This study provided evidence that venlafaxine and propranolol show equal effectiveness as prophylactic drugs for ameliorating vertiginous symptoms in VM patients. However, venlafaxine may be superior to propranolol in ameliorating depressive symptoms.

Fine needle aspiration biopsy is an important diagnostic tool for evaluating parotid gland tumors. It is more accurate in detecting benign tumors. In tumors greater than 2cm and extending to the deep lobe, the sensitivity of fine needle aspiration biopsy is high. The use of fine needle aspiration biopsy in conjunction with clinical and radiological evaluation may help to reduce false positive and false negative results.

To ascertain the level and rate of olfactory dysfunction in patients with leprosy and to determine whether olfactory bulb volume is affected by the pathophysiology. Olfactory bulb (OB) volume, measured using magnetic resonance imaging (MRI), was compared in 15 patients with leprosy and 15 healthy controls. All of the participants were evaluated using a detailed history to identify the probable causes of the smell dysfunction. Those who had a disease other than leprosy that may have caused the smell dysfunction were excluded from the study. OB volumes were calculated by manually tracing the OB on coronal sections. Orthonasal olfaction testing was used to assess smell function. The orthonasal olfaction testing indicated that all patients with leprosy were anosmic or severely hyposmic. The smell function test indicated that the OB volume of the patient group was significantly lower than that of the control group. No within-group difference was detected between right and left OB volume in either group. The patients in the leprosy group were severely hyposmic or anosmic and their olfactory bulb volume was significantly lower than that of the control group. To our knowledge, this study is the first to show a reduction in olfactory bulb volume among leprosy patients.

No abstract

Özet Amaç: İkinci basamak bir devlet hastanesinde yapmış olduğumuz tonsillektomi operasyonları sonrası kanayan hastaların özelliklerini ve bu hastalara yaklaşımlarımızı araştırdık. Yöntemler: Bu geriye dönük çalışmada Mart 2009-Aralık 2012 tarihleri arasında ikinci basamak devlet hastanesi kulak burun boğaz (KBB) kliniğinde (Babaeski Devlet Hastanesi) yapılmış toplam 322 tonsillektomi vakasından postoperatif kanaması olan 11'i kadın yedisi erkek, ortalama yaşı 19,8 (5-45 yaş) olan toplam 18 hasta (%5.5) sunuldu. Bulgular: Kanaması olan 18 hastanın (%5.5) ikisinde primer (%11), 16'sında (%89) sekonder kanama mevcuttu. Sekonder kanama ile gelen hastaların geliş günleri kaydedildi (ikisinde üçüncü gün, ikisinde dördüncü gün, altısında beşinci gün, birinde altıncı gün, dördünde yedinci gün, birinde 10. gün). Dört hastanın (%22) kanaması konservatif metotlarla, 14 hastanın (%78) kanaması ise ameliyathane şartlarında müdahale edilerek kontrol altına alındı. Hiç bir hastada eksternal karotid arter ligasyonu yapılmadı. Sonuç: Tonsillektomi KBB pratiğinde sık uygulanan bir operasyondur. Bu operasyonun en önemli ve hayatı tehdit edebilecek komplikasyonu kanamadır. Bu hastaların özelliklerinin araştırılması, bu komplikasyonun yaşanmasını azaltmak için önlemler almamıza ve bu hastaların erken tanınarak doğru müdahalelerde bulunabilmemize katkı sağlayacaktır. (Ha se ki T›p Bül te ni 2014; 52: 1-4) Anahtar Kelimeler: Kanama, komplikasyon, risk faktörleri, tonsillektomi Abs tract Aim: Investigation of features of patients with post-tonsillectomy bleeding and evaluation of clinical approach to those patients in a second-degree state hospital. Methods: In this retrospective study we evaluated records of 322 patients who had undergone onsillectomy in the Department of Otolaryngology (ENT) at Babaeski State Hospital, a seconddegree state hospital between March 2009 and December 2012. The median age of the subjects was 19.8 (5-45) years.Results: A total of 18 patients (5.5%, 11 female, 7 male) had reported post tonsillectomy bleeding. Two patients had primary (11%), 16 (89%) had secondary bleeding. Admittance days of secondary bleeding patients were recorded (two at the 3 rd , two at the 4 th , six at the 5 th , one at the 6 th , four at the 7 th and one at the 10 th days, post-operatively). Bleeding was controlled in 4 patients using conservative methods. In 14 patients, bleeding was brought under control in the operating room. External carotid artery ligation was not performed in any patient. Conclusion: Tonsillectomy is a common ENT operation. The most important and life-threatening complication of this operation is bleeding. Investigating the clinical features of patients with posttonsillectomy bleeding may help us in taking appropriate precautions to reduce the incidence of this complication. (The Me di cal Bul le tin of Ha se ki 2014; 52: 1-4)