ÖzetAmaç Bu çalışmada oral kaviteden biyopsi yapılan ve histopatolojik olarak benign ve premalign tanı koyulan hastaların retrospektif olarak ayrıntılı analizlerinin yapılması amaçlanmıştır. Yöntem Çalışmamızda Ocak 2014-Ocak 2019 tarihleri arasında üçüncü basamak bir hastanenin kulak burun boğaz hastalıkları kliniğinde oral mukozadan insizyonel yada eksizyonel biyopsi yapılan ve histopatoloji tanısı benign yada premalign olarak değerlendirilen 67 hastanın retrospektif olarak histopatolojik tanı, cinsiyet ve yaş grupları dağılımları incelenmiştir. Bulgular Çalışmamıza 33' ü (%49.3) erkek, 34' ü (%50.7) kadın olmak üzere toplam 67 hasta dâhil edildi. Hastaların yaş ortalaması 44.90 ± 19.77 olarak tespit edildi. Hastaların yaş dağılımları değerlendirildiğinde 10-20 yaş aralığında 12 (%17.9), 21-30 yaş aralığında 8 (%11.9), 31-40 yaş aralığında 6 (%9), 41-50 yaş aralığında 9 (%13.4), 51-60 yaş aralığında 16 (23.9), 61-70 yaş aralığında 10 (%14.9) ve 71-80 yaş aralığında 6 (%9) hasta tespit edildi. En sık saptanan benign lezyonlar piyojenik granülom (%10.4) ve radiküler kist (%11.4) olarak tespit edildi. AbstractBackground The aim of this study was to retrospectively analyze the patients who were biopsied from the oral cavity and histopathologically diagnosed as benign and premalignant. Methods In this study, we retrospectively examined histopathological diagnosis, sex and age groups of 67 patients who underwent incisional or excisional biopsy of the oral mucosa and diagnosed as benign or premalignant in the otorhinolaryngology clinic of a tertiary hospital between January 2014 and January 2019. Results A total of 67 patients were included in our study, 33 (49.3%) were male and 34 (50.7%) were female. The mean age of the patients was 44.90 ± 19.77 years. According to age distribution, numbers of patients in 10-20, 21-30, 31-40, 41-50-51-60, 61-70 and 71-80 age groups were 12 (17.9%), 8 (11.9%), 6 (9%), 9 (13%), 16 (23.9%), 10 (14.9%) and 6 (9%), respectively. The most common benign lesions were pyogenic granuloma (10.4%) and radicular cyst (11.4%). Conclusions As a result, biopsies should be performed to exclude malignancy in the oral cavity. In addition, the diagnosis of rare lesions is important in terms of treatment management.
Aim: This study aimed to evaluate the postoperative bleeding status of the patients who underwent tonsillectomy over 18 years old. It evaluated the reasons for tonsillectomy, additional diseases, and the season in which tonsillectomy was performed.Methods: One hundred and fifty patients aged 18 years and over who underwent tonsillectomy in the ear, nose, and throat clinic of a tertiary hospital were included in our study. The age, gender, additional disease, post-tonsillectomy haemorrhage (Post-TH), and the season in which tonsillectomy was performed were examined.Results: A total of 150 patients, 50 females (33.3%) and 100 males (66.7%), were included in our study. The mean age of the patients was 32,49±12,20 years. Bleeding was observed in the postoperative period in 12 patients (8%), except for the first 24 hours postoperatively. It was determined that the most frequent complaint of bleeding in the postoperative period was on the 4th day. It was observed that 15 (10%) patients had an additional disease. A total of 35 (23.3%) patients underwent tonsillectomy due to Obstructive Sleep Apnea Syndrome (OSAS) and 115 (76.7%) patients for recurrent tonsillitis. Tonsillectomy was performed in the spring season for 31 patients (20.7%), winter for 40 patients (26.7%), autumn for 39 patients (26%), and summer for 40 patients (26.7%). No statistical difference between seasonal differences and the tonsillectomies performed was found (p> 0.05). There was no statistical difference between tonsillectomy and the presence or absence of additional diseases (p> 0.05).Conclusion: We concluded that the presence of comorbidity and seasonal differences did not affect Post-TH in adult tonsillectomy patients.
Bu çalışmanın amacı, akut solunum yolu enfeksiyonu tanısı alan hastalarda hızlı influenza tanı testi ile nazofaringeal sürüntü örneklerinde influenza A ve B antijenlerinin sıklığının belirlenmesidir.Yöntemler: Kasım 2018-Nisan 2019 tarihleri arasında hastanemiz Kulak Burun Boğaz Hastalıkları ve Enfeksiyon Hastalıkları polikliniğine ateş, boğaz ağrısı, öksürük, miyalji, burun akıntısı gibi şikayetlerle başvuran hastalar çalışma grubu olarak seçildi. Tek kollu kontrolsüz olarak yapılan bu çalışmada ateş, boğaz ağrısı, öksürük ve miyalji gibi üst solunum yolu enfeksiyonu semptomları olan hastalar değerlendirildi. Hastaların ağızları su ile 3 kez çalkalandıktan sonra nazofarengeal sürüntü örneklerinde hızlı influenza tanı testi Sağlık Bakanlığı aracılığı ile hastanemizde kullanılan kitler aracılığı ile yapıldı (Humasis Influenza A/B Antigen Test; Humasis, Anyang, Korea). Test prosedürüne uygun olarak poliklinik şartlarında yapılarak hastaların sürüntü materyellerinde İnfluenza A ve B antijeni araştırıldı.Bulgular: Toplam 104 hasta çalışmaya alındı. Bu hastaların 68'i (%65,4) kadın, 36'sı(%34,6) erkek olup yaşları 18 ile 75 arasında (ortalama 36.13 ) değişmekteydi. Çalışma grubunda yer alan 104 hastanın 16'sında (%15,4) influenza hızlı tanı testi pozitifliği saptandı. Pozitif numunelerin tamamında influenza A tespit edildi. Boğaz ağrısı (%87,5) en sık görülen klinik semptomdu. Hastalarda sırası ile burun akıntısı (%80,76), miyalji (%61,53) ve öksürük (%60,57) şikâyeti olduğu görüldü. İnfluenza A pozitif olan hastalarda İnfluenza negatif olan hastalar ile karşılaştırıldığında öksürük varlığı ve miyalji varlığı istatistiksel olarak anlamlı derecede yüksekti. (p=0,003, p<0,001
Aim: In this study, it was aimed to make a general evaluation of patients who applied to our outpatient clinic with epistaxis.Methods: The files of approximately 300 patients who were admitted to the Otorhinolaryngology outpatient clinics of a tertiary hospital with the complaint of nasal bleeding between January 2009 and January 2019 were retrospectively evaluated. The patients were analyzed in terms of age, gender, month of epistaxis, etiological factors, concomitant diseases, whether blood transfusion was required, treatment methods applied and length of hospital stay.Results: Of the 300 evaluated patients, 128 were female (42.8%) and 172 (57.2%) were male. The mean age of the patients was determined as 34.38 ± 23.63 (min 1-max: 89). The patients applied most frequently in February (14%) and at least in July (2.6%). The number of patients detected idiopathically was 240 (80%). Among the identified reasons, the most frequent use of anticoagulants was 11% and hypertension was 4.6%. Conservative treatment was applied to 98.4% of the patients. Hospitalization periods ranged from 1 to 11 days. Only 2 patients needed blood transfusion.Conclusion: Considering the possible complications and mortality; Taking detailed anamnesis from patients and planning the necessary treatment as soon as possible constitute the basis of diagnosis and treatment management in patients with epistaxis.
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