GÝRÝÞ ve AMAÇ: Çalýþmada akut pankreatit tanýsýyla servisimizde takip edilen hastalarýn demografik özelliklerini, hastalýðýn etiyolojisini ve tedavi sonuçlarýný irdeledik.
YÖNTEM ve GEREÇLER: Akut pankreatit tanýsýyla takip edilen 110 hastanýn demografik özellikleri, hastalýðýn þiddeti, tedavi yöntemleri ve komplikasyonlarý hasta dosyalarýndan retrospektif olarak incelendi.
BULGULAR: Akut pankreatit tanýsýyla takip edilen hastalarýn ortalama yaþý 60.3 olup, 43’ü erkek, 67'si de kadýn idi. Akut pankreatitin etiyolojik sebebi; hastalarýn 89'unda safra taþý, 5’inde hiperlipidemi ve 16’sýnda idiyopatik idi. Biliyer pankreatitli 89 hastanýn, þiddetli pankreatit geçiren 2’sine endoskopik retrograd kolanjiyo pankreatografi (ERCP) uygulandý. Biliyer pankreatitli hastalarýn tümüne akut pankreatitin yatýþmasý sonrasý kolesistektomi yapýldý. Ortalama hastanede yatýþ süresi 5.31 (1-18) gün idi.
TARTIÞMA ve SONUÇ: Þiddetli akut pankreatit, ölümcül seyredebilen bir hastalýktýr. Akut pankreatitin etiyolojisinde en sýk biliyer sebepler rol oynamaktadýr. Biliyer pankreatitli hastalarýn ilk basamak tedavisi medikaldir. Pankreatit ataðý geçtikten sonra biliyer kaynaklýlarda kolesistektomi planlanmalýdýr. Klinik kötüleþme veya kolanjit varlýðýnda ERCP faydalý bir tedavi yöntemidir, 2 olguda uygulanmýþtýr. ERCP planlanmasýnda seçici ve konservatif davranýlmasý gerektiðini düþünmekteyiz.

INTRODUCTION: In this study it was evaluated the demografic features, etiological factors and the management of acute pancreatitis.
METHODS: 110 patients hospitalized due to acute pancreatitis were retrospectively examined. The data of gender, disease severity, treatment options and complications were analysed.
RESULTS: The mean age of patients were 60.3 (43 men and 67 women). The causes of acute pancreatitis were as follows: gallbladder stone was 89, hyperlipidemia was 5 and idiopathic was 16 patients. Severe pancreatitis was developed in 2 patients in the biliary pancreatitis group and ERCP was performed. Cholecystectomy was performed to all biliary pancreatitis group patients after acute pancreatitis subside. The mean hospital stay period was 5.31 (1-18) day.
DISCUSSION AND CONCLUSION: Severe acute pancreatitis is a mortal disease. The most common etiological cause of acute pancreatitis is biliary origin. The first line treatment modality of acute pancreatitis is medical. Cholecystectomy should be planned to the all biliary caused acute pancreatitis patients after the attack subside. ERCP is a useful treatment modality in the case of clinical worsening and suspicion of acute cholangitis. ERCP procedure used 2 patients in our series. We suppose that ERCP procedure should be planned selectively and conservatively.

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Bu yayýnda üç farklý merkezde 2000-2004 yýllarý arasýnd açýk karpal tünel dekompresyon operasyonu modifiye edilerek klasik el bileði çizgisini geçmeden mini insizyon kullanýlarak yapýldýðý çalýþma serisi sunulmuþtur. Tüm vakalarda el bileði bölgesel anestezisi kullanýlmýþtýr. Yaþ ortalamasý 41 (22-54) olan; 52 hastanýn (26 kadýn, 6 erkek) 62 adet el bileðine; el bileði bölgesel anestezisi altýnda ve pnömatik turnike kullanýlarak 2-2.5 cm’lik el ayasýndan yapýlan insizyon ile girilmiþtir. Direkt görüþ altýnda ligamanýn distal kýsmý kesilmiþtir. Ligamanýn proksimal kýsmý ve antebrakial fasya derin palmar apanevroz, subkutan yað dokusundan ayrýldýktan sonra künt bir makas kullanýlarak gevþetilmiþtir. Karpal tünelin gevþetilmesini takiben katlar kapatýlmýþ ve kompresif bandaj uygulanmýþtýr. Ayný gün kompresif bandaj çözülmüþ; günlük aktivitelere izin verilmiþtir. Ameliyat sonrasý 16-26 ay (ortalama 21 ay) takiplerinde tekrarlayan þikayetlerinin olmadýðý hastalarýn yöntemden memnun kaldýðý tespit edilmiþtir. El bileði anestezisi ve minimal insizyon ile karpal tünel gevþetme operasyonlarý hastanede kalýþ periyodu kýsaltýlarak, güvenli þekilde karpal tünel gevþetme olanaðý saðlayan hasta konforunu artýran bir yöntemdir.

