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Öğe ABNORMAL TRAJECTORY OF AN AIR RIFLE BULLET IN THE BODY: AN ATYPICAL CASE(Elsevier Science Inc, 2017) Yilmaz, Mustafa; Ertugrul, Suha; Unal, Celal Selcuk; Kubat, Emre; Koyuncu, Serhat[No abstract available]Öğe Assessment of balance skills and falling risk in children with congenital bilateral profound sensorineural hearing loss(Elsevier Ireland Ltd, 2019) Soylemez, Emre; Ertugrul, Suha; Dogan, ErkanObjective: To evaluate the balance skills and falling risk in children with a congenital bilateral profound sensorineural hearing loss (CBPSNHL). Methods: 25 children with CBPSNHL and healthy 25 children with similar age and gender were included in the study. The flamingo balance test, the tandem stance test, and the one-leg standing test were performed to assess the patients' static balance skills. The pediatric balance scale (PBS) was used to evaluate the dynamic balance. Visual analog scale (VAS) was applied to the patients assess the frequency of falls. Results: The flamingo balance test, the tandem stance test, and the one-leg standing test in the children with CBPSNHL were all significantly worse than the control group. Although the scores of PBS in patients with CBPSNHL were significantly lower than the control group (p < 0.001), the results of both groups were consistent with a low risk of falls. There was no significant difference between the VAS scores indicating the frequency of falls among the groups (p = 0.552). Conclusion: Static and dynamic balance skills of the children with CBPSNHL are significantly impaired compared to their healthy peers. Children with CBPSNHL also have a lower risk of falling just like their healthy peers and there is no significant difference between their falling frequencies. Balance skills of children with CBPSNHL can be assessed quickly and effectively on a hard floor (eyes closed), with a tandem standing test or a one-leg standing test.Öğe Assessment of temporal auditory processing in individuals with misophonia(Wolters Kluwer Medknow Publications, 2023) Ila, Kadri; Soylemez, Emre; Yilmaz, Nihat; Ertugrul, Suha; Turudu, Soner; Karaboya, Engin; Adigul, CaglayanObjectiveMisophonia is characterised by abnormal reactions to certain sounds such as sounds of eating, breathing, nose sniffing. Misophonia can be seen in individuals with normal hearing or hearing loss. The aim of this study to evaluate central auditory processing in misophonia patients with temporal processing tests, such as the Frequency Pattern Test (FPT), Duration Pattern Test (DPT), and Gaps-in-Noise Test (GIN).MethodsThirty patients with misophonia and 30 healthy control subjects were included in this study. The pure tone audiometry test, tympanometry test, and acoustic reflex test were administered to all participants. The DPT, FPT, and GIN tests were conducted with all participants.ResultsThere was no significant difference in the DPT scores between the two groups for both ears (p > .05). There was no significant difference in the FPT scores between the two groups for both ears (p > .05), and there was no significant difference in the GIN scores and GIN threshold (p > .05).ConclusionsThere was no difference between the healthy individuals and the misophonia patients when the temporal process of central auditory processing was evaluated.Öğe A case of uncommon anatomic variation of the middle turbinate associated with contact point headache: Bilateral double middle turbinate(Kare Publ, 2022) Ertugrul, SuhaBy applying pressure to nasal mucosa, anatomic variations at nasal cavity and paranasal sinuses may cause headache with-out any sign of inflammatory diseases such as sinusitis or nasal polyp. This phenomenon is called as contact point headache (CPH) and observed as a result of concha variations, mostly due to concha bullosa. Accessory middle turbinate (AMT) is a very rare variation and occurred as a result of mediale and inferior folding of uncinate process. When this folding is severe, AMT may cause double middle concha appearance in nasal cavity. To the extent, we know, bilateral double middle turbinate varia-tion has not been defined before. Hereby, we present a CPH phenomenon in a patient with bilateral double middle turbinate variation which is related to contact of AMT to real middle turbinate.