Endoskopik otolojik cerrahi çağında eski bir teknik: Sıvıların Kırıcılık İndeksi’nin rolü

Year 2017, Volume: 27 Issue: 1, 15 - 20, 05.03.2017

Mehmet Çelik Melih Çayönü Karolin Yıldırmaz Şenol Çomoğlu Kadir Serkan Orhan Yahya Güldiken

Abstract

Amaç: Bu çalışmada kronik otit cerrahisinde terk edilmiş bir uygulama tekniği olan Sıvıların Kırıcılık İndeksi’nin RIOF rolü araştırıldı.Hastalar ve Yöntemler: Bu çok merkezli çalışmaya Temmuz 2013 - Ağustos 2015 tarihleri arasında kronik otitis media cerrahisi planlanan toplam 35 hasta 18 kadın, 17 erkek; ort. yaş 39.3±14.4 yıl; dağılım 17-62 yıl alındı.Bulgular: Hastaların 18’inde sol kulak ve 17’sinde sağ kulak etkilenmişti. Kolesteatom ve epitelyum, bu teknik ile gizli anatomik bölgelerden başarılı bir şekilde çıkarıldı. Takip sırasında nüks veya rezidüel hastalık görülmedi.Sonuç: Çalışma sonuçlarımız, günümüzde gelişmiş teknikler ve fiber optik skopiler ile orta kulak ve mastoid girintilerinin etraflıca görüntülemesi mümkün olsa da, RIOF’un halen geçerli, etkili ve maliyeti düşük bir seçenek olduğunu göstermiştir

Keywords

Endoskop, epitelyum, gizli anatomik bölgeler, kırılma yasası, mikroskop, orta kulak, cerrahi

An ancient technique in the endoscopic era of otologic surgery: The Role of Refractive Index of Fluids

Abstract

Objectives: This study aims to investigate the role of Refractive Index of Fluids RIOF , an abandoned practical technique, in chronic otitis surgery. Patients and Methods: This multi-center study included a total of 35 patients 18 females, 17 males; mean age 39.3±14.4 years; range 17 to 62 years who were scheduled for surgery for chronic otitis media between July 2013 and August 2015. Results: The left ear was affected in 18 patients, while the right ear was affected in 17 patients. Cholesteatoma and epithelium were successfully removed from the hidden anatomic areas with this technique. No recurrent or residual disease was observed during follow-up. Conclusion: Our study results show that, although sophisticated techniques and fiber optic scopes enable extensive visualization of the recesses of the middle ear and mastoid today, RIOF is still a valid, effective, and cost-effective option.

Keywords

Endoscope, epithelium, hidden anatomic areas, law of refraction, microscope, middle ear, surgery

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