Yazar "Gulmez, M. Ihsan" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim
    Öğe
    Bilateral Concha Bullosa Within Concha Bullosa: Unique Middle Concha Variation
    (Wiley, 2024) Gulmez, M. Ihsan; Kaya, Mustafa Emrah
    The middle nasal turbinate is an important anatomical formation located on the lateral nasal wall. Concha bullosa can be defined as the presence of an air gap inside the turbinate. It is the most common middle nasal turbinate variation. It is often asymptomatic, but can sometimes cause nasal obstruction. In this study, an asymptomatic patient with concha bullosa within concha bullosa in both middle turbinates, which has not been reported before in the literature, is presented. Laryngoscope, 2024 Concha bullosa can be defined as the presence of an air gap inside the turbinate. It is the most common middle turbinate variation. It is often asymptomatic, but can sometimes cause nasal obstruction. In this study, an asymptomatic case with concha bullosa within concha bullosa in both middle turbinates, which has not been reported before in the literature, is presented. image
  • Küçük Resim
    Öğe
    Identification of nasal bacterial flora profile and carriage rates of methicillin-resistant Staphylococcus aureus in patients with allergic rhinitis
    (Springer, 2014) Cevik, Cengiz; Yula, Erkan; Yengil, Erhan; Gulmez, M. Ihsan; Akbay, Ercan
    The aim of the present study was to evaluate the effect of allergic rhinitis (AR) on the nasal flora and colonization rates of resistant microorganisms in comparison to healthy individuals. This colonization may be important in terms of AR-related disorders, the resistant microorganisms' carriage, and its complications and co-morbidities. The study was performed with two groups. The study group was composed of 54 adult patients with AR. The control group was composed of 50 healthy individuals. None of the individuals in both groups have used any antibiotics, local or systemic steroid within the last month. Composition of bacterial nasal flora and carriage rates of methicillin-resistant Staphylococcus aureus (MRSA) were evaluated with conventional methods by taking nasal smears with a swab. In the study group, methicillin-sensitive coagulase-negative staphylococci (MRCNS) were detected in 30 %; whereas diphtheroids in 25 %, methicillin-resistant coagulase-negative staphylococci in 13 %, methicillin-sensitive S. aureus in 9 %, methicillin-resistant S. aureus in 3.7 %, and extended-spectrum beta lactamases-positive gram-negative bacilli (GR-ESBL+) in 3.7 % were detected. In the control group, methicillin-sensitive coagulase-negative staphylococci were detected in 54 %; whereas diphtheroids in 21 %, methicillin-resistant coagulase-negative staphylococci in 1.5 %, methicillin-sensitive S. aureus in 16 %, methicillin-resistant S. aureus in 1.5 %, Gr-ESBL(-) in 4 %, and viridians streptococci in 3 % were detected. It is found that the MRSA and MRCNS colonization is higher in patients with AR. This colonization may be important in terms of AR-related disorders, the resistant microorganisms' carriage, and its complications and co-morbidities in comparison to healthy subjects.
  • [ N/A ]
    Öğe
    A retrospective analysis of patients who underwent tracheal resection and end-to-end anastomosis surgery for benign tracheal stenosis, over a 10-year period
    (W B Saunders Co-Elsevier Inc, 2024) Gulmez, M. Ihsan; Kutay, Funda; Aydin, Canset; Akoglu, Ertap; Okuyucu, Semsettin
    Introduction: Laryngotracheal stenosis encompasses a diverse range of diagnoses, encompassing complete or partial narrowing of various subgroups of the upper airways, including the laryngeal structures and trachea, due to pathological scar formation. This increasingly prevalent pathology is of significant importance due to its potential for life-threatening consequences. Among the defined treatment modalities, tracheal resection and endto-side anastomosis remain a valuable therapeutic alternative in appropriate indications. Objective: The objective of this study was to retrospectively evaluate the outcomes of patients who underwent tracheal resection and end-to-end anastomosis at our clinic over the past decade. Material & method: All patients who underwent tracheal resection and end-to-end anastomosis surgery for benign tracheal stenosis at the Department of Otolaryngology, Mustafa Kemal University Hospital between 2013 and 2023 were included in the study. The diagnosis of tracheal stenosis was based on endoscopic examination and computed tomography results. Interventions without postoperative symptoms and without the need for additional surgical intervention were considered successful. The study was approved by Hatay Mustafa Kemal University Ethics Committee with decision number 2023/27. Results: A total of 29 patients were included in the study. The mean age of the patients was 26.48 years. 3 patients (10.35 %) had a comorbidity. In all patients orotracheal intubation or intubation and tracheotomy was the aetiological cause. There were no intraoperative complications. In the postoperative period, wound infection was observed in 3 patients (10.35 %) and subcutaneous emphysema in 2 patients (6.9 %). In 1 patient (3.45 %) recurrent respiratory distress was observed, restenosis was considered and tracheotomy was performed. Our complication rate was 20.69 %. When all patients were evaluated at the end of the postoperative follow-up period, the surgical success rate was calculated to be 96.55 %. Conclusion: With a surgical success rate of 96.55 % and a low complication rate in our study, we believe, in parallel with previous studies, that open surgery is a reliable, physiologically appropriate and successful method among the current treatments for tracheal stenosis.