Showing posts from April, 2019

PFAPA Syndrome - Symptoms, Causes, Diagnosis, Treatment

Periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis (PFAPA Syndrome)
What is PFAPA Syndrome? PFAPA Syndrome is a recurrent fever syndrome that usually begins in early childhood. Children develop acute phase reactants that return to normal between attacks. Children with PFAPA grow and develop normally, are not susceptible to infections and do not show prolonged sequelae. Since its initial definition in 1987, numerous cases of PFAPA have been reported worldwide and the understanding of the syndrome has increased considerably. In 1987, Marshall et al. Aphthous stomatitis, cervical adenitis, and pharyngitis: A symptom specific for children between the ages of 2 and 5 years, usually characterized by fever attacks lasting 3-6 days, every 3 gün8 weeks associated with one of the three most common symptoms.


Periodic fever [periodic fever] - PF

Aphthous stomatitis - A

Pharyngitis - P

Adenitis - A

These symptoms are called "PFAPA Syndrome". The etiology and pat…

Rhinoplasty Without Hump Removal

Nose Job Without Hump Removal
Nose aesthetics operations are performed individually. The facial structure of each person is different from the nose structure and all nasal surgery operations can be different. It is possible to narrow the nasal bones with planned osteotomies without nasal arches. In the above and below photos, the patient can see the nasal arch without any operation and without the skin dissection on the nasal hump; the tunnel was opened and the nasal bone was collapsed (rhinoplasty without hump removal / rhinoplasty operation without hump reduction / wide nose aesthetic without hump removal).

Patients with broad facial structure can have a wide eye structure and patients with a large eye structure, but patients with a wide arch cannot be used to narrow the bones without touching the nasal arch and to the nose tip. In patients with large facial structures, belt nail may appear to be simpler than the anterior aspect and belt resembling the East Asian facial structure ch…

Nose Filler Injection For Pollybeak Deformity

Treatment of Pollybeak Deformity With Filler Pollybeak Deformity is a complication of rhinoplasty operation, with the appearance of a bird beak-like appearance when viewed nasally, particularly on the side. The Cartilage Pollybeak Deformity and Soft Tissue Pollybeak Deformity can be divided into two.

In the above and in the following photos, the filling contains injected hyaluronic acid with cross-linked hyaluronic acid to the patient's Pollybeak Deformity and has pre- and post-injection views.

Although there is no permanent treatment; It is an alternative to surgical treatment.

Links to more detailed information about this topic >> Soft Tissue Pollybeak Deformity / Pollybeak Deformity - Definition, Causes, Classification, Treatment
Treatment of Pollybeak Deformity With Filler Video

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office: Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İs…

Lingual Frenectomy With Scissor Before and After Video

Tongue Tie Release Surgery Surgery With Scissor Before and After
Tongue ties operation can be performed in office conditions or in the hospital for adult patients. In the above video, an adult patient with type 2 anterior tongue tie is seen in the midline of the tongue at the pre-procedure tongue and there is a view of the tongue after the removal of the triangle shaped tongue tie tissue (lingual frenectomy) with the scissors under the local anesthesia. After the procedure, there is a swollen appearance at the the tongue tip on the effect of the local anesthetic and the purple thread in the late turn.
After the togue tie surgery in adult patients After the tongue tie surgery, it is generally recommended that adult patients should exercise a tongue tie for a few months and avoid excessive hot, spicy, acidic and salty foods during the first week. Since the patient in the above video was complaining of sharpening and distortion when speaking the words that started with a particularly st…

Caution Ahead For Holiday Season Pool Ear Infection!

Otitis Externa (Outer Ear Infection / Swimmer's Ear)
Outer ear infections, which are increasing in hot and humid weather, can be more easily encountered with the contact of pool water.
So why does this infection occur?Swimmer's ear or otitis externa is defined as the infection of the external ear canal. On the outer ear canal, there is a slight acidic content produced in the skin in the ear canal, as well as ear wax (serumen) containing fatty and antimicrobial agents.

Although the wrong application for cleaning purposes; The external auditory canal may occur due to the removal of this outbreak on the external auditory canal, traumatization of the skin of the outer auditory canal with cotton swabs, or prolonged contact with chlorine and alkaline substances which disrupt the structure of this antimicrobial barrier in the external ear canal. Generally, the water in the ponds is renewed by waiting for chlorine release and thus cleaning process is considered.
What are the initial …

Home Remedies For Flu Infection

Precautions and home remedies for influenza virus infection We have a season in which flu infection is common ... Especially those who work in crowded places, health workers, those who have cancer treatment, those with serious systemic diseases, those with lung diseases, elderly people and pregnant women should pay more attention to avoid such infections.

You may be able to consider the following suggestions in order to be less likely to be infected with influenza:

- Washing of the nasal cavities with saline water after hand - face washing after work, provides cleaning of microorganisms, allergens and environmental plus particles taken by breath through the nose.

- Regular life. Regular sleep hours will ensure that body resistance remains strong

- Sufficient amount of fruit and vegetables to be consumed

- Increasing daily fluid consumption

- It is appropriate to have influenza vaccination for people with frequent influenza. It is not easy to assess the efficacy of the influenza vacci…

We Performed Nose Tip Plasty Operation Using Alar Rim Grafts!

Nasal Tip Plasty and  Alar Rim Graft

As seen in the above photo, in patients with prominent notching in the nasal flank (which causes the central part of the kolumellan to separate the nostrils when viewed from the side), during the nose-tip surgery operations, in addition to the other cartilage grafts, the cartilage called the "alar rim graft" grafts are placed.

Shown in the photo above:

- light blue area: cap graft

- green field: kolumellar strut graft

- yellow area: areas where alar rim grafts are placed.

In order to achieve a lasting aesthetic and functional result, cartilage graft applications made in this way are very important especially in patients with thick skin.

In addition to the above graft applications, the patient underwent cephalic resection, ateral crural steal technique, and two-level skin dissection and subcutaneous tissue removal. You can see the images before and after the nose tip aesthetics in the photos below and in the video above.

It is seen that t…