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Öğe Anxiety status in parents of infants referred during national newborn hearing screening(2023) Söylemez, Emre; Karaboya, Engin; Ertuğrul, Süha; Yılmaz, Nihat; Kızmaz, Ahmet; Bayrak, Muhammed Harun; Ilgaz, AbdulkadirAim: This study aims to investigate the anxiety status in parents of infants who received pass and refer results during newborn hearing screening (NHS).Materials and Methods: The study was conducted on parents (mother and father) of a total of sixty infants who came to the NHS. All infants underwent automated (A)-ABR. Forty parents of 20 infants who were born healthy and received NHS-pass results were included in the study as group I. Forty parents of 20 infants who were born healthy and received NHS-refer results were included in the study as group II. Forty parents of 20 infants hospitalized in the neonatal intensive care unit (NICU) for at least five days and received NHS-refer results were included in the study as group III. Beck Anxiety Inventory was administered to all parents in the groups.Results: When the anxiety levels were evaluated according to the groups, the anxiety scores of the parents in group III were higher than those in group I and group II (p<0.05). However, no difference was found between the parents’ anxiety levels in group I and group II. When the anxiety scores were compared according to the genders, there was no difference in the anxiety scores of the fathers between the groups (p>0.05). However, mothers in Group III had higher anxiety scores than mothers in Group I (p<0.05). Conclusion: Mothers of infants hospitalized in the NICU who received the NHS-refer result had higher anxiety levels than mothers who were born healthy and received the NHS-pass result. In order to keep the anxiety level of mothers of babies hospitalized in NICU under control, training can be organized for these mothers.Öğe Choanal polyp originating from the middle turbinate: a case report(2018) Ertuğrul, SühaChoanal polyps are most frequently sinusal in origin and a great majority of them are in the form of antrachoanal polyps. Apart from that, atypical localization sites including the superior turbinate, septum, cribriform plate have rarely been reported. Cases of choanal polyps originating in the middle turbinate are very rare. This paper reports a concha-choanal polyp case originating from the middle turninate, which was excised via endoscopic surgical technique, in the light of clinical and radiological findings.Öğe Combination therapy of shave excision, intralesional steroid injection, and topical imiquimod in the treatment of ear keloid(2019) Ertuğrul, Süha; Aktaş, Habibullah; Ertuğrul, GöksenKeloids are benign proliferative lesions caused byabnormal healing. Treatment of keloids is verydifficult due to high recurrence rates. In keloids, thereare many treatment modalities that can vary accordingto lesion size, localization, and previous interventions.A 17-year-old female patient presented with aposterior ear keloid that developed after pearcing intoher ear. The shaving excision was treated with a triplecombination consisting of single session intralesionalsteroid injection and daily topical imiquimodapplication for six weeks. Within one year, a verygood response was obtained without recurrence or anyside effect.Öğe Combination therapy of shave excision, intralesionalsteroid injection, and topical imiquimod in thetreatment of ear keloid(2019) Ertuğrul, Süha; Aktaş, Habibullah; Ertuğrul, GöksenKeloids are benign proliferative lesions caused byabnormalhealing.Treatmentofkeloidsisverydifficult due to high recurrence rates. In keloids, thereare many treatment modalities that can vary accordingto lesion size, localization, and previous interventions.A17-year-oldfemalepatientpresentedwithaposterior ear keloid that developed after pearcing intoher ear. The shaving excision was treated with a triplecombination consisting of single session intralesionalsteroidinjectionanddailytopicalimiquimodapplication for six weeks. Within one year, a verygood response was obtained without recurrence or anyside effect.