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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 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 Investigation of the relationship between posterior semicircular canal benign paroxysmal positional vertigo and sleep quality(2019) Eertuğrul, Süha; Söylemez, EmreAim: The aim of this study was to investigate the relationship between posterior semicircular canal benign paroxysmal positionalvertigo (P-BPPV) and sleep quality.Material and Methods: In this prospective study, 35 patients with P-BPPV and 30 healthy volunteers were evaluated. PittsburghSleep Quality Index (PSQI) and Insomnia Severity Index (ISI) were applied to all subjects. Adult Dizziness Handicap Index (ADHI) wasapplied to the patients with P-BPPV. The PSQI and ISI scores of the P-BPPV patient group and the control group were compared.ADHI scores were compared with PSQI and ISI scores. PSQI and ISI scores of recurrent P-BPPV patients and P-BPPV patients whohad their first attack were compared.Results: The PSQI and ISI scores of the patients with P-BPPV were significantly worse than the control group (p=0.02, p<0.001,respectively). There was no significant relationship between ADHI scores and PSQI and ISI scores in patients with P-BPPV (p=0.552,p=0.074, respectively). There was no significant difference between the PSQI and ISI scores of patients with recurrent P-BPPV andpatients with non-recurrent P-BPPV (p=0.060, p=0.065, respectively). There was no significant difference between PSQI and ISIscores of P-BPPV patients who stated that sleep quality was negatively affected after vertigo attack and P-BPPV patients whostated that sleep quality was not affected after vertigo attack (p=0.405, p=0.919, respectively).Conclusion: Sleep quality of P-BPPV patients was significantly worse than the healthy volunteers. However, there was no relationshipbetween the degree of disability due to imbalance after a vertigo attack and sleep quality in these patients. Poor sleep quality maycause P-BPPV. Improving sleep quality may reduce the rate of P-BPPV or reduce recurrence rates in P-BPPV patients.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 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 Maske kullaniminin ses akustiğine etkisi(2022) Paltura, Ceki; Kubbe, Seren; Söylemez, EmreAmaç: Bu çalışmanın amacı, maske kullanımının sesin akustik parametrelerine etkisini araştırmaktır. Yöntem: Çalışmaya 18-65 yaş aralığında, sağlıklı sese sahip, sigara kullanmayan, covid geçirmeyen ve ses bozuklukları ile ilgili daha önceden bir tanı ve tedavi almayan 60 katılımcı (30 kadın 30 erkek) dahil edildi. Bu katılımcılardan sessiz bir odada (<30 dB arka plan gürültüsü) maskesiz ve çeşitli maskelerle (N90, N95) 5 saniyelik /a/ vokali Audacity yazılımı ile kaydedildi. Alınan ses kayıtları Praat yazılımı ile analiz edildi. Bulgular: Çalışmaya dahil edilen bireylerin yaş ortalaması 34.53±11.61 (18-60) idi. Maskesiz, N90 maske takılıyken ve N95 maske takılıyken yapılan ses analizinde F0, shimmer ve NHR\" de anlamlı bir değişiklik yoktu (p>0.05). Ancak jitter değeri, N90 maske takılıyken gerçekleştirilen analizde maskesiz ve N95 maske takılıyken gerçekleştirilen analize göre daha düşüktü (p<0.05). Sonuç: Çalışmamızda maske kullanımının sesin akustik parametrelerini etkilediği tespit edilmiştir. Bu nedenle ses ile ilgili akustik değerlendirmeler maskesiz yapılmalıdır.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 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.
