Ankyloglossia is a condition of limited tongue mobility caused by a short lingual frenulum. The diagnosis and treatment of ankyloglossia are still controversial. The main clinical problems encountered during breastfeeding are difficulty in sucking and its clinical reflections. This study aims to evaluate the infant population born with ankyloglossia and to determine the results of frenotomy. We conducted an observational, cross-sectional study among infants born in a tertiary hospital. We included all infants born between 1 January and 30 June 2022. The neonatal follow-up protocol for ankyloglossia was determined before the defined dates, and data were recorded during the screening period. The recorded data were retrospectively collected from the files. Within six months, 705 infants were born. Due to additional problems and other conditions that prevent breastfeeding, evaluable data of 207 (29.3%) infants could not be provided. Of the remaining 498 infants, 234 (33.2%) had ankyloglossia. While none of the infants without ankyloglossia had a breastfeeding problem after appropriate training, 28.6% of the ankyloglossia group had a breastfeeding problem (p < 0.001). The need for frenotomy differed significantly between Coryllos groups (p < 0.001). Breastfeeding was unsuccessful before frenotomy in 12 Coryllos type-1 patients, and all had difficulty in sucking. Frenotomy was performed within the three-month follow-up period in all patients with complaints of inability to firmly grasp the breast, nipple slipping from the mouth, and nipple biting during the first 24 h. In terms of breastfeeding problems, regardless of the anatomical typology, frenotomy can be performed safely in early life with successful results. If deficiencies or difficulties in breastfeeding are noticed in ankyloglossia patients even at the first control, frenotomy should be recommended in clinical conditions.

Ankyloglossia is a condition of limited tongue mobility caused by a short lingual frenulum. The diagnosis and treatment of ankyloglossia are still controversial. The main clinical problem encountered during breastfeeding is difficulty in sucking and its clinical reflections. This study aims to evaluate the newborn population born regarding ankyloglossia and to determine the results of frenotomy. We conducted an observational, cross-sectional study among newborns born in a tertiary hospital. We included all newborns born between January 1 and June 30, 2022. The study algorithm was determined before the defined dates and data were recorded during the screening period. The recorded data were retrospectively collected from the files. Within six months, 705 babies were born. Due to additional problems and other conditions that prevent breastfeeding, evaluable data of 207 (29.3%) infants could not be provided. Of the remaining 498 infants, 234 (33.2%) had ankyloglossia. Breastfeeding was unsuccessful before frenotomy in 12 Coryllos type-1 patients, and all had difficulty in sucking. Frenotomy was performed within the three-months follow-up period in all patients with complaints of inability to firmly grasp the breast, nipple slipping from the mouth, and nipple biting during the first 24 hours. In terms of breastfeeding problems, regardless of the anatomical typology, frenotomy can be performed safely in the early life with successful results. If deficiencies or difficulties in nursing is noticed in ankyloglossia patients even at the first control, frenotomy should be recommended in clinical conditions.

Aim: Hepatitis B vaccination since 1998 and hepatitis A vaccination since 2012 is available in the childhood routine vaccination program in Turkey. There is no vaccine for hepatitis C yet. The seroprevalence of hepatitis A, B, and C differs between regions. For this reason, each region should assemble its own rates. Therefore, this study aimed to determine the seroprevalence of hepatitis A, B, and C in children in Kastamonu province, to evaluate whether there is a change in prevalence according to years and patient age, and to review whether there is a change in hepatitis A virus seroprevalence with hepatitis A vaccination. Material and Methods: File records of all patients under 18 whose hepatitis serology was studied at Kastamonu Training and Research Hospital between 01.01.2012 and 21.12.2021 were reviewed retrospectively. Results: A total of 19885 patients and 55738 test results were included in the study. Accordingly, hepatitis A seroprevalence increased year by year. Anti-HAV IgG positivity was higher in the vaccinated group, whereas anti-HAV IgM positivity was higher in the unvaccinated group (p

Aim: Acute gastroenteritis (AGE) is one of the important causes of mortality and morbidity for children worldwide, especially in developing countries. Rotavirus is transmitted by the feces of the people carrying it through food and hands. Additionally, door handles, telephones, sockets, and toys may play a role in spreading the infection. In addition to fecal-oral transmission, transmission via droplets has also been reported. In this study, we aimed to evaluate the frequency and characteristics of rotavirus in pediatric acute gastroenteritis cases in our institution and reveal the effect of the increased mask, social distancing and general hygiene recommendations with COVID-19 pandemic on rotavirus gastroenteritis. Methods: A total of 4781 patients aged 0-18 diagnosed with AGE between January 2019 and December 2020 were included in the study. The rotavirus positivity of patients diagnosed with acute gastroenteritis before and after the pandemic was statistically compared according to season, gender, and age variables. Results: Four hundred nine (8.6%) of 4781 patients were determined as rotavirus positive. The frequency of rotavirus in the age range of 0-2 was higher than that of in the other age ranges. Rotavirus is more common in the winter and spring seasons. In the modeling performed for patients with AGE in our hospital, provided that the other variables remained constant, the risk of rotavirus positivity increased by 1.14 times with the season variable while it decreased by 0.66 times with age. It was concluded that as the age increased, the odds value of being rotavirus positive decreased by 33.4%. While the prevalence of rotavirus gastroenteritis was 7.5% between March 2019 and December 2019, this frequency decreased to 4.7% with the pandemic (March 2020-December 2020), which was statistically significant (X2=8.620; p=0.003). Conclusion: Increasing masks, social distancing and general hygiene recommendations due to COVID 19 have led to a decrease in the frequency of rotavirus infections in children.

Background/Objectives: Preoperative computed tomography (CT) imaging plays a vital role in accurately diagnosing acute appendicitis and assessing the severity of the condition, as well as the complexity of the surgical procedure. CT imaging provides detailed information on the anatomical and pathological aspects of appendicitis, allowing surgeons to anticipate technical challenges and select the most appropriate surgical approach. This retrospective study aimed to investigate the correlation between preoperative CT findings and the duration of laparoscopic appendectomy (LA) in pediatric patients. Methods: This retrospective study included 104 pediatric patients diagnosed with acute appendicitis via contrast-enhanced CT who subsequently underwent laparoscopic appendectomy (LA) between November 2021 and February 2024. CT images were meticulously reviewed by two experienced radiologists blinded to the clinical and surgical outcomes. The severity of appendicitis was evaluated using a five-point scale based on the presence of periappendiceal fat, fluid, extraluminal air, and abscesses. Results: The average operation time was 51.1 ± 21.6 min. Correlation analysis revealed significant positive associations between operation time and neutrophil count (p = 0.014), C-reactive protein levels (p = 0.002), symptom-to-operation time (p = 0.004), and appendix diameter (p = 0.017). The total CT score also showed a significant correlation with operation time (p < 0.001). Multiple regression analysis demonstrated that a symptom duration of more than 2 days (p = 0.047), time from CT to surgery (p = 0.039), and the presence of a periappendiceal abscess (p = 0.005) were independent predictors of prolonged operation time. In the perforated appendicitis group, the presence of a periappendiceal abscess on CT was significantly associated with prolonged operation time (p = 0.020). In the non-perforated group, the presence of periappendiceal fluid was significantly related to longer operation times (p = 0.026). Conclusions: In our study, preoperative CT findings, particularly the presence of a periappendiceal abscess, were significantly associated with prolonged operation times in pediatric patients undergoing laparoscopic appendectomy. Elevated CRP levels, the time between CT imaging and surgery, and a symptom duration of more than 2 days were also found to significantly impact the procedure’s duration.