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    Alerjik rinit ve irritabl bağırsak sendromu hastalarında probiyotik takviyesinin hastane yatış sıklığı ve inflamatuar belirteçler üzerine etkisi
    (DNT Ortadoğu Yayıncılık A.Ş., 2024) Haznedar, Berzan; Kozan, Günay; Ebik, Berat
    Amaç: Bu çalışma, tekrarlayan alerjik rinit (AR) ve irritabl bağırsak sendromu (IBS) olan hastalarda kısa süreli (3-6 ay) probiyotik kullanımının etkisini, özellikle inflamasyon indekslerindeki değişikliklere odaklanarak incelemeyi amaçlamıştır. Gereç ve Yöntemler: Bu retrospektif çalışmaya 2020-2021 yılları arasında IBS ve AR tanısı almış ve 3-6 ay süreyle probiyotik takviyesi kullanan hastalar dahil edildi. Demografik özellikler, sistemik inflamasyon indeksi (SII), nötrofil-lenfosit oranı (NLR) ve trombosit-lenfosit oranı (PLR) gibi klinik veriler ile probiyotik kullanımı öncesi ve sonrası hemogram sonuçları ve AR ile ilişkili başvuru sayıları toplandı. Probiyotik müdahalesi, probiyotik içermeyen standart IBS tedavisi alan kontrol grubu ile karşılaştırıldı. Bulgular: Değerlendirilen 135 hasta arasında, probiyotik tedavisi alan grupta kontrol grubuna kıyasla AR ile ilişkili hastane başvuru sıklığında anlamlı bir azalma gözlendi (p
  • Küçük Resim
    Öğe
    A case of peritoneal dialysis in which SARS-CoV-2 was diagnosed by sudden hearing loss
    (Taylor & Francis, 2021) Günay, Emrah; Kozan, Günay; Yüksel, Enver; Mızraklı, Ayser; Aslan, Özgür; Kavak, Şeyhmus; Kaya, Şafak; Yılmaz, Zülfükar
    Sudden hearing loss in cases of SARS-CoV-2 is rare, and it is even less common as a first symptom. For the first time in the literature, we present a case of SARS-CoV-2 accompanied by bilateral sudden hearing loss in a peritoneal dialysis patient.
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    Öğe
    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.
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    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
    Postoperative effects of bilateral sphenopalatine ganglion blockade in septorhinoplasty operations; double-blind randomized clinical trial
    (Elsevier Editora Ltda, 2024) Gökçek, Erhan; Kozan, Günay
    Objective: We aimed to investigate the effect of bilateral sphenopalatine ganglion blockade (SPGB) on the main postoperative complications in septorhinoplasty operations. Methods: In this randomized, controlled, prospective study, 80 cases planned for Septorhinoplasty operations under general anesthesia were included in the study. The cases were divided into two groups; SPGB was performed with 2 mL of 0.25% bupivacaine bilaterally 15 min before the end of the operation in the SPGB group (Group S, n = 40). In the control group (Group C, n = 40), 2 mL of 0.9% NaCl solution was applied into both SPG areas. In the recovery unit after the operation; the pain and analgesic needs of the patients at 0, 2, 6 and 24 h were evaluated. Results: There was no statistically significant difference between the groups in terms of hemodynamic parameters (ASA, MBP, HR) (p > 0.05) All VAS values were statistically lower in Group S than in Group C (p < 0.05). In Group S, the need for analgesic medication was found in 5 cases between 0–2 h, whereas in Group C, this rate was found in 17 cases, and it was statistically significant (p < 0.05). Conclusion: Bilateral SPGB application was determined to provide better analgesia in the early postoperative period compared to the control group, it was concluded that further studies are needed to say that there are significant effects on laryngospasm and nausea-vomiting. Level of evidence: 2, degree of recommendation B.
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    Öğe
    Revision results in recurrent chronic dacryocystitis who previously underwent external DCR or diode laser DCR
    (Ağrı İbrahim Çeçen Üniversitesi, 2024) Kozan, Betül Dertsiz; Utlu, Bahadır; Kozan, Günay; Durusoy, Gönül Karataş
    Aim: We aimed to evaluate our external dacryocystorhinostomy (DCR) results performed by the same surgeon using a silicone tube in patients with recurrent chronic dacryocystitis who had previously undergone external DCR or transcanalicular diode DCR and to compare them with the literature. Material and Methods: Patients who underwent external DCR due to recurrent dacryocystitis between 2019-2022.They were divided into two groups. The first group who had previously undergone external DCR and the second group who had previously undergone transcanalicular diode laser DCR. Patients who were followed for at least 12 months in the postoperative period and who came to regular follow-up at 0, 1, 6 and 12 months were included in the study. At each examination, lavage was performed, and the passage was open. Its openness was considered as success. Results: 40 eyes of 40 patients were included in the study. 28 of the patients were female (70%) and 12 were male (30%). The average follow-up period was 12±2 months. Nasolacrimal lavage was normal in 5 cases (25%) in the first group and 16 cases (80%) in the second group and surgical success was achieved. When the groups were compared among themselves, a statistically significant difference was found in terms of surgical success between the two groups (p