Öğe Clinical Characteristics of Patients with Dizziness According to the Level of Dizziness-related Disability(Modestum Ltd, 2021) Soylemez, Emre; Ertugrul, SuhaObjective: This study aims to evaluate the clinical characteristics of patients with dizziness according to the level of dizziness-related disability. Methods: Vestibular system evaluation forms of the patients who applied to the otolaryngology outpatient clinic between June 2018 and January 2020 were reviewed retrospectively. Ninety patients with dizziness complaints were included in the study. These patients were divided into 3 groups as mild disability, middle disability and severe disability according to the Dizziness handicap inventory (DHI). Demographic characteristics, comorbidity, smoking and alcohol use, motion sickness, duration of dizziness, type of dizziness and vestibular test results (Fukuda test, tandem stance test, tandem walking test, positional tests, head impulse test (HIT), head shake test, caloric test, gaze test, oculomotor tests and spontaneous nystagmus test) were evaluated according to the level of dizziness-related disability. Results: Twenty-one of the patients were male (21.3%), 69 (78.7%) were female and the mean age was 40.54 +/- 12.91; (range 15-73). Patients with cervical disc herniation, motion scikness, abnormal HIT, abnormal tandem stance test and prolonged dizziness had more severe dizziness-related disability level (p<0.05). There was also a mild positive relationship between age and functional disability (p<0.05). Conclusion: Patients with motion sickness, cervical disc herniation, prolonged dizziness, abnormal tandem posture test and abnormal HIT have a more severe disability. These factors should be considered in dizziness therapies applied to decrease vestibular symptoms and improve quality of life.Öğe Effectiveness of hearing protection apparatus in preventing noise induced vestibular loss(Taylor & Francis Ltd, 2022) Ertugrul, Suha; Soylemez, Emre; Gurel, TugceHearing protection apparatus (HPAs) are frequently used to prevent the detrimental effect of noise on the hearing system. However, it is not known exactly whether wearing HPAs in workers protects the vestibular system. This study aims to investigate the effectiveness of wearing HPAs in preventing vestibular loss caused by noise. Eighty-one workers exposed to chronic noise were divided into three groups according to their HPAs wearing status. Pure-tone audiometry test was used to evaluate the hearing. Caloric test and visual analogue scale were used to evaluate their vestibular systems. The pure-tone average of the workers who constantly wore HPAs was better than that of the other groups (p< 0.05). There was no difference between the groups in the vestibular tests (p > 0.05). This study demonstrated that HPAs do not protect the vestibular system but protect the hearing system in the inner ear from the harmful effects of noiseÖğe Evaluation of audiovestibular system in psoriasis patients without joint involvement(Wiley, 2020) Ertugrul, Goksen; Ertugrul, Suha; Soylemez, EmreInner ear involvement may occur in systemic autoimmune diseases. Although there are studies evaluating hearing in psoriasis patients, its effect on the balance system is not clear. The aim of the present study was to evaluate the audiovestibular system in psoriasis patients without joint involvement. In this prospective study, the audiovestibular system of 32 psoriasis patients without joint involvement and 35 healthy volunteers were evaluated. The severity of the disease was determined by the psoriasis area severity index (PASI). There was no significant difference between the groups in terms of hearing test results, while the abnormal caloric test response was significantly higher in the psoriatic patients. PASI scores of psoriasis patients with abnormal caloric test results were higher than those with normal caloric test response. In psoriasis patients without joint involvement, the hearing was not affected, but the vestibular system was. The severity of the disease was associated with vestibular involvement. Particularly in patients with severe psoriasis, it must be considered that the vestibular system might be affected, and vestibular evaluations should be performed.