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Öğe Aberrant Internal Carotid Artery in the Tympanic Cavity(Lippincott Williams & Wilkins, 2016) Yanmaz, Rasim; Okuyucu, Semsettin; Burakgazi, Gulen; Bayarogullari, HanifiObjectives:Presence of aberrant internal carotid artery (ICA) in the tympanic cavity is a very rare case and therefore the diagnosis is a challenge. Here, the authors aimed to address the importance of the diagnosis since the intervention to the middle ear and implants is increasing in number and this condition may lead to life-threatening bleeding.Methods:Between 2012 and 2016, among the patients referred to the authors' Radiology Department from the Department of Otolaringology for the evaluation of the temporal region for various indications, the authors reported this anomaly in 6 patients and multidetector computerized tomography of these 6 patients and magnetic resonance imaging of 2 were assessed in detail.Results:The mean age of the 6 patients was 28.8 and aberrant ICA abnormality was observed in 2 patients bilaterally and 4 patients unilaterally on the right side. In 1 patient ICA was not totally regressed and observed as hypoplastic. In one of the patients, dehiscence was evident between ICA and the cochlea. Moreover, in 1 patient the contralateral ICA was not observed.Conclusion:Although rare, aberrant ICA is an abnormality that should be kept in mind by the clinicians and the radiologists, since it leads to abundant bleeding when undiagnosed before the surgical interventions.Öğe Acute 'upside-down' visual inversion due to multiple sclerosis(Sage Publications Ltd, 2008) Okuyucu, Esra Emine; Okuyucu, Semsettin; Karazincir, Sinem; Akoglu, Ertap; Duman, TaskinIn a 20- year- old male patient, a 180 degree inversion of visual image was found as a manifestation of multiple sclerosis. Upside down reversal of vision is not a well- known sign in multiple sclerosis. Exact mechanism is still unknown. Lesions involving cortical areas, mainly the parieto- occipital region, have occasionally been documented. To our knowledge this is the first report of upside- down reversal of vision in multiple sclerosis with cerebra lesion on MRI.Öğe Antronasal Polyp Extending to Orbital Fossa(Lippincott Williams & Wilkins, 2017) Bayarogullari, Hanifi; Burakgazi, Gulen; Okuyucu, SemsettinSinonasal infections and nasal polyps can be taken as 2 components of a disease. Polyps due to chronic inflammations of nasal cavity and sinuses are not rare. They may present with various clinical signs and symptoms, while the secondary complications may cause serious problems. They are most commonly treated medically, although surgery is the therapy of choice in some conditions. The complications can be listed as mucocele formation, orbital inflammation, intracranial extension by erosion of the boney structures.Öğe Assessment of inflammatory markers in otosclerosis patients(Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2020) Arli, Cengiz; Gulmez, Ihsan; Sarac, Elif Tugba; Okuyucu, SemsettinIntroduction: Otosclerosis is an idiopathic disease characterized by new bone formation in foci of the human otic capsule. It is more common in Caucasian populations; affecting females twice as often as males. Its etiopathogenesis has not yet been fully elucidated. Objective: The aim of this study was to investigate the relationship between otosclerosis and white blood cell and thrombocyte counts, mean platelet volume, neutrophil lymphocyte ratio, and the platelet lymphocyte ratio. Methods: This retrospective case-control study was conducted in the outpatient clinic Mustafa Kemal University, in the department of otolaryngology, between 2015 and 2018. A total of 30 patients with an established diagnosis of otosclerosis were compared to a control group of 30 healthy subjects, matched for age, gender and body mass index. The white blood cell, thrombocyte, mean platelet volume, neutrophil lymphocyte ratio and platelet lymphocyte ratio values were calculated for all participants. Results: There was no statistically significant difference between the groups with respect to age, gender, or body mass index, or for the mean neutrophil lymphocyte ratio, platelet lymphocyte ratio, white blood cell, or thrombocyte values (p> 0.05). A statistically significant difference was determined between the groups for the mean platelet volume values. The mean platelet volume values were lower in the otosclerotic patients (p = 0.047). Conclusion: These results show that neutrophil lymphocyte ratio, platelet lymphocyte ratio, white blood cell and thrombocytes should not be used to predict otosclerosis, but suggest that mean platelet volume may be a negative predictive marker. (C) 2019 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda.