Person: TUĞRUL, SELAHATTİN
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Publication Metadata only Red-green-blue analysis of nasal mucosa discolouration in allergic rhinitis.(2020-04-02T00:00:00Z) Toprak, A; Degirmenci, Nazan; Dogan, R; Senturk, E; Tugrul, S; Ozturan, O; DEĞİRMENCİ, NAZAN; TUĞRUL, SELAHATTİN; ŞENTÜRK, EROL; TOPRAK, ALİ; ÖZTURAN, ORHANObjective To evaluate the colour values of nasal mucosa for the purpose of presenting an objective parameter of allergic rhinitis. Methods Seventy-three patients with allergic rhinitis (allergy group) and 73 normal healthy individuals (control group) were included in the study. Endoscopic examinations were conducted, and endoscopic photographs of the septum and both inferior turbinates were taken. The Adobe Photoshop Elements 7.0 software program was used to measure the numerical values of red-green-blue (RGB) colour components in the endoscopic photographs of nasal mucosa. Results The G and B values were significantly higher in the allergy group compared to the control group (both p < 0.05). Cumulative R, G and B values of all measurement points were significantly higher in the allergy group compared to the control group (p < 0.05). Conclusion Nasal mucosa discolouration can be measured objectively with RGB analysis to aid the diagnosis of allergic rhinitis.Publication Metadata only Adjunctive Use of the Dermocartilaginous Ligament for Dorsal Irregularities in Primary Rhinoplasty.(2018-09-01) YENIGUN, A; AKSOY, FEYZA MÜBERRA; Ozturan, ORHAN; TUGRUL, SELHATTİN; ÖZTURAN, ORHAN; YENİGÜN, ALPER; TUĞRUL, SELAHATTİN; AKSOY, FADLULLAHPublication Metadata only Effect of Submucosal Mesna Application on Mucoperichondrial Elevation in Septoplasty(2017-01-01) Dogan, REMZİ; Yenigun, ALPER; Eren, SABRİ BAKİ; Ozturan, ORHAN; Goktas, Seda Sezen; Tugrul, Selahattin; Calim, Omer Faruk; EREN, SABRİ BAKİ; YENİGÜN, ALPER; TUĞRUL, SELAHATTİN; DOĞAN, REMZI; ÇALIM, ÖMER FARUK; ÖZTURAN, ORHANObjective: It was revealed that the thiol compound named mesna chemically softens the connective tissue with submucosal injection, and facilitates the endoscopic submucosal dissection. The authors aimed to investigate the effect of mesna injection on mucoperichondrial elevation during septoplasty operation. Methods: This study was planned as a patient-control study and performed. Fifty-six patients who had septoplasty operation were divided into 2 groups that are submucosal mesna (group 1) and submucosal saline (group 2) applied ones. In both groups, the measurement was initiated by a timer during the start of septal incision and elevation processes. After bilateral subperichondrial and subperiostal elevation were finished, timer was stopped and time was recorded. After that, mucosal integrity was reviewed and mucosal damage status was recorded. The difficulty of mucoperichondrial elevation for the surgeon was recorded for each patient. Results: Twenty-five (44.7%) of the patients who participated in our study were females while 31 (55.3%) were males. The average elevation periods were 201.4 +/- 74.3 seconds in group 1 and 260.2 +/- 84.1 seconds in group 2. In mesna applied patients, elevation period was statistically and significantly shorter (P = 0.009). Impairment in mucosal integrity was observed as 33.3% in group 1 and 58.8% in group 2. In mesna applied patients, significantly less impairment in mucosal integrity was observed (P = 0.031). The average mucoperichondrial elevation difficulty for the surgeon is observed as 4.83 +/- 2.47 in group 1 and 6.5 +/- 1.9 in