Öğe Explosion in hearing aid demands after Covid-19 outbreak curfew(Springer, 2021) Ertugrul, Suha; Soylemez, Emre[No abstract available]Öğe Investigation of hearing and outer hair cell function of the cochlea in patients with vitiligo(Wiley, 2020) Ertugrul, Goksen; Ertugrul, Suha; Soylemez, EmreVitiligo is a systemic disease that affects not only the skin but also other areas that contain melanocytes, such as the inner ear. Studies of the effect of vitiligo on hearing loss have shown inconsistent results, and it is not clear which parameters related to the disease affect hearing. The aim of this study was to determine which disease-related parameters trigger damage to cochlear melanocytes in vitiligo patients and the effect of vitiligo on the outer hair cells and hearing. Thirty-one vitiligo patients and 40 sex- and age-matched healthy volunteers were evaluated. The conventional pure tone audiometry (C-PTA) test and the distortion product otoacoustic emission (DPOAE) test were performed. There was no significant difference between vitiligo patients and controls in C-PTA test results, but the DPOAE test results were abnormal in vitiligo patients. The duration of the disease was significantly related to hypoacusis. As the duration of the disease increases, cochlear dysfunction may increase. Especially in patients with longer disease duration, otoacoustic emission tests should be performed in addition to conventional audiometry tests for early detection of damage to the outer hair cells.Öğe Investigation Of The Factors Affecting The Success Of Vestibular Rehabilitation Therapy In Patients With Idiopathic Unilateral Vestibular Hypofunction And Idiopathic Bilateral Vestibular Hypofunction(Deomed Publ, Istanbul, 2019) Ertugrul, Suha; Soylemez, EmreObjective: The aim of this study was to determine the factors affecting the success of vestibular rehabilitation therapy (VRT) in patients with idiopathic unilateral vestibular hypofunction (UVH) and idiopathic bilateral vestibular hypofunction (BVH). Methods: 30 patients with idiopathic UVH and 30 patients with idiopathic BVH were included in this prospective study. Visual analog scale (VAS) was used to evaluate the severity of the patients' complaints of dizziness. The duration of the complaint of dizziness was recorded. All patients underwent the Dizziness Handicap Inventory (DHI) before and after VRT. The severity, duration, and localization (unilateral/bilateral) of the vestibular hypofunction were compared with the efficacy of VRT. Results: A significant decrease in DHI scores was observed after VRT for both, UVH and BVH patients, as compared to their pre-VRT scores (p<0.001). There was no significant difference in the efficacy of vestibular rehabilitation therapy in patients with UVH and BVH (p=0.09). As the VAS scores increased and the duration of the complaint lengthened, the efficacy of VRT decreased significantly (p<0.001/r=5.6, p=0.016/r=3.1, respectively). Conclusion: VRT is an effective treatment for the relief of symptoms in both UVH and BVH patients. Unilateral or bilateral vestibular hypofunction does not affect the efficacy of VRT, whereas prolonged or severe symptoms of dizziness affect the effectiveness of VRT negatively. In idiopathic vestibular hypofunction patients with long-standing and/or severe dizziness complaints, VRT should be initiated immediately and continued longer.Öğe Maxillo Ostio Choanal Polyp(Galenos Publ House, 2018) Ertugrul, Suha; Ensari, Serdar[No abstract available]Öğe Origin of polyps and accompanying sinonasal pathologies in patients with antrochoanal polyp: Analysis of 22 patients(Kare Publ, 2019) Ertugrul, SuhaOBJECTIVE: Solitary, benign soft tissue masses originating at the maxillary sinus and extending to the nasopharynx are called antrochoanal polyps (ACP). The aim of the study was to determine the origins of ACP accompanying sinonasal pathologies and the effectiveness of endoscopic sinus surgery in patients with ACP. METHODS: Twenty-two patients (13 men, 9 women; age range: 6-50; average age: 28.3 +/- 13.3) who were treated for ACP using endoscopic sinus surgery between January 2014 and September 2017 were included in the study. The patient's age, sex, symptom at presentation to the clinic, sinonasal pathologies accompanying the ACP, and adhesion site of ACP inside the maxillary sinus were retrospectively examined. RESULTS: The most frequently encountered symptom in patients was nasal congestion (95.4%). This was followed by snoring and sleeping with an open mouth (31.8%), nasal discharge (22.7%), headache (18.1%), feeling of a foreign body in the throat (9.1%), and epistaxis (4.5%). When the adhesion site of ACP in the maxillary sinus was checked, it was seen that it was the most frequently located in the medial wall (27.2%), followed by the posterior (18.1%) and lateral wall (13.6%). One patient (4.54%) developed recurrence. CONCLUSION: Although the origin of ACP cannot be detected in the paranasal sinus tomography scan, accompanying sinonasal pathologies should be preoperatively identified. Development of angled endoscopes and angled instruments enabling easy removal of cystic lesions renders endoscopic sinus surgery sufficient for the treatment of ACP.