In this study, we aimed to investigate the effectiveness of the Epley maneuver performed without any additional medical treatment on symptoms and quality of life in patients diagnosed with canalithiasis type posterior canal BPPV with the Dix-Hallpike (DH) test in two District Hospitals of Antalya -Turkey.Methods: A total of 55 patients who were admitted to the ENT Departments Kumluca and Serik State Hospitals, Antalya between November 2019 and June 2020 with complaining of positional vertigo who were diagnosed as posterior canal BPPV with the Dix Hallpike (DH) test was included in this study.Results: Fifty-five cases with dizziness and vertigo com-plaints enrolled in our study. Thirty-four of the patients were male (%43.6), and 21 cases were female (%56.4). The ages of the patients were between 32 and 81with an average of 52.4±13.3 years. Statistically significant improvement was obtained at Vertigo Symptom Scale, Vertigo Dizziness Imbalance Symptom Scale, and Vertigo, Dizziness Imbalance health-related quality of life scale after the application of Epley maneuver Conclusion: In our study, Epley maneuver efficacy without any additional medical treatment was found to be very high in BPPV patients. As a result of this study, we wanted to emphasize that medical treatment to every patient presenting with dizziness and vertigo complaints is not a correct approach.
Aim: To retrospectively evaluate the histopathological characteristics of biopsies taken from tongue lesions and compare the results with current literature. Materials and Methods: Histopathological results of biopsies taken from 163 patients with suspected tongue lesions between January 2017 and January 2022 were retrospectively reviewed. The results were evaluated in different age groups. Patients referred from an external center were excluded from the study. Results: One hundred sixty-three patients with tongue lesions were included in the study. Seventy-two (44.2%) of the patients were male and 91 (55.8%) were female. The mean age of the patients was 47.76 ± 17.33 years. The lesion was benign in 135 (82.8%) patients, precancerous in 4 (2.5%), and malignant in 24 (14.7%). Of the 135 patients with benign findings, squamous papilloma was detected in 33 (24.4%) patients and irritation fibroma in 19 (14.1%). Ulcer/inflammatory granulation tissue was detected in 18 (13.3%) patients, parakeratosis/acanthosis in 14 (10.4%), fibroepithelial polyp in 14 (10.4%), and pseudoepitheliomatous hyperplasia in 9 (6.7%). Less frequently, lymphoid hyperplasia, neurofibroma, mucocele, and verruca vulgaris were detected in 1 (0.7%) patient each. Squamous cell carcinoma was detected in all patients with malignancy. The youngest patient in this study was 2 years old with pyogenic granuloma, whereas the oldest patient was 87 years old with ulcer/inflammatory granulation tissue development. When evaluated according to age groups, it was found that the patients were most commonly in the 50–59 (27.6%) age group, followed by the 40–49 (19.6%) age group. Conclusion: The results show that most tongue lesions are benign. It should be noted that not every mass in the tongue is cancerous, but leukoplakic and ulcerated areas can be malignant. Due to the rapid metastasis of tongue lesions, early diagnosis and treatment may contribute significantly to the prognosis of patients.
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