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    Surgical outcomes of tragal island cartilage and temporal muscle fascia grafts in tympanoplasty
    (Deomed Publ, Istanbul, 2012) Mutlu, Onder; Okuyucu, Semsettin; Gumus, Ramazan; Gozel, Serhat
    Objective: We aimed to compare the efficacy of temporalis muscle fascia and tragal cartilage island grafts after tympanoplasty in terms of functional hearing outcomes and tympanometric findings. Methods: A total of 42 patients were enrolled in this study and Group 1 including 14 patients was defined as fascia group while Group 2 including 28 patients was defined as tragal cartilage group. After preoperative odiometric and typmpanometric measurements were done, grefts were laid as under-overlay with the same surgical technique. Only patients with intact grafts at the end 6th month of observation period were included in the study. Surgical outcomes were compared with respect to preoperative and postoperative 6th month odiometric and tympanometric findings within and between the two groups. Results: Postoperative pure tone audiometric results were significantly better than preoperative values in both groups ( p=0.001 for fascia graft; p<0.001 for the cartilage graft). There was no significant difference ( p>0.05) at pure tone audiometric and tympanometric results between fascia and cartialge groups regarding the pre and postoperative tests. Conclusion: Tragal cartilage island graft provides satisfactory outcomes in tympanoplasty in terms of both functional hearing results and resistance against retraction and resorption. However, it must be kept in mind that constriction of middle ear volume after use of tragal cartilage grafts in tympanoplasty is not uncommon.
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    Öğe
    An unexpected diagnosis during laryngeal intubation: osseous polypoid lesion of the tongue: osteoma or choristoma?
    (De Gruyter Open Ltd, 2006) Akoglu, Ertap; Atik, Esin; Karazincir, Sinem; Okuyucu, Semsettin; Ozbakis, Cagla; Balcı, Ali; Gumus, Ramazan
    Soft tissue osteoma is a rare entity having a strong predilection for the head and neck region, mainly posterior region of the tongue. The so-called lingual osteoma is mostly manifested as an asymptomatic exophytic lesion. It can be diagnosed by physical or radiological examinations. We represent a patient with undiagnosed lingual osteoma, accidentally detected during laryngoscopy for intubation for a gynecologic surgery. General anesthesia was planned for a 52 year-old undergoing gynecologic surgery. Before surgery a laryngoscopy was performed for intubation. During this procedure a pedunculated mass was seen in the posterior region of the tongue. Although the pathogenesis and terminology is controversial, surgical excision is the preferred treatment modality. We aimed to present an osseos lesion in tongue, to review the literature in regard to relevant clinical, histological features and to discuss the pathogenesis and terminology involved.