[Outpatient surgical practices in otorhinolaryngology]. / Kulak burun bogazda günübirlik cerrahi uygulamalari.

OBJECTIVES: In this study, we report outpatient surgical procedures in an ear nose and throat (ENT) clinic of a university hospital for the first time in Turkey. MATERIAL AND METHODS: All patients who were operated between January 2012 and December 2013 by our ENT surgeons either in central operating room or in outpatient surgery unit were retrospectively analyzed. Age of the patients, type of operation, type of anesthesia, and the time of discharge were recorded. RESULTS: The highest number of outpatient surgical procedures was in the 1-18 age group. The most widely used type of anesthesia was general anesthesia, while adeno/tonsillectomy and tympanostomy tube insertion were the most commonly performed operations. The total number of surgeries was 2,714 and 379 (13.96%) of these patients were discharged on the same day. CONCLUSION: Outpatient surgery has become widespread in the past three decades, particularly. However, in our study, the ratio of outpatient surgery to all surgical interventions was very low, compared to developed countries.

Submandibular Sialolithiasis Perforating the Floor of Mouth: A Case Report.

Calculus formation in salivary glands (sialolithiasis) is one of the most common diseases of the salivary glands and is most commonly seen in the submandibular gland. Not only can the stones be small and inside the duct, they may also get larger and reside inside the gland. We can easily see submandibular sialolithiasis perforating the floor of the mouth in cases having sialolithiasis for decades and not having any treatment and its transoral removal as we look in the medical literature. A 52-year-old lady who had rejected surgical treatment for submandibular sialolithiasis for 25 years is presented as a case in this study. Treatment of the case was performed effectively by taking out the calculus transorally with a simple intervention whose examination revealed that the calculus was seen to perforate the floor of the mouth. It is aimed to stress with this case that transoral removal of submandibular sialolithiasis that perforates the floor of the mouth without performing external approaches is a method that has to be thought in the first step.

The 100 Most Cited Turkish Papers in the Otorhinolaryngology Journals of Web of Science.

OBJECTIVE: The aim of the study was to analyze the 100 most cited publications with Turkish origin in the Web of Science Otorhinolaryngology (ORL) journals. METHODS: The Web of Science database was searched in terms of citations for publications originating from Turkey in ORL journals since 1983. After the identification of the 100 most cited articles, analysis was performed for the first author, institution, city, publication type, subject related to subspecialty, and journals having the most cited articles. Moreover, the number of ORL publications and citations of countries was determined in descending order using the same database. RESULTS: A total of 3948 ORL articles with Turkish origin was identified. The number of citations was 181 for the first and 28 for the last in the 100 most cited articles. As there was more than one article with 28 citations, 101 articles were analyzed. The number of the articles was 76, 22, and 3 for the university, education/research, and state hospitals, respectively. Hacettepe University, Ankara Numune Hospital, and Gazi University were the three leading institutions having the most cited articles, and Ankara was the first city. While 98 of 101 articles were original research, the number of case reports and review articles were 2 and 1, respectively. Thirty-five articles were related to otology, 23 to pediatric ORL, 20 to rhinology and head and neck surgery, and 3 to facial plastic surgery. Laryngoscope, Otolaryngology-Head and Neck Surgery, and International Journal of Pediatric Otorhinolaryngology were the leading 3 journals with the most cited articles coming from Turkey. The evaluation of countries revealed that Turkey was among the first 10 countries in terms of number of ORL articles but fell behind for the number of citations. CONCLUSION: This bibliometric study is the first one regarding the contribution of Turkish authors and institutions to ORL literature. Similar studies might be periodically repeated to determine national development in the field of ORL and place of Turkey in the world.