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Öğe ASSOCIATION BETWEEN MIGRAINE AND ALLERGIC RHINITIS IN CHILDHOOD AND ADOLESCENCE(Nobel Ilac, 2016) Guler, Serhat; Sakalli, Erdal; Yesil, GozdeObjective: Migraine and allergic rhinitis (AR) represent common childhood and adolescent conditions. The aim of this study to assess AR prevalence, treatment outcome, and clinical issues in childhood and adolescence migraine patients. Material and Method: A total of 146 consecutive patients diagnosed with migraines between November 2012 and May 2014 were included. Laboratory and symptomatic AR assessment, and otolaryngological examinations, were performed. All of the patients were subjected to a detailed neurological examination, and were questioned concerning headaches. The Pediatric Migraine Disability Assessment (PedMIDAS) questionnaire was used for all patients, with scores calculated at baseline (P0) and at third month (P3) and sixth month (P6). Results: Of the 146 total patients, 38 were males (26%) and 108 (74%) were females. Their mean age was 12.19 +/- 2.6 years. Only 32 (21.9%) patients were diagnosed with AR. Mean PedMIDAS scores at PO, P3, and P6 were 13.17 +/- 8.54, 7.39 +/- 5.44, and 9.20 +/- 6.76, respectively. Treatment noncompliance rates at P3 and P6 were 11.6% and 26.7%, respectively. The non-compliance rate of AR-positive patients was 5.18-fold higher compared to those negative for AR. Conclusion: We propose that patients followed for migraine should be examined for AR, because treatment compliance is decreased in migraine patients with AR.Öğe A new graft material for myringoplasty: bacterial cellulose(Springer, 2016) Biskin, Sultan; Damar, Murat; Oktem, Sema Nur; Sakalli, Erdal; Erdem, Duygu; Pakir, OnurWe aimed to determine the success rate of bacterial cellulose (BC) myringoplasty in tympanic membrane (TM) perforation. We reviewed the clinical records of 12 patients (16 ears) who underwent BC myringoplasty for long-standing TM perforations (> 6 months) between March 2012 and January 2015. The mean duration of postoperative follow-up was 12.8 (range 6-24) months. In all patients, the perforation involved less than 50 % of the tympanic membrane, and the air-bone gap was aecurrency sign30 dB on the operative side. The age, gender, preoperative air average, bone average, air-bone gap, perforation size and location, and postoperative TM microscopic examinations of the patients were recorded. Following the BC myringoplasty, complete coverage of the perforation occurred in the first 6 months in 13 of 16 ears (81.3 %), although retraction occurred in two of these ears within 6 months. In three ears (18.8 %), the perforation persisted during the first postoperative month. The pre- and postoperative average air threshold was 19.56 (range 7-75) and 15.69 (range 5-75) dB, respectively. The pre- and postoperative average air-bone gap was 9.25 (range 0-25) and 5.63 (0-25) dB, respectively. Both the air threshold and air-bone gap improved postoperatively (both p = 0.008). No complications such as infection and granulation tissue formation were detected in any patient. BC is a safe graft material that is inexpensive, easy-to-use, and provides a high success rate in small tympanic membrane perforations. However, further studies of large tympanic membrane perforations with more samples and long-term follow-up are required.Öğe Parathyroid function following total thyroidectomy using energy devices(Springer, 2016) Ciftci, Fatih; Sakalli, Erdal; Abdurrahman, İbrahim; Guler, BurakLigaSure precise (LP) and harmonic scalpel (HS) are two energy-based devices used in thyroidectomy surgery. We aimed to compare the effect of these two devices in patients who had undergone total thyroidectomy, by highlighting the post-operative parathyroid function. A total of 201 consecutive patients for whom total thyroidectomy had been planned were prospectively classified into two groups. There were 104 patients in LP group and 97 patients in HS group. Hypoparathyroidism was followed up by serially measuring the levels of intact parathyroid hormone (iPTH) and serum calcium. The early iPTH level was 29 (8-50) pg/mL in group LP, and 17 (4-43) pg/mL in group HS. The early iPTH level was significantly lower in the HS group (p < 0.001). However, these levels were within the reference interval in both groups. The early iPTH level was lower than 20 pg/mL in 23 (23.1 %) patients in HS group, and 15 (13.7 %) patients in LP group (p < 0.001). Also, the late iPTH levels were not statistically significance between two groups. The early and late serum calcium levels were not statistically significant between groups. However, the amount of calcium replacement was higher in the HS group than the LP group and the duration of treatment was longer in the HS group than the LP group (p < 0.05). In conclusion, although parathyroid hormone levels impaired in the HS group more than LP group in the early period, these levels were in the normal limits in both groups. These levels were not significant between groups in the long time period.Öğe Reply to the letter to the editor ''in response to: a better design is needed for clinical studies of chronic tympanic membrane perforations using biological materials'' 10.1007/s00405-016-4019-0(Springer, 2016) Biskin, Sultan; Erdem, Duygu; Sakalli, Erdal[Abstract Not Available]