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Öğe Clinical assessment of patients with chronic otitis media with cholesteatoma(2002) Tekin M.; Osma U.; Meriç F.; Topçu I.OBJECTIVES: We evaluated clinical features and treatment results of patients with chronic otitis media (COM) with cholesteatoma. PATIENTS AND METHODS: The study included 83 patients (53 males, 30 females; mean age 27.5 years; range 7 to 60 years) who were treated for COM with cholesteatoma. All patients underwent otoscopic examination, audiometric investigation, temporal bone computed tomography, and when necessary, cranial tomography. Open or closed mastoidectomy was performed depending on the extent of cholesteatoma and perioperative appearance of the ear. RESULTS: Open- and closed-technique mastoidectomies were performed in 64 and 19 patients, respectively. Ossicular chain defects were observed in 90.3% of patients, and 9.7% had no detectable ossicular chain. Cranial complications were present in 28%. Of patients who had undergone open mastoidectomy, 75% had dry ears, 11% had recurrent ear discharge, and 14% required revision mastoidectomy because of recurrence. Of those who had been treated by closed-technique, 79% had dry ears, whereas 21% required revision mastoidectomy. Recurrent cholesteatoma was detected in 85% of patients during revision mastoidectomy. CONCLUSION: We prefer open-technique mastoidectomy in chronic otitis media patients with extensive cholesteatoma, bone destruction, and hearing impairment. This choice mainly relies on the socioeconomic status of patients and difficulty in having patient compliance with follow-up controls.Öğe Evaluation of brainstem auditory evoked responses in patients with conversion disorders(2000) Cüreoğlu S.; Altindağ A.; Osma Ü.; Özen Ş.; Oktay F.; Meriç F.; Topçu I.Objective: The aim of this study was to detect any suboptimal brainstem lesions in patients with conversion disorder. Methods: This study included 37 patients (25 female, 12 male) with conversion disorder. Control's group included 30 healthy persons (22 female, 8 male). The diagnosis of conversion disorder was based on criteria of DSM IV. BAER was recorded at conventional and higher stimulus rate in these patients. The main BAER measurements analyzed were the I-III, III-V, and I-V interpeak intervals and the wave V amplitude. Results: There was significant difference for I-III (p<0,05), I-V (p<0,05) interpeak latencies between patient and controls groups at 10/s click rate. The only I-III interval differed significantly at 50/s click rate. Abnormal BAER result was seen in only one of 37 patients at the clicks of 10/s and 50/s, when the values exceeding 2.5 standard deviations above the means of the normal controls were considered abnormal. No significant correlation was found between diseased period and BAER latencies. Conclusion: The lower brainstem (cochlear nucleus, superior olivary complex and lateral lemniscus) has been affected in patients with conversion disorder.Öğe Ganglioglioma in the nasal cavity: a case report.(2010) Yorgancilar E.; Yildirim M.; Gün R.; Büyükbayram H.; Meriç F.Ganglioglioma is a tumor containing both astrocytic and neuronal components. It may occur any where in the central nervous system and spinal cord but is only encountered rarely. Nasal glial heterotopia (also known as ''nasal glioma''), is a rare developmental abnormality seen in a wide age group. Gangliogliomas may also manifest as a nasal glial heterotopia, and neurogenic tumors should be considered in the presence of a nasal mass. In this article, we present a case of ganglioglioma located in the right-nasal cavity. The mass was excised totally through an endoscopic approach. The ganglioglioma developed on a nasal glial heterotopia base. To our knowledge, a ganglioglioma arising from the nasal cavity has not been described previously in the literature.Öğe Hemangioma arising from external jugular vein mimicking neck mass.(2012) Yorgancilar A.E.; Kiniş V.; Gün R.; Bakir S.; Ozbay M.; Meriç F.Hemangiomas are common benign tumors which can develop in any part of the body. Despite their common nature, hemangiomas arising from blood vessels are very rare. In this article, we present a very rare case of hemangioma which was originated from external jugular vein. The hemangioma was totally excised after the external jugular vein was ligated from both sides and no complication was observed.Öğe Tuberculous parotitis: a review of seven cases.(2007) Oktay M.F.; Aşkar I.; Yildirim M.; Topçu I.; Meriç F.OBJECTIVES: Tuberculous parotitis is rare even in countries where tuberculosis is widespread. We evaluated seven patients with tuberculous parotitis together with clinical and histopathologic findings, and management. PATIENTS AND METHODS: In a period of 13 years, seven patients (5 males, 2 females; mean age 32 years; range 23 to 47 years) were diagnosed and treated for tuberculous parotitis. All the patients had a clinical suspicion of a parotid gland tumor. RESULTS: The lesions were localized on the left in four patients, and on the right in three patients. The duration of disease varied from seven months to three years. The masses were localized, mobile, and measured 3 to 6 cm in diameter; one was fistulized. There was no evidence for active pulmonary tuberculosis. Chest radiograms showed old tuberculous lesions in two patients. The PPD skin test results were positive (>12 mm induration) in five patients (71%). Computed tomography or magnetic resonance imaging obtained in five patients showed mass formation suggesting a benign parotid gland tumor. Fine-needle aspiration cytology performed in three patients and cultivation performed in the fistulized case were all non-diagnostic. Superficial parotidectomy was performed in six patients and enucleation was performed in one patient. Histopathologic examination showed tubercles composed of macrophages, epithelioid cells and Langhans giant cells, and central caseous necrosis. Following diagnosis, all patients were treated with a four-drug chemotherapy regimen. There was no evidence for recurrence within a mean of 15-month follow-up. CONCLUSION: Tuberculosis of the parotid gland should be considered in the differential diagnosis of patients presenting with a solitary tumor in the parotid gland.
