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  • Yüz Terlemesi Tedavisi | Prof. Dr. Serdar Han

    Face Sweating What is Excessive Facial Sweating? What are the Causes? excessive facial sweating It is a common ailment. Almost everywhere , it is possible to see people sweating beads. These sweats are so much that their necks, backs, shoulders and the shirt and sweater collar they wear are soaked . Those with excessive facial sweating may also experience excessive sweating in the hairy area. In general, there may be excessive sweating on the face alone. Excessive sweating in the hand, under the armpit excessive sweating, excessive sweating on the feet or widespread excessive sweating in the whole body. Excessive sweating on the face makes the person very uncomfortable. Special in business they are in a lot of trouble. On the other hand, they are perceived as shy, embarrassed and stressed. It is not possible to hide the excessive sweating on the face like the excessive sweating in the other regions. However, excessive sweating on the face and head Sinusitis and headache are common in patients with Excessive facial sweating it is made difficult by the person who sweats. The person who sweats excessively He thinks that he cannot express himself and that he is misunderstood because he sweats excessively. This prevents the person from revealing the current capacity. Along with excessive facial sweating, some may also experience excessive facial flushing. Both are the result of excessive sympathetic activity. There seems to be no alternative treatment methods for excessive facial sweating. The most appropriate treatment method for excessive facial sweating is sympathectomy with clip-on ETS. After the sympathectomy with the clip-on ETS , facial sweating disappears almost completely. If there is excessive facial sweating and excessive facial flushing, this also goes away after the sympathectomy with clip-on ETS. With the clip-on ETS , the sympathectomy procedure is performed in approximately 30 minutes. Patients come to their beds an hour later. They are discharged on the same day. After the excessive facial sweating after sympathectomy with clip-on ETS, there may be an increase in the amount of sweating elsewhere in the body. It was determined that the reflex sweating rate after sympathectomy in excessive facial sweating was higher than after the excessive sweating operation in other regions. Reflex sweating is more likely to come out of areas such as chest, back, abdomen, hips, if there is a sweating area on the body before. In the current sweating in these areas, it is possible to increase the amount that is cut in excessive facial sweating. Most of these reflex sweatings decrease 3-4 months after the sympathectomy with clip-on ETS. However, the same amount of sweating can continue even in a small part of it. In this case, additional support sweating treatment methods are given. Contact us

  • Akciğer Enfeksiyonları Tedavisi Ankara | Prof. Dr. Serdar Han

    Lung Infections Requiring Surgical Treatment What is Lung Infection? As a result of the widespread use of advanced antibiotics according to culture results, the need for surgery has decreased a lot in lung infections. However, there is still a patient group that requires surgical treatment to get satisfactory results. It is necessary to detect lung infections well in the early period and prevent unnecessary drug treatment. What Are Lung Infections? What is Bronchiectasis? Bronchiectasis is the irreversible deterioration of the structure of the small airways. With this deterioration, patients often experience lung infections. During these diseases, they produce plenty of phlegm. Bleeding can be seen in the following periods. There are many reasons that can cause bronchiectasis. Care should be taken in presenting them. These patients go to chest diseases more frequently. Complaints are tried to be resolved with antibiotic treatments. However, some patients are suitable for surgical treatment. If surgical treatment can be applied to them at the appropriate time, patients can definitely get rid of unnecessarily long treatments and abundant sputum at once. For this reason, it will be in favor of the patients that these patients should be examined by thoracic surgeons. Not all patients are suitable for surgery. Certain criteria for us to perform surgery. Localized cystic bronchiectasis in a certain area is normal in other areas. What is Lung Abscess? Lung abscess is a pathological formation characterized by necrosis and suppuration and limited to fibrous tissue reaction, which occurs as a result of various etiological reasons and pathological processes in the lung parenchyma. Today, it is one of the diseases that can be easily solved with drug treatments. If complications due to lung abscess develop, then thoracic surgery may come into play. Recently, medical treatment alone is sufficient. What is Hydatid Cyst? Hydatid cyst is a parasitic disease. It is popularly known as cat-dog disease. It is generally seen in those who live in a farm environment in rural areas or those who have cats and dogs at home. In order to prevent all these, the most important preventive action to be taken is that the parasitic organs of the sick victims should not be given to cats and dogs and they should be buried in the deepest places. Hydatid cyst loves the liver the most. Then the lung is the most common place. There is no organ where the hydatid cyst does not settle, they can be seen everywhere. It continues to grow by reproducing where it is settled. It can reach the size of a huge balloon. They are detected incidentally or when they cannot fit and give symptoms after they grow. When detected in the lung, the only treatment for now is the surgical approach. If we only use medicine, the cyst will die, but the residue will remain inside. This will lead to problems that can be seen later in the lung. Of course, this body will have to be removed as well. Therefore, if a hydatid cyst is detected in the lung, it should be seen by a thoracic surgeon. After the surgery, preventive drug treatments are usually given so that new cysts do not appear. Contact us Lung Infections Short Facts What Causes Lung Infection? In lung infection, the virus or bacteria settles in the lung and progresses here. It is among the most common diseases in the winter months. The rate of transmission of the disease is also very high. It is transmitted to the people around by coughing. If the microbe that causes this disease is suspended in the air for a certain period of time, it increases the rate of transmission. In addition, those who come into contact with microbes that have descended to the surface can catch the disease. What Are the Symptoms of Lung Infection? There are some symptoms that occur with a lung infection. These symptoms are: ● high fever ● Sweating and weakness ● Persistent cough ● Difficulty in breathing ● expectoration ● Chest pain caused by coughing ● Change in heart rhythm ● Anorexia ● Joint pain in the body Lung Infection Treatment For the diagnosis of lung infection, the symptoms in the patient's history are taken into account. If infection is suspected, triggers such as chest X-ray and computed tomography can be applied. A treatment method is determined according to the factors causing the infection. Antibiotics and antiviral drugs can be used. When excessive fluid loss occurs, fluid supplementation with serum is applied. Oxygen support can be given in emergencies.

