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Copyright of Praxis of Otorhinolaryngology / Kulak Burun Boğaz Uygulamaları is the property of Official Journal of ENT-HNS Society of Istanbul and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The effect of ear drainage and middle ear inflammation due to chronic otitis media (COM) on infrared tympanic temperature measurement (ITTM) has not been demonstrated so far. This study aimed to reveal these effects. Methods: Sixty patients with one perforated ear and one contralateral intact ear were included. These patients were divided into 2 groups. Group 1 included 30 patients with draining ears and inflamed middle ear mucosa, and group 2 included 30 patients with no drainage for the last 3 months and with normal middle ear mucosa. Tympanic temperature measurements were done for all ears in both groups. The data obtained from both groups were compared between and within groups. Results: Mean perforated ear temperature and mean intact ear temperature were 36.95 ± 0.67°C and 36.74 ± 0.67°C, respectively, in group 1. This difference was statistically significant. In group 2, no statistically significant difference was found between the mean perforated ear temperature (36.87 ± 0.51°C) and the mean intact ear temperature (36.84 ± 0.51°C). A comparison of the perforated ears and the intact ears between the groups revealed no significant difference. Conclusion: Although ear drainage and middle ear inflammation due to COM may lead a slight elevation in tympanic temperature, this elevation is not clinically significant. Neither wet perforation nor dry tympanic membrane perforations affect tympanic temperature. ITTM may still be a reliable method for temperature measurement in patients with COM. [ABSTRACT FROM AUTHOR]

Background/Aim: The etiology of retention cysts of the maxillary sinuses (RCMs) and their relationship with the nasal septum is not fully elucidated. This study aimed to investigate the relationship between RCMs and the nasal septum. Methods: In this retrospective cohort study, computed tomography (CT) images of 208 patients who underwent paranasal sinus CT (PNsCT) imaging in our otolaryngology clinic in 2020 were scanned retrospectively. The demographic characteristics of the patients were accessed through the hospital's electronic data recording system. The ages, genders, RCMs, and nasal septum statuses of all cases were noted. Results: RCM was significantly related to nasal septum deviation (NSD) to the right (P=0.001), while it was not related to NSD to the left (P=0.5). When the nasal septum was in the midline, the risk of developing RCMs was significantly reduced (P=0.007). The direction of septum deviation and the presence of RCMs were significantly related. Right NSD was an independent risk factor for the development of RCMs and increased the risk by 2.2-fold (P=0.002). Conclusion: RCMs, while thought to be asymptomatic and regress spontaneously, should be followed due to the possibility of transformation to antrochoanal polyp (ACP), and surgery should be considered, especially in symptomatic cases. [ABSTRACT FROM AUTHOR]

Object: To prepare a national guideline for Otorhinolaryngologist who treat allergic rhinitis patients who treat allergic rhinitis patients. Methods: The study was conducted by three authors, namely the writing support team. The support team made the study plan, determined the writing instructions, chose the subgroups including the advisory committee, the advisors for authors and the authors. A workshop was organized at the very beginning to explain the details of the study to the team. Advisors took the chance to meet their coworkers in their subgroups and determined the main headings and subheadings of the guideline, together with the authors. After key words were determined by the authors, literature search was done in various databases. The authors keep in touch with the advisors and the advisors with the advisory committee and the support group at every stage of the study. National and International published articles as well as the abstracts of unpublished studies, imperatively presented in National Congresses, were included in this guideline. Only Guideline and meta-analyses published in last seven years (2013-2017) and randomized controlled studies published in last two years (2015-2017) were included. After all work was completed by the subgroups, support team brought all work together and edited the article. Results: A detailed guideline about all aspects of allergic rhinitis was created. Conclusion: The authors believe that this guideline will enable a compact and up-to-date information on allergic rhinitis to healthcare professionals. This guideline is the first in the field of Otolaryngology in Turkey. It should be updated at regular intervals. [ABSTRACT FROM AUTHOR]

