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    Assessment of the Relationship Between Palatum Durum and Maxillary Bone in Patients with Nasal Polyp, Chronic Sinusitis or Septum Deviation
    (Springer India, 2013) Cengiz, Cevik; Hanifi, Bayarogullari; Ercan, Akbay; Yasar, Cokkeser
    Nasal obstruction most commonly occurs due to mucosal abnormalities and those in cartilage-bone structure such as nasal polyp, septum deviation, concha hypertrophy and chronic sinusitis in adults. Adenoid vegetation is the most prominent cause in childhood. In the present study, we aimed to investigate whether maxillary and palatal bone developments continue in patients with abnormalities causing nasal obstruction. As computerized tomography is the optimal imaging modality in nasal cavity abnormalities, CT scan findings of patients with Control nasal polyp, chronic sinusitis and septum deviation were retrospectively evaluated; and palatal curve changes were compared. In our study, it was found that maxillary bone curve was widened in adult patients with nasal polyp; this angle was further narrowed in those with chronic sinusitis; and maxillary bone curve narrowing and increase in the distance to palatal bone was smaller in patients with septum deviation than those in chronic sinusitis. In the light of these findings, we concluded that, in adults, maxillary and palatal bone developments continue in certain circumstances including nasal polyp, chronic sinusitis or septum deviation.
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    Craniofacial fibrous dysplasia
    (Elsevier Science Inc, 2013) Hanifi, Bayarogullari; Samil, Kahraman Serif; Yasar, Cokkeser; Cengiz, Cevik; Ercan, Akbay; Ramazan, Davran
    Objective: The aim of the study was to report the clinical characteristics, radiological imaging methods, and management of patients with fibrous dysplasia. Materials-Methods: A retrospective review of 12 patients. Distribution of the cases according to the clinical and radiological features was described. Results: The age range was from 9 to 55. Sphenoid bone was the most common involved area in our cases. Simple cystic degeneration was observed in three cases and aneurysmal bone cyst in one case. Conclusion: Radiologic findings are characteristic but not pathognomonic. Our management is to follow nonsymptomatic cases or surgical intervention to stop progression of a lesion or to resolve compression symptoms. (C) 2013 Elsevier Inc. All rights reserved.
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    Nasal Cavity and Paranasal Sinus Diseases Affecting Orbit
    (Lippincott Williams & Wilkins, 2015) Samil, Kahraman Serif; Yasar, Cokkeser; Ercan, Akbay; Hanifi, Bayarogullari; Hilal, Kahraman
    Objective: The aim of the authors was to discuss orbital complications of nasal cavity and paranasal sinus diseases. Material and Method: Patients with nasal and paranasal sinus diseases that affected orbit were retrospectively reviewed. Patients with primary orbital abnormality and those without radiologic orbital signs were excluded. Data regarding age and gender distribution, orbital and ocular findings, radiologic findings, and presence of an additional sinonasal disease were analyzed. Results: Disorders affecting orbit were categorized into 6 categories. Mean age was 41.25 +/- 22.14 (range: 6-88) years and male : female ratio was 23 : 18. Overall, there were 41 patients including 11 patients with mucocele, 9 patients with sinusitis, 7 patients with fibrous dysplasia, 4 patients with nasal polyp, 4 patients with paranasal osteoma, and 6 patients with neoplasm. Major clinical presentation was proptosis in these patients. Conclusions: Otolaryngologists should consider the possibility of sinonasal diseases to affect orbit because of vicinity of nasal cavity and paranasal sinuses to orbit. Radiologic imaging is essential to determine the extent, extension, relation with surrounding structures, and initial diagnosis of the disease, and to plan multidisciplinary management.
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    Values of mean platelet volume in patients with chronic tonsillitis and adenoid hypertrophy
    (Professional Medical Publications, 2013) Cengiz, Cevik; Erhan, Yengil; Murat, Tutanc; Ercan, Akbay; Ibrahim, Silfeler; Ihsan, Gulmez; Ertap, Akoglu
    Objectives: Chronic tonsillitis (CT)-adenoid hypertrophy (AH) is the most common cause of obstructive sleep apnea (OSA), which is one of the most common reasons of nocturnal hypoxia in children. However, there is limited information about the relationship between childhood OSA and atherosclerosis or cardiac diseases. In the present study, we evaluated the relationship between mean platelet volume (MPV) and CT-AH which is the most frequent cause leading OSA in children. Methodology: The medical records of 200 children, who underwent adenoidectomy or adenotonsillectomy with a diagnosis of adenoid hypertrophy and/or chronic tonsillitis between October, 2010 and June, 2012, and 240 healthy controls were evaluated. Subjects were classified into 3 groups. Group I consisted of patients who underwent adenoidectomy, whereas Group II consisted of patients who had adenotonsillectomy. Healthy children were employed as control group. White blood cell count (WBC), platelet count (PLT), hemoglobin (Hb) levels and mean platelet volume (MPV) values were recorded individually. Results: MPV values were 6.6 +/- 0.8, 6.6 +/- 0.7 and 7.3 +/- 0.9 in Group I, Group II and control group, respectively. It was found that MPV values in groups I and II were significantly lower than control group. There was no significant difference between group I and II. Conclusion: Obstructive sleep apnea (OSA) caused by CT-AH is associated with low MPV values in childhood.