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Öğe Dysphagia and Airway Obstruction Due to Large Cervical Osteophyte in a Patient With Ankylosing Spondylitis(Lippincott Williams & Wilkins, 2014) Varsak, Yasin Kursad; Eryilmaz, Mehmet Akif; Arbag, HamdiAnterior cervical osteophytes are excessive bony formation of cervical vertebra bodies. They are common but rarely symptomatic lesions mostly seen in geriatric population. Large anterior cervical osteophytes may cause symptoms such as dysphagia, dyspnea, dysphonia, and odynophagia. They have been attributed to multiple etiologies including diffuse idiopathic skeletal hyperostosis, following trauma, cervical spondylitis, and infectious spondylitis. However, symptomatic large anterior cervical osteophyte with ankylosing spondylitis is extremely rare. Surgical excision is the main treatment for symptomatic cases. We report a case of a 53-year-old man with airway obstruction and dysphagia due to large cervical osteophyte who has a history of ankylosing spondylitis, and we also addressed the etiological factors and management of large symptomatic cervical osteophytes.Öğe Giant Trichilemmal Cyst of the Submental Region(Lippincott Williams & Wilkins, 2014) Dundar, Mehmet Akif; Varsak, Yasin Kursad; Kozacioglu, Sumeyye; Arbag, Hamdi[Abstract Not Availabe]Öğe Intramuscular Cavernous Hemangioma of the Temporalis Muscle(Lippincott Williams & Wilkins, 2014) Eryilmaz, Mehmet Akif; Varsak, Yasin Kursad; Gul, Zuhal; Ugur, AysenurHemangiomas are frequent benign hereditary vascular tumors. Intramuscular hemangiomas, a distinctive type of hemangioma occurring within the skeletal muscle, account for less than 1% of all hemangiomas. They occur more often in the trunk and extremity muscles, whereas the involvement of the temporal muscle is extremely rare. A 34-year-old man with a mass in his left temporal fossa was admitted. Computed tomographic scan showed no erosion of the bone, and magnetic resonance imaging revealed an ovoid mass within the temporal muscle. The lesion was surgically excised, and histopathologic examination confirmed the diagnosis of cavernous hemangioma. The patient was not able to lift his left eyebrow right after the surgery. Two months after the surgery, the patient recovered from paralysis, and there was no recurrence of tumor 12 months after the surgery. We report the 27th cavernous hemangioma case of the temporalis muscle. Care must be taken to avoid possible stretch injury to facial nerve branches while resecting these tumors.Öğe Low-Grade Fibromyxoid Sarcoma of Superior Turbinate in a Pediatric Patient(Lippincott Williams & Wilkins, 2015) Varsak, Yasin Kursad; Arbag, Hamdi; Yesildemir, Huri Sultan; Esen, Hasan[Abstract Not Availabe]Öğe Second Primary Malignant Peripheral Nerve Sheath Tumor of the Paranasal Sinuses After Nasopharynx Carcinoma(Lippincott Williams & Wilkins, 2014) Eryilmaz, Mehmet Akif; Varsak, Yasin Kursad; Gul, Zuhal; Etli, OzlemMalignant peripheral nerve sheath tumors are uncommon neoplasms that arise out of Schwann cells from the peripheral nerves, which rarely occur in the paranasal sinuses and nasal cavity. Especially with the increasing long-term survival of patients with nasopharynx carcinoma, second primary cancers can be diagnosed. Second primary cancers are not uncommon in patients with the prior radiation therapy. However, malignant peripheral nerve sheath tumor in the head and neck region after radiation is an exceedingly rare condition. We report the first case of malignant peripheral nerve sheath tumor of the paranasal sinuses as a second primary malignancy in a patient treated with radiation therapy for nasopharyngeal carcinoma 10 years ago.Öğe Single seventh day debridement compared to frequent debridement after endoscopic sinus surgery: a randomized controlled trial(Springer, 2016) Varsak, Yasin Kursad; Yuca, Koksal; Eryilmaz, Mehmet Akif; Arbag, HamdiThe aim of this study was to evaluate the postoperative debridement frequency following endoscopic sinus surgery. Individual randomized controlled trial. Sixty-two adult patients with a diagnosis of chronic rhino sinusitis (CRS) with nasal polyps (NP) and CRS without NP meeting the inclusion criteria were enrolled in this prospective study. The patients were randomized equally to frequent debridement (FD; at postoperative weeks 1, 2 and 4) or to a single debridement (SD; at postoperative week 1) after surgery. The outcomes were assessed with visual analog scale (VAS) for nine main symptoms concerning patient discomfort within the first 4 weeks, with the modified Lund-Kennedy endoscopic score (MLKES) at weeks 4 and 24 and with the sino-nasal outcome test-20 (SNOT-20) at week 24. Thirty-seven of the patients were male, and twenty-five were female. The mean age was 36.1 +/- 13.5 in FD group and 39.2 +/- 14.7 in SD group. In the SD group, the VAS scores at postoperative week four showed significantly less discomfort at visits (p = 0.004) and less negative effects on their work (p = 0.013). There was no statistically significant difference between the two groups in the week 4 and 24 MLKES and in the week 24 SNOT-20 scores (p > 0.05). The endoscopic findings did not show significant differences between the groups. Our data indicate that FD causes more discomfort at the required visits, more facial pain and more negative effects on patients' work; this method is not superior to postoperative single seventh day debridement in terms of the 24-week quality of life and endoscopic scores.
