civic Center Boulevard, Philadelphia, PA 19104-4399, USA
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Abstract
Congenital alveolar synechiae is rarely seen as an isolated disease. It is generally observed together with various syndromes such as Van der Woude and cleft palate lateral alveolar synechiae syndrome, and is concomitant with other anomalies in the maxillofacial or other regions of the body. Prior to this case report , eight cases of isolated congenital alveolar synechiae have been reported. This paper reports a case of isolated congenital alveolar synechiae in a 10-month-old baby girl. The report concentrates on the clinical features of isolated congenital alveolar synechiae, the likely aetiological causes and the treatment.
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Affiliation(s)
- R Tanrikulu
- Department Of Oral and Maxillofacial Surgery, Dicle University Faculty of Dentistry, Diyarbakir, Turkey.
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Affiliation(s)
- E T Ricchetti
- Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
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Schaffer A, Erol B, States L, Pawel B, Dormans JP. Thigh mass in a 6-year-old girl. Clin Orthop Relat Res 2004:274-80. [PMID: 15346085 DOI: 10.1097/01.blo.0000141672.75572.3a] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- A Schaffer
- Department of Orthopaedic Surgery, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-4399, USA
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Erol B, Yilmaz UN, Tanrikulu R, Yilmaz A. Determinants of MR relaxation rates in jaw cysts: implications for diagnostic values of the relaxation times. Dentomaxillofac Radiol 2004; 33:183-7. [PMID: 15371319 DOI: 10.1259/dmfr/25384047] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [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: 11/05/2022] Open
Abstract
OBJECTIVES The MRI signal intensities and the relaxation times (T1 and T2) have already been used for comparisons among various types of cysts. The signal intensities (or T1 and T2) were suggested to be related to cyst content. However, such a relationship between the relaxation rates (1/T1 and 1/T2) and the aspirated content of jaw cysts was not given. Therefore, an investigation on the determinants of the relaxation rates in the jaw cysts may be helpful in elucidating the biological basis for the differences in relaxation rates among the categories of jaw cysts. METHODS The aspirated contents of 23 cysts (16 radicular and 7 haemorrhagic) were scanned using an MR imager operating at 1 T magnetic field strength. The viscosities and the dry-weight-to-water-weight ratios (Ms/Mw) were determined. Also, the mean values of cyst categories were compared using statistical analysis. RESULTS The 1/T1 had a moderate correlation with viscosity (0.66) and Ms/Mw (0.56), while the 1/T2 had a good correlation with viscosity (0.87) and Ms/Mw (0.82). The mean values of viscosity, Ms/Mw and relaxation rates in radicular cysts were significantly lower (P < 0.05) than those of haemorrhagic cysts. CONCLUSIONS The present data suggest that similarities and differences between relaxation rates of radicular and haemorrhagic cysts can be explained by the solid content and viscosity of cysts.
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Affiliation(s)
- B Erol
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Dicle, 21280 Diyarbakir, Turkey.
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Affiliation(s)
- A Golant
- University of Pennsylvania School of Medicine, Philadelphia, PA, USA
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Erol B, Segal L, Huff D, States L, Dormans JP. Low back pain in a 13-year-old girl. Clin Orthop Relat Res 2003:323-31. [PMID: 12897625 DOI: 10.1097/01.blo.0000081205.51121.a2] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- B Erol
- Department of Orthopaedic Surgery, The Children's Hospital of Philadelphia, 34th & Civic Center Boulevard, Philadelphia, PA 19104-4399, USA
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Erol B, Tefekli A, Sanli O, Ziylan O, Armagan A, Kendirci M, Eryasar D, Kadioglu A. Does sexual dysfunction correlate with deterioration of somatic sensory system in diabetic women? Int J Impot Res 2003; 15:198-202. [PMID: 12904806 DOI: 10.1038/sj.ijir.3900998] [Citation(s) in RCA: 58] [Impact Index Per Article: 2.8] [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: 11/09/2022]
Abstract
To evaluate genital and extragenital somatic sensory system in diabetic women using biothesiometry and investigate the relation with sexual dysfunction. A total of 30 diabetic women and 20 normal sexually active women as a control group were evaluated with a detailed medical and sexual history including Index of Female Sexual Function (IFSF) questionnaire. Somatic sensory system of all women enrolled to the study was assessed by biothesiometry and threshold sensory values of nine genital sites and 14 extragenital sites were analyzed. The IFSF score in diabetic women was 23.6 while it was 38.3 in the control group (&<0.0005). For each genital as well as extragenital sites, the mean biothesiometric values were significantly higher in diabetics. The sensation of introitus vagina, labium minora and clitoris were found to be the most deteriorated genital sites in diabetic women. The difference between diabetic women with or without female sexual dysfunction (FSD) was not significant for biothesiometric values. Our data indicate that, somatic sensory system is affected by diabetes however sexual dysfunction does not always manifest.
