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    Absence of the epiglottis in an infant with pierre robin sequence
    (Elsevier Ireland Ltd, 2011) Güven, Damla Güçlü; Şenses, Dursun Ali; Subaşı, Buğra; Yaman, Hüseyin
    Epiglottis anomaly associated with Pierre Robin sequence (PRS) is a rare occurrence. Most infants with PRS have presented life-threatening symptoms of respiratory distress and severe feeding problems that usually end with death. To the knowledge of the authors, this is the first reported case of epiglottis agenesis associated with PRS. The clinician must be aware of this unusual presentation in a PRS, and the presented case reveals the challenges in the treatment of the respiratory and feeding problems. This case is discussed with a review of the literature. © 2010 Elsevier Ireland Ltd. All rights reserved.
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    ACUTE LINGUAL BASE ABSCESS IN AN ELDERLY PATIENT: CASE REPORT
    (Gunes Kitabevi Ltd Sti, 2013) Beşir, Fahri Halit; Yaman, Hüseyin; Memiş, Mehmet; Gönen, İbak; İlhan, Ethem
    The abscess of the lingual base is a very rare condition that occurs between the third and fifth decades of life. Early diagnosis and treatment is necessary especially when it leads to severe dyspnea. The most common causative agents are staphylococci and streptococci. It can be diagnosed easily by means of computed tomography and magnetic resonance imaging. Herein we presented a case of lingual base abscess due to enterococci who had been admitted with dsypnea. Our elderly case had no apparent risk factors other than poor oral hygenia. In geriatric subjects with poor oral hygiene who develop abrupt dyspnea, lingual base abscess should be considered in the differential diagnosis.
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    Adenotonsillektomi Sonras1 Cerrahi Spesmenlerin Rutin Histopatolojik Tetkiki Gerekli midir?
    (2013) Ekinci, Adnan; Koç, Sema; Yaman, Hüseyin
    Adenotonsillektomi endikasyonları, kronik enfeksiyonlar, peritonsiller abse, obstruksiyona yol açan adenoid veya tonsil hipertrofisi, yutma veya konuşma güçlüğüne ve çene ve diş anormalliklerine yol açacak derecede bu dokuların hipertrof'ıleri ve benign veya malign tümör şüphesini içermektedir. Çocuklarda en sık görülen tonsil tümörü lenfoma iken, yetişkinlerde en sık görülen tonsil tümörü skuamöz hücreli karsinomadır. Adenoid ve tonsil maligniteleri veya granülamatöz hastalıkları nadir görülmesine rağmen bu hastalıkları gözden kaçırma endişesi ve medikolegal sebepler nedeniyle birçok klinikte cerrahi olarak çıkartılan tüm dokuların histopatolojik incelenmesi yapılmaktadır. Adenoid ve tonsillerin histopatolojik incelenmeleri genellikle klinik sonucu değiştirmemektedir. Ayrıca gelişmekte olan ülkelerin ekonomisi için maddi bir yük ve patologlar için zaman alan bir işlemdir. Bununla ilgili birçok çalışma yapılmıştır. Bu çalışmaların bir kısmı sadece çocuk veya yetişkinlerde yapılırken, bir kısmı da hem çocuk hem de yetişkinleri kapsamaktadır. Çocuklarda adenoid ve tonsil dokularının histopatolojik inceleme sonuçlarında malinite görülme oranı %0-0.18 arasında bulunurken, yetişkinlerde malignite görülme oranı %0-2.04 arasında saptanmıştır. Sonuç olarak, adenoid ve tonsillerin rutin histopatolojik incelenmesine gerek olmayıp, tek veya çift taraflı tonsilin progresif büyümesi, servikal lenfadenopati, tonsilde kitle veya palpasyonda sertlik, malinite hikâyesi ve maliniteyi düşündüren sistemik semptomlar varsa adenoid ve tonsil dokularının histopatolojik tetkiki yapılmalıdır.