Öğe Dimensions of internal jugular veins in Turkish children aged between 0 and 6 years in resting state and during Valsalva maneuver(Elsevier Ireland Ltd, 2007) Karazincir, Sinem; Akoglu, Ertap; Balcı, Ali; Sangun, Ozlem; Okuyucu, Semsettin; Ozbakis, Cagla; Karazincir, OlgunObjective: We aimed to establish the values of the internal jugular vein (IJV) sizes in Turkish children aged between 0 and 6 years. Methods: Ninety-four normal children included in this study. All of the children were imaged by ultrasonography (USG) at the level of the cricoid cartilage. The maximal antero-posterior (AP) and transverse (T) diameters of the IJV were measured during regular breathing and Valsalva maneuver. Results: The mean transverse diameter of the right and left IJV were 8.11 +/- 3.01 and 7.64 +/- 2.68 mm in resting state. These values changed to 12.57 +/- 4.34 and 10.82 +/- 3.80 mm in Valsalva state, respectively. The AP diameters were found to be 5.43 +/- 2.07 for the right and 5.86 +/- 4.53 mm for the left IJV at rest. During VM, these values changed to 8.70 +/- 2.40 and 8.30 +/- 2.90 mm for the right and left IJV, respectively. There was no significant difference on the evaluation of the relationship between the right and left diameters of the IJV. While there were significant differences in sizes between the resting and Valsalva states. Also, the T diameter of the right IJV during Valsalva state was greater than those of the left. There were significant correlations between the diameters of the IJV and the age, weight and height of the children. Conclusion: The results we obtained in this study may be important in an attempt of intravascular intervention to IJV. These values may also be important for the comparison with the IJV sizes of the patients who have phlebectasia. (c) 2007 Elsevier Ireland Ltd. All rights reserved.Öğe Effect of 1-deamino 8-D-arginine vasopressin spray on nasal cytology and mucociliary clearance in patients with nocturnal enuresis(Elsevier Ireland Ltd, 2006) Akoglu, Ertap; Goeruer, Sadik; Atik, Esin; Okuyucu, Semsettin; Sanguen, OezlemObjective: To determine any possible adverse effect of 1-deamino 8-D-arginine vasopressin (DDAVP) spray on nasal cytology and mucociliary clearance in patients with nocturnal enuresis. Methods: Twenty-two children aged 6-16 enrolled in the study. Epithelial surface cells samples were taken from the nasal mucosa and mucociliary clearance time was calculated before and 1 and 6 months after administration of DDAVP spray. Results: No qualitative changes in the epithelial surface cells and mucociliary clearance time were observed at 1 and 6 months after therapy. Conclusion: Based on the findings of the present study, DDAVP spray can be used for 6 months in children without apparent risk of damage to the epithelial surface cells and mucociliary clearance time. (C) 2006 Elsevier Ireland Ltd. Atl. rights reserved.Öğe The effect of anesthetic agents on perioperative bleeding during tonsillectomy: Propofol-based versus desflurane-based anesthesia(Mosby-Elsevier, 2008) Okuyucu, Semsettin; Inanoglu, Kerem; Akkurt, Cagla Ozbakis; Akoglu, Ertap; Dagli, SafakOBJECTIVE: Hemorrhage during tonsillectomy is related to the surgical technique, management of bleeding, and choice of anesthetic agent. This study evaluated the effects of anesthetic agents on hemorrhage during tonsillectomy with standardized surgical techniques and management of bleeding. STUDY DESIGN: Double-blind, randomized controlled trial. SUBJECTS AND METHODS: Sixty patients, aged 3 to 12 years, who were scheduled for elective tonsillectomy were enrolled in the study. Propofol-based anesthesia was administered to the first group; desflurane-based anesthesia, to the second. The amount of blood loss due to hemorrhage was measured. RESULTS: Propofol-based anesthesia significantly decreased bleeding during tonsillectomy. CONCLUSION: Propofol-based anesthesia is a reliable method for use in children who undergo tonsillectomy. (C) 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.