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Öğe Assessment of functional and aesthetic outcomes in septorhinoplasty(Springer Science and Business Media Deutschland GmbH, 2021) Şimşek, Tuğce; Erdoğan, Mehmet Mustafa; Özçetinkaya Erdoğan, Serap; Kazaz, Hasan; Tezcan, Erkan; Seyhan, SinanPurpose: The aim of this study is to review the aesthetic and functional outcomes of septorhinoplasty using questionnaires that have never been collectively used, as well as surgeons’ evaluation. Materials and methods: Our study was conducted prospectively among 100 patients who underwent septorhinoplasty operation. We evaluated the effects of septorhinoplasty’s functional and aesthetic outcomes on patients' emotional status using a combination of NOSE, ROE, DAS-24, and GBI questionnaires as well as surgeons’ evaluations. Results: Our study did not detect any significant difference between preoperative and postoperative levels of patient satisfaction with regard to age, sex, and surgery type and the number of surgeries. Our study, on the other hand, revealed significantly higher postoperative GBI scores among patients with higher preoperative DAS-24 and NOSE scores. However, we showed no significant difference between the preoperative ROE score and postoperative GBI score Conclusion: This study demonstrated that septorhinoplasty can not only significantly alter a nose’s functional and aesthetic appearance, but it can also boost patient satisfaction.Öğe DIŞ KULAK YOLUNDA NADİR GÖRÜLEN MALİGN TER BEZİ TÜMÖRÜ(2023) Çakır, Begüm Buse; Çil, Özge Çağlar; Tezcan, Erkan; Güçlü, OğuzDış kulak yolunda ( DKY ) en sık görülen malign tümörler squamoz hücreli karsinom , bazal hücreli karsinom ve malign melanomdur.Ter bezi malign tümörleri kutanöz epitelyal tümörler arasındadır ve ayırıcı tanıda akla gelmelidir. Lokal enfeksiyöz patolojiler ile karışabildiği için özellikle DKY’de gözden kaçabilmektedir. Literatürde DKY malign ter bezi tümörüne ait az sayıda olgu mevcuttur. Bu makalede 79 yaşında kadın hastada DKY’ye ait malign ter bezi tümörü olgusu literatür eşliğinde tartışılmıştır.Öğe Evaluation of Periorbital Edema and Ecchymosis after Osteotomy in Septorhinoplasty Cases by Measuring Bone Density and Thickness(Lippincott Williams and Wilkins, 2024) Demirbağlar, Çagrı Can; Çil, Özge Çaglar; Öztürk, Muhsin Özgün; Tezcan, Erkan; Güçlü, OğuzPurpose: Periorbital edema and ecchymosis that may occur after surgery in septorhinoplasty patients who have undergone lateral osteotomy are common morbidities and are seen as the main limiting factors for the recovery process of the patients. There are many different studies in the literature about the causes of periorbital edema and ecchymosis. In this study, the authors aimed to investigate the possible relationships between the bone density and bone thickness measured in the frontal process of the maxillary bone, and postoperative periorbital edema and ecchymosis, which are suitable for the osteotomy lines that they will detect in computerized tomography. Methods: Between January 1, 2019 and November 11, 2020, 59 patients whose nasal pathologies were determined by paranasal sinus computed tomography examination due to nasal deformity and nasal deformity and who underwent septorhinoplasty operation were included in this study. Bone density and thickness measurements were performed on the frontal process of the maxillary bone in accordance with the lateral osteotomy lines on the lateral nasal wall in each patient, right and left side. According to the bone density values measured at the point determined on the lateral osteotomy line, 2 groups were formed as "very dense" and "less dense." According to the bone thickness values of the patients, 2 groups were determined as "thick" and "thin." Thus, the authors investigated the relationship between periorbital edema and ecchymosis on the postoperative first, third, and seventh days obtained from the examination files of the patients. Findings: When bone density subgroups are examined, it has been shown that the degree of periorbital edema of the patients in the "very dense" and "less dense" group categories decreased from the first day to the seventh postoperative day. The degrees of periorbital edema on the third postoperative day were statistically higher in the "less dense" group than in the "very dense" group. In the authors' study, no correlation was found between the degrees of postoperative periorbital edema and ecchymosis and bone density subgroups on other days. While an increase was observed in the periorbital ecchymosis grades of the patients in the "less dense" subgroup category from the first day to the third postoperative day, the periorbital ecchymosis grades of the patients in the "very dense" subgroup category decreased from the first day to the third day. In both subgroups, the lowest periorbital ecchymosis levels were observed on the postoperative seventh day. When bone thickness subgroups are examined, it has been shown that the degree of periorbital edema of the patients in