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    Akciğer Dışı Organ Tüberkülozu
    (2012) Erdem, Havva; Uzunlar, Ali Kemal; Yıldırım, Ümran; Yaman, Hüseyin; Aydın, Leyla; Şahiner, Cem
    Tüberküloz, vücudun herhangi bir organında görülebilir. En sık akciğer tüberkülozu görülmekle birlikte, akciğer dışı tüberküloz da önemli bir klinik sorundur. Akciğer tüberkülozu, Türkiye'de sık olmasına rağmen, akciğer dışı organ tüberkülozu çok nadir görülür. Burada, ekstrapulmoner tüberküloz tanılı üç hasta sunulmuştur. Tutulum yerleri vertebra, nazofarenks ve orta kulaktır. Vertebra, nazofarenks ve orta kulaktan alınan materyallerin histopatolojik incelemesi sonucu tüberküloz granülomu olarak rapor edildi.
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    Baş Ve Boyun Tüberkülozları
    (2012) Yaman, Hüseyin; Alkan, Nihal; Erdem, Havva; Aydın, Leyla Yılmaz; Yıldırım, Ümran; Güçlü, Ender
    Amaç: Bu çalışmada baş boyun bölgesinde tüberküloz tanısı alan hastaların klinik ve tedavileri araştırıldı. Gereç ve Yöntem: Servikal tüberküloz lenfadenit ve baş boyunun diğer bölgelerinde tüberküloz tanısı alan 16 hastanın dosyaları retrospektif olarak incelendi. Hastaların yaş, cinsiyet, klinik, histopatolojik tanı ve tedavi protokolleri incelendi. Hastalara nodal eksizyon veya total eksizyon yapılmış olup tanıları histopatolojik inceleme sonucunda konulmuştur. Tüberküloz tanısı alan hastalar antitüberküloz tedavi protokolüne alınmıştır. Bulgular: Çalışmamız yaş aralığı 18 ile 72 yaş arasında değişen 16 hastayı [15 bayan (%93.75), 1 erkek (%6.25); ortalama yaş 43.614.7] içermektedir. Hastaların 13ünde (%81.25) tüberküloz lenfadenit, 1inde (%6.25) alt dudak tüberküloz, 1inde (%6.25) nazofarengeal tüberküloz, 1inde (%6.25) larengeal tüberküloz tespit edilmiştir. Antitüberküloz tedavi alan hastalarda tedavi sonucunda kitlelerin kaybolduğu gözlenmiştir. Sonuç: Baş boyun bölgesindeki kitlelerinin ayırıcı tanısında tüberküloz unutulmamalıdır. Baş boyunda genellikle tüberküloz lenfadenit şeklinde görülmekle birlikte nadirde olsa dudak, nazofarenks, larenks gibi bölgelerde de görülebilmektedir.
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    Boyun yerleşimli castleman hastalığı
    (2010) Yaman, Hüseyin; Alkan, Nihal; Yıldırım, Ümran; Beşir, Fahri Halit; Yılmaz, Süleyman
    Castleman hastalığı nadir görülen etiyolojisi tam olarak bilinmeyen lenfoprolifetif bir hastalıktır. En sık mediastinal lenf nodu tutulumu görülmekle birlikte servikal, retroperitoneal, aksiller ve diğer bölgelerdeki lenf nodları da tutulabilir. Sıklıkla genç erişkinlerde görülür ve cinsiyet ayırımı göstermez. Histopatolojik olarak hiyalin vasküler ve plazma hücreli olmak üzere iki tipi bulunmaktadır. Kliniğine göre de lokalize ve sistemik (multisentrik) formları bulunmaktadır. Lokalize tip genellikle asemptomatiktir ve kitle veya şişlik ile kendini gösterir. Sistemik (multisentrik) tipte ise ateş, anemi, yaygın lenfadenopati ve hepatosplenomegali gibi nonspesifik semptomlar görülür. Lokalize tip hastalığın tedavisi kitlenin cerrahi olarak eksizyonudur. Sistemik tip hastalığın tedavisinde genellikle steroid tedavisi, kemoterapi ve radyoterapi kullanılmasına rağmen kesin tedavisi yoktur. Bu çalışmada boyunda kitle şikâyeti ile gelen ve hiyalin vasküler tip Castleman hastalığı tanısı konulan bir olgu sunuldu.
