Objective. To compare pediatric and adult age groups in terms of postoperative bleeding and pain following tonsillectomy performed by thermal welding system (TWS). Method. The study consisted of 213 patients, of whom 178 were children and 35 were adults. The mean age of the pediatric patients (81 girls and 97 females) was 6.7 ± 2.4 years (range 3–13 years) and the mean age of the adults (20 males and 15 females) was 21.8 ± 7.07 years (range 15–41 years). All of the patients were evaluated in terms of postoperative bleeding and pain following tonsillectomy performed by TWS. Results. Bleeding was detected in the late postoperative period in 11 pediatric and 7 adult patients and of them 2 pediatric and 3 adult patients controlled under general. Postoperative bleeding was significantly less prevalent in the pediatric age group compared to the adult age group (P = 0.04). Likewise, postoperative pain was significantly less prevalent in the pediatric age group as compared to the adult age group (P < 0.001). Conclusion. Both postoperative bleeding and pain following tonsillectomy performed by TWS were more prevalent in the adult age group compared to the pediatric age group.
Continuous positive airway pressure treatment reduced the QT corrected interval dispersion in patients with severe obstructive sleep apnea. In addition, shortening the QT corrected interval dispersion periods in patients with severe obstructive sleep apnea may reduce their risk of arrhythmias and cardiovascular disease.
Objective: Vertigo is a general term used for disorientation and is a frequent cause of admission to emergency services, otorhinolaryngology and neurology outpatient clinics. This study aims to evaluate the clinical findings, diagnostic laboratory tests, brain magnetic resonance imaging, and Doppler ultrasonography results of patients with complaints of vertigo. Methods: Patients aged >18 years who admitted to the Otorhinolaryngology and Neurology Outpatient clinics of Kahramanmaraş Sütçü İmam University Training and Research Hospital with the main complaint of vertigo between January 2017 and August 2017 were retrospectively reviewed. The patients were evaluated in respect of anamnesis, examination findings, and diagnostic tests (pure tone audiometry, video nystagmography, brain magnetic resonance imaging, and carotid and vertebral artery Doppler ultrasonography). Results: The study included a total of 101 patients with a mean age of 46.36 ± 16.1 years who presented with the complaint of vertigo. Of the patients, 16 had an ischemic gliotic region, 4 had a lacunar infarct, 2 had an arachnoid cyst, 2 had a cerebellar infarct, 1 had a meningioma, and 1 had a pineal gland cyst on the brain magnetic resonance imaging. Of the patients evaluated in the Otorhinolaryngology outpatient clinic, 87 (86.13%) were diagnosed with peripheral vertigo and 14 (13.6%) with central vertigo. A diagnosis of central vertigo was made in 23 (22.77%) patients evaluated in the Neurology outpatient clinic. Conclusions: For patients presenting with the complaint of vertigo to the otorhinolaryngology and neurology outpatient clinics, a detailed anamnesis and a physical examination precede specific vestibular tests in the diagnosis. A coordinated communication of both clinics is important for a rapid diagnosis and prevention of unnecessary examinations.
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