Background/Aim: Continuous positive airway pressure (CPAP) is the most effective treatment for obstructive sleep apnea (OSA), but adequate patient compliance is required for treatment to achieve clinical success. This study aimed to determine factors affecting compliance with CPAP therapy in patients with OSA. Methods: In this retrospective cohort study, the records of patients that started CPAP treatment due to OSA between January 1, 2018 and August 30, 2020 were reviewed. The patients were divided into two groups based on their CPAP compliance: Group 1 included those who used CPAP regularly, and Group 2 included irregular users. Parameters such as age, gender, body mass index, apnea-hypopnea index, and educational status were compared between the groups. Results: Baseline apnea-hypopnea index (AHI) and oxygen desaturation index (ODI) of patients using CPAP regularly were higher than irregular users (P=0.003, P=0.045, respectively). There was no significant difference between the groups in terms of age, gender, and body mass index (P=0.542, P=0.120 and P=0.796, respectively). In multivariate logistic regression analysis, low AHI, low ODI and low educational level were independent risk factors affecting CPAP compliance (P=0.010, P=0.016 and P=0.047, respectively). Conclusion: According to the results of this study, low AHI and ODI levels and low education status were risk factors for non-compliance with CPAP treatment. Therefore, patients with these features may require closer follow-up for early identification of CPAP treatment failure due to non-compliance. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Surgery & Medicine (JOSAM) is the property of Journal of Surgery & Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: The aim of this study was to investigate the relationship between septum deviation and sleeping position in patients with nasal septum deviation. Methods: The study included 25 patients with nasal septum deviation on the right side, 25 patients with septum deviation on the left side, and 25 patients without septum deviation as the control group. The polysomnography reports of these patients were assessed retrospectively, and the spans of rest in the right, left, and supine positions were evaluated. Results: The right side-lying time was significantly longer than the left side-lying time in the group with right side deviation (P < .01). In the group with left sided septal deviation, the left side-lying time was significantly longer than the right side-lying time (P < .01). There was no significant difference between the 2 side-lying periods (P = .118). Moreover, the ratio of sleep duration in the supine/non-supine position in the groups with deviation was significantly higher than that in the control group. Conclusion: The results of our study showed that patients with nasal septum deviation slept more in the supine position than those without deviation and slept more on the deviated side when sleeping in the non-supine position. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical & Experimental Investigations is the property of Modestum Publications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: This study aims to investigate the quality of life of allergic patients with or without asthma during dust storms., Patients and Methods: A total of 148 allergic patients (66 males, 82 females; mean age 35.7±15.5 years; range 18 to 65 years) were classified as those with (group 1, n=80) or without (group 2, n=68) concomitant asthma between January 2012 and January 2013. The quality of life [Short Form-36 (SF-36)] scores, Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ), nasal symptom and visual analog scale (VAS) scores at the time of diagnosis were obtained. The particulate matter (PM10) and sulfur dioxide (SO2) values of that day from the General Directorate of Meteorology were recorded. The day of dust storm and PM10 and SO2 measurements along with SF-36, RQLQ, nasal symptom and VAS scores were recorded again., Results: The absolute change in the RQLQ subparameters including eye and nasal symptoms, practical problems and global scores was statistically significant (p=0.022, p=0.036, p=0.026 and p=0.032, respectively). There were statistically significant changes in the SF-36 subgroups of general health, physical functioning, vitality, and mental health (p=0.026, p=0.042, p=0.008 and p=0.026, respectively). In the multivariate logistic regression model, specific and general quality of life was 4.6 times worse in RQLQ and 3.8 times in SF-36 after the dust storm in patients with asthma, while 2.1 times worse in RQLQ and 1.9 times in SF-36 in patients with pure allergic rhinitis. The attributable risk of asthma was found to be 2.5 times higher in RQLQ and 1.9 times higher in SF-36., Conclusion: Dust storms may deteriorate the quality of life of patients with allergic rhinitis and asthma and lead to related personal and societal problems.

