A Retrospective Analysis of Nasopharyngeal Biopsy Results in Adult Patients.

Introduction The widespread use of endoscopic evaluation in otolaryngology practice enables early diagnosis and treatment of nasopharyngeal cancers. This study aimed to evaluate the complaints, endoscopic examination findings, preferred radiological imaging methods, and pathology results of patients who underwent endoscopic nasopharyngeal biopsy. Methods Medical records of 956 patients (543 males and 413 females) who underwent nasopharyngeal biopsy between 2013 and 2018 were analyzed retrospectively. Age, gender, application complaint, endoscopic imaging findings, preferred radiological imaging methods, and biopsy results of the patients were retrospectively analyzed. The patients were grouped as benign and malignant according to their pathological diagnosis. Statistical evaluation was made between the benign and malignant groups in terms of parameters. Results The age range of the patients was 16-88 years. Pathology results of 102 patients were reported as malignancy. The most common malignancy was undifferentiated non-keratinized carcinoma (2.5%). The most frequently reported benign pathology was chronic nonspecific inflammation. The most common complaint was nasal congestion, which was observed at a rate of 63.1%. The most frequently requested radiological imaging was MRI with 43.1%. Conclusion The image of the masses found during endoscopic examination is very important to make a decision of malignancy. Even if the repeated biopsy is performed in patients with biopsy due to suspicious mass or with additional symptoms for nasopharyngeal carcinoma, radiological imaging is important for the exclusion of malignancy.

Evaluation of the relationship of chronic otitis media with the Körner's septum, auditory tube angle, and tubotympanic angle.

PURPOSE: This study aimed to evaluate the relationships between chronic otitis media (COM) and the characteristics of Auditory tube (Eustachian) angle (ATa), tubotympanic angle (TTa), and Körner's septum (KS). METHODS: A retrospective research was conducted between January 2019 and October 2019. The computed tomography (CT) results and medical files of 210 patients were evaluated. According to CT results and medical files, the patients were evaluated regarding the presence of COM, KS, ATa, and TTa. RESULTS: There were 113 (53.81%) males and 97 (46.19%) females in the study group, and the mean age of the patients was 42.05 ± 10.77 years. The frequency of the KS was significantly higher in patients who were diagnosed with COM (35.66% vs. 7.41%, p < 0.001). The patients diagnosed with COM were found to have a narrower ATa and a wider TTa than the patients who were not diagnosed with COM. ATa was narrower and TTa was wider in patients with KS. The presence of KS and higher TTa value were considered as risk factors for COM (p < 0.001, p < 0.001, respectively) CONCLUSION:  Our findings indicate that ATa was narrower, TTa was wider and KS was more frequent in patients with COM. Analysis of risk factors demonstrated that increased TTa and the presence of KS were associated with increased risk for COM.

The Association Between Glycolyzed Hemoglobin A1c and Hearing Loss in Diabetic Patients.

Purpose Our study aimed to determine the correlation between glycated hemoglobin (HbA1c) levels and the audiometric parameters in diabetic patients. Methods We included 724 patients (376 male, 348 female) in our outpatient clinic and created four groups by reference to the HbA1c values. The first group was 192 patients with an HbA1c value < 4.5, 176 patients with an HbA1c value between 4.5 - 5 as Group 2, 177 patients with an HbA1c value between 5 - 6 as Group 3, and 179 patients that had an HbA1c value greater than 6 as Group 4. The correlations between HbA1c values and median pure tone thresholds at 250, 500, 1,000, 2,000, 4,000, and 8,000 Hz, the speech recognition thresholds, and the speech discrimination scores were compared. Results The median speech recognition thresholds, speech discrimination scores, and the median pure-tone thresholds at 250, 500, 1,000, 2,000, 4,000, and 8,000 MHz in the left ear significantly differed in the fourth group (p < 0.001). Pure-tone thresholds at 500 Hz, 4,000 Hz, speech discrimination scores, and recognition thresholds in the right ear had a significant positive correlation in the fourth group (p < 0.001). Conclusion According to HbA1c levels, the severity of diabetes can affect high to all frequencies of hearing functions negatively. The follow-up of patients with higher levels of HbA1c should undergo audiological tests more regularly.

Comparison of Inferior Turbinate and Uncinate Process Angulation with Normal Population in Patients with Septal Spur.

