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Biomedical subjects

E Unüvar

Publications and source records attributed to E Unüvar.

7 recordsLinked to original sources
PubMed2000

Airway foreign bodies in childhood.

OBJECTIVE: To define clinical spectrum of airway foreign body aspiration in children and to evaluate the outcome and complications. METHODS: A total of 53 patients (27 girls, 26 boys) with a mean age of 30.0+/-32.7 months, who aspirated foreign bodies were treated with bronchoscopy were divided into two groups with respect to the time they were diagnosed as early (Group 1, n=22, </=24 h after aspiration) and late diagnosed group (Group 2, n24 h after aspiration). The two groups were followed up prospectively for complications. RESULTS: A total of 72% of patients were under a 3-year age group. Choking episode history was reported in 32% of patients but when families were questioned about it more in detail the rate increased to 51%. Acute episode of choking seemed trivial most of the families. Cough (69.8%), decreased breath sounds (52.8%) and wheezing (45.1%) were predominant symptoms. Sunflower seed (32. 1%) and peanuts (15.1%) were noted as common aspirated materials. Air trapping (59%) and consolidation (47%) were the most frequent radiological findings especially in the late diagnosed group (P<0. 01). Patients who aspirated organic materials frequently developed pneumonia diagnosed in late period after aspiration. CONCLUSION: Pediatricians must be conscious to check for foreign body aspiration who have sudden onset of cough and wheezing episode. In any suspicion, a bronchoscopy should be considered even if there is not any positive history for aspiration. Children should be followed up after bronchoscopy for complications.

Age of Onset↗
PubMed1999

Corticosteroid treatment of childhood Bell's palsy.

The therapeutic effect of corticosteroids in acute idiopathic peripheral nerve paralysis (Bell's palsy) in children is controversial. The authors evaluated the effect of steroids on the early and late outcome of children with Bell's palsy in a prospective randomized controlled setting. Forty-two patients (21 females, 21 males) with complete paralysis were enrolled in the study. Group 1 (n = 21) received methylprednisolone (1 mg/kg daily for 10 days orally); Group 2 (n = 21) did not. All patients were observed in the first 3 days of the disease and at 4, 6, and 12 months of follow-up. The mean age of Group 1 was 52.4 +/- 4.3 months, not significantly different from that of Group 2. In Group 1, 86% and 100% exhibited normal nerve function at 4 and 6 months of follow-up, respectively; in Group 2, 72% and 86% demonstrated complete recovery at 4 and 6 months, respectively, with improvement in all patients by 12 months. The improvement rates between the treated and untreated groups did not differ significantly. No side effects necessitated steroid withdrawal. The results of this study indicate that steroid therapy initiated at an early stage of childhood Bell's palsy does not significantly improve the outcome.

Bell Palsy↗
PubMed1999

Calvarial tuberculosis.

We report a six-year-old boy who presented with swelling of the forehead, and had calvarial tuberculosis, a rare form of tuberculous osteitis.

Antitubercular Agents↗
PubMed1998

Coexistence of VATER association and recurrent urolithiasis: a case report.

VATER association is diagnosed by the combined presence of at least three of the following features: vertebral anomalies, anal atresia, tracheo-esophageal fistula and/or esophageal atresia, radial ray anomalies, and renal anomalies (53%). Urolithiasis has not been reported in this syndrome. A 4-month old girl presented because of irritability, and the presence of stones in the diapers. Physical examination revealed anal atresia for which colostomy was performed in the newborn period. The diagnosis of VATER association was established by the additional findings of hemivertebrae, sacral dysgenesis, and horseshoe kidney which was partly non-functional. Urinary pH was repeatedly below 6. An excreted stone consisted of pure uric acid. Metabolic investigations detected no specific pathology in purine metabolism. Urolithiasis did not recur after reconstructive anal and anorecto-vaginoplasty, implying that it was a consequence of colostomy and/or of the underlying renal anomaly. We suggest that after colostomy patients with VATER association should be followed for possible urate stones, e.g. by regular screening of urinary pH.

Abnormalities, Multiple↗
PubMedDate not supplied

Long-term prognosis of poststreptococcal acute glomerulonephritis.

Five hundred and eighty-eight patients diagnosed as having PSAGN were treated at our University Hospital and called in for a reevaluation study in 1988 to determine the long-term prognosis of the disease. Fifty-nine patients responded to the follow-up call, all of them being in good physical health. The blood pressure, urinalysis, serum creatinine, blood urea and beta 1C globulin levels were within normal limits. These results led us to the conclusion that the long-term prognosis was favorable in our PSAGN patients since chronic renal failure had not been encountered.

Adolescent↗
PubMedDate not supplied

Hemobilia from a ruptured hepatic artery aneurysm in a 16-year-old girl.

A 16-year-old girl with hepatic artery aneurysm due to fibromuscular dysplasia which caused hemobilia is presented. This most unusual and life-threatening type of gastrointestinal bleeding was successfully treated by ligation of the common hepatic and gastroduodenal arteries. The clinical aspects and operative procedures of hepatic artery aneurysm are discussed.

Adolescent↗