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    Burunda yabancı cisim: 130 hastanın değerlendirilmesi
    (2015) Memişoğulları, Ramazan; İlhan, Ethem; Ulucanlı, Selim; Yaman, Hüseyin; Güçlü, Ender
    Amaç: Bu çalışmada burunda yabancı cisim tanısı konulan hastaların klinik belirtileri ve tedavi protokolleri araştırıldı. Hastalar ve Yöntemler: Kasım 2008 - Temmuz 2013 tarihleri arasında burunda yabancı cisim tanısı konulan ve tedavisi yapılan 130 hasta (72 erkek, 58 kadın; ort. yaş 3.652.31 yıl; dağılım 15 ay-72 yıl) geriye dönük olarak değerlendirildi. Hastaların yaş ve cinsiyeti, yabancı cismin türü, hangi tarafta olduğu, belirti ve semptomları, tedavi uygulamaları ve sonuçları kaydedildi. Bulgular: Hastaların büyük bir çoğunluğu 2-5 yaş arasındaki çocuklardı (n113, %86.9). En fazla görülen yabancı cisimler; küçük plastik oyuncak parçaları (%43.8) fındık, ceviz, mısır ve fasulye gibi tohum taneleri (%29.2) idi. Hastaların 74ünde (%56.9) sağ, 54ünde (%41.6) sol nazal pasajda ve ikisinde (%1.5) ise her iki burun deliğinde yabancı cisim izlendi. Hastaların %92.3ü ilk 24 saat içerisinde kliniğimize başvurdu. Sonuç: Buruna yabancı cisim kaçması kulak burun boğaz hastalıkları acilinde sık karşılaşılan bir durumdur. Genellikle hayati bir risk oluşturmayan bu durum uzun dönemde çeşitli komplikasyonlara yol açabileceğinden acil müdahale gerektirir. Çocuk bakımından sorumlu ebeveyn ve bakıcılar buruna kaçabilecek cisimlerin çocukların ulaşabileceği yerlerde bulundurmamaları ve buruna yabancı cisim kaçması durumlarında hekime başvurmaları konusunda bilinçlendirilmelidir.
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    A Case Of Choanal Polyp Orıgınatıng From Mıddle Turbınate
    (2016) İlhan, Ethem; Özel, Mehmet Ali; Beşir, Fahri Halit; Yaman, Hüseyin
    Choanal polyps are defined as benign, inflammatory,solitary soft tissue lesions and usually originate fromthe maxillary sinus. The choanal polyps can originatefrom unusual locations such as the sphenoid sinus,ethmoid sinus, nasal septum, hard and soft palate.Choanal polyp arising from middle turbinate is anextremely rare entity. In this report, a case of solitarychoanal polyp that originate from middle turbinate andsuccessfully removed with endoscopic surgery ispresented.
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    A case report of pneumosinus dilatans of the frontal sinus and review of the literature [Frontal sinüste pnömosinüs dilatans olgusu ve literatür taramasi]
    (2010) Yılmaz, Süleyman; Akkan, Nermin; Yaman, Hüseyin; Güçlü, Ender; Yazıcı, Burhan
    Pneumosinus dilatans is an extremely rare condition which is characterized by gross enlargement of the paranasal sinuses. The etiology is not identified. Pneumosinus dilatans refers to an aerated sinus which is abnormally expanded. Anatomical variations of the paranasal sinuses and nasal cavity are important in sinus diseases. We are reporting one patient with pneumosinus dilatans who attended Duzce medical faculty ENT department with severe headache. We considered as frontonasal complex and septum deviation disease by the CT and endoscopic examinations, and treated by functional endoscopic surgery and septoplasty surgery. Headache and nasal obstruction symptoms disappeared completely in the follow up period. Frontal sinus size is followed up by CT. Frontal sinus enlargement was seen with the preoperative paranasal CT which are taken consecutive years. Frontal sinus size reduction was evaluated 18 months after surgery with the control paranasal sinus CT examination. © 2010 Düzce Medical Journal.