  • Aşırı Terleme Nedir? | Prof. Dr. Serdar Han

    What is Excessive Sweating? What Causes Excessive Sweating? Which Doctor to Go to for Excessive Sweating? Excessive sweating is the excessive sweating of the body, especially in the hands, armpits, face and feet, in the absence of any activity, temperature or stress environment. Excessive sweating can be commonly seen in the whole body. There may be excessive sweating regardless of summer and winter. Naturally, these sweating increases in the summer months. Excessive sweating can generally be divided into two groups. The first one is congenital with unknown cause or starting in childhood and increasing excessively during adolescence and youth. Familial incidence rates in individuals vary between 25 and 50%. The other group has an underlying disease that may cause excessive sweating. The sweating of these patients starts at an advanced age compared to the other group. The accompanying diseases are mainly; These are psychological problems such as diabetes, overworking of the goiter gland, obesity, hormonal disorders, chronic lung and heart diseases, certain drugs, infectious diseases and anxiety. Studies on excessive sweating date back to the 1850s. The fastest development has been with the development of endoscopic surgery in the 1990s. Nowadays, even some surgeons report the number of cases that they have operated more than 3000 in the world. It has become a safe operation anywhere. It started in the 1990s in our country and has gradually increased after the 2000s. Excessive Sweating General Questions: hand and foot sweating, what is the sign of, constant sweating, excessive sweating causes?, causes of sweating, causes of sweating a lot?, sweating a lot, sweating while sleeping, excessive sweating, sweating causes?, excessive sweating causes, sweating, sweating out of nowhere, sweating is it good? Contact us What is Excessive Sweating? Quick Facts Causes of Excessive Sweating This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors. Excessive Sweating Symptoms This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors. Excessive Sweating Treatment This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors.

  • ETS Endoskopik Torakal Sempatektomi | Prof. Dr. Serdar Han

    Clip-on ETS ( Endoscopic Thoracic Sympathectomy ) Clip-on ETS is the name given to the surgery method. Clip; is the name of the material used. Its quality is titanium. It does not cause any harm to the body. It does not cause a problem when you have a tomography or MRI. After the clips are put in, they do not move easily. ETS is the abbreviation of surgical method. Endoscopic Thoracic Sympathectomy (ETS) is a closed operation of the thoracic cavity sympathectomy. Sympathectomy has recently been performed with titanium clips. Sympathectomy is the operation of cutting, ligating or burning the sympathetic nerve. You just do it where you aim. So it only affects where you do it. It does not damage other parts. The reoperation of the clipped sympathetic nerve is below 10% after the clip is removed. It doesn't come back to its original state. It takes a long time. For this reason, patients who will have a sympathectomy should think carefully. Recycling does not meet expectations. Contact us

