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Öğe A Comparative Analysis of Surface Areas and Ratio of the Cervical Spinal Cord and the Vertebral Canal at the Same Levels Via MRI on Healthy Individuals(Soc Chilena Anatomia, 2014) Duman, Fatma; Ziylan, Taner; Kiresi, Demet; Cicekcibasi, Aynur Emine; Buyukmumcu, Mustafa; Duman, TolgaThe determination of the normal values of the cross-sectional surface areas and ratios of the vertebral canal and the spinal cord on the healthy individuals is of great importance with regards to the fact that it provides convenience for the doctors to make correct pathological diagnosis because of the most suitable treatment. In this study, it has been aimed to determine the respective ratios between the vertebral canal and the spinal cord via measuring their cross-sectional surface areas at the C3-C6 vertebra levels. The study has been implemented on the Magnetic Resonance Images (MRI) of the cervical vertebral column from healthy individuals at the Department of Radiology, Meram Faculty of Medicine, Necmettin Erbakan University. The study has been applied to 67 (50 female-17 male) individuals whose ages varied between 14 and 59 and these individuals have been divided into two groups as below and over 40 years of age. During the cervical MRI examination, axial and sagittal images have been evaluated and measurements have been made on the non-pathological axial images. The vertebral canal and the spinal cord surface areas have been calculated in square millimeters at the C3-C6 levels. Also, we calculated the ratio between the spinal cord surface area and the vertebral canal surface area. The obtained data has been transferred on the computer and statistical analysis has been implemented via SPSS package program (for Windows, 15.0). The summary of the data has been stated as Mean +/- SD. It has also been compared with regard to sex and age groups (below and over 40 years of age) using the Student t-test. The relationship between parameters has been evaluated by means of Pearson correlation test. No significant discrepancy (P>0.05) has been determined between the male and the female subjects in terms of the vertebral canal and spinal cord surface area values. On the other hand, at the C4, C5 and C6 levels, a significant discrepancy (P<0.05) has been observed between male and female subjects in terms of the ratio of spinal cord surface to the vertebral canal surface, stating that the male have it larger than the female. A positive correlation (P<0.01) between the surface area and ratio data of both sexes has been determined. We believe that the results of this study will be useful for the fields of neurology, neurosurgery and physical therapy and rehabilitation, particularly in evaluating spinal atrophy.Öğe Comparison of the efficacy of low doses of methylprednisolone, acetaminophen, and dexketoprofen trometamol on the swelling developed after the removal of impacted third molar(Medicina Oral S L, 2015) Eroglu, Cennet-Neslihan; Ataoglu, Hanife; Yildirim, Gulsun; Kiresi, DemetBackground: The aim of the present study was to compare the efficacy of low doses of methylprednisolone, acetaminophen and dexketoprofen trometamol, which are among the drug groups used in our clinic, on postoperative swelling developing after removal of impacted third molar. Material and Methods: The three group of patients received either 40 mg methylprednisolone or 300 mg acetaminophen or 12.5 mg dexketoprofen trometamol one hour before the procedure, according to the patient groups. The patients in the methylprednisolone group were injected with methylprednisolone at a dose of 20 mg 24 hour after the procedure and prescribed 300 mg acetaminophen as rescue analgesic. During the postoperative period, the doses that were given before the procedure were continued 3 times a day for 2 days in the acetaminophen and dexketoprofen trometamol groups. Maximal swelling was assessed preoperatively and at the postoperative 48 hours by ultrasound images. Results: Swelling was 34% lower in the methylprednisolone than in the other groups; however, no statistically significant difference was found between the groups. The acetaminophen and dexketoprofen trometamol groups exhibited clinical results close to each other. Conclusions: Combination of low doses of methylprednisolone and acetaminophen provide a safe and adequate clinical success on swelling.Öğe Effect of low-dose dexketoprofen trometamol and paracetamol on postoperative complications after impacted third molar surgery on healthy volunteers: A pilot study(Medicina Oral S L, 2014) Eroglu, Cennet-Neslihan; Durmus, Ercan; Kiresi, DemetObjectives: The aim of the present study was to investigate the analgesic and anti-inflammatory effects of dexketoprofen trometamol (DT) and paracetamol on deep acute somatic pain and inflammation in patients undergoing impacted third molar surgery. This study was planned to present benefits that we could obtain with low burden of drug. Study Design: Effects of drugs, which were administered preemptively before the procedure, on pain, mouth-opening limitation, and swelling were assessed by visual analogue scale (VAS), magnetic resonance imaging (MRI), and mouth-opening measurement. Following surgery, time intervals when the patients first need to receive the drug were measured. Results: The VAS scores of the patients were lower in the side treated with DT than that in the paracetamol treated side. There was no significant difference between the groups in terms of mouth-opening limitation. MRI recordings revealed that swelling was lower in the side treated with paracetamol than DT treated side. Conclusions: Administration of the drugs before surgery contributed to the postoperative patient comfort. The analgesic activity of 12.5 mg dose of DT was similar to, even better than, the analgesic activity of 500 mg dose of paracetamol; however, DT had insufficient anti-inflammatory efficacy.