Soner Tasar, M. Gürbüz, E. Kaya, Erkan Özüdoğru, Fatoş Güney, Hamdi Cakli, Armaǧan Incesulu
{"title":"Reinke ödeminde cerrahi tedavinin ses kalitesi üzerine etkisi: Ses performans anketi ve akustik ses analizi ile değerlendirme","authors":"Soner Tasar, M. Gürbüz, E. Kaya, Erkan Özüdoğru, Fatoş Güney, Hamdi Cakli, Armaǧan Incesulu","doi":"10.2399/JMU.2013002003","DOIUrl":"https://doi.org/10.2399/JMU.2013002003","url":null,"abstract":"Amac: Bu calismada Reinke odeminde cerrahi tedavinin ses kalitesi uzerine etkisi arastirilmistir. Cerrahi tedavinin ses kalitesinde meydana getirdigi degisiklikler, hastalara cerrahi oncesi ve sonrasi ses performans anketi ve akustik ses analizi uygulanarak degerlendirilmistir. Yontem: Reinke odemi olan ve cerrahi tedavi uygulanan 21 hastaya ameliyat oncesi ve sonrasi 1. ayda ses performans anketi ve Dr. Speech (Drs Tiger Inc., Seattle, WA, ABD) bilgisayarli ses analiz programi kullanilarak akustik ses analizi yapildi. Bulgular: Hastalarin tumunde Reinke odemi bilateraldi. Ses performans anketi ve ses analizi sonuclarina gore hastalarin ses kalitesinde cerrahi tedavi sonrasi istatistiksel olarak anlamli derecede duzelme saptandi. Alti aylik takip sonunda sadece 1 hastada (%4.7) nuks tespit edildi. Sonuc: Reinke odemli hastalarda vokal kordlarin fonksiyonel ozellikleri ve hastanin ses kalitesi cerrahi tedavi ile basarili bir sekilde iyilestirilebilmektedir.","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123380431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Önder Mutlu, Murat Kar, Fadile Yıldız Zeyrek, Nurten Aksoy, Abdullah Taşkın
{"title":"Helicobacter pylori serum IGG'si pozitif olan larengofarengeal reflülü olgularda total antioksidan kapasite, total oksidan seviye ve oksidatif stres indeksi","authors":"Önder Mutlu, Murat Kar, Fadile Yıldız Zeyrek, Nurten Aksoy, Abdullah Taşkın","doi":"10.2399/JMU.2013001009","DOIUrl":"https://doi.org/10.2399/JMU.2013001009","url":null,"abstract":"Objective: The aim of this study is to investigated the relationship between H. pylori IgG positivity, total antioxidant capacity (TAC), total oxidant level (TOL) and oxidative stress index (OSI) in patients with laryngopharyngeal reflux (LPR). Methods: A total of 48 patients with laryngopharyngeal reflux (LPR) were included into the study group. Of these patients, 20 with H. pylori IgG (-), LPR (+) were included into Group 2; and 28 patients with H. pylori IgG (+), LPR (+) were included into Group 3. The control group (Group 1) consisted of 19 healthy subjects. In all groups, total antioxidant capacity, total oxidant level and oxidative stress index were studied. Results: Group 3's total oxidant level values were significantly higher than those of Group 1 (p=0.000) and Group 2 (p=0.000); and Group 2's total oxidant level values were significantly higher than Group 1. Group 3's oxidative stress index values were significantly higher than those of Group 1 (p=0.000) and Group 2 (p=0.000), and Group 2's oxidative stress index values were significantly higher than Group 1 (p=0.001). Conclusion: The presence of LFR alone, or LFR and increase in the level of serum IgG antibody developed against H. pylori, lead to increase in total oxidant level and oxidative stress index. Both LPR and to be infected with H. pylori and development of H. pylori IgG antibodies lead to an increase in total oxidant level and oxidative stress index; and an increase in free radicals ultimately lead to an increase in oxidative stress in the body.","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127551072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Büllöz