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Öğe Accidental swallowing of the head of a dental mirror: Report of a rare case(ELSEVIER TAIWAN, 2012) Oncel, Murat; Apiliogullari, Burhan; Cobankara, Funda Kont; Apiliogullari, SezaForeign body ingestion/aspiration episodes are potential complications in all branches of dentistry. We report a case of swallowed head of dental mirror found in the esophagus. In this unusual case, a 26-year-old male who was anxious because of excessive pain accidentally swallowed the head of the dental mirror during examination. Given the absence of immediate clinical complications, the patient underwent a chest radiograph. The head of dental mirror was located in the middle third of the esophagus and was later removed by rigid esophagoscopy. To our knowledge, this is the first documented case of a swallowed head of dental mirror found in the esophagus. In addition to the clinical repercussions, this paper also discusses management strategies for patients who have accidentally swallowed components of dental instruments. Copyright (C) 2012, Association for Dental Sciences of the Republic of China. Published by Elsevier Taiwan LLC. All rights reserved.Öğe Is a Neutral Head Position as Effective as Head Rotation During Landmark-Guided Internal Jugular Vein Cannulation? Results of a Randomized Controlled Clinical Trial(W B Saunders Co-elsevier Inc, 2012) Apiliogullari, Burhan; Kara, Inci; Apiliogullari, Seza; Arun, Oguzhan; Saltali, Ali; Celik, Jale BengiObjective: Central venous access remains a cornerstone procedure for a variety of clinical conditions. Ultrasound studies suggest that rotation of the head increases the magnitude of the overlap of the internal jugular vein with the carotid artery. The authors assessed whether a neutral position of the head during anatomic landmark-guided cannulation of the internal jugular vein (UV) was an attractive alternative to rotating the neck to a >45 degrees head turn. Design: A prospective, randomized, controlled study. Setting: An education and research hospital and a university-affiliated hospital. Participants: Eighty patients requiring central venous catheterization in the right IJV. Interventions: Under general anesthesia, patients were positioned in the Trendelenburg position with extension of the neck. In the rotated group, the head was rotated to the left at >45 degrees. In the neutral group, the head was placed in the neutral position. Right IJV cannulation was performed using the central approach with the needle angled toward the ipsilateral nipple. The primary outcome variable was the cumulative success rate, which was defined as IJV puncture achieved in the first 3 attempts using a finder needle. A p value of <0.05 was considered statistically significant. Measurements and Main Results: Groups were similar in terms of demographic data. The success rates of finder needle passes into the IJV on the first attempt were 87.5% and 37.5% (p < 0.05), and the cumulative success rates on the first 3 attempts were 97.5% and 57.5% in the rotated and neutral groups, respectively (p < 0.05). Carotid artery puncture only occurred in 2 patients in the rotated group. Conclusions: Because of the lower success rate, the neutral head position is not an attractive alternative for IJV catheterization when compared with the rotated head position in a central landmark IJV approach.Öğe THE QUEST FOR THE PERFECT INTERNAL JUGULAR VEIN CANNULATION CONTINUES(ELSEVIER SCIENCE INC, 2014) Apiliogullari, Burhan; Ozbek, Seda; Esme, Hidir[Abstract not Available]
