Browsing by Author "Cankal, Fatih"
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Article Citation Count: 1Change of frontal sinus in age of according to the international frontal sinus anatomy classification(Sage Publications Ltd, 2023) Köksal, Ali; Demir, Berin Tugtag; Cankal, Fatih; Medical Imaging Techniques ProgramBackground The radiological and surgical anatomy of the frontal sinus should be well-known in all age groups to successfully manage frontal sinus diseases and reduce the risk of complications in sinus surgery. Purpose To define frontal sinus and frontal cells according to the International Frontal Sinus Anatomy Classification (IFAC) criteria in pediatrics and adults. Material and Methods A total of 320 frontal recess regions of 160 individuals (80 pediatric, 80 adults) who underwent a computed tomography (CT) scan of the paranasal sinus (PNS) were included in the study. Agger nasi cells, supra agger cells, supra agger frontal cells, suprabullar cells, suprabullar frontal cells, supraorbital ethmoid cells, and frontal septal cells were evaluated in the CT analysis. Results The incidence rates of the investigated cells were determined to be 93.1%, 41.9%, 60.0%, 76.3%, 58.5%, 18.8%, and 0% in the pediatric group, respectively, and 86.3%, 35.0%, 44.4%, 54.4%, 46.9%, 19.4%, and 3.4% in the adult group, respectively. Considering the unilateral and bilateral incidence of the cells, agger nasi cells were highly observed bilaterally in both the pediatric group (89.87%) and the adult group (86.48%). Conclusion Our study results show that IFAC can be used as a guide to increase the chance of surgical treatment in the pediatric and adult groups and that the prevalence of frontal cells can be determined radiologically and contributes to the generation of estimations of the prevalence of frontal cells.Article Citation Count: 0Evaluation of diaphragmatic omental hernias by radiology: A prevalence study(Wolters Kluwer Medknow Publications, 2022) Köksal, Ali; Demir, Berin T.; Koksal, Ali; Medical Imaging Techniques ProgramINTRODUCTION: This study aimed to describe the radiological features of omental hernias originating from the diaphragm and their localization on the diaphragm, examine their relationship with the thoracic and abdominal organs, and present guiding data to clinicians in operational planning. MATERIALS AND METHODS: This study was obtained as a result of retrospective scanning of the images of 824 patients aged 18-65 who applied for thorax and/or upper abdomen computerized tomography (CT). The patients' thorax and upper abdomen regions were examined in detail and divided into two groups of individuals with and without hernias. Hernia types, content, localization, and effect types of patients with hernia were recorded and analyzed separately. RESULTS: Diaphragmatic hernia was detected in 197 (23.9%) of 824 patients. While 50.8% of these patients were female, 49.2% were male. Of the patients diagnosed with diaphragmatic hernia, 49.2% (n = 97) had Morgagni hernia, 30.5% (n = 60) had Bochdalek hernia, and 17.8% had hiatal hernia. While Morgagni hernia had anterior localization in 82.5%, Bochdalek hernia was generally localized on the left side (75.8%), and hiatal hernias were sliding type with a rate of 84.2%. The highest effect was observed in Bochdalek hernias (71.1%). Omental tissue (59.4%) was observed most frequently in Morgagni hernias, while stomach content (91.9%) was found to be the highest in hiatal hernias (P < 0.05). DISCUSSION-CONCLUSION: Diaphragmatic omental hernias are rare. The rarity, as well as the uncertain and nonspecific presentations, contributes to the retard in diagnosis. Commonly, the presentation in the adult age group is that of recurrent chest infection and rarely with gastroesophageal reflux and esophagitis. Physicians caring for these patients should be aware of this, and a high index of suspicion is recommended to obviate delay in diagnosis with its associated morbidity. We think the radiological features of diaphragmatic hernias should be detailed in determining and applying the optimal treatment approach. In addition, contrary to what was thought, we found that the prevalence of diaphragmatic hernia in our population is higher than that reported in the literature.Article Citation Count: 0Topographic Radioanatomical Analysis of the Singular Canal: Computed Tomography Study(Wolters Kluwer Medknow Publications, 2024) Köksal, Ali; Koksal, Ali; Cankal, Fatih; Medical Imaging Techniques ProgramPurpose: The singular canal (SC) is where the singular nerve, a branch of the inferior vestibular nerve, which carries afferent information from the posterior semicircular canal (PSCC), passes and is important in the surgical approach of the presigmoid retrolabyrinthine. This study was carried out to evaluate the visibility of the SC on standard computed tomography (CT) images, its distance to the surrounding structures, and to investigate the variations of its anatomy and its relationship with the meatus acusticus internus.Materials and Methods: The study was carried out retrospectively using images of 194 temporal bones on temporal bone CT scans of 44 men and 53 women aged 18-65. In the study, various measurements were made, especially the presence of the SC, its length, its angle with the internal acoustic canal (IAC), and the distance between the internal acoustic pore (IAP) and the singular foramen. In addition, the presence of the high jugular bulb and PSCC dehiscence images were investigated.Results: The SC was detected in 85.1% of the analyzed images. The mean canal length was 3.93 +/- 1.22 mm, the angle between the SC and the IAC was 22.68 degrees +/- 3.60 degrees, and the distance between the SC and the IAP was 7.70 +/- 0.83 mm. While no difference was found between the sides, it was determined that the length and diameter of the SC did not differ according to gender.Conclusion: Detailed morphometric analysis of the SC and a thorough understanding of its relationship with the IAC, vestibulum, and PSCC will help to accurately define the posterior and lateral borders of the dissection for this region.