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ÇALIM, ÖMER FARUK

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ÖMER FARUK
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ÇALIM
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    PublicationOpen Access
    Siyaloreli hastaya yaklaşım ve tedavi yönetimi
    (2018-01-01) OZTURAN, ORHAN; ÇALIM, ÖMER FARUK; ÇALIM, ÖMER FARUK
    Drooling of saliva or sialorrhea is a clinical expression of a dysfunction in the coordination of the oral phase of swallowing mechanism. It is caused by an inability to swallow saliva frequently, rather than by an excessive production of saliva in neurologically impaired patients. Physical and psychosocial complications of sialorrhea can cause significant negative effects on physical health and quality of life. Current treatment options of sialorrhea are oral motor therapy, behavioral therapies, orthodontic therapy, medical treatments such as anticholinergics, radiotherapy, injection of botulinum toxin, and surgical treatments. Status of the quality of patient’s life determines necessity of treatment. Treatments are administered gradually from minimally invasive to most invasive. Treatment of sialorrhea is best implemented by team work. Surgical treatments are ductus rerouting that diverts salivary flow or ductus ligation, submandibular and/or sublingual gland excision, and tympanic neurectomy with or without chorda tympani section, which decrease salivary secretion. Parotid ductus ligation, submandibular ductus rerouting, and excision of sublingual glands are the most effective and minimally invasive methods.
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    PublicationOpen Access
    A new approach to vocal cord leukoplakia and evaluation of proton pump ınhibitor treatment.
    (2019-02-01) Ozturan, ORHAN; Sezen, Goktas; ÇALıM, ÖMER FARUK; YENIGUN, A; DOGAN, REMZİ; TUGRUL, SELHATTİN; DOĞAN, REMZI; YENİGÜN, ALPER; ÇALIM, ÖMER FARUK; ÖZTURAN, ORHAN; TUĞRUL, SELAHATTİN
    Purpose: Our aim is identify a new approach to vocal cord leukoplakia treatment and detect to efficiency of proton pump inhibitors. Study design: Prospective, nonrandomized experimental clinical trial. Methods: A 'First Assessment Scale' was prepared. This scale included the lesion's and the patient's characteristics. Using this scale, 24 patients included to the study. 20 mg rabeprazole twice daily was applied to all patients. At the end of 3rd month, a 'Second Assessment Scale' was used and two groups created. In group 1, 19 patients were accepted to responsive for the therapy and received the same therapy. The group 2 was included five patients that accepted unresponsive to treatment and directed to surgery. All patients received the same treatment additionally 3 months. At the end of 6th month, the Reflux Symptom Index (RSI), the Reflux Finding Score (RFS) and the Red-Green-Blue (RGB) values evaluated and comparisons were made. Results: The RSI and RFS values were significantly decreased in all patients. The Red values were significantly decreased with treatment in group 1, but the Green and Blue values were not. In group 2, the RGB values were not showed the significant differences. In conclusion, seven patients (29,2%) showed complete lesion regression, 12 patients (50%) showed partial lesion regression and five patients (20,8%) showed no response to treatment. Conclusions: The proton pump inhibitor treatment may be beneficial for the selected patients. The scales that we prepared were useful for lesion assesment.
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    PublicationOpen Access
    A Rare Presentation of Acquired Laryngomalacia and Tracheomalacia in a Child Associated with Apricot Sulfurization
    (2020-12-01T00:00:00Z) Vehapoğlu Türkmen, Aysel; Çakır, Erkan; Uzuner, Selçuk; Çalım, Ömer Faruk; Yazan, Hakan; VEHAPOĞLU TÜRKMEN, AYSEL; ÇAKIR, ERKAN; UZUNER, SELÇUK; ÇALIM, ÖMER FARUK; YAZAN, HAKAN
    Sulfur fumigation has come to replace traditional sun drying methods for drying fruits over the years around the world as it is a cheaper and faster method because of its pesticidal and anti-bacterial properties. We report the case of an 11-year-old boy with acquired severe biphasic stridor who was exposed to extremely high concentrations of sulfur dioxide (SO2) during apricot sulfurization processes with his mother. The patient's bronchoscopy revealed severe glottic and subglottic damage. Exposure to SO2 is a health risk, particularly for individuals who are sulfide-sensitive, especially in childhood. The pulmonary epithelium may be directly injured by inhaled toxic substances at various levels of the respiratory system. To the best of our knowledge, this is the first case reported of acquired airway damage associated with sulfurization in a pediatric patient without a known history of any respiratory disease or symptoms.
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    PublicationOpen Access
    Effects of the Valsalva Maneuver on Intraoperative Bleeding During Tonsillectomy
    (2019-01-01) ÇALIM, ÖMER FARUK; ÇALIM, ÖMER FARUK
    Objective: We investigated whether the Valsalva maneuver helps detect any further bleeding points following adequate hemostasis in tonsillectomy. Methods: This was a prospective study of consecutive patients who underwent tonsillectomy performed in a tertiary medical center. The data collected included age, gender, method of operation, and hemorrhage (if any) informations. Immediately after completing the surgery, hemostasis was performed by an anesthesiologist using the Valsalva maneuver to identify bleeding points. Intraoperative and postoperative hemorrhage, as well as the treatment applied. were recorded. Results: One hundred twenty patients underwent tonsillectomy (53 males and 67 females). Tonsillectomy was performed using cold dissection in 59 patients (26 males and 33 females) and bipolar diathermy in 61 patients (27 males and 34 females). The differences in intraoperative hemorrhage following Valsalva were significantly higher in the cold dissection group than in the hot (bipolar) group (p=0.044). Tonsillectomy using bipolar cautery had a statistically significantly higher postoperative hemorrhage rate than that using cold dissection (p<0.05). Conclusion: The Valsalva maneuver is useful for identifying subtle bleeding vessels in tonsillectomy wound bed. We suggest applying the procedure for final verification of hemostasis before ending the surgery.