ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
 
             
 
Volume : 27 Issue : 3 Year : 2019
 
Med J Islamic World Acad Sci: 28 (1)
Volume: 28  Issue: 1 - 2020
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ORIGINAL ARTICLE
1.Comparison of Clinical and Radiological Outcomes of Cemented, Uncemented, and Hybrid Total Hip Arthroplasties
İzzet Korkmaz, Olgun Bingöl, Güzelali Özdemir, Enver Kılıç, Mahmut Nedim Aytekin
doi: 10.5505/ias.2020.54037  Pages 1 - 6
This study aimed to compare the clinical and radiological outcomes of cemented, uncemented, and hybrid total hip arthroplasty (THA) applications.
The study was designed as a single-center and retrospective trial. Patients who underwent THA between April 1995 and December 2001 at the Tepecik Training and Research Hospital in Izmir, Turkey, were included in the study. The outcomes of 23 THAs of 21 patients [7 cemented THAs (cTHAs), 8 uncemented THAs (uTHAs), and 8 hybrid THAs (hybrid THAs)] were assessed. The participants were clinically and radiologically evaluated.
The mean age of the participants was 56.4 years (range: 22–73). The mean follow-up duration was 39 months. The radiological evaluation revealed radiolucent lines around the femoral components of 4 cTHA patients and the acetabular components of 3 cTHA patients. However, none of the participants developed clinical loosening. Seventy-five percent of uTHA patients had excellent Harris hip score results, whereas this rate was 57.1% for cTHA patients and 62.5% for hybrid THA patients.
The assessment of all three methods of THA indicated that the uTHA method had superior outcomes.

2.Investigation of Predictive Factors for Patients with Nondiagnostic or Insufficient FNAB Results Who Underwent Thyroidectomy
İbrahim Kılınç, Mustafa Özsoy, Fahri Yetişir
doi: 10.5505/ias.2020.24445  Pages 7 - 11
Thyroid fine-needle aspiration biopsy (FNAB) is used in managing patients with thyroid nodules. Therefore, this study aimed to investigate the predictive factors for malignancy.
The study included 171 patients whose FNAB results were interpreted as nondiagnostic twice or more and who had previously undergone a surgical treatment. Patients were evaluated in terms of demographic characteristics; serum thyroglobulin, antithyroglobulin, and anti-thyroid peroxidase levels, and ultrasound features.
A statistically significant difference was found between malign and benign patients in terms of anti-thyroglobulin levels and hypoechogenicity. However, no significant difference was observed in terms of age; sex; anti-thyroidperoxidase and thyroglobulin levels; nodule diameter; solid, cystic, or mixed features; and other ultrasonographic features.
Hypoechogenity and anti-thyroglobulin levels can be used as predictive factors in terms of malignancy for patients whose FNAB results were nondiagnostic two or more times.

3.Role of intraperitoneal propolis treatment in preventing postoperative peritoneal adhesions
Birkan Birben, Gökhan Akkurt, Tugan Tezcaner, Eda Özturan Özer, Firdevs Zeynep Taştepe, Feza Karakayalı, Gökhan Moray
doi: 10.5505/ias.2020.79059  Pages 12 - 17
This study aimed to evaluate the anti-inflammatory and anti-oxidant properties of propolis and its effect on the fibrinolytic system in postoperative adhesions.
The rats were randomly divided into 3 groups of 10, and a modified cecal abrasion model was created. Group 1 was the sham group. Group 2 received 0.4 mL of ethanol (96%), while Group 3 was administered 0.4 mL of propolis (900 mg/kg) and ethanol (96%) solution intraperitoneally. The adhesions were evaluated macroscopically and microscopically. The adhesion in the propolis group was significantly higher according to the scores of Nair (ethanol–propolis P > 0.002 and sham–propolis, P > 0.023) and Zühlke (ethanol–propolis P > 0.033 and sham–propolis P > 0.024). Propolis administration was significantly associated with increased fibrosis (P > 0.01) and vascular proliferation (P > 0.01).
The increase in peritoneal adhesion in the propolis group might have been due to propolis being retained in the abdomen longer than normal and the higher concentration of the solvent.

4.Retrospective evaluation of the correlation of nodules detected to have follicular neoplasm suspicion on thyroid ultrasonography with cytopathological and histopathological results
Gözde Ertunç, Recep Gökhan İçöz, Süha Özbek
doi: 10.5505/ias.2020.62548  Pages 18 - 23
Thyroid nodules are pathologies that are frequently encountered in general population and sometimes difficult to manage for patients and physicians. The most appropriate method for the management of these nodules is follow-up with ultrasonography (US) and fine-needle aspiration. This study investigated the correlation of suspicious nodules detected on US with cytopathological and histopathological results. Nodule size, nature, echo structure and blood supply, presence of peripheral halo, and presence of microcalcification in the nodule were compared in terms of malignancy and follicular patterns in a total of 55 patients. Statistically significant results were not found; however, we found similar rates to the literature in terms of the pathological diagnoses of malignancy and follicular pattern in patients suspected to have follicular neoplasia, which may be due to our hospital being an experienced center. We also think that further studies conducted with a higher number of patients and data on this subject can greatly contribute to the treatment and follow-up of thyroid cancer.

5.Giant pediatric aneurysmal bone cyst of the occipital bone: a case report and review of the literature
Abubakar Garba Farouk, Babagana Mohammed, Umar Hassan Umar, Sajah Wala, Ahmed Ahidjo
doi: 10.5505/ias.2020.33254  Pages 24 - 31
Aneurysmal bone cyst (ABC) is a rare tumor-like vascular bone lesion that usually affects the metaphyses of the long bone. Cranial ABCs are uncommon, and occipitoparietal bone involvement is extremely rare. This lesion was first described by Jaffe and Lichtenstein in 1942. The precise etiology and pathophysiology of ABCs remain uncertain.
A 7-year-old boy with a history of occipital swelling, headache, and recurrent bleeding at the swelling site following trivial trauma presented to the clinic. Computed tomography revealed a huge, expansile, multiloculated cystic lesion. The patient had en-bloc resection of the mass and cranioplasty. Histopathology confirmed the diagnosis of ABC. The patient remained stable with no recurrence at the 6-month follow-up. Differentiation of ABC from other osteolytic lesions of the cranium is difficult. However, a computed tomography scan showed the characteristics of the lesion. A high index of suspicion and imaging are important to diagnose ABC of the cranium as an extremely rare entity.



   
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