konka, septum deviasyonu ve kronik rinosinüzit arasındaki ilişki","authors":"Ozum Tuncyurek, Hülya Eyigör, Murat Songu","doi":"10.2399/JMU.2013001002","DOIUrl":"https://doi.org/10.2399/JMU.2013001002","url":null,"abstract":"Objective: To evaluate the prevalence and types of both concha bullosa and nasal septal deviation and determine their potential relationships with maxillary rhinosinusitis. Methods: Patients admitted to the outpatient clinic of the otorhinolaryngology department with symptoms of rhinosinusitis between January 2009 and April 2010, were retrospectively enrolled in the study. Paranasal sinus computed tomography scans were reviewed for the presence, side and type of concha bullosa, and nasal septal deviation along with rhinosinusitis. Results: Totally 162 patients (324 sides) were studied. Concha bullosa and nasal septal deviation incidences were 42.6% and 46.9%, respectively. The relationship between nasal septal deviation and the presence of concha bullosa was not statistically significant (p=0.06). A total of 45.1% of patients had evidence of maxillary rhinosinusitis. The involvement of the other sinuses was frontal in 28 (17.3%), ethmoid in 48 (29.6%) and sphenoid in 26 (16%) patients. When the location of sinus involvement was taken into consideration, the maxillary rhinosinusitis was more frequently involved in cases with concha bullosa (p=0.04). There was a relationship between right concha bullosa (p=0.013), left concha bullosa (p=0.034), presence of reverse curvature (p=0.043), obliteration of osteomeatal complex (p=0.0008) and rhinosinusitis. There was a relationship between the degree and type of concha bullosa and rhinosinusitis (p=0.030). Rhinosinusitis was detected more frequently (55.5%) in cases with extensive type concha bullosa. Conclusion: Concha bullosa is a frequently encountered variation and leads to susceptibility to rhinosinusitis. For this reason, preoperative and premedicative computed tomography scan is important for the sinus, especially extensive type concha bullosa.","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"5121 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129778607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supraglottik larenks kanserlerinin cerrahi tedavisinde onkolojik sonuçlarımız","authors":"Istemihan Akin, Erkan Vuralkan, Behcet Gunsoy, Cem Saka, Nihat Akçayöz, Gökçe Şimşek","doi":"10.2399/JMU.2013001003","DOIUrl":"https://doi.org/10.2399/JMU.2013001003","url":null,"abstract":"Amac: Supraglottik larenks kanserli hastalarda uygulanan cerrahi tedavi deneyimlerimizin onkolojik sonuclarinin degerlendirilmesi amaclanmistir. Yontem: Ocak 1998-Aralik 2006 tarihleri arasinda supraglottik larenks kanseri tanisi ile larenjektomi uygulanan, 72 erkek ve 3 kadin olmak uzere toplam 75 hasta degerlendirildi. Hastalarin yaslari 35 ile 70 arasinda (ortalama 53.64±8.27) degismekteydi. Tumor yerlesimi, evresi, histopatolojik diferansiyasyon derecesi, preoperatif ve postoperatif radyoterapi durumu ile komplikasyonlar degerlendirilerek sunuldu. Bulgular: Butun tumorler supraglottik bolge kaynakli ve yassi hucreli karsinomdu. Tumorlerin buyuk kismi (%73.4) evre III/IV olarak siniflandirilmistir. Cerrahi teknikler, 15 olgu supraglottik parsiyel larenjektomi (%20), 3 olgu suprakrikoid parsiyel larenjektomi (%4) ve 57 olgu total larenjektomiyi (%76) iceriyordu. Hastalara iki tarafli (73, %97.3) ve tek tarafli (2, %2.7) boyun diseksiyonu yapilmistir. Kirk hastaya cerrahi tedavi sonrasi radyoterapi