Showing posts from July, 2019

What Is The Minimum Age For Tonsillectomy Operation?

Minimum age for tonsil removal surgery
Tonsil surgery according to the old sources, under 3 years and 15 kg weight was reported to be inconvenient. In addition to developing anesthesia techniques, as a result of the understanding of the risks of severe sleep apnea syndrome in children with severe tonsil and nasal enlargement, tonsil and nasal surgery was started in children under 3 years of age.

On the subject of the American Academy of Otolaryngology-Head and Neck Surgery (, the latest guidelines for the treatment of tonsillectomy for families and physicians (Clinical Practice GuidelineTonsillectomy) In Children -, tonsillectomy can be performed from the age of 1.

In current treatment protocols, it is best to expect patients under 3 years of age who do not have severe respiratory arrest due to tonsils or who do not have frequent tonsils. There is no definite upper age limit for tonsil surg…

My Patient Brought Multicolored Painting

My patient, who had a rhinoplasty operation 1 month ago, brought a painting prepared by herself. I cannot hang anymore because there is no space to place in my room, but I thank him. The colors of the painting she prepared were very beautiful and she used very different materials. I wish that the swelling will completely disappear as soon as possible and that a healthy and happy life will be achieved.

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 - İstanbul
Appointment Phone:+90 212 561 00 52
Mobile phone:+90 533 6550199 Fax:+90 212 542 74 47

Pyogenic Granuloma of the Upper Lip (Lobular Capillary Hemangioma)

An enlarging mass lesion just to the right of the upper lip midline: Pyogenic granuloma
Image description: In the photograph above, excisional biopsy was performed under local anesthesia for diagnosis and treatment of a growing mass lesion just to the right of the upper lip midline and reported as "Pyogenic granuloma" after histopathological evaluation.

Pyogenic granulomas are vascular proliferative lesions. It can be confused with hemangiomas, a benign vascular tumor. It may also develop due to trauma. Pyogenic granuloma is a bright red, tender, vascular lesion with a tendency to bleed. It usually occurs after a trauma in children, young adults and pregnant women. Pyogenic granuloma is a single, soft, finger red colored, 2-3 cm sized, sometimes stalked lesion that usually grows within a few weeks. Its surface is generally very sensitive and therefore tends to bleed very easily. It is more common in traumatic areas such as hands, fingers, lips, and mouth. Rarely can be seen…

Septoplasty + Turbinate Radiofrequency - Endoscopic Nasal Photographs Before and After 1 Week

Septum Deviation Surgery and Radiofrequency Turbinate Reduction
Septoplasty is a surgery performed to correct the curvature of the nasal septum. If the symptoms of nasal congestion, mouth open sleep, tired waking up, difficulty walking or climbing stairs, such as the cause of complaints associated with nasal obstruction due to nasal septum deviation, septoplasty can be planned.

In the above photo, the patient underwent septoplasty operation and inferior turbinate radiofrequency operations. The intra-nasal endoscopic photograph of the patient and the photograph 1 week after the operation are seen. The postoperative photograph shows the clotted areas on the inferior turbinate, with the nasal septum completely flat in the vertical plane.
Nasal septum deviation The septum is the anatomical structure of the nose that divides the nose into two parts in the midline. The septum is partially bone and the cartilage is larger. Under normal conditions, it is necessary to divide the nose into two…

Don't Underestimate Hoarseness: Right Vocal Cord Papilloma

Human Papillomavirus (HPV) Infection on Right Vocal Cord Above is a photo of endoscopic larynx examination of the patient who presented with hoarseness, difficulty in speaking and scratchy sound. The lesion on the right vocal cord is puffed, white and irregular. Pathological examination of the mass revealed laryngeal papilloma (vocal cord papilloma, vocal cord papilloma, recurrent respiratory papillomatosis or glottal papillomatosis).

Human papilloma virus (HPV) Type 6 and 11 are usually caused by recurrent benign tumorous formations. They can grow up and block the airline. Sexual or oral mucosal transmission is discussed. Treatment options include carbon dioxide laser, surgical action and medical treatment. These patients should be closely monitored by an ENT specialist.
If there is hoarseness lasting more than two weeks, consult an otorhinolaryngologist! The human body can show the same reactions in different diseases. In fact, hoarseness, which is a symptom of other ailments, can …

Tooth Filling Material (Amalgam) in the Maxillary Sinus

Foreign Material in The Maxillary Sinus: Dental Amalgam
During dental procedures, fillers can displaced into the maxillary sinuses. The photograph shows a female patient who had problems with a previously dental filling procedure . Tooth fillings (amalgam) are seen in the metal vision on the right maxillary sinus inner wall.
Foreign body in the paranasal sinuses Foreign body is a rare condition in the paranasal sinuses. It is frequently seen in the maxillary sinus and frontal sinus. Dental intervention and trauma play a role in the etiology. It should be kept in mind that foreign bodies in the maxillary sinus may be due to the substances used in dental intervention in patients with a history of dental intervention. Endoscopic Sinus Surgery and Caldwell-Luc approach can be used in combination. During the operation of the maxillary tooth roots it must be careful intraoperatively may extend into the sinuses.
How can amalgam reach the maxillary sinus? Dental practitioners often experienc…