With this paper, we presented our study series on modified open carpal tunnel decompression operation with mini incision, not crossing the wrist line, performed in three centers between 2000-2004. Regional wrist anesthesia was used in all patients. The operation was carried out via a 2-2.5 cm incision made on the palm in 62 wrists of 52 patients (46 females and 6 males), with a mean age of 41 years (22-54 years), under regional wrist anesthesia and using pneumatic tourniquet. Under direct sight, distal portion of the ligament was sectioned. Proximal portion of the ligament and the antebrachial fascia were released by a blunt dissection once they were separated from the palmar aponeurosis and the subcutaneous adipose tissue. Following the decompression of the carpal tunnel, the layers were closed and compression bandage was applied. Compression bandage was removed on the same day and patients were allowed for daily activities. During postoperative follow-up visits (Mean: 21 months, range: 16-26 months) none of the patients reported recurrence of complaints and all were satisfied with the technique. Carpal tunnel decompression with mini incision and wrist anesthesia is a method that provides safe release of the median nerve, shortens hospitalization period and increases patient comfort.

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GÝRÝÞ ve AMAÇ: Osteoporoz (OP) hastalarýnda kýrýðýn yaþam kalitesine etkisini, kýrýk ile iliþkili faktörleri araþtýrmak ve kýrýðý olmayan osteoporoz hastalarýyla karþýlaþtýrmak.
YÖNTEM ve GEREÇLER: Çalýþmaya Saðlýk Bakanlýðý Göztepe Eðitim ve Araþtýrma Hastanesi Fizik Tedavi ve Rehabilitasyon polikliniðine baþvuran ve osteoporoz tanýsý alan 106 kadýn, 9 erkek toplam115 hasta alýndý. Hastalar vertebra kýrýðý olan, kalça kýrýðý olan ve kýrýðý olmayan olmak üzere üç gruba ayrýldý. Hastalar sosyodemografik özellikler ve risk faktörlerini içeren soru formu ve Avrupa Osteoporoz Derneði Yaþam Kalitesi Anketi (QUALEFFO-41) yaþam kalitesi soru formlarýný cevaplandýrdý. Kemik mineral yoðunluðu (KMY) dual enerji x-ray absorbsiyometri (DEXA) ölçümüyle belirlendi. Vertebra kýrýðýný belirlemek için Genant yöntemi kullanýldý. Hasta gruplarýnýn risk faktörleri ve yaþam kalitesi skorlarý karþýlaþtýrýldý.
BULGULAR: 115 hastanýn yaþ ortalamasý 68.32±8.91 olup kýrýðý olmayan grubun yaþ ortalamasý diðer gruplardan anlamlý düþüktü (p<0.05). Hastalarýn boy, kilo, vücut kitle indeksleri (VKÝ), yaþam tarzý ile ilgili faktörler (besinle kalsiyum alýmý, sigara kullanýmý, alkol ve kahve tüketimi, fiziksel aktivite, güneþlenme durumu, giyim þekli) menopoz yaþý, menarþ yaþý, menopoz tipi, ailede kýrýk, vertebra ve kalça dýþý kýrýk varlýðý arasýnda anlamlý farklýlýk yoktu (p>0.05). kýrýðý olan gruplarýn menopoz süresi daha uzundu (p<0.05). Kalça kýrýðý olan grupta düþme ile ilgili risk faktörleri anlamlý yüksekti. Lomber bölgeden ölçülen kemik mineral yoðunluðu (KMY) ve T-skorlarý vertebra kýrýðý grubunda kýrýksýz gruptan, femur total T-skoru ve KMY kýrýðý olan gruplarýn kýrýksýz gruptan anlamlý düþüktü (p<0.05). QUALEFFO-41 yaþam kalitesi aðrý, fiziksel fonsiyon, sosyal fonksiyon ve total skorlarý kýrýðý olan gruplarda anlamlý yüksekti yani daha kötü bir yaþam kalitesini göstermekteydi (p<0.05).
TARTIÞMA ve SONUÇ: Ýleri yaþ, menopoz süresinin uzun olmasý, KMY deðerlerinin düþük olmasý osteoporoza baðlý kýrýk riskini artýrmaktadýr. OP hastalarýnda kýrýk varlýðý yaþam kalitesini düþürmektedir. Yapýlan çalýþmalarla kýrýk risk faktörlerinin iyi aydýnlatýlmasý ile bu kiþisel, sosyal ve ekonomik problemin önüne geçilebileceði düþünmekteyiz.

