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Öğe Aphthous Ulcer of the Vocal Cord Leading to Hoarseness(Lippincott Williams & Wilkins, 2016) Ila, Kadri; Tunc, AzizAcute or chronic laryngitis, laryngeal trauma, vocal cord paralysis, cysts of the vocal cord, and benign or malignant tumors of the vocal folds are frequent causes of hoarseness. It is important to identify the cause of hoarseness to rule out potential malignancies. In this case report, we describe a patient with a bilateral aphthous ulcer in the vocal cords who was admitted with hoarseness and had been previously diagnosed with Behcet disease. Behcet disease is characterized by mucosal aphthous lesions, which are found primarily in oral and genital regions. To the best of our knowledge, this is the first instance of a patient with bilateral aphthous ulcer in the vocal cords.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 Association Between Chronic Rhinosinusitis and The Vestibular System(Deomed Publ, Istanbul, 2019) Ila, Kadri; Soylemez, Emre; Yilmaz, Nihat; Eshraghi, Adrien A.Objective: Objective: Chronic rhinosinusitis (CRS) is inflammation of the nasal mucosa and paranasal sinuses. Subjective complaint of dizziness can be observed in patients with CRS. However, a review of the literature did not reveal any prospective studies that have used videonystagmography (VNG) to examine the vestibular system of patients with CRS. The goal of this study is the evaluation of the vestibular system of CRS patients. Methods: The study comprised 30 patients with CRS and 30 control subjects. The vestibular system was evaluated through VNG. The association with vestibular function was evaluated according to the Lund-Mackay score, the Sino-Nasal Outcome Test-22 (SNOT-22) score, and the existence of nasal polyps. Results: Abnormal caloric test results were observed in eight (26.6%) of the 30 CRS patients. The caloric test results were normal for the control group. The oculomotor test results with VNG were normal for the CRS and control groups. The abnormal caloric results were higher for the CRS with nasal polyp patients than for the CRS without nasal polyp patients. The VNG showed no correlation among the SNOT-22 scores and the Lund-Mackay scores in patients with CRS. Conclusion: Abnormal caloric responses can be observed in patients with CRS with nasal polyps.Öğe Effect of vibration on the vestibular system in noisy and noise-free environments in heavy industry(Taylor & Francis Ltd, 2019) Yilmaz, Nihat; Ila, KadriBackground: Chronic exposure to whole body vibration can affect the gastrointestinal system, the lumbar spine, the peripheral veins and the vestibulocochlear system. Aims/Objectives: The aim of this study was to evaluate the effects of vibration on the vestibular system in noisy and noise-free environments using the video head impulse test (vHIT). Material and Methods: A total of 138 employees were included in this study. Group 1 were exposed to vibration and noise. Group 2 only exposed to vibration, with no exposure to noise. Group 3 were not exposed to noise or vibration. Results: Canal deficit was observed in 41 of 84 participants in Group 1, 7 of 24 participants in Group 2, and 1 of 30 participants in Group 3. There were more canal deficits in Group 1 and Group 2, than in Group 3 (p < .05). There was no significant difference between Group 1 and Group 2 in terms of canal deficits (p > 0.05).