Lymphangioma Behind The Auricle

Lymphangiomas of the ear
Lymphangiomas are benign tumors of lymph vessels. It is one of the most common congenital cystic malformations seen in the head and neck region in the neonatal period. Malignant cancers can be transformed or spontaneous disappearance (regression) in lymphangiomas. Surgical excision or sclerosing agent injection can also be treated. The lenangioma behind the ear was surgically removed and the patient was followed-up without any problem.
General information about lymphangiomas  Lymphangiomas are generally seen under two years of age, benign in nature affecting lymphatic ducts malformations. Most often from the head and neck region they originate. Although it is rare in adulthood cervical masses should be kept in mind in the differential diagnosis. Diagnosis is made through with history, physical examination findings and imaging methods. Lymphangiomas rarely seen in the lymphatic system congenital proliferation. Diagnosis often childhood years of age. It is very…

Infected Epidermal Inclusion Cyst (Sebaceous Cyst) Of The Ear

Epidermal Cyst Of Ear Case 1: Infected Epidermal Inclusion Cyst (Sebaceous Cyst) Behind The Ear
The epidermal inclusion cyst is a benign cyst filled with keratin fibers and its wall has almost the same characteristics as the epidermis. It is often seen in the skin and tends to slowly grow into deeper epidermis sections and cause cystic expansion.

Epidermoid cyst or epidermal inclusion cyst in the dermoid cyst subgroup is an ectodermal lesion that is limited to simple squamous epithelium and does not contain any additional structure. Teratoid cyst, another form, is a mass that is limited to various epithelial structures including stratified squamous and ciliary respiratory epithelium and contains components of ectodermal, endodermal and / or mesodermal origin
Epidermal inclusion cyst terminology Technically for epidermal inclusion cyst (epidermal cyst), although a different entity, they are sometimes referred to as sebaceous cysts. The term sebaceous cyst indicates that the lesion ori…

Elongated (Long) Uvula Causes, Symptoms and Treatment

Elongation of Uvula
Photo descriptions: A photo showing the inside of a patient's mouth with snoring complaints. It appears that the patient's uvula is quite long and in contact with the tongue root. Uvula may prolong and sag due to many reasons such as snore-induced vibratory trauma, smoking, alcohol use. Uvulopalatal Flap (UPF) was planned for this patient.
Uvula's tasks (functions of uvula) Uvula is a structure under the soft palate, lying between the tonsils in the midline, with muscle, connective tissue and mucous membranes. There are duties such as preventing the mouth from escaping from the nasal passage and directing the discharge from the nasal passage to the esophagus instead of the trachea. It does not play much role in creating speech and sound as much as our language.
Symptoms of uvula elongation Some patients may experience uvula lengthening over time. If the uvula is longer than normal and comes in contact with the root of the tongue, the feeling of stuck in…

A Pedunculated Uvula Papilloma

Papilloma of The Uvula
In patients seen in the photo above photograph throat had complaints of gastroesophageal reflux-like complaints such as coughing and a feeling of stuck in the throat. It was observed that the patient's complaints disappeared after surgical removal of this area. Histopathological examination revealed viral papilloma.

Human papillomavirus (HPV) is a sexually transmitted virus that has spread more and more in recent years and has more than 300 different subtypes. The incidence has increased gradually in the last 10 years. The most common subgroups of this virus are those that make lesions called "warts" or "papillomas"; There are also subgroups of tissues that cause cancer. Carcinogenic HPV viruses are also subdivided into three groups as "high risk", "possible high risk" and "low risk" (high risk types >> types 16, 18, 31, 33, 35, 39, 45). high risk types >> types 26, 53, 66 and low risk types type…

Kikuchi Fujimoto Disease (KFD) Definition, Symptoms,, Diagnosis and Treatment

Histiocytic Necrotizing Lymphadenitis (Kikuchi Disease) 
Kikuchi Fujimoto's Disease (KFD - histiocytic necrotizing lymphadenitis) causes symptoms of fever, weakness, joint pain, night sweats and neck swelling; is a self-limiting disease that typically involves len nodes in the head and neck region. It is more common in women and lymph nodes in the posterior triangle of the neck are more frequently involved. The reason is unclear. In the left photograph, the patient with a swollen lymph node in the posterior triangle of the neck and in the right photograph the incision mark of the right neck region, which allows the diagnosis of the same disease previously, is seen.
Kikuchi-Fujimoto Disease (KFD) Definition and Summary Information Kikuchi-Fujimoto Disease (KFD) is a very rare, unknown etiology, characterized by fever, neutropenia, histiocytic necrotizing lymphadenitis and is self-limiting. Kikuchi-Fujimoto Disease (KFD), which has a benign course, was defined by Kikuchi and Fujimo…