Öğe The effect of dacryocystorhinostomy on mucociliary function(Mosby-Elsevier, 2009) Okuyucu, Semsettin; Akoglu, Ertap; Oksuz, Huseyin; Gorur, Hatice; Dagli, SafakOBJECTIVE: External dacryocystorhinostomy is suspected to cause mucociliary dysfunction by affecting ciliary activity and quality of the mucus. We hypothesized that patients who undergo endoscopic dacryocystorhinostomy may also experience mucociliary dysfunction. We evaluated the effects of surgery on mucociliary clearance time in patients who underwent endoscopic dacryocstorhinostomy and external dacryocstorhinostomy. STUDY DESIGN: A prospective controlled study. SUBJECTS AND METHODS: Forty-four patients were studied: 22 had undergone one-sided endoscopic Surgery and 22 had undergone one-sided external surgery for nasolacrimal duct obstruction. Nonoperated sides of the both groups were remained as controls. The saccharin test was used to evaluate the mucociliary clearance time of the both sides. RESULTS: Dacryocystorhinostomy, results in prolonged mucociliary clearance times either endoscopic or external approach is performed (P < 0.001, paired t test). There was no significant difference between the mucociliary clearance times after endoscopic and external dacryocystorhinostomy), (P = 0.22, Student's t test). CONCLUSION: Dacryocystorhinostomy impairs mucociliary function independent of the type of surgery.Öğe Effect of the N-acetylcysteine and selenium on healing of experimental maxillary sinusitis caused by Staphylococcus aureus(Academic Journals, 2012) Akoglu, Ertap; Hakverdi, Sibel; Kontas, Tunay; Duran, Nizami; Altug, Muhammed Enes; Onel, Suleyman Ercument; Okuyucu, SemsettinThe purpose of this controlled-randomised study was aimed to test the antioxidative effect of the N-acetylcysteine (NAC) and selenium on healing of Staphylococcus aureus sinusitis. After experimental sinusitis, 30 New Zealand rabbits were randomly divided into three groups; group A was treated with Ampicillin/sulbactam and physiological saline. Group B and C were treated with NAC and selenium in addition to Ampicillin/sulbactam, respectively. The measurements were repeated at the 3rd and 10th day. Serum malondialdehyde (MDA) levels and superoxide dismutases (SOD) activities at the 3rd day of experiment were higher than basal levels in all groups. These levels at the 10th day were lower than those of the 3rd day in groups B and C, significantly. The severity of the grade of inflammation and epithelial changes were significant between the infected and control side, but no significant change was found among the groups. S. aureus sinusitis causes to increase the level of reactive oxygen species (ROS) in the blood. These increased levels of ROS can be neutralized in some degree by antioxidative effects of NAC and selenium which are supplemented to standard antibiotic therapy. The effect of NAC and selenium on healing of maxillary sinus mucosa seems to be insignificant.Öğe The effectiveness of the Epley maneuver for the treatment of BPPV and the role of nystagmus direction as an early indicator of successful treatment(2007) Ako?lu, Ertap; Okuyucu, Semsettin; Okuyucu, Esra; Melek, Ismet Murat; Duman, Taşkin; Da?li, Ali SafakOBJECTIVES: We investigated the role of the direction of nystagmus that might occur during the Epley maneuver as an early indicator for treatment success in benign paroxysmal positional vertigo (BPPV). PATIENTS AND METHODS: The study included 47 patients (24 males, 23 females; mean age 46+/-12 years; range 29 to 70 years) who underwent the Epley maneuver for BPPV. The occurrence and the direction of nystagmus were observed. RESULTS: Nystagmus occurred in 16 patients during the maneuver, being ipsilateral in nine patients and contralateral in seven patients. The treatment was successful in seven patients (77.8%) with ipsilateral nystagmus, whereas none of the patients with contralateral nystagmus benefited from the maneuver. While there was no significant relationship between ipsilateral nystagmus and the success of the treatment (p=0.625), a significant correlation was found between contralateral nystagmus and treatment failure (p=0.000). CONCLUSION: The occurrence of contralateral nystagmus during the Epley maneuver may be a sign of an unsuccessful result.