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    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, Olgun
    Objective: 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.
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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.