  • El Terlemesi Tedavisi | Prof. Dr. Serdar Han

    Excessive Hand Sweating What is Excessive Hand Sweating? What Causes Hand Sweating? The most common place in those with excessive sweating is the hands. Excessive sweating in the hands is evident and can disturb the person very much. People with excessive hand sweating try to hide it from the society, even from their closest ones, with their unique behaviors. Due to excessive hand sweating, both in social life and at work. they have significant difficulties in their life. He cannot shake hands, especially due to excessive hand sweating . There is a coldness in his communication with the other party. These excessive sweats Because of this, they enter into an antisocial structure. In addition, if they are at work or school, they can not write due to excessive sweating. This puts people in trouble and it is tiring. Apart from these, excessive hand sweating in daily activities also leaves people in difficult situations. These are the inability to hold the car steering wheel, the inability to hold a glass etc. as. As a result, excessive hand sweating is something that people do not want and get rid of as soon as possible. It is among the types of sweating he wants. Along with excessive sweating in the hand, in other parts of it There may also be excessive sweating. It is usually accompanied by excessive sweating on the feet. Other than that seats six, face or body in general is also excessive sweating. People with excessive sweating in several places usually highlight excessive sweating on the hand. With a careful history and examination, most people with excessive hand sweating will also notice excessive sweating elsewhere. In addition to these, patients with excessive hand sweating have cold hands. This cold happens in summer and winter. Although this coldness may be due to excessive hand sweating, it is mainly due to the sympathetic hyperactivity that causes excessive hand sweating, and after the constriction of the veins to the hand, coldness occurs as a result of less blood flow to the fingers. There are a wide variety of treatment options for excessive hand sweating. However, the method of sympathectomy, called clip-on ETS , is a permanent and high-success treatment method for sweating in the form of dripping water and leaving your hand traces. The success rate after the sympathectomy with clip-on ETS is close to 100%. With the sympathectomy performed with the clip-on ETS, both excessive sweating in the hand and coldness in the hand, if any, are eliminated. Sympathectomy with clip-on ETS is performed under general anesthesia. Sympathectomy can be performed for both hands in a total of 30 minutes. It takes one hour in total for the patient to come to bed. Most of our patients are discharged on the same day. It takes about 2-7 days for them to start work. The effect of the sympathectomy performed with the clip-on ETS can be seen from the moment he comes out of the surgery and goes to bed. This effect is no longer temporary and continues for many years. Some of our patients with excessive hand sweating who underwent sympathectomy with clip-on ETS may sweat once or several times in the first week, but this is a temporary sweating and does not occur in the following days. There are two issues that patients with excessive hand sweating should know after the clip-on ETS and sympathectomy procedure. The most important of these is that they will definitely get rid of excessive hand sweating and if any, hand cold will also pass. The other is the side effects related to the sympathectomy performed with the clip-on ETS. The first side effect of the sympathectomy procedure performed with the clip-on ETS is chest pain and stinging that started after the operation. It is stated that these complaints are a little more in the first awakening period from anesthesia. Some people complain of not being able to take a deep breath at that time. All this decreases significantly over the following hours. After the patients ate their meals 4 hours later, their complaints regressed significantly. Some of our patients state that the sympathectomy procedure performed with the clip-on ETS is not that painful. As a result, pain differs because it is a personal perception. Regardless, all pain complaints are resolved in patients who underwent sympathectomy with clip-on ETS. In some cases, these pains vary from person to person, ranging from 1 week to 1 month. However, these pains are not in a way that prevents work and movements. They get a lot of relief with medication. In addition, the patient is very happy when the excessive sweating of the hands, which he has suffered for many years, has passed. This happiness makes most patients forget their pain. Reflex sweating is another issue to be aware of in the clip-on ETS and sympathectomy for excessive hand sweating. After the sympathectomy with the clip-on ETS performed as a result of excessive sweating, the patients initially experience an increase in sweating in other parts of the body, such as the trunk, back, chest, hips, between the legs and folds of the patients. In the future, this reflex sweating decreases, although it varies from person to person. However, in some of the patients, this amount of sweating can continue. For now, it is not possible to know who will start this reflex sweating and in whom it will be permanent. As it is known, sweating is important for our body. For this reason, we do not stop all sweating with the clip-on ETS sympathectomy procedure. For this reason, the body will look for another area to sweat after the hands that have been sweating excessively for many years are cut with the clip-on ETS in as little as 30 minutes. He will want to take his deficit here from another region. Therefore, reflex sweating begins. However, reflex sweating returns to normal in most patients. Reflex sweating continues in a small amount and place where it does not want. In people who continue to have excessive sweating as a reflex, these excessive sweats are tried to be controlled with other alternative treatments. Contact us

