No abstract

No abstract

Background. Choanal atresia is the most common congenital nasal anomaly, with an incidence of 1:5000-1:8000 live births. Atresia can be seen as membraneous, bony or mixed type. When it is bilateral, it is accepted lifethreatening, therefore bilateral atresia necessitates immediate intervention. Diagnosis is confirmed by endoscopic examination and computed tomography. The absolute treatment is surgical, and different approaches have been proposed. Methods. Herein, we describe our 15-year experience in the treatment of 58 patients of congenital choanal atresia with transnasal endoscopic approach, and we compare the efficacy of placement of an intranasal stent and applying mitomycin while endoscopic microsurgical repair. Results. The study included 41 female patients (71%) and 17 male patients (29%) with congenital CA. The mean age was 3 years ranging from 10 days to 16 years. The atretic plate was bilateral in 24 patients (41%) and unilateral in 34 (59%). The most common atresia type was the mixed type with 29 patients (50%). A total of 17 patients (29%) required postoperative revision(s). Postoperative revisions were more frequent among patients with bilateral CA (50%), and with mixed CA (31%). Stenting was used additionally by surgical correction for 10 patients. After stenting, fibrosis and restenosis was seen in 7 patients (79%). Mitomycin C was applied peroperatively in 8 patients. Restenosis after mitomycin application was seen in 4 patients (50%). Conclusions. By our experience, endoscopic microsurgical repair of atresia proved to be an effective and safe procedure, results compared with adjuvant treatment modalities like stent or mitomycin C use, was not better. Restenosis was the major problem seen after surgical correction.

Objective: To evaluate the lifestyle factors possibly related with premenstrual syndrome which were body mass index, coffee intake, smoking, regular physical exercise, and alcohol consumption, and investigate the impact of these lifestyle factors and premenstrual syndrome on sleep quality. Methods and Methods: This cross-sectional study included 265 participants, and all applied Pittsburgh Sleep Quality Index and Premenstrual Syndrome Scale questionnaires. Results: The prevalence of premenstrual syndrome among the participants was 57% (n:150). Participants with premenstrual syndrome had shorter total sleep time (p:0.001). Also, they needed longer time to fall asleep (p:0.001). The Pittsburgh Sleep Quality Index scores of the participants with premenstrual syndrome were higher than those without premenstrual syndorme (p<0.001), indicating poor sleep quality. It was observed that the participants with premenstrual syndrome had more coffee intake (p:0.040) and more regular physical activity (p:0.009), which were risk factors of premenstrual syndrome. premenstrual syndrome positivity was associated with increased poor sleep quality in both univariate and multivariate analyses (OR:5.93 95% CI: 3.46-10.15, p<0.001; OR:5.61 95% CI: 3.19-9.88, p<0.001, respectively). The remaining variables, which were risk factors of premenstrual syndrome, didn’t have any statistically significant association with sleep quality. Conclusion: The important relation between premenstrual syndrome and sleep quality is highlighted. Relief of premenstrual syndrome complaints may lead to better sleep quality and enhancement of quality of life for a woman.

Objectives The aim of this study was to observe the effect of the triamcinolone acetonide injections in thick skinned patients with ultrasonographic measurements and to compare these results with the postoperative nasal skin thickness of patients that were not injected with steroids. Methods A prospective study was planned with 42 thick nasal skinned rhinoplasty candidates in our clinic. Skin thickness of specific points along nose was measured and documented. On the 10th day after surgery, triamcinolone acetonide injections were performed into the supratip region of 21 patients in the study group. No injections were made for the control group. Nasal ultrasonographic measurements were repeated 40 days after the surgery for all 42 patients by the same radiologist and results were evaluated. Results Seventeen women (40.5%) and 25 men (59.5%) were included in the study. Patients' ages ranged from 18 to 53 with an average age of 27.9. In study group, all injections sites showed thinning on the 40th day after surgery. These findings were statistically significant at B (rhinion), D (middle of supratip), and G (middle of the tip). In the control group, all injection sites except A (nasion) displayed thickening on the 40th day after surgery. These findings were statistically significant at B (rhinion), D (middle of supratip), H (left side of the tip), and J (left alar region). Conclusion Triamcinolone acetonide injections are effective in the prevention of edema and provide thinning of the post‐rhinoplasty skin envelope.