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Biomedical subjects

Ahmet Ural

Publications and source records attributed to Ahmet Ural.

8 recordsLinked to original sources

Bilateral tonsillolithiasis: a case report.

Although tonsilloliths are reported to be fairly common, florid cases casting distinct radiopaque shadows on panoramic radiographs are not often reported. This report illustrates such a case as an incidental finding in an asymptomatic 38-year-old female dental patient. Panoramic radiography revealed distinct radiopaque shadows over the ascending rami of the mandible bilaterally. These radiopacities were localized to the palatine tonsils by computerized tomographic inspection. Tonsillectomy was performed and tonsillolithiasis was confirmed by histopathologic examination.

Adult↗

Accessory nerve function in lateral selective neck dissection with undissected level IIb.

BACKGROUND: To investigate the accessory nerve function in lateral selective neck dissections (LSND) performed in laryngeal squamous cell carcinoma patients without dissection of level IIB. METHODS: Fifteen LSND were performed in 11 N0 laryngeal carcinoma patients with preservation of level IIB. Distal latencies, compound muscle action potentials (CMAP), and electromyography findings were investigated before surgery, during the 3rd postoperative week, and 3 months thereafter to compare the effects of the procedure on the accessory nerve. RESULTS: Distal latencies and CMAP values were significantly lower in the early and late postoperative periods when compared with preoperative values. In 8 patients, there was no motor unit potential (MUP) in the early postoperative period. However, in the late postoperative period, there was no MUP loss. CONCLUSIONS: Only temporary functional deterioration of the accessory nerve was seen in patients in whom LSND was performed with undissected level IIB.

Accessory Nerve↗

[Kimura's disease of the parotid gland: a case report].

Kimura's disease (KD) is a rare, chronic inflammatory condition of unknown origin that is more commonly seen in Asia. Lymphadenopathy in head and neck region and subcutaneous swelling are accompanied with increased serum IgE levels. In some cases renal involvement is seen. A 46-year-old male patient was operated on for a painless mass in the superficial lobe of the right parotid gland. Histopathologic examination of the specimen yielded the diagnosis of KD. Kimura's disease, even though rarely encountered, must be kept in mind in the differential diagnosis of salivary gland tumors, and KD patients should be carefully followed-up for renal involvement and recurrence in the postoperative period.

Angiolymphoid Hyperplasia with Eosinophilia↗

[Endoscopic surgery of sphenochoanal polyp].

Sphenochoanal polyp is a rare entity originating from the sphenoid sinus. It may be confused with an antrochoanal polyp on anterior rhinoscopy. Computerized tomography and nasal endoscopy have contributed to an increase of accuracy in the diagnosis of these masses. Simple polypectomy that leaves some part of the polyp inside the sphenoid sinus carries a high risk of recurrence. We present a case of sphenochoanal polyp in a child that was operated by endonasal endoscopic approach. She was free of symptoms after surgery. No complications and recurrences were observed at 16 months of follow-up periods respectively.

Child↗

Sternocleidomastoid muscle flap reconstruction during parotidectomy to prevent Frey's syndrome and facial contour deformity.

We studied the incidence of Frey's syndrome and facial contour deformity in two groups of patients who had undergone superficial parotidectomy. One group was made up of 12 patients who were randomized to undergo reconstruction of the surgical defect with a sternocleidomastoid muscle flap; the other 12 patients did not receive a flap. All 24 patients were evaluated via a short questionnaire, the starch-iodine test, and a visual examination. On the questionnaire, none of the 24 patients said they experienced abnormal facial sweating, flushing, or warmth while eating, although 6 of the 12 patients in the nonflap group had a mildly positive starch-iodine test. No patient in the flap group had a positive test. The difference between the two groups was statistically significant (p < 0.05). No statistically significant difference was seen between the two groups with respect to cosmetic results.

Adult↗

[Auricular arteriovenous fistula: a case report and therapeutic approach].

A case of arteriovenous fistula (AVF) arising in the auricle was presented together with its treatment. A 20-year-old man with an AVF on the right auricle was successfully treated with superselective embolization followed by ligation of the arteries supplying the fistula. The lesion underwent considerable regression within a follow-up period of five months and no complications were encountered. Small AVFs existing among several vessels can be satisfactorily treated by embolization and ligation of the vessels instead of extensive resection of the lesion.

Adult↗

[Epiglottic anteversion in the etiology of globus pharyngeus and its surgical management].

OBJECTIVES: To define the role of epiglottic anteversion in the etiology of globus pharyngeus (GP) and to evaluate the effectiveness of laser partial epiglottectomy in its treatment. PATIENTS AND METHODS: Four patients who admitted to our clinic between 2001 and 2003 with the complaint of GP underwent laryngoscopic examination, which revealed a structurally anteverted epiglottis that was in contact with the tongue base and vallecula. After ruling out other etiologic factors of GP, the patients were operated on under general anesthesia and laser partial epiglottectomy was carried out. In this procedure, the part of the epiglottis 1 cm from the free margin, forming the contact points with the tongue base and vallecula was excised with laser. RESULTS: Three patients were symptom-free totally, while one patient reported a partial cure. CONCLUSION: Epiglottic anteversion should be kept in mind in the etiology of GP. Laser partial epiglottectomy may be helpful in the treatment of selected cases.

Diagnosis, Differential↗

[Subdural hygroma after cerebellopontine angle tumor surgery: a case report].

The primary treatment modality for cerebellopontine angle (CPA) tumors is surgery. In the postoperative period, collection of subdural hygroma (SDH) is a rarely encountered complication. This paper presents a 58-year-old male patient who underwent surgery for right acoustic neuroma and developed a SDH postoperatively. Subdural hygroma, even though rarely seen, is a serious complication following CPA tumor surgery, calling for early diagnosis and treatment. Definition, diagnosis, clinical aspects, and treatment of SDH are discussed.

Cerebellar Neoplasms↗