September 2014

Use of Topical Sucralfate in the Management of Postoperative Pain After Tonsillectomy

Gül Soylu Özler, Cengiz Arlı, Ertap Akoğlu

Mustafa Kemal University, Department of Otorhinolaryngology Head and Neck Surgery, Hatay, Turkey

DOI: 10.4328/AEMED.33

Abstract

Aim: The aim of this study is to evaluate the efficacy of sucralfate in terms of pain after tonsillectomy, return to normal diet time and return to regular daily activities time. Material and Method: Sixty patients who had undergone cold knife tonsillectomy over 8 years old were randomly divided into two groups, the sucralfate(SUC) group(n=30) and control group(n=30). Patients were evaluated for throat pain, odynophagia and otalgia once a day during the postoperative 7 days. Patients were also followed for return to normal diet time and return to regular daily activities time. Results: The mean throat pain scores, odynophagia scores and otalgia scores on the operation day and in all seven postoperative days in SUC group were significantly lower than control group (p<0.05). The mean return to normal diet time and return to regular daily activity time were significantly later in control group than SUC group(p=0.0001). Discussion: According to this data, topical sucralfate could be recommended as an effective, safe, well tolerated agent in reducing symptoms after tonsillectomy .

Keywords

Tonsillectomy; Postoperative Pain; Pain Scores; Sucralfate

Corresponding Author: Gül Soylu Özler, Mustafa Kemal University, Department of Otorhinolaryngology Head and Neck Surgery, Hatay, Turkey. T.: +90 3262213323 GSM: +905053980778 E-Mail: soylugul@yahoo.com

How to Cite: Gul Soylu Ozler, Cengiz Arli, Ertap Akoglu . Use of topical sucralfate in the management of postoperative pain after tonsillectomy. J Ann Eu Med 2014;2(3): 17-20 

Management of Carotid Body Tumors: A Report of First 8 Cases

Kemal Korkmaz, Hikmet Selçuk Gedik, Ali Baran Budak, Serhat Bahadır Genç, Naim Boran Tümer, Kerim Çağlı

Kalp ve Damar Cerrahisi Kliniği, Ankara Numune Eğitim ve Araştırma Hastanesi, Ankara, Türkiye

DOI: 10.4328/AEMED.35

Abstract

Aim: Carotid body tumors (CBT) are rare vascular neoplasms arising from the paraganglia. CBT resection is still a surgical challenge and is associated with neurologic and vascular complications. In our study, we would like to report our first experiences in the surgical management of CBTs and compare our results with the literature. Material and Method: 7 patients were identified with a total of 8 CBTs between June 2012 and June 2014. 5 (71.4%) of the patients were male and 2 (28.9%) of the patients were female with a mean age of 38-years (range 34-46 years). Tumors were graded according to the Shamblin classification as one of the patients was type I, five of them were type II and two patient was type III. In patients with Shamblin type I and II, careful dissection of the tumor was conducted by means of thermal cautery in the subadventitial plane. The patient with Shamblin type III, after inserting an intraluminal shunt to maintain cerebral perfusion, 2 cm distal portion of the Common Carotid Artery (CCA) and 3.5 cm proximal portion of the Internal Carotid Artery (ICA) were excised together with the mass leaving 0.5 cm of healthy tissue as a border. External Carotid Artery (ECA) was ligated and a saphenous graft was interpositioned between the CCA and ICA. Results: Patient who underwent surgical management for staged bilateral CBT (right side was Shamblin type II, left side was Shamblin type I), developed fascial paralysis, difficulty in swallowing, hoarseness of voice and malignant hypertension after the first operation which was treated medically. . Following the second operation, malignant hypertension, fascial paralysis and difficulty in swallowing developed again. The same therapeutic strategy was followed and the patient’s complaints were recovered after 3 months. In one patient with right side Shamblin type II CBT, localized haematoma was developed which did not require a surgical approach. Discussion: Surgical and diagnostic management of CBTs is challenging. We reported the first 8 cases of CBTs operated in our clinic.Our first experience were found consistent results when compared to other modern case series.

