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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 Microbiological and some chemical features of the pastrami sold in Turkey(2007) Elmali M.; Yaman H.; Ulukanli Z.; Tekinsen K.The microbial quality and chemical parameters of the pastrami sold in Turkey were analyzed. Numbers of total aerobic bacteria (TAB) and Lactobacillus spp in the samples varied between 105 and 108 cfu/g. Out of 60 samples, 53.3% of the TAB and 48.3% of Lactobacillus spp around 10 6 cfu/g. Staphylococcus and Micrococcus spp. were between 10 3 and 107 cfu/g, though 46.6% around 104 cfu/g. The levels of Enterobacteriaceae and coliform bacteria varied between < 102 and 103 cfu/g. Most (63.3% and 90.0% respectively) of these two groups were present at < 102 cfu/g while 25.0% were around 103 cfu/g, and 8.33% around 102 cfu/g, respectively. The levels of yeast and Enterococcus spp. were between < 102 and 104 cfu/g although 56.6% and 41.6% were present at around 103 cfu/g, respectively. S. aureus, E. coli, Pseudomonas spp., sulphite reducing anaerobes, and moulds were < 102 cfu/g in all the samples examined. E. coli O157 H7 and Salmonella spp. were not detected in 25 g. pH levels were between 5.39 and 5.80. Moisture was < 50.0% in 41 samples, and between 51.2 and 54.8% in 19 samples. Salt was < 8.5% in 47 samples and > 8.5% in 13 samples. The pastrami examined in this study was generally, of good hygienic and chemical quality, although the yeast levels were higher than those indicated in TS 1071.Öğe Penetrating zone II neck injury by broken windshield(2006) Ozturk K.; Keles B.; Cenik Z.; Yaman H.All penetrating neck wounds are potentially dangerous and require emergency treatment because there are important vessels, nerves and organs in the neck. We present the case of a patient who had an unusual penetrating neck injury caused by a broken windshield, noticed accidentally. Because fragments of windshield glass consist of sharp material, and the neck contains vital structures, such penetrating neck injury may cause life-threatening complications. Radiological examinations should be offered before the management of all neck wounds. The risk of retained foreign bodies and related complications can be prevented by using fluoroscopy during surgical exploration of the neck. © 2006 Blackwell Publishing Ltd and Medicalhelplines.com Inc.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 A survey study on "Turk-Orthopod", a Turkish electronic discussion group in orthopedics and traumatology [Türk ortopedisinin elektronik haberleşme ve tartişma grubu "Türk-Ortopod" üzerine bir anket çalişmasi.](2004) Arazi M.; Yaman H.; Heybeli N.OBJECTIVES: This study evaluated demographic data of Turk-orthopod members, an electronic mailing list organized for communication between Turkish speaking orthopedic surgeons, and the contribution of the mailing list to the academic improvement and education of its members. METHODS: A twenty-seven item questionnaire was prepared for online survey and an e-mail massage was sent to the members of the e-group asking them to respond to the questionnaire. RESULTS: The response rate was 33% (n=225; 224 males, 1 female; mean age 36.5 years; range 25 to 64 years). A great majority of the respondents (74.2%) worked in a teaching hospital as a member of active education; 104 respondents worked in a medical school, and 76 respondents (33.8%) had a faculty membership. Access to scientific information (55.1%) was the most frequent reason for using the Internet. Messages related to case discussions (60.9%) and scientific announcements (27.6%) received the most attention and interest. Of the participants, 56.4% reported to have read all the incoming messages, and 35.1% reported not to have sent any messages to the group. CONCLUSION: Our electronic discussion group, Turk-orthopod, has proved to be a quick communication tool, presenting a considerable potential to contribute to continuous medical education of Turkish orthopedists.
