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Yayın Does cooling the tonsillar fossae during thermal welding tonsillectomy have an effect on postoperative pain and healing?(SPRINGER, 2013) Karaca, Cigdem Tepe; Celebi, Saban; Oysu, Cagatay; Celik, OnerThe objective of this study was to evaluate the effect of cooling the tonsillar fossa during thermal welding tonsillectomy on pain and wound healing. Prospective, blinded, clinical study was conducted. 30 patients who underwent tonsillectomy by thermal welding were evaluated. When one of the tonsillar fossa was cooled by isotonic fluid, the other has left untreated. Postoperative pain and mucosal healing pattern were assessed. Data were recorded and statistically analyzed. Healing process of the cooled down tonsillar fossae were significantly better on the 7th and 14th postoperative day (p < 0.01). Control tonsillar fossae had significantly higher pain scores on the 3rd, 7th and 14th postoperative day (p < 0.05). Administration of isotonic fluid, during thermal welding tonsillectomy for cooling tonsillar fossae, accelerates wound-healing process significantly and decreases tonsillectomy related pain complaints post-operatively.Yayın The Effect of Duration of Merocel in Glove Finger With Tetracaine Solution on Septoplasty Morbidity(LIPPINCOTT WILLIAMS & WILKINS, 2013) Celik, Oner; Boyaci, Zerrin; Atespare, Altay; Develioglu, Omer; Karaca, Cigdem Tepe; Caglar, Erdem; Vural, CetinObjective: We aimed to decrease the postseptoplasty morbidities depending on nasal packing by using Merocel within glove finger moistened with tetracaine 0.25% solution. Study Design: The study was designed as a randomized prospective study. Setting: A university hospital in Turkey. Subjects and Methods: Our study consisted of 80 patients who underwent septoplasty. The Merocel nasal tampon within glove finger was inserted after surgery in the study group and removed after 24 or 48 hours. Merocel was moistened with tetracaine 0.25% solution after insertion into the nasal cavity and just before removal. The morbidities and normal breathing time were recorded and compared with those of the control group. Results: The postseptoplasty morbidities were significantly decreased in the study group compared with those in the control group. The morbidities were also improved after removal of tampons after 24 hours compared with 48 hours. However, the normal breathing time was prolonged when the nasal tampons were removed after 24 hours. Conclusions: The glove finger provides comfortable removal of nasal packing. The Merocel tampons might be safely removed just after 24 hours postoperatively without any complication.Yayın A Life-Threatening Complication of Nasal Packing(Galenos Yayincilik, 2012) Çelebi, S.; Karaca, Cigdem Tepe; Çelik, OnerNasal 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.Yayın Multiparametric comparison of thermal welding versus cold knife tonsillectomy with tonsil size(Deomed Publ, Istanbul, 2013) Çelebi, Saban; Çelik, Oner; Karaca, Cigdem Tepe; Ulusoy, SeckinObjective: 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.Yayın Relation Between the Benign Paroxysmal Positional Vertigo and Environmental and Climatic Factors(Galenos Yayincilik, 2013) Çaglar, Erdem; Çelebi, Saban; Karaca, Cigdem Tepe; Çelik, OnerObjective: 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.