Keywords

Carotid Body Tumor; Paraganglia; Facial Paralysis

Corresponding Author: Kemal Korkmaz, Ankara Numune Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, 06100, Altındağ, Ankara, Türkiye. T.: +90 3125084285 GSM: +905055726111 F.: +90 3123114340 E-Mail: kemalkorkmaz44@hotmail.com

How to Cite: Kemal Korkmaz, Hikmet Gedik, Ali Baran Budak, Serhat Bahadir Genc, Kerim Cagli . Management of carotid body tumors: a report of first 8 cases. J Ann Eu Med 2014;2(3): 21-5

Case Report

Late Posttraumatic Tricuspid Valve Insufficiency Repaired By Artificial Cordae

Kemal Korkmaz, Serhat Bahadır Genç, Ali Baran Budak, Hikmet Selçuk Gedik, Kerim Çağlı Kalp ve Damar Cerrahisi Kliniği, Ankara Numune Eğitim ve Araştırma Hastanesi, Ankara, Türkiye

DOI: 10.4328/AEMED.36

Abstract

We report the case of a 45-year-old female who was referred to our clinic with dyspnea and palpitation. We learned from patient history that she had sustained a car accident 15 years ago. Transthoracic echocardiography revealed rupture of anterior tricuspid leaflet and prolapse of mitral valve causing severe tricuspid and moderate mitral valve regurgitation. Mitral valve was repaired with artificial cordae replacement and ring annuloplasty. Tricuspid valve was also repaired with anterior tricuspid leaflet triangular plication and ring annuloplasty after artificial cordae implantation. Longitudinal right atrial incision was sutured vertically and right atrium size was reduced with plication. First and sixth month echocardiographic follow up’s showed trivial tricuspid insufficiency without any complaints.

Keywords

Posttraumatic Tricuspid Valve Insufficiency; Mitral Valve Regurgitation; Artificial Chordae; Ring Annuloplasty

Corresponding Author: Kemal Korkmaz, Ankara Numune Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, 06100, Altındağ, Ankara, Türkiye. T.: +90 3125084285 GSM: +905055726111 F.: +90 3123114340 E-Mail: kemalkorkmaz44@hotmail.com

How to Cite: Kemal Korkmaz, Serhat Genc, Ali Baran Budak, Hikmet Selcuk Gedik, Kerim Cagli. Late posttraumatic tricuspid valve insufficiency repaired by artificial cordae. J Ann Eu Med 2014;2(3): 26-8

Letter to Editor

Quality of Life in Patients with Chronic Otitis Media

Ömer Sağlam1 , Bilal Çetin2 , Engin Dursun1

1 Kasımpaşa Asker Hastanesi, KBB Kliniği, 2 Gümuşsuyu Asker Hastanesi, KBB Kliniği, İstanbul, Türkiye

DOI: 10.4328/AEMED.39

To the editor:

We read with great interest the recently published paper by Ozler and Akoğlu entitled “Quality of Life in Patients with Chronic Otitis Media” [1]. We’d like to congratulate authors and thank for sharing their experiences with us. There are disease-specific tests and generic tests for assessing the quality of life. In this paper, the authors reported that they investigated the quality of life by using the SF-36 instead of the specific tests. We accept the usage of SF-36 test in this study positively, as it allows a comparison with the work done on other chronic disease (Hypertension, diabetes mellitus etc) [2,3]. However, there are also some missing points in the study . Although it is mentioned at the materials and methods section that the correlation was investigated, there is no data or findings related with correlation analysis at the results and discussion section. Additionally, investigation of the correlation between disease duration and quality of life scores will add value to the study. At the results part, it is expressed that there are 19 married and 26 single people in the patient group, 20 married and 24 single people in the control group. Although at result part the hearing levels of 17 patients are expressed as moderate to severe there in no such a classification in ASHA guide. This data has to be checked again and deficiencies must be completed. In the study, quality of life scores of patients with hearing loss were lower and the change in quality of life scores are not affected with the increase of hearing loss degree. But this issue has not been mentioned enough in the article. Likewise, among patients with chronic otitis media presence of ear discharge and tinnitus does not make any change in the quality of life in all areas of the SF-36 except emotional role difficulties. Also, evaluation of these findings with other studies in the discussion part will add value to the study. We celebrate Ozler and Akoğlu for their valuable article.

