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Öğe A case of concha bullosa pyocele.(2007) Keleş B.; Celik H.; Aydin E.A 12-year-old girl presented with complaints of unilateral nasal obstruction, headache, snoring, and nasal discharge of a two-year history. Physical and nasal endoscopic examination revealed a large lesion obliterating completely the left nasal cavity. A diagnosis of concha bullosa pyocele was made by computed tomography and biopsy. Subtotal resection of the left middle turbinate by endoscopic approach was performed, which resulted in adequate nasal passage and drainage of the pyocele.Öğe 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.Öğe [Frontal sinus obliteration with pericranial-subgaleal flap]. [Perikraniyal-subgaleal flep ile frontal sinüs obliterasyonu.](2010) Oztürk K.; Duran M.; Arba? H.; Keleş B.; Kara M.; Uyar Y.We evaluated the results of patients who underwent frontal sinus obliteration with vascularized pericranial-subgaleal flap. Charts of patients (7 males 1 female; mean age 40.5+/-17.1 years; range 9 to 61 years) who underwent frontal sinus obliteration with pericranial-subgaleal flap between June 2001 and January 2008 were retrospectively reviewed. Demographics, indications for frontal sinus obliteration, immediate and late postoperative complications were recorded. All patients were invited to the clinic and underwent control examinations and computed tomography. The indications for frontal sinus obliteration were fracture of frontal sinus anterior and posterior walls in four cases, frontal sinus mucoceles in two cases, mucopyoceles in one case and fracture of frontal sinus anterior wall in one case. Bicoronal incision was used in all patients and then they underwent frontal sinus obliteration with lateraly based pericranial-subgaleal flap. In the postoperative period rhinorrhea and meningitis, which lasted for two days, developed in one patient with fracture of frontal sinus anterior-posterior walls and hypoestesia developed in the frontal skin area in one patient with fracture of frontal sinus anterior wall. No complications were observed in the other cases. Pericranial-subgaleal flap is a well vascularized, close to surgical area, inexpensive, safe and effective tissue that can be used for frontal sinus obliteration.Öğe Intralabyrinthine lipoma [İntralabirintin lipoma](2012) Uyar Y.; Keleş B.; Paksoy Y.; Duran M.; Azimov A.A 26-year-old man was admitted to our clinic with approximately 8 years history of hearing loss on the right side. The pathological findings were not found in the neuro-otological examination. Severity sensorinoral hearing loss (SNHL) was determined on the pure tone audiometry. The magnetic resonance imaging (MRI) and computed tomography (CT) were shown that the lipomatous lesion involved right cochlea, semicircular canal and internal auditorium canal. Intralabyrinthine lipoma was diagnosed via fat suppression techniques with MRI on T1-weighted images. The patient followed with MRI because he had just SNHL and the lesion minimal involved internal auditory canal.Öğe Is there any relationship between nasal septal deviation and concha bullosa [Nazal Septal Deviasyon ile Konka Bülloza Arasında Herhangi Bir İlişki Var Mı?](TIP ARASTIRMALARI DERNEGI, 2010) Keleş B.; Öztürk K.; Ünald D.; Arba? H.; Özer B.Aim: To evulate relationship between nasal septal deviation and concha bullosa (CB) by using deviation angles and concha bullosa pneumatization index (CBPI). Method: Ninety patients with both nasal septal deviation and CB were evaluated by computerized tomography (CT) of paranasal sinus in coronal plane. Deviation angles and concha bullosa pneumatization index (CBPI) was calculated. Paranasal sinus pathologies were recorded on paranasal sinus CT. Result: Contralateral, ipsilateral and bilateral CB according to nasal septal deviation were found in 45 (50%), 16 (17.8%) and 29 (32.2%), respectively. Contralateral CB was significant higher than ipsilateral CB (p<0.05). CBPI and deviation angle in the patients with contralateral CB were significant higher than in the patients with ipsilateral CB (p<0.05). In contrast, there was not any association between ipsilateral sinus pathology and nasal septal deviation and CB (p>0.05). Conclusion: Results suggested that there was a significantly relationship between nasal septal deviation and contralateral CB.Öğe Petrous bone lesions [Petröz kemik lezyonlari](2006) Oztürk K.; Uyar Y.; Ulkü C.H.; Arba? H.; Keleş B.; Yaman H.OBJECTIVES: We evaluated the results of treatment and follow-up of patients with petrous bone lesions. PATIENTS AND METHODS: We retrospectively evaluated 13 patients (5 females, 8 males; mean age 33.8+/-17.4 years; range 4.5 to 65 years) who were treated and followed-up for petrous bone lesions between 1990 and 2004. The diagnoses were cholesterol granuloma (n=2; 15.4%), chondrosarcoma (n=1; 7.7%), and cholesteatoma (n=10; 76.9%). RESULTS: Patients with cholesterol granuloma had complaints of cephalgia and diplopia while those with cholesteatoma complained of otorrhea and hearing loss. One patient with cholesterol granuloma and eight patients with cholesteatoma underwent surgical operations with the use of middle skull base approach (n=1), transcochlear approach (n=2), translabyrinthine approach (n=1), and tympanopetrosectomy (n=5). Two cases with congenital cholesteatoma and one patient with cholesterol granuloma refused surgical intervention and were only followed-up. CONCLUSION: Besides surgical intervention, follow-up by computed tomography or magnetic resonance imaging may be considered in patients with incidental petrous bone lesions, presenting with limited symptoms.Öğe Prelarengeal thyroglossal duct cyst [Prelaringial tiroglossal duktus kisti](2010) Keleş B.; Uyar Y.; Ülkü C.H.Thyroglossal duct cyst is the most commonly seen midline congenital neck masses found in children but are not uncommon in adults. The extension of the thyroglossal duct cyst into the larynx is very uncommon. Prelaryngeal thyroglossal duct cyst in a 60 year old man is described in this report. A laryngeal malignancy was suspected because of that cystic mass eroded the thyroid cartilage. The diagnosis was confirmed by fine needle aspiration biopsy. Thyroglossal duct cyst can mimic laryngeal malignancy at old ages patients with laryngeal cystic lesion. Therefore, it should be considered that it is likely to be thyroglossal duct cyst in cystic lesions extended into the larynx.Öğe Treatment options and common problems in patients with maxillofacial trauma [Maksillofasiyal travmali hastalarda tedavi seçenekleri ve karsilasilan sorunlar](2006) Keleş B.; Öztürk K.; Arba? H.; Han Ülkü Ç.; Gezgin B.BACKGROUND: The approach and type of management along with the common complications in maxillofacial trauma were evaluated in this study. METHODS: Medical records of 602 patients (486 males; 116 females; mean age 28,4±15,2; range 1 to 80 years) with maxillofacial fractures, admitted to the Department of Otolaryngology between 1992 and 2004, were evaluated in this study. Maxillofacial fracture was diagnosed by clinical and radiological findings. Sex and age distribution of patients, etiology of trauma, localization of the fractures, treatment modalities, time to treatment after the trauma and postoperative complications were recorded. RESULTS: There were 257 (42,7%) mandible, 156 (25,9%) nose, 66 ( 11%) maxillary, 34 (5,6%) zygoma, 32 (5,3%) multiple facial, 29 (4,8%) blow-out and 28 (4,7%) frontal sinus fractures. While 256 (43%) patients underwent closed reduction, 346 (57%) patients were treated by open reduction. Postoperative complications were seen in 8,3% (51) of patients. CONCLUSION: Although associated with some complications, open reduction and miniplate fixation should be the preferred treatment option, since it provides a powerful fixation, is easy to perform, and has better esthetic and cosmetic results.