  • Plevra Hastalıkları Nelerdir? | Prof. Dr. Serdar Han

    What is Pleural Disease? The pleura is the name of the pleura. There is an inner membrane covering one lung and an outer membrane covering the inner surface of the thorax outside the lung. Between these two membranes, there is a thin gap and a slippery liquid that allows them to move freely over each other. They allow the lungs to move freely. In addition, there is negative pressure between these two membranes for the lung to inflate and fall comfortably. There may be many disturbances between these membranes and both membranes. What are Pleural Diseases? How Is It Treated? What is a pneumothorax? ( Air Accumulation Between Two Dice ) The accumulation of air between the two membranes is called pneumothorax. The air accumulating in the middle prevents the lung from deflating and, together with it, the ventilation of that lung. It causes shortness of breath. Sudden chest pain occurs in some cases of pneumothorax. This means that the lung membranes are adhered to each other. Patients often go to the doctor because of this sudden and severe pain. No sound can be heard on that side in the X-ray and the lung that is listened to, and the lung cannot be seen on that side on the chest X-ray, it is easy to diagnose. Although the treatment is variable, it is often satisfactory. In other words, the amount of free air accumulating between the membranes can be different. If it is less, only observation and oxygen therapy can be done. In intermediate and advanced levels, chest tube is applied. Treatment should be provided in about 1 week with a chest tube. If sufficient success is not achieved, surgical treatments are applied with a videothoracoscopic approach. Pneumothorax disease is in the group of recurrent diseases. It is necessary to explain this well to the patients. The frequency of recurrence is significantly reduced in patients who have undergone surgery and bonding. If there is a cause of pneumothorax, it should be investigated. The most important examination for this is high resolution lung tomography. Pleural Effusion What? ( Fluid Accumulation Between Inner and Outer Membrane ) It is the accumulation of fluid between the leaves of the pleura (between the inner and outer membrane). This may be the fluid of a malignant cancer or it may be a benign fluid secondary to an infection. It appears as an indicator of the underlying disease. With the progression of the disease in the lung, fluid begins to accumulate between the lung membranes. There may also be diseases of the pleura itself. The most important problem here is the inability of the lungs to do their own work, that is, shortness of breath, due to the fluid accumulating here. For this reason, the amount of fluid that can cause problems here must be treated. First, medical treatments can be tried. These are methods such as diuretics, protein supplementation or hemodialysis. If sufficient success is not achieved with these, thoracic catheters are placed to drain the fluid. If there is fluid accumulation due to a malignant tumor, pleurodesis can be performed to prevent recurrence. What is Mesothelioma? ( Malignant Tumor of the Pulmonary Membrane ) mesothelioma; It is the name of the malignant tumor of the lung membrane. Unfortunately, it is one of the worst-progressing cancers. The reason is asbestos found in the region or in the working environment. Occurs after long-term exposure. This period is around 40 years on average. The process is short as it does not respond well to treatments. If the general condition of the patient is good, we see that the surgical procedure and drug treatments have recently had some satisfactory results. What is my empyema? ( Inflammation Accumulation Between Lung Membranes ) It is an accumulation of inflammation between the lung membranes. The only treatment for the accumulated inflammation is drainage and the use of appropriate antibiotics against the microbe that caused it. Today, the incidence of empyema has decreased significantly due to the use of broad-spectrum antibiotics suitable for infections in the early period. The first thing to do is to insert a chest tube, if appropriate. If adequate drainage cannot be achieved, the empyema must be evacuated surgically. What is Chylothorax? ( Accumulation of Lymph Fluid Between the Lung Membranes ) It is the accumulation of lymph fluid between the lung membranes. It can be seen after injury, during surgical interventions, or after spontaneous injury to the thoracic duct. The situation is different in chylothorax compared to other fluids. It may take time to close or recover. The first treatment approach is drainage, discontinuation of oral intake and intravenous nutrition. Most cases of chylothorax can be treated with this method. Surgical treatment is applied for those whose chylothorax persists for more than 1 week or if it is excessive from the beginning. The most important thing here is that the patient and the doctor patiently follow the treatment. One of the most important situations is to get everything that is sufficient in intravenous nutrition. That's why a dietitian is so important. Contact us Pleura (Lung Membrane) Disorders Pleural Effusion Symptoms Fluid buildup between the inner and outer membrane Infections viral infection bacterial infection fungal infection Lung cancer some drugs Pulmonary embolism (clogging of the vessels in the lungs due to a clot) rib fracture heart failures Pneumonia Complications from heart surgery kidney or liver disease Diffuse atelectasis (shrinking of the lung that has lost its function) Pulmonary hypertension pulmonary edema Pneumothorax Symptoms Air accumulation between two membranes Sudden onset of stabbing pain in the chest or below the scapula Chest tightness Sudden onset of shortness of breath, air hunger Feeling faint or confused Pneumothorax is a disease that develops suddenly and can be life-threatening in some cases. Symptoms of pneumothorax may be as follows: Mesothelioma Symptoms Malignant Tumor of the Lung Membrane Mesothelioma is a disease that usually presents with the accumulation of water in the chest cavity, and the most common complaints are pain and progressive shortness of breath. In addition, symptoms such as cough, bleeding from the mouth, weight loss, loss of appetite, fatigue, and weakness are also seen in patients. First of all, chest X-ray and tomography are taken, and although some typical findings can be detected, the standard method used for definitive diagnosis is biopsy. First, samples are taken from the fluid accumulated in the lung and sent to pathology for examination. If the diagnosis cannot be made with the result, pleural biopsy is performed. Biopsy can be done by needle or surgical method. It is also applied to the patient in examinations such as PET-CT, ultrasonography, MR to investigate the spread of cancer. Empyema Symptoms Inflammation Accumulation Between Lung Membranes It creates a picture of high fever, chest pain and cough in the patient. Fluid in the chest cavity can be visualized with radiological imaging. Inflammation (pus) can be seen on examination of the fluid. In the presence of empyema, it is necessary to drain the inflammatory fluid in addition to medical antibiotic therapy. Chylothorax Symptoms Accumulation of Lymph Fluid Between the Lung Membranes The most common complaint in chylothorax cases is shortness of breath, which is caused by the accumulation of lymphatic fluid in the intrapleural space. If the cases are not treated, primarily nutritional deficiency, fluid-electrolyte imbalance and immunodeficiency in the later period occur due to lymphatic fluid loss.