INTRODUCTION: The aims of this study were to asses the impact of fracture on quality of life in osteoporosis patients, factors related with fractures and compare them with osteoporosis patients without fracture.
METHODS: 115 (106 women, 9 men) osteoporosis patients who came to Ministry of Health Göztepe Education and Research Hospital Physical Medicine and Rehabilitation Department out-patient clinic were included in the study. Patients were divided into three groups as; vertebral fracture group, hip fracture group and no fracture group. Patients answered questions in forms that includes sociodemographic properties, risk factors, QUALEFFO-41 quality of life scale. Bone mineral density was measured by dual x-ray absorbsiometry and vertebral fractures were detected by Genant method.
RESULTS: Age of these 115 patients were changing between 49 and 90 with average of 68.32±8.91. Mean age of patients without fractre was significantly lower than other groups. There was no significant difference between groups about height, weight, body mass index, life style ( nutritional calcium intake, cigarette smoking, coffee and alcohol use, physical activity, sun exposure, wearing style), menopause age, menopause type, menarche age, familiy history of fracture, previous non vertebral and nonhip fractures but menopause duration was higher in patients with fracture. Parity of hip fracture group was lower than other groups. Risk factors related with falls were significantly higher in hip fracture group. Bone mineral density and T-scores of lomber region in vertebral fracture group were significantly lower than no fracture group and femur total BMD and T-scores of vertebra and hip fracture groups were significantly lower than no fracture group. QUALEFFO-41 pain, physical function, social function and total scores were significantly higher in vertebra and hip fracture groups meaning worse quality of life.
DISCUSSION AND CONCLUSION: It was detected that older age, long duration of menopause and lower BMD were related with fractures. Fractures decreases quality of life in osteoporosis patients. We think that detection of factors related with fractures in studies could achieve this personal, social and economic problem.

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GÝRÝÞ ve AMAÇ: Günlük pratikte semptomatik ve/veya yüksek glisemili (kapiller glisemi düzeyi > 250 mg/dL) tüm diyabetli hastalarda kan keton düzeylerinin ölçülmesi gerektiði bildirilmektedir. Bununla birlikte tip 2 diyabetli hastalarda ketoneminin önemi hakkýnda az þey bilinmektedir. Bu çalýþmada yüksek glisemili tip 2 diyabetli hastalarda asemptomatik ketonemi ve ketonüri sýklýðýnýnýn araþtýrýlmasý amaçlanmýþtýr.
YÖNTEM ve GEREÇLER: Çalýþmaya ardýþýk olarak alýnan 441 tip 2 diyabetli hastanýn (301 kadýn, 140 erkek, ortalama yaþ: 55.6±10.2 yýl, ortalama diyabet süresi: 6.98±6.74, ortalama A1c: 8.55±2.34) açlýk kapiller kan glukozu (KKG) ve kapiller keton düzeyleri (beta-hidroksibütirat) ölçüldü, idrarda keton varlýðý belirlendi. Hastalar KKG ≤250 mg/dL ve KKG >250 mg/dL olan 2 gruba ayrýldý. Gruplar ketonemi ve ketonüri sýklýðýna ve diðer klinik özelliklerine göre karþýlaþtýrýldý. Kan keton düzeylerinin >0.5 mmol/L bulunmasý ketonemi için pozitif olarak kabul edildi.
BULGULAR: Asemptomatik ketonemi ve ketonüri sýklýðý sýrasýyla % 1.8 ve % 3.4 idi. KKG >250 mg/dL olan grupta ketonemi, ketonüri sýklýðý ve ortalama keton düzeyleri KKG ≤250 mg/dL olan gruba göre yüksek bulundu (sýrasýyla % 5.7’ye karþýlýk % 0.6, p<0.01, % 10.4’e karþýlýk % 1.2, p<0.01 ve 0.22±0.24 mmol/L’ye karþýlýk 0.17±0.08 mmol/L, p<0.05). Ketonemi trigliserit (r=0.102, p=0.033) ve bel çevresi (r=0.096, p=0.043) ile pozitif korelasyon gösterdi.
TARTIÞMA ve SONUÇ: Bu çalýþmada yüksek glisemili tip 2 diyabetik hastalarýn asemptomatik dahi olsalar ketonemi için rutin tetkik edilmeleri gerektiði klinik olarak anlamlý bulunmuþtur.