the "thick" and "thin" group categories decreases from the first day to the seventh day postoperatively. When the bone thickness subgroups were examined, the periorbital ecchymosis degrees of the patients in the "thick" and "thin" group categories increased on the third postoperative day, while it reached the lowest level on the postoperative seventh day. There was no significant difference between the first, third, and seventh-day periorbital edema and ecchymosis conditions in the "thick" and "thin" groups. Conclusion: The authors observed that periorbital edema and ecchymosis that may occur after septorhinoplasty can be affected by the variable features of the lateral nasal wall bone structure. The authors conclude that the changes in the healing process can be affected by different bone density values in particular.Öğe New design titanium miniplate in mandibular angle fracture treatment: a biomechanical study(Springer Science and Business Media Deutschland GmbH, 2021) Şimşek, Tuğçe; Erdoğan, Mehmet Mustafa; Uğur, Levent; Kazaz, Hasan; Tezcan, Erkan; Seyhan, SinanAngle mandible is one of the most common fractures in the mandible. Fractures of the angle mandible are one of the most problematic areas in the facial area due to the high frequency of complications and difficult access to the surgical site. Although there are many available miniplates and screws with several geometrical models for use in mandibular angle fractures, geometrical features of these materials and the optimal number and site of placement of plates have yet to be determined. An ideal plate should be durable and potent enough to endure the functional burden. This study employed 12 mandible replicas made of rigid polyurethane resin used with appropriately standardized measurements. A full-thickness fracture line was present on the angle of all mandible replicas. Four groups were formed. In the our study, mandibular angle fracture line was fixed with parallel two straight plates, a butterfly plate, a square plate, and a newly designed three-dimensional (3D) hourglass-shaped plate. Fixation was performed with a different miniplate in each group. Three samples were formed from each group. Each model was subjected to a compression test at a displacement-controlled loading. Loading was continued after maximum load was reached. The latter revealed a significant difference between the newly designed plate and the other three plates (p < 0.05). In conclusion, we suggest that with the newly designed plate, which was used for the first time in the our study and showed a greater resistance in mandibula fractures, designed plate application will be more effectively used in clinical practice.Öğe RARE CASE OF ISOLATED LYMPHADENOPATHY: LEISHMANIA(2021) Çakır, Begüm Buse; Çil, Özge Çağlar; Adalı, Yasemen; Güçlü, Oğuz; Tezcan, ErkanLeishmaniasis is a parasitic disease group that is\rtransmitted by the bite of infected female\rphlebotominic sand flies. It can be seen in 3 different\rforms such as cutaneous, mucocutaneous and visceral\rLeishmaniasis. Visceral leismaniasis (VL) can\rmanifest in various clinical forms; causes malaise,\rweight loss and fever of unknown origin. In physical\rexamination, pallor, hepatosplenomegaly and\rlymphadenopathy are common findings in the skin and\rmucous membranes. In this case report, we have been\rclinically clinically treated for 3 months with isolated\rcervical lymphadenopathy. A 34-year-old man was\rinformed about the diagnosis and treatmentÖğe Üniversite Öğrencilerinde Akut Rinosinüzit Görülme Durumunun İncelenmesi(2022) Atay, Selma; Koç, Hürmüz; Tezcan, Erkan; Efil, Sevda; Bılgı, Sadi Turgut; Kucukakgun, Hılalnur; Günar, Bilgetekin BurakAkut rinosinüzit, insidans ve prevalansı giderek artan önemli bir sağlık problemidir ve tedavisi için yüksek miktarlarda harcamalar yapılmaktadır. Bu araştırma üniversite öğrencilerinde akut rinosinüzit görülme durumu ve bunların çeşitli risk faktörleriyle ilişkilerinin değerlendirilmesi amacıyla yapılmıştır. Tanımlayıcı araştırmanın evrenini Türkiye’nin batısında bir üniversitenin birinci sınıf öğrencileri oluşturmuştur. Örneklemi ise güç analizi ile belirlenen 414 öğrenci oluşturmuştur. Araştırma verilerinin toplanmasında Tanımlayıcı Özellikler Soru Formu ve Akut Rinosinüzit Değerlendirme Formu kullanılmıştır. Veriler sayı, yüzde ve ki-kare istatistiksel yöntemleri kullanılarak değerlendirilmiştir. Çalışmaya katılan öğrencilerin %62,7’sinin kadın, %20,4’ünün alerjisi olduğu, %27,4’ünün sigara kullandığı ve %7,3’ünün kronik hastalığı olduğu belirlenmiştir, öğrencilerin %33,3’ü akut rinosinüzit tanısı almıştır. Öğrencilerin şikayetleri arasında; %51,2’si baş ağrısı, %50,2’si halsizlik, %47,6’sı burun tıkanıklığı, %41,5’i pürülan burun akıntısı belirtilmiştir. Akut rinosinüzit görülmesi ile öğrencilerin cinsiyet, sigara kullanımı, daha önce sinüzit geçirmesi arasında anlamlı fark bulunmuştur. Akut rinosinüzitten korunma için sigara ve alerjenlere yönelik eğitim verilmesi, uzun dönem izlem çalışmalarının yapılması önerilebilir.
