RESUMO
AIM: To investigate the effects of video-based information on the anxiety of patients who underwent ultrasound-guided thyroid fine-needle aspiration biopsy. METHODS: Fifty consecutive patients who underwent thyroid fine needle aspiration biopsy were included in the study prospectively. Patients were divided into two groups before the biopsy. 25 patients in Group 1 received only written information about thyroid biopsy. In Group 2, 25 patients received video-based information along with written information. Baseline anxiety of all the patients was evaluated prior to procedure using STAI-S and STAI-T questionnaires. After the written information was provided to the patients in group 1, the STAI-S questionnaire was repeated. In the same way, group 2 patients were asked to repeat the STAI-S questionnaire after written and video-based information were provided. All patients were asked to evaluate pain during biopsy using visual analog scale (VAS). RESULTS: There was no significant difference between the groups in terms of age and gender. Although the VAS score was lower in group 2, there was no statistically significant difference between the two groups. When the groups were compared in terms of basal anxiety scores, STAI-T was similar in both groups (p = 0.708). Although STAI-S values were similar in pre and post-information patients in Group 1, the STAI-S values in group 2 were statistically significantly decreased. CONCLUSION: The video based information provided prior to thyroid biopsy draws the attention as an effective and easy to apply method to decrease the anxiety of the patients.
Assuntos
Ansiedade , Glândula Tireoide , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Ansiedade/etiologia , Biópsia , Humanos , Dor , Medição da Dor , Glândula Tireoide/diagnóstico por imagemRESUMO
INTRODUCTION: Ankyloglossia is a congenital condition that restricts tongue mobility. The aim of this study is to evaluate the relationship between gender and pediatric ankyloglossia and evaluate the planning of ideal timing of surgery. METHODS: The files of pediatric patients in the Turkish population treated surgically for tongue-tie between June 2014 to June 2018 were scanned retrospectively. RESULTS: Three hundred and eighty-two pediatric patients were included in the study. Of these, 115 (30.1%) were female and 267 (69.9%) were male. The prevalence of ankyloglossia was significantly higher in males than in females (P < .001). The age of the patients at time of surgery ranged from 1 day to 114 months. The most common indication was sucking/feeding difficulties (82%) in patients younger than 2 years, and the most common symptom was speech problems (67%) in patients aged 2 years and older. CONCLUSION: In our study, the prevalence of ankyloglossia in Turkish society was significantly higher in males. Frenectomy surgery is a safe procedure that can be performed on the first day of life in newborns.
Assuntos
Anquiloglossia/cirurgia , Fatores Sexuais , Tempo para o Tratamento/estatística & dados numéricos , Língua/anormalidades , Língua/cirurgia , Anquiloglossia/complicações , Anquiloglossia/epidemiologia , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Prevalência , Estudos Retrospectivos , Distúrbios da Fala/etiologia , Distúrbios da Fala/prevenção & controle , Turquia/epidemiologiaRESUMO
OBJECTIVE: Patients may be afraid when they receive knowledge that medications are injected into the middle ear through the tympanic membrane using a fine needle during intratympanic treatment. The aim of this study was to evaluate the effect of video-assisted information prior to intratympanic steroid injection on patient anxiety. STUDY DESIGN: Prospective, Non-randomized, controlled trial. SETTING: Tertiary academic medical center. METHODS: A total of 85 patients who had an indication for intratympanic treatment due to idiopathic sudden sensorineural hearing loss and tinnitus were included in this prospective study. 40 cases received video-assisted information before intratympanic steroid injection in the study group, while 45 cases were verbally informed face-to-face in the control group. Then, patient anxiety was measured using the Visual Analog Scale (VAS) and Spielberger State-Trait Anxiety Inventory (STAI). RESULTS: The mean VAS score was 3.58 ± 3.37 (mean rank = 42.09) in the study group and 3.87 ± 3.56 (mean rank = 43.81) in the control group. The mean STAI-S score was 37.03 ± 10.637 in the study group and 39.11 ± 11.783 in the control group. The mean STAI-T score was 40.18 ± 9.151 in the study group and 38.73 ± 11.438 in the control group. It was found that there were no statistically significant differences in the mean VAS, STAI-S and STAI-T scores between the two groups (p > 0.05). CONCLUSION: We revealed that video-assisted information prior to intratympanic steroid injection had no superiority in reducing anxiety over face-to-face verbal information.