Öğe Evaluation of superior concha bullosa by computed tomography(Springer France, 2018) Ila, Kadri; Yilmaz, Nihat; Oner, Serkan; Basaran, Efser; Oner, ZulalConcha bullosa is generally regarded as pneumatisation of the middle turbinate in the nose. However, pneumatisation may also be seen in the superior and inferior turbinate. Computed tomography (CT) of paranasal sinuses is extremely helpful for the examination of this inaccessible area. Coronal CT sections of paranasal sinuses are particularly useful for surgical anatomy, as these images show nearly the same regions as the endoscopic examinations. The aim of this retrospective study was to evaluate the presence, incidence and unilaterality-bilaterality of superior turbinate pneumatisation and concomitant nasal pathologies. A total of 1000 patients who underwent CT of the paranasal sinuses because of headaches, nasal obstructions, anosmia, facial pain or facial trauma were evaluated retrospectively. Among the 1000 patients, superior pneumatized turbinate was seen on CT images of the paranasal sinuses in 149 (14.9%) cases. Of these patients, 84 were female, 65 were male, and the mean age was 38.14 years. Among 149 patients, 58 patients had bilateral superior pneumatized turbinate and the remaining 91 patients had unilateral superior pneumatized turbinate. 60.4% of the patients with superior pneumatized turbinate also had middle pneumatized turbinate. The superior pneumatized turbinate is an anatomical variation with an incidence ranging from 12.2 to 50%. The present study revealed that there is no relationship between volume size of the superior pneumatized turbinates and sinusitis, nasal septum deviation and paradoxical middle concha. It is very important to define anatomical variations in the preoperative CT evaluation of the paranasal sinuses.Öğe Evaluation of vestibular system with vHIT in industrial workers with noise-induced hearing loss(Springer, 2018) Yilmaz, Nihat; Ila, Kadri; Soylemez, Emre; Ozdek, AliPurposeIndustrial workers are frequently exposed to noise and the noise can cause hearing loss. The relationship between vestibular abnormalities and long-term exposure to occupational noise has been reported. The aim of this study was to use vHIT (video head impulse test) to evaluate the semicircular canal's function in industrial workers with noise-induced hearing loss.MethodsIn the present study, we included 36 male patients (aged 28-55years, mean 44.46.1years) with hearing loss due to noise exposure from working in the steel and metal industry for at least 4years, and a control group of 30 healthy men (aged 34-50years, mean 41.14.5years) without hearing loss. The gain of the vestibulo-ocular reflex for all 6 semicircular canals was examined by vHIT in 66 patients.Results p id=Par3 Canal deficit was detected in 20 (55.5%) of 36 patients in the noise exposure hearing loss group and was detected in 2 (6.6%) of 30 participants in the control group. There was significant loss of capacity for VOR gain in patients with noise exposure hearing loss.Conclusions p id=Par4 In the present study we found that exposure to noise can cause vestibular dysfunction. And the vHIT is easily applicable, quick and practical and can individually evaluate all semicircular channels. Therefore, to evaluate vestibular function with vHIT is quick and practical.Öğe Kekemeliği olan bireylerin uyku kalitelerinin araştirilmasi(2019) Ila, Kadri; Söylemez, Emre; Yılmaz, Nihat; Seker, Muhammed MustafaAmaç: Kekemelik, dil ve konuşma gelişimi sırasında ortaya çıkan, konuşmayı bozan ve iletişimi engelleyen bir konuşma akıcılığıbozukluğudur. Kekemeliği olan bireylerde anksiyete sorunların görülme olasılığı yüksektir. Uyku kalitesinin stres, depresyon, anksiyete vegerginlik gibi psikolojik durumlarla ilişkisi olduğu bilinmektedir. Bu çalışmanın amacı kekemeliği olan bireylerin uyku kalitesini araştırmakve anksiyeteyle olan ilişkisini saptamaktır.Gereç ve Yöntem: Bu çalışmaya kekemeliği bulunan 27 birey ile kontrol grubu olarak 30 akıcı konuşan birey dahil edildi. KatılımcılaraLiebowitz sosyal aksiyete ölçeği ve Pittsburgh uyku kalite indeksi uygulandı. Kekemeliği bulunan bireyler ile kontrol grubu bireyler arasındaLiebowitz sosyal aksiyete ölçeği ve Pittsburgh uyku kalite indeksi değerleri karşılaştırıldı.Bulgular: Kekemeliği olan bireylerin 14’ünde (%51,8) ve kontrol grubundaki bireylerin 13’ünde (%43,3) kötü uyku kalitesi izlendi.Ancak gruplar arasında uyku kaliteleri açısından anlamlı bir fark izlenmedi (p>0,05). Kekemeliği olan bireylerin ortalama anksiyete