Antrochoanal polyps (ACPs) are benign polypoid lesions arising from the maxillary antrum and they extend into the choana. They occur more commonly in children and young adults, and they are almost always unilateral. The etiopathogenesis of ACPs is not clear. Nasal obstruction and nasal drainage are the most common presenting symptoms. The differential diagnosis should include the causes of unilateral nasal obstruction. Nasal endoscopy and computed tomography scans are the main diagnostic techniques, and the treatment of ACPs is always surgical. Functional endoscopic sinus surgery (FESS) and powered instrumentation during FESS for complete removal of ACPs are extremely safe and effective procedures. Physicians should focus on detecting the exact origin and extent of the polyp to prevent recurrence.

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Objective. The aim of the present study was to objectively and subjectively evaluate the effects of adding rhinophototherapy to intranasal beclomethasone dipropionate to treat nasal congestion in patients with seasonal allergic rhinitis. Method. Seventy-five seasonal allergic rhinitis patients were randomly divided into two groups. Patients in Group 1 received intranasal beclomethasone dipropionate for two weeks and patients in Group 2 had rhinophototherapy added to the same medical therapy as Group 1. The effectiveness of treatments was evaluated with the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ), Nasal Obstruction Symptom Evaluation scale (NOSE) questionnaires and active anterior rhinomanometry. Results. After treatment, significant improvement was observed in Group 2 vs Group 1 in terms of RQLQ (p = 0.011) and NOSE (p = 0.001) scores. In Group 2, significant differences were observed between before and after treatment for inspiratory total nasal resistance (p = 0.004). However, no significant differences vs. baseline were observed in Group 1. Conclusion.Our study shows that adding intranasal phototherapy with a combination of UVA, UVB and visible light therapy to nasal beclomethasone dipropionate treatment objectively improves nasal patency in patients with seasonal allergic rhinitis.

ÖzetAmaç Bu çalışmada oral kaviteden biyopsi yapılan ve histopatolojik olarak benign ve premalign tanı koyulan hastaların retrospektif olarak ayrıntılı analizlerinin yapılması amaçlanmıştır. Yöntem Çalışmamızda Ocak 2014-Ocak 2019 tarihleri arasında üçüncü basamak bir hastanenin kulak burun boğaz hastalıkları kliniğinde oral mukozadan insizyonel yada eksizyonel biyopsi yapılan ve histopatoloji tanısı benign yada premalign olarak değerlendirilen 67 hastanın retrospektif olarak histopatolojik tanı, cinsiyet ve yaş grupları dağılımları incelenmiştir. Bulgular Çalışmamıza 33' ü (%49.3) erkek, 34' ü (%50.7) kadın olmak üzere toplam 67 hasta dâhil edildi. Hastaların yaş ortalaması 44.90 ± 19.77 olarak tespit edildi. Hastaların yaş dağılımları değerlendirildiğinde 10-20 yaş aralığında 12 (%17.9), 21-30 yaş aralığında 8 (%11.9), 31-40 yaş aralığında 6 (%9), 41-50 yaş aralığında 9 (%13.4), 51-60 yaş aralığında 16 (23.9), 61-70 yaş aralığında 10 (%14.9) ve 71-80 yaş aralığında 6 (%9) hasta tespit edildi. En sık saptanan benign lezyonlar piyojenik granülom (%10.4) ve radiküler kist (%11.4) olarak tespit edildi. AbstractBackground The aim of this study was to retrospectively analyze the patients who were biopsied from the oral cavity and histopathologically diagnosed as benign and premalignant. Methods In this study, we retrospectively examined histopathological diagnosis, sex and age groups of 67 patients who underwent incisional or excisional biopsy of the oral mucosa and diagnosed as benign or premalignant in the otorhinolaryngology clinic of a tertiary hospital between January 2014 and January 2019. Results A total of 67 patients were included in our study, 33 (49.3%) were male and 34 (50.7%) were female. The mean age of the patients was 44.90 ± 19.77 years. According to age distribution, numbers of patients in 10-20, 21-30, 31-40, 41-50-51-60, 61-70 and 71-80 age groups were 12 (17.9%), 8 (11.9%), 6 (9%), 9 (13%), 16 (23.9%), 10 (14.9%) and 6 (9%), respectively. The most common benign lesions were pyogenic granuloma (10.4%) and radicular cyst (11.4%). Conclusions As a result, biopsies should be performed to exclude malignancy in the oral cavity. In addition, the diagnosis of rare lesions is important in terms of treatment management.

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Objective: This study aims to analyze the sinonasal anatomical variations accompanying the nasal septal deviation, the correlations between these variations, and their relationship with the septal deviation angle. Methods: In this retrospective study, preoperative paranasal computed tomography (CT) scans of 206 patients who underwent septoplasty between January 2015 and December 2019 were examined. In CT scans, different nasal septal deviation types, Keros classification, optic nerve type, ethmoid air cell variants, nasal concha variants, paranasal sinus pneumatization variants, and the correlation between accessory pneumatization variants and their relationship with the septal deviation angle were analyzed. Results: In patients with nasal septal deviation, supraorbital ethmoid cell, anterior clinoid process pneumatization and onodi cell were more frequent compared to the literature. Any significant correlation between the nasal septal deviation angle and the presence of sinonasal variants was not detected (p > 0.05). Correlations were significant between the presence of Frontal sinus hypoplasia and Haller cell (ϕ = -0.142, p = 0.042), Supraorbital Ethmoid cell (ϕ = -0.173, p = 0.013) and Paradoxal middle concha (ϕ = 0.152, p = 0.029). Conclusion: Careful examination of paranasal CTs before craniomaxillofacial surgeries is important to determine sinonasal anatomic variants, to determine the appropriate treatment plan and to prevent possible complications peroperatively.