INTRODUCTION: In ambulatory practice measurement of blood ketone bodies is indicated in all diabetic patients, especially in cases of symptomatic and/or unusual hyperglycemia (capillary blood glucose (CBG) > 250 mg/dl). However, little is known about ketonemia in type 2 diabetes. The aim of the present study was to assess prevalence of asymptomatic ketonemia and ketonuria in patients with hyperglycemic type 2 diabetic.
METHODS: Fasting capillary blood glucose (CBG) and capillary ketone levels (beta-hydroxybutyrate) of 441 patients with Type 2 diabetes (female, 301; male 140; mean age, 55.6±10.2 years), who were consecutively enrolled in the study, were measured, and presence of ketone in urine was determined. Patients were divided into two groups; CBG ≤250 mg/dL and CBG >250 mg/dL. The prevalence of ketonemia and ketonuria and other clinical parameters were compared in two groups. A blood ketone level of >0.5 mmol/L was considered as positive ketonemia.
RESULTS: Prevalence of asymptomatic ketonemia and ketonuria was 1.8 % and 3.4 %, respectively. In group with CBG >250 mg/dL, the prevalence of ketonemia and ketonuria and mean ketone levels were higher than in group with CBG ≤250 mg/dL (5.7 % vs. 0.6 %, p<0.01; 10.4 % vs. 1.2 %, p<0.01 and 0.22±0.24 mmol/L vs. 0.17±0.08 mmol/L, p<0.05, respectively). Ketonemia was positively correlated with triglyceride levels (r=0.102, p=0.033) and waist circumference (r=0.096, p=0.043).
DISCUSSION AND CONCLUSION: Routine monitoring of ketonomia is clinically significant in type 2 diabetic patients with hyperglycemia, even if they are asymptomatic.

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Epilepsi, emosyonel ve psikososyal olarak hasta ve yakýnlarýnýn yaþamýný etkileyebilen týbbi bir sorundur. Epilepsili bireylerde nöbetlere baðlý kazalar, fiziksel hastalýklarda artýþ, anksiyete, depresyon gibi psikolojik sorunlar, hastalarda benlik saygýsýnda azalma, ümitsizlik, saldýrganlýk, cinsel sorunlar, eðitimsel baþarýda azalma, iþsizlik ve yaþam kalitelerinin azalmasýna neden olabilmektedir. Epilepsili hastalar, yakýnlarýnýn hastalýk üzerine daha çok odaklanmalarý nedeni ile yoðun stres yaþayabilmektedirler. Bundan dolayý epilepsi hastalýðýnýn yönetiminde hastanýn yaþamýnýn psikososyal, emosyonel yönlerinin düþünülmesi gerekir.

Epilepsy is a medical problem effecting life of patient and families as emotional and psychosocial. Accidents relating seizures, increasing of physical diseases, psychological problems such as anxiety, depression in epilepsy patients may cause to decreasing of self-esteem, desperation, aggression, sexual problems, decreasing of educational success, unemployment and decreasing of life quality. Patients with epilepsy may experience intensive stress because their family focus on disease. Therefore, in management of epilepsy diseases should be considered life of patients in terms of psychosocial and emotional.