Öğe Comorbidities and the effect of comorbidities on recurrence in benign paroxysmal positional vertigo(2022) Çetinkaya, Nur Dilara; Ertuğrul, Süha; Söylemez, Emre; Adahan, DidemAim: Our study aims to investigate comorbidities and the effect of comorbidities on recurrence in posterior canal benign paroxysmal positional vertigo (P-BPPV). Materials and Methods: Fifty-four patients diagnosed with P-BPPV were included in the study. Demographic characteristics of the patients, smoking, alcohol use, P-BPPV side, comorbid diseases, menopausal status, previous head trauma history, body mass index (BMI) and biochemical parameter results were recorded. Reposition maneuver (Epley) was applied to the patients, and the patients were followed up for six months. Fifty-four patients followed were divided into two groups according to P-BPPV recurrence. Twenty-three patients with relapsed P-BPPV were included in group I, and 31 patients with non-relapsed BPPV were included in group II. Results: There was no difference between the two groups in terms of age, comorbid diseases, menopausal status, gender, BMI, smoking, alcohol use and biochemical parameters (p>0.05). The recurrence rate was lower in P-BPPV patients with right ear involvement (pÖğe Determination of predictors for persistent posturalperceptual dizziness(2019) Ertuğrul, Süha; Söylemez, Emre; Gürel, TuğçeObjective: The aim of this study was to determine the factors affecting recovery in patients presenting with acute dizziness and todetermine possible predictors for persistent postural-perceptual dizziness (PPPD).Materials and Methods: In this prospective study, 126 patients with acute dizziness were evaluated. Thirty-two patients (group 1) withdizziness resolved within three months and 31 patients (group 2) having the diagnosis of PPPD after three months were included in the study. The age and sex distribution of the two groups, smoking and alcohol use, history of falling due to imbalance, life styles, physical activity status, and whether they were diagnosed with anxiety, depression or migraine were compared.Results: There was no significant difference between the two groups in terms of age distribution (p=0.159). The number of femalepatients was higher in the PPPD group (p=0.004). There was no significant difference between the two groups in terms of smoking andalcohol use (p=0.649, 0.656, respectively). The number of patients with a history of falling due to imbalance, the number of patients notdoing sports, the number of people not actively working, the number of people diagnosed with migraine, anxiety and depression weresignificantly higher in the PPPD group (p<0.05).Conclusion: Female gender, fall, sedentary life, migraine, anxiety, and depression were found to be the predictors of PPPD. It was foundthat smoking and alcohol use and abnormal functional balance tests were not risk factors for PPPD in patients with imbalanceÖğe Investigation of the effect of hearing aid on hearing disability in elderly people with presbycusis(2019) Ertuğrul, Süha; Söylemez, EmreAim: To determine the effect of hearing aid on the level of hearing disability in elderly patients with presbycusis. Methods: A hearing handicap inventory scale (HHI) was applied to 43 patients with presbycusis over the age of 65 years (mean age: 73.44 ± 7.03 years, range: 65-89 years, male: 26, female: 17) six months before using the hearing aid and 6 months after starting to use the hearing aid. HHI scores were compared before and after hearing aid. Results: HHI scores (22.51 ± 14.81) after hearing aid use were significantly lower compared to HHI scores before hearing aid (68.97 ± 16.97) (p=0.000). There was no significant difference between HHI score gains obtained after hearing aids according to gender (p=0.737). There was no significant difference between HHI score gains obtained after hearing aids in patients with profound and severe hearing loss and the scores of the patients with moderate and moderate to severe hearing loss (p=0.521). Conclusion: The hearing aid significantly reduces the level of auditory disability in elderly individuals.Öğe Investigation of the functionality of fukuda stepping test in dizziness patients(2019) Ertuğrul, Süha; Söylemez, EmreObjective: The aim of this study was to determine the sensitivity and specificity of Fukuda stepping test (FST), which is used to evaluate vestibular asymmetry in patients with dizziness.Materials and Methods: The vestibular evaluation forms of 189 patients admitted to the otorhinolaryngology outpatient clinic with dizziness between October 2017 and October 2019 were retrospectively reviewed. FST results were compared with caloric test results, which is accepted as the gold standard method to evaluate vestibular dysfunction. The specificity, sensitivity, positive predictive value and negative predictive value of FST were calculated.Results: Of the 189 patients, 117 were female (61.9%) and 72 were male (38.1%). The mean age was 41.06 ± 13.42 years (range, 15-72 years). There was a significant relationship between caloric test results and FST (p <0.001). The sensitivity and specificity of FST were 53.3% and 78.6%, respectively. The positive predictive value for FST was 32.0% and the negative predictive value was 89.9%.Conclusion: FST alone is not a reliable screening test to detect unilateral vestibular dysfunction. In addition to FST, other bedside vestibular tests should be performed to obtain sufficient information about vestibular pathology in patients with dizziness.