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    Clinical Outcomes of Transcervical and Transoral Approaches in Parapharyngeal Abscesses
    (Istanbul University, 2024) Can, Şermin; Ayral, Muhammed; Kozan, Günay; Akdağ, Mehmet
    Objective: The aim of this study was to identify the microorganisms cultured from abscesses in patients who underwent drainage with transoral and transcervical approaches and to compare the demographic data, anaesthesia duration, and length of hospital stay of patients using both techniques. Material and Methods: We included 96 patients who underwent surgery for parapharyngeal abscesses at the Dicle University, Faculty of Medicine, Ear, Nose, and Throat and Head and Neck Surgery Clinic between 2015 and 2023. Drainage was performed using a transoral approach in 48 patients and using a transcervical approach in 48 patients. We compared both groups based on gender, age, comorbidities, bacteriology, length of hospital stay, and duration of anaesthesia. Results: Upon evaluating the culture results for all patients in both groups, we found that no growth was detected in 50% of the cultures, whereas growth was detected in the other 50%. The average duration of anaesthesia in the transcervical group was 85 min, whereas in the transoral group, it was 52 min, with the duration of anaesthesia in the transoral group being significantly shorter than in the transcervical group. The average length of hospital stay in the transcervical group was 10 days, whereas in the transoral group, it was 8 days, indicating a significantly shorter hospital stay in the transoral group. Conclusion: In our study, we found that patients undergoing transoral drainage had less morbidity, shorter anaesthesia duration and length of hospital stays.
  • [ X ]
    Öğe
    Clinical Outcomes of Transcervical and Transoral Approaches in Parapharyngeal Abscesses
    (Istanbul University Press, 2024) Can, Şermin; Ayral, Muhammed; Kozan, Günay; Akdağ, Mehmet
    Objective: The aim of this study was to identify the microorganisms cultured from abscesses in patients who underwent drainage with transoral and transcervical approaches and to compare the demographic data, anaesthesia duration, and length of hospital stay of patients using both techniques. Material and Methods: We included 96 patients who underwent surgery for parapharyngeal abscesses at the Dicle University, Faculty of Medicine, Ear, Nose, and Throat and Head and Neck Surgery Clinic between 2015 and 2023. Drainage was performed using a transoral approach in 48 patients and using a transcervical approach in 48 patients. We compared both groups based on gender, age, comorbidities, bacteriology, length of hospital stay, and duration of anaesthesia. Results: Upon evaluating the culture results for all patients in both groups, we found that no growth was detected in 50% of the cultures, whereas growth was detected in the other 50%. The average duration of anaesthesia in the transcervical group was 85 min, whereas in the transoral group, it was 52 min, with the duration of anaesthesia in the transoral group being significantly shorter than in the transcervical group. The average length of hospital stay in the transcervical group was 10 days, whereas in the transoral group, it was 8 days, indicating a significantly shorter hospital stay in the transoral group. Conclusion: In our study, we found that patients undergoing transoral drainage had less morbidity, shorter anaesthesia duration and length of hospital stays. © 2024, Istanbul University Press. All rights reserved.
  • Küçük Resim
    Öğe
    How advantageous is it to use computed tomography image-based artificial intelligence modelling in the differential diagnosis of chronic otitis media with and without cholesteatoma?
    (Verduci Editore s.r.l, 2023) Ayral, Muhammed; Türk, Ömer; Can, Şermin; Esen, D.; Topçu, İsmail; Akıl, Ferit; Temiz, Hakan
    OBJECTIVE: Cholesteatoma (CHO) developing secondary to chronic otitis media (COM) can spread rapidly and cause important health problems such as hearing loss. Therefore, the presence of CHO should be diagnosed promptly with high accuracy and then treated surgically. The aim of this study was to investigate the effectiveness of artificial intelligence applications (AIA) in documenting the presence of CHO based on computed tomography (CT) images. PATIENTS AND METHODS: The study was performed on CT images of 100 CHO, 100 non-cholesteatoma (N-CHO) COM, and 100 control patients. Two AIA models including Res-Net50 and MobileNetV2 were used for the classification of the images. RESULTS: Overall accuracy rate was 93.33% for the ResNet50 model and 86.67% for the MobilNetV2 model. Moreover, the diagnostic accuracy rates of these two models were 100% and 95% in the CHO group, 90% and 85% in the N-CHO group, and 90% and 80% in the control group, respectively. CONCLUSIONS: These results indicate that the use of AIA in the diagnosis of CHO will improve the diagnostic accuracy rates and will also help physicians in terms of reducing their workload and facilitating the selection of the correct treatment strategy.