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Bu çalýþmada, ÝÜ. CTF. Psikiyatri Polikliniði’nde Bipolar Bozukluk tanýsý koyularak uygun ilaç tedavisine baþlanan 60 yaþýndaki kadýn hastada geliþen metabolik bozukluklar ve yapýlan tedavi yaklaþýmlarý irdelenmiþtir. Hastamýzýn 4 yýldan bu yana kullanmakta olduðu sodyum (Na) valproat tedavisine 2.5 ay önce olanzapine eklenmesiyle vücut aðýrlýðýnda 5 kg’lýk ani artýþ olur. Ancak, þiddetli tatlý yeme isteði, gece yemeleri ve aktivite azlýðý nedenleri ile diyete uymada ve kilo vermede baþarýsýz olur ve kendiliðinden diyet tedavisini býrakýr. Hastamýz, ilk baþvurusundan yaklaþýk 2.5 yýl kadar sonra zayýflamak için tekrar diyetisyene baþvurduðunda, aðýrlýðýnda 17.5 kg artýþ olduðu, biyokimyasal testlerden glukoz, HbA1c, homosistein düzeylerinin referans deðerlerden daha yüksek; çinko ve bakýr düzeylerinin ise daha düþük olduðu bulunmuþtur. Yapýlan endokrin deðerlendirme sonucunda OGGT ile IGT saptanarak tedaviye metformin eklenmiþ ve antipsikotik olanzapin yerine quetiapine baþlanmýþtýr. Düþük kalorili uygun diyetle birlikte aktivite artýþý önerilmiþtir. Hastamýzýn vücut analizinde saptanan yað oranýnýn (% 52.9), beklenilenin (% 35.0) çok üzerinde olmasý nedeniyle karnitin eksikliði geliþmiþ olabileceði düþünülerek tedaviye L-carnitine (1 g/gün) eklenmiþtir. Halen kontrolleri devam etmekte olan hastamýz baþlangýca göre aðýrlýðýnýn % 13.3’ünü kaybetmiþ, vücut yaðý ise % 7.7 azalmýþtýr. Baþlangýca göre kan þekeri, HbA1C ve HOM düzeyleri tedavi sürecinde iyileþme göstererek normal sýnýrlara ulaþmýþtýr.

In this study, metabolic disturbances developed in a 60 years old female patient having bipolar disorder whose treatment has been going on and treatment approaches were outlined. There was a sharp increase in her weight (+5 kg) after adding olanzapine 2.5 months before who has still been taking sodium (Na) valproate treatment. But, she failed to accordance with diet and to loose weight because of carbohydrate craving, night eatings and low activity level. Than she gave up dieting. After 2.5 years from the first consult, she applied to dietitian again to loose weight. This time, her weight was 100 kg (+17.5 kg), and in biochemical tests, glucose, HbA1c and homocystein levels were higher than reference values, but zinc and copper levels were lower. According to endocrinologic evaluation IGT was detected with OGTT and so metformin was added to treatment and quetiapine replaced to antipsychotic olanzapine. Determined body fat percent at second consult (% 52.9) was too higher than expected (% 35.0). It was thought that carnitine deficiency might be the cause. So, L-carnitine (1 mg/day) was added to treatment. Our patient, whose follow up period has been going on loosed % 13.3 of her weight and % 7.7 of her body fat than values determined at the beginning. Blood sugar, HbA1c and HOM levels improved at treatment period and reached to normal levels.

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Herediter anjioödem (HAÖ) C1 esteraz inhibitörü eksikliðine baðlý geliþen, ekstremiteler, yüz, gövde, nefes borusu ve iç organlarda tekrarlatýcý ödem ile kendini gösteren otozomal dominant kalýtýlan bir hastalýktýr. En sýk üst ekstremiteler ve orofarinks, daha az sýklýkla gövde ve alt ekstremiteler tutulur. HAÖ’e baðlý mortalitenin ana nedeni larinks ödemidir. Hormonal deðiþiklikler HAÖ’de rol oynarken ataklarýn yaklaþýk yarýsýna travma yol açar. Tedavide androjen steroidler, taze donmuþ plazma, C1 inhibitör konsantreleri kullanýlýr.

Hereditary angioedema (HAE) is due to deficiency of C1 esterase inhibitor, inherited as an autosomal dominant trait, manisfested by attacks of swelling of the extremities, face, trunk, airway and abdominal viscera. The angioedema of HAE most often involves the upper extremities and oropharyx. The trunk and lower extremities are less often involved. Laryngeal edema is the major source of HAE related mortality. Hormonal fluctiations play a role in HAE and travma precipitates about half of the attacks. Androgen steriods, fresh frozen plasma, C1 inhibitor concentrates are used in treatment.

