Makale Arama

Objective: The aim of this study is to evaluate the perioperative and postoperative follow-up results of patients operated for a parotid mass.

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Materials and Methods: A total of 66 patients who were operated between 2000 and 2011, were evaluated retrospectively.

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Results: The mean age of the patients was 48,6. On the basis of post-operative histopathologic assessement, 61 of the cases were found to be primary benign, 3 of the cases  primary malignant and 2 of the cases secondary malignant. Pleomorphic adenoma was the most common in primary benign tumors group with 29 cases, Warthin tumors were in the second place with 14 cases. Adenoid cystic carcinoma, adenocarcinoma and expleomorphic adenoma were observed as primary malignant tumors. Both of the seconder malignant tumors were metastasis of squamous cell carcinoma. Sensitivity and specifity of the preoperative fine needle aspiration biopsy in the benign-malignant differentiation were found as 60 % and 96 %, respectively. Superfacial parotidectomy, total parotidectomy and radical parotidectomy were used as surgical procedures. In addition to this procedure, neck dissection was performed in several cases. The most frequent complication was temporary facial nerve paresis.

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Conclusion: Fine needle aspiration biopsy is an effective diagnostic procedure for the benign-malignant differentiation of the parotid tumors. Superfacial parotidectomy is an adequate and efficient surgical procedure for the benign parotid tumors and complication risk is considerably low when applied carefully. For malignant tumors, superfacial, total or radical parotidectomy should be performed and when necessary, neck dissection and postoperative radiotherapy should be added to the treatment.

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Purpose: In the case of the skeletal muscie metastasis of lung cancer the authors report radiographic, CT scan and MRI findings of painful masses in the femoral regions. Muscle biopsy revealed extensive infiltration of the muscle with carcinoma cells. Case: A 68 year-old man presented with a large cavitary lesion with thickened wall in the left hilus on radiogrraphy and CT scan. The diagnosis of the lung cancer was made by bronchoalveolar lavage. The radiograph did not Show any soft tissue mass, except periosteal reaction. MRI showed a tumoral mass in the right quadriceps muscle with signal intensity slightly lower on T1-weighted and higher in T2-weighted images than surrounding muscle tissue.Needle biopsy revealed metastatic squamous cell carcinoma. The patient died six month later. Conclusion: MRI is more useful technique than the other methods for determination of the localization, the relationship of the surrounding tissues and the manifestations of metastatic masses on the skeletal muscle due to malign tumor of the lung.

The malignant tumors of bone are more common than benign tumors. The bone tumors is the smallest group in all tumors. For this reason, knowledge and experience required for the diagnostic approach. Osteochondroma is the most common benign bone tumor. The lesion can be single, multiple forms are rarely seen. This condition is known as osteochondromatosis or diaphyseal aklazi. Diaphyseal aklazi (DA) is a rare hereditary disorder of cartilage differentiation and inherited as an autosomal dominant. Chondrosarcoma that especially for the development of new lesions occurring after termination of puberty should be evaluated. In this case report presented the two brothers who are diagnosed with DA come in with the complaint of short stature. One of the patients was 15-year-old girl and the other was a 14-year-old male. A common complaint of both short stature and non-painful swelling of bones. The patients were diagnosed with diyafizyal aklazi according to typical family history, physical examination findings, and radiographic findings.

The most common site of ulnar nerve entrapment is at the elbow. Diagnostic approach to ulnar neuropathy mainly depends on needle electromyographic findings. This case report aims to highlight the susceptibility of nerves arising from brachial plexus to injuries varies beyond the literature knowledge.

Eighty year old, male patient presented to our clinic with symptoms of difficult nose breathing, epistaxis and rarely hemoptysis. No abnormalities were seen during oral, anterior nasal and ear examination of the patient. A mass in the nasopharynx was observed during the fiberoptic nasopharyngoscopic examination. The patient was diagnosed as extramedullary plasmacytoma based on the deep biopsy from nasopharynx. Plasmacytomas are tumors of plasma cells, develop outside the bone marrow as solitary masses and they may be associated with multiple myeloma. Cases of extramedullary plasmacytoma (EMP) in the head-neck area develops rarely. Malignant tumors of the nasopharynx are treated surgically and/or via radiotherapy. Extramedullary plasmacytomas are known to be radiosensitive, however, many authors recommend a combined therapy of surgery and radiotherapy. All the treatment options were explained to the patient, however, the patient did not accept surgery. Therefore, the patient was started on radiotherapy and no recurrences were observed during the twenty-nine-month follow-up period. More caution should be exercised for elderly patients presenting with nasal obstruction, epistaxis, and their nasopharynx as well as nasal cavity should be endoscopically assessed in detail.