Öğe The Mandibular Landmarks about the Facial Artery and Vein with Multidetector Computed Tomography Angiography (MDCTA): an Anatomical and Radiological Morphometric Study(Soc Chilena Anatomia, 2012) Cicekcibasi, Aynur Emine; Yilmaz, Mehmet Tugrul; Kiresi, Demet; Seker, MuzafferThe aim of this study was to investigate the course of the facial vessels according to several mandibular landmarks in living individuals using multidetector computed tomography angiography (MDCTA) to determine these related to sex and side. This study was conducted in the Radiology Department, Meram Faculty of Medicine, Necmettin Erbakan University (Konya, Turkey). In total, sixty faces from 30 specimens (15 males and 15 females) with symptoms and signs of vascular disease were evaluated for the facial vessels by MDCTA scan. The facial vessel parameters were measured according to the reference points (mandibular angle, mental protuberance, mental foramen and facial midline). The distance from the point at which the facial artery first appears in the lower margin of the mandible to the mandibular angle for right and left facial artery were observed as 3.53 +/- 0.66 cm and 3.31 +/- 0.73 cm in males, respectively. These distances were determined as 2.91 +/- 0.52 cm and 3.35 +/- 0.48 cm in females. MDCTA is a new, powerful, safe and noninvasive test to demonstrate the vasculature of the head. Bony structures and neighboring vessel morphology can be evaluated by this technique in cases of trauma with suspected vessel injuries and when considering patient selection for flap surgery.Öğe The Morphometric Analysis of the Important Bone Structures on Skull Base in Living Individuals with Multidetector Computed Tomography(Soc Chilena Anatomia, 2014) Gokce, Cihan; Cicekcibasi, Aynur Emine; Yilmaz, Mehmet Tugrul; Kiresi, DemetIn this study, it was aimed to determine the reliable morphometric data of the important bone structures on skull base using MDCT and to establish the differences of these data according to sex and lateralization. This study was retrospectively carried out on MDCT images in the Radiology Department of Meram Medical Faculty, Necmettin Erbakan University. We evaluated the images of the 100 (male 50-female 50) adult subjects without cranial trauma, surgery, and any deformity of the bone. The height and anteroposterior diameter of the hypophysial fossa (HFheight, HFanteroposterior), the length of the occipital condylus, anterior and posterior intercondylar distances (OCn, AID, PID); sagittal diameter, transverse diameter and area of the foramen magnum (FMsgt, FMtrn, FMarea) were all measured. The statistical analysis was performed using the SPSS. The summary of the data was expressed as mean +/- standard deviation. Student's t test was used to compare the male-female and right-left measurements. The relation betweeen parameters was evaluated by Pearson's correlation test. It was observed that right and left data in all parameters were higher in males than females. Higher values were usually determined on the right side in both sexes. In both sexes, some parameters were highly correlated (P<0.001). We believe that the results of this study may be useful for new surgical approaches and radiological assessment concerning skull base.Öğe Pott's Puffy tumor: The role of ultrasound, computed tomography and magnetic resonance imaging in diagnosis(Modestum Ltd, 2017) Kalkan, Havva; Eryilmaz, M. Akif; Kiresi, Demet; Arbag, Hamdi; Yesildag, AhmetPott's Puffy tumor is a rare disorder which is charactarized by frontal osteomyelitis and subperiosteal abscess as a complication of sinusitis. Nowadays we have forgotten this entity under the broad spectrum antibiotherapies for sinijsitis. We reported an adolescent with chronic sinusitis suffered from forehead swelling and headache. He was performed ultrasound, computed tomography, magnetic resonans imaging for accurate diagnosis. Early diagnosis with appropriate imaging is necessary in order to avoid more severe complications, such as subdural empyema, septic thrombosis of the dural sinuses. Emergency physicians should remember Pott's puffy tumor in differential diagnosis in patients presenting with forehead swelling and headache. Imaging modalities have an important role for the right diagnosis and guidance of the surgery. The thing that make this report special is the ultrasonographic images that are so rare reported in the literature. To our knowledge there are two reports which emphasized the sonographic findings of this entity.Öğe Sturge-Weber syndrome without facial nevus(Georg Thieme Verlag Kg, 2013) Guler, Ibrahim; Kucukapan, Ahmet; Kiresi, DemetSturge-Weber syndrome is a rare neurocutaneous disorder. Coexistence of facial nevus with epilepsy often suggests the diagnosis of Sturge-Weber syndrome. However, the diagnosis becomes more difficult when there is no facial nevus. Radiologic examinations are often used for diagnosis and management. Especially in cases without skin findings, the radiological examinations with typical findings become more important. In this paper, we report case of a 12-year-old girl who was followed with the diagnosis of epilepsy since the age of two years, had complaints of weakness of the left arm and left leg without skin findings, and was diagnosed with Sturge-Weber syndrome after radiological examinations.
