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    Deep neck space infections: a retrospective review of 173 cases
    (W B Saunders Co-Elsevier Inc, 2012) Bakir, Salih; Tanriverdi, M. Halis; Gun, Ramazan; Yorgancilar, A. Ediz; Yildirim, Muzeyyen; Tekbas, Guven; Palanci, Yilmaz
    Purpose: The purpose of this study is to review our recent experience with deep neck infections and emphasize the importance of radiologic evaluation and appropriate treatment selection in those patients. Materials and Methods: The records of 173 patients treated for deep neck infection at the Department of Otolaryngology and Head and Neck Surgery of Dicle University Hospital during the period from 2003 to 2010 were retrospectively reviewed. Their demography, symptoms, etiology, seasonal distribution, bacteriology, radiology, site of deep neck infection, durations of the hospital admission and hospital stay, treatment, complications, and outcomes were evaluated. The findings were compared to those in the available literature. Results: Dental infection was the most common cause of deep neck infection (48.6%). Peritonsillar infections (19.7%) and tuberculosis (6.9%) were the other most common cause. Pain, odynophagia, dysphagia, and fever were the most common presenting symptoms. Radiologic evaluation was performed on almost all of the patients (98.3%) to identify the location, extent, and character (cellulitis or abscesses) of the infections. Computed tomography was performed in 85.3% of patients. The most common involved site was the submandibular space (26.1%). In 29.5% of cases, the infection involved more than one space. All the patients were taken to intravenous antibiotic therapy. Surgical intervention was required in 95 patients (59.5%), whereas 78 patients (40.5%) were treated with intravenous antibiotic therapy alone. Life-threatening complications were developed in 13.8% of cases; 170 patients (98.3%) were discharged in stable condition. Conclusion: Despite the wide use of antibiotics, deep neck space infections are commonly seen. Today, complications of deep neck infections are often life threatening. Although surgical drainage remains the main method of treating deep neck abscesses, conservative medical treatment are effective in selective cases. (C) 2012 Elsevier Inc. All rights reserved.
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    Neck Masses: Retrospective Analysis of 981 Cases
    (Ortadogu Ad Pres & Publ Co, 2012) Tanriverdi, M. Halis; Bakir, Salih; Kinis, Vefa; Ozbay, Musa; Toprak, S. Ferit; Firat, Ugur
    Objective: The purpose of this study was to determine and discuss the diagnostic distribution, clinical behaviors and histopathological features of neck masses of patients who were followed-up in our department. Material and Methods: A total number of 981 patients with neck masses, who attended the Department of Ear-Nose-Throat in Dicle University Medical School, between 1992 and 2010, were analyzed retrospectively. Results: Among the 981 cases, 485 (49.5%) had a mass with neoplastic origin, whereas 383 (39%) had inflammatory and 113(11.5%) had congenital neck masses. Approximately 69% of the neoplastic masses were malignant and 31% were benign in nature. The mean ages were 28.26 +/- 7.69 and 11.45 +/- 4.08 years in patients with inflammatory and congenital masses, respectively. The mean age of the patients diagnosed with benign neck masses was 35.5 +/- 5.80 years while the mean age of the patients with malignant masses was 49.22 +/- 11.68 years. Conclusion: Neoplastic masses seem to be the most frequent cause of neck masses. Neck masses, especially in adults should be considered malignant until proven to be benign. In addition, biopsy specimens should not be obtained before a detailed ear, nose and throat examination of the patient.
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    The Relationship between Obesity and Cardiovascular Risk in Postmenopausal Women
    (Duzce Univ, 2019) Bucaktepe, Pakize Gamze Erten; Celepkolu, Tahsin; Aslan, Ilknur; Tanriverdi, M. Halis; Yilmaz, Ahmet; Aslanhan, Hamza; Kars, Veysel
    Objective: The aim of this study was to investigate the relationship between obesity and cardiovascular risk in postmenopausal women. Methods: The study included 43 postmenopausal women who were admitted to Dicle University Medical School Family Medicine Outpatient Clinic. Body mass index (BMI), waist and hip circumferences, body fat mass and percentage, 24-hour arterial tension measurements, homocysteine (Hcy), lipid and vitamin B12 levels, and Framingham risk score (FRS) were compared between obese (BMI >= 30 kg/m(2)) and non-obese (BMI<30 kg/m(2)) patients. Results: The patients included 25 (58.1%) obese and 18 (41.9%) non-obese patients. Abdominal obesity was seen in 29 (67.4%) and truncal obesity in 18 (41.9%) participants. Family history of cardiac disease was seen in 25 (58.1%) women, most of whom were obese. Based on FRS, moderate cardiovascular risk was assessed in 21.6%, but none of the participants were at high risk. FRS was positively correlated with Hcy and waist/hip ratio. Conclusions: The results of this study indicate that age- and gender-dependent differences must be taken into consideration for cardiovascular risk assessments and postmenopausal women should be informed about obesity and hypertension in order to improve their quality of life.