  • Hava Yolu Hastalıkları Nelerdir? | Prof. Dr. Serdar Han

    What are Airway Diseases? What is Tracheal Stenosis? (Main Airway Trachea) In the medical language, the patient has shortness of breath due to the decrease in the diameter of the trachea and/or the trachea. It can reach levels that affect the daily life of the patient. It usually occurs after a trauma, prolonged intubation or after an opened tracheostomy. It can be seen at almost every level. In general, subglottic constrictions are more common. The struggle with the contractions here is a little more difficult and long-lasting. The main treatment methods in contractions are dilatation. The (expansion) method is the surgical removal of the narrowed area or, if these are not possible, stent applications to keep the narrowing area wide. Recently, laser applications have also been made. What are Tracheal Tumors? They are rare tumors. Its treatment is surgery. Stents are used together with laser applications to keep the airway open in cases that cannot be treated surgically or that recur. What Are Bronchial Carcinomas? It is a disease of the smaller airways. It has two types. They are called typical and atypical. Type A is malignant. In both, surgical treatment is the main method. What is Tracheal Ostonemia? It is the name of the airway opened for patients who cannot breathe with their existing airways to breathe more easily. If the patient's condition improves later, this opened airway can be closed. The patient can breathe normally. Contact us Airway Diseases (Trachea) Short Facts Trachea Trachea Disorders Symptoms Trachea Trachea Disorders Treatment Bronchial Carcinoma Symptoms and Treatment What is Trachea Ostonemia Application?

