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    Closure of nasal septal perforations using bilateral intranasal advancement/rotation flaps
    (2014) Ozdek, A.; Bayir, O.; Dündar, Y.; Tatar, E.C.; Saylam, G.; Korkmaz, M.H.
    PATIENTS AND METHODS: Medical records of 28 consecutive patients who were operated for NSP in our clinic between January 2009 and February 2013 were retrospectively analyzed. Demographic features of the patients and surgical results were evaluated.; OBJECTIVES: This study aims to report our experience on surgical repair of nasal septal perforations (NSP) using bilateral intranasal advancement/rotation flaps with open septoplasty technique.; RESULTS: The most common cause of NSP was previous septal surgery in 18 (64%) of the patients. Nasal crusting was the most common symptom in 21 patients (75%). Perforation size ranged from 10 to 30 mm in diameter. Septoplasty was performed in five patients, while septorhinoplasty was performed in three patients simultaneously to the NSP repair. Nasal septal cartilage and auricular chonchal cartilage were used to support the nasoseptal skeleton, if required. There were no major intra- or postoperative complications. The mean postoperative follow-up period was 23 months. During follow-up, there was mild columellar retraction in five patients (18%). Nasal septal perforation was closed successfully in 24 patients (86%). Pinpoint perforation remained in two patients and perforation size was smaller than 5 mm in two patients.; CONCLUSION: Closing the NSP with bilateral intranasal advancement/rotation flaps has a comparable high success rate. Therefore, this technique can be easily applied to small-medium sized septal perforations.
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    In older patients tularemia mimicking hypopharyngeal carcinoma
    (2013) Bayir, O.; Saylam, G.; Çadalli, Tatar, E.; Özdek, A.; Korkmaz, H.
    [No abstract available]
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    Vestibular evoked myogenic potential responses in behçet's disease
    (2012) Bayir, O.; Comoglu, S.S.; Ozdek, A.; Aytac, E.; Guven, H.; Ozdal, M.P.; Korkmaz, H.
    Objective: To evaluate the vestibular evoked myogenic potentials responses in patients with Behçet's disease. Materials and Methods: Thirty-three patients (66 ears) with the diagnosis of Behçet's disease and 33 (66 ears) age and sex matched healthy volunteers were enrolled in the study. Logon type stimulus; 500 Hz frequency at an intensity of 120 dB HL with a 4/s stimulation rate was delivered to elicite the VEMP responses. The sternocleidomastoid muscle was chosen as the target to record the VEMPs. During the recording period subjects were in supine position with head elevation and simultaneous binaural acoustic stimulations were used. Results: The response rate of p1n1 wave was 69.7% for Behçet group and 89.4% for the control group (X2, p= 0.009). For Behçet group, the mean latencies of p1 and n1 were 13.7 ± 1.2 ms and 19.7 ± 1.4 ms, the mean amplitude of p1n1 wave was 12.2 ± 5.9 ?V. For control group, these values were 14.2 ± 1.3 ms; 20.8 ± 2.1 ms and 14.1 ± 6.1 ?V, respectively. Although there were no significant differences between the two groups with respect to p1 latency and p1n1 amplitude, n1 latencies were significantly shorter in Behçet group. Conclusion: This preliminary report notify that in Behcet's disease, the VEMP response rate is lower and n1 latency was shorter than the healthy subjects. © 2005 The Mediterranean Society of Otology and Audiology.