vedurumlardan kaçınma skoru kontrol grubuna göre fazla izlendi (p<0,05). Kötü uyku kalitesine sahip olan kekemeliği olan bireylerinanksiyete ve durumlardan kaçınma skorları normal uykuya sahip kekemeliği olan bireylerden fazla izlendi (p<0,05).Sonuç: Kekemeliği olan bireylerin sosyal durumlardan kaçınma ve anksiyete seviyeleri akıcı konuşan bireylerden fazladır ancakkekemeliği olan bireylerin uyku kaliteleri ile akıcı konuşan bireylerin uyku kaliteleri arasında bir fark yoktur. Kekemeliği olan bireylerarasında uyku kalitesi kötü olan bireylerin sosyal durumlardan kaçınma ve anksiyete seviyeleri, uyku kalitesi normal olan bireylerdenfazladır.Öğe Nüks baş boyun kanserlerinin son tedavi seçenekleri(2017) Karakullukçu, Barış; Ila, KadriBaş boyun kanserlerinde tedaviye rağmen nüks oranı %30 ila %50 arasında değişmektedir. Nüks görülen hastaların ise %50'den fazlası, kurtarma tedavisine rağmen kaybedilmektedir. Klinik uygulamada tedavi genellikle cerrahi, radyoterapi ve kemoterapiyi kapsamaktadır. Ancak nüks görülen hastalarda bu yöntemler çoğu zaman istenen sonucu verememektedir. Bu derlemede, nüks baş boyun kanserlerinin tedavisinde klinik uygulamada kullanılan yöntemler dışında kalan son yöntemler ve klinik sonuçları sunuldu.Öğe Oculomotor test changes in patients with peripheral vestibular dysfunction(2020) Ila, Kadri; Söylemez, Emre; Yılmaz, NihatObjective: Peripheral vestibular hypofunction can be seen unilaterally or bilaterally. The aim of thisstudy is to investigate the oculomotor test results in patients with unilateral and bilateral peripheralvestibular weakness.Material and Methods: The study consisted of 35 patients with a normal peripheral vestibularsystem, 35 patients with idiopathic unilateral peripheral vestibular weakness and 30 patients withidiopathic bilateral peripheral vestibular weakness according to the caloric test. Oculomotor testsincluding saccade, smooth pursuit and optokinetic tests were performed and evaluated in all patients.Results: A pathology was observed in 5 of 35 (14.2%) patients with unilateral vestibular weaknessand 9 of 30 (30.0%) patients with bilateral vestibular weakness while no pathology was observed in thecontrol group in terms of smooth pursuit.Conclusion: Smooth pursuit pathology can be seen both in patients with unilateral vestibularweakness and bilateral vestibular weakness. The optokinetic test and saccade test are not affected byunilateral vestibular weakness or bilateral vestibular weakness.Öğe Vestibular functions in patients with tinnitus only(Taylor & Francis Ltd, 2019) Ila, Kadri; Soylemez, Emre; Yilmaz, Nihat; Kayis, Seyit Ali; Eshraghi, Adrien A.Objective: Tinnitus is the perception of sound in the ears or head without any external or internal acoustic stimulation, and it is usually associated with hearing loss. In addition, it has been reported that there is a relationship between vestibular problems and sensorineural hearing loss. The aim of this study was to evaluate the vestibular function in patients with tinnitus without hearing loss. Methods: A total of 32 patients who complained only of tinnitus without hearing loss and 30 control subjects without tinnitus or hearing loss were included in this study. Oculomotor and caloric tests were performed on all subjects with videonystagmography. The tinnitus handicap inventory questionnaire, side and duration of tinnitus were recorded in all patients. Results: The caloric test was abnormal in 13 of 32 (40.6%) patients in the tinnitus group and was normal in all of the control group. Abnormal caloric responses in patients with severe tinnitus were more frequent than in patients with mild or moderate tinnitus. There was a statistically significant difference in the optokinetic gain values between the tinnitus and control groups. Conclusion: A relationship between tinnitus and abnormal caloric responses was determined. Tinnitus may be the first symptom of vestibular dysfunction.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.
