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Öğe CT and MR Imaging Characteristics of Intravestibular and Cerebellopontine Angle Lipoma(Kowsar Publ, 2014) Büyükkaya, Ramazan; Büyükkaya, Ayla; Öztürk, Beyhan; Yaman, Hüseyin; Belada, AbdullahIntracranial lipoma is an uncommon entity A rare type of tumor in the internal auditory canal (IAC) and the cerebellopontine angle (CPA) is lipoma. There are a few case reports in the literature related to intravestibular lipoma. Herein, we report a case of lipomas within the cerebellopontine angle and vestibule of the inner ear in a patient with tinnitus and dizziness. The patient was evaluated with a 1.5 T magnetic resonance imaging (MRI) system. MRI and CT showed the masses in the left CPA and the left IAC. These lesions were hyperintense on both T1- and T2 weighted images and showed no enhancement after gadolinium administration. Conservative management was suggested. Histopathological diagnosis is rarely necessary with the widespread use of magnetic resonance imaging. Considering significant morbidity during resection, conservative follow-up is the best approach for CPA and IAC lipoma.Öğe The effect of ibuprofen on postoperative hemorrhage following tonsillectomy in children(Springer, 2011) Yaman, Hüseyin; Belada, Abdullah; Yılmaz, SüleymanThe objective of the study was to evaluate the effect of ibuprofen on hemorrhage after tonsillectomy in children. All charts of children, who underwent tonsillectomy with or without adenoidectomy, were reviewed. The age at the time of surgery ranged between 3 and 16 years (mean age = 7.55 +/- A 3.01 years). Children were divided into two groups based on the drugs used for postoperative pain relief. Group I received paracetamol after surgery. Group II received ibuprofen after surgery. A total of 62 patients received ibuprofen and 109 patients were given paracetamol. Post-tonsillectomy hemorrhage occurred in seven (4.1%) children, primary hemorrhage was noted in five patients and secondary hemorrhage occurred in two patients. While 3 of 62 children (4.8%) who were given ibuprofen had postoperative hemorrhage, 4 of 109 patients (3.7%) who were given paracetamol had hemorrhage There was no significant difference in hemorrhage rates between these two groups (p > 0.05). Hemorrhage following tonsillectomy is rare and frequently occurs in the early postoperative period. There is no significant increased risk of hemorrhage after ibuprofen administration and it can be used safely for post-tonsillectomy pain relief.Öğe The Effects of Nasal Septum Deviation on Ocular Examination Findings: Does Deviated Nasal Septum Cause Impaired Vision?(Duzce University Medical School, 2022) Akcan, Fatih Alper; Teberik, Kuddusi; Belada, Abdullah; Ünlü, İ.; Dündar, Y.Aim: Nasal obstruction due to nasal septum deviation is associated with systemic diseases such as cardiopulmonary disease, neurological and vascular problems. But the effect of pure nasal deviation on the ocular system has not been precisely investigated. The aim of this study was to analyze the association of nasal septal deviation with ocular examination findings. Material and Methods: Twenty-seven adult patients underwent septoplasty and 31 controls were included in the study. The study group was conducted on patients with pure nasal septum deviation which is significantly obstructing the nasal airway (>50%). In ophthalmological examination; peripapillary retinal nerve fiber layer, macular and choroidal thickness measurements were obtained. The examination findings were compared between the study and control groups. Results: The mean macular thicknesses at nasal-500?m were 305.89±32.79 and 287.87±25.00 in the study and control groups, respectively (p=0.021). The mean macular thicknesses at nasal-1000?m were 353.04±21.28 and 341.16±17.97 in the study and control groups, respectively (p=0.025). The mean thickness of choroid was statistically significantly different at central (p=0.036) and peripheral measurements; nasal-500?m (p=0.020); nasal-1000?m (p=0.001); nasal-1500?m (p<0.001); temporal-500?m (p=0.023) and temporal-1000?m (p=0.045). No statistically significant difference was found between the two groups according to ocular tension, thickness of cornea, keratometry, anterior chamber depth, axial length of cornea, and retinal nerve fiber layer thickness. Conclusion: This is one of the pioneer studies evaluating the ocular examination findings in patients with nasal septum deviation. Our results indicate the increased thickness of both macula and choroid in patients with nasal septum deviation. © 2022, Duzce University Medical School. All rights reserved.