Person: KASAPOĞLU, FİKRET
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KASAPOĞLU
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FİKRET
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Publication Augmentation rhinoplasty with autogenous cartilage grafts(Galenos Yayincilik, 2011-03-01) Kasapoglu, Fikret; KASAPOĞLU, FİKRET; Özmen, Afşin; ÖZMEN, ÖMER AFŞIN; Coşkun, Hakan; Onart, S.; Basut, Oğuz; BASUT, OĞUZ İBRAHİM; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.; 0000-0002-9698-0546; 0000-0002-0881-1444; AAI-3877-2021; A-1452-2019Objectives: We aimed to present our experience in augmentation rhinoplasty, using autologous grafts.Methods: Between the years 2003-2007, whose registries were available, we evaluated 32 patients retrospectively.Results: Most of the operations were for traumatic reasons (62.5%, 20/32), and 37.5% (12/32) of them were revision surgeries. Satisfactory results in projection of nasal tip, dorsal augmentation, widening of the internal nasal valve and low scar retraction, were obtained. Minor complaints of the patients were recognized as palpation of graft through the skin, underprojection of tip in a couple of patients, thickness of the skin and insufficient nasal dorsal augmentation. Out of these exceptional results, most of the patients had satisfactory functional and aesthetic results.Conclusion: Autogenous cartilage or bone grafts or combination of the otografts in Augmentation Rhinoplasty, provides satisfactory aesthetic and functional results. Alloplastic materials should be combined, if sufficient otografts are not found.Publication Why do we not need ct in patients who undergo type i tympanoplasty?(Galenos Yayincilik, 2014-09-01) DEMİR, UYGAR LEVENT; Demir, Uygar Levent; Akyıldız, Metin Yüksel; Çetin, Yaser Said; Kasapoğlu, Fikret; KASAPOĞLU, FİKRET; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Hastalıkları Anabilim Dalı.; 0000-0002-7684-4600; AAI-3877-2021; GQR-1089-2022; AAC-8563-2020Objective: High-resolution computed tomography (HRCT) has gained wide acceptance in diagnostic work- up of suppurative chronic otitis media. Most ear surgeons order HRCT to make a rational operative plan, especially in the presence of symptoms, such as refractory otorrhea with bad odor, epithelial debris at retraction pockets, and defects in bony walls of the middle ear. The aim of this study was to show the lack of necessity of preoperative HRCT by evaluating its predictive value in patients who underwent type I tympanoplasty.Methods: The study included a patient group who underwent tympanoplasty with dry perforation and normal middle ear mucosa. The intraoperative findings of 43 patients were compared with preoperative HRCT and audiogram findings.Results: There was no significance between preoperative air conduction threshold and existence of ossicular erosion in HRCT. HRCT incorrectly predicted the presence of cholesteatoma in two patients. The positive predictive value of HRCT in detecting soft or granulation tissue was 4/14 (28.57%). The sensitivity and specificity of HRCT in the diagnosis of ossicular chain status were 9.09% and 90.62%, respectively.Conclusion: HRCT plays an important role in the assessment of patients with suppurative chronic otitis media and cholesteatoma. However, preoperative HRCT in patients who have undergone type I tympanoplasty is not necessary. It has no benefit and also leads patients to unnecessary radiation exposure.Publication Turkish guideline for diagnosis and treatment of allergic rhinitis (ART)(Galenos Yayınevi, 2021-05-01) Ecevit, Mustafa Cenk; Özcan, Müge; Can, İlknur Haberal; Tatar, Emel Cadalli; Özer, Serdar; Esen, Erkan; Atan, Doğan; Gode, Sercan; Elsurer, Cağdaş; Eryılmaz, Aylin; Coşkun, Berna Uslu; Yazıcı, Zahide Mine; Dinç, Mehmet Emre; Özdoğan, Fatih; Günhan, Kıvanç; Bilal, Nagihan; Korkut, Arzu Yasemin; Kasapoğlu, Fikret; Türk, Bilge; Server, Ela Araz; Çelebi, Özlem Önerci; Şimşek, Tuğçe; Kum, Rauf Oğuzhan; Adalı, Mustafa Kemal; Eren, Erdem; Aslıer, Nesibe Gül Yüksel; Bayındır, Tuba; Çetin, Aslı Çakır; Göker, Ayşe