Nasal obstruction following septorhinoplasty: how well does acoustic rhinometry work?

Septorhinoplasty aims to improve not only the esthetic appearance but also breathing function of the nose. Although the esthetic improvement can be judged by the patient and the surgeon easily, evaluation of nasal breathing is more complicated. Besides the subjective symptom scores given by the patient, some objective methods have been developed. One of the most widely used of these objective methods is acoustic rhinometry, which gives valuable information about the cross-sectional areas and volumes of the nasal airway as a function of distance from the nostril. Since the introduction of acoustic rhinometry, many papers were reported regarding its efficiency with some conflicting conclusions. Septorhinoplasty has the potential to narrow the nasal airway, especially if it includes lateral osteotomies and hump reduction. We aimed to evaluate the role of rhinoplasty on nasal obstruction with the help of subjective symptom scores and acoustic rhinometry. The study consisted of 26 patients who underwent septorhinoplasty. Before and after surgery, the symptom scores and findings of acoustic rhinometry were collected both before and after decongestion of the nasal mucosa. Symptom scores decreased on both sides, which were statistically significant (p < 0.05), however, the changes in cross-sectional areas of the nasal airway were not statistically significant (p > 0.05). The correlation between the symptom scores and acoustic rhinometry findings was not significant for all levels. The effect of septorhinoplasty on nasal airway and some important maneuvers to protect against nasal obstruction are discussed.

[A view of mites infestation on cheese and stored foods in terms of public health]. / Depo gidalarini ve peynirleri enfeste eden akarlara halk sagligi açisindan bakis

Mites are small live organism that may result in a large number of allergenic diseases such as atopic dermatitis, allergic rhinitis and asthma that may cause individuals' physical, social and mental health, adversely affects quality of life. Mites that can be found everywhere where people live are found in various foodstuffs. The purpose of this review is to examine the types of mites and possible illness result from mites can be found in stored foods especially cheese in terms of public health assessment. Finding mite in the stored foods except for some local cheeses is not desirable because of it's health risks. However, especially in cheese which is maturing in the open always to be the case of mite enfestation. In particular, this risk is much higher in some enterprises where have not taken measures enough in terms of food safety. Besides the lack of standarts related to cheese, fighting against mite in quality assurance systems have generally not been taken into consideration. Whereas mites in cheese consumed by individuals at any age, there is always a possibility of the potential cause of the allergic reactions seen in the consumer. Prevention of possible infestations in cheese, potential presence of storage mite and cheese mite in various stored foods and local cheese of Turkey should be investigated more comprehensive and protective measures should be developed in order to protect public health against mites.