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dc.contributor.authorDoğan, Sedat
dc.contributor.authorŞimsek, Ali
dc.contributor.authorBayraktar, Cem
dc.contributor.authorYazıcı, Haşmet
dc.contributor.authorSarıkaya, Yasin
dc.contributor.authorKarataş, Mehmet
dc.contributor.authorÇapkın, Musa
dc.contributor.authorKaradağ, Ayse Sevgi
dc.date.accessioned2019-10-07T12:41:38Z
dc.date.available2019-10-07T12:41:38Z
dc.date.issued2016en_US
dc.identifier.issn1945-8924
dc.identifier.issn1945-8932
dc.identifier.urihttps://doi.org/10.2500/ajra.2016.30.4342
dc.identifier.urihttps://hdl.handle.net/20.500.12462/6740
dc.descriptionYazıcı, Haşmet (Balikesir Author)en_US
dc.description.abstractBackground: Ocular blood flow alterations and blindness are uncommon and less-known adverse effects of nasal local anesthetic infiltrations. Our aim was to investigate ocular blood flow alterations during radiofrequency (RF) tissue reduction of inferior turbinates with the patient under local anesthesia by using a noninvasive method with optical coherence tomography. Methods: A total of 120 patients with inferior turbinate hypertrophy were prospectively randomized into two groups. In group 1, a total of 61 patients underwent RF tissue reduction while under local anesthesia with epinephrine. In group 2, a total of 59 patients underwent RF tissue reduction of inferior turbinates while under local anesthesia without epinephrine. Optical coherence tomography measurements were performed before surgery and at 5, 15, 30, 45, and 60 minutes after local anesthetic infiltration. Results: Choroid thickness measurements decreased gradually after local anesthetic infiltration until 30 minutes and increased to the same plane with the baseline at 60 minutes in group 1 (p < 0.05). In group 2, the choroid thickness measurement was significantly decreased after local anesthetic infiltration at 15 and 45 minutes (p < 0.05). When the choroid thickness measurements were compared between the groups, in group 1 blood flow was significantly lower than in group 2 at 30 minutes (p < 0.05). Conclusion: We observed a statistically significant reduction in choroid circulation after local anesthetic with epinephrine infiltration into inferior turbinates. Otolaryngologists should be careful after local anesthetic infiltration, and monitor the vision. Further studies with larger series would be needed to discuss safety of local anesthetics.en_US
dc.language.isoengen_US
dc.publisherSage Publications Incen_US
dc.relation.isversionof10.2500/ajra.2016.30.4342en_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVisual-Lossen_US
dc.subjectSeptoplastyen_US
dc.subjectInjectionen_US
dc.subjectRetinopathyen_US
dc.subjectNeuropathyen_US
dc.subjectSecondaryen_US
dc.subjectEpinephrineen_US
dc.titleOcular blood flow alterations during inferior turbinate radiofrequency reduction under local anesthesiaen_US
dc.typearticleen_US
dc.relation.journalAmerican Journal of Rhinology & Allergyen_US
dc.contributor.departmentTıp Fakültesien_US
dc.contributor.authorID0000-0002-3469-2653en_US
dc.identifier.volume30en_US
dc.identifier.issue5en_US
dc.identifier.startpageE185en_US
dc.identifier.endpageE188en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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