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    Comparison of Transoral/Transnasal Endoscopic-Guided Adenoidectomy with Endoscopic Nasopharyngeal Inspection at the End of Curettage Adenoidectomy
    (Springer India, 2015) Yaman, Hüseyin; Memiş, Mehmet; İlhan, Ethem
    The purpose of this study was to evaluate the efficacy of transoral or transnasal endoscopic-guided adenoidectomy compared with endoscopic nasopharyngeal inspection at the end of curettage adenoidectomy. A prospective case series of patients who had adenoidectomy. A total of 27 girls and 34 boys (age range 2.5-18 years) in whom adenoidectomy with or without tonsillectomy procedure was planned were included in the study. The cases were divided into three groups. Group 1 Transoral endoscopic-guided adenoidectomy performed patients. Group 2 Transnasal endoscopic-guided adenoidectomy performed patients. Group 3 Transnasal endoscopic nasopharyngeal exploration performed at the end of the conventional curettage adenoidectomy. The study was completed on 61 children. Mean age and sex frequency were not significant different between the groups. Mean operative time were 11.6 +/- 2.9, 15.6 +/- 4.4 and 9.7 +/- 2 min, respectively (p > 0.05). On the other hand, significant differences were observed in operative time between group 1 and group 2 (p < 0.05), and between group 2 and group 3 (p < 0.05). Transnasal endoscopic examination at the end of curettage adenoidectomy is an appropriate method to assess the residual adenoid tissue after conventional curettage adenoidectomy. Also, operative time of this method is shorter than transoral or transnasal endoscopic-guided adenoidectomy. We recommend transnasal endoscopic inspection in all patients after conventional curettage adenoidectomy.
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    CT and MR Imaging Characteristics of Intravestibular and Cerebellopontine Angle Lipoma
    (Kowsar Publ, 2014) Büyükkaya, Ramazan; Büyükkaya, Ayla; Öztürk, Beyhan; Yaman, Hüseyin; Belada, Abdullah
    Intracranial 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.
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    The effect of duration of nasal obstruction on mean platelet volume in patients with marked nasal septal deviation
    (Springer, 2016) Ünlü, İlhan; Kesici, Gülin Gökçen; Öneç, Birgül; Yaman, Hüseyin; Güçlü, Ender
    Nasal obstruction is a common cause of marked nasal septal deviation. It is related strongly with hypoxia. Hypoxic conditions increase mean platelet volume levels. This study aimed to investigate the effect of age on mean platelet volume in patients with marked nasal septal deviation. We made a retrospective study of patients with marked nasal septal deviation between January 2012 and May 2014. The patients were divided into four groups according to duration of nasal obstruction (less than 10, 10-20, 20-30 and more than 30 years). The groups were compared with each other in terms of mean platelet volume, platelet distribution width, platelet count in preoperative hemogram. This study was performed on 356 male and 139 female patients. Mean age was 33.9 +/- A 12.3 years. It was determined that the platelet count, mean platelet volume did not constitute statistically significant difference between groups (p > 0.05). Nevertheless, it was determined that as the duration of nasal obstruction elongated the mean platelet volume value increased and platelet count values decreased. Mean values of platelet distribution width constituted statistically significant difference between all groups (p = 0.026). Patients with marked nasal septum deviation should be subjected to surgery as soon as possible because of the increase in mean platelet volume and platelet distribution width values which are related to increase in the risk of cardiopulmonary complications of nasal obstruction.
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    The effect of ibuprofen on postoperative hemorrhage following tonsillectomy in children
    (Springer, 2011) Yaman, Hüseyin; Belada, Abdullah; Yılmaz, Süleyman
    The 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.