Assuntos
Ansiedade/prevenção & controle , Perda Auditiva Neurossensorial/tratamento farmacológico , Perda Auditiva Neurossensorial/psicologia , Injeção Intratimpânica/métodos , Injeção Intratimpânica/psicologia , Educação de Pacientes como Assunto/métodos , Pacientes/psicologia , Zumbido/tratamento farmacológico , Zumbido/psicologia , Gravação em Vídeo , Doença Aguda , Adolescente , Adulto , Idoso , Orelha Média , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Agulhas , Estudos Prospectivos , Membrana Timpânica , Aprendizagem Verbal , Adulto JovemAssuntos
Abscesso Peritonsilar/diagnóstico , Doenças Faríngeas/diagnóstico , Fístula do Sistema Respiratório/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Ilustração Médica , Pessoa de Meia-Idade , Orofaringe/microbiologia , Abscesso Peritonsilar/complicações , Doenças Faríngeas/microbiologia , Fístula do Sistema Respiratório/microbiologiaRESUMO
OBJECTIVE: This study aimed to determine the effectiveness of an intratympanic (IT) injection of a mixture of gentamicin and dexamethasone compared with intratympanic dexamethasone (ITD) for controlling vertigo and protecting the hearing level of Meniere's disease patients who have persistent vertigo attacks, despite medical treatment. METHODS: Thirty eight patients with intractable Meniere's disease were included in this study. Twenty-one patients were treated with IT mixture gentamicin and dexamethasone injection; seventeen patients were treated with ITD. Pre- and post-treatment audiograms were compared with pure-tone averages. Control of vertigo was classified according to the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) vertigo control index. RESULTS: In the mixture group single IT injection was administered in 18 patients (85.7%), 2 injections were administered in 2 patients (9.5%) and 3 injections were administered in one patient (4.8%). In the ITD group IT injection was performed 3 times (days 1,3,5) at intervals. The mean number of intervals per patient was 3,41 (range 1-6). Two years after IT treatment there was better control of vertigo in mixture group than in ITD group; 81% of mixture group and 70,6% of the ITD group achieved satisfactory control of vertigo (pâ¯=â¯0,0286). Audiology results of mixture group showed 20 patients (95,24%) with unchanged hearing and 1 patient (4,76%) with only 10-decibel deteriorated hearing. There was no worsening of hearing in the ITD group. CONCLUSION: The results of this study showed that an IT injection of a mixture of gentamicin and dexamethasone in intractable Meniere's disease cases is more effective than ITD for vertigo control.
Assuntos
Dexametasona/administração & dosagem , Gentamicinas/administração & dosagem , Doença de Meniere/diagnóstico , Doença de Meniere/tratamento farmacológico , Adulto , Distribuição de Qui-Quadrado , Relação Dose-Resposta a Droga , Esquema de Medicação , Quimioterapia Combinada , Feminino , Seguimentos , Gentamicinas/efeitos adversos , Humanos , Injeção Intratimpânica , Masculino , Pessoa de Meia-Idade , Medição de Risco , Índice de Gravidade de Doença , Resultado do Tratamento , TurquiaRESUMO
OBJECTIVE: This study aimed to compare if vertigo improved in patients when the dexamethasone used in the intratympanic (IT) injection was applied at body temperature or at room temperature. METHODS: The study included 54 patients who had undergone intratympanic treatment due to sudden hearing loss and tinnitus. The IT injection was administered to all patients, 2 times with 1-day intervals. Two different IT injection techniques were used for each patient: injecting dexamethasone at room temperature and injecting it at body temperature. Patients were asked to report the vertigo they felt immediately, and at 15â¯min after the injection using the visual analogue scale (VAS) and the four-point categorical rating scale (CRS-4). RESULTS: The level of vertigo immediately after injection was lower when the dexamethasone was injected at body temperature rather that at room temperature for both the VAS and CRS-4 (pâ¯<â¯0.05). However, no statistical differences in the VAS and CRS-4 self-report values between the two methods were found 15â¯min after the injection (pâ¯>â¯0.05). CONCLUSION: Vertigo due to IT decreases within minutes. When the IT drugs are administered at body temperature, temporal vertigo due to injection is lower than when they are administered at room temperature.
Assuntos
Dexametasona/administração & dosagem , Perda Auditiva Súbita/tratamento farmacológico , Temperatura , Vertigem/tratamento farmacológico , Adolescente , Adulto , Idoso , Estudos de Coortes , Feminino , Seguimentos , Perda Auditiva Súbita/diagnóstico , Humanos , Injeção Intratimpânica , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente/estatística & dados numéricos , Estudos Retrospectivos , Medição de Risco , Estatísticas não Paramétricas , Zumbido/diagnóstico , Zumbido/tratamento farmacológico , Resultado do Tratamento , Vertigem/diagnóstico , Escala Visual Analógica , Adulto JovemAssuntos
Clindamicina/administração & dosagem , Fístula , Abscesso Peritonsilar , Antibacterianos/administração & dosagem , Tratamento Conservador , Diagnóstico Diferencial , Feminino , Fístula/diagnóstico , Fístula/etiologia , Fístula/fisiopatologia , Fístula/terapia , Humanos , Pessoa de Meia-Idade , Abscesso Peritonsilar/complicações , Abscesso Peritonsilar/diagnóstico , Abscesso Peritonsilar/tratamento farmacológico , Abscesso Peritonsilar/fisiopatologia , Resultado do TratamentoRESUMO
INTRODUCTION: Pediatric epistaxis is very common. A child's illness can lead to depression and anxiety in the parents. The association between pediatric epistaxis and mothers' anxiety has not been well documented. OBJECTIVE: The present study is aimed at measuring depression and anxiety levels in mothers of children with mild, recurrent epistaxis. METHODS: This prospective, clinical, questionnaire-based study examined 43 mothers of children with recurrent epistaxis and 42 mothers of healthy children. The depression and anxiety levels of the mothers in both the groups were assessed with the Beck Depression Inventory (BDI), the state-trait anxiety inventory-state (STAI-S), and the state-trait anxiety inventory-trait (STAI-T). RESULTS: No statistically-significant differences were found between the two groups of mothers in terms of educational level, employment, age, or economic status. The mean STAI-S scores were higher in the mothers of children with epistaxis (p=.010). However, no statistically-significant differences were found between the two groups for the BDI and STAI-T scores. CONCLUSIONS: The results of this comparative study suggest that mild, recurrent epistaxis in children can significantly increase their mothers' state anxiety levels, but epistaxis has no significant effect on either depression or trait anxiety.
