OBJECTIVE:The objective was to identify and evaluate factors that may influence the recovery rate in patients with idiopathic sudden sensorineural hearing loss (ISSNHL). MATERIALS and METHODS:A retrospective analysis was performed for patients with sudden sensorineural hearing loss between 2009 and 2013. Those with an identified etiology were excluded. The patients were divided into four treatment groups: (i) systemic corticosteroids (SC) only, (ii) SC+low-molecular-weight heparin (LMWH), (iii) SC+hyperbaric oxygen (HBO), and (iv) SC+LMWH+HBO. Recovery was evaluated according to Siegel's criteria. Age, initial hearing level, onset, treatment and audiogram types, comorbidities, and associated tinnitus and vestibular symptoms were investigated for their impact on prognosis. RESULTS:Two hundred five patients with ISSNHL were included. Recovery was seen in 59% of the patients. The complete recovery rate was significantly lower in patients older than 60 years and in patients presenting with profound hearing loss. Different audiogram curves had no significant effect on recovery. Sudden hearing loss was accompanied by tinnitus in 107 (52.1%) patients and vestibular symptoms in 55 (26.8%); however, neither was noted to affect prognosis. Different treatment combinations did not significantly affect prognosis. However, hypertension and a delay in treatment by more than 10 days from the onset of hearing loss were associated with a worse prognosis. CONCLUSION:Profound hearing loss, older than 60 years, a delay in treatment by more than 10 days, and hypertension were negative prognostic factors in this study, whereas, the type of audiogram curve and addition of HBO to SC did not affect prognosis.

Hemangiomas are benign tumors originating from the skin, mucosa, muscle, gland, and vascular tissue in the bone. Although it is common in the head and neck region, it is rarely seen in the nasal cavity and paranasal sinuses. Histologically capillary, cavernous, and mixed types are present, the most common is cavernous-type hemangioma. Cavernous hemangiomas in the nasal cavity, generally originated from the lateral nasal wall, cause symptoms as nasal obstruction and epistaxis. In the author's patient, cavernous hemangioma was originated from the nasal septum, where rarely seen. The author wanted to discuss this rare disease by presenting a 78-year-old woman who presented with nasal obstruction and recurrent epistaxis to the author's clinic.

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Hemangiomas are benign tumors originating from vascular structures in the body. Although it is common in the head and neck region, it is rarely seen in the nasal cavity and paranasal sinuses. Histologically, there are three types of hemangiomas including capillary, cavernous, and mixed types, the most common being a cavernous hemangioma. Cavernous hemangiomas in the nasal cavity usually originate from the lateral nasal wall and cause symptoms such as nasal congestion and nosebleeds.

Objective: The aim of this study was to investigate the serum renin levels of patients with idiopathic sudden sensorineural hearing loss (ISSNHL). Material and Methods: Twenty-four patients with ISSNHL and 24 asymptomatic healthy volunteers were included in the study. Subjects underwent pure-tone audiometry and serum renin levels were measured. Results: There were 14 women (mean age:42.35 ± 9.53) and 10 men (mean age:43.8 ± 6.87) in the patient group. There were 14 women (mean age:42.4 ± 4.7) and 10 men (mean age:41.4 ± 4.59) in the control group. ISSNHL was detected on the right side in 13 patients and on the left side in 11 patients. Serum renin levels of the patients and controls were 788.01 ± 327.8 and 282.37 ± 107.73 pg/mL, respectively. The serum renin levels were found to be significantly higher in the patient group compared to the control group ( P ≤ .001). There was a statistically significant strong positive correlation between serum renin level and the severity of hearing loss ( r = 0.77; P = .001). Conclusion: Serum renin levels of patients with ISSNHL were higher than controls. There was a statistically significant strong positive correlation between serum renin level and the severity of hearing loss.

Results: In our study, 13 papillary carcinoma tissues, five follicular carcinoma tissues, six benign nodules, and one healthy tissue were stained positively. Although there was a statistically significant difference between papillary carcinoma and healthy tissue, no statistically significant difference was found between the other groups. Conclusion: VAP-1 glycoprotein can be used as a biomarker in the diagnosis of papillary thyroid carcinoma.

Amaç: Konka büllozanın (KB) kafa tabanı yüksekliği üzerindeki etkisini göstermektir. Yöntemler: Hastanemizde sinüzit nedeniyle paranazal sinüs tomografisi çekilen 1022 hastanın dosyaları retrospektif olarak tarandı. Üç yüz otuz hastada bilateral, 330 hastada unilateral KB vardı, ancak 330 hastada KB yoktu. Kesitleri ve pozisyonları uygun olmayan hastalar çalışma dışı bırakıldı. Çalışmaya 18-72 yaş arası toplam 990 hasta dahil edildi. Hastaların beşyüz altmış yedisi kadın, 423'ü erkekti. Her grupta erkek ve kadın hastaların sağ ve sol kafatası tabanının yükseklikleri kendi içlerinde ve birbirleri arasında karşılaştırıldı. Kafatası tabanının yüksekliği, kribriform plaka ile fovea etmoidalis arasındaki lateral lamel boyunca koronal düzlemde ölçülmüş ve bu ölçümler Keros sınıflandırması kullanılarak sınıflandırılmıştır. (Keros tip 1: 1-3 mm, Keros tip 2: 4-7 mm, Keros tip 3: 8-16 mm). Bulgular: Bilateral KB grubunda kadın ve erkek hastaların sağ ve sol kafatası tabanı yükseklikleri arasında istatistiksel olarak anlamlı bir fark saptanmadı. Ayrıca, kadın ve erkeklerin kendi içlerinde yapılan karşılaştırmalarında da istatistiksel anlamlı bir fark saptanmadı. Unilateral KB grubunda kadın ve erkek hastaların KB'si olan ve KB'si olmayan taraf kafatası tabanı yükseklikleri arasında istatistiksel olarak anlamlı bir fark saptanmasına rağmen, kadın ve erkeklerin kendi içlerinde yapılan karşılaştırmalarında istatistiksel anlamlı bir fark saptanmadı. Sonuç: Unilateral KB'li hastalarda, KB olan ve olmayan taraflar arasında kafatası tabanı asimetrisi vardır ve komplikasyonları önlemek için bu dikkate alınmalıdır. Anahtar Kelimeler: Konka bülloza, kafatası tabanı, paranazal sinüs tomografisi Introduction: To demonstrate the effect of concha bullosa (CB) on the height of the skull base. Methods: We retrospectively scanned the files of 1022 patients who had undergone paranasal sinus tomography for sinusitis in our hospital. Three hundred thirty patients had bilateral, and 330 had unilateral CB, but 330 patients did not have CB. Patients with inappropriate sections and positions were excluded from the study. A total of 990 patients aged between 18 and 72 years were included in the study. Five hundred sixtyseven of the patients were female, and 423 were male. In each group, the heights of the right and left skull base of male and female patients were compared within themselves and between each other. The height of the skull base was measured in the coronal plane along the lateral lamella between the cribriform plate and the fovea ethmoidalis, and these measurements were classified as Keros classification. (Keros type 1: 1-3 mm, Keros type 2: 4-7 mm, Keros type 3: 8-16 mm). Results: There was no statistically significant difference in the comparison between right and left skull base heights of female and male patients in bilateral CB group. Also, there was no statistically significant difference between the comparison of women and men within themselves. There was a statistically significant difference between CB side and non-CB side sk...