Browsing by Author "Erisen, L."

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Efficacy of nasal surgery on snoring
(Galenos Yayıncılık, 2010-09-01) Sufiolu, M.; Özmen, Ömer Afşin; Kasapoğlu, Fikret; Ursavaş, Ahmet; Erisen, L.; Onart, S.; Sufiolu, M.; ÖZMEN, ÖMER AFŞIN; KASAPOĞLU, FİKRET; URSAVAŞ, AHMET; Erisen, L.; Onart, S.; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Hastalıkları Anabilim Dalı; 0000-0002-9698-0546; A-1452-2019; AAI-3877-2021; AAI-3169-2021; GCI-1390-2022; ETY-7294-2022; FQP-9099-2022
Objectives: The aim of the study was to investigate the effect of corrective nasal surgeries on snoring in patients diagnosed as simple snorers.Methods: Seventeen patients who were presented with the complaint of snoring as suggested by their partners and had apnea hypopnea index less than 5 in polysomnography, and were operated on due to nasal pathology were included in the study. Patients were evaluated prior to surgery and 3 months after surgery with body mass index, snoring complaints inventory and visual analog scala (VAS) for symptoms of snoring and apnea, nasal obstruction and post-operative satisfaction.Results: In the post-operative assessment, significant improvement was observed in the nasal passage compared to pre-operative level. This finding was approved subjectively on survey study as increase of nasal passage in 71% of the patients. Decrease in snoring was found in 65% of the patients. VAS scores revealed a significant reduction in the loudness of the snoring in the post-operative period.Conclusion: Correction of the nasal pathology leads to reduction in the frequency and loudness of the snoring. Consequently, nasal pathologies should definitely be treated in patients with snoring. However, it should be borne in mind that these diseases are multifactorial and multi-leveled. Thus, successful results may not be obtained in all of the patients and they should be counseled accordingly.
Objective and early diagnosis of chylous fistula in the postoperative period
(Mosby, 2002-02) Erisen, L.; Coşkun, Hakan; Basut, Oğuz İbrahim; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Hastalıkları Anabilim Dalı.
OBJECTIVE. The study goal was to evaluate whether quantitative analysis of neck drainage contents is an important parameter of objective and early diagnosis of chylous fistula (CF) in the postoperative period. STUDY DESIGN AND SETTING., We prospectively evaluated 103 consecutive neck dissections during a 2-year period at a tertiary academic referral center. Six of the patients (5.8%) had CF The data obtained from the patients with CF were matched with normal data obtained from patients without CF. RESULTS: A statistically significant difference was found between total drainage volumes of the patients with and those without CF (P < 0.05). In almost all patients with CF, drainage levels of triglycerides and cholesterol on postoperative day I were higher than serum levels. The difference between the drainage levels of triglycerides and cholesterol of the patients with and without CF was highly significant (P < 0.001). CONCLUSIONS: Serum and drainage levels of triglycerides and cholesterol on postoperative day I can be used as objective and early predictive parameters of CF.
Uludag experience in the neck treatment of the tongue corpus and floor of mouth squamous cell carcinomas
(Galenos Yayincilik, 2009-06-01) Özmen, O. A.; ÖZMEN, ÖMER AFŞIN; Saraydaroğlu, G.; Erisen, L.; Kasapoğlu, Fikret; KASAPOĞLU, FİKRET; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.; 0000-0002-9698-0546; AAI-3877-2021; A-1452-2019
Objectives: The aim of this study is to review the treatment of the neck in tongue corpus (TC) and floor of mouth (FM) cancers which have high incidence of neck metastasis with the experience gained from our patients.Methods: Fourty-three patients who underwent primary surgery between June 1992 to April 2007 were analyzed retrospectively.Results: Forty-one neck dissections (ND) were employed in 38 patients. Neck recurrence was observed in five patients (12%). One of five (20%) clinically N0 patients who did not undergo ND had neck recurrence. On the other hand, three of 25 clinically N0 patients (12%) who had ND developed neck recurrence. Only one of 13 N(+) patients (% 8) had neck recurrence. On neck basis; among 32 patients who had selective ND, two of 19 patients with supraomohyoid ND (SOND) had neck recurrences whereas none of the 13 patients with extended SOND (ESOND) had neck recurrence. One of the neck recurrences was in the ipsilateral zone IV of a patient with SOND, another neck recurrence was in the ipsilateral zone V of a patient with modified radical ND (MRND). Remaining two patients had recurrence in the contralateral untreated neck. None of the eight clinically N1 patients who underwent selective ND had neck recurrence. Despite salvage treatments, all patients with neck recurrence died due to disease.Conclusion: The decision for excluding ND in oral cavity cancer should be given cautiously and ND should be employed in case of tumor depth more than 5 mm. We recommend ESOND as the selective ND in which zone IV is added to the dissection to be chosen in N0 patients. Selective ND's may be used effectively in selected N1 patients. Bilateral ND should be done especially in FM lesions and lesions crossing the midline.