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    Cartilage Island graft tympanoplasty in advanced middle ear disease: Anatomic and audiologic results
    (2010) Ulku C.H.
    Objective: To present the experience in cartilage island graft tympanoplasty for advanced middle ear pathologies and evaluate its success rate and audiologic results. Materials and Methods: The charts of patients who underwent cartilage island graft tympanoplasty for advanced middle ear disease from September 2006 to March 2009 were reviewed and only oto-endoscopy assisted intact canal wall (ICW) / type 3 tympanoplasty procedures have been included in this study. Reviewed parameters were graft take, change between the preand post operative pure tone average air bone gap (PTA-ABG) and complications. Audiologic evaluation was made among the patients whom complete ear drum closure was achieved Results: Of the 36 procedures, 63.9% were for chronic otitis media with cholesteatoma, 11.1% for chronic otitis media with polyp, 25% for adhesive otitis/retraction pocket with or without cholesteatoma. TORP was used in 14 cases and PORP in 22. Graft take was achieved 88.9% of the patients. There were two attic perforation with cholesteatoma and two anterior perforation. The overall pre-and postoperative PTA-ABG were 28.91± 8.73 dB and 10.42±6.10 dB. PORP subgroups had a statistically signifcant better hearing results at 0.5 kHz, 4.0 kHz and average. Conclusion: Results in our study indicate that cartilage island graft is a reliable material in advanced middle ear pathologies with satisfactory anatomical -functional outcomes and it reduces the risk of retraction pockets which can lead to recurrent cholesteatoma. Copyright 2005 © The Mediterranean Society of Otology and Audiology.
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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.