group 2. Mesna applied patients were defined as significantly easier patients for the surgeon (P = 0.006). Conclusion: Submucosal mesna application is an approach that provides a convenient, fast, and effective mucoperichondrial elevation in septoplasty and protects the mucosal integrity.Publication Metadata only Pediatrik Akut Rinosinüzit Tedavisinde Düşük Basınçlı Yüksek Volümlü nazal Salin Flutikazon Propionat Uygulaması(2014-05-25T00:00:00Z) TUĞRUL, SELHATTİN; DOĞAN, REMZİ; EREN, SABRİ BAKİ; MERİÇ HAFIZ, AYŞENUR; ÖZTURAN, ORHAN; TUĞRUL, SELAHATTİN; EREN, SABRİ BAKİ; MERİÇ HAFIZ, AYŞENUR; ÖZTURAN, ORHANPublication Metadata only Goldenhar sendromu-Olgu sunumu(2018-02-09T00:00:00Z) Gedik, Özge; Tuğrul, Selhattin; GEDİK, ÖZGE; TUĞRUL, SELAHATTİNPublication Metadata only Does systemic steroid deficiency affect inner ear functions?(2015-07-01) Dogan, REMZİ; MERIC, Aysenur; Gedik, Ozge; TUGRUL, Selahattin; Eren, SABRİ BAKİ; Ozturan, ORHAN; DOĞAN, REMZI; MERİÇ HAFIZ, AYŞENUR; GEDİK, ÖZGE; TUĞRUL, SELAHATTİN; EREN, SABRİ BAKİ; ÖZTURAN, ORHANPurpose: Today corticosteroids are employed for the treatment of various inner ear disorders. In this study we have investigated probable changes in hearing functions resulting from a deficiency of systemic steroid secretions.Publication Metadata only Analgesic effect of magnesium in post-tonsillectomy patients: a prospective randomised clinical trial(2015-09-01) TUGRUL, SELHATTİN; EREN, S. B.; Dogan, REMZİ; VEYSELLER, B.; OZTURAN, ORHAN; TUĞRUL, SELAHATTİN; DEĞİRMENCİ, NAZAN; EREN, SABRİ BAKİ; DOĞAN, REMZI; ÖZTURAN, ORHANThe aim of this study was to assess the analgesic, bleeding and nausea/vomiting effects of magnesium with and without metamizol on post-tonsillectomy patients. This prospective and randomised clinical trial included 54 patients aged 18-63 years who were scheduled for elective tonsillectomy. The patients were randomly divided into two groups and administered either magnesium with metamizol or only metamizol. They had been classified as physical status class I and II using the American Society of Anesthesiologists guidelines. All patients underwent the same surgical procedure performed by a single surgeon. The groups did not differ according to age, sex, or duration of anaesthesia or surgery. Postoperative pain, bleeding and nausea/vomiting were evaluated using the VAS and bleeding and nausea/vomiting scores on the first, fifth and tenth days. On the first, fifth and tenth postoperative days, the VAS scores of the magnesium with metamizol group were significantly lower than those of the metamizol-only group (p1 = 0.001; p5 = 0.015; p10 = 0.015). There were no significant differences in postoperative bleeding and nausea/vomiting scores between the two groups (p = 0.425 and p = 0.258, respectively). This study showed that magnesium enhanced the analgesic effect on post-tonsillectomy pain. Use of magnesium with an analgesic drug may be beneficial for management of post-tonsillectomy pain .Publication Metadata only Supratip suture and skin scoring technique in the patient with thick skin in rhinoplasty(2022-01-01T00:00:00Z) Balikci, Hüseyin; YENİGÜN, ALPER; AKSOY, FADLULLAH; DOĞAN, Remzi; TUĞRUL, SELAHATTİN; YENİGÜN, ALPER; AKSOY, FADLULLAH; DOĞAN, REMZI; TUĞRUL, SELAHATTİN© 2022 Elsevier Inc.Objective: The aim of this study is to demonstrate a new surgical technique to achieve ideal nasal tip rotation and projection with nasal supratip angle in patients with thick skin. Method: Supratip suture and skin scoring technique was used in 24 patients