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    Foley balloon placement for maxillofacial fractures [Maksillofasiyal kiriklarda foley kateter balonunun kullanimi.]
    (2006) Keleş B.; Oztürk K.; Arbag H.; Yaman H.; Cenik Z.
    OBJECTIVES: The aim of the study was to evaluate the effectiveness of maxillary sinus Foley balloon placement in patients with maxillofacial fractures. PATIENTS AND METHODS: This study included 38 patients (10 females, 28 males; mean age 29.1+/-11.6; range 9 to 49 years) in whom Foley balloon placement and gauze packing were performed for blow-out, orbitozygomatic, or maxillary fractures. Sex and age distributions, etiology of trauma, localization of fractures, management, intraoperative and postoperative complications were evaluated. RESULTS: Eighteen patients had blow-out fractures, 15 patients had orbitozygomatic fractures, and five patients had Le Fort II-III fractures of the maxilla. Preoperatively, enophthalmos, diplopia, limited ocular motility, and facial asymmetry were found in 28.9%, 26.3%,18.4% and 65.8%, respectively. Sufficient maxillary sinus patency was obtained in 32 patients (84.2%). Enophthalmos, diplopia, limited ocular motility, and facial asymmetry were found in 13.2%, 7.9%, 5.3%, and 18.4% in the postoperative period, respectively. CONCLUSION: Maxillary Foley balloon placement should be preferred in the blow-out, orbitozygomatic, and maxillary fractures because it supports the orbital floor and provides sufficient maxillary sinus patency.
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    Hydatid cyst of the submandibular salivary gland in a child
    (2007) Ulku C.H.; Uyar Y.; Gungor S.; Koroglu D.; Arbag H.
    The majority of hydatid cysts are seen in the liver and lungs. In countries where Echinococcus infestation is common, high index of suspicion is required for hydatosis and although it is a rare location, a hydatid cyst should be considered in the differential diagnosis of the cervical lesions in order to avoid any dangerous complication such as untreatable multiple hydatosis or a fatal anaphylactic reaction. Surgical removal without causing any spillage of its contents is the most effective treatment. To the best of our knowledge, only one submandibular gland hydatid cyst case in a child has been reported. A case of 9-year-old male with hydatid cyst of the submandibular salivary gland is presented. The literature was reviewed and characteristics of the disease were discussed. © 2006 Elsevier Ireland Ltd. All rights reserved.
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    Management of parapharyngeal space tumors
    (2004) Ulku C.H.; Uyar Y.; Arbag H.
    In this study, we aimed to investigate the influence of the surgical approaches for the parapharyngeal space tumors. Eighteen patients with parapharyngeal space tumors diagnosed and treated at our clinic between 1992 and 2001 were included in this study. Surgical techniques used included transcervical, transparotid, transcervical-transmandibular, and infratempoRal-A approaches depending on tumor size, location, vascularity, and malignant potential. Postoperative radiation therapy was applied in all malignant tumor. Postoperative morbidity, complications, and recurrence were evaluated. We found that 55.6 % of the PPS tumor were of salivary gland origin, 27.8 % were neurogenic, and 16.6% were miscellaneous. Of the four surgical techniques, transcervical approach were used most commonly, Postoperative morbidities were at acceptable levels. Our surgical survival rates were 100% for benign and 40% for malignant PPS tumors after a mean follow-up of 54 months.