Tugba Tulaci

Aim: To evaluate the effects of conventional instruments and microdebrider use on surgical outcomes, complication rates, and quality of life following surgery for chronic rhinosinusitis with nasal polyps.Methods: The clinical data of 72 patients with chronic rhinosinusitis with nasal polyps who underwent functional endoscopic sinus surgery were analysed retrospectively and allocated into two groups based on the instrument used in surgery: Punch Group (n = 39) and Microdebrider Group (n = 33). Preoperative and postoperative mucociliary clearance, olfactory function, synechiae formation, and quality of life scores as measured by the Sino-Nasal Outcome Test-22 were assessed as outcome measures.Results: The Microdebrider group exhibited significantly improved mucociliary clearance and lower synechiae incidence compared to the Punch group postoperatively (p < 0.001, p = 0.046, respectively). However, analysis revealed no significant differences between the groups in olfactory function and overall total scores of Sino-Nasal Outcome Test-22, except for improvement in the rhinological subdomain in the Microdebrider Group (p = 0.047).Conclusion: Microdebrider-assisted functional endoscopic sinus surgery may offer advantages in preserving mucociliary function and reducing synechia formation. However, similar results observed in subjective patient experience and quality of life scores suggest that while the microdebrider is a useful instrument for the surgeon, it is not an indispensable requirement in every case. This highlights the need to consider factors such as patient profile, the surgeon’s experience, and cost when selecting the surgical method.

BACKGROUND: To compare the quality of life scores of children with monoaural cochlear implants (CIs) aged 4-16 with those of normally hearing (NH) children and parents’ reports.METHODS: The KINDL-R questionnaire that measures health-related quality of life (HRQoL) was delivered to 72 children aged 4-16 years and their parents. The children were divided into 3 subgroups of 4-7, 8-11, and 12-16 years and asked to report their quality of life from their own perspectives. The parents were divided into 2 subgroups for 4-7 aged and 8-16 aged children and were asked to report their child’s quality of life status from their perspectives. The QoL scores of children with CI in the 3 subgroups were compared with the scores of their parents and NH peers.RESULTS: The total scores of children with CIs in all subgroups were significantly worse than NH peers. The total scores of parents and children with CIs in all subgroups revealed no statistically significant differences. In the correlation analysis, the age of implantation was negatively correlated with the total score both in 8-11 (ρ: −0.777) and 12-16 year subgroups (ρ: −0.591). Similarly, the implant usage duration was positively correlated with the total score in all age groups.CONCLUSION: Children with CI experience worse QoL status than their NH peers. The possible causes of the lower QoL scores following cochlear implantation must be investigated. Reports from parents on their children’s QoL status are reliable.

This study investigates the effect of the middle turbinate-septal suturing technique on postoperative synechiae formation and surgical success in endoscopic endonasal dacryocystorhinostomy. A total of 98 patients aged between 18 and 65 years who underwent endoscopic endonasal dacryocystorhinostomy and silicone tube intubation for nasolacrimal duct obstruction were included. The nonsuture group consisted of patients in whom the middle turbinate-septal suture procedure was not performed, and the suture group consisted of patients in whom the middle turbinate-septal suture procedure was performed. The rates of postoperative synechiae, granulation tissue formation, anatomical success, and functional success were compared between groups. The nonsuture group consisted of 45 patients and the suture group consisted of 53 patients. The comparison of postoperative synechiae and granulation tissue formation revealed that both synechiae and granulation tissue formation were significantly lower in suture group compared with nonsuture group ( P = .046 and.04, respectively). In addition, both anatomical and functional success rates were significantly higher in the suture group than in the nonsuture group ( P = .019 and .025, respectively). The results suggest that suturing the middle turbinate to the nasal septum at the conclusion of surgery diminishes the incidence of postoperative synechiae and positively affects surgical outcomes.

Kulak Burun Boğaz bölgesi kanser olarak yaygın ve geniş bir alan olup multidisipliner yaklaşım ve tedavi gerektirmektedir. Eserimizde Baş boyun bölgesi kanserlerine güncel bir yaklaşım ile sınıflamadan tedaviye düzensel bir yaklaşım içinde oluşturmayı hedefledik. Başta Türk Kulak Burun Boğaz hastalıkları camiasına ve Türk tıp dünyasına bu kitabın kazandırılmasından ve faydalı olmasını umuyoruz. Nazofarenks Kanserine Yaklaşım Gözde ORHAN KUBAT Paranazal Sinüs Malignitelerine Yaklaşım Tuğba TULACI Kamil Gökçe TULACI Nazal Kavite Tümörleri Ozan TÜYSÜZ İnverted Papillom Caner ŞAHİN Olfaktör Nöroblastom (ESTHESIONEUROBLASTOM) Yaklaşım Umur AKINER Jüvenil Anjiofibroma Yaklaşımı Erkan YILDIZ Dudak Kanserleri Yaklaşım Sultan ŞEVİK ELİÇORA Oral Kavite Kanserlerine Yaklaşım Ömer Faruk ÇUFALI Ali Rıza YAĞMUR Orofaringeal Kanserler Ömer Tarık SELÇUK Larenks Bölgesi Tümörlerinin Patolojik Özellikleri Yavuz GÜNDOĞDU Hipofarinks Kanserlerine Yaklaşım Şükrü AYDIN Supraglottik Larenks Kanserleri Yaklaşımı Ergün SEVİL Glottik Kanserlere Yaklaşım Murat KAR Subglottik Larenks Kanserleri ve Tedavi Yaklaşımları Hüseyin GÜNİZİ Özlem Ceren GÜNİZİ Özofagus Kanserleri Duran KARATAŞ Kutanöz Malign Melanoma Yaklaşım Seçkin AYDIN SAVAŞ Mukozal Melanom Caner ŞAHİN Baş Boyun Lenfomalarına Yaklaşım İsmail DEMİR Benign Tükürük Bezi Tümörlerine Yaklaşım Seda ARSLAN Tükrük Bezi Malign Neoplazmları Ethem İLHAN Vestibüler Schwannom Yaklaşım Ahmet Mahmut TEKİN Dış Kulak Tümörleri Meltem TULĞAR Baş Boyun Cildi Melanom Dışı Kanserleri Öznur GÜNDÜZ Şeyda AKBAL ÇUFALI Baş Boyun Paragangliomalarında Tedavi Yaklaşımı Turgut ÇELİK Baş-Boyun Yumuşak Doku Sarkomları Mustafa GÜLLÜEV Baş-Boyun Kemik Sarkomları Yusuf Çağdaş KUMBUL Tiroid Diferansiye Tümörleri Yaklaşımı Bilal SİZER Medüller Tiroid Kanserine Yaklaşım Derya CEBECİ Anaplastik Tiroid Kanseri Elif AKYOL ŞEN Boynun Primeri Bilinmeyen Metastatik Kanserleri Esra KAVAZ UŞTU Parafarengeal Alan Kitleleri Abdullah KINAR Temporal Kemik Tümörlerine Yaklaşım Fatih YÜCEDAĞ Baş Boyun Kanserlerinde Boyuna Yaklaşım Ali Can SUNGUR Baş Boyun Tümörlerinde Genel Radyoterapi İlkeleri ve Güncel Yaklaşımlar Ayşe ÇEÇEN Baş Boyun Tümörlerinde Genel Kemoterapi İlkeleri Asude ÜNAL