  • Refleks Terleme Nedir? | Prof. Dr. Serdar Han

    Reflex Sweating What is Reflex Sweating? Why Does It Happen? Reflex sweating is the sweating of another place after sweating in one place has stopped. This is a physiological response of our body. It is a condition seen in patients with excessive hand, face and armpit sweating who underwent videothoracoscopic sympathectomy. We can control the regional points in those with excessive sweating, but we cannot control the whole body. People who sweat excessively will always sweat more than normal sweaters throughout their lives due to their structure and psychological state. Sweating patients should know this well. For this reason, with sympathectomy performed in excessive hand, armpit and facial sweating, these sweating will pass, but sweating in other places will continue. In fact, the sweats in the cut areas can be added to the sweats of other regions. If there is no sweating elsewhere, there may be new sweating areas. Reflex sweating starts in most of our patients after the operation. It is impossible for us to know for whom, how long, where and when it will last. We don't have tests or other helpers to discover this ahead of time. Reflex sweating is a condition that can vary according to each individual. However, it has been reported that reflex sweating is less in those who have performed the sympathectomy at a single level or in the sympathectomies performed for hand sweating. If the sympathectomy is performed at multiple levels or if it is a sympathectomy for facial sweating, reflex sweating may be slightly more. In addition, if a patient has sweating on the face, hands, armpits and feet and all of them have been treated with sympathectomy, reflex sweating is observed excessively. Or, if the patient already has excessive sweating on his chest, back, abdomen or legs in addition to regional sweating, the sweating in these areas will increase. These are conditions that should be well known and accepted by the patient. Recycling is even lower than mentioned. The patient should be clear and determined in the light of all this information in sweating surgery. This situation requires the patient not to regret. Contact us

  • Mediasten Hastalıkları Nelerdir? | Prof. Dr. Serdar Han

    What is Mediastinum? What are the diseases? The mediastinum or mediastinum is the part of the rib cage behind the lungs. The mediastinum is a cavity containing many organs and pathologies. Thymic pathology, germ cell neoplasms, neuroendocrine tumors, lymphomas, soft tissue tumors and metastatic tumors constitute the main pathology. It extends from the top of the thorax to the diaphragm. It includes the heart, great vessels of the heart, esophagus, trachea, phrenic nerve, cardiac nerve, thymus, and mediastinal lymph nodes. Unlike adults, children often have respiratory distress and recurrent lung infections. Pain and cough are the most common symptoms, and severe pain indicates an advanced and invasive disease. Recurrent pulmonary infections and hemoptysis due to airway compression, dysphagia due to esophageal compression, paralysis due to spinal column involvement, unilateral diaphragmatic elevation due to phrenic nerve damage, hoarseness due to recurrent laryngeal nerve involvement, Horner's syndrome due to sympathetic ganglion involvement and vena cava superior (VCS) ) compression-related VKS syndrome 3 (VCSS) are the compression symptoms that can be seen. As in thymoma, systemic findings of some mediastinal diseases can be detected. It consists of three main parts; Anterior mediastinum: (anterosuperior compartment or retrosternal space) It is located behind the sternum, in front of the pericardium. Thymus, extrapericardial aorta and its branches, great veins and lymphatic tissues are included in this section. Middle mediastinum: (visceral area) It is bounded anteriorly by the anterior pericardium, posteriorly by the posterior pericardium, the diaphragm, and the thoracic inlet. This section includes the heart, intrapericardial great vessel, pericardium, and trachea. Posterior mediastinum: It extends from the posterior margins of the pericardium to the posterior border of the vertebral bodies, from the 1st rib to the diaphragm. Esophagus, nervus vagus, thoracic duct, sympathetic chain and azygos vein system are included in this section. DIAGNOSTIC APPROACH: IMAGING - CT, MRI, Radionucleic study TISSUE SAMPLING - Mediastinoscopy, Thoracoscopy, Needle aspiration, open lung biopsy Barium X-ray - Hernia, Achalasia, Diverticulum •I-131- Intrathoracic goiter Contact us Mediastinal Diseases Short Facts Anterior Mediastinal Mass Thymoma: It is a tumor originating from epithelial cells of the thymus. It is the most common cause of primary mediastinal tumors and anterior mediastinal masses in adults. Thymic carcinoma: Thymic carcinomas are a heterogeneous group of epithelial tumors with early local invasion and distant metastasis potential. Thymic Carcinoid: Thymic carcinoid is a rare, aggressive tumor that typically affects men in the 4th and 5th decades (40-50 years) with neuroendocrine features. Lymphoma: Lymphoma accounts for 10-20% of all mediastinal tumors in adults and is the second most common cause of primary anterior mediastinal masses after thymoma. Germ cell tumors: They constitute 15% of anterior mediastinal tumors in adults and 24% in children. They can rarely be found in the posterior mediastinum. Thyroid and parathyroid tissue: Intrathoracic thyroid tissue is usually an extension of a cervical goiter but may rarely be found ectopically in the mediastinum. Intrathoracic goiter are cervico-thoracic masses that compress the trachea, usually on the right side. Radiologically, it contains lobulated, sharp-edged, cystic and hemorrhagic changes and areas of calcification. Patients may develop symptoms such as shortness of breath, stridor, wheezing, and dysphagia. ​ Middle Mediastinal Mass lymphadenopathy: Infectious (mycobacterial and fungal) and non-infectious granulomatous diseases (such as sarcoidosis and silicosis) may involve mediastinal lymph nodes. Vascular lesions: They constitute approximately 10% of all mediastinal masses and arise from arteries or veins of the systemic or pulmonary circulation. Posterior Mediastinal Mass Neurogenic tumors: Mediastinal tumors are usually located in the paravertebral area and neurogenic tumors are examined in three groups according to the structure they develop as peripheral nerve, sympathetic ganglion and paraganglion tumors. Mediastinal Cystic Lesions: Primary cysts of the mediastinum constitute 20% of all mediastinal lesions. This heterogeneous group includes pericardial cysts, bronchogenic cysts, enteric cysts, thymic cysts, and ductus thoracic cysts (43-47). Bronchogenic and enteric cysts are known together as enterogenic cysts. Mediastinitis: The term mediastinitis is used to express various infectious or inflammatory conditions in the mediastinum. Acute mediastinitis develops due to reasons such as esophageal or tracheobronchial perforation, penetrating chest trauma, postoperative sternal wound healing, paravertebral abscess or spread of oropharyngeal infection, RT, malignancy. Patients usually have a sudden onset of high fever, sweating, chest pain, dyspnea, and dysphagia. Pneumomediastinum: It occurs spontaneously or as a result of overstretching and rupture of the alveoli due to increased intrathoracic volume or pressure in conditions such as asthma, trauma, and mechanical ventilation.

