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Objective: This study aims to investigate the effect of lengthening early postoperative hospitalization on post-tonsillectomy bleeding and retrospectively analyzes patients who were operated on for a recurrent tonsillitis diagnosis. Materials and Methods: The study includes a total of 92 patients who underwent a tonsillectomy for a recurrent tonsillitis diagnosis. The patients were divided into two groups: those discharged on postoperative day 1 (Group A), and those hospitalized for a more extended period (Group B). Both groups were compared in terms of bleeding after the tonsillectomy. Results: In both groups, none of the patients aged 15 or under presented with post-tonsillectomy bleeding. For patients over the age of 15, no re-admission to the hospital with postoperative bleeding occurred in Group B, while 10 patients (10.9%) from Group A presented with complaints of bleeding and were re-hospitalized. Conclusion: Extending the early hospitalization period to at least two days in tonsillectomies to be performed for recurrent tonsillitis, especially for late adolescents and adult patients, may reduce the likelihood of a revisit with post-tonsillectomy bleeding. [ABSTRACT FROM AUTHOR]

Objective: To investigate the outcomes of superficial musculoaponeurotic system (SMAS) flap and classic techniques in superficial parotidectomy in terms of Frey's syndrome (FS) and cosmetic satisfaction. Methods: In this study, a retrospective chart review of patients that underwent superficial parotidectomy was performed. These patients were divided into two subgroups: group 1 included patients in which the SMAS flap was harvested and group 2 comprised the remaining patients on whom classic superficial parotidectomy was performed. All the patients were evaluated clinically and with Minor's starch-iodine test for FS. For the evaluation of the cosmetic results, the patient's satisfaction was queried according to the incision scar and surgical field skin retraction/facial symmetry. Both groups were compared in terms of complications and numbness of surgical area. Results: Fifty-five patients (31 male and 24 female) with a mean age of 50.19 years were included in the study. Thirty-two patients were in group 1 and 23 in group 2. Thirteen patients (23.7%) described as having FS and six of them were in group 1, while seven were in group 2. Minor's starch-iodine test was positive in nine patients in group 1 (28.1%) and six patients in group 2 (26.1%) (p=1.000). With regard to cosmetic satisfaction, eight patients (25%) stated mild discomfort from the incision scar and two patients (6.3%) stated cosmetic dissatisfaction for facial asymmetry in group 1. In group 2 for the same factors the number of patients were 11 (47.8%) and 2 two (8.7%), respectively (p=0.027). There were no statistically significant differences in means of complication and numbness (p>0.05). Conclusion: According to our study results, there was no superiority between both the groups in terms of FS and incision scar satisfaction. We determined that there was a significant benefit of SMAS flap application in the prevention of volume loss and surgical area retraction. [ABSTRACT FROM AUTHOR]

Background: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular condition characterized by short-term vertigo attacks that significantly affect quality of life., Objectives: Examine how well a single Epley maneuver worked in an outpatient setting for people with posterior canal benign paroxysmal positional vertigo (PC-BPPV) and whether they needed a second Dix-Hallpike maneuver., Design: Prospective., Settings: Otorhinolaryngology department of a tertiary care center., Patients and Methods: Sociodemographic data, body mass index (BMI), and systemic disease history of 75 patients diagnosed with PC-BPPV were recorded, and their relationship with success rates after the modified Epley maneuver was analyzed., Main Outcome Measures: Detect cases that could not be repositioned with the diagnostic control Dix-Hallpike test performed 20 minutes after the modified Epley reposition maneuver in the same session in PC-BPPV patients., Sample Size: 75., Results: Of the 75 patients, 31 were male (41.3%), 44 female (58.6%) with a mean (standard deviation) age of 58.6 (15.9) years age, 54.6% had one or more chronic diseases. BMI was 30 mg/kg 2 and above in 31 patients (41.3%). The modified Epley maneuver was successful in 77.3%. No significant relationship was found between additional diseases or BMI in the patient group in whom the maneuver was unsuccessful., Conclusion: The success rates of repositioning maneuvers in treating patients diagnosed with PC-BPPV are high. However, more than a single maneuver is required in some resistant patients. Second diagnostic and repositioning maneuvers performed in the same session will reduce multiple hospital admissions. While it is helpful to repeat the maneuver in the patient group where it was unsuccessful, other factors causing the failure should be investigated., Limitations: Lack of follow-up results of patients after 7-10 days., Competing Interests: CONFLICT OF INTEREST: None.