Öğe Işitmenin etkilendiği relapsing polikondrit olgusu: nadir bir olgu(2021) Ertuğrul, Süha; Bayrak, Muhammed Harun; Söylemez, Emre; Ertuğrul, Göksen; Aktaş, HabibullahA CASE OF RELAPSING POLYCHONDRITIS IN\rWHICH HEARING IS AFFECTED: A RARE CASE\rRelapsing polychondritis, affecting the cartilage and\rconnective tissue of the ear, nose, tracheobronchial\rsystem; It is a rare disease characterized by chronic,\rautoimmune, episodic inflammatory attacks. In\raddition, proteoglycan-rich structures such as the eye,\rblood vessels, heart, and inner ear may be affected.\rWhile relapsing polychondritis has a progressive\rcourse in most patients, it may cause a shortened life\rexpectancy. Major clinical features are auricular and\rnasal chondritis, non-erosive arthritis, inflammatory\rinvolvement in the ophthalmic system, cartilage\rinvolvement in the respiratory system; dermatological,\rrenal, cardiac and audio-vestibular involvement. In this\rarticle, a 65-year-old male patient who was admitted to\rour ENT outpatient clinic with complaints of pain,\rswelling, redness, and hearing loss in both ears and\rdiagnosed with relapsing polychondritis is presented.Öğe Öğe Predictors of neck metastasis in early stage oral cavity cancer(2015) Ertuğrul, Süha; Ertuğrul, Göksen; Imre, Abdülkadır; Pınar, Ercan; Çallı, Çaglar; Çallı, Aylin Orgen; Öncel, SemihAmaç: Erken evre oral kavite kanserlerinde klinik ve histopatolojik parametrelerin boyun metastazına olan etkilerini saptamak.Yöntem: Erken evre oral kavite karsinomu nedeniyle İzmir Atatürk Eğitim ve Araştırma Hastanesinde Haziran 2001 ile Haziran 2010 tarihleri arasında primer cerrahi rezeksiyon ve eş zamanlı boyun diseksiyonu yapılan 92 hastanın medikal kayıtları retrospektif olarak incelendi. Klinik ve histopatolojik parametrelerin boyun metastazı ile olan ilişkileri değerlendirildi. Histolojik verilerden, tümör genişliği ve tümör derinliğinin ölçümü operatif dokunun histolojik kesitleri ile elde edildi. Optik mikrometre ile horizontal planda maksimum genişlik ve vertikal planda maksimum derinlik ölçüldü ve maksimum derinlik tümör kalınlığı olarak kayıt edildi.Bulgular: Oral kavite kanserlerinde, tümör lokalizasyonu, T evresi, diferansiyasyon derecesi, tümör kalınlığı, perinöral invazyon, vasküler invazyon ve perilenfatik invazyon ile boyun metastazı arasındaki ilişki istatiksel olarak anlamlı bulundu (p<0.05). Boyun metastazı için kritik tümör kalınlığı değeri 5.6 mm olarak bulundu.Sonuç: Bu çalışmanın sonuçlarına göre, oral kavite kanserlerinde boyun metastazı gelişiminde 5.6 mm tümör kalınlığı kritik değerdir. Bu değeri aşan hastalarda boyun metastazı riski belirgin olarak artmaktadır. Gizli metastaz riski yüksek olan oral kavite kanserlerinde tümör kalınlığı preoperatif ya da peroperatif olarak saptanabilir ve kritik değerleri aştığında elektif boyun diseksiyonuna karar verilebilir.Öğe Yaşlanmanın okülomotor fonksiyonlara etkisi(2020) Yılmaz, Nihat; Söylemez, Emre; Ila, Kadri; Söylemez, Tuğçe; Ertuğrul, SühaAmaç: Santral vestibüler sistemin değerlendirilmesinde önemlibir yeri olan okülomotor testlerin (sakkad, smooth pursuit ve optokinetik) yaşlanmayla olan değişimini araştırmak ve bu testleri yaş gruplarına göre karşılaştırmaktır. Gereçler ve Yöntemler: Eylül2017-Aralık 2018 tarihleri arasında kulak burun boğaz polikliniğinebaşvuran 90 bireyin (yaş aralığı 18-45 yıl olan 30 genç birey 1. grupolarak, yaş aralığı 46-65 yıl olan 30 yetişkin birey 2. grup olarak veyaşları 66 yaş ve üzeri olan 30 yaşlı birey 3. grup olarak) sakkad testi,smooth pursuit testi ve optokinetik testi sonuçları retrospektif olarakdeğerlendirildi. Bu bireylere uygulanan sakkad testi, smooth pursuittesti ve optokinetik testi sonuçları gruplara göre karşılaştırıldı. Bulgular: Yaşlı bireyler, genç ve yetişkin bireylere göre daha kötü sakkad vesmooth pursuit işlevlerine sahiptir (p<0,05). Sakkad testi doğruluk değerinin, smooth pursuit testi kazanç ve asimetri değerinin 65 yaşındansonra azaldığı izlendi (p<0,05). Optokinetik test kazanç değerinin ise 45yaşından sonra azaldığı izlendi (p<0,05). Sakkad testi latans değerineise en iyi 1. grup sahipti ve latansın yaşlanmayla birlikte anlamlı şekilde uzadığı izlendi (p<0,05). Sonuç: Bireylerin yaşları okülomotortestler için önemli bir faktördür. En iyi okülomotor test skorlarına gençbireyler sahipken, yaşlanmayla birlikte testlerin skorları da kötüleşmektedir.
