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    Bimaxillary orthognathic surgery in a patient with long face: a case report.
    (1999) Ataoglu H.; Uçkan S.; Karaman A.I.; Uyar Y.
    The primary characteristics of long face patients are gummy smile and/or anterior open bite. Consequently, correction of esthetic and functional problems are especially important for long face patients. Since orthodontic therapy alone is not sufficient to solve the problem, orthognathic surgical approach is indicated for these patients. In this report, orthognathic surgical therapy of a severe long face patient with similar findings was presented. Following clinical and cephalometric examination and preoperative orthodontic therapy, a Le Fort I osteotomy, a bilateral sagittal split osteotomy, and vertical and horizontal reduction genioplasties were performed. Alternative surgical therapies, complications, and the effects on the upper respiratory tract are also discussed.
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    [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.
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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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    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.
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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.
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    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.
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    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.