uygulanmistir. Bolgesel rekurrens 5 hastada meydana gelmistir. Lokal rekurrens 2 hastada gorulmus, kurtarma tedavisi uygulanmistir. Ortalama takip suresi 46.25±23.90 ay olarak saptanmistir. Tum evrelerdeki hastalarda sagkalim %86.6 olarak hesaplamistir. Sonuc: Supraglottik larenks kanserinin tedavisinden once tumor ve boyun evresi dikkatle degerlendirilmelidir. Tedavi, hastaya gore planlanmali ve hastanin dusunceleri de dikkate alinmalidir.","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128279896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"3. yıla girerken","authors":"Cemal Cingi","doi":"10.2399/JMU.2013001000","DOIUrl":"https://doi.org/10.2399/JMU.2013001000","url":null,"abstract":"","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128447776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mehmet Sinan Başoğlu, Hale Aslan, Erdem Eren, Aslıhan Gürcan Bingölballı, Murat Songu, Sedat Öztürkcan, H. Katılmış
{"title":"İleri evre baş boyun kanserleri kanamalarında acil karotid arter ligasyonu","authors":"Mehmet Sinan Başoğlu, Hale Aslan, Erdem Eren, Aslıhan Gürcan Bingölballı, Murat Songu, Sedat Öztürkcan, H. Katılmış","doi":"10.2399/JMU.2013001004","DOIUrl":"https://doi.org/10.2399/JMU.2013001004","url":null,"abstract":"Objective: Although bleeding due to head and neck cancer infiltration is a rare complication, it may be life threatening and requires urgent intervention. The aim of this study was to investigate the efficiency of carotid artery ligation applications on bleeding patients with advanced head and neck cancer. Methods: Urgent carotid artery ligation performed in the last 8 years for abundant bleeding in 12 patients with advanced stage head and neck cancer were analyzed retrospectively. The patients were evaluated in terms of demographic characteristics, diagnoses, treatment approaches, neurological complications and mortality. Results: Mean age of 12 patients included in the study was 49.7±9.4 (range 37-69), two of them were females (16.7%) and 10 were males (83.3%). Ten patients were diagnosed as carcinoma of larynx or hypopharynx, whereas one patient had nasal malign melanoma and one patient had buccal carsinoma. Abundant bleeding was observed in patients with recurrent disease after surgery and radiotherapy (n=7), applied radiotherapy or chemoradiotherapy as considered inoperable (n=2), received no treatment (n=2) and patient with recurrence after surgery (n=1). Common carotid artery ligation was performed in 10 patients and external carotid artery ligation was performed in two patients and hemostasis was achieved in all of them. No neurological complications or postoperative mortality were observed in any patients after ligation. Conclusion: In our study, it was observed that application of urgent carotid artery ligation was successful in patients with bleeding due to advanced head and neck surgery. Therefore, it was concluded that carotid artery ligation was a safe and effective method for bleeding due to tumor infiltration.","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130173186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayşe Baççioğlu, Arzu Yorgancioğlu, Cemal Cingi, Çağlar Çuhadaroğlu
