Objective: To investigate the effects of septoplasty on the acoustic parameters of voice. Methods:In total, 23 patients (seven females and 16 males; average age, 32.13±9.67 years; age range: 19-56 years) with a diagnosis of nasal septal deviation and who underwent septoplasty were included. Preoperative and on postoperative 30th day, acoustic analysis of voice was conducted for all patients. The recordings of /mana/ vowel were used to evaluate average fundamental frequency (F0), jitter, shimmer, and noise-to-harmony ratio (NHR). F0, shimmer percent, jitter percent, and NHR of two terms were compared. A p-value<0.05 was considered to indicate statistical significance.Results: A statistically significant change was not observed in F0 (p=0.741), jitter (p=0.930), and shimmer (p=0.128) measured preoperatively and on postoperative day 30. However, the increase in NHR measured on postoperative day 30 were statistically significant compared with preoperative NHR (p=0.017). Conclusion:According to the findings of this study, except NHR value, no statistically significant changes on F0, jitter and shimmer were detected after septoplasty.

Background: Untreated traumatic tympanic membrane perforations (TMPs) may lead to permanent perforations and hearing loss. There are many materials that have been previously used for repairing the TMPs. Aims and Objectives: The purpose of this study is to evaluate the clinical and histological effects of Vivosorb (Vv) and Epifilm on healing of TMPs in a rat model. Material and Methods: The posterior-inferior quadrant of the tympanic membranes (TMs) in right ears of 14 rats was perforated using a 20-g needle and then the animals were randomly divided into 2 equal groups (n = 7). The perforated right TMs were treated with either Vv (Vv group) or Epifilm (Ep group). The left TMs of 7 rats were perforated in same way and allowed to close spontaneously without any topical material applications (spontaneous closure group as sham control, SC). The left tympanic membranes of the other 7 rats were not perforated and used as normal controls (NC group). On postoperative 15th day, tympanic bullas were extracted from killed rats and examined morphometrically and histopathologically. Results: Perforation closure rate was 85.7% (6/7) in both Vv and SC groups. Perforations of Ep group closed in 7/7 (100%) ears. The thicknesses of the perforated membranes were increased in SC and especially Vv groups. Also, connective tissue fibrosis, blood clots, and epithelial degenerations were detected in SC and Vv groups. The mean fibroblastic reaction scores of Vv, Ep, and SC groups were 2.14(+), 0.57(+), and 1.71(+) respectively, on comparison with NC group. The mean neovascularization score was 1.42(+) in Vv group, 0.14(+) in Ep group, and 0.57(+) in SC group. Conclusion and Significance: Vivosorb and especially Epifilm can improve the healing process in traumatic TMPs and additionally, Epifilm might be more preferred for the treatment of TMPs because of causing lesser fibrosis.

We investigated whether cholesteatoma is associated with sensorineural hearing loss (SNHL) and the effects of a lateral semicircular canal (LSCC) fistula, destruction of stapes, localization of cholesteatoma, and air–bone gap (ABG) size on SNHL. The charts of 159 patients who had received surgery for unilateral cholesteatoma were examined retrospectively. In all patients, air conduction and bone conduction (BC) thresholds in both ears were measured at 500, 1000, 2000, and 4000 Hz. Differences in BC thresholds between ears with cholesteatoma and contralateral ears were calculated. Demographics, localization of cholesteatoma, presence of LSCC fistula, condition of stapes, and ABG size on the affected ear were evaluated. There were significantly greater BC thresholds in ears with cholesteatoma than in normal ears for each frequency. Comparing the average BC differences at the different cholesteatoma locations, there were significant differences between the tympanic cavity + all mastoid cell group and attic, attic + antrum, and tympanic cavity + antrum groups. The BC differences at 4000 Hz were significantly high in patients with LSCC fistula. There were no significant relationships between the condition of the stapes and BC differences at any frequencies. There were significant correlations between average ABG and BC threshold differences at all frequencies. A significant relationship was found between cholesteatoma and SNHL. Patients with advanced cholesteatoma had significantly higher levels of SNHL. The BC threshold differences increased with increases in the ABG.

Objective: Retention cysts and rhinosinusitis is seen separately frequent in otorhinolaryngology practice. In this study, the coexistence of retention cysts and rhinosinusitis is evaluated and discussed in scope of literature. Methods: All cases who admitted to our tertiary hospital between January 2010 and December 2016 who had paranasal sinus computed tomography for any reason included in the study. All cases was recorded in terms of age, gender, presence of retention cyst and if present which side and Lund-Mackay scores of two sides. Patients were evaluated for existence of retention cyst and rhinosinusitis. Rhinosinusitis evaluation was made with Lund-Mackay score. Cases were evaluated for the statistically significance relationship between retention cyst and Lund-Mackay scores. Results: Six hundred cases included in the study. In 36.2% (n=217) of the reviewed 600 computed tomography scans, retention cyst was present and 63.8% (n=383) retention cyst was not present. Among retention cyst positive cases, 82 (37.9%) was right sided, 68 (31.4%) was left sided and 66 (30.5%) was bilateral. According to the Lund-Mackay score, 2.7% (n=130) case was valued as grade 1, 13.2% (n=79) case was valued as grade 2. In the light of this information, there seems to be a statistically significant relationship between the side with retention cyst and Lund-Mackay score. (p<0.01). Conclusion: Lund-Mackay scores of the retention cyst sinus side was statistically significant high in our study (p<0.01). In this context there was significant relationship between rhinosinusitis and presence of retention cyst. However, because there is opposed data in the literature, further study is required to investigate the relationship of rhinosinusitis and retention cysts.

Lenfatik malformasyonlar içinde en sık karşılaşılanı kistik higromadır. Lenfanjiyomlar lenfatik sistemin doğuştan bir anomalisi olup, sıklıkla hayatın 1. dekadında görülen nadir tümörlerdir. Etiyolojisinde sıklıkla lenfatik sistemin anormal gelişmesi sorumlu olsa da bazı hastalarda sonradan kazanılmış etmenlerin (travma, enfeksiyon, iyatrojenik, neoplastik) etkili olduğu bildirilmiştir. 1 Lenfanjiyomlar kendi içinde 3 gruba ayrılır: Lenfanjiyom simpleks, kavernöz lenfanjiyom, kistik higroma. 2 Kistik higromalı hastalar doğum sırasında %50-60, 2 yaşına kadar %90 ve ergenlik döneminde %95 tanı alır. 3 Erişkinlerde oldukça nadir tanımlanmıştır. Anormal boşaltım kanallarına sahip primitif lenfatik doku, embriyonel yaşamdayken ortaya çıkar ve lenfatik drenajın bozulmasına sebebiyet verir. 4 Kistik higroma genellikle boyun bölgesinde %75-90 (özellikle arka servikal üçgende) görülmekle birlikte; %20 aksilla, %5 mediastinum, retroperitoneal bölge ve nadir olarak da toraks duvarında görülebilir. 5 Kitle natürü olarak yavaşça büyür ve nadiren spontan olarak gerileyebilir. Kist içine kanama veya enfeksiyon