ENT Doctor in Istanbul

29/10/2025

Cribriform Plate Fracture After Head Trauma: Symptoms, CT Findings, and Treatment Options

https://www.ent-istanbul.com/2025/07/traumatic-cribriform-plate-fracture.html



A cribriform plate fracture is a rare but serious complication of head trauma, often involving the delicate bone between the nasal cavity and the brain. This fracture can disrupt the barrier between the sinuses and cranial cavity, leading to cerebrospinal fluid (CSF) leaks and an increased risk of meningitis.

Symptoms of a cribriform plate fracture may include clear nasal discharge (CSF rhinorrhea), periorbital bruising, anosmia (loss of smell), and headache. Some patients may also experience visual disturbances or neurological symptoms if associated brain injury occurs.

CT findings typically reveal linear or comminuted fractures along the ethmoid roof, pneumocephalus (air within the cranial cavity), and sinus opacification. High-resolution CT imaging of the skull base is the gold standard for diagnosis.

Treatment options depend on the severity of the fracture and the presence of CSF leak. Minor leaks may resolve with conservative management such as bed rest and head elevation, while persistent leaks or large defects often require surgical repair, commonly via endoscopic endonasal approaches.

Traumatic cribriform plate fracture: a detailed guide with symptoms, diagnosis, differential diagnosis, and operative techniques.

24/10/2025

✨ Natural-Looking Female Rhinoplasty ✨
Our goal in rhinoplasty is always to enhance—not change—your natural beauty. This patient wanted a softer, more harmonious profile while preserving her individual facial character. Through careful analysis and precise surgical planning, a balanced, natural, and feminine result was achieved.

https://www.ent-istanbul.com/2018/04/natural-rhinoplasty-in-istanbul-turkey.html

24/10/2025

✨ Natural-Looking Female Rhinoplasty ✨
Our goal in rhinoplasty is always to enhance—not change—your natural beauty. This patient wanted a softer, more harmonious profile while preserving her individual facial character. Through careful analysis and precise surgical planning, a balanced, natural, and feminine result was achieved.

https://www.ent-istanbul.com/2018/04/natural-rhinoplasty-in-istanbul-turkey.html

12/10/2025

Nasal Herpes Simplex Infection: A Rare Pathway From Skin Lesion to Brain Involvement



https://www.ent-istanbul.com/2025/10/nasal-herpes-simplex-brain-intracranial-infection.html

Did you know a simple cold sore on the nose can, in rare cases, spread to the brain? Nasal herpes simplex (HSV-1) infections are usually mild, but in exceptional situations, the virus can travel along nerve pathways, leading to serious complications like encephalitis or meningitis. Early recognition and prompt antiviral treatment are key to preventing severe outcomes.

28/09/2025

https://www.ent-istanbul.com/2025/06/nasal-hyperventilation-with-nasal-valve.html

27/09/2025

Airplane Ear - Eardrum Barotrauma During The Air Travel

https://www.ent-istanbul.com/2023/02/airplane-ear-eardrum-trauma-during-air-travel.html

Airplane ear, also known as eardrum barotrauma, occurs when rapid changes in cabin pressure during air travel cause discomfort, pain, or even temporary hearing loss. It happens because the Eustachian tube cannot equalize the pressure between the middle ear and the environment.

26/09/2025

https://www.ent-istanbul.com/2025/09/overimplantation-and-nasal-congestion.html

Discussion on graft size and placement in Empty Nose Syndrome implantation, focusing on surgical approaches and patient outcomes.

26/09/2025

Submucosal Temporalis Fascia Implantation (Inferior Meatus Augmentation Procedure (IMAP) - Nasal Floor Implantation and Lateral Nasal Wall Temporalis Fascia Implantation

https://www.ent-istanbul.com/2025/09/overimplantation-and-nasal-congestion.html
https://www.ent-istanbul.com/2021/10/nferior-meatus-augmentation.html

The image above shows an intranasal endoscopic examination of a patient who presented with complaints of a feeling of cold air, crusting, dryness, and bleeding within the nose after a previous rhinoplasty performed at a different clinic. The patient's left inferior turbinate was completely resected, and this area was significantly enlarged. A dry and red area is visible in the anterior portion of the middle turbinate due to rapid air exposure (green arrow). The nasal mucosa is unhealthy, bleeding, and crusty. The patient's left nasal cavity became abnormally wide. A temporalis fascia graft, taken from the temporal region on both sides, was placed submucosally in several layers to the left nasal floor (yellow arrow) and the lateral nasal wall (blue arrow). A silicone splint was removed after a week of use. Even after just one week, the nasal mucosa appeared healthier and pinker, the dry, reddened area in the middle turbinate mucosa had completely disappeared, and the nasal passage was narrowed.

15/09/2025

The Paradox Between Turbinate Volume and Complaint Severity in Patients with "Empty Nose Syndrome - ENS"

https://www.ent-istanbul.com/2025/09/the-paradox-between-turbinate-volume-empty-nose-ens.html

In some patients with Empty Nose Syndrome (ENS), turbinate volume may appear large, yet their symptoms are more severe. This paradox highlights that turbinate size alone does not determine nasal function. Mucosal health, airflow dynamics, and sensory feedback are equally important in understanding patient complaints.

14/09/2025

A nasal septum deviation occurs when the thin wall (septum) between your nasal passages is displaced to one side. This condition is common, affecting approximately 70–80% of people, often without noticeable symptoms. However, when the deviation is significant, it can lead to nasal congestion, breathing difficulties, frequent sinus infections, snoring, and even headaches. In some cases, the septum may form a bony prominence known as a nasal septal spur, which can exacerbate these issues by causing pressure on the nasal mucosa.

The primary treatment for a deviated septum is septoplasty, a surgical procedure that straightens the septum to improve airflow and alleviate symptoms. This surgery is typically recommended when conservative treatments, such as nasal sprays or antihistamines, fail to provide relief. In cases where a septal spur is present, it is often removed during the same surgical procedure to enhance the outcome.

If you're experiencing persistent nasal congestion, difficulty breathing through your nose, or frequent sinus infections, it's advisable to consult with an ENT specialist. They can assess your condition and determine if septoplasty or other treatments are appropriate for you.

For more detailed information, visit the original article: Nasal Septum Deviation - Symptoms, Diagnosis, and Treatment https://www.ent-istanbul.com/2018/04/nasal-septum-deviation.html

11/09/2025

We Injected 6 + 12 ml of PRP into the Turbinates of a Patient with Empty Nose Syndrome Symptoms

https://www.ent-istanbul.com/2025/05/we-applied-prp-injection-for-empty-nose.html



In this case of Empty Nose Syndrome (ENS), a total of 24 ml of autologous Platelet-Rich Plasma (PRP) was injected into the inferior turbinates — 6 ml into the right inferior turbinate and 6 + 12 ml into the left inferior turbinate. PRP provides growth factors that support mucosal regeneration, improve nasal airflow sensation, and may reduce dryness-related symptoms. This regenerative approach offers a biological alternative to filler injections, with the advantage of using the patient’s own blood.

Empty Nose Syndrome Atrophic Rhinitis and Empty Nose Syndrome Атрофический Ринит и СПН Nasal Cripple - Empty Nose Syndrome

26/07/2025

https://www.ent-istanbul.com/2025/07/rhinoplasty-recovery-guide-52-protective-mask.html

Discover how protective masks can support healing and shield your nose after rhinoplasty surgery.