References

1. Ozler GS, Akoglu E. Quality of Life in Patients with Chronic Otitis Media. J Ann Eu Med 2014;2(2):1-4 2. Currie CJ, Poole CD, Woehl A, Morgan CL, Cawley S, Rousculp MD, Covington MT, Peters JR. The health-related utility and health-related quality of life of hospitaltreated subjects with type 1 or type 2 diabetes with particular reference to differing severity of peripheral neuropathy. Diabetologia 2006;49(10):2272-80. 3. Trevisol DJ, Moreira LB, Kerkhoff A, Fuchs SC, Fuchs FD. Health-related quality of life and hypertension: a systematic review and meta-analysis of observational studies. Hypertens 2011;29(2):179-88.

Corresponding Author: Ömer Sağlam, Kasımpaşa Asker Hastanesi, KBB Kliniği, 34404, İstanbul, Türkiye. T.: +90 2122387900 F.: +90 2122387902 E-Mail: drsaglam@yahoo.com

How to Cite: Omer Saglam, Engin Dursun, Engin Dursun . Quality of life in patients with chronic otitis media. J Ann Eu Med 2014; DOI: 10.4328/AEMED.39.

Correlation of Oral Hygiene Habits, Smoking and Nutritional Habits with Halitosis

Ömer Sağlam1 , Bilal Çetin2 , Engin Dursun1

1 Kasımpaşa Asker Hastanesi, KBB Kliniği, 2 Gümuşsuyu Asker Hastanesi, KBB Kliniği, İstanbul, Türkiye

DOI: 10.4328/AEMED.40

To the editor:

We read with great interest the recently published paper by Ozler and Akoğlu entitled “Correlation of Oral Hygiene Habits, Smoking and Nutritional Habits with Halitosis” [1]. I’d like to congratulate authors and thank for sharing their experiences with us. Authors had determined many factors that may cause halitosis in their study. In the light of this information, study gives us very useful information in the management of halitosis patients. However, in the discussion part patients with halitosis that consume milk / dairy products, meat /meat products, tea, soft drinks, spices, ketchup products more than control groups was recommended to remove these foods from diary as a first step in treating patients. In my opinion, remove of milk / dairy products, meat / meat products from the dairy would not be suitable on a daily basis for the rest of life and also may have adverse impact on health. Instead, I suggest oral hygiene recommendations as a first step in the treatment of halitosis. I think some food restrictions may be considered as the next steps in the management of halitosis. We would like to specially thank for all authors that they have provided useful information to us about patients with halitosis and their dairy habits.

Reference

1. Ozler GS, Akoglu E. Correlation of Oral Hygiene Habits, Smoking and Nutritional Habits with Halitosis. J Ann Eu Med 2014;2(2):1-4.

Corresponding Author: Ömer Sağlam, Kasımpaşa Asker Hastanesi, KBB Kliniği, 34404, İstanbul, Türkiye. T.: +90 2122387900 F.: +90 2122387902 E-Mail: drsaglam@yahoo.com

How to Cite: Omer Saglam, Bilal Cetin, Engin Dursun . Correlation of oral hygiene habits, smoking and nutritional habits with halitosis. J Ann Eu Med 2014; DOI: 10.4328/AEMED.40