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    The effectiveness of steroids for edema, ecchymosis, and intraoperative bleeding in rhinoplasty
    (Ocean Side Publications Inc, 2011) Koç, Sema; Gürbüzler, Levent; Yaman, Hüseyin; Eyibilen, Ahmet; Süren, Mustafa; Kaya, Ziya; Aladağ, İbrahim
    Background: The aim of this study was to investigate the dose-related effectiveness of steroids on periorbital edema, ecchymosis, and intraoperative bleeding in patients who underwent open rhinoplasty with osteotomy. Methods: Forty patients were divided into three groups: those in group 1 (n = 15) were given a single dose of 1-mg/kg intravenous (i.v.) methylprednisolone, those in group 2 (n = 15) were given a single dose of 3-mg/kg i.v. methylprednisolone preoperatively, and group 3 (n = 10) was the control group. Eyelid edema and periorbital soft-tissue ecchymosis were evaluated separately using a scale of 0-4. Results: In groups using the steroid preoperatively, periorbital edema and ecchymosis were significantly lower compared with the control group (p < 0.05). No significant differences were seen clinically or statistically in preventing or reducing either the periorbital ecchymosis or the periorbital edema between groups 1 and 2. Also, there was no significant difference among the groups in terms of bleeding (p > 0.05). No complications with regard to the operation or steroid use were observed. Conclusion: Our results support that steroids significantly decrease periorbital ecchymosis and periorbital edema in open rhinoplasty with osteotomy. Additionally, our results suggest that if the dose of steroids is adjusted according to body weight, there is no significant benefit in a single dose of 3 mg/kg of methylprednisolone over a lower dose of 1 mg/kg and there is no need for higher doses of methylprednisolone administration. (Am J Rhinol Allergy 25, e95-e98, 2011; doi: 10.2500/ajra.2011.25.3612)
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    The effects of topical levobupivacaine on morbidity in pediatric tonsillectomy patients
    (Elsevier Ireland Ltd, 2009) Yılmaz, Süleyman; Demiraran, Yavuz; Akkan, Nermin; Yaman, Hüseyin; İskender, Abdülkadir; Güçlü, Ender; Öztürk, Özcan
    Objective: To reduce the post-tonsillectomy morbidity by swab soaked with 5 ml levobupivacaine hydroclorur (25 mg/10 ml). Study design: A double-blind prospective randomized controlled clinical study. Methods: In this randomized double-blind study in group I (30 children, mean age 7.5 +/- 2.6) we tightly packed swab soaked with 5 ml levobupivacaine hydroclorur (25 mg/10 ml) and in group II (21 children, mean age 7.9 +/- 3.7) we used 5 ml saline swabs into each of the two tonsillar fossae after tonsillectomy for 5 min. We used McGrath's face scale to compare the two groups in respect of pain control. Results: There was statistically significant pain relieving effect in the levobupivacaine group in the first 24 h (p < 0.05). But after 24 h pain relieving effect of levobupivacaine was not significant (p > 0.05). We did not see any serious complications for both groups. Postoperative morbidity mean results (nausea, vomiting, fever, bleeding, halitosis and ear pain) were not statistically different between the two groups (P > 0.05). Conclusion: Topical levobupivacaine seems to be a safe and easy medication for postoperative pain control in pediatric tonsillectomy patients. (c) 2009 Elsevier Ireland Ltd. All rights reserved.
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    Efficacy of Topical Levobupivacaine in Control of Postoperative Pain after Septoplasty
    (Bmc, 2010) Yılmaz, Süleyman; Akbay, Buket Kocaman; Yıldızbaş, Şahnur; Güçlü, Ender; Yaman, Hüseyin; Sezen, Gülbin Yalçın
    Objective: To search the efficacy of using Merocele (Medtronic, Minneapolis, MN) soaked with 5 mL of levobupivacaine hydrocloride as a nasal pack in control of postoperative pain after septoplasty. Design: The study was designed as a prospective, double-blind, randomized, controlled study. Forty-one patients who underwent septoplasty operation were included in the analysis. Setting: A tertiary referral hospital in Turkey. Material and Methods: Forty-one patients undergoing septoplasty were divided into two groups. At the end of the operation, Merocele packs were placed inside the nasal cavity. In the levobupivacaine group, each Merocele pack was soaked with 5 mL of levobupivacaine hydrochloride (25 mg/10 mL), and in the control group, Merocele packs were soaked with 5 mL of saline. Main Outcome Measures: Postoperative pain levels were recorded using a visual analogue scale (VAS score, 0-100) at 30 minutes and 1, 2, 8, 12, and 24 hours. Results: We did not find any significant difference between groups regarding age, gender, American Society of Anesthesiologists status, and body mass index. Postoperative VAS values at 30 minutes and 1, 2, 8, and 12 hours were significantly lower in the levobupivacaine group compared with the control group (p < .05). The need for supplemental analgesia was significantly lower in the levobupivacaine group compared with the control group (p < .01) Conclusion: Postoperative pain after septoplasty owing to nasal packing is an important problem, and using levobupivacaine-soaked Merocele as a nasal pack after septoplasty is an effective method for the control of this pain. It is a very easy, effective, and quick method and it improves patient comfort after septoplasty.
