Browsing by Author "Ünlü H.H."
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Item The evaluation of eustachian tube function in patients with chronic otitis media(Blackwell Publishing Ltd, 1997) Yücetürk A.V.; Ünlü H.H.; Okumu̧ M.; Yildiz T.; Fïlïz Ü.In this study we evaluated eustachian tube function in patients with chronic otitis media and compared the results with normal subjects. Two different eustachian tube function tests were applied to 60 ears of the chronic otitis media group and 146 ears of the control group. While eustachian tube dysfunction was observed in 71.7% of the chronic suppurative otitis media group, it was only seen in 34.9% of the control group.Item Anatomical guidelines for intranasal surgery of the lacrimal drainage system(1997) Ünlü H.H.; Gövsa F.; Mutlu C.; Yücetürk A.V.; Şenyilmaz Y.To facilitate identification of the nasolacrimal duct during intranasal surgery, we have determined the distances between the lacrimal drainage system and certain anatomical structures on the lateral wall of the nasal cavity. A total of 15 adult cadaver skulls were bisected mid-sagittally and evaluated morphometrically. In our specimens, the average distance from the natural ostium of the maxillary sinus to the nasolacrimal duct (NLD) was only 5.5 min. This rather small distance should be taken into consideration, in order to prevent trauma of the NLD during surgical enlargement of the ostium of the maxillary sinus. The distances from NLD to the anterior surface of the bulla ethmoidalis, the free edge of the uncinate process and the attachment point of the middle turbinate on the lateral nasal wall were found to be 10.2 mm, 8.8 mm and 5.4 mm, respectively. Taking these distances into account, easy identification of the NLD during endonasal dacryocystorhinostomy surgery will be possible.Item Evaluation of intraocular pressure and cataract formation following the long-term use of nasal corticosteroids(Medquest Communications LLC, 1998) Öztürk F.; Yücetürk A.V.; Kurt E.; Ünlü H.H.; Ilker S.S.It is possible that corticosteroids administered via nasal spray might reach ocular structures in levels sufficient to provoke an ocular hypertensive response and cause posterior subcapsular cataracts (PSCs) in susceptible individuals. In the present study, 26 patients who had undergone endoscopic sinus surgery were evaluated prospectively with respect to intraocular pressure and PSC formation following the use of nasal steroids for at least three months. Eighteen patients (69%) self-administered 200 μg/day of budesonide nasal spray twice daily, and eight patients (31%) self- administered 200 μg/day of beclomethasone dipropionate nasal spray twice daily, for a period of three to 19 months (mean 8.8 ± 3.6 months). Ophthalmologic examination, tonometry, visual field testing and biomicroscopic studies revealed no evidence of ocular hypertension or PSCs during postoperative follow-up. We conclude that intranasal corticosteroids can be used safely for prolonged periods without increasing the risk of ocular hypertension or PSCs.Item Endoscopic dacryocystorhinostomy without stents(2000) Ünlü H.H.; Öztürk F.; Mutlu C.; Ilker S.S.; Tarhan S.Objective: The aim of this study is to present our endoscopic DCR operation method without the use of silicone tubing and our results on the patients suffering from chronic epiphora with postsaccal stenosis. Methods: Endoscopic dacryocystorhinostomy operations were performed to 21 sides of 18 patients who had chronic epiphora. No silicone tubing was used in any of the cases. In the postoperative healing period, the rhinostomy opening was maintained with frequent removal of nasal debris and using eyedrops. The patients were evaluated by fluoresceine test and endoscopic controls. Results: Symptomatic improvement was achieved in 19 out of 21 sides of the patients (90.5%) and the results were confirmed by the fluoresceine test under endoscopic control. Conclusion: Our results of 21 sides of 18 cases underwent primary DCR without stents are as successful as those reported in the literature and the technique seems to be promising. Copyright (C) 2000 Elsevier Science Ireland Ltd.Item Asymmetric nasal bone trim: A surgical technique for the deviated nose with/without minimal hump deformity(2010) Ünlü H.H.; Eskiizmir G.[No abstract available]