Öğe Effects of Cochlear Implantation on Tinnitus and Depression(Karger, 2020) Sarac, Elif Tugba; Batuk, Merve Ozbal; Batuk, Isa Tuncay; Okuyucu, SemsettinIntroduction:Tinnitus is prevalent in 66-88% of cochlear implant users. The reason for this high prevalence is that hearing impairment is the most common cause of tinnitus.Objective:This study aims to determine the effect of cochlear implant and to compare the severity of tinnitus and depression in adult cochlear implant users with tinnitus.Methods:Patients diagnosed with tinnitus filled out the Tinnitus Handicap Inventory and the Beck Depression Inventory during CI candidate evaluation. The audiological follow-up in the present study included only patients suffering from tinnitus before the cochlear implant surgery. This study included only patients who had tinnitus handicap inventory and Beck Depression Inventory clinical records pre- and postoperatively, including 23 adult cochlear implant users (13 males and 10 females) aged 18-76 years.Results and Conclusion:There was a statistically significant decrease in the severity of tinnitus and depression after cochlear implant. As the participants' tinnitus level and grade decreased, their depression levels also decreased. Depression levels decreased after the use of a cochlear implant compared to before cochlear implantation. Cochlear implantation is currently used only for hearing restoration. However, cochlear implantation may be used in rehabilitation for tinnitus in patients with severe hearing loss and in tinnitus patients. In addition cochlear implantation can be a depression rehabilitation method by reducing tinnitus.Öğe Efficacy of montelukast and desloratadine combination in allergic rhinitis(Deomed Publ, Istanbul, 2011) Cingi, Cemal; Oghan, Fatih; Unlu, Halis; Tekat, Atilla; Okuyucu, SemsettinAllergic rhinitis represents a global health problem affecting 10 to 25% of the population worldwide. The complications i.e. sinusitis, nasal polyps, middle ear and lower respiratory tract infections increase the importance of allergic rhinitis. Besides treatment costs, due to wage loss and decrease in productive capacity it has a huge negative impact on community. It may also seriously affect quality of life. Despite recent developments in its treatment modalities, several studies have indicated that the prevalence of allergic rhinitis is increasing. New knowledge on the mechanisms underlying allergic inflammation of the airways has resulted in better therapeutic strategies for allergic rhinitis. Montelukast and desloratadine has powerful effects on allergic rhinitis. Since studies demonstrate that both products have better pharmacodynamic and pharmacokinetic profiles, and having side effects similar to placebo, they are better options for this sub-group. The concomitant use of both drugs is believed to provide a better control on the symptoms of allergic rhinitis. The combination therapy possibly provides a more potential reduction in early and late allergic and inflammatory response to histamine and histamine like mediators during allergen inhalation. Including a fixed dose combination of montolukast-desloratadine to the treatment strategy seems to be a more rational and cost effective approach in these groups of patients.Öğe Endoscopic dacryocystorhinostomy with silicone, polypropylene, and T-tube stents; randomized controlled trial of efficacy and safety(Ocean Side Publications Inc, 2015) Okuyucu, Semsettin; Gorur, Hatice; Oksuz, Huseyin; Akoglu, ErtapObjective: To compare the efficacy and safety of endoscopic dacryocystorhinostomy (En-DCR) with different stent materials for lacrimal sac intubation inprimary nasolacrimal ductal obstructions. Study Design: Randomized controlled study with three parallel groups. Level of evidence is 1b. Methods: A total of 91 patients (five bilateral) with primary nasolacrimal duct obstruction (NLDO) at a tertiary referral center scheduled for En-DCR were to allocated into three stent groups with a sealed envelope and were randomized into three treatments: silicone, Prolene (polypropylene), and otologic T-tube. Ophthalmology and otolaryngology clinics evaluated the patients preoperatively and postoperatively with endoscopes, lacrimal system syringing, and dacryocystography. The success of the stents was evaluated 12 months after surgery with symptom relief and ostial patency. Complications were also noted. Results: The overall success rate of the En-DCR in the stent groups was 78.1% (75/96); specifically, 87.5% (28/32) with silicone, 84.4% (27/32) with Prolene, and 62.5% (20/32) with T-tube. The efficacy of the procedures with the T-tube was significantly lower than that of the Prolene and silicone (p =.031, x(2) test). There were no significant differences between the silicone and Prolene (p =.718, x(2) test). Prolene was found to be related with orbital complications. Spontaneous loss is a particular complication of otologic T-tube and highly portends to failure. Conclusions: The results of our study suggest that efficacy, defined as anatomic and functional success, is equally high for silicone and Prolene stents and lower for otologic T-tube in En-DCR.