Öğe Evaluation of Nasal Mucociliary Clearance in Recently Diagnosed Covid-19 Patients Before Treatment(Duzce Univ, Fac Medicine, 2023) Koder, Ahmet; Kilicaslan, Saffet; Belada, Abdullah; Habiloglu, Arif Dogan; Ataoglu, Ozlem; Sungur, Mehmet Ali; Atik, DursunObjective: Our study aims to evaluate the nasal mucociliary clearance (NMC) in Covid-19 patients who have been recently diagnosed and not been treated yet and investigate how Covid-19 affects NMC.Methods: A total of 120 participants, who applied to Duzce Ataturk State Hospital between September and November 2020, were included in our study. 60 of them were the participants, diagnosed with Covid-19. And 60 of them were the control group. The age range was 18 to 66. 60 participants, diagnosed with Covid-19 and not yet treated, were included in our study. Those with taste disorders were excluded from the study. The control group consisted of 60 healthy volunteers. NMC was evaluated using a saccharin test. The results were compared in the Statistical Package for Social Sciences (SPSS).Results: The study group, which consisted of 60 Covid-19 participants of whom treatment was not yet started, and the 60-participant healthy control group were evaluated in our study. The average age of the study group was 40,72 +/- 12,96 and 39,16 in the control group. The average NMC was 15,95 +/- 3,37 in the study group, and 8,38 +/- 1,03 in the control group. When evaluated statistically, it was found higher in the study group (p<0,001).Conclusions: NMC acts as a barrier for inhaled foreign bodies. It is a non-specific protection system against airborne pathogens. Consequently, NMC extends in Covid-19 patients.Öğe Fibromyalgia Syndrome in Patients with Nasal Septum Deviation(Taylor & Francis Ltd, 2013) Özşahin, Mustafa; Yaman, Hüseyin; Belada, Abdullah; Ataoğlu, SafinazObjectives: Some studies conducted with patients with obstructive sleep apnea syndrome [OSAS] have suggested an association between sleep-disordered breathing [SDB] and fibromyalgia syndrome [FMS]. Nasal septum deviation [NSD] is a common physical disorder of the nose and it manifests itself with similar complaints, like respiratory distress and headache, as in patients with OSAS. The aim of this study was to determine the frequency of FMS in patients with NSD. Methods: Consecutive patients, 18 to 60 years old, evaluated in an academic otorhinolaryngology outpatient clinic were prospectively recruited for this study. Patients with nasal septal deviation were included in the nasal septum deviation group. Patients without nasal symptom deviation were recruited to serve as controls. All recruited cases were assessed by a single physiatrist for FMS. The FMS diagnosis was made on the basis of the 1990 American College of Rheumatology Research Classification Criteria. Results: One hundred ninety-nine consecutive patients, 18 to 60 years old, were enrolled in the study. Patients were divided into two groups as those with nasal symptom deviation [n = 115] and those without nasal symptom deviation [control group, n = 84]. Fibromyalgia syndrome was diagnosed in six NSD patients [5.2%] and in four [4.8%] control patients. No differences were noted in the prevalence of FMS between the two groups [p = 0.578]. Conclusion: In this study, we demonstrated a normal prevalence of FMS among patients with NSD. Although some studies suggest a relation between sleep disordered breathing and FMS, we could not find any relationship between NSD and FMS. This result may be associated with the fact that patients with OSAS and morbid obesity were excluded from our study. Future studies are warranted to clarify the association between obstructive sleep-disordered breathing and FMS.