Assuntos
Ansiedade/etiologia , Depressão/etiologia , Epistaxe , Mães/psicologia , Adolescente , Adulto , Criança , Pré-Escolar , Humanos , Pessoa de Meia-Idade , Relações Mãe-Filho , Estudos Prospectivos , Testes Psicológicos , Recidiva , Estresse Psicológico/etiologia , Inquéritos e Questionários , Turquia , Adulto JovemRESUMO
Mucoepidermoid carcinoma is a malign tumor involving the parotid gland and minor salivary glands. Parotid pure cystic mucoepidermoid carcinoma can also masquerade mucocele, and hence, histopathological examination is crucial to distinguish the 2. Herein, the authors report a patient of mucoepidermoid carcinoma presenting as an asymptomatic mucocele-like cystic parotid mass. A 69-year-old female presented with cystic parotid mass; her examination findings and diagnostic imaging were consistent with that of mucocele. Histological examination revealed mucoepidermoid carcinoma. This case indicates that parotid mucocele-like cysts should be included in the differential diagnosis of malign salivary gland tumors.
Assuntos
Carcinoma Mucoepidermoide , Glândula Parótida/patologia , Neoplasias Parotídeas , Idoso , Diagnóstico Diferencial , Feminino , HumanosRESUMO
Myoepitheliomas are extremely rare salivary gland tumors. Myoepithelioma of salivary glands comprised only 1% of all salivary tumors, most commonly occurring in the parotid gland followed by the minor salivary glands in the oral cavity. Involvement of the soft palate is a rare occurrence. This tumor is usually benign, and its treatment is total lesion excision. Here, the author reports a case of myoepithelioma of the soft palate in a 42-year-old Turkish man. The mass was removed by local excision under general anesthesia. There was no recurrence during the follow-up period of 10 months.
Assuntos
Neoplasias Bucais/patologia , Mioepitelioma/patologia , Palato Mole/patologia , Adulto , Humanos , Masculino , Palato Mole/diagnóstico por imagemRESUMO
Orf is a zoonotic infectious disease caused by parapoxvirus. Orf lesions are typically seen on the hand, but they have rarely been reported on the nose. Herein, the authors report a rare patient of an orf lesion on the nose of a 52-year-old man after the Muslim celebration of the feast of the sacrifice. The lesion spontaneously recovered 8 weeks after the initial appearance and showed no evidence of recurrence after 1 year of follow-up. Orf virus infections may occur more often after the celebration of the feast of the sacrifice in Muslim countries.
Assuntos
Ectima Contagioso/diagnóstico , Dermatoses Faciais/patologia , Dermatoses Faciais/virologia , Doenças Nasais/patologia , Doenças Nasais/virologia , Ectima Contagioso/etiologia , Ectima Contagioso/terapia , Dermatoses Faciais/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Nasais/terapiaAssuntos
Colesteatoma da Orelha Média/diagnóstico , Processo Mastoide/diagnóstico por imagem , Mucocele/diagnóstico , Adulto , Doença Crônica , Diagnóstico Diferencial , Humanos , Masculino , Processo Mastoide/cirurgia , Mucocele/complicações , Mucocele/cirurgia , Miringoplastia , Otite Média/complicações , Otite Média/cirurgia , Tomografia Computadorizada por Raios X , Perfuração da Membrana Timpânica/complicações , Perfuração da Membrana Timpânica/cirurgiaRESUMO
Myiasis is the parasitic invasion of tissues and organs of human beings by fly larvae. When ear is invaded by the parasitic larvae of flies, this condition is called aural myiasis. Wohlfahrtia magnifica is frequently encountered species in aural myiasis. The authors report a 4-month-old infant from a rural area with aural myiasis caused by W magnifica.
Assuntos
Meato Acústico Externo/parasitologia , Miíase/parasitologia , Animais , Feminino , Humanos , Lactente , LarvaRESUMO
Osteomas are the most frequent benign tumor of the paranasal sinuses. The commonest site is the frontal sinus but intraorbital extension of frontal osteoma is rare. Here, the authors report a 15-year-old adolescent boy who presented with left superior orbital rim swelling and ptosis. Waters radiography and computed tomographic scan revealed a bone density mass in the left frontal sinus with upper orbital wall extension. The tumor was removed via open eyebrow incision. The histopathologic evaluation was consistent with osteoma.