Objective: To evaluate the correlation between the reflux symptom index (RSI) and the reflux finding score (RFS) in the patients with voice-related problems and to investigate the reliability of RFS.Methods: Fifty-four patients presenting with the complaint of voice abnormality were included in the study. Patients were asked to complete an RSI score sheet, and they were examined by rigid laryngostroboscopy. Laryngostroboscopic examinations of the patients were evaluated and rated with RFS by three different otolaryngologists blinded to patient information in two different sessions to evaluate intra-rater and inter-rater reliability. The correlations between RSI and RFS, for both total RFS and individual variables from RFS, were investigated.Results: Sixty-three percent were female and 37% were male, with a mean±SD age of 39.09±14.43 years. RSI ranged from 4 to 31, and RFS ranged from 8 to 22. All three raters demonstrated highly consistent intra-rater and inter-rater reliability for both total RFS and individual variables from RFS. There was a highly significant statistical correlation between RSI and total RFS (r=0.696; p=0.0001). Individual variables from RFS, except the posterior commissure hypertrophy, also demonstrated a significant positive correlation with RSI scores (p<0.05).Conclusion: RFS is a simple scale that could easily be administered with high intra-rater and inter-rater reliability for the evaluation of laryngopharyngeal reflux. RSI is highly correlated with both total RFS and all the individual variables from RFS, except posterior commissure hypertrophy. (JAREM 2015; 5: 68-74)

In conclusion, NSD patients are at risk for both atrial and ventricular cardiac arrhythmias; however, septoplasty in these patients can relieve UAO and reduce the risk of arrhythmias.

Introduction Numerous surgical methods are used to treat nasal obstruction due to inferior turbinate hypertrophy. The primary goal of the therapy is to maximize the nasal airway for as extended a period of time as possible while minimizing therapeutic complications. Objectives The aim of this study was to assess the effects of radiofrequency thermal ablation (RFTA) and bipolar electrocautery (BEC) on the removal of nasal obstruction in patients with inferior turbinate hypertrophy and on nasal mucociliary clearance (MCC). Patients in both groups were also evaluated in terms of postoperative morbidity. Methods We compared the outcomes of two groups of patients: those treated with RFTA (n = 23) and those who underwent BEC (n = 20). Nasal obstruction was graded using a visual analog scale (VAS) and MCC was measured using a saccharin clearance test. Both measurements were performed before and 2 months after treatment. Results Pre- and postoperative VAS scores showed significant improvement for both groups. However, MCC results did not significantly differ between two groups. Neither edema nor crust formation persisted for more than 1 week in any patients. Conclusion Submucosal cauterization with preservation of the nasal mucosa and periosteum is as effective and safe as RFTA and should be considered when planning inferior turbinate interventions.

GirişAlerjik rinit (AR), burun mukozasının alerjen teması sonrası spesifik IgE aracılığıyla ortaya çıkan, paranazal bölgenin aşırı duyarlılık reaksiyonu ile karakterize inflamatuvar bir hastalıktır. Hapşırık, burun akıntısı, burun, göz ve farenkste kaşıntı, burun tıkanıklığı, hastalığın ÖZET Amaç: Van ilinde, alerjik rinit semptomları ile polikliniğimize başvuran hastalarda prik test ile saptanan alerjenlerin dağılımını tespit etmek ve alerjik hastalardaki yaş, cinsiyet dağılımı ve sigara kullanım oranlarını saptamak, ayrıca bölgenin alerji haritasının oluşturulmasına yönelik çalışmalara katkıda bulunmak için bu çalışmayı yapmayı amaçladık. Gereç ve Yöntem:Van bölgesinde Mayıs 2014 -Aralık 2015 tarihleri arasında prik test sonucuna göre en az bir alerjene karşı duyarlı olan 220 hasta çalışmaya alındı. Bulgular:Prik test pozitif olan 220 hastanın %59,1'i (n=130) erkek, %40,9'si (n=90) kadındı. Erkek ve kadın oranı 3:2 olarak saptandı. Sigara içimi kadınlarda %31,1 (n=28), erkeklerde ise %40,7 (n=53) oranlarında tespit edildi. Yapılan prik test sonucunda duyarlılık; çayır çimen %20 (n=44), karışık otlar %16,3 (n=36), ev akarı %13,6 (n=30), çiçek karışımı %10 (n=22), yumurta sarısı %9,1 (n=20), kedi epiteli %8,2 (n=18), Aspergillus %7,3 (n=16), fıstık %7,3 (n=16), domates % 1,8 (n= 4), badem %1,8 (n=4), Alternaria %1,8 (n=4), Clasdioporum %1,3 (n=3) ve yumurta beyazı %1,3 (n= 3) oranında saptandı. Sonuç:Van ilinde prik test sonucunda erkek oranının daha fazla, sigara içim oranının da ortalama %30-40 arasında olduğu bulundu. En sık duyarlılığın çayır çimen, ikinci sıklıkta karışık otlara ve üçüncü olarak da ev akarlarına karşı olduğu tespit edildi. Ayrıca besinsel alerjenlerin (yumurta sarısı, fıstık, domates, badem, yumurta beyazı) toplamda %21'lik sıklıkla Van bölgesindeki önemli alerjen faktörler arasında yer aldığı saptandı. Van bölgesinde iklim, bitki örtüsü ve çevre şartlarının farklı olmasına rağmen bitkisel alerjenler ve akarların en sık olarak saptanması literatürdeki diğer çalışmaların sonuçlarıyla paralellik göstermektedir.Anahtar Kelimeler: Alerjen, alerjik rinit, prik testi ABSTRACT Objective: This study was carried out to detect allergen distribution of the patients admitted with allergic rhinitis symptoms and to determine the age, gender distribution and smoking rates in allergic patients, and to contribute to compose an allergy map in Van region. Materials and Methods: 220 patients allergic to at least one allergen according to prick test results were included between May 2014 and December 2015.Results: 59.1% (n=130) of 220 patients were male and 40.9% (n=90) were female. Male/female ratio was 3:2. Prevalence of smokers were 31.1% (n=28) among females and 40.7% (n=53) among males. According to prick test results; sensitivity to meadow was 20% (n=44), to mixed herbs 16.3% (n=36), to mites 13.6% (n=30), to flower mixture 10% (n=22), to egg yolk 9.1% (n=20), to cat epithelium 8.2% (n=18), to Aspergillus 7.3% (n=16), to peanut 7.3% (n=16), to tomato 1.8% (n= 4), to almond 1.8% (n=4), to Alternaria 1.8% (...

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