Browsing by Subject "ENDOSCOPIC SINUS SURGERY"
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Item Surgical anatomy of the nasolacrimal duct on the lateral nasal wall as revealed by serial dissections(SPRINGER) Tatlisumak, E; Aslan, A; Cömert, A; Ozlugedik, S; Acar, HI; Tekdemir, IThe anatomy of the nasolacrimal duct (NLD) in relation with the lateral nasal wall was studied in 15 half-heads of human adult cadavers by serial photographs of the dissection of the lateral nasal wall. The aim of the study was to determine the intranasal anatomical relationships of the NLD with the lateral nasal wall for surgical reference during endoscopic dacryocystorhinostomy. Following removal of the nasal mucosa anterior to the uncinate process, the exposed bone was removed by drilling. The entire NLD was exposed intranasally. The relationships of the NLD with the maxillary sinus ostium and anterior nasal spine were determined, and the length of the NLD was measured. The morphology of the NLD opening was observed, and its distance from several landmarks were measured. There were three types of intranasal orifice: pin-point, triangular and slit-like. The NLD is located, on average, 24.6 +/- A 3.56 mm posterior to the anterior nasal spine. The nearest distances between the opening of the NLD and the nasal floor and between the opening of the NLD and the most anterior attachment of the inferior nasal concha were 13.7 +/- A 3.15 and 14.3 +/- A 2.05 mm, respectively. The length of the NLD was 21.9 +/- A 2.03 mm on average. The nearest distances between the NLD and the maxillary sinus ostium was 3.9 +/- A 0.88 mm. Cadaver dissections and the photographs of the fine dissections provide a more accurate description of the lateral nasal wall anatomy. These data provide valuable anatomical information to the surgeon performing endonasal dacryocystorhinostomy.Item The Impact of the Informed Consent Process on the Anxiety Levels of Patients Undergoing Rhinoplasty(LIPPINCOTT WILLIAMS & WILKINS) Aysel, A; Uz, U; Karatan, B; Aydin, E; Erdogan, E; Yilmaz, F; Müderris, TSeptorhinoplasty is one of the most common elective surgical procedures in otolaryngology. The present study aimed to evaluate the anxiety levels of patients who underwent septorhinoplasty at different times, compare the information methods, and determine the understanding of the informed consent through recall rates of the complications explained in the informed consent process. The patients were divided into the following 2 groups: Group 1 (giving information 14 days before the surgery) and Group 2 (giving information 3 days before the surgery). For the preoperative anxiety measurement, the State anxiety scale of the State-Trait Anxiety Inventory (STAI) was used. All patients were asked to recall the complications they remembered from the consent form on the day before the surgery. Each group has consisted of 25 patients. No significant difference was found between the STAI-1 and STAI-2a anxiety scores between groups. In Group 1, the STAI-2b anxiety score was significantly lower than the STAI-1 and STAI-2a scores (P < 0.05). In Group 2, the mean score of STAI-2b was not significantly higher than the STAI-1 and STAI-2 scores (P > 0.05). When the STAI-2b scores of the two groups were compared, the scores of Group 2 were significantly higher (P < 0.05). The most commonly remembered complications were bruising and swelling in both of the groups. In conclusion, the authors believe that long-term cooperation between the surgical team and the patient will reduce the anxiety levels of the patients and increase patients' satisfaction, resulting in a significant reduction in the amount of potential legal processes. Level of Evidence: 2Item Facial growth after middle turbinate resection: An experimental study in the rabbit(OCEAN SIDE PUBLICATIONS INC) Egrilmez, M; Mutlu, C; Unlu, HH; Celik, OBackground: The aim of this study was to determine the effects of total middle turbinate resection on midfacial growth through a morphometric analysis on an animal model. Methods: Twenty eight male New Zealand white rabbits were used. The animals were divided into three groups: group 1, elevation and relocation Of the nasal bone was performed; group 2, concha resection was performed: group 3, control group with no surgical procedure. The surgery was done at 8-10 weeks of age and the skull of each subject was sampled as they reached maturity. The determined distances then were measured by using landmarks identified oil skull. The supplied data were evaluated by using the Mann-Whitney U test. Results: Deviation of the nasal axis to the opposite side of the resected concha and an increase in the width of nasal bone were observed only in group 2. In group 1, all increase nasal bone length and zygomaticonasal distances was determined ill both the operated and the unoperated sides of nasal bones. Conclusion: This animal experiment showed that operations on the nasal bone or concha resection affected the midfacial growth ill rabbits. The effects of middle turbinate resection to midfacial development should be evaluated by additional studies. Vile recommend only limited, conservative surgical procedures 017 the middle turbinate. saving all the vital mucosa, periosteum. and bone.Item Inferior concha bullosa(B C DECKER INC) Unlu, HH; Altuntas, A; Aslan, A; Eskiizmir, G; Yucel, A