{"title":"Alerjik rinit ve astım komorbiditesinin tedavisinde lökotriyen antagonisti ve antistaminiklerin rolü","authors":"Ayşe Baççioğlu, Arzu Yorgancioğlu, Cemal Cingi, Çağlar Çuhadaroğlu","doi":"10.2399/JMU.2013001008","DOIUrl":"https://doi.org/10.2399/JMU.2013001008","url":null,"abstract":"Yalniz baslarina veya kombinasyon seklinde kullanildiklarinda lokotriyen reseptorleri ve antistaminikler alerjik rinit semptomlarini azaltmada etkilidir. Alerjik rinit hastalarinda H1 antistaminikleri alerjene yanitin erken ve gec donem yanitlari olan aksirma, kasinma, burun akmasi ve nazal konjestiyonu onlemekte ve gecirmektedir. Astim hastalarinda H1-antistaminikleri secilecek ilaclar olmamalarina ragmen rinitin kontrol altina alinmasi ayni zamanda astimi da iyilestirecektir. Orta-agir derecede siddetli inatci astimda inhale kortikosteroidin ek tedavi olarak verilemedigi veya uzun etkili beta agonistin alternatif olmadigi durumlarda hafif derecede ve inatci astimin alternatif tedavisi olarak montelukast gibi bir lokotriyen antagonistiyle monoterapi uygulanabilir. Alerjik rinitte monoterapi olarak montelukast etkili bir ilac olmasina ragmen yaygin olarak antistamin veya intranazal kortikosteroide ek olarak onerilmektedir. Antilokotriyen ilaclar yine pediyatrik astimin tedavisinde yaygin bicimde kullanilmaktadir. Cocuklarda kortikosteroitler inhalasyonlariyla idame tedavisi olarak saf epizodik (viral) hisiltili solunum (wheezing) tedavisinde etkisiz olmalarina ragmen hem devamli hem de aralikli olarak verilen montelukastin hem epizodik hem de birden fazla tetikleyici faktoru olan wheezingde etkili bir rolu oldugu gosterilmistir. Ayrica, lokotriyen reseptor antagonistlerinin prepubertal cocuklarda kisa vadede alt ekstremite gelisme hizini olumsuz etkilememesi kortikosteroit inhalasyon tedavisine gore avantajlarini olusturmaktadir.","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133723864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Önder Mutlu, Şemsettin Okuyucu, R. Gümüş, Serhat Gözel
{"title":"Timpanoplastide tragal kıkırdak ada ve temporal kas fasya greft sonuçları","authors":"Önder Mutlu, Şemsettin Okuyucu, R. Gümüş, Serhat Gözel","doi":"10.2399/JMU.2012003005","DOIUrl":"https://doi.org/10.2399/JMU.2012003005","url":null,"abstract":"Amac: Temporal kas fasya grefti ile tragal kikirdak ada greftinin timpanoplasti sonrasi fonksiyonel isitme sonuclari ve timpanometrik bulgular acisindan birbiriyle karsilastirilmasi. Yontem: Toplam 42 hasta calismaya alinmis olup, Grup 1, 14 hastadan olusan temporal kas fasya grubu, Grup 2 ise 28 hastadan olusan tragal kikirdak grubu olarak belirlendi. Preoperatif odyometrik ve timpanometrik olcumler yapildiktan sonra greftler ayni cerrahi teknikle under-overlay olarak serildi. Alti aylik gozlem suresi sonunda sadece grefti intakt olanlar calismaya dâhil edildi. Postoperatif 6. ayda odyometrik ve timpanometrik olcumler yapilarak grup ici ve gruplara arasi karsilastirma yapildi. Bulgular: Saf ses ortalamalari bakimindan ayni grup icinde preoperatif ve postoperatif olcumlerde anlamli fark bulundu (Grup 1: p= 0.001; Grup 2: p0.05). Sonuc: Timpanoplastide tragal kikirdak ada grefti, hem fonksiyonel isitme sonuclarinin temporal kas fasya grefti kadar iyi olmasini saglamakta, hem de retraksiyon ve rezorpsiyona karsi direnc saglamaktadir. Ote yandan, tragal kikirdak grefti kullanilan hastalarda orta kulak hacminde daralmalar olabilecegi goz onunde bulundurulmalidir.","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127017049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oya Cigerli, M. Tuğrul, Sezer Yakupoğlu, Cemile Kınacı, K. Akpir