Öğe Evaluation of Hearing and Balance Functions of Patients with Sickle Cell Anemia(Karger, 2018) Sarac, Elif Tugba; Boke, Bilgehan; Okuyucu, SemsettinIntroduction: Sickle cell anemia is a disease characterized by a wide vaso-occlusive incident from micro-vascular incident to muscularactivity. The cochlear function can also get affected by this vaso-occlusion. Objective: It is aimed at determining what kind of effects sickle cell anemia has on hearing and balance system. Methods: This study has been conducted on 46 patients with sickle cell anemia and 45 healthy individuals. For all participants, their pure tone hearing thresholds and videonystagmography (VNG) findings have been determined in 17 frequencies between 125-16.000 Hz. Results: All hearing thresholds between 125 and 16,000 Hz, pure tone averages of patients with sickle cell anemia have been found statistically significant to be higher than the cor-responding values in the control group(p < 0.05). The normal hearing rate of patients with sickle cell anemia has been determined to be 71.1% conductive hearing loss (CHL) to be 4.4%, sensorineural hearing loss (SNHL) to be 22.2%, and mixed type hearing loss to be 2.2% in right ear; the normal hearing rate has been determined to be 71.1%, CHL to be 2.2%, SNHL to be 22.2%, and mixed type hearing loss to be 4.4% in left ear. Statistically significant difference has not been found between head shake, spontaneous nystagmus, optokinetic, tracking test batteries, static and dynamic positional tests used in VNG, saccade accuracy and saccade peak velocity, which are saccadic test findings of 2 groups. However, saccadic latency, which is a saccadic test finding, has been determined to be longer in patients with sickle cell anemia in comparison to the control group. Conclusion: While sickle cell anemia causes hearing deficits, it does not have any effect on the central or peripheral vestibular system. (C) 2018 S. Karger AG, BaselÖğe 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 SafakOBJECTIVES/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.Öğe Ex Vivo Tracheal Mucociliary Clearance in Rats: Comparisons of Nebulization versus Irrigation with Lactated Ringer and Saline Solutions(Bmc, 2009) Okuyucu, Semsettin; Akoglu, Ertap; Babayigit, Cenk; Akoglu, Sebahat; Dagli, SafakObjective: This study was performed to compare the effects of isotonic saline, hypertonic saline (buffered/nonbuffered), and lactated Ringer irrigation and distilled water nebulization on mucociliary clearance in ex vivo rats. Design: Experimental study. Setting: Tertiary otolaryngology care centre. Methods: Thirty rat tracheas were achieved from 15 rats by dividing the trachea longitudinally into two equal parts. Main Outcome Measures: Mucociliary transport velocity was measured by direct observation of particle placed on the lower end of the trachea after irrigation or nebulization. Results: Significant improvement in mucociliary clearance was found with isotonic saline (p = .002), buffered hypertonic saline (p = .018), lactated Ringer (p = .000), and nebulized distilled water (p = .000) when compared with nonbuffered hypertonic saline. Conclusion: Lactated Ringer solution is better than saline solution at enhancing mucociliary clearance, but nebulized distilled water is superior to the tested irrigation solutions in rat tracheal epithelium.Öğe Hairy polyp arising from oropharynx as a cause of neonatal intermittent respiratory distress(2007) Okuyucu, Semsettin; Hakverdi, Sibel; Karazincir, Sinem; Ako?lu, Ertap; Balcı, Ali; Gümüş, Ramazan; Daşlı, ŞafakBackground: Hairy polyps which contain elements of ectoderm and mesoderm are rare cases that can occur anywhere in the body. Although they are rarely seen in the pharynx, they are the most common congenital nasopharyngeal masses. Case Report: Intermittent airway obstruction and feeding difficulties are the main symptoms the patients suffer from. We represent a 3 months old baby girl having a hairy polyp arising from the left palatopharyngeal fold and soft palate junction with symptoms of respiratory difficulties, whom underwent surgery and recovered from her complaints after. Conclusions: We discuss the clinicopathological features, etiology, terminology, differential diagnosis, and modality of the treatment of this condition.