Objectives: This study assessed the audiometric results of revision surgery in patients on whom previous canal wall up tympanoplasty had been performed for chronic otitis media without cholesteatoma, and investigated reasons for hearing improvement failure which required revision surgery., Patients and Methods: Seventy-two patients (49 females, 23 males; mean age 35.4+/-12.9 years; range 11 to 64 years) suffering from chronic otitis media without cholesteatoma, who had intact canal wall up tympanoplasty and revision surgery due to bad hearing results between March 2004 and September 2009, were evaluated retrospectively. After evaluation of patients' files, operative and audiological records, findings during the surgery, postoperative follow-up, audiometric results before revision surgery and the results in the last control after revision surgery were analysed., Results: Preoperative mean air-bone gap (ABG) decreased in all patients from 31.2 dB to 19.9 dB after followed up for mean 26.7 months. Air-bone gap values below 20 dB were 67%, below 30 dB were 83%, hearing gain above 10 dB was found to be 58%. Comparision of pre- and postoperative ABG values of the patients revealed statistically significant difference (p<0.001). In addition to hearing loss, the reasons for revision surgery were mucosal disease relapse in 10 patients, graft perforation in 43 patients, otorrhea control in 15 patients. Findings during revision surgery were relapse of mucosal diseases in 15 patients, insufficient mastoidectomy in six patients, problems related to prosthesis in 29 patients, ossicular limitations (brid, hyalen and granulation) in 30 patients, and ossicular necrosis in six patients. The decision for four patients was changed from canal wall up tympanoplasty to canal wall down tympanoplasty. Postoperative total hearing loss developed in one case., Conclusion: The most important problem in revision of tympanoplasty patients with hearing loss is related with stabilisation of columella. To get successful hearing results, it is important to control disease and provide a stable and safe continuity between the tympanic membrane and vestibule.

Cutaneous horn is a protrusion from the skin consisting of cornified material. It usually appears on exposed skin areas especially on the head and neck. A 70-year-old woman applied to our clinic with a hard, conical, black-grey 2 cm lesion on the upper lip. On physical examination, there was no palpable lymph node in the neck other than the lesion. Diagnosed to be cutaneous horn, the lesion was completely removed together with 4-5 mm surrounding tissues under local anaesthesia. The histopathological examination reported this lesion to be cutaneous horn with well differentiated squamous cell carcinoma at its base. No recurrences or metastasis were detected within a follow-up period of 5.5 years. It should be kept in mind that cutaneous horns may be associated with premalignant and malignant lesions at the base, masking numerous conditions.

Objectives: The aim of this study was to reveal the efficacy of different nasal mucosal flap techniques in the repair of nasal septal perforation., Patients and Methods: Between April 2006 and May 2009 21 patients (12 males, 9 females; mean age 36.6+/-12.7 years; range 17 to 60 years) with the complaints of nasal obstruction, bleeding, crusting, whistling during inspiration, and pain and in whom septum perforation was detected were operated on and they were included in this study. The patients were followed-up for an average of 16.9 months (3 to 35 months). Cross-stealing technique was performed on 11 patients while advancement flap was performed on three patients and rotation flap was performed on seven patients. Patients were followed-up for at least three months before the evaluation of the postoperative results., Results: Complete closure was observed in 16 out of 21 patients (76.2%) and partial closure in one patient (4.8%). In four patients (19%) perforation was not closed and its size remained unchanged., Conclusion: In the literature, many different surgical techniques have been described for the repair of nasal septal perforation. The main aim of the repair is not only the closure of perforation but also the restoration of normal function and physiology in the nose. In order to achieve this, the most physiologically and anatomically suitable method is the closure of nasal septal perforation with three layers composed of two mucoperichondrial flaps and one interpositional graft. Although cross-stealing technique may be an anatomically and physiologically feasible option for the closure of small-middle sized perforation located anteriorly, the highest success rates are obtained with advancement and rotation flaps when the location and size of perforation are considered.

A 45-year-old woman with metastatic renal cell carcinoma to the nasal septum was presented in this study. Metastatic neoplasms of the paranasal region are so rare that they have been usually reported as case reports. Although there are reported cases of renal cell carcinoma to the paranasal sinuses, this case was unique in that it is an isolated metastasis to the nasal septum. The clinical presentation, radiologic and pathologic investigations, and the treatment of patient with surgery and chemotherapy with sunitinib malate (Sutent) were discussed.