The presence of septal spur may cause various pathologies by affecting the development of the inferior turbinate, osteomeatal unit and uncinate process. We aimed to compare the changes of the angle with inferior turbinate and the maxillary medial wall of the uncinate process in patients with septal spur by normal population. In the study, 138 patients with septal spur and unilateral septum deviation and 83 patients without septum deviation were evaluated retrospectively. The angles of the inferior turbinate and the uncinate process with the medial wall of the maxilla were measured at the ostemaetal unit level. The changes of the inferior turbinate and the uncinate process with the maxilla medial wall compared to the opposite side of the deviated side and the normal population were compared. Angle of the inferior turbinate with the medial wall of the maxilla is significantly smaller in the side with septum deviation to the side without septum deviation and normal population and significantly large in the side without septum deviation to normal population. Angle of the uncinate process with the medial wall of the maxilla is significantly large in the side with septum deviation to the side without septum deviation and normal population and significantly smaller in the side without septum deviation to normal population. Presence of septum base crest are thought to cause structural changes at the inferior turbinate and the uncinate process. We recommend to break the inferior turbinate at the concave side in patients with basal crest.

Otoacariasis: demographic and clinical outcomes of patients with ticks in the ear canal / Otoacaríase: desfechos demográficos e clínicos de pacientes com carrapatos no conduto auditivo externo

ABSTRACT INTRODUCTION: Otoacariasis, the attachment of ticks and mites within the ear canal is a common phenomenon especially in rural areas. OBJECTIVE: To determine the clinical and demographic features of cases with detected ticks in the ear canal, which is a common health problem, and identify tick species. METHODS: Data of patients who had otoacariasis were collected. We also investigated all ticks at the Veterinary Department of Kafkas University. RESULTS: We present the data of patients with otoacariasis. All ticks were identified as otobius. Otobius ticks were found not related with any complications. CONCLUSION: It is very important to detect ticks in the ear canal as they act as vector of some diseases. Identifying species of ticks may help clinicians to prevent further complications associated with vector-borne diseases.

Resumo Introdução: A otoacaríase, fixação de carrapatos duros e moles no interior do conduto auditivo, é fenômeno comum, especialmente em áreas rurais. Objetivo: Determinar as características clínicas e demográficas de casos de carrapatos detectados no conduto auditivo externo, um problema de saúde frequente, e identificar as espécies do ácaro. Método: Coletaram-se dados dos pacientes com otoacaríase, e todos os carrapatos foram investigados no Departamento de Veterinária da Universidade Kafkas. Resultados: Os dados de pacientes com otoacaríase são apresentados. Todos os carrapatos foram identificados como pertencentes ao gênero Otobius e constatou-se não haver relação entre os carrapatos e qualquer tipo de complicação. Conclusão: É muito importante detectar carrapatos no conduto auditivo externo, pois esses ácaros funcionam como vetores para algumas doenças. A identificação da espécie do ácaro pode ajudar o clínico a prevenir complicações associadas às doenças transmitidas por esse vetor.

Otoacariasis: demographic and clinical outcomes of patients with ticks in the ear canal.

INTRODUCTION: Otoacariasis, the attachment of ticks and mites within the ear canal is a common phenomenon especially in rural areas. OBJECTIVE: To determine the clinical and demographic features of cases with detected ticks in the ear canal, which is a common health problem, and identify tick species. METHODS: Data of patients who had otoacariasis were collected. We also investigated all ticks at the Veterinary Department of Kafkas University. RESULTS: We present the data of patients with otoacariasis. All ticks were identified as otobius. Otobius ticks were found not related with any complications. CONCLUSION: It is very important to detect ticks in the ear canal as they act as vector of some diseases. Identifying species of ticks may help clinicians to prevent further complications associated with vector-borne diseases.

Intranasal angiofibrolipoma.

Angiofibrolipoma is a rarely seen histopathological variant of lipoma. It is seldom in the head and neck region. Clinically, it shows macroscopic similarity with lipoma. In this article, we report a 65-year-old male case who presented with left-sided nasal obstruction. After complete removal of the tumor, histopathological diagnosis was reported as angiofibrolipoma. To the best of our knowledge, this is the first case report of an angiofibrolipoma of the nose in the literature.

Hemolacria: case report.

Hemolacria is a very rare entity which literally means "bloody tears". Conjunctivitis, capillary hemangioma, conjunctival telangiectasia, trauma, retrograde epistaxis and nasal and paranasal neoplasms may play a role in its etiology. In our case report, a 11-year-old female patient who presented with the complaint of bilateral epistaxis accompanied by bloody tears that had been present for 2 years and whose endoscopic examination revealed hyperemia and increased vascularity in the nasal cavity mucosa was discussed together with a review of the literature.