Öğe Increased Mean Platelet Volume in Patients with Bell's Palsy(Aves, 2014) Ozler, Gul Soylu; Okuyucu, SemsettinOBJECTIVE: The aim of this study is to investigate the mean platelet volume (MPV) levels in patients with Bell palsy (BP). Moreover, we aimed to find out any correlation between MPV levels and the severity and prognosis of BP. MATERIALS and METHODS: The study group consisted of 30 subjects who presented with BP and 30 control subjects with no evidence of facial nerve pathology. The evaluation of subjects included a detailed history, general physical examination, and assessment of laboratory blood parameters. RESULTS: The mean MPV and platelet distribution width (PDW) values in patients with BP were significantly higher than the control group (p=0.02, p=0.0001 respectively). The mean platelet count (PC) values in the BP group and control group were similar (p=0.169). There was positive correlation between MPV values and grade of facial paralysis (r=0.716, p=0.0001). Also, there was positive correlation between PDW values and grade of facial paralysis (r=0.376, p=0.041). In contrast, there was no correlation between MPV and PDW values and prognosis of facial paralysis (r=0.275, p=0.142; r=0.073, p=0.703 respectively). CONCLUSION: There is no previous study that has investigated the association between MPV values and BP in the literature. Higher MPV values in BP patients may be a predictor of worse severity.Öğe Intravenous ketamine and local bupivacaine infiltration are effective as part of a multimodal regime for reducing post-tonsillectomy pain(Int Scientific Information, Inc, 2009) Inanoglu, Kerem; Akkurt, B. Cagla Ozbakis; Turhanoglu, Selim; Okuyucu, Semsettin; Akoglu, ErtapBackground: The aim of this study was to investigate the effects of a multimodal analgesic regimen, including intravenous ketamine and peritonsillar infiltration of bupivacaine, on post-tonsillectomy pain in children. Material/Methods: Ninety children aged 2-12 years, undergoing tonsillectomy, were enrolled in this randomized, controlled and double-blinded study. Group I (n=30) received intravenous and peritonsillar saline, group II (n=30) received intravenous saline and peritonsillar bupivacaine, and group III (n=30) received intravenous 0.5 mg/kg ketamine and peritonsillar 0.25% bupivacaine (3-5 ml per tonsil). Pain was evaluated using a modified Children's Hospital of Eastern Ontario Pain Scale (mCHEOPS) recorded 15 min and 1, 4, 12, 16, and 24 h postoperatively. Results: No difference was found in the demographic data among the groups. Group I patients who received intravenous and peritonsillar saline solution as placebo had higher pain scores at 15(th) min, and Ist and 4(th) h than group II, and at all time intervals, than group III (P<0.05). Patients in group III also had significantly lower pain scores than group II at all time intervals except at 15(th) min (P<0.05). Analgesic requirements and the time to first analgesia were also significantly (P<0.05) better in the ketamine group. Conclusions: Intravenous ketamine and peritonsillar infiltration with bupivacaine are safe and effective as part of a multimodal regime in reducing post-tonsillectomy pain.Öğe ISOLATED CYST HYDATID: AN UNUSUAL CAUSE OF A MASS IN THE NAPE OF THE NECK(Nobel Ilac, 2009) Okuyucu, Semsettin; Balcı, Ali; Karazincir, Sinem; Akoglu, Ertap; Gozel, Serhat; Dagli, SafakBecause of the rarity of hydatid cyst in the head and neck area, it may be overlooked by the clinicians. We report a case of primary hydatid cyst in the posterior cervical region without another organ involvement. A 54-year-old woman presented with a large, painless lump in the nape of the neck. A computed tomography scan demonstrated a 5x5x4 cm hypodense mass which is located in the left scalen muscles. An axial magnetic resonance image revealed well-defined high signal intensity mass with low signal intensity rim, which is considered as a characteristic feature for hydatid cyst. She underwent surgery to excise the cyst. Histopathological examination confirmed the diagnosis as a hydatid cyst. If a cystic mass in head and neck area exists, hydatid disease must be kept in mind, especially in endemic areas, to avoid the complications such as acute anaphylaxis or recurrences due to inappropriate management.