who underwent open technique septorhinoplasty operation between the years 2019 and 2022. In this technique the nose skin was thinned with scissors. Scoring and supratip sutures were applied to the skin. Kenacort (Triamcinolone 8 mg) was injected into the supratip area without closing the skin. Fourteen of the patients were female and 10 were male. Result: The mean age of the patients was 22. The mean follow-up time of the patients was between 6 and 18 months. No complications were observed due to this technique. Satisfactory results were obtained in the postoperative period after surgery. Conclusion: A new surgical approach has been proposed to create the desired dimensions with nasal tip rotation and projection and supratip angle in patients with thick skin using the supratip suture and skin scoring technique.Publication Metadata only A feasibility study in the treatment of obstructive sleep apnea syndrome and snoring: Nasopharyngeal stent(2020-01-01T00:00:00Z) Tugrul, Selahattin; YENİGÜN, Alper; DOĞAN, Remzi; Aksoy, Fadlullah; ÖZTURAN, ORHAN; YENİGÜN, ALPER; TUĞRUL, SELAHATTİN; DOĞAN, REMZI; AKSOY, FADLULLAH; ÖZTURAN, ORHANPublication Metadata only BAŞ-BOYUNUN AYIRICI TANIDA ZORLUK OLUŞTURAN KEMİK-YUMUŞAK DOKU TÜMÖRLERİ: 190 OLGUNUN LİTERATÜR EŞLİĞİNDE DEĞERLENDİRMESİ(2020-12-01T00:00:00Z) Kıran, Tuğçe; Tuğrul, Selhattin; KIRAN, TUĞÇE; TUĞRUL, SELAHATTİNÖzetGiriş:Baş-boyun bölgesi primer kemik ve yumuşak doku tümörleri açısından çok nadir bir yerleşim yeridir. Erişkin yaş grubunda sarkomların ancak % 5-15-i baş-boyun lokalizasyonludur. Bunların % 20-si kemik, % 80-i ise yumuşak doku kaynaklıdır. Bu retrospektif çalışmanın amacı baş-boyun lokalizasyonlu kemik-yumuşak doku tümörlerinin demografik özelliklerini ve tanı dağılımlarını literatür ile karşılaştırmalı olarak irdelemektir.Materyal-Metod:Üniversitemiz tıp fakültesi patoloji biriminde, 2015-2020 yılları arasında tanı almış, baş-boyun lokalizasyonlu ve kemik-yumuşak doku kaynaklı tümör olguları retrospektif olarak, hastane bilgi sisteminden taranmış, demografik özellikleri, lokalizasyonları ve tanılarına göre sınıflandırılmış, yüzde ve sayısal verileri, literatür ile karşılaştırılmıştır.Bulgular:Tüm olgular için ortalama yaş 40.8 olup, yaş aralığı 2-85 arasında değişmekte idi. Yumuşak doku kaynaklı olgularda ortalama yaş 42.2 (2-85) iken, kemik tümörlerinde ortalama yaş 34.4(8-70) idi. Tüm olguların %56-sı(n:107) erkek, %44-ü(n:83) kadındı. Baş-boyun bölgesindeki spesifik lokalizasyonlarına bakıldığında, 190 olgunun %28-i (n:53) en yüksek oranla boyun bölgesinde yer almaktaydı. Olguların %81-ini (n:154) yumuşak doku kaynaklı, %19-unu (n:36) kemik kaynaklı neoplazmlar oluşturmakta idi. Yumuşak doku tümörlerinin %93-ü (n:144) benign, %7-si (n:10) ise maligndi. Kemik tümörlerinin %88-i (n:32) benign, %6-sı (n:2) malign olup, %6-sı (n:2) kemiğin hematopoetik neoplazmları içinde yer alan Langerhans hücreli histiositozdu.Sonuç:Baş-boyun bölgesinin kompleks yapısı ile kemik-yumuşak doku tümörlerinin çeşitlilik gösteren histolojik özellikleri biraraya geldiğinde tanıda ve klinik yönetimde zorluklar kaçınılmaz olmaktadır. Bu çalışmada, bölümümüzde tanı almış baş-boyun yerleşimli mezenkimal tümörlerin demografik ve tanısal dağılımlarına, literatürle karşılaştırmalı olarak, ayna tutmaya çalıştık. Sonuç olarak, verilerin büyük ölçüde literatürle uyumlu olduğunu gözlemlemekle birlikte, çok merkezli geniş serilerle yapılacak çalışmaların, olguların bu çalışmada da irdelenen özelliklerini daha sağlıklı bir şekilde yansıtacağını düşünmekteyiz.