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Öğe The need for mentoplasty following rhinoplasty(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2014) Ozkurt, F. E.; Akdag, M.; Yorgancilar, E.; Baylan, M. YildirimObjective: Rhinoplasty is the most common facial plastic surgery procedure. The appearance of the face must be considered as a whole to achieve the best results, but assessment of the chin is often overlooked. The aim of this paper was to determine the need for mentoplasty after rhinoplasty. Methods: Adobe Photoshop CS6 (Adobe Systems, San Jose, CA) was used to analyze 200 consecutive rhinoplasty patients, 170 of whom were included in this study. We used Silver and Agarwal's method for assessment of the chin. Results: A total of 170 profile photographs were analyzed. Of these patients, 58.2% (n=99) had normal chins, 40% (n=68) had small chins (microgenia), and 1.8% (n=3) had over-projection. There were no statistically significant differences between men and women. Conclusion: Chin projection is an important component of facial euphony. Approximately half of the rhinoplasty patients we assessed would also benefit from mentoplasty. Surgeons that perform rhinoplasty should discuss mentoplasty with their patients to achieve the best results.Öğe Role of infection in late period post-tonsillectomy bleedings(Galenos Yayincilik, 2012) Ozdogan, F.; Ozkurt, F. E.; Ozdas, T.; Evcimik, M. F.; Yenigun, A.Objectives: Tonsillectomy is one of the most common surgical procedure which is carried out by otorhinolaryngologists. One of the complications is bleeding seen in between 0.3% and 13.9%. Bleedings in first 24 hours are defined as primary while the ones after 24 hours are defined as secondary. Primary bleedings are more likely to be associated with surgical technique and secondary bleedings are thought to be due to trauma during wound healing, solid food intake and idiopathic reasons. Methods: Two hundred and two patients who had tonsillectomy between March 2011 and November 2012 were included in the study. Patients had ear-nose-throat examination and there was no evidence of infection before the surgery. Only one surgical technique is performed by the same surgeon to all patients in the same hospital (cold knife). Complete blood count and CRP values were obtained in 11 patients who had bleeding after tonsillectomy. Results: In 202 patients who had tonsillectomy, 88 (43.5%) of them were female and 114 (56.5%) of them were male. The average of age was 7.5 (3-42). In first postoperative 24 hours, no bleeding was observed, whereas after 24 hours 11 patients presented with bleeding (5.4%). The average of the patients presenting with bleeding was 16.9 (6-33), 3 (27%) of them were female and 8 (83%) of them were male, average number of days of admission in a hospital was 10.8. Increased WBC count was not observed in 1 patient, whereas in 10 patient, WBC count was increased (p<0.05). WBC count was with neutrophil dominance in all these 10 patients. Similarly, no increase was observed in 1 patient's CRP value, whereas other patients had significant increase in CRP values (p<0.05). Conclusion: Tonsillectomy is a frequently performed surgical procedure in otorhinolaryngology practice. Bleeding after surgery occurs due to several reasons and one of them is infection. Despite the antibiotic use after the procedure, we may encounter these complications in late period.Öğe Type D personality, anxiety, depression and personality traits in patients with isolated itching of the external auditory canal(Cambridge Univ Press, 2016) Yilmaz, B.; Canan, F.; Sengul, E.; Ozkurt, F. E.; Tuna, S. F.; Yildirim, H.Objective: This study evaluated type D personality, anxiety, depression and personality traits in patients with isolated itching of the external auditory canal. Method: A hundred consecutive out-patients with isolated itching of the external auditory canal and 100 controls were enrolled in the study. The Type D Scale, the abbreviated form of the Eysenck Personality Questionnaire Revised and the Hospital Anxiety and Depression Scale were used for data collection. Patients were also evaluated using the Modified Itch Severity Scale. Results: In all, 43 per cent of patients and 15 per cent of controls met the criteria for a type D personality. Patients with a type D personality had higher anxiety and itching severity but lower extraversion compared with those without a type D personality. Multiple linear regression analysis showed that extraversion and type D personality were independently associated with itch severity. Conclusion: These data suggest that clinicians should consider psychological and personality features when evaluating and treating patients with isolated itching of the external auditory canal.