Surgery vs medical treatment in the management of PFAPA syndrome: a comparative trial.

Background: Periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis (PFAPA) syndrome is a common disorder in children but there is little or no consensus on its optimal diagnosis and management.

Objectives: To compare the outcome of different management approaches - medical therapy or tonsillectomy.

Methods: The medical records of children diagnosed with PFAPA between 2008 and 2013 were retrospectively reviewed according to the modified Thomas test criteria.

Temporomandibular disorders in scuba divers-an increased risk during diving certification training.

The design of a diving regulator's mouthpiece increases the risk of a temporomandibular disorder (TMD) in scuba divers. The total weight of a diving regulator is reflected directly on the temporomandibular joint, causing articular and periarticular disorders. In the current study, the prevalence of TMD in scuba divers triggered during diving certification training is investigated.

[Minimally invasive video-assisted thyroidectomy for treatment of benign thyroid nodules].

Objectives: This study aims to evaluate patients who underwent minimally invasive video-assisted thyroidectomy (MIVAT) and to discuss the advantages and disadvantages of this technique in the light of literature data.

Patients And Methods: Between May 2008 and February 2009, 20 patients (18 females, 2 males; mean age 44.5±13.

Bare serratus anterior free flap in the reconstruction of the partial pharyngoesophageal defect.

Reconstruction of defects of the cervical esophagus is a challenge in head and neck surgery. Several methods have been used: flaps with local tissues, pharyngogastric anastomosis, deltopectoral skin flaps, skin muscle transplant from the pectoralis major, and microvascularized free skin fascial and small intestine flaps. A 81-year-old patient who has a partial pharyngoesophageal defect after resection of laryngeal carcinoma underwent reconstruction with bare serratus anterior fascial free flap.

Papillary thyroid carcinoma in a 3-year-old child: case report.

Thyroid cancers account for 0.5-3.0% of all childhood malignancies.

The effects of the incision types in myringoplasty operations on cosmesis.

There is no study based on objective measurements about the cosmetic results of myringoplasty operation in medical literature. This study aims to show the differences in the auriculomastoid angle between the operations which were done with postauricular and endaural incisions. The auriculomastoid angle of 20 patients having had postauricular myringoplasty operation were measured both preoperative and postoperative periods.

Laryngeal mucoepidermoid carcinoma: report of two cases.

Mucoepidermoid carcinoma (MEC) of the larynx is a rare neoplasm, with a review of the literature having disclosed only 83 documented cases. These tumours are believed to develop from ductal elements of the submucosal glands [Gomes V, Costarelli L, Cimino G, Magaldi L, Bisceglia M. Mucoepidermoid carcinoma of the larynx.

Intracranial abscesses associated with chronic suppurative otitis media.

Intracranial abscesses are serious complications of chronic suppurative otitis media (COM). This study included 32 patients presenting with intracranial abscesses from 780 patients hospitalized for treatment of COM. The 32 patients had 59 intracranial complications.

Investigation of Helicobacter pylori colonization in laryngeal neoplasia.

Helicobacter pylori has been investigated in several other organ systems and localizations such as the oral cavity, but has not been investigated extensively in squamous cell carcinoma of the larynx, a region that could be directly exposed to the bacterium by the oral route or gastro-esophageal reflux. Only serological studies are available regarding the relation between H. pylori and laryngeal cancer, yielding conflicting results.

Comparison of diced cartilage graft wrapped in surgicell and diced cartilage graft wrapped in fascia: an experimental study.

Hypothesis: This study was conducted to compare diced cartilage grafts wrapped in fascia and diced cartilage grafts wrapped in surgicell with respect to their resorption.

Study Design: Experimental study.

Methods: Eight male Wistar Albino rats were used.

Microscopic thyroidectomy: a prospective controlled trial.

The purpose of this prospective study was to evaluate microsurgical thyroidectomy by comparing it with traditional thyroidectomy. Before surgery, patients were assigned either to the microscopic thyroidectomy group (MT group), with the use of the surgical microscope, or the traditional thyroidectomy group (TT group), without the use of visual magnification. Outcome measures were operative time, intraoperative bleeding and complication rates including injury to the recurrent laryngeal nerve (RLN), the external branch of the superior laryngeal nerve (EBSLN) or the parathyroid glands.

