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    Our experience with the surgical management of paranasal sinus osteomas
    (Springer, 2013) Cokkeser, Yasar; Bayarogullari, Haniw; Kahraman, Serif Samil
    The aim of this work is to describe our experience with the management of osteomas of the fronto-ethmoidal region, and to evaluate the limits and possibilities of different approaches: endonasal endoscopic versus external surgical resection of symptomatic osteomas. A review of 26 patients with detected osteomas in tertiary health care center was accomplished. We analysed the 26 adult patients, which detected paranasal sinus (PNS) osteomas-patients who underwent paranasal sinus CT examinations almost exclusively for other reasons. We analysed the patient's symptoms, localization and size of osteomas, clinical and imaging signs, in relation to adjacent structures. Of the 26 cases, 16 located in the etmoid sinus, eight in the frontal sinus, of which two with orbital one with an ethmoid extension, and one isolated maxillary and sphenoid sinus were involved. We treated 11 patients with endoscopic (eight cases) and external surgical approaches (three cases). Besides this surgical excision; 15 cases were kept in follow up, because of asymptomatic nature of the PNS osteomas or patients lack of consent. While the extranasal approach is still a part of the treatment concept for removing osteomas; over the last years, in suitable cases, the endoscopically controlled endonasal approach has greatly gained importance due to the improved surgical equipment and experience.
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    Rare Tumours and Tumour-like Lesions of Pharynx That Cause Dysphagia
    (Galenos Yayincilik, 2013) Bayarogullari, Hanifi; Cevik, Cengiz; Akbay, Ercan; Cokkeser, Yasar
    Objective: The aim of this article is to discuss rarely encountered tumours and tumorous masses at the different levels of pharynx that were diagnosed in patients admitted to our hospital with the complaint of dysphagia. Methods: Twenty-one cases with masses causing dysphagia at the oropharyngeal, hypo-pharyngeal and laryngeal levels were identified among patients admitted to our hospital with the complaint of difficulty with swallowing between the years 2009 and 2011. Detailed anamneses and physical examinations were performed. In addition, for the purpose of diagnosis, the following were applied: Magnetic Resonance Imaging with and without contrast, Computerized Tomography, Three-Dimensional Computerized Tomography, Multiple row-Detector Computerized Tomography, MR Angiography and 99m Tc Scintigraphy. Results: Twenty-one patients, 12 women (57.1%) and 9 men (42.9%), were included in the study. Their mean age was 49.23 +/- 32.71 years old (min. 15-max. 80). There was partial obstruction at the oropharyngeal level in 11 cases; there was partial obstruction at the laryngeal and hypopharyngeal level in the other 10 cases. Conclusion: A detailed history and examination along with endoscopic, radiological and laboratory evaluations are important for early diagnosis and management of rare tumours and tumour-like lesions of the oropharynx and neck causing dysphagia.
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    The relationship between posterior septum deviation and depth of maxillopalatal arch
    (Elsevier Sci Ltd, 2013) Akbay, Ercan; Cokkeser, Yasar; Yilmaz, Omer; Cevik, Cengiz
    Objective: To investigate the relationship between depth of maxillopalatal arch and deviation of posterior septum. Methods: This study is based on paranasal sinus CT (PNSCT) scan in the coronal plane evaluation, and sinus paranasal scans were obtained from the database. One-hundred and fifty PNSCT scans were randomly chosen among the PNSCT scans which belong to adult (18 and older) patients. All scans were divided to three different groups. The first group constituted by those patients who had more convex deviation. The second group had those patients with either crest or spur deviations. The last group (control group) had no septum deviation. The data collected from each group were statistically compared. Exclusion criteria: CT imaging which has a chronic sinusitis, nasal cavity mass, and nasal polyps. Main outcome measures: angle and distance measures were taken on maxillopalatal arch and posterior nasal septum. Results: Strongly positive correlation between posterior septum deviation and depth of maxillopalatal arch was determined (r = 0.479, p = 0.001). Conclusion: These findings suggest that posterior septum deviations are considered as a result of increase in maxillopalatal depth. (c) 2012 Elsevier Ireland Ltd. All rights reserved.
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    Vestibular neurectomy in resistant Meniere disease which underwent endolymphatic sac surgery: a case report
    (Aves Press Ltd, 2013) Cevik, Cengiz; Akbay, Ercan; Cokkeser, Yasar
    Meniere disease is characterized by recurrent vertigo episodes, a sensation of fullness at ear, tinnitus and fluctuating hearing loss. Clinical findings have an important role in diagnosis of disease. In our study, we aimed to present two cases, a woman (35 years old) and a man (34 years old), underwent to vestibular neurectomy, which previously underwent endolymphatic sac surgery because having no benefit from medical therapy and recurrent complaints 1 and 6 months after endolymphatic surgery, respectively. No post-operative complication was seen. It was found that there was a formation of diffuse granulation surrounding sac, which blocked drainage.