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Affiliation(s)
- B Erol
- Section of Andrology, Department of Urology, Medical Faculty of Istanbul, University of Istanbul, Capa-Istanbul, Turkey.
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Erol B, Lou J, States L, Pawel BR, Dormans JP. Knee pain in a 13-year-old boy. Clin Orthop Relat Res 2003:317-27. [PMID: 12579033 DOI: 10.1097/01.blo.0000043070.62337.af] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- B Erol
- Department of Orthopaedic Surgery, Hospital of the University of Marmara, Istanbul, Turkey
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Affiliation(s)
- B Erol
- Department of Orthopaedic Surgery, Hospital of The University of Marmara, Istanbul, Turkey
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Affiliation(s)
- B Erol
- Department of Orthopaedic Surgery, Hospital of The University of Marmara, Istanbul, Turkey
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Tanrikulu R, Erol B. Comparison of computed tomography with conventional radiography for midfacial fractures. Dentomaxillofac Radiol 2001; 30:141-6. [PMID: 11420625 DOI: 10.1038/sj/dmfr/4600593] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/1999] [Accepted: 12/11/2000] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVE To compare the clinical effectiveness of computed tomography (CT) with conventional radiography in midfacial fractures. METHODS The conventional radiographs (CM) and CT scans of 40 consecutive patients with complex midfacial fractures were assessed independently by two examiners. The number and site of fractures of the orbit, zygoma and maxilla were compared by the Wilcoxon Matched Pairs Signed Rank test. The best method for classification of the fracture was determined. RESULTS Coronal CT (CCT) proved superior in the diagnosis of orbital fractures (P<0.001). There was no significant difference between any of the imaging methods for fractures of the zygoma. Axial CT (ACT) was the most effective method in imaging of maxillary fractures (ACT-CM; P<0.001, ACT-CCT; P<0.01). CCT was the most useful in classification of orbital and maxillary fracture. CONCLUSION CCT is superior to CM for the assessment of complex midface fractures
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Affiliation(s)
- R Tanrikulu
- Department of Oral and Maxillo-facial Surgery, Faculty of Dentistry, University of Dicle, 21280 Diyarbakir, Turkey
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Abstract
Myiasis is the invasion of living tissue of humans and other mammals by the eggs or larvae of flies of the order of Diptera. It occurs mainly in the tropic, and is associated with inadequate public and personal hygiene. Oral myiasis in humans appears to be rare. This article records a case of oral myiasis caused by larvae of Hypoderma bovis. Two different pathologic soft tissue sockets were observed in the vestibular sulcus at the level of the both deciduous laterals along the deep upper lip tissues.
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Affiliation(s)
- B Erol
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Dicle, Diyarbakir, Turkey
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Affiliation(s)
- T Köksal
- Department of Urology, Faculty of Medicine, Istanbul University, Turkey
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Affiliation(s)
- B Erol
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Dicle, Diyarbakir, Turkey
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Erol B. Radiological assessment of elongated styloid process and ossified stylohyoid ligament. J Marmara Univ Dent Fac 1996; 2:554-6. [PMID: 9569816] [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: 02/07/2023]
Abstract
In this study a radiological assessment of elongated styloid processes and ossified stylohyoid ligaments was performed on 900 panoramic radiographs of 900 patients. The styloid process(s) were found to be longer than 30 mm in 12 cases; in 8 of these cases elongation was bilateral, and in 4 cases it was unilateral, making a total of 20 elongated processes out of a possible 1800--an incidence of 1.1%. The mean length of the elongated processes was 48.15 mm. Symptoms were present in one case of bilateral elongation.
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Affiliation(s)
- B Erol
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Dicle University, Diyarbakir, Türkiye
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Cölok G, Erol B, Köyoğlu S. [Myxofibroma of the mandible]. Ankara Univ Hekim Fak Derg 1989; 16:179-83. [PMID: 2637027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
In this article, a rare case of large myxofibroma of the mandible has been presented. The odontogenic myxoma originated from the mesenchym ise benign and can be arised from dental papilla, dental follicle or the periodontal ligament. Myxoma is mostly located in maxilla or mandible and accompanied by an unerupted tooth and can be seen in the second or third decade of the life. It is painless and uncapsulated and the growth of tumor is slow. Since it is uncapsulated, recurrence is about 25%. Myxoma can be confused radiologically with benign or malign lesions of jaws which are radiolucent in nature. Curretting, cauterization and resection are methods of treatment and the prognosis is good.
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