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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 Chronic Noise Affects Middle Ear Resonance and Absorbance in Industrial Workers(Aves, 2022) Yilmaz, Nihat; Soylemez, Emre; Soylemez, Tugce; Sanuc, Merve Betul; Yilmaz, OrhanBACKGROUND: The effect of chronic noise on the middle ear is not fully known. This study aimed to evaluate the middle ear functions of metal workers exposed to chronic noise using wideband tympanometry. METHODS: In this study, 62 male workers exposed to chronic noise and 30 healthy men were included. Workers exposed to chronic noise were divided into 2 groups according to their pure tone averages. Totally 30 workers (60 ears) with pure tone average less than 20 dB were included in group I, and 32 workers (64 ears) with pure tone average more than 20 dB were included in group II. All individuals were subjected to wideband tympanometry. Tympanometric peak pressure, equivalent ear canal volume, static acoustic admittance, resonance frequency, and absorbance ratios at peak pressure and ambient pressure values were analyzed. RESULTS: There was no difference between the groups in terms of traditional tympanometric parameters such as tympanometric peak pressure, equivalent ear canal volume, and static acoustic admittance (P >.05). Resonance frequency of workers exposed to chronic noise (group I and group II) was lower than the control group (P <.05). The absorbance ratios of workers exposed to chronic noise at approximately 4 kHz were lower in both peak pressures and ambient pressures (P <.05). CONCLUSION: Chronic noise does not only damage the inner ear but also causes changes in the middle ear structures. Wideband tympanometry can be used to detect minor auditory damage due to noise that cannot be detected by audiogram early. In this way, necessary measures can be taken in the early period before noise-induced hearing loss occurs.Öğe DEPRESSION AND ANXIETY LEVELS IN A GROUP OF ELDERLY WITH TEMPOROMANDIBULAR DISORDERS(Gunes Kitabevi Ltd Sti, 2021) Cebi, Ahmet Taylan; Yilmaz, Nihat; Karayurek, Fatih; Gulses, AydinIntroduction: The objective of this study was to assess stress and anxiety in a sample of elderly patients suffering from temporomandibular joint disorders who did not have previously diagnosed emotional disturbances. It is well known that patients presenting with temporomandibular joint disorders are more commonly affected by anxiety and depression. However, there is a lack of data regarding the prevalence of undiagnosed anxiety and emotional stress disorders among elderly patients with temporomandibular joint disorders. Materials and Method: Clinical examination was performed using Research Diagnostic Criteria (Axis I). Patients with previously diagnosed and managed psychiatric and psychological disorders were excluded. Magnetic resonance imaging findings were also used to confirm the diagnosis. Beck Depression Inventory and Beck Anxiety Inventory forms were obtained to assess stress and anxiety levels. Results: A total of 125 patients (103 [82.4%] women and 22 [17.6%] men) aged 60 to 87 (71.89 +/- 10.39) years were included. The highest depression and anxiety scores were found among patients suffering from bruxism, followed by those with disc displacement without reduction and myofascial pain syndrome. All the patients showed significantly elevated depression levels. Conclusion: The emotional health status of elderly patients with intraand extra-articular temporomandibular joint disorders should be attentively assessed.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 PARANASAL SINUS ANATOMICAL DIFFERENCES IN ELDERLY PATIENTS(Gunes Kitabevi Ltd Sti, 2020) Yilmaz, Nihat; Mulazimoglu, Selcuk; Oner, Serkan; Nacar, Erkay; Yilmaz, OrhanIntroduction: Endonasal endoscopic sinus surgeries performed on elderly patients can be challenging due to anatomical variations, and can be studied using preoperative computed tomography. The aim of the present study was to evaluate paranasal sinus anatomical differences in elderly patients compared to a younger control group. Materials and Methods: We retrospectively evaluated paranasal computed tomography scans of 47 elderly patients (>65 years old) (Elderly group) and 47 younger patients (Control group) for midfacial skeletal size (interzygomatic buttress distance, nasion-basion distance), anatomical variations, dimensions, and paranasal sinus volumes. Results: The mean age of the Elderly group was 69.89 years (65- 81 years) and the mean age of the Control group was 33.15 years (20-49 years). There was no significant difference in midfacial size between the two groups. The prevalence of Keros Type Ill olfactory fossa was significantly higher in the Elderly group than in the Control group (p<0.05). The Elderly group had a significantly lower mean maxillary sinus volume (p<0.01) and mean anteroposterior diameter of the sphenoid sinus (p<0.01) compared to the Control group. Furthermore, there was no significant difference in the maxillary sinus volume between the elderly edentulous and dentulous patients(p>0.05). Conclusion: Elderly patients have more Keros Type Ill olfactory fossa, which confers a higher risk of iatrogenic cerebrospinal fluid leakage during endoscopic sinus surgery. The preoperative detailed evaluation of computed tomography scans of elderly patients should include, but not be limited to, the ethmoid roof for deep olfactory fossa, and the sphenoid sinus for its narrow anterioposterior dimention.Öğe Sound energy absorbance changes in the elderly with presbycusis with normal outer and middle ear(Springer, 2023) Yilmaz, Nihat; Soylemez, Emre; Sanuc, Merve Betul; Bayrak, Muhammed Harun; Sener, VeyisObjective This study aimed to investigate the wideband tympanometry (WBT) findings in the elderly with presbycusis who have normal outer and middle ears according to otoscopic examination and traditional tympanometry, and to determine whether there is a relationship between the middle ear wideband absorbance value and the pure tone air-bone gap (ABG) observed especially at mid-high frequencies in the elderly. Methods The study included 30 elderly with presbycusis (> 65 years old, presbycusis group) and 30 healthy individuals (control group) between the ages of 18 and 55. Pure tone air conduction and bone conduction thresholds of all participants were determined and WBT was applied to all participants. Resonance frequency (RF), absorbance ratios at peak pressure (PPAR) and ambient pressure (APAR) values were analyzed. Results The RF value of the presbycusis group was lower than the control group (p < 0.05). APAR and PPAR values at 2000 and 4000 Hz and mean absorbance values of the presbycusis group were lower than the control group (p < 0.05). APAR was higher at 500 Hz in males than females (p < 0.05), but there was no difference between genders in RFs (p > 0.05). A moderate negative correlation was observed between ABG and both PPAR and APAR at 4000 Hz in presbycusis group (p < 0.05). Conclusion it was determined that there was a decrease in RF and absorbances at 2000 and 4000 Hz in the elderly with presbycusis. Aging affects not only the inner ear but also the conduction mechanism of the middle ear. Our findings may be effective in a more accurate and reliable interpretation of WBT in the elderly with presbycusis.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.
