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    Evaluation of Childhood Traumas, Depressive Symptoms, and Dissociative Experiences in Tinnitus Cases
    (Galenos Publ House, 2021) Altintas, Mustafa; Sarlak, Deniz; Ozturk, Erdinc; Celbis, Osman
    Objective: Tinnitus is described as the perceived sound without any external stimulus and is a common problem, but its mechanism is not fully understood. This study aimed to evaluate childhood traumas and dissociative experiences, which may be predisposing factors in patients with tinnitus.Methods: The study included 90 voluntary patients (45 patients with tinnitus and 45 in the control group) aged older than 18 years who applied to the otorhinolaryngology clinic between November 2018 and February 2019 and were diagnosed with subjective tinnitus. A personal information form together with childhood trauma, hospital anxiety and depression, and dissociative experiences scales were used to assess the patients.Results: Of all participants, 55.60% were males, 28.90% were 20-30 years old, 71.10% were married, 40% were primary school graduates, and 68.90% were employed. In addition, 77.78% of patients did not visit a psychiatrist and 75.56% did not have any chronic diseases. The mean total score of Childhood Trauma Scale for the tinnitus group was 54.37 +/- 10.17, the mean total score of The Hospital Anxiety and Depression Scale for the tinnitus group in the depression subscale was 12.22 +/- 5.41 and in the anxiety subscale was 10.54 +/- 3.5, and Dissociative Experiences was 13.48 +/- 4.68. A positive significant relationship was found between the childhood traumas of the tinnitus cases in their depressive symptoms, and dissociative experiences (p<0.05).Conclusions: The study results found a positive relationship between the childhood traumas and dissociative experiences of tinnitus cases, which can be considered as predisposing factors in patients with tinnitus who should also be investigated for childhood trauma, and the treatment approach should be multidisciplinary.
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    Foreign bodies in the external auditory canal: A single center experience
    (2020) Altintas, Mustafa
    Aim: The aim of our study is to determine the risky age groups, to investigate what kind of materials may pose a danger and the measures that can be taken to prevent it and to evaluate the findings in the light of the literature.Materials and Methods: The medical records of patients diagnosed with foreign bodies in the external auditory canal admitted to Antalya Serik State Hospital Emergency Service or Ear-Nose and Throat (ENT) Clinic between January 2018 and December 2018 were retrospectively analyzed. Various parameters such as foreign bodies, age, sex, as well as clinical symptoms and treatment protocols were investigated, and these cases were discussed in the light of the literature.Results: A total of 96 patients admitted to our hospital at the time of the study. Fifty-four of them were male (56.25%) and 42 were female patients (43.75%). The mean age was 24.13 years (11 months - 76 years). Foreign bodies were removed from the right ear in 58 cases (60.4%), from the left ear in 35 cases (36.4%), and from both ears in 3 cases (3.1%). Most of the patients were preschool children aged between 0-5 years (n = 46, 47.9%). This patient group was followed by the adult-age patient group, who were 16 years old or older (n = 27, 28.1%). The most common foreign bodies in children were small plastic pieces (84.2%) and granular foods (76.5%). In adults, cotton swabs were the most common (71.4%). Conclusion: The presence of foreign bodies in the external auditory canal is a common problem in ENT diseases both in the pediatric group and in the adult group. Foreign bodies can cause complications even up to perforation in the ear. Parents should be made aware of not keeping small plastic pieces and granular foods near their children.
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    The Score for Allergic Rhinitis study in Turkey, 2020
    (Dergipark Akad, 2021) Cingi, Cemal; Muluk, Nuray Bayar; Susaman, Nihat; Kucukcan, Nagehan; Kar, Murat; Altintas, Mustafa; Altin, Fazilet
    Objective: This study aimed to determine how prevalent allergic rhinitis (AR) is in Turkey and to compare the current prevalence with the figures obtained 10 years earlier. Methods: This study included 9,017 participants. The minimum number of participants required from each center was determined via a stratified sampling technique according to regional demographic characteristics as ascertained from the last census. For each region, both men and women were administered the score for allergic rhinitis (SFAR) questionnaire and a score for each participant was calculated based on the responses supplied. Results: A total of 9,017 individuals (55.3% men and 44.7% women) took part in this study. Of these, 94.4% were urban residents and 5.6% lived in a rural setting. Of the men, 38.5% self-reported as suffering from AR. The corresponding figure in women was 40.5%. The overall prevalence of AR, as deduced on the basis of the SFAR, was found to be 36.7%. Comparing the prevalence in different regions, we found that AR was the least prevalent in the Black Sea region with a frequency of 35.8%. The highest prevalence was in the Mediterranean region, where the prevalence was 37.7%. There was no statistical significance in the apparent differences in prevalence between different geographical regions. Despite this, however, there was a clear increase in the frequency of AR over the preceding decade. This increase was most pronounced in the South-Eastern Anatolian region, where the frequency rose from 21.0% to 36.9%. Conclusion: Our results indicate that there has been a marked increase in the prevalence of AR in every region in Turkey over the last 10 years. This could be related to living conditions in urban environments. Alterations in lifestyle, urban living, air pollution causing impairments in immune defense mechanisms, and other aspects of modern lifestyles may account for the increase in AR in Turkey.