Person: ÖZMEN, ÖMER AFŞIN
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ÖZMEN
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ÖMER AFŞIN
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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.; Tıp Fakültesi; Kulak Burun Boğaz Ana Bilim 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.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; Tıp Fakültesi; Kulak Burun Boğaz Ana Bilim 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 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; Tıp Fakültesi; Kulak Burun Boğaz Ana Bilim 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 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; Tıp Fakültesi; Kulak Burun Boğaz Ana Bilim 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 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; Tıp Fakültesi; Patoloji Ana Bilim 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 Middle ear tumors rather than inflammatory and infective lesion: Retrospective histopathological evaluation of eleven cases(Springer, 2022-12-01) Akyol, Sevda; SARAYDAROĞLU, ÖZLEM; Saraydaroğlu, Özlem; ÖZMEN, ÖMER AFŞIN; Özmen, Ömer Afşin; Tıp Fakültesi; Patoloji Ana Bilim DalıBackground: Middle ear tumors are a rare group of neoplasia due to their location. In this study, we analyzed our archives of the Department of Pathology for the middle ear tumor cases diagnosed between 2010 and 2019.Results: Within the mentioned period, 591 cases were operated on for middle ear tumors. Eleven of these cases were diagnosed as middle ear tumors other than cholesteatoma. Considering the distribution of the cases according to histopathological diagnoses, 5 (45.4%) paragangliomas, 4 (36.3%) schwannomas, and 2 (18.2%) meningiomas were detected. No recurrence was observed in the clinical follow-up of the patients after excision.Conclusions: Although tumors located in the middle ear, which generally cause similar clinical complaints, are rarely seen, the tissue should be evaluated histopathologically because it will affect the treatment and prognosis of the patients.Publication Comparison of clinical results in nasal tip augmentation either via face to face or back to back technique with autogenous auricular conchal cartilage(Lippincott Williams & Wilkins, 2015-06-28) Şahin, Murat Sertan; Kasapoğlu, Fikret; Demir, Uygar Levent; Özmen, Ömer Afşin; Coşkun, Hakan; Basut, Oğuz; Sahin, Murat Sertan; KASAPOĞLU, FİKRET; DEMİR, UYGAR LEVENT; ÖZMEN, ÖMER AFŞIN; COŞKUN, HAMDİ HAKAN; BASUT, OĞUZ İBRAHİM; Tıp Fakültesi; Kulak Burun Boğaz Cerrahisi Ana Bilim Dalı; 0000-0002-4718-0083; 0000-0002-9698-0546; 0000-0002-0881-1444; A-1452-2019; AAI-3877-2021; BBC-2978-2021; CNQ-7672-2022; DVC-7511-2022; CFJ-8210-2022Objective:To compare the objective and subjective findings between patients who underwent nasal tip augmentation surgery via two different methods using autogenous auricular conchal cartilage.Materials and Methods:This study included the data of 21 patients who underwent nasal tip augmentation surgery. The patients were randomly divided in two groups according to the technique used to form a double layer columellar strut graft; either face to face (group 1) and back to back (group 2). All patients were assessed via nasal obstruction symptom evaluation scale (NOSE) and via acoustic rhinometry and rhinomanometry at preoperative and postoperative 1st and 6th months.Results:There was statistically significant improvement in symptom score in both patient groups with no difference inbetween. Total nasal resistance decreased nonsignificantly at the end of 6th month in both groups; 13.1Pa/cm(3) to 8.6Pa/cm(3) and 10.3Pa/cm(3) to 9.5Pa/cm(3) respectively. There was no significant increment in MCA values for both groups except left MCA1.Conclusions:We achieved good results in tip augmentation via both techniques. An autogenous conchal cartilage is a good alternative to replace lacking caudal septal cartilage. It provides safe and stable support to the nasal tip. However, further comprehensive studies with larger sample size and long follow-up are required to elucidate any difference between these two techniques.Publication The efficiacy of sternocleidomastoid muscle flap on frey's syndrome via a novel test: Galvanic skin response(Springer India, 2014-01-01) Demirci, Uğur; Basut, Oğuz; Noyan, Behzat; Demir, Uygar Levent; Özmen, O. Afşin; Kasapoğlu, Fikret; Coşkun, H. Hakan; Onart, Selçuk; Demirci, Uğur; BASUT, OĞUZ İBRAHİM; Noyan, Behzat; DEMİR, UYGAR LEVENT; ÖZMEN, ÖMER AFŞIN; KASAPOĞLU, FİKRET; COŞKUN, HAMDİ HAKAN; Onart, Selçuk; Tıp Fakültesi; Fizyoloji Ana Bilim Dalı; 0000-0002-9698-0546; A-1452-2019; AAI-3877-2021; GWW-4604-2022; CFJ-8210-2022; FRE-9096-2022; EQK-3127-2022; FQP-9099-2022; CNQ-7672-2022The aim of this study was to evaluate the effects of sternocleidomastoid (SCM) muscle flap on preventing Frey's syndrome by using, Galvanic skin responses (GSR). Fourty-three patients who underwent superficial parotidectomy were randomly divided into two groups and their GSR were recorded. SCM muscle flap was applied over the surgical area only in one group. Six months after the surgery, GSRs were remeasured. In addition, the patients completed a questionnaire regarding their complaints about clinical Frey's syndrome. Four patients had symptoms of clinical Frey's syndrome. Postoperative GSR measurements revealed no significant difference between two sides in flap group (p = 0.426) but higher in without flap group (p = 0.003). The patients with clinical Frey syndrome had significantly higher GSR values than the remaining patients. The SCM muscle flap was an effective method in preventing Frey's syndrome. Moreover, GSR test was highly sensitive and specific for diagnosis.