Background and Design. - We investigate the long-term clinical results of otosclerotic patients after stapes surgery. Retrospectively we investigate the odiogram of 17 female, 8 male totally 25 patients’ 26 ears. Closure success of the air bone gap was statistically evaluated with Wilcoxon test. Results. - The age of the patients were between 20-48 (mean age 36.2±8.0) and their follow up time were 24 -75 months (meanly 45.0±15.8). The air bone gap before the surgery were 15-48 dB (mean: 31.9±9.5). Under general anesthesia stapedotomy were done to 24 ears and stapedectomy were done to 2 ears. After follow up period the postoperative air bone gap were 0-38 dB (mean: 15.8±12.1). The difference between the pre- and postoperative air-bone gaps were statistically significant (p=0.000). In one patient neurosensorial hearing loss appeared. Conclusion. - Over the long term , effective and good results can be get with otosclerotic patients after stapes surgery. *Anahtar Kelimeler: Otoskleroz, stapes cerrahisi, takip suresi *Key Words: Otosclerosis, stapes surgery, follow up time
Follicular dendritic cell sarcoma is a rare neoplasm of low to intermediate malignant potential. It can occur in any location where follicular dendritic cells reside, and nearly all the cases reported in clinical notes have occurred as primary lymph node tumors. Carcinosarcoma or true malignant mixed tumor of the salivary gland is a tumor composed of both carcinomatous and sarcomatous elements. It is an exceedingly rare tumor of the salivary glands, and only approximately 60 clinical notes have been reported. In this report, we describe a recurrent carcinosarcoma of the parotid gland that contained an unusual mesenchymal component (follicular dendritic cell sarcoma) in a 42-year-old woman with cytohistologic and immunohistochemical findings. The predominant sarcomatous component made the diagnosis in the current report difficult because only one clinical note on follicular dendritic cell sarcoma in the parotid gland has been previously reported in the English literature. During the 12-year follow-up period, 6 local recurrences were also detected.
Paragangliomas are rare in the larynx. When they do occur there, the most common subsite is the supraglottic compartment. Unlike other neuroendocrine tumors of the larynx, laryngeal paragangliomas are three times as common in women as in men. Although a preoperative biopsy is often performed to establish the diagnosis, this procedure carries a considerable risk of bleeding, which may necessitate a tracheotomy to secure the airway. Immunohistochemical staining is useful in the differential diagnosis to distinguish a paraganglioma from other neuroendocrine tumors. Computed tomography and/or magnetic resonance imaging with preoperative angiography and possible embolization are important to obtain prior to treatment. Surgical excision is the treatment of choice.