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    A Life-Threatening Complication of Nasal Packing
    (Galenos Yayincilik, 2012) Çelebi, S.; Karaca, Cigdem Tepe; Çelik, Oner
    Nasal septal surgery is frequently performed in otolaryngology practice. Bleeding, septal hematoma, infection, abscess formation, synechiae, and septal perforation can be seen as postoperative complications. Nasal packs that are made of various materials are used in order to prevent a portion of these complications. Some of these packs lead to pain and discomfort as a result of foreign body sensation. In this paper, we present a life-threatening complication of nasal packing resulted in patient's aspiration during drawing back.
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    Multiparametric comparison of thermal welding versus cold knife tonsillectomy with tonsil size
    (Deomed Publ, Istanbul, 2013) Çelebi, Saban; Çelik, Oner; Karaca, Cigdem Tepe; Ulusoy, Seckin
    Objective: This study is performed to compare thermal welding tonsillectomy (TWT) technique versus cold knife tonsillectomy (CKT) technique under consideration of postoperative pain, intraoperative bleeding, operation time, and tonsil size. Methods: One hundred and three patients underwent tonsillectomy aged between 5 and 39 years were included into the study. Tonsil sizes were classified with Brodsky's tonsil scale system ranging from 0-4. Duration of the operation and the amount of bleeding were recorded. Postoperative pain was evaluated via visual analogue scale and face pain scale on the 1st, 3rd, 7th and 14th postoperative days. Results: Mean operative time was lower in TWT group than CKT group (p<0.01). Mean pain score on 1st, 3rd, 7th postoperative days was significantly higher in CKT than in TWT group (p<0.01). Mean pain score on the 7th postoperative day in CKT group of patients with tonsil size 1 and 2 was significantly higher than the patients with tonsil size of 3 (p<0.01). Mean pain score on the 3rd, 7 th and 14 th postoperative days in TWT group of patients with tonsil size 1 and 2 was significantly higher than the patients with tonsil size of 3 (p<0.01). The average amount of bleeding in CKT group was significantly higher than in TWT group (p<0.01). There were no significant differences on the average amount of bleeding obtained in both group according to the size of tonsils(p>0.05). Conclusion: In the present study, it was concluded that the tonsil size does not affect the amount of intraoperative bleeding however increase in the tonsil size decreases the postoperative pain.
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    Relation Between the Benign Paroxysmal Positional Vertigo and Environmental and Climatic Factors
    (Galenos Yayincilik, 2013) Çaglar, Erdem; Çelebi, Saban; Karaca, Cigdem Tepe; Çelik, Oner
    Objective: The aim of this study was to evaluate the relation between the benign paroxysmal positional vertigo (BPPV) and the environmental and climatic factors through a retrospective statistical analysis spanning 3 years (2009-2012). Methods: Two hundred and forty five idiopathic BPPV patients (146 women, 99 men; mean age, 47.7 for men and 43.1 for women) living in Istanbul were included in this study. The relation between the climatic and basic environmental data (air pollution, air pressure, mean temperature, humidity; data collected monthly by Istanbul Directorate of Meteorology) and the corresponding number of BPPV patients were analyzed for the January 2009-March 2012 time interval. Results: Statistically significant negative correlation (p<0.05) was observed between the number of BPPV patients and the temperature. Regarding the relation between the number of BPPV patients and basic environmental factors, positive correlation (p<0.05) was indicated with the air pressure (P), humidity (H), sulfur dioxide (SO2) concentration, particle quantity (PM10), carbon monoxide (CO), and nitric oxide (NO) concentrations. Conclusion: BPPV was more frequent in middle-aged women and on the right side. In our study, It was clear that BPPV increased during the Winter season. The effect of air pollution, especially particle concentration, is suspected, however it is not yet clearly identified. The factors that correlate the climate and otoconia metabolism require further investigation.