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Yayın Cervicofacial emphysema after a dental procedure: A case report(2023) Atar, Yavuz; Çelik, Cem; Berkiten, MustafaSubcutaneous emphysema is a complication that can occur after dental procedures. Air leaking under the skin can diffuse into various potential spaces. When it spreads to the cervicofacial area, a complaint of significant facial swelling may occur a few hours after the procedure or the next day. Leaking into potential spaces can cause life-threatening situations in some cases. Two of these situations are pneumomediastinum and mediastinitis. The mucogingival barrier is a keratinized, protective structure at the junction of the oral cavity mucosa and gingiva. Caused by high-speed air rotors used in dental procedures, this complication can occur due to interventions that damage the mucogingival barrier, such as tooth extraction, restorative treatment, and root canal treatment. The aforementioned traumatic treatments may create a defect in the barrier, and the air emitted by high-speed air rotors may leak under the skin. It is rare for this complication to occur without significant damage to the mucogingival barrier. Even if cervicofacial emphysema develops, progression to pneumomediastinum and mediastinitis is rare. Clinical findings such as a significant dyspnea, high fever, and low oxygen saturation may be detected in the patient with these complications, or the patient may be asymptomatic. We present a 42-year-old female patient who developed subcutaneous emphysema and asymptomatic pneumomediastinum after caries treatment in which only 1/4 of her enamel was excised without tooth extraction.Yayın Comparison of maximal bite force in children undergoing adenotonsillectomy: A prospective case-control study with 6-month follow-up(2022) Atar, Yavuz; Atar, Sevgi; Dıraçoğlu, Demirhan; Üstün, Onur; Kumral, Tolgar Lütfi; Aydoğdu, İmran; Tutar, Belgin; Sarı, Hüseyin; Ahmed, Esmail Abdulahi; Uyar, Yavuz; Berkiten, Mustafa; İnan, MuzafferObjective: This study investigated the early and late postoperative maximal bite force (MBF) values in pre-pubertal children undergoing adenotonsillectomy (AT) and compared them with healthy control. Methods: A total of children aged 6-12 years, diagnosed with chronic obstructive adenotonsillar hypertrophy (COATH), undergoing AT (n=30), and healthy controls (n=30) were included. The MBF and body mass index (BMI) were recorded for up to sixth months. The duration of active surgery was recorded. The visual analog scale (VAS) was applied to the patients for the pain on postoperative first and seventh days. Results: There was no significant difference in MBF values between the groups from the baseline to sixth month (p>0.05). A statistically strong positive correlation was observed between MBF and age (p<0.05). A significant difference was observed in MBF changes in patients with duratşon of active surgery more than 20 min compared with those with less from the baseline to the first month (p<0.05). In the study group, it was observed that there was a low and moderate correlation in the mean changes between the MBF and BMI in the first, 7th day, and 1st-month matches (p<0.05). The VAS scores did not show a significant correlation with the MBF values (p>0.05). Conclusion: The COATH and sex did not have a significant effect on MBF in pre-pubertal children, but age did. The postoperative MBF values were reached in the 1st month almost baseline values and there was a rapid increase between three and six months after AT. The prolonged operative time may affect MBF during one month postoperatively.Yayın Comparison of preoperative anxiety, bruxism, and postoperative pain among patients undergoing surgery for septoplasty, endoscopic sinus surgery, and tympanoplasty(Wolters Kluwer Health, 2022) Atar, Yavuz; Karaketir, Semih; Sarı, Hüseyin; Çelik, C.; Aydoğdu, İmran; Görçin Karaketir, Şeyma; Saltürk, Ziya; Kumral, Tolgar Lütfi; Tutar, Belgin; Berkiten, Mustafa; Arkan Anarat, Melis Ece; Berkiten, GülerBackground: Septoplasty, endoscopic sinus surgery, and tympanoplasty are the most commonly performed elective functional ear-nose-throat surgeries. Aim: This study investigated the relationship between preoperative anxiety, bruxism, and postoperative pain in inpatient groups undergoing three different functional otorhinolaryngologic surgeries. Patients and. Methods: This study was conducted in a single center of a tertiary referral hospital. The patients (n = 90) who had undergone septoplasty (group A), endoscopic sinus surgery (group B), and tympanoplasty (group C) were included. The State-Trait Anxiety Inventory (STAI) questionnaire and the Amsterdam Preoperative Anxiety Information Scale (APAIS) were administered. To evaluate bruxism, a self-questionnaire was administered, and for the evaluation of pain, the visual analogue scale (VAS) was administered. Results: In group C, preoperative STAI and APAIS and early and late pain values were higher than in the other groups. When patients were divided into two groups according to the presence of bruxism. A significant difference was found between the preoperative STAI and immediate and late VAS values (P < 0.001). A strong correlation was observed between APAIS and early and late VAS values in group C (P < 0.001). Conclusion: Patients who will undergo tympanoplasty should be aware of the preoperative anxiety level and pain follow-up. Bruxism can be considered a vital follow-up parameter that manifests due to high preoperative anxiety. It may also be useful to examine preoperative bruxism and take appropriate measures due to its pain-increasing effect in patients.Yayın Effect of adenoid hypertrophy and adenoidectomy on bite force in children: Twelve month follow-up, case-control study(Taylor & Francis, 2022) Atar, Yavuz; Atar, Sevgi; Arkan Anarat, Melis Ece; Berkiten, Mustafa; Sarıçam, Sabire Sitare; Demirhan, Esma; Mersinlioğlu, Gökhan; Diracoğlu, DemirhanObjective The effects of adenoid hypertrophy (AH) and adenoidectomy on maximal bite force (MBF) in patients were evaluated by comparing them with healthy controls. Methods A total of 118 children diagnosed with AH and undergoing adenoidectomy (Group A), and healthy controls (Group B) were included. The MBF and nasopharyngeal airway passage distance (NAPD) were recorded. Results There was a correlation between NAPD and MBF at the beginning of the study (r = -0.675 and p < 0.001). The initial mean MBF of Groups A and B were 318.37 +/- 70.76 N and 344.04 +/- 64.14 N, respectively (p = 0.041). However, there was no significant difference between the groups due to the increase in the MBF of Group A at 12 months (p = 0.165). Conclusion The MBF may be negatively affected in proportion to decreased NAPD, and it could also be an indicator for monitoring the status of children with AH.
