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Öğe Otoscopic Examination(Trakya Üniversitesi, 2018) Kef, Berkay; İşkan, Nur Gülce; Kef, KemalAbstract: Ear related diseases are common in both otolaryngology clinics and family practice since all age groupscan get affected. Due to the frequency and the range of diseases of the ear, it is very important to carry out a thoroughexamination and make a correct diagnosis. Otoscopes are very useful tools used for otoscopic examination.Although head mirrors and head lambs can be used for the examination of the ear, otoscopes provide a better fieldof vision and a more detailed sight. There are two main types of otoscopes; portable and wall-mounted. However, theexamination should not be limited to the outer ear. It is the examiner’s responsibility to check the area around the earfor abnormalities. Otoscopic examination is a convenient method for making a correct diagnosis. Therefore, everymedical doctor should be able to perform a proper otoscopic examination and make a correct diagnosis.Öğe The Prevalence of Allergic Rhinitis and Associated Risk Factors Among University Students in Anatolia(Dove Medical Press Ltd, 2020) Kef, Kemal; Guven, SelisIntroduction: Allergic rhinitis is a common disease in Turkey. However, there are not enough studies on its prevalence. Survey-based studies conducted by experienced and qualified researchers to large populations provide information about the prevalence of allergic rhinitis and risk factors associated with it. Aim: The aim of this study was to determine the prevalence of allergic rhinitis and related factors in university students in Anatolia. Methods: An extended and modified form of The European Community Respiratory Health Survey was conducted to university students in Turkey. The data were obtained through a face-to-face interview method. R version 4.0.2 was used for statistical analysis. Data were presented as frequency and percentage. Chi-squared test of independence was used to analyze the relationship between allergic rhinitis diagnosis and other variables. Statistically significant variables were further analyzed with multivariate logistic regression test. Results: Data was collected from a total of 2020 participants, but 1714 participants were eligible for multivariate analysis. The mean age of the participants was 20.71 +/- 3.12 years; 42.88 (n= 735) were male, and 57.12% (n= 979) were female. While the rate of those who thought that they had nasal allergies was 23.862% (n = 409), the rate of those diagnosed by a doctor was 15.986% (n = 274). The most common allergic symptom in the participants was sneezing, and the most common triggering factor was house dust. Conclusion: We found a high prevalence of 15.986% doctor diagnosed allergic rhinitis among university students in Anatolia. Genetic, environmental and economic factors were associated with high prevalence of allergic rhinitis.Öğe A Rising Concern: a Case of Perforation of the Floor of the Mouth Caused by Tongue Piercing(Trakya Üniversitesi, 2018) Özdemir, Deniz Ladin; Kef, KemalAims: The aim of this study is to present a case of an infection in the oral cavity due to tongue piercing perforatedinto the floor of the mouth, thus to raise concern over the increasing popularity of tongue piercing in spite of its risksincluding perforation in the oral cavity and oral ulcers.Case Report: A sixteen-year-old female patient presented to the clinic with lesions and extreme pain in her oralcavity. The thorough examination showed displacement of the piercing through the tongue, causing a perforation ofthe floor of the mouth. The piercing was surgically removed. The ulcers were treated with medication. The patientwas advised to get professional help and was instructed to pay close attention to oral hygiene in case of reiterateddemand for tongue piercing.Conclusion: It is important to ensure that piercing is inserted by a specialist under sterile conditions to preventcomplications. If a surgical operation is needed to treat the complications occurred, the clinicians must be aware ofthe critical veins and nerves that are located in the oral cavity and they should be very careful not to cause any harmduring the operation.Öğe Squamous Cell Carcinoma of the Caudal Nasal Septum and the Nasal Vestibule: a Case Report(Trakya Üniversitesi, 2021) Tan, Berfin; Cengiz, Elif; Kurtoğlu, Berra; Çalışkan, Elif; Kef, KemalAims: The nasal septum is an unusual place for malignant tumors to occur. The condition may be accompanied by non-specific symptoms that may cause delays in seeking medical care or may misguide the physician due to the condition’s rarity. We hereby aim to present a rare case of a squamous cell carcinoma in a 65-year-old male patient with recently progressing symptoms. Case Report: A 65-year-old male patient was admitted to Private Keşan Hospital’s Ear- Nose-Throat Department with swelling and wounds in the nose, and inability to breathe complaints. After the biopsy, pathological examination revealed moderately differentiated squamous cell carcinoma. The patient was operated with success; the mass was thoroughly dissected and a full-thickness skin graft from the left supraclavicular region was used in the reconstruction of defected areas. Recovery was uneventful due to early diagnosis and admission, with no relapse or cosmetic concern during monthly visits in the following years. Conclusion: As seen in this case, full-thickness skin grafts can be successfully used in intranasal and extranasal reconstructions, provided that they are obtained from areas with appropriate thickness. Early diagnosis and frequent monitoring are crucial in patients with squamous cell carcinoma since these tumors respond exceptionally well to treatment; although the recurrence rate is remarkably high.
