Yazar "Yorgancilar, Argun Ediz" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • [ X ]
    Öğe
    Comparison of death and survival cervical necrotizing fasciits cases
    (Wiley, 2022) Sizer, Bilal; Yilmaz, Umit; Kinis, Vefa; Yorgancilar, Argun Ediz
    Background Cervical Necrotizing Fasciitis (CNF) is associated with a high mortality rate. The occurrence of mediastinitis with CNF may increase mortality up to 70%. Aims We aimed to identify the differences between surviving and deceased cases. Methods The present study was conducted retrospectively by scanning the files of 16 patients between the ages of 19-71 who were diagnosed with CNF. Patients were divided into two groups as the surviving patient group (SPG) and the deceased patient group (DPG). Both groups were compared in terms of age, gender, Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score, duration of symptom onset to hospital admission, use of antibiotherapy prior to admission, duration of hospitalization, presence of diabetes mellitus (DM), presence of dental etiology, mediastinitis, and respiratory distress at the time of admission. Results Diabetes mellitus was the most common comorbid disease. 5 out of 7 deceased patients had DM. Dental events were the most common etiology. Rapid surgical debridement and airway management was the first treatment method. The most frequently isolated species in the culture was Streptococcus. 6 of 11 patients who developed mediastinitis deceased at the end of the process. Conclusion Dental pathologies mostly play a role in the etiology. It is obvious that dentists, another occupational group that frequently encounters this patient group, have a critical role in this process. Therefore, precise attention should be given to dental problems in patients with diabetes, and hospitalization and initiation of broad-spectrum antibiotherapy should be considered in case of suspicion of deep neck infection.
  • [ X ]
    Öğe
    A different perspective on the treatment of branchial cleft cysts, which are very rarely located in the nasopharynx: a case series
    (Kuwait Medical Assoc, 2024) Sizer, Bilal; Ergen, Pinar; Yorgancilar, Argun Ediz
    Nasopharyngeal branchial cleft cysts are very rare. There is no consensus about the approach to these pathologies. The problem that makes surgery difficult is its possible proximity to vital vascular structures such as internal carotid in the deep plane and located laterally. We aimed to present our series of three patients who were diagnosed with nasopharyngeal branchial cyst and operated by transnasal endoscopic method by determining the safe surgical margin with the help of Doppler ultrasonography. Three male patients, who had various complaints such as difficulty breathing through the nose and sleep problems, were operated on with a transnasal endoscopic approach supported by 20MHz Doppler ultrasonography due to cystic formation in the nasopharynx. Histopathological evaluations were reported as a nasopharyngeal branchial cleft cyst. Doppler ultrasonography assisted transnasal endoscopic approach can be applied in the treatment. This approach both shortens the duration of surgery and minimizes the risk of neurovascular injury.
  • [ X ]
    Öğe
    THE EFFECTS OF FACE MASK USE DURING COVID-19 ON SPEECH COMPREHENSION IN GERIATRIC PATIENTS WITH HEARING LOSS WHO USE LIP-READING FOR COMMUNICATION: A PROSPECTIVE CROSS-SECTIONAL STUDY
    (Gunes Kitabevi Ltd Sti, 2022) Sizer, Bilal; Demir, Songul; Yilmaz, Umit; Yeniceli, Nurelis; Budak, Yakup; Yorgancilar, Argun Ediz; Topcu, Ismail
    Objective: Communication difficulties are considered the most significant consequence of hearing loss. This study aimed to determine whether surgical face masks, which have been mandatory throughout the COVID-19 pandemic, have an effect on speech comprehension scores in geriatric lip-reading patients with hearing loss and to raise awareness of the need for solutions to this problem. Materials and Method: Patients with moderate and higher sensorineural or mixed bilateral symmetrical hearing loss who stated that they lip-read to better understand during communication were included in the study. The patients' speech comprehension scores were gathered while the audiologist wore a surgical mask and then a transparent mask, respectively. Results: Twelve (33,3%) of the patients were female, and 24 (66.7%) were male. The mean age of the patients was 66.64 +/- 1.53 years. The mean speech comprehension scores of the patients when the audiologist was wearing a surgical mask (38.25 +/- 14.33) and a transparent mask (67.81 +/- 14.30), respectively, were compared. The surgical mask significantly affected speech comprehension scores, and the Cohen d value of the effect size was 2.06. As such, the surgical face mask had a great effect on these patients' speech comprehension scores. Conclusions: In elderly lip-reading patients who suffer from hearing loss, seeing the lip movements of the speaker, especially in hospital applications, promotes more effective communication. Transparent face masks can be considered a solution.
  • [ X ]
    Öğe
    Prevalence and risk factors of otitis media with effusion in primary school and kindergarten children in provincial and district centers of Diyarbakir
    (Deomed Publ, Istanbul, 2012) Guzel, Recep; Meric, Faruk; Toprak, Serdar Ferit; Yorgancilar, Argun Ediz; Gun, Ramazan
    Objective: The aim of the present study was to determine the prevalence of otitis media with effusion (OME) among primary school and kindergarten children in provincial and district centers of Diyarbakir. Methods: The study was conducted at 4 primary schools and 3 kindergartens in the city center, and at 13 primary schools in district centers. Using the combined physical examination and otoscopic and tympano-metric evaluations, 256 children out of 1,763 (14.5%) were diagnosed with OME. Results: Among total OME cases (119 girls, 137 boys) 118 (46.1%) had bilateral while 138 cases (53.9%) had unilateral effusion (89 on left and 49 on right ear). The prevalence of OME among primary school students were 12.6% at the city center, 16.3% at district level schools and 15.2% among kindergarten students. Higher OME prevalence is associated with passive smoking and allergic rhinitis. Age, sex, attending kindergarten and socioeconomic status were not significantly related with OME. Conclusion: In conclusion, because of high prevalence of otitis media and its possible severe complications screening equipment should be ensured at primary level health institutions. Screening for OME should be a part of preventive health services particularly for all kindergarten and early elementary school students; and should be performed by ENT specialist or pediatricians/general practitioners trained in pneumatic otoscopic and tympanometric evaluation.