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    Evaluation and Management of Antrochoanal Polyps
    (Korean Soc Otorhinolaryngol, 2010) Yaman, Hüseyin; Yılmaz, Süleyman; Karalı, Elif; Güçlü, Ender; Öztürk, Özcan
    Antrochoanal polyps (ACPs) are benign polypoid lesions arising from the maxillary anti-urn and they extend into the choana. They occur more commonly in children and young adults, and they are almost always unilateral. The etiopatho-genesis of ACPs is not clear. Nasal obstruction and nasal drainage are the most common presenting symptoms. The differential diagnosis should include the causes of unilateral nasal obstruction. Nasal endoscopy and computed tomography scans are the main diagnostic techniques, and the treatment of ACPs is always surgical. Functional endoscopic sinus surgery (FESS) and powered instrumentation during FESS for complete removal of ACPs are extremely safe and effective procedures. Physicians should focus on detecting the exact origin and extent of the polyp to prevent recurrence.
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    Evaluation of middle ear pressure in the early period after adenoidectomy in children with adenoid hypertrophy without otitis media with effusion
    (W B Saunders Co-Elsevier Inc, 2015) Ünlü, İlhan; Ünlü, Elif Nisa; Kesici, Gülin Gökçen; Güçlü, Ender; Yaman, Hüseyin; İlhan, Ethem; Memiş, Mehmet
    Objective: Our aim was to analyze the changes in middle ear pressure in the early period after adenoidectomy in children with adenoid hypertrophy without otitis media with effusion. Methods: This prospective, descriptive study was performed on 64 patients (with normal tympanic membranes and tympanograms) undergoing adenoidectomy or adenotonsillectomy. All patients were operated by single experienced team using curettage technique. First tympanometry was done on the day before surgery. Tympanometry was repeated on the first-, third-, and seventh-day after the operation. Patients are separated into two groups according to age as patients younger than 6 years (Group A) and patients older than 6 years (Group B). All data were separately evaluated for each ear using Jerger Classification. Results: Of the 64 patients included in the study, 35 were male and 29 were female, and the average age was 91.01 +/- 37.4 (35-178) months. Pathological decreases in the middle ear pressures of at least one ear were determined in 48 (75%) patients on the first postoperative day and in 10 (15.6%) patients on the third postoperative day. Middle ear pressures returned to preoperative values by the seventh postoperative day except in two patients. There were statistically significant differences (p <0.0001) among preoperative and first, third, and seventh postoperative day mean middle ear pressure. There were no statistically significant differences between Groups A and B in terms of tympanometry values of both ears obtained preoperatively and on the first, third, and seventh postoperative day. Conclusion: In our study, temporary eustachian dysfunction and aural fullness occur in the early period after adenoidectomy and/or adenotonsillectomy. This situation may be due to post-surgery clots and edema in nasopharynx. We consider that tubal orifice can be exposed to surgical trauma as adenoidectomy surgeries are done by curettage technique. There is a need for comparative studies using microdebrider or laser adenoidectomy accompanied by an endoscope. (C) 2015 Elsevier Inc. All rights reserved.
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    Fibromyalgia Syndrome in Patients with Nasal Septum Deviation
    (Taylor & Francis Ltd, 2013) Özşahin, Mustafa; Yaman, Hüseyin; Belada, Abdullah; Ataoğlu, Safinaz
    Objectives: 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.