Objectives: This study aims to classify septal deviations according to the Mladina classification and to investigate the relationship between concha bullosa and septal deviation. Patients and Methods:A total of 407 patients (229 males, 178 females; mean age 30.9±13.3 years; range 14 to 69 years) who admitted to our clinic with nasal obstruction, were identified to have deviation, and detected to have concha bullosa on computed tomography were included in the study. Patients' age, gender, type of deviation according to the Mladina classification, side of deviation, side of concha bullosa and the dominant side in bilateral cases were recorded.Results: Rate of type 3 septal deviation (34.4%) was higher than the other septal deviation types. We detected that septal deviation in patients of concha bullosa was to the opposite side at a rate of 83% and the deviations were type 3 at a rate of 47%. Conclusion:Concha bullosa may cause septal deviation, while septal deviation may cause concha bullosa as well. Both conditions affect each other physically. The fact that type 3 deviation is seen more frequently in this combination supports this finding.Keywords: Concha bullosa; Mladina classification; septal deviation. ÖZAmaç: Bu çalışmada septum deviasyonları Mladina sınıflamasına göre sınıflandırıldı ve konka bülloza ile septum deviasyonu arasındaki ilişki araştırıldı. Hastalar ve Yöntemler:Kliniğimize burun tıkanıklığı ile başvuran, deviasyon saptanan ve bilgisayarlı tomografisinde konka bülloza bulunan 407 hasta (229 erkek, 178 kadın; ort. yaş 30.9±13.3 yıl; dağılım 14-69 yıl) çalışmaya alındı. Hastaların yaşı, cinsiyeti, Mladina sınıflamasına göre septum deviasyon tipi, deviasyon tarafı, konka bülloza tarafı ve iki taraflı olgularda dominant taraf kaydedildi. Bulgular: Tip 3 septum deviasyonu oranı (%34.4) diğer septal deviasyon tiplerinden daha yüksekti. Konka bülloza hastalarındaki septum deviasyonunun %83 oranında karşı tarafa ve deviasyonların %47 oranında tip 3 olduğu saptandı.Sonuç: Konka bülloza septum deviasyonuna neden olabilirken septum deviasyonu da konka büllozaya neden olabilir. Her iki durum birbirini fiziksel olarak etkilemektedir. Tip 3 deviasyonun bu kombinasyonda daha sık görülmesi bu bulguyu destekler niteliktedir.Anahtar Sözcükler: Konka bülloza; Mladina sınıflaması; septum deviasyonu.
Introduction: In the etiology of facial nerve palsy, trauma is the most important. Our aim was to present our experience gained by evaluating the surgical approaches we have used in extratemporal and intratemporal facial nerve injuries and their long-term results, also to contribute to the consensus that will be formed on this subject. Materials and Methods: Thirteen patients among 24 patients who underwent surgery with a diagnosis of traumatic facial paralysis were evaluated in this study. The clinical response of these patients to treatment was examined by classifying them according to the House-Brackmann classification in the preoperative and postoperative periods. Results: Of the 13 patients, 9 had fractures due to temporal bone trauma, and 4 had nerve damage in the extratemporal part of the facial nerve. in the treatment, facial nerve decompression was performed using the middle fossa approach in 9 patients with temporal bone fractures. in the 4 patients with extratemporal facial nerve injury, graft repair or primary suturing was performed. in the postoperative period, the stages of the patients were III or below in 12 patients (92%), and only 1 (8%) patient remained in stage IV. Discussion: When the postop conditions of the patients were examined according to House-Brackmann staging, it was observed that surgical treatment caused a significant improvement in the functions of the facial nerve. Conclusions: Our results showed that surgery was an effective treatment method in patients with indications for traumatic facial paralysis.
I In nv ve es st ti ig ga at ti io on n o of f d di is st to or rt ti io on n p pr ro od du uc ct t o ot to oa ac co ou us st ti ic c e em mi is ss si io on n v va al lu ue es s i in n s su up pe er ri io or r s se em mi ic ci ir rc cu ul la ar r c ca an na al l d de eh hi is sc ce en nc ce e
Objective: It was aimed to evaluate the prevalence of symptoms, chronic diseases, lung CT findings and blood parameters by dividing the patients hospitalized with the diagnosis of COVID-19 in our hospital into two groups as PCR (polymerase chain reaction) (+) and PCR (-) and to compare the two groups.Material and Methods: Between January 2021 and June 2021, 451 patients who were hospitalized in our hospital's COVID-19 service and met the study criteria were included in the study. The patients were divided into two groups as PCR (+) and PCR (-) according to PCR results. Demographic data, chronic diseases, symptom prevalence, blood parameter results and lung CT findings of the patients were analyzed and compared between the two groups.Results: Contact history was significantly higher in the PCR (-) group than in the PCR (+) group (p= 0.021). The distribution of chronic diseases did not differ according to the groups (p> 0.05). Smell and taste disorders were significantly higher in the PCR (+) group than in the PCR (-) group (p= 0.019, p= 0.007). Fever and diarrhea were found to be significantly higher in patients younger than 65 years of age compared to those over 65 years of age (p< 0.001, p= 0.039).The most common lung CT finding was bilateral, peripheral, ground-glass appearance. Rates of lung findings did not differ according to the groups (p> 0.05).There was no statistically significant difference in blood parameters according to the groups (p> 0.05). Conclusion:In COVID-19 patients, smell and taste disorders are observed significantly higher in the PCR (+) group than in the PCR (-) group.
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