Objective External dacryocystorhinostomy is thought to cause mucociliary dysfunction by damaging the mucosa, in turn affecting ciliary activity and mucus quality. This study investigated the effect of external dacryocystorhinostomy on sinonasal function. Methods Patients scheduled for unilateral external dacryocystorhinostomy who underwent endoscopic nasal examination and paranasal sinus computed tomography were included in this study. A saccharine test was performed on the planned surgical side and the mucociliary clearance time was determined. The sinonasal quality of life was measured in all patients, pre-operatively and at six months post-operatively, using the Sino-Nasal Outcome Test-22. The Lund–Kennedy endoscopic score was also determined in all patients, both pre- and post-operatively. Results The study comprised 28 patients (22 females and 6 males). A statistically significant difference was found between the pre- and post-operative saccharine test results (p = 0.006), but not between the pre- and post-operative Sino-Nasal Outcome Test-22 scores (p > 0.05). Conclusion This study is one of only a few to investigate the effect of external dacryocystorhinostomy on sinonasal function. The results showed that external dacryocystorhinostomy impairs mucociliary clearance. The surgical procedure is well tolerated and does not significantly change nasal symptom scores.

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Waardenburg sendromu otozomal dominant geçişli işitselpigmenter bir sendromdur. On dört yaşında bir erkek hasta sol kulakta doğuştan işitme kaybı ve görme kaybı yakınmaları ile kliniğimize başvurdu. Sol kulakta 500, 1000 ve 2000 Hz'de 30 dB, 4000 Hz'de 35 dB sensörinöral işitme kaybı tespit edildi. En iyi düzeltilmiş görme keskinliği sol gözde 0.5, sağ gözde tamdı. İris heterokromisi vardı. Göz dibi incelemesinde sağ göz doğal görünümde, sol göz retinası albinoid görünümdeydi. Fizik incelemede karın cildinde vitiligo benzeri hipopigmente lezyon, poilozis, distopia kantorumu ve sol hafif mandibüler hipoplazi tespit edildi. Sendrom, başta karın muayenesi olmak üzere ilgili branşlara konsülte edilerek tarandı. Sistemik ve genetik inceleme yapıldı. Öyküsündeki sol kulakta doğuştan işitme kaybı ve erken yaşta saç beyazlaşması bulgularına dayanılarak hastaya tip 1 Waardenburg sendromu tanısı konuldu. İşitme ve görme takibi önerildi. Bu olgu sunumunun amacı Waardenburg sendromunu tanımlamak ve hastalığın etyopatogenezini, kalıtımını ve klinik bulgularını kısa literatür derlemesi ile gözden geçirmektir.

Aim: Due to reasons such as excessive workloads of health workers and the insufficient number of employees, severe working conditions, shift work systems and long shift hours, working people have a high risk of suffering mental trauma. The study was conducted to determine the secondary traumatic stress levels of health workers.Method: This cross-sectional and descriptive study was conducted with 212 healthcare professionals. The “Sociodemographic Characteristics Form” and “Secondary Traumatic Stress Scale” were used as data collection tools.Results: It was found that the secondary traumatic stress levels of health workers, the total score and the average score of the personnel working in internal units in all sub-dimensions were higher than the average of the medical personnel working in surgical units.Conclusion: As a result, secondary traumatic stress levels of healthcare workers were found to be higher than average in our study. The unit of work, regardless of the level of health personnel is high secondary traumatic stress, and secondary traumatic stress symptoms, to prevent employees reduce stress, indirect initiatives to minimize trauma reactions are needed. It is also proposed to conduct new research that will determine these initiatives.