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    Inferior Concha Bullosa with Bilaterally Concha Hypertropy
    (MODESTUM LTD, 2015) Yuca, Koksal; Varsak, Y. Kursad; Eryilmaz, Mehmet Akif; Arbag, Hamdi
    Inferior concha bullosa is an extremely rare anatomic malformation. Unlike other turbinates of the nasal cavity Inferior turbinate is a separate bone. Although inferior concha bullosa is generally asymptomatic and diagnosed incidentally by computed tomography. Nasal obstruction, headache, epiphora, rhinorrhoea, and dysosmia are some of the possible symptoms. We report the case of a 37- year- old white woman with right inferior concha bullosa and bilaterally inferior turbinate hypertropy. We discuss and report this rare condition under literature.
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    Single seventh day debridement compared to frequent debridement after endoscopic sinus surgery: a randomized controlled trial
    (SPRINGER, 2016) Varsak, Yasin Kursad; Yuca, Koksal; Eryilmaz, Mehmet Akif; Arbag, Hamdi
    The aim of this study was to evaluate the postoperative debridement frequency following endoscopic sinus surgery. Individual randomized controlled trial. Sixty-two adult patients with a diagnosis of chronic rhino sinusitis (CRS) with nasal polyps (NP) and CRS without NP meeting the inclusion criteria were enrolled in this prospective study. The patients were randomized equally to frequent debridement (FD; at postoperative weeks 1, 2 and 4) or to a single debridement (SD; at postoperative week 1) after surgery. The outcomes were assessed with visual analog scale (VAS) for nine main symptoms concerning patient discomfort within the first 4 weeks, with the modified Lund-Kennedy endoscopic score (MLKES) at weeks 4 and 24 and with the sino-nasal outcome test-20 (SNOT-20) at week 24. Thirty-seven of the patients were male, and twenty-five were female. The mean age was 36.1 +/- 13.5 in FD group and 39.2 +/- 14.7 in SD group. In the SD group, the VAS scores at postoperative week four showed significantly less discomfort at visits (p = 0.004) and less negative effects on their work (p = 0.013). There was no statistically significant difference between the two groups in the week 4 and 24 MLKES and in the week 24 SNOT-20 scores (p > 0.05). The endoscopic findings did not show significant differences between the groups. Our data indicate that FD causes more discomfort at the required visits, more facial pain and more negative effects on patients' work; this method is not superior to postoperative single seventh day debridement in terms of the 24-week quality of life and endoscopic scores.