[The topographical anatomy of the external branch of the superior laryngeal nerve and its importance in thyroid surgery: a cadaver study].

Objectives: We investigated topographical anatomic features of the external branch of the superior laryngeal nerve (SLN) in relation to the superior thyroid artery (STA) and its vulnerability to injury in individuals with a normal thyroid size.

Study Design: Thirty fresh cadavers (18 females, 12 males; age range 20 to 50 years) with a normal thyroid size and no signs of abnormality in the neck were studied. The external branch of the SLN was identified and classified according to the system proposed by Cernea et al.

Management of otogenic lateral sinus thrombosis.

Purpose: Lateral sinus thrombosis (LST) is a rare but potentially devastating complication of otitis media. We review the clinical presentation, evaluation, management, operative findings, and outcomes of this serious complication.

Material And Methods: A retrospective chart review was performed at a teaching hospital of all patients diagnosed with an otogenic lateral sinus thrombosis between 1992 and 2002.

Isolated laryngeal lymphangioma showing the symptoms of acute epiglottitis.

Lymphangiomas are rare, congenital lesions of the lymphatic system, and about 90% of them are detected by the 2nd year of life. Although the head and neck region is the most common place of presentation, isolated laryngeal lymphangioma is extremely rare. A 37-year-old female patient presented with characteristic symptoms of acute epiglottitis.

Determination of the changes in the hypoglossal nerve function after suspension laryngoscopy with needle electromyography of the tongue.

The purpose of this study was to determine changes in the hypoglossal nerve function after suspension laryngoscopy with needle electromyography of the tongue. This study also attempted to determine the possible relationship between the predictive factors of intubation difficulty by using the intubation difficulty scale, which was introduced by Adnet et al., duration of suspension laryngoscopy and changes in hypoglossal nerve function after suspension laryngoscopy.

Antibiotic prophylaxis in clean neck dissections.

This study was designed to evaluate the effects of a prophylactic antibiotic regimen on the incidence of wound infection after clean neck dissections. A prospective series of 57 patients undergoing clean neck dissections with the use of perioperative ampicillin-sulbactam for 24 hours was compared with an historical control group of 51 patients undergoing clean neck dissections with no perioperative antibiotic use. The outcome variable was the incidence of post-operative wound infection.

Incidence of occult thyroid carcinoma metastases in lateral cervical cysts.

Purpose: To establish the incidence of thyroid carcinoma metastasis in adult patients presenting with apparently benign cervical cysts. The authors report their experience with four cases of papillary thyroid carcinoma who present with a lateral cervical cystic mass and no palpable disease in the thyroid gland.

Materials And Methods: A retrospective review of patients undergoing surgery for solitary cervical cysts in our clinic from 1994 to 2002 was performed.

Should hyperbaric oxygen be added to treatment in idiopathic sudden sensorineural hearing loss?

At present, there is still no agreement about the therapy of idiopathic sudden sensorineural hearing loss (ISSHL). Hyperbaric oxygen (HBO) is used in the therapy of ISSHL to increase the partial oxygen pressure and the oxygen concentration in the inner ear and also to improve the blood profile and the microcirculation. In our prospective randomized study, we aimed to investigate the therapeutic effects of HBO therapy in the 1st 2 weeks of the onset of ISSHL.

A randomized controlled trial of early oral feeding in laryngectomized patients.

Objective: To evaluate the safety and efficacy of early oral feeding by comparing it with feeding through primary tracheoesophageal puncture after total laryngectomy with primary pharyngeal closure.

Study Design: A prospective, randomized, controlled study.

Methods: Patients who underwent total laryngectomy with primary pharyngeal closure and who were candidates for primary voice restoration (an in whose cases primary tracheoesophageal puncture [TEP] was created) were included.

Pulmonary thromboembolism following total laryngectomy and neck dissection: a case report.

A fifty-five-year-old male patient underwent total laryngectomy, bilateral modified radical neck dissection, and primary voice restoration for squamous cell carcinoma of the supraglottic larynx. During surgery the left internal jugular vein was found to be thrombosed and, therefore, ligated and resected. In the early postoperative period, pulmonary thromboembolism was suspected and confirmed by lung perfusion scintigraphy which showed bilateral segmental and subsegmental perfusion defects.