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Biomedical subjects

Engin Acioğlu

Publications and source records attributed to Engin Acioğlu.

7 recordsLinked to original sources

Three-wall orbital decompression superiority to 2-wall orbital decompression in thyroid-associated ophthalmopathy.

PURPOSE: We evaluated the results of the 2-wall and 3-wall orbital decompression in patients with Graves' disease. PATIENTS AND METHODS: In this study, we present a consecutive series of 12 patients (18 orbits) who were submitted to orbital decompression by endoscopic transnasal medial wall combined with transantral inferior wall approach and 7 patients (8 orbits) who were submitted to orbital decompression by endoscopic transnasal medial wall, transantral inferior wall combined with transcutaneous lateral wall approach. The degree of exophthalmos was evaluated with the Hertel exophthalmometer preoperatively and postoperatively in the 24th hour, and first, third, and ninth months. RESULTS: At the end of the third month, the exophthalmos decreased by a mean of 4.38 mm (range, 3 to 7 mm) with the 2-wall decompression and 7.75 mm (range, 5 to 12 mm) with the 3-wall decompression. Visual acuity maintained or improved during the follow-up period. Ocular motility disturbance occurred in 1 patient after 2-wall decompression and in 1 patient after 3-wall orbital decompression. Postoperatively, new-onset diplopia was seen in only 1 patient after 2-wall orbital decompression. CONCLUSION: The 3-wall (endoscopic transnasal medial wall, transantral inferior wall combined with transcutaneous lateral wall) approach is as safe as the 2-wall approach. Proptosis reduction is much better with the 3-wall orbital decompression.

Adult↗

[Transcanal butterfly cartilage tympanoplasty].

OBJECTIVES: This study evaluated the long-term results of transcanal butterfly cartilage tympanoplasty technique in adult patients. PATIENTS AND METHODS: Transcanal butterfly cartilage tympanoplasty was performed in 11 adult patients (7 males, 4 females; mean age 30 years; range 21 to 45 years) with chronic otitis media. The operations were performed under general or local anesthesia. Perforation diameters ranged from 2 to 6 mm. The mean follow-up period was 9.5 months. RESULTS: At the end of the follow-up period, perforations closed in 10 patients (90.9%). In one patient, reperforation occurred in the second month. The mean preoperative and postoperative air-bone gaps obtained in 10 patients were 18 dB and 6.5 dB, respectively. CONCLUSION: Butterfly cartilage tympanoplasty technique was very effective to close central, small tympanic membrane perforations associated with minimal hearing loss.

Adult↗

[Tracheobronchial foreign body aspiration following partial laryngectomy: a case report].

Tracheobronchial foreign body aspiration is uncommon in adults and one etiologic factor is laryngeal surgery. A 50-year-old male patient presented with cough, high fever, and severe dyspnea three months after partial laryngectomy for squamous cell carcinoma of the larynx. A computed tomography scan of the thorax showed a hyperdense mass lesion in the right main bronchus, suggesting a foreign body. Diagnostic bronchoscopy was performed under general anesthesia and a small bone fragment, 2 x 1.3 cm in size, was removed from the right bronchial lumen. The patient showed slow improvement due to prolonged atelectasis until complete clinical and radiologic recovery.

Bronchi↗

Unusual extension of the first branchial cleft anomaly.

First branchial cleft is the only branchial structure that persists as the external ear canal, while all other clefts are resorbed. Incomplete obliteration and the degree of closure cause the varied types of first branchial cleft anomalies. They were classified based on the anatomical and histological features. We present an unusual type of first branchial cleft anomaly involving the external auditory canal, the middle ear and the nasopharynx through the eustachian tube.

Branchial Region↗

Tonsillar metastasis of primary signet-ring cell carcinoma of the cecum.

Metastatic carcinoma of the palatine tonsil is unusual. The most common primary sites of the tonsillar metastasis are the kidney, cutaneous melanoma, lung and breast. Primary manifestation of these tumors as a tonsillar mass is extremely rare in the literature. We present a case with a tonsillar metastasis from unusually localized primary signet ring-cell carcinoma of the cecum.

Adult↗

Laryngeal chondroma presenting as a laryngopyocele.

The abnormal dilatation of saccules in direct communication with the laryngeal lumen is termed laryngocele. A simple laryngocele is an air-filled dilatation of the saccule and is mostly asymptomatic. When the neck of the laryngocele is obstructed, the laryngocele becomes filled with mucus. If a mucus-filled laryngocele is infected, it is called a laryngopyocele. The etiology of laryngoceles is not well understood. However, there is an association between laryngoceles and carcinoma of the supraglottic larynx. The main reasons are probably obstruction and mucosal retention of the saccule, increasing intralaryngeal pressure due to airway obstruction or abnormal contraction of the involved laryngeal muscles due to tumoral spreading. We present a patient with laryngopyocele that arose because of a laryngeal chondroma.

Adult↗