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Öğe An Unusual Cervical Mass in the Hyoid Bone: Intermediate-Grade Chondrosarcoma(Hindawi Ltd, 2019) Caglar, Ozge; Karatag, O.; Avci, A.; Derekoy, SefaWe describe a case of a 31-year-old woman with a chondrosarcoma of the hyoid bone. The patient presented with a mass in the left submandibular region. Fine-needle aspiration cytology suggested chondroma, but further imaging investigation with CT revealed an exophytic tumor originating from the body of the hyoid bone. Histopathology of the surgical specimen confirmed the diagnosis of a intermediate-grade chondrosarcoma. Chondrosarcomas account for 11% of all bone cancers. Primary sites of the head and the neck include the nasal cavity, the skull base, the maxilla, the mandible. Chondrosarcomas of the hyoid bone are very rare, with only 23 cases previously reported in the literature.Öğe Cervical necrotizing fasciitis associated with descending necrotizing mediastinitis(Biomed Central Ltd, 2011) Gonlugur, Ugur; Guclu, Oguz; Karatag, Ozan; Mirici, Arzu; Derekoy, SefaWe report a case of potentially fatal cervical necrotizing fasciitis and descending necrotizing mediastinitis due to deep neck infection in a 66-year-old male patient with no history or evidence of immunocompromising disorders. On admission, he had painful neck movements and the skin over his neck was red, hot and tender. A computerized tomography (CT) scan of his neck and chest showed evidence of air collection in soft tissues. He was treated with broad-spectrum intravenous antibiotics and early massive cervical drainage. Prompt diagnosis by CT of the neck and chest enabled an early surgical treatment of cervical necrotizing fasciitis. Although acute mediastinitis is a fatal infection involving the connective tissues that fill the interpleural spaces and surround the median thoracic organs, an extensive cervicotomy combined with appropriate antibiotics can prevent the need for mediastinal drainage.Öğe The Effects of Different Types of Nasal Packing on Odor Function and Mucociliary Function After Septum Surgery(Sage Publications Inc, 2019) Caglar, Ozge; Guclu, Oguz; Oymak, Sibel; Derekoy, SefaBackground: In this study, we evaluated how the Merocel and nasal splint packing placed in the nose after septoplasty surgery affects the olfactory and mucociliary functions of the nose in the early period, and compared the 2 packing with each other. Material and Method: The study included 60 patients with isolated septal deviation and 30 patients in the control group. The patients were randomly divided into 2 groups. Nasal splint was inserted after septoplasty in group A (n = 30). Merocel was inserted in group B (n = 30). The Sniffin sticks test and saccharin test were applied to the patients before surgery and 15 days after the surgery. The same tests were applied to the control group consisting of 30 patients and the results were compared. Results: No complications, such as postoperative bleeding, submucoperichondrial hematoma, or abscess formation, were found in both groups. Mucociliary function was improved after septoplasty, and it was statistically significant, but there was no statistically significant difference between both packing groups. A statistically significant difference was found for the odor test in patients who used nasal splint packing in comparison with patients who used Merocel in the early period. Conclusion: The odor test showed significant differences between the 2 groups and this was statistically significant in the early period. Mucociliary function was better after surgery, but there was no statistical difference in the different nasal packing groups.Öğe The influence of iris color and retina pigment epithelium melanin on allergic rhinitis(Deomed Publ, Istanbul, 2016) Derekoy, Sefa; Kenar, Fethullah; Yavas, Guliz Fatma; Kusbeci, Tuncay; Ozturk, Faruk; Aycicek, AbdullahObjective: The purpose of this case control study is to establish the influence of iris color and retina pigment epithelium melanin on allergic rhinitis. Methods: Ninety-nine subjects diagnosed prospectively as allergic rhinitis and 85 control subjects were included in the study. Color of iris was recorded after ophthalmic examination. Electro-oculographic measurement was done after pupil dilatation and Arden ratios were recorded. Results: Mean age was 29.44 +/- 9.8 years in subject with allergic rhinitis and 32.67 +/- 12.9 years in control subjects (p>0.05). Measured mean Arden ratio was 158.22 +/- 29.4 in subjects with allergic rhinitis and 179.34 +/- 29.3 in normal subjects (p<0.05). In control group, Arden ratio was significantly higher in eyes with brown iris (p<0.05). In subjects with allergic rhinitis, Arden ratio was significantly lower in brown eyes (p<0.05). Conclusion: An association between allergic rhinitis and melanin content of iris and retina pigment epithelium was found. It can be speculated that pigment-producing system may play a role in the pathogenesis of the allergic rhinitis.
