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  Refined Adjustment with Rotational Septal Extension Graft in Rhinoplasty for Tip Rotation and Projection

  (SAGE Publications, 2023-09-01)

  Erkan Soylu

  ;

  Alper Yenigun

  ;

  Orhan Ozturan

  ;

  YENİGÜN, ALPER

  ;

  ÖZTURAN, ORHAN

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  Background: Precise adjustment of tip rotation and projection harmonious with nasal dorsum is important in rhinoplasty. The use of septal extension graft for rotation and projection enhancement has been the most reliable surgical technique recently. It is also an efficient graft to increase the tip projection effectively and permanently. Objective: The aim of this study is to demonstrate the ability to adjust tip rotation and projection with the use of rotational septal extension graft in accordance with the needs of the patient. Materials and Methods: Rotational septal extension graft was applied in 21 patients who underwent rhinoplasty. It is fixed with a dental needle to provide desired projection to the caudal septum. In this way, the rotation of the graft pivoting around the needle in caudal or dorsal direction can allow precise adjustment. In the position where rotation and projection are evaluated appropriate, the graft is fixed with sutures. They were followed in average 12 months (between 6 and 18 months). Results: Eight of these patients were revision cases and 13 were primary cases. The targeted rotation and projection results were achieved in all patients. All patients had satisfactory aesthetic results. Conclusions: Rotational septal extension graft allows effective rotation adjustment as well as adequate projection and can be rotated in the desired direction around the dental needle. No competing financial interests exist. No funding was received for this article. Runtime of video: 1 mins 13 secs

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  Effect of Home-Based Regular Exercise Training Program in Females with Asthma: A Randomized Controlled Trial

  (Elsevier BV, 2024-01-01)

  Ayse Sena Manzak Dursun

  ;

  Semiramis Ozyilmaz

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  Pinar Atagun Guney

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  Aysegul Yabaci Tak

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  DURSUN, AYŞE ESRA

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  WCN24-369 End-stage kidney disease care for migrants: a European survey

  (Elsevier BV, 2024-04-01)

  Liz Lightstone

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  Ewa Pawlowicz-Szlarska

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  Gaetan Alfano

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  H.Van Craenenbroeck Amaryllis

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  Alice Doreille

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  Item type:Publication, Access status: Open Access ,

  Evaluating incidental findings in cervical mri scans: The prevalence and clinical relevance of incidental findings

  (Galenos Yayinevi, 2025-01-17)

  Nevin Köremezli Keskin

  ;

  Mehmet Denizhan Yurtluk

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  Merve Başdemirci

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  Onur Başdemirci

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  Abdullah Emren Taçyıldız

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  Objective: This study aims to examine the frequency, types, and clinical significance of incidental findings in cervical magnetic resonance imaging (MRI) scans and their implications for patient care. Materials and Methods: A total of 331 cervical MRI scans were reviewed retrospectively at Karabük University Research and Teaching Hospital between April 2022 and April 2023. Patients presenting with arm and neck pain or symptoms suggesting abnormalities of the cervical spine were included; those whose images were affected by artifacts were excluded. Incidental findings were recorded and categorized according to their type, location, and potential clinical significance. Results: Our cohort consisted of 221 female patients (69%) and 101 male patients (31%), amounting to a total of 322 patient records. Loss of cervical lordosis (71%) and cervical disc herniation (92%) were the most prevalent findings in the cervical spine. Additional findings included syringomyelia, cerebellar tonsillar herniation, and empty sella. After being diagnosed with thyroid cancer, one patient received appropriate care. The distribution of incidental findings by gender was not statistically significant. This study highlights the frequency and variety of incidental findings in cervical MRI scans, along with their possible clinical significance. The findings are consistent with earlier studies, highlighting the necessity of carefully analyzing these results to detect potentially fatal disorders. Conclusion: It is crucial not to overlook incidental abnormalities in cervical MRI scans for the early identification of clinically relevant disorders. Future research should concentrate on creating uniform protocols for handling incidental results to successfully balance clinical benefits and resource consumption.

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  The Frequency of Atopic Diseases and Metabolic Conditions in Patients with Ankylosing Spondylitis: A Cross-Sectional Clinical Trial with a Review of Literature

  (Georg Thieme Verlag KG, 2023-03-23)

  Ebru Yilmaz

  ;

  Orhan Eren

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  Abstract Introduction The immunological paradigm Th1/Th2 predicts a negative association between autoimmune (Th1) and atopic (Th2) diseases. In contrast to the Th1/Th2 paradigm, some of the latest evidence suggests the probability of coexistence of autoimmune diseases with atopic disorders. Therefore, this trial aims to investigate the frequency of atopic disorders and metabolic conditions in patients with AS and compare them with those in control groups. Materials and methods A total of 563 AS patients (group 1) were matched in a 1:1 ratio with patients suffering from chronic low back pain due to intervertebral disc prolapse (group 2) utilizing gender and age as paired variables. Atopic diseases such as atopic dermatitis (AD), allergic rhinitis (AR) and asthma were investigated in all groups. Also, metabolic conditions such as hypertension (HT), diabetes mellitus (DM), hyperlipidaemia (HPL) and hypothyroidism (HPT) were examined in all groups. Results The mean age was 42.86±11.04 years in both study groups. In all groups, 47.1% were female and 52.9% were male. The mean duration of disease was 10.51±8.93 years in the AS group. HLA-B27 was positive in 70.2% of the patients in the AS group. The adjusted odds ratios for patients with AS compared to controls were 1.47 (1.20–1.80) for AD, 1.76 (1.60–1.95) for AR, and 1.79 (1.57–2.05) for asthma. The adjusted odds ratios for patients with AS compared to controls were 1.09 (95% CI 0.87–1.38) for HT, 1.03 (95% CI 0.76–1.39) for DM, 1.22 (95% CI 0.80–1.87) for HPL, and 1.62 (95% CI 1.04–2.54) for HPT. There was a statistically significant distinction between groups, and the frequency of AD, AR, asthma and HPT was higher in patients with AS compared with the control group (p<0.05). Conclusion According to the findings of this study, which are compatible with the literature, patients with AS have an increased frequency of atopic diseases as well as hypothyroidism. The tissue injury resulting from chronic inflammation in AS patients could be related to atopic disorders and hypothyroidism. In other words, the pathogenic pathways causing chronic inflammation in these diseases may interfere with each other.

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