No abstract

Myiasis is the infestation of live vertebrates with dipterous larvae. Aural myiasis involves infestation of the external ear and/or middle ear. It is a rare clinical state that usually occurs in patients who have mental or physical disabilities. Although myiasis is a self-limiting disease, it can be associated with fatal complications like penetration within the central nervous system. We present a 87-year-old patient suffering from Alzheimer’s disease with aural myiasis and also discuss the clinical presentation and efective therapies with a review of the literature.

The Journal of International Advanced Otology (J Int Adv Otol) is an international, peer reviewed, open access publication that is fully sponsored and owned by the European Academy of Otology and Neurotology and the Politzer Society. The journal is published triannually in April, August, and December and its publication language is English. The scope of the Journal is limited with otology, neurotology, audiology (excluding linguistics) and skull base medicine. The Journal of International Advanced Otology aims to publish manuscripts at the highest clinical and scientific level. J Int Adv Otol publishes original articles in the form of clinical and basic research, review articles, short reports and a limited number of case reports. Controversial patient discussions, communications on emerging technology, and historical issues will also be considered for publication. Target audience of J Int Adv Otol includes physicians and academics who work in the fields of otology, neurotology, audiology and skull base medicine.

T he salivary glands consist of three major glands as parotid, submandibular and sublingual glands and hundreds of minor glands, which are diffusely located in the beginning part of the respiratory system. Tumors of the salivary glands are rarely encountered. However, they appear with different histopathological characters. Different biological behaviors can be observed even in neoplasms defined by the same name. In the latest classification made by the World Health Organization (WHO) in 2017, salivary gland tumors were classified into more than 30 benign and malignant histologic subtypes [1]. This wide histopathological spectrum and significant differences in prognosis between them distinguish salivary gland tumors from other organ neoplasms. Salivary gland tumors account for approximately 3-4% of all head and neck tumors [2]. Their inci-ABSTRACT OBJECTIVE: To determine the demographic characteristics of benign and malignant salivary gland tumors in our department in the last 15 years. METHODS: In this study, the files of the patients who underwent salivary gland surgery between 2004 and 2019 in our department were analyzed retrospectively. A total of 366 patients whose diagnoses of salivary gland tumor histopathologically confirmed were included in this study. The demographic data of the patients and tumor localizations were recorded, and their relationships with histopathological results were examined. RESULTS: Of the 366 tumors, 292 (80%) of them was originated from the parotid gland, 52 (14%) from the submandibular gland, and 22 (6%) from the minor salivary gland. The male: female ratio was found as 1.2:1, and the mean age of the patients was 50.37 years. A total of 259 (70.8%) tumors were benign, and 107 (29.2%) were malignant. The most frequent benign tumor was pleomorphic adenoma, with 121 cases (46.7%). While pleomorphic adenomas constituted the majority of the benign tumors of the submandibular gland and minor salivary glands, Warthin tumor was detected more than pleomorphic adenoma in the parotid gland. The most common malignant tumor was mucoepidermoid carcinoma, with 26 cases (24.3%). CONCLUSION: The distribution of the salivary gland tumors detected in our department was found to be substantially similar to other worldwide series. Unlike the literature, we concluded that salivary gland tumors were seen slightly more in males, minor salivary gland tumors were relatively rare and Warthin tumors were more frequently detected in our region.

Amaç: Bu çalışmada, nazal septum deviyasyonu tanısı konulmuş hastalarda yaşam kalitesinin septoplasti öncesi ve sonrasında değerlendirilmesi, ayrıca akustik rinometri ve rinomanometri yöntemlerinin cerrahi başarının objektif olarak ortaya konulmasındaki yeri ve öneminin gösterilmesi amaçlandı. Hastalar ve Yöntemler:Bu çalışma septoplasti ameliyatı uygulanan 44 hasta üzerinde yapıldı. Hastaların ameliyat öncesi yakınmaları Nazal Obstrüksiyon Semptom Değerlendirme (NOSE) skalası ile değerlendirildi. Hastaların eş zamanlı olarak dekonjesyon öncesi ve sonrası akustik rinometri ve rinomanometri verileri kaydedildi. Septal cerrahi yöntemi olarak Cottle septoplastisi uygulanan hastalar, ameliyattan bir ay sonra NOSE skalası, akustik rinometri ve rinomanometri ile tekrar değerlendirildi ve bulgular ameliyat öncesi verilerle karşılaştırıldı. Bulgular:Hastaların ameliyat öncesine göre NOSE skoru değerlerinde anlamlı azalma (p<0.05); akustik rinometri ile ölçülen minimal kesitsel alan (MKA1, MKA2) ve hacim değer-lerinde anlamlı artış (p<0.05) ve rinomanometri ile ölçülen nazal direnç değerlerinde anlamlı azalma (p<0.05) görüldü. Hastaların ameliyat öncesi ve sonrası NOSE skoru değerleri arasında meydana gelen değişim ile akustik rinometri ve rinomanometri verilerindeki değişim arasında anlamlı ilişki bulunmadı (p>0.05).Sonuç: Kanıta dayalı tıp uygulamalarının giderek önem kazandığı günümüzde, ameliyat başarısının objektif değer-lendirilmesi amacıyla akustik rinometri ve rinomanometri kullanılabilir yöntemlerdir.Anahtar Sözcükler: Akustik rinometri; Nazal Obstrüksiyon Semptom Değerlendirme skalası; rinomanometri; septoplasti. Objectives:In this study we aimed to evaluate the quality of life during before, and after septoplasty in patients who were diagnosed with nasal septal deviation and also to demonstrate the role and importance of acoustic rhinometry and rhinomanometry methods in objectively demonstrating surgical success. Patients and Methods:This study was carried out in 44 patients undergoing septoplasty surgery. Patients' preoperative complaints were evaluated by Nasal Obstruction Symptom Evaluation (NOSE) scale. The pre-and postdecongestion acoustic rhinometry and rhinomanometry data of the patients were recorded simultaneously. One month after Cottle's septoplasty performed as the septal surgery method, patients were re-evaluated by NOSE scale, acoustic rhinometry and rhinomanometry and the findings were compared with the preoperative data. Results:Compared to the patients' preoperative values, a significant decrease in NOSE scores (p<0.05); a significant increase in the minimal cross-sectional area (MCA1, MCA2) and volume values measured by acoustic rhinometry (p<0.05) and a significant decrease in the nasal resistance values measured by rhinomanometry (p<0.05) were observed. No significant relationship was found between the change in patients' preand postoperative NOSE score values and the change in their acoustic rhinometry and rhinomanometry data (p>005). Conclusion:Nowadays, evidence-based medical practices a...