Öğe Potential Risk of Benign Paroxysmal Positional Vertigo Due To Traumatic Effect of Osteotomy in Septorhinoplasty Patients(W B Saunders Co-Elsevier Inc, 2020) Ertugrul, Suha; Abaci, Malik; Soylemez, EmrePurpose: We investigated the effect of osteotomy on the vestibular system in septorhinoplasty patients and determined the potential risk of benign paroxysmal positional vertigo (BPPV) in these patients. Patients and Methods: In the present prospective study, 47 primary septorhinoplasty patients were evaluated as the study group and 50 septoplasty patients as the control group. Osteotomy was performed in all septorhinoplasty patients. No hammer and osteotomes were used in the control group. All patients underwent static balance tests (tandem stance test, 1-leg standing test, and Romberg test), dynamic balance tests (tandem walking test and Fukuda test), positional balance tests (Dix-Hallpike test and supine roll test), head impulse test, and the adult dizziness handicap inventory (ADHI) preoperatively and during the first postoperative week. Results: No significant differences were found between the 2 groups in terms of the static balance tests, dynamic balance tests, positional balance tests, or head impulse test results. The postoperative ADHI scores were significantly worse in the septorhinoplasty patient group than in the control group. Posterior semicircular canal BPPV was observed in 2 patients in the septorhinoplasty group but none in the control group. Conclusions: BPPV is one of the possible early postoperative complications of rhinoplasty. In patients with vertigo after rhinoplasty, surgeons should evaluate the semicircular canals using the Dix-Hallpike and supine roll tests. To avoid the traumatic effect of osteotomy reflected on the inner ear, attention should be given to the applied force, and sharp osteotomes should be used. (C) 2019 American Association of Oral and Maxillofacial SurgeonsÖğe Predictors of neck metastasis in early stage oral cavity cancer(Deomed Publ, Istanbul, 2015) Ertugrul, Suha; Ertugrul, Goksen; Imre, Abdulkadir; Pinar, Ercan; Calli, Caglar; Calli, Aylin Orgen; Oncel, SemihObjective: To identify the effects of clinical and histopathological parameters on neck metastasis in early-stage oral cavity cancers. Methods: The medical records of 92 patients who underwent primary surgical resection and concurrent neck dissection due to early-stage oral cavity squamous cell cancer at Izmir Aatiirk Training and Research Hospital between June 2001 and June 2010 were retrospectively reviewed. The associations of clinical and histological parameters with neck metastasis were assessed. Based on the histological data, the histological sections of the operative tissue were obtained via the measurement of tumor width and tumor depth. Using an optical micrometer, the maximum width at the horizontal plane and the maximum depth at the vertical plane were measured and the maximum depth was recorded as tumor thickness. Results: The association between neck metastasis and tumor localization, T stage, degree of differentiation, tumor thickness, perineural invasion, vascular invasion and perilymphatic invasion in early-stage oral cavity cancers was found statistically significant (p<0.05). The value of critical tumor thickness for the neck metastasis was found to be 5.6 mm. Conclusion: On the basis of our results, a tumor thickness of 5.6 mm is the critical value for the development of neck metastasis in oral cavity cancers. The neck metastasis risk showed a significant increase in cases where the tumor thickness exceeded this threshold value. In oral cavity cancers with a high risk of occult metastasis, the tumor thickness may be identified pre-operatively or intra-operatively and, a decision can be taken to perform neck dissection when they exceed critical values.