  • Pektus Ekskavatum Vakum Tedavisi | Prof. Dr. Serdar Han

    Pektus Ekskavatum (Kunduracı Göğüs) Nedir? Göğüs duvarı şekil bozuklukları halk arasında yaygın olarak bilinmektedir. Genel olarak her 400 doğumdan birinde görülmektedir. En sık bilineni halk arasında da kunduracı göğüs denilen pektus ekskavatum deformitesidir. Diğer en sık görülen şekil bozukluğu yine halk arasında güvercin göğüsü denilen pektus karinatumdur. Bunların dışında da göğüs duvarı şekil bozuklukları vardır. Ama görülme sıklığı diğerlerine göre daha azdırlar. Bazen de göğüs ön duvarına ait şekil bozukluğuna , arkada vertebra (omurga) dediğimiz yapıların şekil bozuklukları da eşlik etmektedirler. Bunlar genelde ya skolyoz veya kifoz olarak adlandırılmaktadır. Göğüs duvarı şekil bozuklukları çoğunlukla doğumdan itibaren görülmektedirler ve zamanla ilerleme gösterirler. Bazen aileler bunu daha geç fark edebilirler. Bu şekil bozuklukları çoğunlukla hayatı olumsuz etkilemezler. Estetik olarak kötü gözükebilirler. Bazı durumlarda bu göğüs duvarı şekil bozukluklarına kalp ve akciğer bozuklukları da eşlik edebilir. Bu nedenle hastalar incelenirken mutlaka kalp ve akciğerlerinin de değerlendirilmesi gereklidir. Değerlendirme de omurgalar da dahil edilmelidir. Ailelerin en merak ettiği konu bu şekil bozukluklarının sağlığa bir zararı var mı? Veya ileride tehlikesi olabilir mi? Eğer çocukta aktif yaşamında arkadaşlarından geri kalan bir durumu yoksa, kalp ve akciğerde bir rahatsızlık tespit edilmemişse, bu şekil bozukluğunun sağlığa bir zararı yoktur diyebiliriz. Beraberinde omurga şekil bozukluğu varsa onun ilerlemesini artırabilir. Diğer bir deyişle omurgada ki eğrilik göğüs ön duvarında ki şekil bozukluğunu da olumsuz yönde etkileyebilir. Göğüs duvarı şekil bozukluklarında, erken yaşlarda anne ve babaları endişelendirir. Onların en büyük korkusu sağlığa zarar verip vermeyeceğidir. Yaş ilerledikçe görünüm nedeniyle çocuk rahatsız olmaya başlar. En büyük sorun onun için görüntüsüdür artık. Bu nedenle tedavisi için doktora başvuranların sayısı gün geçtikçe daha çok artmaktadır. Göğüs duvarı şekil bozukluklarında tedavi iki şekildedir. Bunlardan biri cerrahi tedavi, diğeri herhangi bir şey yapmadan gözlemlemek ve hastaya gerekli bilgiler vermektir. Cerrahi dışı olan hasta grubunda genelde şekil bozukluğu çok hafiftir. Cerrahi işlem yapmaya gerek yoktur. Bu durumu hastaya iyi anlatmak lazımdır. Ciddi boyutta ki şekil bozukluklarına cerrahi tedavi uygulamak uygundur. Her şekil bozukluğu olanın cerrahi anlamda tedavi olması sakıncalıdır. Hasta içinse sıkıntılıdır. Bu nedenle şekil bozukluğunu iyi değerlendirilmesi gereklidir. Cerrahi