Öğe Investigation of Risk Factors for Otitis Media With Effusion in Patients with Adenotonsillar Hypertrophy (Risk Assessment in Otitis Media with Effusion)(Duzce Univ, Fac Medicine, 2021) Akcan, Fatih Alper; Belada, AbdullahObjective: Sleep Disordered Breathing (USB) is one of the most common childhood disorders ranging from simple snoring to obstructive sleep apnea (OSA), and most common cause of it is the adenotonsillar hypertrophy (ATH). Otitis Media with Effusion (OME) is another important problem in children with USB due to ATH. The aim of this study was to evaluate the possible risk factors for the development of EOM in children with USB due to ATH. Methods: 171 pediatric patients with ATH-related snoring and sleep apnea complaints were included in the study. The patients were divided into two groups. Group 1: patients with ATH + OME and Group 2: patients with ATH alone. A pre-operative standard questionnaire was used to assess USB severity. Twenty-one different parameters were evaluated for both groups. Results: Age, sex, exposure to tobacco smoke, cow milk exposure before 12 months, breast milk only for at least 6 months, duration of symptoms, USB symptom scores, history of recurrent tonsillitis, adenoid / nasopharynx (AN) ratio, tonsil size, body mass index (BMI), hemoglobin (Hb) level, hematocrit (Hct) ratio, mean platelet volume (MPV), eosinophil ratio, neutrophil-lymphocyte ratio (NLR), thyroid function tests (TSH, fT4), folate and vitamin B12 levels were evaluated. There was no statistically significant difference between these parameters except BMI. BMI values were 16.08 +/- 1.96 in Group 1 and 17.11 +/- 2.81 in Group 2, respectively (p: 0.006). Conclusions: Many different parameters were evaluated for EOM, a multifactorial disease. Among the groups, only BMI was different. Further study is required to identify risk factors for the development of EOM in patients with ATH.Öğe Is routine histopathological analysis of nasal polyposis specimens necessary?(Springer, 2011) Yaman, Hüseyin; Alkan, Nihal; Yılmaz, Süleyman; Koç, Sema; Belada, AbdullahOur objective is to evaluate the incidence of unexpected pathologies in routine nasal polyposis specimens and necessity for histopathological evaluation of nasal polyps. A retrospective chart review of all patients who underwent nasal polyposis surgery between January 2004 and June 2010 were reviewed. The patients were divided into two groups. Group 1 consisted of patients with bilateral nasal polyposis. Group 2 consisted of patients with unilateral nasal polyposis. One hundred and seventeen patients (81 male, 36 female) were involved in this study. The mean age was 44.9 +/- A 17.7 years, ranging between 18 and 72 years. Group 1 consisted of bilateral nasal polyposis specimens. Eighty-five patients were identified with bilateral nasal polyposis. From these 85 patients, no specimens present any evidence of occult pathology on histopathological examination. Group 2 consisted of unilateral nasal polyposis specimens. There were two cases of allergic fungal sinusitis, two of inverting papilloma, one of mucocele, one of plasmacytoma, one of hemangioma, one of esthesioneuroblastoma, and one of schwannoma. Final histopathology of the remaining 23 patients was consistent with inflammation and/or nasal polyposis. We think that in cases of unilateral polyps histopathological examination of the entire material is mandatory. However, routine histological examination of bilateral nasal polyposis may possibly not be necessary in cases where the clinical assessment very clearly has not disclosed any unusual or suspicious signs.Öğe Lateral Suspension Technique in Treatment of Lateral Crus Malposition Belada Technique(Lippincott Williams & Wilkins, 2023) Belada, Abdullah; Akcan, Fatih AlperLateral crus malposition can cause health problems from both functional and esthetic perspectives. Recently many techniques are developed to solve this problem. One of the failures that can be seen in these surgical techniques is that the lateral crus placed in its new position is shifted to the cephalic and is dislocated. Our aim in this study is to introduce the technique authors developed to prevent complications. 16 patients (10 female and 6 male) with a lateral crus malposition during rhinoplasty surgery were included in the study to have a reposition. The suture placed on the caudal end of the lateral crural strut graft attached to the lateral crus, which authors freed from the vestibule skin for repositioning in our patients operated with an open technique, is fixed by taking it out from the skin through the newly created pocket. The lateral crus, which was fixed with a suture in its new pocket, did not dislocate, did not shift to cephalic and no infection developed in any of our patients. In 1 of our patients, a second surgery was planned because the inserted lateral crural strut graft caused a narrowing in the nasal cavity.