Enise; Güvenç, Işıl Adadan; Köseoğlu, Sabri; Özler, Gül Soylu; Şahin, Ethem; YIlmaz, AslI şahin; Güne, Ceren; Yıldırım, Gökçe Aksoy; Oca, Bülent; Durmuşoğlu, Mehmet; Kantekin, Yunus; Özmen, Suay; Kubat, Gözde Orhan; Sanal, Serap Koybaşı; Altuntaş, Emine Elif; Selçuk, Adın; Yazıcı, Haşmet; Baklacı, Deniz; Yaylacı, Atılay; Hancı, Deniz; Doğan, Sedat; Fidan, Vural; Uygur, Kemal; Keleş, Nesil; Çingi, Cemal; Topuz, Bülent; Çanakcıoğlu, Şalih; Önerci, Metin; KASAPOĞLU, FİKRET; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.; FDZ-6520-2022Object: To prepare a national guideline for Oto-rhinolaryngologist who treat allergic rhinitis patientsMethods: The study was conducted by three authors, namely the writing support team. The support team made the study plan, determined the writing instructions, chose the subgroups including the advisory committee, the advisors for authors and the authors. A workshop was organized at the very beginning to explain the details of the study to the team. Advisors took the chance to meet their coworkers in their subgroups and determined the main headings and subheadings of the guideline, together with the authors. After key words were determined by the authors, literature search was done in various databases. The authors keep in touch with the advisors and the advisors with the advisory committee and the support group at every stage of the study. National and International published articles as well as the abstracts of unpublished studies, imperatively presented in National Congresses, were included in this guideline. Only Guideline and meta-analyses published in last seven years (2013- 2017) and randomized controlled studies published in last two years (2015- 2017) were included. After all work was completed by the subgroups, support team brought all work together and edited the article.Results: A detailed guideline about all aspects of allergic rhinitis was created.Conclusion: The authors believe that this guideline will enable a compact and up-to-date information on allergic rhinitis to healthcare professionals. This guideline is the first in the field of Otolaryngology in Turkey. It should be updated at regular intervals.Publication Uludag experience in the neck treatment of the tongue corpus and floor of mouth squamous cell carcinomas(Galenos Yayincilik, 2009-06-01) Özmen, O. A.; ÖZMEN, ÖMER AFŞIN; Saraydaroğlu, G.; Erisen, L.; Kasapoğlu, Fikret; KASAPOĞLU, FİKRET; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.; 0000-0002-9698-0546; AAI-3877-2021; A-1452-2019Objectives: The aim of this study is to review the treatment of the neck in tongue corpus (TC) and floor of mouth (FM) cancers which have high incidence of neck metastasis with the experience gained from our patients.Methods: Fourty-three patients who underwent primary surgery between June 1992 to April 2007 were analyzed retrospectively.Results: Forty-one neck dissections (ND) were employed in 38 patients. Neck recurrence was observed in five patients (12%). One of five (20%) clinically N0 patients who did not undergo ND had neck recurrence. On the other hand, three of 25 clinically N0 patients (12%) who had ND developed neck recurrence. Only one of 13 N(+) patients (% 8) had neck recurrence. On neck basis; among 32 patients who had selective ND, two of 19 patients with supraomohyoid ND (SOND) had neck recurrences whereas none of the 13 patients with extended SOND (ESOND) had neck recurrence. One of the neck recurrences was in the ipsilateral zone IV of a patient with SOND, another neck recurrence was in the ipsilateral zone V of a patient with modified radical ND (MRND). Remaining two patients had recurrence in the contralateral untreated neck. None of the eight clinically N1 patients who underwent selective ND had neck recurrence. Despite salvage treatments, all patients with neck recurrence died due to disease.Conclusion: The decision for excluding ND in oral cavity cancer should be given cautiously and ND should be employed in case of tumor depth more than 5 mm. We recommend ESOND as the selective ND in which zone