Browsing by Author "Yaşar A."

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    Hypohidrotic ectodermal dysplasia associated with glucose-6-phosphate dehydrogenase deficiency
    (2011) Ermertcan A.T.; Yaşar A.; Çelebi Kayhan T.; Gülen H.; Ertan P.
    Hypohidrotic ectodermal dysplasia (HED) is a syndrome characterized by hypodontia, hypotrichosis, and partial or total ecrine sweat gland deficiency. The most prevalent form of HED is inherited as an X linked pattern. Glucose-6-phosphate dehydrogenase (G-6-PD) deficiency is an X-linked recessive disease, which leads to hemolytic anemia and jaundice. It is expressed in males, while heterozygous females are usually clinically normal. A 12-year-old boy with the complaints of hair and eyebrow disturbances, teeth disfigurement, decreased sweating, and xerosis presented to the outpatient clinic. Dermatological examination revealed sparse hair and eyebrows, conical- shaped teeth, xerosis, syndactyly, transverse grooves, and discoloration of nails. Laboratory findings indicated anemia. His 3-year-old sister also had sparse hair and eyebrows, xerosis, and syndactyli. We learned that the patient had a previous history of neonatal jaundice and a diagnosis of G-6-PD deficiency. Although it has been shown that loci of ectodermal dysplasia and G-6-PD deficiency genes are near to one another, we did not find any case study reporting on occurrence of these two genetic diseases together. With the aspect of this rare and interesting case, the relationship between HED and G-6-PD deficiency was defined.
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    Urinary stone related urinary tract infection caused by raoultella ornithinolytica in a child: A case report; [Infekcija mokraćnog sustava povezana s kamencem uzrokovana bakterijom raoultella ornithinolytica u djeteta: Prikaz slučaja]
    (Dr. Mladen Stojanovic University Hospital, 2020) Karacı M.; Yaşar A.
    Raoultella ornithinolytica is one of the three species of Raoultella. The present case report describes a two-year-old child who had complaints of discomfort and fever, and Raoultella ornithinolytica in his urinary culture. Grade-2 hydronephrosis and a 7.5-mm urinary stone were detected in the patient’s left ureter. The stone was expelled upon consultation with pediatric urology department. The patient was treated according to culture antibiotic sensitivity report and continued to be followed-up. © 2020, Dr. Mladen Stojanovic University Hospital. All rights reserved.
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    Infantile Glottic Hemangioma: Bronchoscopic Evaluation and Propranolol Treatment
    (Lippincott Williams and Wilkins, 2021) Yüksel H.; Yaşar A.; Gürbüz N.; Bizbirlik Z.İ.; Yilmaz Ö.
    [No abstract available]
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    May the first-line treatment for foreign body aspiration in childhood be flexible bronchoscopy?
    (Wolters Kluwer Medknow Publications, 2021) Yuksel H.; Yaşar A.; Açikel A.; Topçu I.; Yilmaz Ö.
    INTRODUCTION: Rigid bronchoscopy (RB) is the traditional treatment in foreign body (FB) aspiration in childhood but is a traumatic and invasive procedure. However, flexible optic bronchoscopy (FoB) is a noninvasive and nontraumatic respiratory intervention. The aim of this study was to evaluate FoB as a first-line treatment modality in pediatric cases presenting with a preliminary diagnosis of FB aspiration. METHODS: Subjects who underwent FoB under general anesthesia with the preliminary diagnosis of FB aspiration were enrolled in this cross-sectional study. Two cases were inherited from pediatric surgery because they were not removed with FoB. The demographic, clinical, and radiological findings at the presentation were recorded. Results of success rate and complications were recorded. RESULTS: Among the FB aspiration cases age range of 7 months to 16 years. FoB demonstrated a FB in the airways of 31 (62.2%) subjects. The duration of the symptoms in the subjects was 9.1 ± 8.8 days. Three of the cases were taken over from pediatric surgery because they were not removed with RB. Most commonly encountered FB's were organic materials (n = 20, 64%). FoB was successful in removing the FB from the proximal and also distal airways in 93% of the subjects. No significant complications and side effects were observed except post-FoB cough. CONCLUSION: This result has shown that FoB for the treatment of FB aspiration is successful in removing FB aspiration from both the proximal and distal airway that the RB cannot remove. Furthermore, FoB did not have any significant airway complication. FoB may be used as the first-line treatment modality for FB aspiration instead of RB in childhood the fact that noninvasive and nontraumatic respiratory intervention. © 2021 Turkish Journal of Emergency Medicine.
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    Treatment of Asthma in Children
    (Springer International Publishing, 2021) Alaşan F.; Yaşar A.; Lombardi E.; Yüksel H.
    In order to keep asthma under control, it is necessary to evaluate and monitor asthma, provide asthma education to the patient and their caregivers, control environmental factors and comorbid conditions that can trigger asthma attacks, and to combine them with pharmacological treatment approaches [1]. Treatment aims to reduce/prevent asthma attacks, prevent persistent airflow restriction, and keep the side effects that may occur due to the medication within safe limits [2]. In order to achieve success in the treatment of asthma, it is important to use asthma medications and avoid the factors that trigger asthma attacks and to ensure physician-patient cooperation that will ensure success in patient follow-up in the long term [3]. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.
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    Two different methods of lidocaine inhalation before diagnostic flexible bronchoscopy: Effects on post-bronchoscopy respiratory symptoms
    (Turkiye Klinikleri, 2021) Yüksel H.; Yaşar A.; Açikel A.; Topçu İ.; Yilmaz Ö.
    Background/aim: Use of topical anesthesia before flexible bronchoscopy for the evaluation of the upper airways prevents cough and stridor during and after the procedure while reducing the need for sedation. In practice, lidocaine is the medication of choice before bronchoscopy. There various types of nebulizers used for inhalation treatments. In this study, we compared the respiratory tract symptoms after flexible bronchoscopy between children who received pre-procedure topical lidocaine with mesh or jet nebulizers. Materials and methods: We enrolled 4–18 years old subjects that underwent flexible bronchoscopy due to treatment-resistant asthma in this retrospective case-control study. Twenty subjects received topical lidocaine with jet nebulizers while 20 received it with mesh nebulizers. Age, sex, duration of bronchoscopy, duration of anesthesia, time to awaken, and time to recovery were recorded as well as cough and laryngospasm scores after flexible bronchoscopy. Results: Severe cough after flexible bronchoscopy was not encountered in the mesh nebulizers group but was seen in 10% of the jet nebulizers group (p = 0.027). On the other hand, age, sex, duration of bronchoscopy, duration of anesthesia, time to awaken, and time to recovery were not significantly different between the mesh and jet nebulizer groups (p = 0.44, 0.34, 0.51, 0.88, 0.88, and 0.22, respectively). Moreover, croup and laryngospasm scores between the two groups were similar (p = 0.62, 0.50 respectively). Cough score was significantly worse jet nebulizers group (p = 0.03). Conclusion: Topical lidocaine application with mesh nebulizers decreases the most common complication, cough, after flexible bronchoscopy in children more effectively compare to jet nebulizers. Thus, mesh nebulizers may be a faster way of nebulization before flexible bronchoscopy as an alternative to jet nebulizers. © 2021, Turkiye Klinikleri. All rights reserved.