Öğe LIFE-THREATENING ANGIOMYXOMA OF THE LARYNX(Jimma Univ, Ethiopia, 2015) Yaman, Hüseyin; Erdem, Havva; Belada, Abdullah; Beşir, Fahri Halit; Oktay, Murat; Uzunlar, Ali KemalBACKGROUND: Angiomyxoma is a benign proliferative mesenchymal tumor and a very rare mass in the larynx. There is not enough information about the etiology, clinical finding, treatment and prognosis of laryngeal angiomyxoma. CASE DETAILS: A 52 years old man presented with respiratory distress. Also, he had suffered from dysphagia, dysphonia, cough, and obstructive sleep apnea in the supine position for 6 months. He was operated on via transoral approach under general anesthesia with orotracheal intubation. The mass was encapsulated and completely removed. The histopathologic diagnosis was reported as angiomyxoma. CONCLUSION: Angiomyxoma should be considered in the differential diagnosis of the larynx masses. The treatment of angiomyxomas of the larynx is surgical. The mass can be usually excised intraorally or endoscopically.Öğe Newborn Hearing Screening Results of Duzce Province in the Western Black Sea Region(2021) Köder, Ahmet; Belada, AbdullahAim: We aimed to evaluate the results of newborn hearing screening (NHS) conducted at Düzce Atatürk State Hospital,and review the results with the relevant literature.Material and Methods: The hearing screening results of 20071 newborns whose hearing screening was conducted atDüzce Atatürk State hospital between January 2011 and December 2018 were evaluated retrospectively in this study.Refugees were not included in the study. Newborns without risk factors who came to the first test were evaluated withtransient evoked otoacoustic emissions (TEOAE). If they failed from the first screening test were evaluated again 15days later with TEOAE. Newborns who failed the second screening test were evaluated a third time with ABR.Newborns with risk factors were first evaluated with auditory brainstem response (ABR).The risky newborns whofailed the first screening test were evaluated second time with ABR.Results: Hearing loss was present in 62 (0.30%) of the 20071 newborns and was unilateral in 35 (0.17%) and bilateralin 27 (0.13%) subjects.Conclusion: For the rehabilitation of babies with hearing loss, their treatment should be started as early as possible.Newborn hearing screening tests are a screening program that has been successfully applied in our country for manyyears and enables the detection of babies with hearing loss. With this screening program, babies with hearing loss canbe detected at an early stage and their treatment and rehabilitation can be provided. The results of our study areconsistent with other hearing screening results from our country.Öğe Respiratory complaints and functions in barn workers(European Respiratory Soc Journals Ltd, 2012) Çakıroğlu, Banu; Balbay, Ege Güleç; Arbak, Peri Meram; Balbay, Öner Abidin; Avcıoğlu, Fatma; Belada, Abdullah…Öğe Respiratory symptoms and functions in barn workers(Inst Agricultural Medicine, 2014) Balbay, Ege Güleç; Çakıroğlu, Emine Banu; Arbak, Peri Meram; Balbay, Öner Abidin; Avcıoğlu, Fatma; Belada, AbdullahIntroduction and aim. The presented study was undertaken to investigate the respiratory health problems in family barns with one or more cows and at least one family member working in the barn. Methods. 150 workers (128 female, 22 male) from 4 villages of Yigilca district near the city of Duzce in north-west Turkey were enrolled in this study between October December 2011. An Occupational and Environmental Chest Diseases questionnaire developed by the American Thoracic Society, pulmonary function test, physical examination and investigation for nasal eosinophil were performed in all subjects. Results. The mean age of workers was 47.7 +/- 14.2 years. Cough was present in 24% of subjects. The rates of phlegm, wheezing, chest tightness and dyspnea were 13.3%, 6%, 6% and 27.3%, respectively. Obstructive ventilatory pattern was observed in 37 workers (24.6%). 43 workers (28.6%) showed restrictive ventilatory pattern. Nasal eosinophilia was detected in 47.3% (71/150) of the subjects. Pulmonary functions of workers with nasal eosinophilia did not differ from the other workers. There were statistically significant negative correlations between the duration of working in barns and respiratory functions. Conclusions. Pulmonary functions of barn workers have been found to be decreased related to the duration of barn working. Furthermore, respiratory symptoms increased in relation with both barn working and biomass consumption. Precautions should therefore be taken to ventilate both barns and houses.