{"title":"Otistik çocuklarda iki farklı oral ketamin+midazolam premedikasyonunun etkilerinin karşılaştırılması","authors":"Oya Cigerli, M. Tuğrul, Sezer Yakupoğlu, Cemile Kınacı, K. Akpir","doi":"10.2399/JMU.2012003002","DOIUrl":"https://doi.org/10.2399/JMU.2012003002","url":null,"abstract":"Amac: Otistik cocuklarin anestezi yonetiminde etkin bir premedikasyon hayati onem tasir. Calismamizda otistik cocuklarda premedikasyon amaciyla kullanilan iki farkli midazolam+ketamin kombinasyonunun etkileri karsilastirilmistir. Yontem: Prospektif, randomize ve cift-kor olan bu calismaya beyin SPECT goruntuleme yontemi uygulanabilecek yaslari 1-17 arasinda 142 otistik cocuk dâhil edilmistir. 1. gruba 0.5 mg/kg midazolam + 3 mg/kg ketamin, 2. gruba ise 0.25 mg/kg midazolam + 6 mg/kg ketamin oral yoldan verilmistir. Sedasyon baslama suresi ve anestezi induksiyonu oncesi sedasyon skoru kayit edilmistir. Cocuklarda baslangicta, aileden ayrilirken ve damar yolu acilirken anksiyete dortlu bir skala ile, anestezi sonrasi derlenme ise modifiye Aldrete skoru ile degerlendirilmistir. Postoperatif donemde bulanti ve benzeri yan etkiler kayit edilmistir. Islemden 10 gun sonra hasta yakinlari aranmis ve davranis degisiklikleri, uyku bozukluklari ve beslenme sorunlari acisindan sorgulanmistir. Bulgular: Her iki grupta da kabul edilebilir sedasyon skorlari elde edilmis, aileden ayrilma ve intravenoz kanulasyonda %85'in ustunde basari elde edilmistir. Sedasyon baslangic suresi, aileden ayrilma, intravenoz kanulasyonda anksiyete skorlari, yan etkiler, postoperatif davranis degisiklikleri ve beslenme sorunlari acisindan iki grup arasinda bir fark bulunmamistir. Gruplar arasinda tek anlamli fark, induksiyon oncesi sedasyon skorunda tespit edilmis, yuksek doz ketamin iceren grupta daha derin bir sedasyon duzeyi saglanmistir. Sonuc: Her iki rejimin de otistik cocuklarda basarili premedikasyon sagladigi gorulmustur.","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114855110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hale Aslan, Mehmet Sinan Başoğlu, Ali Ekber İlknur, Canan Özbay, Erdem Eren, Duygu Oğuz Kılıç, Erkan Kulduk, Sedat Öztürkcan, H. Katılmış
{"title":"Atomik kuvvet mikroskobu ve tarayıcı elektron mikroskobuyla timpanosklerotik plakların analizi","authors":"Hale Aslan, Mehmet Sinan Başoğlu, Ali Ekber İlknur, Canan Özbay, Erdem Eren, Duygu Oğuz Kılıç, Erkan Kulduk, Sedat Öztürkcan, H. Katılmış","doi":"10.2399/JMU.2012003003","DOIUrl":"https://doi.org/10.2399/JMU.2012003003","url":null,"abstract":"Amac: Atomik kuvvet mikroskobu ile kalsiyum kurecikleri olusturan timpanosklerotik plak olusumunu goruntuleyerek literature yeni bilgiler sunmak ve tarayici elektron mikroskobuna monte edilmis enerji yayici X-isini dedektoru ile temel yapisini incelemek. Yontem: Timpanoskleroz cerrahisi gecirmis 30 hastadan alinan ornekler ucuncu basamak sevk merkezimizde geriye donuk olarak incelendi. Atomik kuvvet mikroskobuyla en sert plagin yuzey topografisi ve uc boyutlu goruntuleri analiz edildi ve tarayici elektron mikroskobu – enerji yayici X-isini spektroskopisiyle 5 farkli plak icindeki 5 farkli kalsiyum kureciginin temel bilesimi incelendi. Bulgular: Atomik kuvvet mikroskobuyla timpanosklerotik plagin uc boyutlu analizi kalsiyum fosfat kristalli olusumlari gostermistir. Var olan kalsiyum, fosfat, karbon, nitrojen, oksijen, sodyum ve magnezyum miktarinin tayini icin enerji yayici X-isini spektroskopisiyle tarayici elektron mikroskobu kullanilmistir. Sonuc: Timpanosklerotik plagin temel bilesimi hakkinda bilgi edinmek icin yuzey topografisi kullaniminin timpanosklerozun etiyolojisi ve tedavisini anlayisimiza katkida bulunacagina inanmaktayiz.","PeriodicalId":162718,"journal":{"name":"Journal of Medical Updates","volume":"179 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120865652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}