Cutaneous rhinosporidiosis presents with recurrent nasal philtrum mass in southern Turkey.

We report a case of cutaneous rhinosporidiosis localized in the nasal philtrum. The patient's complaints started 3 months prior to being seen in our clinics. Ear, nose, and throat examination showed the presence of a polypoid lesion filling the right nostril. Complete surgical resection of the polypoid lesion provided a temporary relief as the patient developed the same lesion atin 6 weeks post-operation. The appearance and the recurrence pattern have led us to determine whether this lesion was rhinosporidiosis. Histopathological examination confirmed rhinosporidiosis. Finally, we performed complete resection followed by cauterization of the base of the mass. The infection has been reported in hot, tropical climates, and endemic zones of India and Sri Lanka. To our knowledge there is no reported case of rhinosporidiosis from southern Turkey within the subtropical Mediterranean climatic area.

[Internal jugular venous thrombophlebitis secondary to tooth extraction]. / Dis çekimi sonrasi gelisen internal juguler ven tromboflebiti.

A 20-year-old female patient presented with swelling and pain in the neck, difficulty in opening her mouth, dyspnea, nausea, fever, and shivering. She was prescribed amoxicillin for one week due to a teeth infection and had lower molar tooth extraction on the same side two days before. Neck examination showed a swelling, 2 x 3 cm in size, in the carotid triangle and minimal hyperemia on the skin. A diagnosis of internal jugular venous thrombophlebitis was made and parenteral antibiotherapy was administered along with antithrombotic therapy. Complete improvement was observed after 15 days and the patient was symptomless in the eighth month.

Chronic otitis media with effusion and Helicobacter pylori.

OBJECTIVE: The aim of this study is to investigate the presence of Helicobacter pylori (HP) in the middle ear effusion by Campylobacter-like organism (CLO) test and whether it has a role in the ethiopathogenesis of chronic otitis media with effusion (OME). STUDY DESIGN: A prospective randomized and controlled study. METHODS: This study was performed with 45 patients with the diagnosis of chronic OME and adenoid hypertrophy, between the ages 3 and 13 (median 6). Thirty patients constituted the study group (18 male (60%) and 12 (40%) female). Adenoidectomy with myringotomy with ventilation tube insertion were performed to this group. Middle ear effusion and adenoid tissue pieces were collected and H. pylori presence was investigated by "CLO" testing. Fifteen patients of the matching age group (9 male (66.7%) and 6 (33.3%) female) constituted the control group to whom adenoidectomy with myringotomy were performed but no middle ear effusion could be determined (empty myringotomy patients). The wash out liquid of middle ear and pieces of adenoid tissue samples were also collected from the control group. By using CLO testing, the presence of H. pylori was investigated in the adenoid tissues and middle ear of the empty myringotomy patients. RESULTS: In 20 (66.6%) patients of the study group, CLO testing was positive in the middle ear effusions. None of the patients demonstrated positive CLO test in the wash out liquid of middle ear. There was significant difference of positive CLO testing in the middle ear effusions of two groups (p<0.001). CONCLUSIONS: These findings showed us that presence of HP in the middle ear effusion using CLO testing and this may be responsible for the ethiopathogenesis of chronic OME.

Important anatomical landmarks in the lateral nasal wall.

OBJECTIVE: The study aimed to investigate the anatomy of the lateral nasal wall to provide a set of measurements among some important anatomical landmarks and to reveal the relationship between them. METHODS: Fifty half heads were dissected to determine the distances between important landmarks in the lateral nasal wall for endoscopic sinus surgery. Landmarks were measured with an electronic caliper. This study was carried out between December 2002 and February 2003 at the Anatomy Research Laboratory, Faculty of Medicine, Akdeniz University, Antalya, Turkey. RESULTS: Results were provided as mean +/- standard deviation. In our study, some of the critical distances as in the lateral nasal wall were measured and results showed consistency to the data found in the literature. CONCLUSION: Our results are useful to achieve safe endoscopic sinus surgery.

Endoscopic management of the intranasal glioma.

The authors report the endoscopic management of a boy with nasal glioma who was only 35 days old. The nasal glioma is a rare congenital nasal abnormality, which manifests as a mass of extracranial cerebral tissue unconnected with the brain. For surgical excision, some surgeons suggest initial craniotomy for excluding intracranial extension. The authors successfully removed the intranasal glioma by endoscopic surgery without craniotomy on a 35-day-old boy. Intranasal endoscopic surgery is a less-invasive and safe procedure and does not result in postoperative facial scarring and deformity. Therefore, the use of endoscopic surgery in place of lateral rhinotomy procedure is recommended.

Effect of zinc ion on cadmium-induced auditory changes.

Cadmium, which has adverse effects on many physiological systems, is an important environmental pollutant. Our previous experimental study showed that cadmium also has a dose-dependent deleterious effect on the auditory system in rats. Because zinc reverses cadmium cytotoxicity in many systems, we investigated the possible preventive effect of a zinc-enriched diet given isochronally on cadmium-induced hearing loss in rats. Fifty-four male rats were divided into three equal groups. Control rats were fed normal rat food and tap water, whereas the cadmium group was subjected to 15 ppm cadmium-containing water as CdCl2. The third group received 15 ppm CdCl2 and food enriched with 200 ppm zinc as ZnSO4 for 30 d. On d 30, eight animals from each group were used for the measurement of kidney functions. In the remaining animals, hearing functions were measured by auditory brainstem response and distortion product otoacoustic emission. Blood cadmium increased from 1.87+/-1.69 to 6.08+/-2.62 microg/dL and elevated cadmium contents of ear ossicles and kidney cortex were associated with a decreased glomerular filtration rate in rats subjected to high cadmium. A zinc-enriched diet obviously reduced cadmium accumulation in the kidney and prevented the nephrotoxicity. Our data indicated that cadmium-induced ototoxicity seems to be partially zinc preventable and zinc addition to diet without altering cadmium content in ear ossicles may help to prevent cadmium-induced hearing loss.