Browsing by Author "Ertugay, Cigdem Kalaycik"
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Item Effects of Surfactant on Biofilm Formation on Silicone Nasal Splints(2015) San, Turhan; Ertugay, Omer Cagatay; Catli, Tolgahan; Acar, Mustafa; Ertugay, Cigdem Kalaycik; Dag, Ilknur; Cingi, Cemal; 24874588Biofilms are sessile communities of bacteria embedded in self-produced extracellular polysaccharide matrix and are considered to be responsible for bacterial infections in humans. Topical surfactant use on silicone nasal splints may have a preventive effect on biofilm formation. The objective of this study is to investigate the effect of surfactant-containing nasal solutions on biofilm formation over the surface of silicone nasal splints. Forty patients were randomized after septoplasty to receive surfactant-containing saline solution (group 1) or saline without surfactant (group 2). At the postoperative 48th, 72th and 96th hours, pieces of splint samples were taken and prepared for scanning electron microscopic evaluation. Biofilm formation was observed in 3, 6 and 14 of 20 samples in group 1 (surfactant used) and 3, 14 and 20 of 20 samples in group 2 (control) at 48th, 72th and 96th hours, respectively. Biofilm formation incidences of groups at 48th hour were similar (p > 0.05), whereas it was significantly lower at group 1 regarding 72th and 96th hours (p < 0.05). Surfactant-containing nasal solutions have an inhibitory effect on biofilm formation over the surface of silicone nasal splints especially after 48 h. Surfactant-containing nasal solutions may have an important role in nasal septal dressing in the future.Item How much are the incidental abnormalities on brain MRI clinically significant in otolaryngology practice?(2016) Koc, Ayca Ozbal; Ertugay, Cigdem Kalaycik; Cevik, Halime; Erbek, Selim SermedObjective: We aimed to investigate the frequency of incidental diagnosis of paranasal sinus and mastoid abnormalities on brain magnetic resonance imaging (MRI) and its correlation with symptoms of patients. Methods: We examined 100 patients who underwent brain MRI due to several different complaints other than sinusitis and mastoiditis. The patients who had any nasal or otologic pathology in otolaryngology examination were excluded from the study. Afterwards, a total of 65 patients were included into the study. The questionnaire consisted of otological symptoms and Sino-nasal Outcome Test (SNOT-20), Lund and Mackay scoring system for rhinosinusitis were filled by all patients immediately prior to imaging. The analysis of the MRI scan in terms of rhinosinusitis according to the Lund-Mackay radiological scoring and mastoiditis was performed by the same radiologist. Results: The mean age of 65 patients was 46.62 +/- 17.73 years. Eighteen (27.7%) of these were men and 47 (72.3%) were women. In 26 (40%) of 65 patients, MRI demonstrated mastoiditis. We could not find any statistically significant correlation between mastoiditis and upper respiratory tract infection (p=0.896). There was no statistically significant relationship between radiological scores and total sinus symptom scores (p=0.93). Additionally, we could not find any correlation between radiological scores and SNOT-20 (p=0.923). Conclusion: Our findings demonstrated that although some of these patients had various symptoms of sinus or mastoid diseases, these symptoms had no statistically significant correlation with the radiological diagnosis. In conclusion, radiologists should advise clinical correlation of their radiologic findings rather than reporting a clinical diagnosis such as sinusitis and mastoiditis.Item Is Septoplasty Effective on Habitual Snoring in Patients with Nasal Obstruction?(2015) Ertugay, Cigdem Kalaycik; Toros, Sema Zer; Karaca, Cigdem Tepe; Kulekci, Semra; Verim, Aysegul; Ertugay, Omer Cagatay; Naiboglu, Baris; 25182390We aimed to find out whether snoring relieve with nasal surgery in patients with nasal obstruction. Sixty-four patients who underwent septoplasty under general anesthesia with complaint of nasal obstruction and snoring at Haydarpasa Numune Education and Research Hospital were enrolled in the study. All patients were evaluated by otolaryngological examination. Septal deviation was graded as mild, moderate and severe with endoscopy. Variables examined included age, sex, body mass index. All patients also completed the questionnaires, including Nose Obstruction Symptom Evaluation scale (NOSE), Epworth Sleepiness Scale (ESS), and Snore Symptom Inventory (SSI) before and after septoplasty. NOSE scale, ESS, and SSI scores showed statistically significant improvement after nasal surgery (p < 0.01) but we could not find any statistically significant association between septal deviation grading and improvement in scores of NOSE scale, ESS, and SSI (p > 0.05). Added to this, the association between body mass index (BMI) and improvement in scores of NOSE scale, ESS, and SSI did not reach statistical significance (p > 0.05). Our results demonstrated that septoplasty is effective on the subjective parameters of nasal obstruction in habitual snorers irrespective of the nasal septal deviation and severity of BMI.Item Parotid Gland Primary Amelanotic Malignant Melanoma(2016) Koc, Eltaf Ayca Ozbal; Ertugay, Cigdem Kalaycik; Altaner, SemsiAmelanotic malignant melanoma (AMM) represents only 2%-8% of all malignant melanomas, and primary AMM of the parotid gland is very rarely diagnosed. This is the second case of primary AMM of the parotid gland in the literature. The aim of this report is to discuss our case and this rare entity. The detection of AMM is very complex because the pathology results can be confused with those for inflammatory processes and benign and malignant tumors. Immunohistochemical analysis of S100 protein and human melanoma black 45 (HMB45) analysis provides guidance in the differential diagnosis of AMM. In this report, we present a rapidly growing amelanotic malignant melanoma in the parotid gland. Examination of the patient and radiological studies showed no other lesions.