Öğe A rare cause of headache: Rhinolit(Kare Publ, 2020) Ertugrul, Suha; Ensari, SerdarThe rhinolith is massed in a mineral nugget in the nasal cavity, which is the result of the accumulation of salts around the nidus. The nidus may be endogenous or exogenous. Long-term and unilateral nasal obstruction, nasal discharge, pain and malodor are major complaints. However, sometimes, they may not show any signs for years and maybe detected incidentally during a routine examination. In this study, we present a case of giant rhinolith with headache and nasal obstruction complaints.Öğe Rare Cause of Tinnitus: Spontaneous Temporomandibular Joint Herniation Into the External Auditory Canal(Lippincott Williams & Wilkins, 2018) Ertugrul, SuhaThe herniation of temporomandibular joint (TMJ) into external auditory canal (EAC) may occur due to trauma, neoplastic, infectious, and inflammatory processes. On the other hand, spontaneous herniation of TMJ into EAC is an extremely rare conduction and occurs as a consequence of patent retention of foramen of Huschke (FH). Patent FH is usually an asymptomatic situation. In this article, a patient having otologic symptoms as a result of spontaneous herniation of TMJ into EAC was presented in the light of current literature.Öğe Respiratory Pathway and Swallowing Management in a Patient With Epiglottis Loss After Life-Threatening Penetrating Laryngeal Trauma(Lippincott Williams & Wilkins, 2018) Ertugrul, SuhaLaryngeal trauma is a rare but potentially life-threatening injury. Damage to larynx structures may occur in forms of a simple contusion, fractures of the laryngeal cartilage, and may even result in laryngotracheal disjunction depending on the ossification level of the larynx and the severity of the trauma. However, in almost all cases, damaged laryngeal tissue is also observed in the trauma area. Because thyroid cartilage protects the endolaryngeal tissues like a shield against trauma. Epiglottis prevents escape of the food to respiratory tract and directs food to digestive system. In this article, a case of knife attack resulted in deep neck incision with loss of epiglottis in the incision area, the surgical operation, and the postoperative recovery period which had a clinical significance due to loss of epiglottis were presented. To the best of our knowledge, this is the first laryngeal trauma case with loss of epiglottis.Öğe Severity of dizziness increased in dizzy patients during Covid-19 process(Routledge Journals, Taylor & Francis Ltd, 2021) Soylemez, Emre; Ertugrul, Suha[No abstract available]Öğe There is no evidence of cochlear and vestibular melanocyte damage in patients with alopecia areata(Wiley-Hindawi, 2021) Ertugrul, Goksen; Ertugrul, Suha; Soylemez, EmrePurpose Follicular melanocytes are known to be damaged in alopecia areata (AA). However, it is not clear whether melanocytes are the primary target of autoimmunity and whether melanocytes in the inner ear are affected. This study aimed to detect possible cochlear and/or vestibular melanocyte damage in AA patients. Methods Thirty-two AA patients and 35 sex- and age-matched healthy volunteers were evaluated between November 2018 and March 2020 at the Karabuk University Training and Research Hospital. The conventional pure tone audiometry test and distortion product otoacoustic emission test were performed to evaluate hearing. To evaluate the vestibular function, the following tests were performed: the vestibulospinal reflex tests (Romberg test, tandem stance test and tandem walking test); positional balance tests (Dix-Hallpike test, supine roll test and head hanging test); vestibulo-ocular reflex tests (caloric test, head shake test) and oculomotor tests (saccade, smooth pursuit and optokinetic). Results The mean age of AA patients was 31.94 +/- 11.86 years (range, 15-67 years). There were no significant differences in the results of the hearing and balance tests between the groups. Furthermore, disease parameters (duration of the last attack, recurrence, positive family history, positive pull test, the severity of the disease, etc) were not associated with hearing loss and vestibular damage. Conclusion AA patients did not exhibit hearing loss or balance abnormalities that would indicate cochlear and vestibular melanocyte damage. The lack of damage to the inner ear melanocytes in AA patients may indicate that follicular melanocytes are affected secondary to autoimmune damage in the hair bulb, and melanocytes are not the primary target in the pathogenesis of AA.
