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    Concha bullosa pyocele
    (Springer, 2008) Okuyucu, Emsettin; Akoglu, Ertap; Dagli, Ali Safak
    An aerated middle turbinate is called a concha bullosa (CB), and given the importance of the middle turbinate in nasal physiology, variations that alter the airflow and mucous drainage can cause sinonasal symptoms. A pyocele of the middle turbinate differs from an infected CB because it has the potential to expand and destroy neighbouring tissues like a tumour. We present a concha bullosa pyocele (CBP) that expanded against the lamina papyracea without causing orbital displacement. As pus was discharged whilst performing an endoscopic biopsy to determine whether it was neoplastic, the lateral aspect of the turbinate was excised to complete the procedure.
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    Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum
    (Mosby-Elsevier, 2007) Akoglu, Ertap; Karazincir, Sinem; Balcı, Ali; Okuyucu, Semsettin; Sumbas, Haldun; Dagli, Ali Safak
    OBJECTIVES/HYPOTHESIS: To determine the dimensions of the compensatory hypertrophic inferior turbinate and investigate the radiological changes in the morphology of the conchal bone in patients with septal deviation. STUDY DESIGN: A retrospective chart review. METHODS: The mucosal and bone compartments of the hypertrophic turbinate were measured using computed tomography (CT) in patients with septal deviation, and the conchal bones were classified radiologically as lamellar, compact, and combined types. The results were compared with those of controls. RESULTS: The dimensions of the bony and mucosal components of the inferior turbinate were significantly greater than those of controls in the anterior and middle segments, while the morphological changes in the conchal bone were not different. CONCLUSION: The significant bony and mucosal enlargement in the anterior and middle segments of the inferior turbinate supports turbinate reduction at the time of septoplasty and the CT findings should be considered when making a decision about the reduction type. (c) 2007 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.
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    Retropharyngeal hematoma as a complication of anticoagulation therapy
    (Vendome Group Llc, 2008) Akoglu, Ertap; Seyfeli, Erguen; Akoglu, Sebahat; Karazincir, Sinem; Okuyucu, Emsettin; Dagli, Ali Safak
    Reports in the literature of retropharyngeal hematoma as a complication of anticoagulation therapy are rare. When this complication does occur, it can become life-threatening if the airway is compromised. However, no consensus exists as to which approach-intubation, tracheotomy, or conservative therapy-is best for managing the airway in these cases. We report a case of retropharyngeal hematoma that occurred as a sequela to a trivial blunt trauma in a 48-year-old man who had been undergoing anticoagulation therapy with warfarin. The hematoma had caused airway obstruction, and the patient was hospitalized. He was treated conservatively, and the hematoma slowly resolved over the course of 2 weeks. On the basis of our experience and the findings of our literature review, we suggest that conservative management can be initiated for small nonexpanding hematomas that do not seriously compromise the airway. Securing the airway with intubation or tracheotomy should be reserved for patients who are in serious respiratory distress; the choice between intubation and tracheotomy should be made on an individual basis.