The conduction velocity of the ulnar nerve must be determined in different segments; across elbow, below elbow and above elbow for diagnosis of cubi-tal tunnel syndrome. The test is usually made when the elbow is in full extension. However the position of the elbow seems to influence the conduction ve-locity of the motor axons of the ulnar nerve. In this study we determined motor and mixed nerve conduction velocities of the ulnar nerve in dif-ferent segments-across elbow and below elbow -al dillerent elbow positions (180, 90, 45). We havt found that when the elbow is flexed, the slowing of the motor conduction velocity of the ulnar nerve in across elbow segment is statistically significant. The results are discussed ander the light of the other literatures.

We have reported are infant with Noonan Syndrome that has some anomalies of flexion contracilues of the elbows and first fingers of both hands, and the clinodactyl of toe fingers such that: The second toe fingers showed outward protrution while the fourth and fifth toe fingers showed iward protrution. Also, his faiher showed some phenotypic anowalies of Noonan Syndotne. We have writien this case report becalue of the rarity of the syndrome.

Aim: Lateral elbow tendinopathy is primarily associated with an extensor dysfunction of extensor digitorum
communis, extensor carpi radialis brevis and extensor carpi ulnaris muscles. The secondary functions
of extensor carpi radialis brevis and extensor carpi ulnaris are radial and ulnar deviation movement
of the wrist, respectively. We hypothesized that common extensor tendon cannot fully rest, due to this
antagonistic strength of wrist (radio-ulnar) as a vicious circle. We aimed to explain the chronic persistent
pathophysiological mechanism that prevented complete recovery and to present results of this novel
exercise method in the study .
Patients and Methods: 47 LET patients (exercise: 27; control: 20) were included in the case-control
study between 2015 and 2016. The exercise consisted of ulnar to radial deviation for the exercise group.
The patient-rated tennis elbow evaluation (PRTEE) test was used for measurements at baseline, 1st , 6th,
and 12th months. Mixed models were used to compare these score s of the two groups.
Results: There was no difference between the PRTEE baseline scores of the exercise and control groups
(t:-0.22, p:0.830). The PRTEE scores in the 1st ,6th, and 12th months were significantly lower in the
exercise group than in the controls ( t: -3.71, p: 0.0003; t: -3.88, p:0.0002; t: -2.28, p:0.024, respectively).
Conclusion: Common extensor tendon cannot fully rest, due to this antagonistic strength. The exercise
method, which aims to decrease the antagonistic tension on the tendon, was found to be effective, which
may contribute to understand the prolonged inflammation and/or tendinosis mechanism.

Among the mediastinal masses, malign tumors are the main cause for superior vena cava syndrome ata rate of 80-90%. Benign tumors and öne of them substernal goiter are unusual cases. In this report, a rare case of a substernal goiter which caused superior vena cava syndrome is presented.

22 cases with traumatic peripheı-al aneurysm were treated at the Clinic of Cardiovasculer Suı-gery of Selçuk Univeı-sity Medical Faculty hetween 1989 - 1995 years. In eleyen of the cases were etiology due to injuı-ies of gun wounds, eight of them were penetrating instruments, rwo cases were after A.V. Fistüla anastomatic operation and one case was after invasiye vasculer procedure. Vein replacement was petformed in six cases and 9. Cases end ta end anastomosis was done and synthetic greft rep-lacement ta four case (PTFE) and in 3 cases were done arterial ligation. Twenty cases were resulted with healing. Postoperative compiications developed in two cases. In one of them was transposed the graft saphenous yemi!, and forearm amputation was applied to other patient..