Background:Inhalation anesthetics have many advantages for outpatient general anesthesia, such as minimal postoperative side-effects and rapid and full recovery. The aim of this randomized study was to compare the postoperative recovery time of sevoflurane and desflurane and to observe the effects of anesthesia on mental, psychomotor and cognitive functions and pain in outpatients undergoing arthroscopic surgery.Patients and Methods:This study included 40 American Society of Anesthesiologists I-II patients who were divided into two groups via sealed envelopes. For maintenance of anesthesia, a mixture of 66% N2O and 33% O2 and 4–7% desflurane was used in Group D, and a mixture of 66% N2O and 33% O2 and 1–2.5% sevoflurane was used in Group S. The modified Aldrete score (MAS) was evaluated postoperatively at time points determined previously. An MAS of 8 or higher was considered to indicate alertness. Mental and psychomotor functions of the patients were evaluated using the short cognitive examination (SCE), and postoperative pain levels were evaluated using the visual analogue scale (VAS).Results:There was no difference between the groups in terms of demographic data (P > 0.05). The mean time to reach MAS 8, eye-opening, and orientation were higher in Group S as compared to Group D (P < 0.01). The mean MAS initially and at 5 and 10 min was higher in Group D as compared to Group S (P < 0.001). The mean SCE at 5 and 15 min was higher in Group D as compared to Group S (P < 0.01). There was no significant difference between the groups in terms of VAS scores (P > 0.05).Conclusion:It has been determined that desflurane provided better quality and more rapid recovery than sevoflurane, and the return of cognitive functions in the early postoperative period was faster. In conclusion, both agents can apparently be used safely in outpatient anesthetic procedures.

Hajdu-Cheney sendromu, kısa boy, şiddetli osteoporoz, akroosteoliz, dismorfik yüz özellikleri ile karakterize çok nadir görülen bir bağ dokusu hastalığıdır. Otozomal dominant geçiş gösteren bu hastalık, spontan de nova mutasyonu ile de görülebilir. Spesifik tedavisi olmayan bu hastalığın tedavisi semptomatiktır ve osteopörözdan korunma hedeflenir.Bu vaka raporunda, kliniğimize başvuran Hajdu-Cheney sendromlu bir hastada görülen osteoporotik mandibular kırığı tedavisi ve ardından başka bir odakta diş çekimi sonrası görülen fokal enfeksiyonun kontrolünde uygulanan tedavi protokolünün anlatılması amaçlanmıştır.

Evaluation of the effect of immediate or delayed operation on dental anxiety and dental fear in patients with impacted wisdom teeth