IV is added to the dissection to be chosen in N0 patients. Selective ND's may be used effectively in selected N1 patients. Bilateral ND should be done especially in FM lesions and lesions crossing the midline.Publication Relationship with excessive daytime sleepiness and serum substance P levels in OSAS patients and the effect of PAP treatment(Springer Japan, 2019-07-01) Güçlu, Özge Aydın; Ursavaş, Ahmet; Kasapoğlu, Fikret; Özarda, Yeşim; Bozyiğit, Cengiz; Ocakoğlu, Gökhan; Karadağ, Mehmet; AYDIN GÜÇLÜ, ÖZGE; URSAVAŞ, AHMET; KASAPOĞLU, FİKRET; ÖZARDA, YEŞİM; BOZYİĞİT, CENGİZ; OCAKOĞLU, GÖKHAN; KARADAĞ, MEHMET; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Hastalıkları Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Tıbbi Biyokimya Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; 0000-0003-1005-3205; 0000-0003-2215-6973; 0000-0002-1114-6051; 0000-0002-9027-1132; AAI-3877-2021; AAI-3169-2021; AAH-5180-2021; AAL-8873-2021; HLG-6346-2023; AAG-8744-2021; AAG-9930-2019; AAE-1623-2022Obstructive sleep apnea syndrome (OSAS) is a commonly seen disorder characterized by repeated episodes of upper airway obstruction during sleep leading to intermittent hypoxemia or arousal. We aim to evaluate the effects of positive airway pressure (PAP) treatment on daytime sleepiness and serum Substance P (SP) levels in OSAS patients. Seventy-one consecutive patients with newly diagnosed OSAS and 19 non-apneic control subjects were enrolled to the study. PAP treatment indicated subjects were re-evaluated after 3 months of treatment. Morning SP levels of OSAS patients and Epworth sleepiness scale (ESS) were assessed at the beginning and then after 3 months of PAP treatment. Of the patients 71 (78.9%) were male and 19 (21.1%) were female, with a median age of 45 [20-62]. The levels of SP in the OSAS group were significantly lower than the snorer group and a significant correlation was not found between serum levels of SP and ESS. SP levels were negatively correlated with AHI. The baseline SP median was 336.1pg/mL [121.6-536.1], while the 3rd month SP median was 213.1pg/mL [103.5-727.6]. Serum SP values were found to have significantly decreased at 3months (p<0.0001). Statistically significant correlation was not found between percentage of ESS change and the percentage of SP change. It can be assumed that the SP level is reduced as part of the compensation mechanism in OSAS cases and supporting this mechanism, the PAP therapy further reduces the SP value by relieving the cases from apnea and the intermittent hypoxia burden.Publication Our surgical approach to the patients with blunt and penetrating head and neck trauma and its evaluation(Galenos Yayıncılık, 2010-12-01) Kasapoğlu, F.; Ceyhan, A.; Özmen, O. A.; Özdemircan, T.; Coşkun, H.; Basut, O.; Onart, S.; Hızalan, I.; KASAPOĞLU, FİKRET; Ceyhan, Aydın; ÖZMEN, ÖMER AFŞIN; Özdemircan, Talip; Coşkun, Hakan; BASUT, OĞUZ İBRAHİM; Onart, Selçuk; Hızalan, İbrahim; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı/Baş Boyun Cerrahisi Bilim Dalı.; 0000-0002-9698-0546; 0000-0002-0881-1444; A-1452-2019; AAI-3877-2021; IBL-8964-2023; FVD-4295-2022; DVC-7511-2022; CFJ-8210-2022; FQP-9099-2022; EZI-7933-2022Objectives: To evaluate our surgical approach to the blunt and penetrating head and neck trauma cases.Methods: Twenty-seven patients who were operated for head and neck trauma at Uludag University Faculty of Medicine, between January 1997 and January 2008, and whose registries were available were examined retrospectively.Results: The etiology in nine of the patients was firearm injury, 14 of them were stab wounds, 4 of them had traffic accidents outside the vehicle and other causes (suicide, traffic accidents inside the car etc.). None of the patients had early mortality after the surgery.Conclusion: Both blunt and penetrating neck traumas may require immediate intervention. Diversity of the traumatized organs in the neck, most of which are related to otolaryngology, necessitates the presence of a well trained head and neck surgeon in the team.Publication Is there a change