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Böbrek transplantasyonunun yaygýnlaþmasý, çocuk ve genç yaþtaki hastalara da baþarýlý böbrek transplant uygulamalarý sonrasýnda, fertil yaþtaki transplante hasta grubunda gebelik istekleri de ön plana çýkmýþtýr. Bu bildiride 35 yaþýnda, 6 yýldýr donör transplant böbreði taþýyan ve daha önce 2 kez ikinci trimester düþük yapmýþ, yaþayan çocuðu olmayan bir gebe hasta sunulmaktadýr. 37. gebelik haftasýnda yapýlan sectio sonrasýnda 2500 gram doðan canlý erkek bebekte herhangi bir konjenital anomali saptanmamýþtýr. Transplante bir hastanýn obstetrik açýdan yönetimini ele alarak multidisipliner yaklaþým gerektiren bu konuyu tartýþmayý amaçladýk.

Widespread use of renal transplantation, and successful kidney transplant practices in young patients and children, has highlighted the demands of pregnancy in transplanted patients who are in the fertile age group. In this paper, a 35 years old pregnant women who had two consecutive second trimester abortion previously, without a living children, carrying donor transplant kidney for six years is presented. At the 37th gestational week of the pregnancy, delivery of a live 2500 g male infant was performed via ceserean section. No congenital anomalies were detected. We aimed to discuss this issue which requires a multidisciplinary approach by emphasizing obstetric management of a transplanted patient.

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Tularemi Kulak Burun ve Boðaz (KBB) kliniklerinde nadir olarak görülen bir zoonozdur ve çeþitli formlarý mevcutdur; ülseroglandüler, orofarengeal, pnömotik ve septik form. Farklý bulaþ yollarý mevcut olan bu hastalýk baþlýca kemiricilerin ýsýrmasý, kontamine et, su ile ve inhalasyon ile bulaþmaktadýr.
Biz bu çalýþmamýzda, boyunda kitle ve boðaz aðrýsý þikayetleri olan, aldýðý çeþitli antibiyoterapilere raðmen þikayetleri geçmeyen ve kontamine su tüketim hikayesi mevcut olan bir tularemi olgusunun medikal tedaviye yanýtsýzlýðýný ve cerrahi tedavi sonuçlarýný sunacaðýz.

Tularemia is a rarely encountered zoonotic disease in otololarygologic daily practice. The disease may present with ulceroglandular, oropharyngeal, pneumatic and septic forms. Although there are many contagion ways the common infection sources are rodent bits, contagionous water, meat, and inhalation.
In this paper, we report a tularemia case and surgical outcomes of a patient who represents with neck mass and sore throat and resistant to antibiotheraptic agents with past history of drinking contaginous water.

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Hairy polipler ektodermal ve mezodermal komponentlerden oluþan orofarenksin nadir görülen konjenital malformasyonlarýdýr. Kitlenin neden olduðu semptomlar yeri ve büyüklüðü ile iliþkilidir. Sýklýkla üst solunum yolu obstrüksiyonu ve beslenme zorluðu görülür. Bu nedenle doðumla birlikte yada doðumdan kýsa bir süre sonra teþhis edilirler. Sýklýkla pediküllü olan hairy polipler bazen geniþ tabanlý da olabilirler. Hairy poliplerin patogenezi hakkýnda deðiþik teoriler mevcuttur. Yazýmýz-da orofarenksteki polipoid kitleye baðlý solunum sýkýntýsý olan 3 günlük, kýz çocuðu hasta sunuldu. Hasta genel anestezi altýnda ameliyata alýndý. Hastanýn entübasyon sonrasý yapýlan muayenesinde sol palatin tonsil üst kutbundan kaynaklanan ve tüm orofarenksi týkayan pediküllü kitle görüldü. Kitle total olarak çýkartýldý. Postoperatif herhangibir komplikasyon görülmeyen hasta oral beslenmeye geçilmesini takiben taburcu edildi. Kitlenin histopatolojik incelemesi hairy polip olarak bildirildi.

Hairy polyps are rare congenital oropharyngeal malformations containing ectodermal and mesodermal components. The symptoms are associated with the location and size of the mass. Upper airway obstruction and feeding difficulty are common symptoms. Because of these symptoms they are diagnosed at or shortly after birth. Hairy polyps are usually pedunculated masses but sometimes attached to the broad area of the oronasopharynx. There are different theories about the pathogenesis of hairy polyps. We report a case of neonatal respiratory distress associated with oropharyngeal polypoid mass in a 3-day-old girl. The patient operated under general anesthesia. The examination of the patient after intubation showed a pedunculated mass which was orginated from the upper pole of left palatin tonsil and obstructed oropharynx. The mass was totally removed. After operation no complications developed and the patient discharged after begining orally nutrition. Histopathological diagnosis was made as hairy polyp.

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