dışında şekil bozukluğunu düzeltmenin şu an için herhangi bir yolu yoktur. Ancak çalışmalar devam etmektedir. Şu an bilinen iki yöntem vardır. Uzun yıllar önce başlayan ve bu dönem içinde kendi yenileyen ravich yöntemi ( açık cerrahi), diğeri yaklaşık 10 yıldan beri bilinen son yıllarda sık uygulanan nuss yöntemidir (kapalı cerrahi). Bu iki yöntemin cerrahi başarı sonuçları birbirine çok yakındır. Temel farkı açık cerrahide bozuk olan kemik ve kıkırdakların cerrah tarafından şekil verilerek düzeltilmesi, buna karşın kapalı cerrahi de herhangi bir kemik veya kıkırdak rezeke edilmeden destek bir çubukla eğriliğin düzeltilmesi yöntemidir. Her ikisi de başarılı olarak yurdumuzda yaygın olarak uygulanmaktadır. Pektus Ekskavatum Tedavi Yöntemleri Nelerdir? Pectus Excavatum ( Shoemaker Chest ) Vacuum Treatment Vacuum Bell Yöntemi (Vakum Sistemi) Pektus Vakum Yöntemi Vacuum Bell Göğüs duvarı vantuz yaratarak uygulanan bir yöntemdir. Hasta el pompası sayesinde atmosferik basıncın %15 altına kadar vakum oluşturabilir. Hastanın yaşına göre farklı boyutları vardır. Vacuum Bell günde iki kez olmak sureti ile en az 30 dakika kullanılmalıdır. Azami olarak 1 saati aşmamalıdır. Vacuum Bell in tercih edildiği durumlar; - Hafif dereceli pektus ekskavatumu (kunduracı göğüs) olan hastalar, - Cerrahi tedaviden kaçan hastalar Vacuum Bell in uygulanmaması gereken durumlar; - İskelette sistemi bozuklukları, - Vaskülopatiler, koagulopatiler ve kardiak problemi olan hastalardır. Vacuum Bell uygulama sırasında görülebilecek sıkıntılar; - Ciltaltı kanama, - Noktasal kanamalar, - Sırt ağrısı, - Kollarda geçici uyuşma hissidir. Sonuç olarak vacuum bell bazı pektus ekskavatumlu (kunduracı göğüs) hastaların cerrahiye gereksinim duymadan tedavisini sağlayabilir. En iyi sonuçlar simetrik ve hafifi dereceli olan pektus ekskavatumlulardır (kunduracı göğüs).

  • İLETİŞİM | Prof. Dr. Serdar Han

    Prof. Dr. Serdar Han Clinic Ankara Contact us Prof. Dr. Serdar Han Ankara Private Practice Contact Information GSM: 05055273464 Phone: 03122848833 Ankara Etlik City Hospital Chest, Cardiovascular Diseases Hospital Asset, Halil Sezai Erkut Cd. No:5, Yenimahalle/Ankara

  • Sık Sorulan Sorular | Prof. Dr. Serdar Han

    Home SAYFA BAŞI What is Thoracic Surgery? What are Chest Diseases? What is Excessive Sweating? ANASAYFA

Ankara Etlik City Hospital Chest, Cardiovascular Diseases Hospital

Varlık, Halil Sezai Erkut Cd. No:5, Yenimahalle/Ankara

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  • Prof. Dr. Serdar Han
  • Prof. Dr. Serdar Han
  • Prof. Dr. Serdar Han
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