in the treatment of T1 glottic cancer after CO₂ laser? A comparative study with cold steel(Galenos Yayıncılık, 2018-06-01) Demir, Uygar Levent; Çevik, Turgut; Kasapoğlu, Fikret; DEMİR, UYGAR LEVENT; ÇEVİK, TURGUT; KASAPOĞLU, FİKRET; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.; AAI-3877-2021; CNQ-7672-2022; ERB-8467-2022Objective: Carbon dioxide (CO2) laser provides high local control and disease-specific survival rates with minor morbidity and good quality of life in transoral cordectomy. We aimed to compare the oncological outcome and survival between cold steel and CO2 laser in the treatment of early glottic cancer.Methods: In this retrospective study, the participants were divided into two groups. The first group comprised patients who were operated upon between 2001 and 2007 using cold steel (group 1, n=38), and the second group comprised patients who were operated upon between 2008 and 2016 using CO2 laser (group 2, n=88). Both groups were compared regarding age, gender, pathological grade, T stage, type of cordectomy, margin status, anterior commissure involvement, follow-up, locoregional recurrence, and disease- free survival (DFS).Results: The overall survival rate and DFS were similar between the two groups (94.7% vs. 98.9% and 100% vs. 98.9%, respectively), and no association was found between surgical margin positivity and local recurrence. However, a significant association between the presence of anterior commissure involvement and recurrence was found in all 126 patients (p=0.016). Local recurrence was significantly higher in the group 2 (p=0.024), but it did not affect overall survival and DFS in these patients (100% vs. 94.1%).Conclusion: Although CO2 laser excision is considered to be superior to cold steel regarding surgical time and bleeding control, the local recurrence rates were found to be higher with the laser than the cold steel. Thus, we argue that cases should be selected more carefully concerning the anterior commissure, depth of tumor invasion lateral to vocal muscle, difficulty at endoscopic exposure for lesions with anterior commissure involvement, and reliability of surgical margins at frozen sections.Publication Electrophysiological comparison of peripheral nerve repair methods: An animal study(Mediterranean Soc Otology & Audiology, 2008-01-01) Basut, Oğuz; Noyan, Behzat; Kasapoğlu, Fikret; BASUT, OĞUZ İBRAHİM; Noyan, Behzat; KASAPOĞLU, FİKRET; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz-Baş ve Boyun Cerrahisi Anabilim Dalı.; AAI-3877-2021; CFJ-8210-2022; FRE-9096-2022OBJECTIVES: The aim of this study was to increase the experience with N-butyl-2-cyanoacrylate in peripheral nerve anastomosis, to compare this group with primary suture, cyanoacrylate and control groups and to present our results and experience.MATERIALS AND METHODS: In the study, 49 adult male Sprague Dawley species rats were used, in the years 2004 and 2005. The study was planned as 4 groups; control group (n=10), suture group (n=12), cyanoacrylate group (n=14) and N-butyl 2-cyanoacrylate group (n=13). The right sciatic nerves of the rats were operated under general anesthesia in all groups. To measure the nerve conduction velocity (NCV), electrical stimulations were given by a stimulator using electrodes which were placed to the proximal end of the sciatic nerves and then the nerve conduction speeds were calculated by using a computer program.RESULTS: In the control group NCV was 58.6 +/- 0.7 m/s at the beginning and 55 +/- 1.3 m/s three months after the procedure and there was no statistically significant difference between them (p > 0.05). In the suture group, NCV at the beginning of the experiments was 57.1 +/- 0 6 m/s and., after three months, it was found to be 36.2 +/- 0.6 m/s (p < 0.01). In the cyanoacrylate group, the NCV before and three months after the experiments were 58.4 +/- 0.4 m/s and 44.7 +/- 1.1 m/s, respectively (p < 0.01). The NCV in the N-butyl 2-cyanoacrylate group was 58.5 +/- 0.4 m/s at the beginning and, after three months, it was found 47.4 +/- 1.2 m/s (p < 0.01).CONCLUSIONS: Our results support that, in the peripheral nerve repair, it is possible to get better electrophysiologic results by using N-butyl 2-cyanoacrylate and cyanoacrylate compared to the traditional microsuture technique.Publication Role of the neck dissection in early-stage lower lip cancers(Wolters Kluwer Medknow Publications, 2023-09-01) İNAN, HAKKI CANER; İnan, Caner; Yanaşma, H. O.; ÖZTÜRK YANAŞMA, HALİDE; Saraydaroğlu, O.; SARAYDAROĞLU, ÖZLEM; Aslier, Mustafa; ASLIER, MUSTAFA; Şahin, İ.; Basut, O.; BASUT, OĞUZ İBRAHİM; Kasapoğlu, F.; Özmen, A. O.; Demir, U. L.; Coşkun, H.; KASAPOĞLU, FİKRET; ÖZMEN, ÖMER AFŞIN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Patoloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; 0000-0001-6254-372X; O-2907-2018Background: In early-stage lip cancer, spread to cervical lymph nodes is extremely rare. Elective neck treatment options include suprahyoid or supraomohyoid neck dissection, sentinel lymph node biopsy, or close follow-up. Aim: In this study, our aim was to investigate the effect of elective surgery on survival in patients operated for early-stage lip cancer. Methods: Patients who underwent surgical treatment for lower lip squamous cell carcinoma between 2005 and 2020 were retrospectively analyzed. Age, gender, neck dissection status (yes/no), clinical and pathological T stage of the tumor, grade, and perineural invasion were recorded and 3-year and 5-year overall (OS) and disease-free survival (DFS) rates were estimated. Results: Thirty patients were included: 20 patients had pT1 and 10 patients had pT2 tumors. Neck dissection was performed in 13 patients. The 5-year OS rate was 90.9% and 87.8% with and without dissection, respectively. Neck dissection did not appear to affect OS (P = 0.534) in these patients. The 5-year DFS rate was 96.4% in the overall group, while it was 91.7% and 100% in patients who did or did not undergo neck dissection, respectively (P = 0.756). Discussion: Patients with or without neck dissection did not differ significantly in terms of OS and DFS. Watchful waiting with regular ultrasound imaging of the neck in patients with T1 and T2 lip tumors may be an appropriate therapeutic option.Publication Efficacy of nasal surgery on snoring(Galenos Yayıncılık, 2010-09-01) Sufiolu, M.; Özmen, Ömer Afşin; Kasapoğlu, Fikret; Ursavaş, Ahmet; Erisen, L.; Onart, S.; Sufiolu, M.; ÖZMEN, ÖMER AFŞIN; KASAPOĞLU, FİKRET; URSAVAŞ, AHMET; Erisen, L.; Onart, S.; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Hastalıkları Anabilim Dalı; 0000-0002-9698-0546; A-1452-2019; AAI-3877-2021; AAI-3169-2021; GCI-1390-2022; ETY-7294-2022; FQP-9099-2022Objectives: The aim of the study was to investigate the effect of corrective nasal surgeries on snoring in patients diagnosed as simple snorers.Methods: Seventeen patients who were presented with the complaint of snoring as suggested by their partners and had apnea hypopnea index less than 5 in polysomnography, and were operated on due to nasal pathology were included in the study. Patients were evaluated prior to surgery and 3 months after surgery with body mass index, snoring complaints inventory and visual analog scala (VAS) for symptoms of snoring and apnea, nasal obstruction and post-operative satisfaction.Results: In the post-operative assessment, significant improvement was observed in the nasal passage compared to pre-operative level. This finding was approved subjectively on survey study as increase of nasal passage in 71% of the patients. Decrease in snoring was found in 65% of the patients. VAS scores revealed a significant reduction in the loudness of the snoring in the post-operative period.Conclusion: Correction of the nasal pathology leads to reduction in the frequency and loudness of the snoring. Consequently, nasal pathologies should definitely be treated in patients with snoring. However, it should be borne in mind that these diseases are multifactorial and multi-leveled. Thus, successful results may not be obtained in all of the patients and they should be counseled accordingly.